The secret life of wild animals revealed by accelerometer data: how landscape diversity and seasonality influence the behavioural types of European hares

Context Landscape composition and configuration, as well as seasonal landscape dynamics shape the behaviour, movement and energy expenditure of animals, i.e. foraging, hiding or fleeing, and ultimately survival. Especially in highly modified agricultural systems, it is crucial to understand how animal behaviour is influenced by landscape context to develop sustainable land management concepts. Objectives We show how landscape composition and configuration, together with seasonal dynamics affect animal behavioural types, accounting for the different life-history events in both sexes. Methods We investigated 34 European hares in two contrasting agricultural landscapes (a simple and a complex landscape) by using tri-axial accelerometer data to classify the animals’ behaviour into five categories: resting, foraging, moving, grooming and standing upright (i.e. vigilance behaviour). We tested whether the amount of behaviours per category changed with landscape composition and configuration, season and sex. Results During peak breeding, hares in areas of high habitat diversity rested more, moved less and spent less time searching for resources. During winter, hares moved more and rested less. Females rested less and foraged more in areas with large agricultural fields. Conclusions A complex landscape is particularly important during the breeding season, allowing animals to allocate enough energy into reproduction. In winter, hares in areas of low habitat diversity may not find enough thermal and anti-predator shelter to move as much as they would need to meet their requirements. Hence, high habitat diversity and small field sizes guarantee species persistence in human-altered agricultural areas throughout the year

A toolbox for a structured risk-based prehabilitation program in major surgical oncology

Prehabilitation is a multimodal concept to improve functional capability prior to surgery, so that the patients’ resilience is strengthened to withstand any peri- and postoperative comorbidity. It covers physical activities, nutrition, and psychosocial wellbeing. The literature is heterogeneous in outcomes and definitions. In this scoping review, class 1 and 2 evidence was included to identify seven main aspects of prehabilitation for the treatment pathway: (i) risk assessment, (ii) FITT (frequency, interventions, time, type of exercise) principles of prehabilitation exercise, (iii) outcome measures, (iv) nutrition, (v) patient blood management, (vi) mental wellbeing, and (vii) economic potential. Recommendations include the risk of tumor progression due to delay of surgery. Patients undergoing prehabilitation should perceive risk assessment by structured, quantifiable, and validated tools like Risk Analysis Index, Charlson Comorbidity Index (CCI), American Society of Anesthesiology Score, or Eastern Co-operative Oncology Group scoring. Assessments should be repeated to quantify its effects. The most common types of exercise include breathing exercises and moderate- to high-intensity interval protocols. The program should have a duration of 3–6 weeks with 3–4 exercises per week that take 30–60 min. The 6-Minute Walking Testing is a valid and resource-saving tool to assess changes in aerobic capacity. Long-term assessment should include standardized outcome measurements (overall survival, 90-day survival, Dindo–Clavien/CCI®) to monitor the potential of up to 50% less morbidity. Finally, individual cost-revenue assessment can help assess health economics, confirming the hypothetic saving of $8 for treatment for$1 spent for prehabilitation. These recommendations should serve as a toolbox to generate hypotheses, discussion, and systematic approaches to develop clinical prehabilitation standards

Habitat requirements of the European brown hare (Lepus europaeus Pallas 1778) in an intensively used agriculture region (Lower Saxony, Germany)

Abstract Background The European brown hare (Lepus europaeus) typically resides in open habitats in agriculturally dominated landscapes in Europe. Over recent decades, a widely observed population decline occurred, which was attributed to agricultural intensification. However, with political incentives for specific crops, especially maize for energy production, the habitat went through massive changes. Thus, there is the need to identify parameters that characterize a suitable habitat for the brown hare in today’s agricultural lands. Results We modelled European brown hare densities spatially and temporally explicit over 10 years (2005–2014) across an entire federal state. The generalized additive mixed model confirms a constant decline of the European brown hare population in Lower Saxony. Municipalities with a high proportion of grassland and precipitation totaling up to 900 mm are more favored. Woodland showed an approximately linear negative effect. The most important agricultural crop groups such as winter grains and winter oilseed rape showed overall positive effects on hare densities. However, the effect of maize was unimodal, with a positive effect of medium proportions, but a negative effect of very high proportions. The effect of sugar beet was relatively weak but negative. Brown hares were also more abundant in municipalities with a higher density of vixen with litter and municipalities with a high proportion of wildflower strips showed higher brown hare abundance. Conclusion Lower Saxony is a diverse federal state with grassland dominated areas in the northwest, more woodland in the east, but intensive arable land in most remaining areas. The European brown hare—a species with a wide ecological potency—shows preferences to both grassland and the most typical arable crop groups such as winter grains and winter oilseed rape. The substantial increase in maize production within the time frame was likely unfavourable and may be one reason for the decline. Nonetheless, political tools such as the agri-environmental scheme “wildflower strips” were beneficial for the brown hare abundance and may be an option to reverse the decline seen over the 10 years

Multicenter Prospective Cohort Study of the Patient-Reported Outcome Measures PRO-CTCAE and CAT EORTC QLQ-C30 in Major Abdominal Cancer Surgery (PATRONUS): A Student-Initiated German Medical Audit (SIGMA) Study

Background!#!The patient-reported outcomes (PRO) version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) and the computerized adaptive testing (CAT) version of the EORTC quality-of-life questionnaire QLQ-C30 have been proposed as new PRO measures in oncology; however, their implementation in patients undergoing cancer surgery has not yet been evaluated.!##!Methods!#!Patients undergoing elective abdominal cancer surgery were enrolled in a prospective multicenter study, and postoperative complications were recorded according to the Dindo-Clavien classification. Patients reported PRO data using the CAT EORTC QLQ-C30 and the PRO-CTCAE to measure 12 core cancer symptoms. Patients were followed-up for 6 months postoperatively. The study was carried out by medical students of the CHIR-Net SIGMA study network.!##!Results!#!Data of 303 patients were obtained and analyzed across 15 sites. PRO-CTCAE symptoms 'poor appetite', 'fatigue', 'exhaustion' and 'sleeping problems' increased after surgery and climaxed 10-30 days postoperatively. At 3-6 months postoperatively, no PRO-CTCAE symptom differed significantly to baseline. Patients reported higher 'social functioning' (p = 0.021) and overall quality-of-life scores (p < 0.05) 6 months after cancer surgery compared with the baseline level. There was a lack of correlation between postoperative complications or death and any of the PRO items evaluated. Feasibility endpoints for student-led research were met.!##!Conclusion!#!The two novel PRO questionnaires were successfully applied in surgical oncology. Postoperative complications do not affect health-reported quality-of-life or common cancer symptoms following major cancer surgery. The feasibility of student-led multicenter clinical research was demonstrated, but might be enhanced by improved student training