An approach to the assessment of change in the numbers of Canada Branta canadensis and Greylag Geese Anser anser in southern Britain

Population change in geese was assessed using an approach that requires a relatively small sampling effort. During the 1999 breeding season a survey was carried out to determine if the numbers of introduced Canada and re-established Greylag Geese in southern Britain had changed since 1988–91 and whether any change had occurred in areas with previously high or low Canada Goose densities. A randomized stratified sample of 246 tetrads from the 24 156 tetrads covered between 1988–91 in this area, as part of the New Atlas of Breeding Birds, were resurveyed. Eight habitat cate- gories were used in the stratification and were based on 1-km-square summary data obtained from the CEH Land Cover Map of Great Britain (water cover and urbanization) and LANDCLASS stratification (upland/lowland). The five habitat categories with the highest densities of Canada Geese and the greatest variance in numbers were sampled. Between 1989 and 1999, the number of Canada Geese on land with over 5% water cover and on lowland with some water cover increased by on average 156%, an average rate of increase of 9.9% per annum. Southern Britain probably now holds a minimum of 82 000 Canada Geese. Between 1989 and 1999, the number of Greylag Geese on land with over 5% water cover and on lowland with some water cover increased by on average 214%, an average rate of increase of 12% per annum. Southern Britain probably now holds a minimum of 30 000 Greylag Geese. Maximum densities of Canada Geese may have been reached in high-density habitats but their numbers are still increasing very rapidly. Greylag Geese are increasing even more rapidly

Consequences of population change for local abundance and site occupancy of wintering waterbirds

Aim: Population size changes can lead to changes in local abundance and/or site occupancy, depending on the processes influencing site use by individuals. Here we quantify such changes for wintering waterbirds, and assess their implications for widely used conservation strategies in which sites that support in excess of a given proportion of a population are prioritised for protection.  Location: Britain. Methods: We use long-term survey data to quantify changes in population size and distribution for 19 waterbird species across Britain. Results: Population changes in these species have varied greatly (from declines of ~25% to increases of >1600%) over 26 years, and we show that change in local abundance was the predominant consequence of these changes, while colonisation of new sites mainly occurred in response to large population increases. For most species, changes in abundance and occupancy were spatially dependent over relatively short distances, consistent with (but not conclusive of) density-dependent spill-over. Levels of occupancy among species were negatively associated with proportions of sites, and populations within sites, exceeding the 1% of total population threshold for site protection. For species increasing in overall population size, the occurrence of small incipient populations at new sites resulted in declines in the number of sites supporting> 1% of the total population and the proportion of the population supported by these sites.  Main conclusions: Fluctuations in waterbird population size are more likely to result in changes in local abundance than distribution. Consequences of population change for site protection when abundance thresholds are used for site designation depend on shifts in the evenness of distribution of abundances across sites, and whether occupancy is increasing or decreasing. Range-expanding species have an increased likelihood of losing some sites, and populations within sites, exceeding the 1% of total population threshold for site protection

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Competitive Gift Exchange among the Mambila

Rehfisch Farnham. Competitive Gift Exchange among the Mambila. In: Cahiers d'études africaines, vol. 3, n°9, 1962. pp. 91-103