Nest-Site Selection by Female Black-Capped Chickadees: Settlement Based on Conspecific Attraction?

Female Black-capped Chickadees (Poecile atricapillus) solicit extrapair copulations (EPCs) from neighboring high-ranking males, and these EPCs result in extrapair young. Females might choose to locate their nests near the territory boundaries of attractive males to facilitate access to EPCs. Other hypotheses might also explain choice of nest site, namely (1) habitat characteristics, (2) prey abundance, and (3) previous experience. We tested these four hypotheses in 1996 and 1997. Out of 27 habitat characteristics measured, we found only one that was significantly different between nests and control sites in both years. The abundance of large trees was lower at nest sites than at control sites in each year and when years were pooled. Relative prey abundance did not differ between nests and control sites for either year of the study. We found no different in interyear nest placement based on female experience; experienced females nester farther than 60 m from their previous nest sites in both years of the study. In 1996, females whose neighboring males were higher ranked than their social partner located their nests significantly closer to territory boundaries than did females whose nearest neighbors were lower ranked than their social partner. In 1997, all pairs nested near territory boundaries. We conclude that choice of nest location in Black-capped Chickadees is influenced by conspecific attraction based on mating tactics

Spatial Dynamics of Alternative Reproductive Strategies: The Role of Nieghbors

In territorial species, the reproductive success of a male is dependent on the quality of his territory. One important component of territory quality is spatial location. High-quality territories not only should be located in areas of high food abundance and low predation, but also should be located in areas that offer optimal amounts of social interaction. Such optima might be different for individuals according to their sex, dominance, or genotype. We studied territory quality (size, vegetation structure, and placement) in a socially monogamous, polymorphic passerine, the White-throated Sparrow (Zonotrichia albicollis), in order to determine how spatial attributes contribute to selection intensity on two genotypes. In this species, plumage (white and tan), behavior, and life-history characteristics have a genetic basis and are correlated with the presence or absence of a chromosomal inversion. Using remote sensing and Geographic Information Systems (GIS), we found that the territories of white and tan males do not differ in size or vegetation structure, suggesting that these factors are not of primary importance to males when deciding where to establish a territory. Instead, we suggest that the placement of white and tan territories depends on the number of neighbors (particularly, white male neighbors). Tan males settle in low-density, neighbor-restrictive habitats where intruder pressure from white males seeking extra-pair copulations is reduced. In contrast, white males tend to settle in high-density areas where the probability of encountering neighboring fertile females is greatest. This segregation has led to intraspecific niche partitioning in the two disassortative pair types so that each male morph can best exploit its respective reproductive strategies. These factors may, in turn, contribute to the maintenance of this unusual mating system and, ultimately, the stability of the polymorphism in this species. Similar forces may be operating in other species without distinct morphological markers; we suggest that researchers keep social factors in mind when examining habitat selection

Between-Year Survival and Rank Transitions in Male Black-Capped Chickadees (\u3cem\u3ePoecile Atricapillus\u3c/em\u3e): A Multistate Modeling Approach

In dominance-structured animal societies, variation in individual fitness is often related to social status. Like many passerine birds, Black-capped Chickadees (Poecile atricapillus) have a short average adult life-expectancy (Ø2 years); however, the maximum recorded life span is \u3e5× as long. Enhanced annual survival could contribute to greater lifetime reproductive success for male Black-capped Chickadees with high social rank. We used multistate capture–mark–recapture models to estimate annual survival of male Black-capped Chickadees in Ontario using resighting and recapture data collected from 1997 to 2002. Our goal was to evaluate support for an influence of rank on annual survival and estimate its effect size for a food-supplemented study site. We also statistically modeled the probability of between-year rank transitions. Model selection based on Akaike’s information criterion provided support for an effect of rank on survival. However, multimodel inference revealed that the size of the effect was rather small. Over the six study years, model-averaged estimates of the survival benefit of high versus low rank ranged from 5.0 to 7.3%. As expected, survival was strongly year-dependent, with model-averaged estimates of annual survival probability varying between 0.36 and 0.73. Age was an important predictor of the probability of rank transitions. Low-ranked second-year birds were less likely than older low-ranked birds to advance to high rank between years; likewise, high-ranked after-second-year birds were less likely to drop in rank. Other studies have found larger effects of rank on survival than we observed here. Future research should consider how interactions between social and environmental factors influence annual survival

Enhanced Reproductive Success of Female Black-Capped Chickadees Mated to High-Ranking Males

Overwinter survival of female Black-capped Chickadees (Poecile atricapillus) depends in part on the rank of their mates. We investigated whether females also gain reproductive beenfits by pairing with high-ranking males. We assessed breeding success in 1993 to 1995 and 1997 by comparing clutch size, proportion of eggs hatched, hatching date, and prediction rates on nests of females mated to either high-ranking or low-ranking males. We also compared feeding rates of males to incubating females and to offspring during the early nestling period in 1994 and 1995. High-ranking and low-ranking males did not differ in feeding rates during early incubation or early nestling stages. Females mated to high-ranking males incubated for longer periods than females mated ot low-ranking males. Younger males and females mated to low-ranking males fed nestlings at a higher rate than did older males and females mated to high-ranking males, respectively. Females mated ot high-ranking males had larger clutches, hatched a significantly greater proportion of their eggs, and suffered lower nest predation than females mated to low-ranking males. In 1995 and 1997, where the ranks and ages of both members of 23 pairs were known, female rank was strongly correlated with mate rank and age but was only weakly associated with female age. Female rank accounted for significant variation only in clutch size, and male rank accounted for a greater proportion of variation in clutch size and fleding success than did the female’s own rank

Enhanced Reproductive Success of Female Black-Capped Chickadees Mated to High-Ranking Males

Overwinter survival of female Black-capped Chickadees (Poecile atricapillus) depends in part on the rank of their mates. We investigated whether females also gain reproductive beenfits by pairing with high-ranking males. We assessed breeding success in 1993 to 1995 and 1997 by comparing clutch size, proportion of eggs hatched, hatching date, and prediction rates on nests of females mated to either high-ranking or low-ranking males. We also compared feeding rates of males to incubating females and to offspring during the early nestling period in 1994 and 1995. High-ranking and low-ranking males did not differ in feeding rates during early incubation or early nestling stages. Females mated to high-ranking males incubated for longer periods than females mated ot low-ranking males. Younger males and females mated to low-ranking males fed nestlings at a higher rate than did older males and females mated to high-ranking males, respectively. Females mated ot high-ranking males had larger clutches, hatched a significantly greater proportion of their eggs, and suffered lower nest predation than females mated to low-ranking males. In 1995 and 1997, where the ranks and ages of both members of 23 pairs were known, female rank was strongly correlated with mate rank and age but was only weakly associated with female age. Female rank accounted for significant variation only in clutch size, and male rank accounted for a greater proportion of variation in clutch size and fleding success than did the female’s own rank

Emergency general surgery: impact of distance and rurality on mortality

Funding This work was made possible by a grant from NHS Grampian and NHS Highlands Endowment Funding. No funding was received from the National Institutes of Health (NIH); Wellcome Trust; or Howard Hughes Medical Institute (HHMI). Acknowledgements The authors acknowledge the support of the eDRIS Team (Public Health Scotland) for their involvement in obtaining approvals, provisioning, and linking data, and the use of the secure analytical platform within the National Safe Haven. We also acknowledge P. Murchie for support with contextualizing the work within the rural medical practitioner literature.Peer reviewedPublisher PD

Between-year survival and rank transitions in male black-capped chickadees (Poecile atricapillus): A multistate modeling approach

In dominance-structured animal societies, variation in individual fitness is often related to social status. Like many passerine birds, Black-capped Chickadees (Poecile atricapillus) have a short average adult life-expectancy (∼2 years); however, the maximum recorded life span is \u3e 5× as long. Enhanced annual survival could contribute to greater lifetime reproductive success for male Black-capped Chickadees with high social rank. We used multistate capture-mark-recapture models to estimate annual survival of male Black-capped Chickadees in Ontario using resighting and recapture data collected from 1997 to 2002. Our goal was to evaluate support for an influence of rank on annual survival and estimate its effect size for a food-supplemented study site. We also statistically modeled the probability of between-year rank transitions. Model selection based on Akaike\u27s information criterion provided support for an effect of rank on survival. However, multimodel inference revealed that the size of the effect was rather small. Over the six study years, model-averaged estimates of the survival benefit of high versus low rank ranged from 5.0 to 7.3%. As expected, survival was strongly year-dependent, with model-averaged estimates of annual survival probability varying between 0.36 and 0.73. Age was an important predictor of the probability of rank transitions. Low-ranked second-year birds were less likely than older low-ranked birds to advance to high rank between years; likewise, high-ranked after-second-year birds were less likely to drop in rank. Other studies have found larger effects of rank on survival than we observed here. Future research should consider how interactions between social and environmental factors influence annual survival. © The American Ornithologists\u27 Union, 2008

Interventions to improve antibiotic prescribing practices for hospital inpatients

Background Antibiotic resistance is a major public health problem. Infections caused by multidrug-resistant bacteria are associated with prolonged hospital stay and death compared with infections caused by susceptible bacteria. Appropriate antibiotic use in hospitals should ensure effective treatment of patients with infection and reduce unnecessary prescriptions. We updated this systematic review to evaluate the impact of interventions to improve antibiotic prescribing to hospital inpatients. Objectives To estimate the effectiveness and safety of interventions to improve antibiotic prescribing to hospital inpatients and to investigate the effect of two intervention functions: restriction and enablement. Search methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library), MEDLINE, and Embase. We searched for additional studies using the bibliographies of included articles and personal files. The last search from which records were evaluated and any studies identified incorporated into the review was January 2015. Selection criteria We included randomised controlled trials (RCTs) and non-randomised studies (NRS). We included three non-randomised study designs to measure behavioural and clinical outcomes and analyse variation in the effects: non- randomised trials (NRT), controlled before-after (CBA) studies and interrupted time series (ITS) studies. For this update we also included three additional NRS designs (case control, cohort, and qualitative studies) to identify unintended consequences. Interventions included any professional or structural interventions as defined by the Cochrane Effective Practice and Organisation of Care Group. We defined restriction as 'using rules to reduce the opportunity to engage in the target behaviour (or increase the target behaviour by reducing the opportunity to engage in competing behaviours)'. We defined enablement as 'increasing means/reducing barriers to increase capability or opportunity'. The main comparison was between intervention and no intervention. Data collection and analysis Two review authors extracted data and assessed study risk of bias. We performed meta-analysis and meta-regression of RCTs and meta-regression of ITS studies. We classified behaviour change functions for all interventions in the review, including those studies in the previously published versions. We analysed dichotomous data with a risk difference (RD). We assessed certainty of evidence with GRADE criteria. Main results This review includes 221 studies (58 RCTs, and 163 NRS). Most studies were from North America (96) or Europe (87). The remaining studies were from Asia (19), South America (8), Australia (8), and the East Asia (3). Although 62% of RCTs were at a high risk of bias, the results for the main review outcomes were similar when we restricted the analysis to studies at low risk of bias. More hospital inpatients were treated according to antibiotic prescribing policy with the intervention compared with no intervention based on 29 RCTs of predominantly enablement interventions (RD 15%, 95% confidence interval (CI) 14% to 16%; 23,394 participants; high-certainty evidence). This represents an increase from 43% to 58% .There were high levels of heterogeneity of effect size but the direction consistently favoured intervention. The duration of antibiotic treatment decreased by 1.95 days (95% CI 2.22 to 1.67; 14 RCTs; 3318 participants; high-certainty evidence) from 11.0 days. Information from non-randomised studies showed interventions to be associated with improvement in prescribing according to antibiotic policy in routine clinical practice, with 70% of interventions being hospital-wide compared with 31% for RCTs. The risk of death was similar between intervention and control groups (11% in both arms), indicating that antibiotic use can likely be reduced without adversely affecting mortality (RD 0%, 95% CI -1% to 0%; 28 RCTs; 15,827 participants; moderate-certainty evidence). Antibiotic stewardship interventions probably reduce length of stay by 1.12 days (95% CI 0.7 to 1.54 days; 15 RCTs; 3834 participants; moderate-certainty evidence). One RCT and six NRS raised concerns that restrictive interventions may lead to delay in treatment and negative professional culture because of breakdown in communication and trust between infection specialists and clinical teams (low-certainty evidence). Both enablement and restriction were independently associated with increased compliance with antibiotic policies, and enablement enhanced the effect of restrictive interventions (high-certainty evidence). Enabling interventions that included feedback were probably more effective than those that did not (moderate-certainty evidence). There was very low-certainty evidence about the effect of the interventions on reducing Clostridium difficile infections (median -48.6%, interquartile range -80.7% to -19.2%; 7 studies). This was also the case for resistant gram-negative bacteria (median -12.9%, interquartile range -35.3% to 25.2%; 11 studies) and resistant gram-positive bacteria (median -19.3%, interquartile range -50.1% to +23.1%; 9 studies). There was too much variance in microbial outcomes to reliably assess the effect of change in antibiotic use. Heterogeneity of intervention effect on prescribing outcomes We analysed effect modifiers in 29 RCTs and 91 ITS studies. Enablement and restriction were independently associated with a larger effect size (high-certainty evidence). Feedback was included in 4 (17%) of 23 RCTs and 20 (47%) of 43 ITS studies of enabling interventions and was associated with greater intervention effect. Enablement was included in 13 (45%) of 29 ITS studies with restrictive interventions and enhanced intervention effect. Authors' conclusions We found high-certainty evidence that interventions are effective in increasing compliance with antibiotic policy and reducing duration of antibiotic treatment. Lower use of antibiotics probably does not increase mortality and likely reduces length of stay. Additional trials comparing antibiotic stewardship with no intervention are unlikely to change our conclusions. Enablement consistently increased the effect of interventions, including those with a restrictive component. Although feedback further increased intervention effect, it was used in only a minority of enabling interventions. Interventions were successful in safely reducing unnecessary antibiotic use in hospitals, despite the fact that the majority did not use the most effective behaviour change techniques. Consequently, effective dissemination of our findings could have considerable health service and policy impact. Future research should instead focus on targeting treatment and assessing other measures of patient safety, assess different stewardship interventions, and explore the barriers and facilitators to implementation. More research is required on unintended consequences of restrictive interventions

Comparison of governance approaches for the control of antimicrobial resistance: Analysis of three European countries

Policy makers and governments are calling for coordination to address the crisis emerging from the ineffectiveness of current antibiotics and stagnated pipe-line of new ones – antimicrobial resistance (AMR). Wider contextual drivers and mechanisms are contributing to shifts in governance strategies in health care, but are national health system approaches aligned with strategies required to tackle antimicrobial resistance? This article provides an analysis of governance approaches within healthcare systems including: priority setting, performance monitoring and accountability for AMR prevention in three European countries: England, France and Germany. Advantages and unresolved issues from these different experiences are reported, concluding that mechanisms are needed to support partnerships between healthcare professionals and patients with democratized decision-making and accountability via collaboration. But along with this multi-stakeholder approach to governance, a balance between regulation and persuasion is needed

Prognostic value of lymph node ratio and extramural vascular invasion on survival for patients undergoing curative colon cancer resection

There was no study funding. We are grateful to Tony Rafferty (Tailored Information for the People of Scotland, TIPs) for providing survival data.Peer reviewedPublisher PD