Pointing and pantomime in wild apes? Female bonobos use referential and iconic gestures to request genito-genital rubbing

Referential and iconic gesturing provide a means to flexibly and intentionally share information about specific entities, locations, or goals. The extent to which nonhuman primates use such gestures is therefore of special interest for understanding the evolution of human language. Here, we describe novel observations of wild female bonobos (Pan paniscus) using referential and potentially iconic gestures to initiate genito-genital (GG) rubbing, which serves important functions in reducing social tension and facilitating cooperation. We collected data from a habituated community of bonobos at Luikotale, DRC, and analysed n = 138 independent gesture bouts made by n = 11 females. Gestures were coded in real time or from video. In addition to meeting the criteria for intentionality, in form and function these gestures resemble pointing and pantomime–two hallmarks of human communication–in the ways in which they indicated the relevant body part or action involved in the goal of GG rubbing. Moreover, the gestures led to GG rubbing in 83.3% of gesture bouts, which in turn increased tolerance in feeding contexts between the participants. We discuss how biologically relevant contexts in which individuals are motivated to cooperate may facilitate the emergence of language precursors to enhance communication in wild apes

Acute changes in oxytocin predict behavioral responses to foundation training in horses

Ensuring horse welfare is a central aim in equestrian activities. Training is an important context for welfare, as horses form long-lasting representations of people and actions at a young age. However, only a few studies have addressed horses' emotional responses during early training with humans. In this study, we followed N = 19 young horses, including naive yearlings and more experienced two-to three-year-olds, through five foundation training sessions over nine months. Our goal was to combine physiological and behavioral measures to assess emotional responses to early foundation training. Specifically, we measured salivary oxytocin (sOXT) in N = 100 samples and salivary cortisol (sCORT) in N = 96 samples before and after training sessions. We also recoded behavioral responses during training. Changes in sOXT during training predicted individual variation in behavioral responses: Horses who showed more affiliative human-directed behaviors during training had in-creases in sOXT, while horses who showed more behavioral indicators of discomfort during training had de-creases in sOXT. Salivary cortisol was not related to individual behavioral responses, but experienced horses had lower sCORT concentrations both before and after training, and all horses showed decreases in sCORT and in behaviors indicative of fear or discomfort as training progressed. In addition, sCORT increased during longer training sessions, consistent with the established role of cortisol in responding to physical stressors. We conclude that individual variation in positive or negative behavioral responses to foundation training corresponds with acute changes in sOXT concentrations in young horses, suggesting that sOXT may be useful as a non-invasive indicator of emotional responses in young horses.Peer reviewe

Dominance or tolerance? Causes and consequences of a period of increased intercommunity encounters among bonobos (Pan paniscus) at LuiKotale

Group-living primates exhibit variable reactions to intergroup encounters (or IGEs), reflecting species-specific strategies and individual motivations. In chimpanzees (Pan troglodytes), dominating in IGEs provides fitness benefits. Less is known about responses to IGEs in bonobos (Pan paniscus) despite their equal relevance for understanding the origins of human intergroup relations. We observed the Bompusa West (WBp) bonobo community at LuiKotale during a 2-month shift in ranging resulting in frequent IGEs with the smaller Bompusa East (EBp) community. We tested whether incursions provided ecological benefits, and whether responses to IGEs were consistent with inter-community dominance or tolerance. We measured fruit availability and collected activity scans from 26 mature WBp community members when in their core ranging area, during incursions into the EBp ranging area, and during IGEs. We collected data on sexual interactions and aggression with in-group and out-group members during 19 independent IGEs. During their shift in ranging, fruit availability was greater in the EBp ranging area, and WBp bonobos consumed more fruit during incursions than when in their core ranging area. Coalitionary intergroup aggression occurred during nine IGEs, and outcomes were consistent with imbalances in fighting power, in that larger WBp parties supplanted smaller EBp parties from the immediate area. However, communities reformed associations following 70% of coalitionary conflicts, and prolonged IGEs facilitated out-group sexual interactions and female transfers. The WBp community shift in ranging was likely motivated by ecological factors and responses to increased IGEs reflected a mixture of competitive and tolerant strategies

Impact of Federal Cutbacks on Working AFDC Recipients in Minnesota.

Prepared by the Center for Urban and Regional Affairs and the Center for Health Services Research, University of Minnesota, with funding from the Bush Foundation, Hennepin County, the Minneapolis Foundation, Minnesota Department of Public Welfare, Minnes

Physician and Clinical Integration Among Rural Hospitals

The pressures for closer alignment between physicians and hospitals in both rural and urban areas are increasing. This study empirically specifies independent dimensions of physician and clinical integration and compares the extent to which such activities are practiced between rural and urban hospitals and among rural hospitals in different organizational and market contexts. Results suggest that both rural and urban hospitals practice physician integration, although each emphasizes different types of strategies. Second, urban hospitals engage in clinical integration with greater frequency than their rural counterparts. Finally, physician integration approaches in rural hospitals are more common among larger rural hospitals, those proximate to urban facilities, those with system affiliations, and those not under public control.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72074/1/j.1748-0361.1998.tb00637.x.pd

Rural Hospital Ownership: Medical Service Provision, Market Mix, and Spillover Effects

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/87047/1/j.1475-6773.2011.01280.x.pd

Impact of Capitation on the Non-Institutionalized Aged: An Evaluation of the Hennepin County Medicaid Demonstration Project. Final Report - Part 1.

Supported by the Robert Wood Johnson Foundation; Hennepin County Office of Medicaid Demonstration; the Bush Foundation; School of Public Health and the Center for Urban and Regional Affairs, University of Minnesota

Acute changes in oxytocin predict behavioral responses to foundation training in horses

Ensuring horse welfare is a central aim in equestrian activities. Training is an important context for welfare, as horses form long-lasting representations of people and actions at a young age. However, only a few studies have addressed horses’ emotional responses during early training with humans. In this study, we followed N = 19 young horses, including naïve yearlings and more experienced two- to three-year-olds, through five foundation training sessions over nine months. Our goal was to combine physiological and behavioral measures to assess emotional responses to early foundation training. Specifically, we measured salivary oxytocin (sOXT) in N = 100 samples and salivary cortisol (sCORT) in N = 96 samples before and after training sessions. We also recoded behavioral responses during training. Changes in sOXT during training predicted individual variation in behavioral responses: Horses who showed more affiliative human-directed behaviors during training had increases in sOXT, while horses who showed more behavioral indicators of discomfort during training had decreases in sOXT. Salivary cortisol was not related to individual behavioral responses, but experienced horses had lower sCORT concentrations both before and after training, and all horses showed decreases in sCORT and in behaviors indicative of fear or discomfort as training progressed. In addition, sCORT increased during longer training sessions, consistent with the established role of cortisol in responding to physical stressors. We conclude that individual variation in positive or negative behavioral responses to foundation training corresponds with acute changes in sOXT concentrations in young horses, suggesting that sOXT may be useful as a non-invasive indicator of emotional responses in young horses.</p

The cooperative sex: Sexual interactions among female bonobos are linked to increases in oxytocin, proximity and coalitions

In some species habitual same-sex sexual behavior co-occurs with high levels of intra-sexual alliance formation, suggesting that these behaviors may be linked. We tested for such a link by comparing behavioral and physiological outcomes of sex with unrelated same- and opposite-sex partners in female bonobos (Pan paniscus). We analyzed behavioral outcomes following 971 sexual events involving n = 19 female and n = 8 male adult and sub-adult members of a wild, habituated bonobo community. We additionally collected n = 143 urine samples before and after sexual interactions to non-invasively measure oxytocin (OT), which modulates female sexual behavior and facilitates cooperation in other species. The majority of sexual events (65%) consisted of female same-sex genito-genital rubbing (or GG-rubbing). Female dyads engaged in significantly more sexual interactions than did inter-sexual dyads, and females were more likely to remain within close proximity to their partners following GG-rubbing. Females also exhibited greater increases in urinary OT following GG-rubbing compared with copulations, indicating a physiological basis for increased motivation to cooperate among females. The frequency of coalitionary support among non-kin was positively predicted by the frequency of sexual interactions for female as well opposite-sex dyads, although coalitionary support tended to be more frequent among females. The emergence of habitual same-sex sexual behavior may have been an important step in the evolution of cooperation outside of kinship and pair-bonds in one of our closest phylogenetic relatives

An analysis of clinical process measures for acute healthcare delivery in Appalachia: The Roane Medical Center experience

OBJECTIVE: To survey management of selected emergency healthcare needs in a Tennessee community hospital. MATERIALS AND METHODS: In this descriptive report, discharges and associated standard process measures were retrospectively studied for Roane Medical Center (RMC) in Harriman, Tennessee (pop. 6,757). Hospital data were extracted from a nationwide database of short-term acute care hospitals to measure 16 quality performance measures in myocardial infarction (MI), heart failure, and pneumonia during the 14 month interval ending March 2005. The data also permitted comparisons with state and national reference groups. RESULTS: Of RMC patients with myocardial infarction (MI), 94% received aspirin on arrival, a figure higher than both state (85%) and national (91%) averages. Assessment of left ventricular dysfunction among heart failure patients was also higher at RMC (98%) than the state (74%) or national (79%) average. For RMC pneumonia patients, 79% received antibiotics within 4 h of admission, which compared favorably with State (76%) and national (75%) average. RMC scored higher on 13 of 16 clinical process measures (p<0.01, sign test analysis, >95% CI) compared to state and national averages. DISCUSSION: Although acute health care needs are often met with limited resources in medically underserved regions, RMC performed above state and national average for most process measures assessed in this review. Our data were derived from one facility and the associated findings may not be applicable in other healthcare settings. Further studies are planned to track other parameters and specific clinical outcomes at RMC, as well as to identify specific institutional policies that facilitate attainment of target quality measures