Behavioral Response Study on Seismic Airgun and Vessel Exposures in Narwhals

One of the last pristine marine soundscapes, the Arctic, is exposed to increasing anthropogenic activities due to climate-induced decrease in sea ice coverage. In this study, we combined movement and behavioral data from animal-borne tags in a controlled sound exposure study to describe the reactions of narwhals, Monodon monoceros, to airgun pulses and ship noise. Sixteen narwhals were live captured and instrumented with satellite tags and Acousonde acoustic-behavioral recorders, and 11 of them were exposed to airgun pulses and vessel sounds. The sound exposure levels (SELs) of pulses from a small airgun (3.4 L) used in 2017 and a larger one (17.0 L) used in 2018 were measured using drifting recorders. The experiment was divided into trials with airgun and ship-noise exposure, intertrials with only ship-noise, and pre- and postexposure periods. Both trials and intertrials lasted ∼4 h on average per individual. Depending on the location of the whales, the number of separate exposures ranged between one and eight trials or intertrials. Received pulse SELs dropped below 130 dB re 1 μPa2 s by 2.5 km for the small airgun and 4–9 km for the larger airgun, and background noise levels were reached at distances of ∼3 and 8–10.5 km, respectively, for the small and big airguns. Avoidance reactions of the whales could be detected at distances >5 km in 2017 and >11 km in 2018 when in line of sight of the seismic vessel. Meanwhile, a ∼30% increase in horizontal travel speed could be detected up to 2 h before the seismic vessel was in line of sight. Applying line of sight as the criterion for exposure thus excludes some potential pre-response effects, and our estimates of effects must therefore be considered conservative. The whales reacted by changing their swimming speed and direction at distances between 5 and 24 km depending on topographical surroundings where the exposure occurred. The propensity of the whales to move towards the shore increased with increasing exposure (i.e., shorter distance to vessels) and was highest with the large airgun used in 2018, where the whales moved towards the shore at distances of 10–15 km. No long-term effects of the response study could be detected

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Detecting narwhal foraging behaviour from accelerometer and depth data using mixed-effects logistic regression

Abstract Background Due to their Arctic habitat and elusive nature, little is known about the narwhal (Monodon monoceros) and its foraging behaviour. Understanding its ability to catch prey is essential for understanding its ecological role, but also to assess its ability to withstand climate changes and anthropogenic activities. Narwhals produce echolocation clicks and buzzing sounds as part of their foraging behaviour and these can be used as indicators of prey capture attempts. However, acoustic data are expensive to store on the tagging devices and require complicated post-processing. The main goal of this paper is to predict prey capture attempts directly from acceleration and depth data. The aim is to apply broadly used statistical models with interpretable parameters. The ultimate goal is to be able to estimate prey consumption without the more demanding acoustic data. Results We predict narwhal buzzing activity using mixed-effects logistic regression models with 83 features extracted from acceleration and depth data as explanatory variables. The features encompass both instantaneous values as well as delayed values to capture behavioural patterns lasting several seconds. The data correlations were not strong enough to predict the exact timing of the buzzes, but were reliably able to detect buzzes within a few seconds. Most of the of the buzz predictions were within 2 s of an observed buzz (68%), increasing to 94% within 30 s. Conversely, 46% of the observed buzzes were within 2 s of a predicted buzz, increasing to 82% within 30 s. Additionally, the model performed well, although with a tendency towards underestimation of the number of buzzes per dive. In total, we predicted 17, 557 buzzes versus 25, 543 observed across data from 10 narwhals. Classifying foraging and non-foraging dives yielded a precision of 86% and a recall of 91%. Conclusion We conclude that narwhal foraging estimation through acceleration and depth data is a valid alternative or supplement to buzz recordings, even when using somewhat simple statistical methods, such as logistic regression. The methods in this paper can be extended to foraging detection in similar marine species and can aid instrument development

Possible signs of recovery of the nearly extirpated Spitsbergen bowhead whales: calves observed in east Greenland

The Spitsbergen population of bowhead whales (Balaena mysticetus) was harvested to near extinction during the whaling era. Here, we show possible signs of recovery of the population by reporting observations of two calves in the Scoresby Sund polynya in East Greenland on 2 and 4 May 2022, and it is the first observation of this kind in this area since the early 1900s