Patrón temporal de vocalizaciones y territorios de descanso del tecolote moteado mexicano (Strix occidentalis lucida Nelson 1903; Strigiformes: Strigidae) en el centro-norte de la Sierra Madre Occidental, México

The vocalizations of the Mexican spotted owl (TMM, Strix occidentalis lucida) are essential to maintain an effective and long-distance communication with your partner and neighboring owls, these vary depending on the season and the weather conditions that occur. In addition, their resting territories provide protection from predators and adverse climates. Studying vocalizations, resting places and territories are essential to know the biology of this subspecies with conservation risk. Strix occidentalis lucida is a threatened subspecies due to the loss and fragmentation of its habitats. In Mexico, studies on this subspecies refer mostly to the characterization of their habitat and composition of their diet. Therefore, the objectives of this investigation were: a) to monitor the emission of songs, b) to determine the size of the territories of daytime rest and c) to identify and describe the caves selected by Strix occidentalis lucida to rest. The samplings were conducted seasonally from October 2016 to October 2017 and consisted of monitoring nine pairs of TMM in three regions of the Sierra Madre Occidental. The TMM sang and used caves to rest throughout the year. The average size of its daytime resting territory was 0.81 ± 0.77 ha. This subspecies used the caves more frequently in winter (38.9%) and spring (33.3%). The results of this study are useful to understand the diurnal behavior of the TMM and to design management and conservation plans for the Mexican spotted owl habitat in Mexico.El tecolote moteado mexicano (TMM; Strix occidentalis lucida), para mantener comunicación con su pareja y tecolotes vecinos, emite vocalizaciones, las cuales varían con el sexo, la estación del año y condiciones climáticas. El TMM, para protegerse de depredadores y condiciones climáticas adversas, selecciona sitios específicos y establece territorios de descanso. Strix occidentalis lucida es una subespecie amenazada debido a la pérdida y fragmentación de sus hábitats. En México, los estudios sobre esta subespecie se refieren en su mayoría a la caracterización de su hábitat y composición de su dieta. Por ello, los objetivos de esta investigación fueron: a) monitorear la emisión de vocalizaciones, b) determinar el tamaño de los territorios de descanso diurno y c) identificar y describir las cuevas seleccionadas por Strix occidentalis lucida para perchar. Para ello, nueve parejas de TMM de tres regiones de la Sierra Madre Occidental se estudiaron de octubre de 2016 a octubre de 2017. El TMM emitió vocalizaciones durante todo el año, su territorio de descanso diurno promedio fue de 0.81 ± 0.77 ha y utilizó cuevas para descansar con mayor frecuencia en invierno (38.9%) y primavera (33.3%). Los resultados de este estudio son de utilidad para entender el comportamiento diurno del TMM y diseñar planes de manejo y conservación del hábitat del tecolote moteado mexicano en México

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially