An ethnobotanical survey of medicinal plants used in the East Sepik province of Papua New Guinea

© 2015 Koch et al. Background: Rapid modernization in the East Sepik (ES) Province of Papua New Guinea (PNG) is resulting in a decrease in individuals knowledgeable in medicinal plant use. Here we report a synthesis and comparison of traditional medicinal plant use from four ethnically distinct locations in the ES Province and furthermore compare them to two other previous reports of traditional plant use from different provinces of PNG. Methods: This manuscript is based on an annotated combination of four Traditional Medicines (TM) survey reports generated by University of Papua New Guinea (UPNG) trainees. The surveys utilized a questionnaire titled Information sheet on traditional herbal preparations and medicinal plants of PNG , administered in the context of the TM survey project which is supported by WHO, US NIH and PNG governmental health care initiatives and funding. Regional and transregional comparison of medicinal plant utilization was facilitated by using existing plant databases: the UPNG TM Database and the PNG Plant Database (PNG Plants) using Bayesian statistical analysis. Results: Medicinal plant use between four distinct dialect study areas in the ES Province of PNG showed that only a small fraction of plants had shared use in each area, however usually utilizing different plant parts, being prepared differently and to treat different medical conditions. Several instances of previously unreported medicinal plants could be located. Medicinally under- and over-utilized plants were found both in the regional reports and in a transregional analysis, thus showing that these medicinal utilization frequencies differ between provinces. Conclusions: Documentation of consistent plant use argues for efficacy and is particularly important since established and effective herbal medicinal interventions are sorely needed in the rural areas of PNG, and unfortunately clinical validation for the same is often lacking. Despite the existence of a large corpus of medical annotation of plants for PNG, previously unknown medical uses of plants can be uncovered. Furthermore, comparisons of medicinal plant utilization is possible if databases are reformatted for consistencies that allow comparisons. A concerted effort in building easily comparable databases could dramatically facilitate ethnopharmacological analysis of the existing plant diversity

Do utility corridors affect movements of small terrestrial fauna?

Linear forest clearings created by utility corridors have the potential to fragment landscapes, create edge effects and isolate populations of plants and animals. Here, we investigated the impact of utility corridors on small terrestrial fauna inhabiting Nangwarry Native Forest Reserve, south of Penola in south-eastern South Australia. Twelve sites straddling linear clearings of two widths (1.5 and 4.2 m) were surveyed over 2 years with 53 traps arranged as five transects at each site. This resulted in a total of 933 captures of 18 vertebrate species, including four amphibians, eight reptiles and six mammals. Propensity for capture near edges v. interiors, distances moved between recaptures and willingness to cross linear clearings varied among species, and was not related to taxa groups. For example, the small skink Bassiana duperreyi was extremely mobile and crossed tracks regularly. At the other extreme, the frog Neobatrachus pictus was more likely to be caught on interior transects and was never recorded moving between captures. The small dasyurid Antechinus flavipes was the most regularly caught species, and made both short- (1500 m) movements, with longer moves made by dispersing juveniles. Movements by this species often involved clearing crossings, although these were more likely when time between recaptures was longer, particularly for females. However, the overall rate of crossings for this species was not different from that expected if movements were random. In conclusion, the relatively narrow utility corridors studied here did not appear to affect the mobility of the majority of vertebrates significantly, with approximately half of the 85 movements recorded being of animals crossing a clearing, and no significant difference between the proportion crossing the wider (4.2 m) and the narrower (1.5 m) clearings. The present study is one of only a handful investigating movement patterns in reptiles and amphibians, particularly in relation to disturbances. However, sample sizes were small for some species, and future work should focus on those species that look to be either particularly mobile or sedentary, and encompass responses to the wider (up to 15 m) permanent tracks in the region.Susan M. Carthew, Briony Horner and Katherine M. W. Jone

BRIEF REPORT: Beyond Clinical Experience: Features of Data Collection and Interpretation That Contribute to Diagnostic Accuracy

BACKGROUND: Clinical experience, features of data collection process, or both, affect diagnostic accuracy, but their respective role is unclear. OBJECTIVE, DESIGN: Prospective, observational study, to determine the respective contribution of clinical experience and data collection features to diagnostic accuracy. METHODS: Six Internists, 6 second year internal medicine residents, and 6 senior medical students worked up the same 7 cases with a standardized patient. Each encounter was audiotaped and immediately assessed by the subjects who indicated the reasons underlying their data collection. We analyzed the encounters according to diagnostic accuracy, information collected, organ systems explored, diagnoses evaluated, and final decisions made, and we determined predictors of diagnostic accuracy by logistic regression models. RESULTS: Several features significantly predicted diagnostic accuracy after correction for clinical experience: early exploration of correct diagnosis (odds ratio [OR] 24.35) or of relevant diagnostic hypotheses (OR 2.22) to frame clinical data collection, larger number of diagnostic hypotheses evaluated (OR 1.08), and collection of relevant clinical data (OR 1.19). CONCLUSION: Some features of data collection and interpretation are related to diagnostic accuracy beyond clinical experience and should be explicitly included in clinical training and modeled by clinical teachers. Thoroughness in data collection should not be considered a privileged way to diagnostic success