The Secure Base Effect (SBE) refers to a human or non-human animal’s ability to use the presence of a bonded caretaker, or other familiar stimulus, as a source of comfort that facilitates stress ...reduction and exploration in novel or stressful contexts. Recent research has shown that some pet domestic cats (Felis catus) display SBE in the presence of their human owner, a finding that could be utilized to improve cat welfare. In applied settings, cat owners are often encouraged to leave behind items holding their scent when leaving their cat in a novel location (e.g. boarding facility), so that these items can be provided to the cat if they show signs of separation distress. Although this practice has not be studied scientifically in cats, scent objects have been found to produce SBE in human research under similar conditions. Olfaction is thought to play an important role in the social behavior of domesticated cats, even in early life, as exposure to nest scent has been found to reduce stress in kittens. Thus, the possibility that owner scent might be sufficient to elicit SBE in cats is an important empirical question with applied implications. In the current study we asked whether owner scent would reduce cat anxiety when in an unfamiliar environment, and to what extent this might be related to whether the cat showed evidence of using their owner as a Secure Base. Forty-two adult cats underwent a counterbalanced Secure Base Test that examined the cat’s behavior with the owner present, without the owner present, and with a scent object present. On average, cats displayed a lower frequency of stress-related behaviors when the owner was present, providing support for the presence of SBE. However, this effect was not seen when the cat was alone with the scent object. The results of this research can be used to deepen our understanding of feline social behavior and welfare. These findings also highlight the importance of using evidence based practices to address cat anxiety in applied settings.
•Roughly half of evaluated cats exhibited the Secure Base Effect with their owner.•Cats displayed less stress behavior when in the company of their owner.•An object holding the owner’s scent did not promote the Secure Base Effect in cats.•Cats exhibited stress behavior in the presence of the scent object alone.•Allorubbing is an important reunion behavior, 83% of cats rub their owner following a separation.
ObjectivesThis study aimed to determine the status of training of adult congenital heart disease (ACHD) cardiologists in Europe.MethodsA questionnaire was sent to ACHD cardiologists from 34 European ...countries.ResultsRepresentatives from 31 of 34 countries (91%) responded. ACHD cardiology was recognised by the respective ministry of Health in two countries (7%) as a subspecialty. Two countries (7%) have formally recognised ACHD training programmes, 15 (48%) have informal (neither accredited nor certified) training and 14 (45%) have very limited or no programme. Twenty-five countries (81%) described training ACHD doctors ‘on the job’. The median number of ACHD centres per country was 4 (range 0–28), median number of ACHD surgical centres was 3 (0–26) and the median number of ACHD training centres was 2 (range 0–28). An established exit examination in ACHD was conducted in only one country (3%) and formal certification provided by two countries (7%). ACHD cardiologist number versus gross domestic product Pearson correlation coefficient=0.789 (p<0.001).ConclusionFormal or accredited training in ACHD is rare among European countries. Many countries have very limited or no training and resort to ‘train people on the job’. Few countries provide either an exit examination or certification. Efforts to harmonise training and establish standards in exit examination and certification may improve training and consequently promote the alignment of high-quality patient care.
To improve the patient education process in clinical research, three information materials describing general aspects of design and conduct of randomized clinical trials were developed. The materials ...varied in length, reading ability level, and reader appeal. Their influence on knowledge about and attitude toward randomized clinical trials was assessed in a randomized, parallel group, evaluator-blinded trial among 415 outpatients. The patients were randomized to the following groups: control (no intervention), leaflet, brochure, or booklet. Knowledge was assessed by a 17-item multiple-choice questionnaire and attitude was assessed by a 32-item Likert questionnaire at entry and 2 weeks after the intervention. The interventions and the questionnaires were pilot tested and power calculations were performed. At entry, the mean knowledge score was 7.9 points. At follow-up, the knowledge scores increased by 0.5 for the control, 1.0 for the leaflet, 1.6 for the brochure, and 1.4 for the booklet. The brochure and the booklet improved the knowledge score significantly compared with the control. The general attitude was positive at entry (mean 71.5 points). Only the booklet significantly increased the total attitude score (4.8 points) and the randomized clinical trials attitude subscale score (1.8 points). In conclusion, written information significantly improved outpatients' knowledge about and attitude toward randomized clinical trials. Detailed rather than brief information was more effective.
Control Clin Trials 2000;21:223–240
