Cross-Sectional Study of Characteristics of Owners and Nonowners Surrendering Cats to Four Australian Animal Shelters

Unwanted cats surrendered to nonhuman animal shelters are generally categorized as either “owned” or “stray.” This classification is misleading because “stray” cats may include many “semiowned” cats, for which people provide care but who are not perceived as being owned. This differentiation is important because effective strategies designed to reduce cat admissions to, and euthanasia rates in, shelters rely on accurate information about cat populations contributing to shelter intake; cat semiowners will likely respond to different strategies than people with no relationship with the cats they surrender. People surrendering cats to four Australian animal shelters were surveyed to identify factors associated with perception of ownership. Many self-classified nonowners had fed the cats they surrendered, often for a considerable period of time. The factor most strongly associated with ownership perception was an increasing association time with the cat. These findings confirm that enduring relationships between surrenderers and cats, consistent with cat semiownership, are common for cats surrendered to Australian animal shelters. This finding should be taken into account when planning education messages and cat population management strategies aimed at reducing cat admissions.     

实施当日出院制度对平均住院日的影响及意义

目的 探讨实施当日出院制度对缩短平均住院日指标的效果,分析其作用和意义。方法 收集医院2013年度医疗数据,运用描述性统计学方法和线性回归当日出院和平均住院日的相关性进行分析。结果 2012年11月—2013年10月,全院平均住院日呈逐月下降趋势;同时住院患者当日出院比例增长明显。平均住院日和当日出院比例散点图显示相关性,线性回归分析具有统计学意义,两者呈高度负相关（r＝-0.739,P＝0.006）。结论 住院患者当日出院比例对平均住院日有显著影响。为进一步缩短平均住院日,相关职能部门可以采取优化流程,加快出院结算,放开住院病患当日出院服务的政策措施。     

影响平均住院日的主要因素分析与对策

平均住院日是评价医院效率、医疗质量、管理水平的综合性指标之一。通过对医院近3年来平均住院日等相关核心医疗指标的分析,找出影响医院平均住院日的主要因素,深入研究并提出对策,以便采取科学合理的措施,在确保医疗质量和医疗安全的同时,有效缩短平均住院日,降低患者医疗费用,提高医院的社会效益和经济效益。     

非计划再手术对平均住院费用及平均住院日影响研究

以某综合性三甲医院2007—2008年全部住院手术患者为研究对象,通过分析非计划再手术病例,探讨非计划再手术病例的平均住院日和平均住院费用。 共分析2007—2008年非计划再手术病例共432例,平均住院日42.83天,平均住院费用68 810元。 非计划再手术延长了住院天数,增加了住院费用。     

基于因子分析的平均住院日影响因素研究

目的:分析影响平均住院日的主要因素,为综合性医院科学、有效的缩短平均住院日打下坚实的基础。方法:应用因子分析对影响平均住院日的主要因素进行重要程度的分析。结果:根据因子分析结果可知影响平均住院日的主要因素的重要程度依次为诊疗感染率、合并症与并发症管理、手术患者比例、诊疗延误、患病程度、患病种类、病床轮转率、用药安全。结论:因子分析可以对影响平均住院日的主要因素进行定量分析,可为医院缩短平均住院日提供可靠的科学依据,提高医疗服务质量。     

基于灰熵关联的平均住院日影响因素研究

目的:分析医疗指标与平均住院日的关联程度,为医院有效缩短平均住院日提供参考依据。方法:建立基于灰熵优化的加权灰色关联度模型,对影响平均住院日的医疗指标进行重要程度的分析。结果:根据关联程度分析,可知影响平均住院日的医疗指标重要程度依次为开放床位数、床位周转次数、治疗有效率、床位使用率、年门诊量、住院手术人次和出院人数。结论:基于灰熵优化的加权灰色关联分析方法可以有效分析医疗指标对平均住院日的影响程度,提高医疗服务质量。     

实施快速手术住院制度 降低平均住院日

目的 　探讨腹腔镜胆囊切除快速手术住院制度的可行性。方法　120例腹腔镜胆囊切除术患者被随机分为2组：对照组,按传统住院途径管理,60例;实验组,按快速手术住院制度管理,60例。分析2组平均住院日、住院费用、并发症及患者满意率的差异。结果　2组平均住院日与住院费用有显著性差异,而并发症及满意率无显著性差异。结论 实施快速手术住院制度,规范了医疗工作流程,有效降低了平均住院日,节约了住院费用,体现了病房的精细化管理。     

Longer Length of Stay Is Associated With More Early Complications After Total Knee Arthroplasty

BackgroundLength of stay (LOS) following total knee arthroplasty (TKA) has decreased over recently years. In 2018, the Centers for Medicare and Medicaid Services removed TKA from Inpatient-Only List (IPO), incentivizing further expansion of outpatient TKA. However, many patients may still require postsurgical hospitalization. The purpose of this study was to assess early outcomes for TKA based on length of stay (LOS).MethodsWe identified patients undergoing elective, primary TKA in the National Surgical Quality Improvement Program database using CPT code 27447 between 2015 and 2018. Patients were stratified by length of stay (LOS) 0 days, 1-2 days, and ≥3 days. Thirty-day rates of any complication, wound complications, readmission, and reoperation were assessed. Multivariate analysis was performed to adjust for confounding variables.Results5,655 (3%) patients underwent outpatient TKA, 130,543 (59%) had LOS 1-2 days, and 84,986 (38%) had LOS ≥3 days. Any complication was experienced in 4.1% of those with LOS 0 days, 4.3% for those with LOS of 1-2 days, and 10.5% for patients with LOS ≥3 days (p<0.0001). Readmission occurred in 2.2%, 2.6%, and 4.0% for the 3 groups, respectively (p<0.0001). After multivariate analysis, there was no significant difference in any outcome measure between patients with LOS 0 and 1-2 days, however those with LOS ≥3 days had higher odds of complications, reoperation, and readmission.ConclusionA significant number of patients had LOS ≥3 days following TKA and had more comorbidities and complications. Outpatient TKA was not associated with increased early complication compared to those with LOS of 1-2 days. Despite expansion of outpatient surgery, postsurgical hospitalization remains an integral part of care following TKA. Level of Evidence: III     

综合性医院平均住院日绩效指标集的构建与应用

目的 构建以平均住院日为核心的绩效指标集,在此基础上,制定绩效目标及关键控制举措,并跟踪实际的执行效果。方法 收集2008年12月—2013年6月共计55个月的重点科室平均住院日数据,运用相关性分析和多元线性回归提取影响平均住院日的显著因素,根据模型结论,研究分析绩效控制目标和举措并进行应用。结果 现阶段有效缩短平均住院日应主要解决“收容收治比及床位资源的利用效率”两对关键矛盾,模型应用后,医院院整体平均住院日由原来的15.7天降低为11.6天,重点科室平均住院日由19.2天降低为14.6天。结论 平均住院日绩效指标集的应用有助于优化医院资源配置,达到显著提高整体运营效率的目的。     

Visitors' Effects on the Welfare of Animals in the Zoo: A Review

Since the 1970s, research about zoo visitors' effects on the welfare of nonhuman animals in captivity has intensified. Numerous studies have shown that characteristics such as visitor presence, density, activity, size, and position are associated with animal behavioral and—to alesser extent physiological—changes. Studies usually interpret these changes as negative (undesirable) or positive (enriching), but it remains unclear whether they significantly impinge on animal welfare. To make confident conclusions about visitors' effects necessitates more studies using (a) a wider range of animal groupings, (b) measures of stress, (c) visitor-animal variables, and (d) other methodological improvements In the meantime, in addition to further research, individual zoos need to emphasize (a) monitoring the stress indicators of their captive animals, (b) observing visitor behavior, and (c) ensuring that staffs are aware of the “visitor effect” concept.     

Effects of Group and Individual Housing on the Behavior of Kennelled Dogs in Animal Shelters

Abstract

Recent findings have led researchers to believe that our pets may do more for us than we think. A dog's presence may even make a person appear more likable. Two studies were conducted to test this hypothesis. In the first study, 34 subjects viewed photographs of people pictured alone, pictured with a dog, and pictured with flowers. The subjects were asked to rate the person in the photos with regard to four dimensions: approachability, happy looking, relaxed looking, and best photo. The central finding revealed that photos of individuals pictured with a dog were rated higher than photos of individuals pictured without a dog. In the second study 45 subjects were asked to view three types of slides. The three slides consisted of outdoor scenery, a person walking through the outdoor scene, and a person walking a dog through the outdoor scene. Subjects were asked to rate the slides against each other with regard to several aesthetic dimensions, which included easiest to gaze at and best photo. In addition, subjects were asked how they perceived the person photographed with respect to happiness, relaxed looking, and safety. Finally, subjects were asked to choose photos in which they would like to be included. The major results of Study II demonstrated that (1) photos rated highest for questions concerning subjects' feelings toward the slides (easy to gaze at, feeling relaxed, best photo) were the scenery slides shown alone. The second highest rating went to the slides of the person walking the dog. (2) The person shown in the scene was perceived as appearing happier and safer when with the dog. (3) Subjects preferred to be added to the scene shown alone, without the dog. And when given the choice to replace the person shown, subjects preferred to replace the person in the scene with the dog rather than the person shown alone. Overall, results of both Studies I and II indicate that people appear happier, safer, and make a better “picture” when seen with a dog. Also, the results show that people appear more relaxed when sitting or standing with a dog. Finally, when asked to place themselves in the scene, subjects would rather be in a scene with a dog than alone.     

Effect of Visitor Perspective on Adoption Decisions at One Animal Shelter

This study investigated the visitor experience at one urban animal shelter. While several previous studies have examined the reasons particular nonhuman animals are chosen by adopters, few have investigated the possible reasons one would visit a shelter and leave without adopting. Over a two-month period, 158 visitors were surveyed after they were finished touring the shelter. One quarter of those exiting the shelter had adopted a pet (companion animal) compared to 11% who had been planning to adopt that day but did not. Almost 20% of survey respondents were just visiting with no plans for pet adoption either that day or in the near future. Being affectionate and friendly were important characteristics sought by potential adopters, although non-adopters reported more frequently than adopters that the animal’s reaction to them was important. Shelters should work toward increasing chances for pets to connect and interact with visitors and focus on educating and retaining the interest of those who are not quite ready for a new pet.     

Intrathecal Morphine Use in Adolescent Idiopathic Scoliosis Surgery is Associated with Decreased Opioid Use and Decreased Length of Stay

BackgroundLength of stay (LOS) in the hospital following posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS) has decreased over the past decade due to well-defined postoperative clinical pathways, earlier mobilization, and improved pain control methods. Historically, liberal use of parenteral and oral opioids for pain control caused side effects, resulting in delayed discharge. Intraoperative intrathecal morphine (ITM) has been posited to reduce the need for postoperative opioids and to expedite the discharge process. This study examines the relationship between the use of ITM with average required postoperative opioid usage and with average LOS.MethodsThis IRB-approved retrospective cohort study examined 105 patients with AIS who received PSF with instrumentation split into two cohorts. One cohort underwent PSF via standard surgical protocol (n=40) while the other cohort received intraoperative ITM with the standard surgical protocol (n=65). Power analysis demonstrated a study power of 0.8. LOS and total postoperative opioid analgesic medication (morphine milligram equivalent, MME) data were collected. Age at surgery, gender, number of spinal levels fused, estimated intraoperative blood loss (EBL), preoperative Cobb angle, and any complications related to the use of ITM were also recorded. Continuous variables were analyzed with Student’s t-test and categorical variables were analyzed with chi-square independent-sample tests using SAS 9.4 (α = 0.05).ResultsPatients who were treated with ITM displayed shorter LOS (p<0.0001) and reduced postoperative analgesic requirement (p<0.0001). Patients who received ITM spent an average of 1.8 fewer midnights in the hospital and received an average of 221.2 MME less than patients who received standard protocol (57% decrease). There were no significant differences between the two groups for any other variable.ConclusionIntraoperative ITM is a simple and effective treatment for scoliosis surgeons to better control postoperative pain in patients, reduce the risk of dependency, and achieve earlier discharge from the hospital. Shortened LOS reduces the overall cost of care, benefitting patients, hospitals, and insurance companies. Based on the results of this study and several earlier studies, the authors recommended that scoliosis surgeons consider incorporating use of ITM into their standard operative protocols. Level of Evidence: IV     

A Randomized Cross-over Exploratory Study of the Effect of Visiting Therapy Dogs on College Student Stress Before Final Exams

This exploratory study investigated the effect of visiting therapy dogs on college-student perceived and physiological stress the week prior to final exams. Students (n = 78) were randomly assigned to order of a therapydog intervention and attention-control condition, each 15 minutes long. Students completed the Perceived Stress Scale (PSS), a stress visual analog scale (SVAS), and provided saliva for measuring nerve growth factor (sNGF) and alpha amylase (sAA), prior to randomization. Saliva samples and SVAS were again collected after each condition. There was no effect of group order on demographics, PSS, or initial SVAS. Repeated measures models were used to analyze the complete data sets of 57 students. There were no significant differences in sAA between or within students completing the intervention and control conditions. sNGF was not subjected to analysis as most levels were undetectable. Significant differences in SVAS scores were found between the intervention and control condition, with large effect sizes. SVAS scores were lower following the intervention, regardless of condition order (intervention first, p = 0.0001, d = 1.87; intervention second, p = 0.0004, d = 1.63). No SVAS differences were found for the control condition. Based on these findings, campus events with visiting therapy dogs represent a costeffective, easily accessible activity to reduce perceived, but not physiological, stress for college students prior to final exams.     

拉萨拉鲁湿地夏季土壤动物的群落特征

2010年6～7月,对拉鲁湿地5个生境的土壤动物进行了调查,共捕获大型和中小型干生土壤动物41类,18 446只,隶属于3门7纲14目32科17属。土壤动物的优势类群为线蚓科,占总捕获量的10.95%。常见类群有27类,占总捕获量的84.63%,其中螨类占总捕获量的32.5%,弹尾类占总捕获量的31.43%。各生境的土壤动物数量和种类在土壤各层的垂直分布具有明显的表聚性。5个生境分布的土壤动物Shannon-Weiner多样性指数(H’)从大到小依次为3#>5#>4#>1#>2#。5个生境间土壤动物的相似程度由极不相似到中等不相似(S值为0.105～0.400)。     

干旱对中国林蛙体长生长的影响

运用椎骨年轮返算体长方法,分析了干旱年,正常年天津蓟县中国林蛙第1至第3年龄体长增长量。结果表明,干旱年体长生长减缓,t-检验差异显著或差异极显著。证实了代偿性生长在两栖类上存在。做不同年份体长分布频率图比较之间差异,干旱年秋季出现大量体长极小的性成熟个体♂♂＜41mm,♀♀≤40mm,干旱年中国林蛙种群优势年龄组比正常年的推迟一年。     

Migration timing influences the responses of birds to food shortage at their refuelling site

Because migration is highly time‐constrained and migration timing varies among individuals, the responses of migrants to food shortage at a refuelling site could differ between individuals that arrive early and late at the site. To test this hypothesis, we compared the stopover decision, in terms of occurrence and length of stay (LOS), of radiotagged Great Knots Calidris tenuirostris before (2012) and after (2015) a dramatic decline in food supply at a critical spring final pre‐breeding refuelling site in the northern Yellow Sea. The probability of occurrence at the refuelling site was consistent between the two years, whereas the average LOS significantly shortened in the year of food shortage in late‐arriving individuals. This suggests migration timing intensifies the influence of food shortage in late‐arriving individuals, which might be more sensitive and vulnerable to food shortage at refuelling sites compared with early‐arriving individuals.     

Effects of the timing of initial feeding on growth and survival of spotted mandarin fish Siniperca scherzeri larvae

The effects of delayed first feeding on growth and survival of spotted mandarin fish Siniperca scherzeri larvae were examined under controlled conditions. Morphometric characters [yolk‐sac volume, oil globule volume, head depth (H_D), body depth (B_D), eye diameter (E_D), musculature height (M_H), mouth diameter (M_D) and total length (L_T)], body mass (M), specific growth rate (S_GR) and survival were evaluated under different first‐feeding time (2, 3, 4 and 5 days after hatching). Larvae began to feed exogenously at 2 days after hatching (DAH) and the point of no return (P_NR) occurred between 5 and 6 DAH at 23° C, range ±1·0° C. The yolk volume of larvae first‐fed at 2 days had a significant difference compared with that of larvae first‐fed at 3, 4 and 5 days on 3 and 4 DAH. The larvae first‐fed at 2 days achieved comparatively better growth performance than that of 3, 4 and 5 days. On 5 DAH, all morphometric characters had significant differences between 2 and 5 days and 2 and 4 days initial feeding, respectively. Total mortality was recorded on 9 DAH for the larvae first‐fed at 5 days. On 12 DAH, significant differences were observed between 2 and 4 days and 3 and 4 days initial feeding for all morphometric characters. From 16 DAH to the end of experiment, all growth variables of the larvae first‐fed at 2 days were significantly higher than those in other treatments. The S_GR (2–9 DAH) first‐fed at 2 and 3 days were significantly higher than 4 and 5 day treatments, and the S_GR (9–16 DAH) first‐fed at 2 days was significantly higher than 3 and 4 day treatments. There was no significant difference, however, of S_GR (16–28 DAH) among treatments. Survival rate was significantly higher at 2 days initial feeding (27·42%) when compared with 3 (15·96%) and 4 days (7·92%) initial feeding at the end of experiment. The present study suggests that the first feeding of S. scherzeri larvae should be initiated at 2 days after hatching for achieving good growth and survival.     

Effects of Prescribed Fires on Young Valley Oak Trees at a Research Restoration Site in the Central Valley of California

Woodland restoration sites planted with Quercus lobata (valley oak) often have serious invasions of nonnative annual grasses and thistles. Although prescribed fire can effectively control these exotics, restoration managers may be reluctant to use fire if it causes substantial mortality of recently planted saplings. We studied the effects of prescribed fires on the survival and subsequent growth of 5‐ and 6‐year‐old valley oak saplings at a research field near Davis, California. One set of blocks was burned in summer 2003 at a time that would control yellow star thistle, a second set of blocks was burned in spring 2004 at a time that would control annual grasses, and a third set was left unburned. Very few oaks died as a result of either fire (3–4%). Although a large proportion was top‐killed (66–72%), virtually all these were coppiced and most saplings over 300 cm tall escaped top‐kill. Tree height, fire temperature, and understory biomass were all predictive of the severity of sapling response to fire. Although the mean sapling height was initially reduced by the fires, the growth rates of burned saplings significantly exceeded the growth rates of unburned control trees for 2 years following the fires. By 2–3 years after the fires, the mean height of spring‐ and summer‐burned saplings was similar to that of the unburned control saplings. The presence of valley oak saplings does not appear to preclude the use of a single prescribed burn to control understory invasives, particularly if saplings are over 300 cm tall.     

Effects of scalding and dehairing of pig carcasses at abattoirs on the visibility of welfare-related lesions

There is increasing interest in developing abattoir-based measures to assist in determining the welfare status of pigs. The primary aim of this study was to determine the most appropriate place on the slaughter line to conduct assessments of welfare-related lesions, namely apparent aggression-related skin lesions (hereafter referred to as ‘skin lesions’), loin bruising and apparent tail biting damage. The study also lent itself to an assessment of the prevalence of these lesions, and the extent to which they were linked with production variables. Finishing pigs processed at two abattoirs on the Island of Ireland (n=1950 in abattoir A, and n=1939 in abattoir B) were used. Data were collected over 6 days in each abattoir in July 2014. Lesion scoring took place at two points on the slaughter line: (1) at exsanguination (slaughter stage 1 (SS1)), and (2) following scalding and dehairing of carcasses (slaughter stage 2 (SS2)). At both points, each carcass was assigned a skin and tail lesion score ranging from 0 (lesion absent) to 3 or 4 (severe lesions), respectively. Loin bruising was recorded as present or absent. Differences in the percentage of pigs with observable lesions of each type were compared between SS1 and SS2 using McNemar/McNemar-Bowker tests. The associations between each lesion type, and both cold carcass weight and condemnations, were examined at batch level using Pearson’s correlations. Batch was defined as the group of animals with a particular farm identification code on a given day. The overall percentage of pigs with a visible skin lesion (i.e. score>0) decreased between SS1 and SS2 (P<0.001). However, the percentage of pigs with a severe skin lesion increased numerically from SS1 to SS2. The percentage of pigs with a visible tail lesion and with loin bruising also increased between SS1 and SS2 (P<0.001). There was a positive correlation between the percentage of carcasses that were partially condemned, and the percentage of pigs with skin lesions, tail lesions and loin bruising (P<0.05). In addition, as the batch-level frequency of each lesion type increased, average cold carcass weight decreased (P<0.001). These findings suggest that severe skin lesions, tail lesions and loin bruising are more visible on pig carcasses after they have been scalded and dehaired, and that this is when abattoir-based lesion scoring should take place. The high prevalence of all three lesion types, and the links with economically important production parameters, suggests that more research into identifying key risk factors is warranted.