Tracking of seabirds has been used to identify foraging hotspots, migratory routes and to assess at-sea threats facing populations. One such threat is the potential negative interaction between ...seabirds and fisheries through incidental by-catch. In 2012, 60 magnificent frigatebirds Fregata magnificens were found dead, entangled in fishing line, at the globally important breeding site in the British Virgin Islands (BVI). To assess the potential relationship between foraging behaviour and fishing activity, data loggers were deployed on breeding magnificent frigatebirds to record foraging movements. In addition, a survey of local fishers was conducted to assess the scale of incidental by-catch. We recorded 28 complete foraging trips from GPS and GPS-GSM loggers, and 1758 PTT locations. Birds travelled up to 3.3-1067 km from their breeding colony and entered the waters of 10 neighbouring territories. A high percentage of fishers (93% n = 28) reported catching at least one seabird annually, of which the most common were magnificent frigatebirds and brown boobies Sula leucogaster. There are estimated to be at least 1112 vessels in the recreational and artisanal fishing fleets of BVI and its neighbouring islands. Thus, this substantial fishery may have potentially profound effects on seabird populations in the region.
Conserving farmland birds is a key objective for agri-environment schemes (AES) across Europe, with a number of management options aimed at providing invertebrate food and nesting habitats. We ...analysed territory settlement by two widespread but declining farmland buntings with contrasting nesting requirements: the Yellowhammer Emberiza citrinella, a boundary-nesting species, and the Corn Bunting Emberiza calandra, a ground-nesting species. The study was conducted on farms participating in the English Higher Level Stewardship scheme to test whether territory settlement is influenced by the provision of key arable AES options. Both species settled preferentially in localities containing sown arable field margins, while Corn Bunting also settled in localities containing nectar flower mixtures. These preferences are likely to reflect foraging rather than nesting habitat requirements. Yellowhammer selected territories containing hedgerows under AES management, which are nesting rather than foraging habitat but may also provide food. Uptake by land owners of several AES options likely to provide limiting resources for farmland birds was very low, and because uptake at the landscape scale is also low, wider-scale population level benefits are likely to be constrained. However, this is one of few studies demonstrating selection of widely applied arable AES options by breeding farmland birds.
Background
The role of pubertal BMI change in adult‐onset concomitant asthma and allergic rhinitis is unknown.
Objective
We investigated the association of childhood and young adult BMI, and pubertal ...BMI changes with adult‐onset asthma, allergic rhinitis, and concomitant asthma and rhinitis in Swedish men.
Methods
The BMI Epidemiology Study in Gothenburg, Sweden, comprised of height and weight measures taken from school health records (6.5‐9.5 years) and during military conscription (17.5‐22 years) for all men born 1945‐1961 (n = 37 652). Age‐adjusted childhood BMI centred at 8 years and young adult BMI at 20 years were linked to high quality data on asthma and allergic rhinitis diagnoses from the Swedish National Patient Register.
Findings
High BMI (4th quartile vs the two median quartiles) at 8 years was associated with increased risk of concomitant asthma and allergic rhinitis (HR 1.45; 95% CI 1.00‐2.11). Overweight (HR 1.45; 95% CI 1.12‐1.89) and obesity (HR 1.95; 95% CI 1.08‐3.54) at 20 years were associated with increased risk of asthma without concomitant allergic rhinitis as main or auxiliary diagnosis. Pubertal BMI change showed a non‐linear association, so that both low (1st quartile vs the two median quartiles) and high pubertal BMI changes were associated with increased risk of asthma (low: HR 1.36; 95% CI 1.11‐1.68; high: HR 1.32; 95% CI 1.07‐1.63) and asthma without concomitant allergic rhinitis (low: HR 1.33; 95% CI 1.04‐1.69; high: HR 1.36; 95% CI 1.07‐1.74) as a main diagnosis.
Conclusions and Clinical Relevance
Both low and high pubertal BMI changes are predictors of adult‐onset asthma in men, particularly asthma without concomitant allergic rhinitis. Primary prevention of adult‐onset asthma requires monitoring of changes in BMI during puberty.
Purpose: In this paper, we critically investigate the implementation of person-centered care with the purpose of advancing philosophical debates regarding the overarching aims and delivery of ...rehabilitation. While general agreement exists regarding person centered care's core principles, how practitioners reconcile the implementation of these principles with competing practice demands remains an open question.
Materials and methods: For the paper, we drew on post-qualitative methods to engage in a process of "diffractive" analysis wherein we analyzed the micro-doings of person-centered care in everyday rehabilitation work. Working from our team members' diverse experiences, traditions, and epistemological commitments, we engaged with data from nine "care events" generated in previous research to interrogate the multiple forces that co-produce care practices.
Results: We map our analyses under three categories: scripts mediate practice, securing compliance through "benevolent manipulations", and care(ful) tinkering. In the latter, we explore the notion of tinkering as a useful concept for approaching person centered care. Uncertainty, humility, and doubt in one's expertise are inherent to tinkering, which involves a continual questioning of what to do, what is best, and what is person centered care within each moment of care. The paper concludes with a discussion of the implications for rehabilitation and person-centered care.
Implications for rehabilitation
Determinations of what constitutes good, better, or best rehabilitation practices are inevitably questions of ethics.
Person-centered care is promoted as good practice in rehabilitation because it provides a framework for attending to the personhood of all engaged in clinical encounters.
Post-critical analyses suggest that multiple interacting forces, conditions, assumptions, and actions intersect in shaping each rehabilitation encounter such that what constitutes good care or person-centered care cannot be determined in advance.
"Tinkering" is a potentially useful approach that involves a continual questioning of what to do, what is best, and what is person-centered care within each moment of care.
•This study examined product diversification amongst syndicates trading in multiple drugs.•The three syndicates all had a clear management structure.•Each employed a different approach to ...diversifying, including outsourcing or collaboration.•This suggests there will not be one universal method for product diversification.•This may reduce the ease of law enforcement detection and disruption.
International agencies report rising numbers of drug traffickers who deal in multiple drugs (poly-drug traffickers). This paper explores how product diversification is managed in three Australian poly-drug trafficking syndicates. Networks were constructed using judges’ sentencing comments and social network analysis applied to examine the degree of specialisation, resource flows and management structure (if any). Each syndicate had a clear management structure, but employed a different approach to diversifying including in-house production of multiple products (Syndicate 1) and outsourcing to other syndicates (Syndicate 3). This suggests traffickers will have multiple avenues for product diversification. This may create challenges for their policing.
Histamine intolerance (HIT) is a common adverse reaction to food where elimination and reintroduction of histamine-rich food is part of the investigation. Analysis of the enzyme diamine oxidase (DAO) ...is sometimes used as an additional tool for diagnosis. This study aimed to describe the distribution of DAO in a large representative cohort of adults and to determine the association between DAO activity and possible associated factors. The study is based on the population-based West Sweden Asthma Study and includes 1051 subjects. Subjects underwent structured interviews including questions on demography, asthma, allergy symptoms, and lifestyle factors. Subjects were assessed for specific-IgE-antibodies and measurement of DAO activity in serum. Previously suggested cut-off levels for low values (<3 U/mL), normal values (>10 U/mL), and median levels of DAO were used. In the group of 1051 subjects, only a few presented reactions upon histamine intake, whereas 44% presented DAO levels below the suggested normal cut-off levels. BMI and age were shown to have an impact on DAO activity among women with increasing activity of DAO with increasing BMI and age. Among men, only increasing age was seen to have an impact on DAO levels. There was no difference in DAO levels with different sensitization status to common foods or airborne allergens. No association between DAO levels and reported symptoms to histamine-rich foods could be found. In conclusion, the determination of the DAO enzyme needs to be re-evaluated and may not be used as a valuable tool for histamine intolerance using current cut-off values. Further studies are needed to improve the use of DAO as a biomarker for histamine intolerance.
Moral distress (MD) and moral injury (MI) are related constructs describing the negative consequences of morally challenging stressors. Despite growing support for the clinical relevance of these ...constructs, ongoing challenges regarding measurement quality risk limiting research and clinical advances. This study summarizes the nature, quality, and utility of existing MD and MI scales, and provides recommendations for future use.
We identified psychometric studies describing the development or validation of MD or MI scales and extracted information on methodological and psychometric qualities. Content analyses identified specific outcomes measured by each scale.
We reviewed 77 studies representing 42 unique scales. The quality of psychometric approaches varied greatly across studies, and most failed to examine convergent and divergent validity. Content analyses indicated most scales measure exposures to potential moral stressors and outcomes together, with relatively few measuring only exposures (n = 3) or outcomes (n = 7). Scales using the term MD typically assess general distress. Scales using the term MI typically assess several specific outcomes.
Results show how the terms MD and MI are applied in research. Several scales were identified as appropriate for research and clinical use. Recommendations for the application, development, and validation of MD and MI scales are provided.
•Important measurement issues exist for scales of moral distress and moral injury.•Many scales conflate measurement of exposure and expression/outcomes.•Most scales of “moral distress” should only be used to assess exposure.•The Moral Injury Outcome Scale is currently the most robust measure of moral injury.•Better delineation of potential moral stressors and outcomes is sorely needed.
Adverse childhood experiences (ACEs) include extreme economic hardship, abuse, neglect, household and family dysfunction, and exposure to community violence. Children with ACEs are at a higher risk ...of developing mental, physical, and developmental disorders that can lead to difficulty in school. Using the 2012 National Survey of Children's Health, we use multivariate logistic regression to examine the association between ACEs and grade retention and the moderating effects of race/ethnicity on this relationship. Results indicate that specific ACEs are related to higher rates of grade retention (economic hardship, parental incarceration, neighborhood violence, and witnessing domestic violence). Children reporting three or more ACEs were at a significantly higher risk of grade retention compared to children with zero reported ACEs. Further, patterns differed among black children in the sample with higher numbers of ACEs not increasing retention rates for black children compared to white children. This study improves our understanding of the relationship between ACEs and grade retention, but also raises questions about differing patterns among racially and ethnically diverse student populations that warrants further study.
Effective conservation management for species that function as metapopulations requires an understanding of population dynamics at the landscape scale. The water vole,
Arvicola amphibius
, is one ...such species. Water voles have recently undergone a significant decline in the UK, as a result of habitat loss and predation from the introduced American mink,
Neovison vison
. Large reed bed and grazing marsh sites can provide refuge habitats for water voles from mink predation, in which case populations within these sites could sustain metapopulations in the surrounding landscape where conditions are less favourable. We carried out a study using a stochastic patch occupancy model to determine the long term viability of water vole metapopulations in the wider landscape around a series of extensive reed bed and grazing marsh sites designated as National Key Sites for water voles. The results of our model simulations show that a large protected core site, or mainland, is essential in maintaining the long term viability of these systems. Our results also show how these metapopulations could be enhanced by increasing patch numbers through habitat creation and/or restoration and suggest what the minimum effective size of created or restored patches should be. The study shows how population modelling can provide insight into some effective practical ways of enhancing the viability of water vole metapopulations at the landscape scale. Furthermore it demonstrates that extensive wetlands are an appropriate focus for water vole conservation measures.
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