Amniotic Fluid Ingestion Enhances\ud Opioid-Mediated But Not\ud Nonopioid-Mediated Analgesia

Ingestion of amniotic fluid or placenta by rats has been shown to enhance several types of opioid-mediated analgesia: that induced by morphine, footshock, vaginal/cervical stimulation, and late pregnancy. This enhancement has also been blocked by administration of opioid antagonists. The present study was designed to examine further the specificity of the enhancement effect for opioid-mediated analgesia by testing for enhancement following administration of aspirin, a nonopioid analgesic. The formalin test was used as the pain threshold assay. Amniotic fluid or beef bouillon was administered by orogastric tube to rats that were treated either with morphine sulfate or saline. or pretreated with naltrexone, then treated with aspirin or vehicle. Both morphine and aspirin treatments produced analgesia. Amniotic fluid significantly enhanced the analgesia produced by morphine, but did not enhance the analgesia produced by aspirin, further suggesting that the enhancing effect of amniotic fluid ingestion is specific for opioid-mediated analgesia, such as that existing at the start of parturition

The Fish Crow (\u3ci\u3eCorvus ossifragus\u3c/i\u3e) Reaches Nebraska

The Fish Crow (Corvus ossifragus) was formerly endemic to the southeastern United States where it inhabited coastal areas along the Atlantic and Gulf Coasts (McGowan 2001). Since the early 1900s, the species has steadily expanded north and west along major river systems (McGowan 2001). Fish Crow range expansion has followed a logical pattern, expanding along major rivers in regions close to established populations, in adjacent states to the south and east of Nebraska. The species was first recorded in Missouri in 1964 (Robbins and Easterla 1992). In 1984, Fish Crow was first reported in Kansas and by 1991 was found breeding in that state (Thomson and Ely 1992). Iowa\u27s first record was in 1991 (Kent and Dinsmore 1996). There are no records from adjacent states to the north and west of Nebraska (Tallman et al. 2002, Andrews and Righter 1992, Scott 1993, Wyoming Game and Fish Department 1997). The Fish Crow has long been considered an inevitable addition to Nebraska\u27s avifauna. During the summer of 2009, we observed an adult Fish Crow on multiple occasions on the lower Platte River (LPR) near its confluence with the Missouri River. Documentation was provided to the Nebraska Ornithologists\u27 Union Records Committee (NOURC) and this observation was subsequently accepted as the first documented record for the species in Nebraska (Mark Brogie, NOURC Chairperson, personal communication). Here, we describe our observations and comment on the future occurrence of the species in Nebraska

The Nebraska Natural Legacy Project: State Wildlife Action Plan 2nd edition

Nebraska’s rich biological diversity is composed of thousands of plant and animal species interacting with each other and the environment. The flora and fauna of the state, along with the natural habitats they occupy, form Nebraska’s natural heritage – a legacy that should be treasured just as much as our cultural heritage. Unfortunately, populations of many once common species have declined because of a variety of stresses, including habitat loss, habitat degradation, diseases, and competition and predation from invasive species. While conservation actions in the past have had notable successes, they have not been sufficient to stem the overall tide of species decline. There is a need for a comprehensive, systematic and proactive approach to conserving the full array of Nebraska’s biological diversity. The goals of the Nebraska Natural Legacy Project are to: 1. Reverse the decline of at-risk species (and avoid the need for state or federal listing as threatened or endangered) 2. Recover currently listed species and allow for their de-listing 3. Keep common species common 4. Conserve natural communities Almost all existing natural habitat in Nebraska, and the biological diversity it supports, resides on lands under private ownership. All Nebraskans can benefit from the strong conservation tradition and sound stewardship of private landowners. The Nebraska Natural Legacy Project seeks to continue this tradition, while at the same time creating new opportunities for collaboration between farmers, ranchers, communities, private and governmental organizations and others for conserving Nebraska’s biological diversity, our natural heritage. The Nebraska Natural Legacy Project is non-regulatory, voluntary, incentive-based conservation. As stewards for the next generation, it is everyone’s responsibility to ensure the treasures that were handed to us by nature and our predecessors are still here for future generations of Nebraskans to enjoy

The Impact of Supervisor Servant Leadership on Counselor Supervisee Burnout and Secondary Traumatic Stress

This study investigates the prediction of supervisee burnout and secondary traumatic stress by perceived supervisor servant leadership. Authors hypothesized that the servant leadership of supervisors would predict diminished burnout and secondary traumatic stress of supervisees. A sample of 241 counseling supervisees participated in the cross-sectional study and completed instruments measuring burnout, secondary traumatic stress, and perceived servant leadership of their direct supervisors. Data were analyzed with two simple linear regressions, and a one-way MANOVA was performed to determine if supervisee burnout, supervisee secondary traumatic stress, and perceived servant leadership of supervisors differed significantly according to supervisor type (i.e., clinical, administrative, or dual role). Results confirmed the main hypothesis, and administrative supervisors were perceived to demonstrate significantly less servant leadership qualities than the other two supervisor types. Limitations, avenues for future research, and implications for counselor education and supervision are discussed

Defining the Urethritis Syndrome in Men Using Patient Reported Symptoms

To evaluate self-reported symptoms to guide urethritis diagnosis, symptomatic men being evaluated for urethritis were asked about seven symptoms captured during history-taking. Discharge and dysuria were significantly associated with urethritis and, when combined with genital irritation and itching, identified 95% of urethritis cases; odor and urinary frequency performed poorly

Delay in Seeking Healthcare Services Following Onset of Urethritis Symptoms in Men

Background: Symptom awareness, behavioral factors, and other barriers associated with timely sexually transmitted infection (STI) health care provision in men is not well studied. Methods: Men attending an STI clinic answered a questionnaire regarding their symptoms, sexual behavior, and sociodemographic and behavioral characteristics. Characteristics of symptomatic men were compared between those who did and did not delay seeking health care services. Delayed care seeking was defined as clinic attendance longer than 7 days after symptoms, whereas early care seeking was defined as clinic attendance of 7 days or less. Results: Over a quarter (n = 43 [27.7%]) of men with urethritis symptoms (urethral discharge or dysuria) delayed seeking care for more than 7 days. Compared with men who sought treatment within 7 days, those that delayed care worried for longer periods that their symptoms were STI-related, were more likely to attempt self-treatment of STI symptoms, were more likely to continue engaging in sexual activity, and were less likely to use a condom during their last sexual encounter. Conversely, men that delayed care seeking were less likely to have urethral discharge on physical examination, to have 5 or more polymorphonuclear leukocytes, and to test positive for Neisseria gonorrhoeae. When compared with men that sought care earlier, men that delayed care seeking had fewer overall and new partners in the past 30 days. Conclusions: Our data suggest that over a quarter of men aware of STI symptoms delay seeking health services. Interventions that promote better patient understanding of the importance of symptom recognition and that facilitate timely access to care may provide new opportunities to reduce STI transmission

Meatal Swabs Contain Less Cellular Material and Are Associated with a Decrease in Gram Stain Smear Quality Compared to Urethral Swabs in Men

Urethral swabs are the samples of choice for point-of-care Gram stain testing to diagnose Neisseria gonorrhoeae infection and nongonococcal urethritis (NGU) in men. As an alternative to urethral swabs, meatal swabs have been recommended for the collection of urethral discharge to diagnose N. gonorrhoeae and Chlamydia trachomatis infection in certain populations by nucleic acid amplification testing (NAAT), as they involve a less invasive collection method. However, as meatal swabs could be sampling a reduced surface area and result in fewer collected epithelial cells compared to urethral swabs, the adequacy of meatal swab specimens to collect sufficient cellular material for Gram stain testing remains unknown. We enrolled 66 men who underwent either urethral or meatal swabbing and compared the cellular content and Gram stain failure rate. We measured the difference in swab cellular content using the Cepheid Xpert CT/NG sample adequacy control crossing threshold (SACCT) and determined the failure rate of Gram stain smears (GSS) due to insufficient cellular material. In the absence of discharge, meatal smears were associated with a significant reduction in cellular content (P = 0.0118), which corresponded with a GSS failure rate significantly higher than that for urethral swabs (45% versus 3%, respectively; P < 0.0001). When discharge was present, there was no difference among results from urethral and meatal swabs. Therefore, if GSS testing is being considered for point-of-care diagnosis of N. gonorrhoeae infection or NGU in men, meatal swabs should be avoided in the absence of a visible discharge