2,311 research outputs found
The breeding performance of raptors in urban landscapes: a review and meta-analysis
Global urbanisation is rapidly increasing and can have profound impacts on wild flora and fauna. For many species, the impacts are detrimental and irreversible, whereas others are able to colonise and apparently thrive in these novel, human-made environments. Raptors are particularly susceptible to changes in the environment due to their position at the end of the food chain, yet some species are increasingly associated with towns and cities. To explore the impact of urbanisation on raptors, we reviewed the literature and compared breeding performance in urban and rural populations globally. In general, raptors began breeding earlier and had larger brood sizes in urban compared to rural environments. However, some of these raptors also fledged fewer young in urban habitats, apparently caused largely by a lack of prey and, in some cases, increased human disturbance. As such, urban environments may act as ecological traps for some raptor species. Species differed in their response to urbanisation. In particular, specialist bird predators such as Peregrine Falcons (Falco peregrinus) had a higher breeding performance (clutch size, brood size, number to fledge and nest success) and showed a positive response to urbanisation compared to those that predate on small mammals, such as Eurasian Kestrels (F. tinnunculus), which showed a negative response. This suggests that prey availability is one of the most important determinants of the success of urban-nest- ing raptors. We demonstrate a need for continued research into the breeding performance of raptors that live in urban environments, and stress the importance of focusing on the reasons for any differences in breeding performance between urban and non-urban environments in order to aid conservation and management efforts for this iconic bird grou
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Breeding performance of an apex predator, the peregrine falcon, across urban and rural landscapes
Urban environments present wildlife with major challenges and yet surprising numbers of species have colonised towns and cities globally. Despite the growing realisation that urban centres can be important habitats for wildlife, why some species do better than others in urban environments remains poorly understood. Here, we compare the breeding performance of an apex predator, the peregrine falcon (Falco peregrinus), in urban and rural environments, and test whether variation in reproductive success between and within environments is driven by prey. Historical breeding data were collected from raptor study groups across Great Britain between 2006 and 2016, from 22 urban and 58 rural nest sites, involving 101 and 326 nesting attempts, respectively. Prey density, biomass and diversity around the individual nests was estimated using modelled estimates from a national bird census. Urban peregrines produced more fledglings and had a higher overall nesting success (i.e. whether a nesting attempt was successful or unsuccessful) than rural peregrines. Prey density and biomass were significantly higher, and diversity significantly lower, in the urban sites, and explained the variation in reproductive success within both the urban and rural environments. Therefore, urban environments in Great Britain appear to provide peregrine falcons with superior habitats in terms of prey availability compared to rural habitats. We conclude that some apex predators can benefit from urban environments and that urban planning has the potential to benefit biodiversity across many trophic levels
Vitamin D Supplementation and Pain-Related Emergency Department Visits in Children with Sickle Cell Disease
Objectives: Sickle cell disease (SCD) is the most prevalent inherited hematological disorder and affects 100,000 individuals in the United States. Pain is the most common cause of emergency department (ED) visits in the SCD population, which profoundly affects quality of life. Vitamin D supplementation is a potential target for reducing pain. Thus, the goal of the present study was to identify the prevalence of vitamin D deficiency and explore the relationship between vitamin D supplementation and ED visits in pediatric patients with SCD. /
Design: We conducted a retrospective chart review of 110 patients with SCD aged 8 to 16 years who had at least one ED visit for SCD pain during the 6-year study period. Patients were categorized into three vitamin D supplementation groups: patients who did not receive supplementation, patients supplemented with 25-hydroxyvitamin D levels (< 30 ng/mL), and patients supplemented with at least one sufficient 25-hydroxyvitamin D level (≥ 30 ng/mL). /
Results: Overall, 45% of patients were vitamin D deficient. Only 20% of patients had sufficient vitamin D levels. This number increased to 55% when examining only patients who did not receive vitamin D supplementation. For patients supplemented with vitamin D, the number of ED visits was significantly lower after they reached the sufficient range (≥ 30 ng/mL), p = .03. /
Conclusions: Our findings indicate that reductions in the number of pain-related ED visits may be achieved by normalizing 25-hydroxyvitamin D levels with supplementation. In addition, findings highlight the need for screening and vitamin D supplementation being incorporated into routine care for pediatric patients with SCD
Predictors of mortality for delirium in palliative care
© Mary Ann Liebert, Inc. 2016. Introduction: Delirium has a high mortality rate. Understanding predictors of prognosis in patients with delirium will aid treatment decisions and communication. This study aimed to explore variables associated with death during an established episode of delirium in palliative care when haloperidol treatment had been commenced. Methods: A consecutive cohort of palliative care patients, from 14 centers across four countries, is reported. The outcome of interest was death within 14 days from commencement of haloperidol treatment for delirium. Clinicodemographic variables explored were delirium severity, age, gender, primary life limiting illness, body mass index (BMI), total daily haloperidol dose at baseline (mg), functional status, and comorbidities. Results: One hundred and sixteen palliative care patients where vital status was known were included in the analysis; 45% (n = 52) died within 10 days, and 56% (n = 65) died within 14 days. In multivariate analyses no clinical or demographic variables predicted death, apart from lower BMI in noncancer patients. Conclusion: This study has shown a very high mortality rate within two weeks of commencing haloperidol for delirium in palliative care, with no clear clinical predictors for those with a higher chance of dying. Having a higher BMI offered some benefit in survival, but only in noncancer patients. When delirium occurs in advanced illness, discussion should be initiated about the gravity of the clinical situation
Mobile Health Use Predicts Self-Efficacy and Self-Management in Adolescents with Sickle Cell Disease
Bats Use Magnetite to Detect the Earth's Magnetic Field
While the role of magnetic cues for compass orientation has been confirmed in numerous animals, the mechanism of detection is still debated. Two hypotheses have been proposed, one based on a light dependent mechanism, apparently used by birds and another based on a “compass organelle” containing the iron oxide particles magnetite (Fe3O4). Bats have recently been shown to use magnetic cues for compass orientation but the method by which they detect the Earth's magnetic field remains unknown. Here we use the classic “Kalmijn-Blakemore” pulse re-magnetization experiment, whereby the polarity of cellular magnetite is reversed. The results demonstrate that the big brown bat Eptesicus fuscus uses single domain magnetite to detect the Earths magnetic field and the response indicates a polarity based receptor. Polarity detection is a prerequisite for the use of magnetite as a compass and suggests that big brown bats use magnetite to detect the magnetic field as a compass. Our results indicate the possibility that sensory cells in bats contain freely rotating magnetite particles, which appears not to be the case in birds. It is crucial that the ultrastructure of the magnetite containing magnetoreceptors is described for our understanding of magnetoreception in animals
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Raptors, racing pigeons and perceptions of attacks
Raptors are often the cause of human-wildlife conflict because they may predate economically valuable species, and it is the perceived extent of predation that may augment conflict between raptors and people who keep and race pigeons. This study uses data obtained through questionnaires and an online raptor-attack reporting feature to investigate the frequency of racing pigeon losses and the perceptions of pigeon fanciers. Responses suggest that those who kept more pigeons and entered more races lost a higher proportion of pigeons. Losses were also influenced by the predatory species: sparrowhawks (Accipter nisus) were more likely to attack pigeons at lofts, whilst peregrines (Falco peregrinus) were more likely to attack pigeons during training, with patterns linked to the raptors' breeding seasons. Pigeon fanciers were almost unanimous in their perception that raptors threaten the future of the hobby. Previous studies show that only a small proportion of racing pigeons are likely to be lost to raptors, yet pigeon fanciers believe that raptors are the main cause of losses, highlighting a possible mismatch between the perceived and actual causes of loss. This misconception may be a main source of this human-raptor conflict, so educating pigeon fanciers about the true impact of raptors could help to alleviate the issue. A shift in the beginning of the pigeon racing season by one month, and careful sighting of pigeon lofts in gardens, are also recommended in order to reduce raptor attacks
Randomized phase III KEYNOTE-045 trial of pembrolizumab versus paclitaxel, docetaxel, or vinflunine in recurrent advanced urothelial cancer: results of >2 years of follow-up.
BackgroundNovel second-line treatments are needed for patients with advanced urothelial cancer (UC). Interim analysis of the phase III KEYNOTE-045 study showed a superior overall survival (OS) benefit of pembrolizumab, a programmed death 1 inhibitor, versus chemotherapy in patients with advanced UC that progressed on platinum-based chemotherapy. Here we report the long-term safety and efficacy outcomes of KEYNOTE-045.Patients and methodsAdult patients with histologically/cytologically confirmed UC whose disease progressed after first-line, platinum-containing chemotherapy were enrolled. Patients were randomly assigned 1 : 1 to receive pembrolizumab [200 mg every 3 weeks (Q3W)] or investigator's choice of paclitaxel (175 mg/m2 Q3W), docetaxel (75 mg/m2 Q3W), or vinflunine (320 mg/m2 Q3W). Primary end points were OS and progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST v1.1) by blinded independent central radiology review (BICR). A key secondary end point was objective response rate per RECIST v1.1 by BICR.ResultsA total of 542 patients were enrolled (pembrolizumab, n = 270; chemotherapy, n = 272). Median follow-up as of 26 October 2017 was 27.7 months. Median 1- and 2-year OS rates were higher with pembrolizumab (44.2% and 26.9%, respectively) than chemotherapy (29.8% and 14.3%, respectively). PFS rates did not differ between treatment arms; however, 1- and 2-year PFS rates were higher with pembrolizumab. The objective response rate was also higher with pembrolizumab (21.1% versus 11.0%). Median duration of response to pembrolizumab was not reached (range 1.6+ to 30.0+ months) versus chemotherapy (4.4 months; range 1.4+ to 29.9+ months). Pembrolizumab had lower rates of any grade (62.0% versus 90.6%) and grade ≥3 (16.5% versus 50.2%) treatment-related adverse events than chemotherapy.ConclusionsLong-term results (>2 years' follow-up) were consistent with those of previously reported analyses, demonstrating continued clinical benefit of pembrolizumab over chemotherapy for efficacy and safety for treatment of locally advanced/metastatic, platinum-refractory UC.Trial registrationClinicalTrials.gov: NCT02256436
Predation by Bears Drives Senescence in Natural Populations of Salmon
Classic evolutionary theory predicts that populations experiencing higher rates of environmentally caused (“extrinsic”) mortality should senesce more rapidly, but this theory usually neglects plausible relationships between an individual's senescent condition and its susceptibility to extrinsic mortality. We tested for the evolutionary importance of this condition dependence by comparing senescence rates among natural populations of sockeye salmon (Oncorhynchus nerka) subject to varying degrees of predation by brown bears (Ursus arctos). We related senescence rates in six populations to (1) the overall rate of extrinsic mortality, and (2) the degree of condition dependence in this mortality. Senescence rates were determined by modeling the mortality of individually-tagged breeding salmon at each site. The overall rate of extrinsic mortality was estimated as the long-term average of the annual percentage of salmon killed by bears. The degree of condition dependence was estimated as the extent to which bears killed salmon that exhibited varying degrees of senescence. We found that the degree of condition dependence in extrinsic mortality was very important in driving senescence: populations where bears selectively killed fish showing advanced senescence were those that senesced least rapidly. The overall rate of extrinsic mortality also contributed to among-population variation in senescence-but to a lesser extent. Condition-dependent susceptibility to extrinsic mortality should be incorporated more often into theoretical models and should be explicitly tested in natural populations
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