A rare case of sacral parasitic rachipagus

Background: A sacral parasitic twin is a variant of conjoined twins in which one twin is incomplete. Case: A female newborn was delivered by cesarean section. Reported inconclusive obstetrical ultrasonography at the first trimester where the pregnancy was initially diagnosed dizygotic and in the second and third trimester was monozygotic. The neonate was born with a mass in the sacrococcygeal region, which was excised 24 days after birth. The mass contained the scalp, skull, cervical spine bone, and brain, which were confirmed as parasitic twins. The post-operative and follow up periods were uneventful. Conclusion: Sacral parasitic rachipagus is a rare phenomenon; experienced antenatal ultrasonography may assist in the early diagnosis and excision is the treatment

Activity Budget and Foraging Patterns of Nubian Giraffes (\u3cem\u3eGiraffa camelopardalis camelopardalis\u3c/em\u3e) in Lake Nakuru National Park, Kenya

How animals decide to spend their time has a key impact on their survival and reproduction. These behavioral decisions are shaped by ecological and environmental factors, such as seasonal changes. Foraging patterns show how an animal chooses to forage in its environment as influenced by resource availability, competition, and predation risk. Giraffe activity budget has been investigated in populations across Africa and found to be influenced by body size, diet composition, and sex. The activity budget and foraging patterns of Nubian giraffes vary considerably between ecosystems. The Nubian giraffe, a subspecies of the Northern giraffe species (Giraffa Camelopardalis) is a critically endangered population and occurs only within Kenya, Uganda, Ethiopia, and Southern Sudan. We performed 3 months of behavioral observation on a population of Nubian giraffes in Lake Nakuru National Park, Kenya, to assess seasonal activity budgets and foraging patterns. We found that in the wet and dry seasons giraffe spent approximately the same amount of time (53% and 57%, respectively) foraging. Movement and resting duration decreased slightly from dry to wet seasons 22% to 20% and 25% to 22% respectively. Across both seasons, Vachellia xanthophloea (67%), Maytenus senegalensis (19%), and Solanum incanum (9%) made up the bulk of giraffe\u27s diet. In the dry season, giraffes additionally foraged on Maerua triphylla (2%), Vachellia gerrardi (2%), and Grewia similis (1%); in the wet season, they added Vachellia abyssinica (2%) and Rhus natalensis (2%) to their diet. The most utilized browsing height was 3.5 meters (level 5), below their average height. Giraffes browse at lower heights after they consume the young shoots from the top of the bushes. Overall, seasonality did not appear to influence the Nubian giraffe\u27s activity budget or foraging patterns in LNNP. Planting perennial plants encourage uniform park resource use, boosts forage diversity, and minimizes Vachellia browsing pressure

The many faces of fear:A synthesis of methodological variation in characterizing predation risk from carnivores

Predators affect prey by killing them directly (lethal effects) and by inducing costly antipredator behaviours in living prey (risk effects). Risk effects can strongly influence prey populations and cascade through trophic systems. A prerequisite for assessing risk effects is characterizing the spatiotemporal variation in predation risk. Risk effects research has experienced rapid growth in the last several decades. However, preliminary assessments of the resultant literature suggest that researchers characterize predation risk using a variety of techniques. The implications of this methodological variation for inference and comparability among studies have not been well recognized or formally synthesized. We couple a literature survey with a hierarchical framework, developed from established theory, to quantify the methodological variation in characterizing risk using carnivore-ungulate systems as a case study. Via this process, we documented 244 metrics of risk from 141 studies falling into at least 13 distinct subcategories within three broader categories. Both empirical and theoretical work suggest risk and its effects on prey constitute a complex, multi-dimensional process with expressions varying by spatiotemporal scale. Our survey suggests this multi-scale complexity is reflected in the literature as a whole but often underappreciated in any given study, which complicates comparability among studies and leads to an overemphasis on documenting the presence of risk effects rather than their mechanisms or scale of influence. We suggest risk metrics be placed in a more concrete conceptual framework to clarify inference surrounding risk effects and their cascading effects throughout ecosystems. We recommend studies (i) take a multi-scale approach to characterizing risk; (ii) explicitly consider 'true' predation risk (probability of predation per unit time); and (iii) use risk metrics that facilitate comparison among studies and the evaluation of multiple competing hypotheses. Addressing the pressing questions in risk effects research, including how, to what extent and on what scale they occur, requires leveraging the advantages of the many methods available to characterize risk while minimizing the confusion caused by variability in their application.The NSF Graduate Research Fellowship Program (RJM), the Michigan State University MasterCard Foundation Scholars Program (ABM), CNPq-Brasil (LA), and the University of Montana Boone and Crockett Program (JJM).http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1365-26562018-07-30cs2017Centre for Wildlife Managemen

Complex ways in which landscape conditions and risks affect human attitudes towards wildlife

Negative interactions between humans and wildlife (i.e. those presenting risks to human security or private property) can trigger retaliation and potential human-wildlife conflict (HWC). The nature and strength of these human responses may depend on previous interactions with wildlife and can be shaped by landscape conditions. However, the ways in which previous experiences and landscape conditions interact to shape peoples’ attitudes towards wildlife are not well-understood. We conducted our study in Tsavo Conservation Area, Kenya, which experiences some of the highest rates of HWC documented in East Africa. We explored how previous experiences with wildlife and landscape conditions interact to inform the attitudes of people towards wildlife. We conducted semi-structured surveys among 331 households and fit an ordinal mixed-effects regression model to predict human attitudes to wildlife as a function of landscape conditions and previous interactions. Respondents indicated that baboons, elephants, and lions posed the greatest risks to human security and private property. Households experiencing risks from wildlife wanted wildlife populations to decrease, whereas households depending on grazing lands outside the study area wished to see wildlife increase. Our study demonstrates that human-wildlife interactions have important social and spatial contexts, and are not uniform across households in the same area owing to location of private property. Correspondingly, for interventions to be effective, we recommend considerations of local contexts and landscape conditions of communities.The Giraffe Conservation Foundation, Leiden Conservation Foundation, Wildlife Conservation Network, African Wildlife Foundation, and National Geographic Society.https://www.conservationandsociety.org.inam2023Centre for Wildlife Managemen

Global Perspectives on Task Shifting and Task Sharing in Neurosurgery.

BACKGROUND: Neurosurgical task shifting and task sharing (TS/S), delegating clinical care to non-neurosurgeons, is ongoing in many hospital systems in which neurosurgeons are scarce. Although TS/S can increase access to treatment, it remains highly controversial. This survey investigated perceptions of neurosurgical TS/S to elucidate whether it is a permissible temporary solution to the global workforce deficit. METHODS: The survey was distributed to a convenience sample of individuals providing neurosurgical care. A digital survey link was distributed through electronic mailing lists of continental neurosurgical societies and various collectives, conference announcements, and social media platforms (July 2018-January 2019). Data were analyzed by descriptive statistics and univariate regression of Likert Scale scores. RESULTS: Survey respondents represented 105 of 194 World Health Organization member countries (54.1%; 391 respondents, 162 from high-income countries and 229 from low- and middle-income countries [LMICs]). The most agreed on statement was that task sharing is preferred to task shifting. There was broad consensus that both task shifting and task sharing should require competency-based evaluation, standardized training endorsed by governing organizations, and maintenance of certification. When perspectives were stratified by income class, LMICs were significantly more likely to agree that task shifting is professionally disruptive to traditional training, task sharing should be a priority where human resources are scarce, and to call for additional TS/S regulation, such as certification and formal consultation with a neurosurgeon (in person or electronic/telemedicine). CONCLUSIONS: Both LMIC and high-income countries agreed that task sharing should be prioritized over task shifting and that additional recommendations and regulations could enhance care. These data invite future discussions on policy and training programs

Non-invasive assessment of adrenocortical activity as a measure of stress in giraffe (Giraffa camelopardalis)

Additional file 1: Full dataset in Microsoft Excel workbook format.BACKGROUND : Numbers of giraffes are declining rapidly in their native habitat. As giraffe research and conservation efforts increase, the demand for more complete measures of the impact of conservation interventions and the effects of captive environments on animal health and welfare have risen. We compared the ability of six different enzyme immunoassays to quantify changes in fecal glucocorticoid metabolites (FGM) resulting from three sources: adrenocorticotropic hormone stimulation test, transport, and time of day that samples were collected. RESULTS : Two male giraffes underwent ACTH injections; all six assays detected FGM increases following injection for Giraffe 1, while only three assays detected FGM increases following injection for Giraffe 2. Consistent with other ruminant species, the two 11-oxoetiocholanolone assays (one for 11,17-dioxoandrostanes and the other for 3α,11-oxo metabolites) measured the most pronounced and prolonged elevation of FGM, while an assay for 3β,11β-diol detected peaks of smaller magnitude and duration. Both of the 11-oxoetiocholanolone assays detected significant FGM increases after transport in Giraffes 3–7, and preliminary data suggest FGM detected by the assay for 11,17-dioxoandrostanes may differ across time of day. CONCLUSIONS : We conclude the assay for 11,17-dioxoandrostanes is the most sensitive assay tested for FGM in giraffes and the assay for FGM with a 5β-3α-ol-11-one structure is also effective. 11-oxoetiocholanolone enzyme immunoassays have now been demonstrated to be successful in a wide variety of ruminant species, providing indirect evidence that 5β-reduction may be a common metabolic pathway for glucocorticoids in ruminants. As FGM peaks were detected in at least some giraffes using all assays tested, giraffes appear to excrete a wide variety of different FGM. The assays validated here will provide a valuable tool for research on the health, welfare, and conservation of giraffes.The Association of Friends and Supporters of Goethe University Frankfurt provided financial support for F. Sicks to travel to Vienna to analyze fecal samples and von Opel Hessische Zoostiftung supported a studentship for F. Sicks. One commercial funder [Tierpark Berlin] provided support in the form of salary for F. Sicks during data analysis and preparation of this manuscript. The specific role of this author is articulated in the ‘Author Contributions’ section.http://www.biomedcentral.com/bmcvetresam2016Anatomy and PhysiologyParaclinical Science

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Exploring the connections between giraffe skin disease and lion predation

Rates at which predators encounter, hunt, and kill prey are influenced by, among other things, the intrinsic condition of prey. Diseases can considerably compromise body condition, potentially weakening ability of afflicted prey to avoid predation. Understanding predator-prey dynamics is particularly important when both species are threatened, as is the case with lions (Panthera leo) and giraffes (Giraffa camelopardalis). Importantly, an emergent disease called giraffe skin disease (GSD) may affect predatory interactions of lions and giraffes. Hypotheses suggest GSD may negatively affect the likelihood of giraffes surviving lion attacks. We evaluated giraffe-lion interactions in Ruaha National Park, Tanzania, where 85% of the giraffe population has GSD. We monitored lion hunting behavior and estimated proportion of the giraffe population with GSD and evidence of ‘lion marks’ from assumed previous lion predation attempts (i.e. claw marks, bite marks, and missing tails). Although we recorded lions hunting and feeding on 16 different prey species, giraffes represented the largest prey category (27%; n = 171 of 641). For age and sex cohorts combined, 26% (n = 140 of 548) of encountered giraffes displayed evidence of previous lion predation attempts. Occurrence of lion marks was higher for adults and males in the giraffe population, suggesting that these individuals were more likely to survive lion attacks. We also found marginal evidence of a positive relationship between giraffes with severe GSD and occurrence of lion marks. Our results identify giraffes as important prey species for lions in Ruaha National Park and suggest that GSD severity plays a minor role in likelihood of surviving a lion attack. This is the first study to explore connections between lion predation and GSD. We explore the ecological implications of disease ecology on predator-prey interactions and consider opportunities for future research on causal links between GSD and giraffe vulnerability to lion predation

Surmounting Challenges in Aggregating Results from Static Analysis Tools

Aggregation poses a significant challenge for software practitioners because it requires a comprehensive and nuanced understanding of raw data from diverse sources. Suites of static-analysis tools (SATs) are commonly used to assess organizational security but simultaneously introduce significant challenges. Challenges include unique results, scales, configuration environments for each SAT execution, and incompatible formats between SAT outputs. Here, we document our experiences addressing these issues. We highlight the problem of relying on a single vendor\u27s SAT version and offer a solution for aggregating findings across multiple SATs, aiming to enhance software security practices and deter threats early with robust defensive operations

Socioeconomic factors correlating with illegal use of giraffe body parts

Unsustainable hunting, both illegal and legal, has led to the extirpation of many species. In the last 35 years giraffe Giraffa spp. populations have declined precipitously, with extinctions documented in seven African countries. Amongst the various reasons for these population declines, poaching is believed to play an important role in some areas. Giraffes are primarily hunted for consumption and for the use of their body parts as trophies and in traditional medicine. However, the socio-economic factors that correlate with the use of giraffe body parts are not well understood. We conducted our study in Tsavo Conservation Area, Kenya, which experiences high levels of poaching. We used semi-structured surveys amongst 331 households to document how giraffe body parts are typically acquired and their intended use (i.e. trophy, medicinal or consumptive). We then used logistic regression models to assess the correlations between nine socio-economic factors and the use of giraffe body parts. We found that giraffe body parts had mostly consumptive and trophy uses. One-time suppliers, opportunistic access and widely known markets were the most common means of acquiring giraffe body parts. Results from our models showed that three variables (gender: men, occupation: tourism worker, and land ownership) were correlated significantly and positively with the use of giraffe body parts. We describe the complex links between socio-economic factors and the use of giraffe body parts and highlight the importance of implementing mitigation measures adapted to local contexts to combat a challenge that many species of conservation concern are facing.https://www.cambridge.org/core/journals/oryxhj2024Centre for Wildlife ManagementSDG-15:Life on lan