Comparison of clinical characteristics of influenza and respiratory syncytial virus infection in hospitalised children and adolescents

While significant morbidity due to respiratory syncytial virus (RSV) infection in the paediatric population has been well acknowledged, little is known about the burden of influenza in primarily healthy children in Europe. In our institution, a University Children's Hospital in Switzerland, medical staff were encouraged to take nasopharyngeal specimens for multiplex polymerase chain reaction assays for influenza A and B, RSV and several other pathogens from patients hospitalised with respiratory symptoms. We took advantage of this strategy and performed a retrospective study to compare specific characteristics of influenza virus infections with those of RSV during two consecutive winter seasons. Overall, 126 patients were positive for RSV and 60 patients were positive for influenza (type A: 45; type B: 15). The median age of children with RSV, influenza A, and influenza B infection was 4 months; 2 years and 4 months; and 6 years and 2 months, respectively (P<0.001). Fever and cough predominated in children with influenza infection whereas cough, rhinorrhoea, feeding difficulties and dyspnoea were the major symptoms in children with RSV infection. Of patients with influenza, 41% suffered from lower respiratory tract infection compared to 91% of those with RSV infection (P<0.001). Of 60 patients hospitalised with influenza, 12 (20%) experienced febrile convulsions. None of the patients with influenza had been immunised in the respective winter season, although 27% of them had at least one underlying medical condition that would have counted as an indication for immunisation in Switzerland. Conclusion: influenza virus infections, like respiratory syncytial virus infections, are a major cause of hospitalisation in children with respiratory illness during the winter season. Since it is impossible to make an aetiological diagnosis on clinical grounds, it is important to apply specific diagnostic tools in children hospitalised with respiratory illness in order to better characterise the relative burden of disease caused by the respective agent

Spatial Behavior and Habitat Use of Two Sympatric Bat Species

Few studies refer to ecological differences of genetically close and morphologically almost identical insectivorous bat species. However, this information is indispensable for effective and sustainable nature conservation strategies. This study aims at investigating differences in the spatial ecology of the long-eared bat species Plecotus auritus and Plecotus austriacus in a typical cultural landscape of Brandenburg, where the two species occur sympatrically. The reconstruction of the prey spectrum revealed that P. auritus and P. austriacus strongly overlapped in their diet. Our results suggest that resource partitioning is based on using different foraging habitats. While radio-tracked females of P. auritus were strongly associated with woodland patches resulting in small-scale activity areas of only few square kilometers, activity areas of P. austriacus encompassed a large-scale matrix of grassland habitats in the magnitude of a small town. Based on these results, we identify priority conservation needs for the two species to ensure that these differences in the spatial behavior and habitat use can be adequately taken into account for future nature conservation efforts. Abstract Movement behavior and habitat use of the long-eared bat species Plecotus auritus and Plecotus austriacus were studied in the Havelland region in Brandenburg (Germany). Data collection included mist-netting, radiotelemetry, reconstruction of prey items, and monitoring of roosting sites. Body measurements confirm a high degree of phenotypic similarity between the two species. Total activity areas (100% Minimum Convex Polygons, MCPS) of Plecotus austriacus (2828.3 ± 1269.43 ha) were up to five-fold larger compared to Plecotus auritus (544.54 ± 295.89 ha). The activity areas of Plecotus austriacus contained up to 11 distinct core areas, and their mean total size (149.7 ± 0.07 ha) was approximately three-fold larger compared to core areas of Plecotus auritus (49.2 ± 25.6 ha). The mean distance between consecutive fixes per night was 12.72 ± 3.7 km for Plecotus austriacus and 4.23 ± 2.8 km for Plecotus auritus. While Plecotus austriacus was located most frequently over pastures (>40%) and meadows (>20%), P. auritus was located mostly within deciduous (>50%) and mixed forests (>30%) in close vicinity to its roosts. Roost site monitoring indicates that the activity of P. austriacus is delayed relative to P. auritus in spring and declined earlier in autumn. These phenological differences are probably related to the species’ respective diets. Levins’ measure of trophic niche breadth suggests that the prey spectrum for P. auritus is more diverse during spring (B = 2.86) and autumn (B = 2.82) compared to P. austriacus (spring: B = 1.7; autumn: B = 2.1). Our results give reason to consider these interspecific ecological variations and species-specific requirements of P. auritus and P. austriacus to develop adapted and improved conservation measures.Peer Reviewe

Dementia and Bible : counselling residents in retirement homes

Text in GermanThe society in developed countries is ever aging. Consequently, the proportion of the population living in retirement homes increases steadily. A central focus of pastoral counselling in retirement homes is the proclamation of the Gospel. However, many of their residents are affected by dementia. As the course of their disease progresses, their mental capacity decreases. This creates special tension for the counselling of residents of retirement homes. It moves in the tension field between counselling as proclamation of the word (Thurneysen) and focusing on dialogue as propagated by the pastoral care movement. Thus, the question arises of how the biblical message can be proclaimed to the affected people. This present research paper points out various approaches of dealing with people affected by dementia. Among these are activating approaches, such as occupational therapy, drawing or music therapy, reality orientation training, “warme zorg” (warm care) and security therapy. All of these approaches are related to the surroundings. Furthermore, approaches will be examined which influence the interaction with affected people: such as validation, person-centered care according to Tom Kitwood (2008), psychotherapy and maieutic listening. Finally, therapies will be considered which relate to the person and biography of people with dementia – such as reminiscence therapy, memory training and biography work. Moreover, the paper specifically investigates which particular features apply to small bible study groups in retirement homes. Eventually, it displays how affected people can be reached by hearing, seeing, smelling, tasting and sensing. In order to be able to stimulate the sense of hearing, one can include, for example, poems or sounds. The sense of vision is stimulated by pictures or symbols. Various flavors or foods appeal to the sense of smell. Skins and other objects activate the sense of touch. The findings gained from literature will be compared to praxis. For this purpose, various episodes will be documented using the empirical method of participating observation. All observations have been carried out in the Emil-Sräga Haus in Singen (Germany) where the author of this paper works as male nurse and counselor.Practical theologyM.Th. (Practical theology

Identifying and categorizing stakeholders for protected area expansion around a national park in Namibia

Protected areas and adjacent landscapes are increasingly being viewed as integrated. A more general awareness is emerging of the relevance of collectively managed landscapes for conservation and human well-being. In Namibia, areas dedicated to conservation are increasing because of the proliferation of conservancies and game reserves. Management toward integrated conservation in these landscapes involves land use practices variably dedicated to wildlife management and the inclusion of land owners and resource users in the decision-making process. We use stakeholder analysis to identify participants integral to an expanded protected area network around the Etosha National Park in Namibia. We identified and categorized important stakeholder groups, and quantitatively and qualitatively assessed their relative importance to the protected area decision-making process. Twelve stakeholder groups were identified, and categorized according to proximity to the national park, land tenure, and land use type. Primary stakeholders, those who both affect and are affected by decision making, comprised livestock farmers, communal conservancy members, resettlement farmers, and tourism/hunting enterprises. For each group the cumulative values of position (level of support for, or opposition to the concept), interest (perceived disadvantages and advantages thereof), and power (resources stakeholders can mobilize to express their position) were calculated. These attributes provide an indication of stakeholder salience, i.e., how likely stakeholders are to affect or be affected by an integrated conservation landscape. We find that livestock farmers, although interested in the concept, mostly oppose protected area expansion. The conflict in opinion is linked to the benefits derived from being part of the conservation landscape and the losses endured due to the porous park fence, including human-wildlife conflict and regulations involving a veterinary cordon fence. A consideration of stakeholder salience, taking into account the different perceptions surrounding the benefits of living adjacent to a protected area, can potentially lead to the better implementation of integrated conservation areas

Assessing Distribution Patterns and the Relative Abundance of Reintroduced Large Herbivores in the Limpopo National Park, Mozambique

This study is the first systematic assessment of large herbivore (LH) communities in Limpopo National Park (LNP) in Mozambique, an area where most LH species were extinct until the early 2000s. We investigate whether LH community parameters are linked with the availability of habitat types or the distance between sampling sites and the origin of LH resettlement. We placed camera traps in five habitat types in resettled and not-resettled areas to compare species richness, relative abundance index, grazers–browsers–mixed feeder and naïve occupancy of 15 LH species. While the richness decreased along the distance gradient of LH resettlement, relative abundance index strongly responded to habitat features. The grazer–browser–mixed feeder ratio oscillated, while from resettled to not-resettled areas, the ratio increased. Most species show a wide distribution range. The associations of most LH community parameters with habitat types rather than distance to initial release, together with the species-specific and guild-specific response patterns of LH, suggest LNP to already be in an intermediate stage of restoration. Our results highlight the importance of post-release monitoring of reintroduced wildlife as a tool to assess the success of ecological restoration initiatives in transboundary conservation areas.Peer Reviewe

Landscape Transformation Influences Responses of Terrestrial Small Mammals to Land Use Intensity in North-Central Namibia

In this study, we investigate and compare the response patterns of small mammal communities to increasing land use intensity in two study areas: private farmland at the southern boundary of Etosha National Park and smallholder farmland in Tsumeb agricultural area. Species richness, community composition and a standardized capture index (RCI) are compared between sites of (a) increasing grazing pressure of ungulates (Etosha) and (b) increasing conversion of bushland to arable land (Tsumeb). Within each study area, we found clear response patterns towards increasing land use intensity. However, patterns differ significantly between the two areas. Within the less-transformed area (Etosha), high land use intensity results in a decrease in the RCI but not species richness. Small mammal communities remain relatively stable, but ecosystem functions (e.g., bioturbation, seed dispersal) are weakened. Within the more-transformed area (Tsumeb), high land use intensity leads to a decrease in species richness and increasing RCIs of two common pest species. The disappearance of a balanced community and the dramatic increase in a few pest species has the potential to threaten human livelihoods (e.g., crop damage, disease vectors). Our comparative approach clearly indicates that Gerbilliscus leucogaster is a possible candidate for an ecological indicator of ecosystem integrity. Mastomys natalensis has the potential to become an important pest species when bushland is transformed into irrigated arable land. Our results support the importance of area-specific conservation and management measures in savanna ecosystems.Peer Reviewe

Historical and current distribution and movement patterns of large herbivores in the Limpopo National Park, Mozambique

This study provides a first attempt to describe the historical distribution and movement patterns of selected large herbivore (LH) species in Limpopo National Park (LNP), an area in Mozambique today connected to a network of transboundary conservation areas. Between 1976 and the early 2000s, most LH species were absent in this area following the civil war in Mozambique followed by intense poaching due to weak law enforcement capacity. Through the reconstruction of the historical and current distribution and movement patterns of seven LH species in five periods, we investigate possible changes in distribution and movement patterns over time. Data collection is based on a systematic literature search, censuses reports, online databases, dung count transects, and camera trap surveys. We mapped all LH observations and movements using ArcGIS 10.1. Our results reveal a dramatic collapse of LH populations between the peak of the colonial period and the post-colonial/civil war period (1800–2001), followed by a slight recovery from the post-proclamation of Great Limpopo Transfrontier Park to the current period (2002–2021). While LH population decline applied to all seven species, there are species-specific differences in the process of restoration: African elephant (Loxodonta africana), African buffalo (Syncerus caffer), and plains zebra (Equus quagga) appear to recover to a greater extent than giraffe (Giraffa camelopardalis), eland (Tragelaphus oryx), blue wildebeest (Connochaetes taurinus), and white rhino (Ceratotherium simum). We found evidence of the functioning of proposed wildlife corridors in the LNP. The results give reason to assume that restoration of populations of LH is still in a very early and vulnerable state and that further efforts are necessary to strengthen the slowly increasing populations of LH. Our results highlight the importance of combining past and current data as a guide for the restoration of threatened species in African savannas impacted by human activities.Peer Reviewe

CRP Enhances the Innate Killing Mechanisms Phagocytosis and ROS Formation in a Conformation and Complement-Dependent Manner

Phagocytosis and the formation of reactive oxygen species (ROS) in phagocytic leukocytes are an effective killing mechanism of the innate host defense. These cellular processes of innate immunity function in a complex interplay with humoral factors. C-reactive protein (CRP) in its activated, monomeric isoform (mCRP) has been shown to activate immune cells via the classical complement pathway. We investigated the complement-dependent effects of monomeric CRP (mCRP) on neutrophils and monocyte subtypes using complement-specific inhibitors by both flow cytometry and confocal fluorescence microscopy. We demonstrate that CRP-induced ROS generation is a conformation-specific and complement-dependent process in leukocyte subsets with classical monocytes as the primary source of ROS amongst human monocyte subsets. Elucidation of this complex interplay of CRP and complement in inflammation pathophysiology might help to improve anti-inflammatory therapeutic strategies

Analysis of hydrogen Rydberg spectra in a uniform magnetic field: uncovering the transition from regularity to irregularity in a real quantum system

Studies of the behaviour of quantum systems in a range of energy where their classical counterparts undergo transitions from regularity to irregularity, as manifested in phase space by the gradual destruction of invariant tori, to date have largely been confined to model Hamiltonian systems such as harmonic oscillators with cubic, quartic, or higher-degree polynomial corrections, or the stadium problem. We show that phenomena which have turned out characteristic of the onset of "quantum stochasticity" in these model systems can in fact be recovered in the quantal energy spectra of a "real" physical system, viz. spectra of hydrogen Rydberg atoms in strong magnetic fields. This implies that one has a simple prototype system at hand in which to study - not only in theory but also in experiment, quantitatively and in detail, and as a function of a continuously tunable external parameter - phenomena that are expected to be typical of the quantum properties of nonintegrable systems in general