Ixodes ricinus and Borrelia burgdorferi sensu lato in the Royal Parks of London,UK

Experimental and Applied Acarology - Assessing the risk of tick-borne disease in areas with high visitor numbers is important from a public health perspective. Evidence suggests that tick presence,...     

Effect of health visitors working with elderly patients in general practice: a randomised controlled trial.

Health visitors were employed specifically to care for two years for a random sample of patients in general practice who were aged over 70. Independent assessments made at the beginning and end of the study showed that the health visitor in an urban practice had some impact on her caseload of patients; she provided more services for them, their mortality was reduced, and their quality of life improved, though the last measure just failed to be statistically significant. The health visitor working in a rural practice had no such effect.     

Experimental Restoration of Disturbed Cliff-Edge Forests in Bruce Peninsula National Park, Ontario, Canada

Abstract Restoration of degraded natural vegetation in parks is often complicated by the need to maintain public access. We tested whether the natural canopy species, Thuja occidentalis, can be restored to degraded cliff edges in Bruce Peninsula National Park, Ontario, Canada without reductions in visitor numbers. Eighty 10‐year‐old and 80 4‐year‐old container‐grown saplings and 1,400 seeds were planted and monitored for 4 years. Eight treatments were applied that tested for effects of planting site (distance from cliff edge and pathways) and supportive measures (soil, water, cages, or signs) on survival, growth, and damage. No trees became successfully established from seed. Younger trees showed faster initial establishment and growth, but 4‐year survival was the same for both age groups (39%). Supplemental soil improved the health of planted trees, and both soil and water slightly improved their survival. Cages did not affect survival and growth but decreased damage to 4‐year‐old trees and increased it for 10‐year‐olds. Signs had no effect on any measured variable. Trees planted away from the cliff edge and from pathways had the greatest establishment success, 4‐year survival, and general health. Relative visitor density, as estimated from spot counts of visitors, had the largest effect on restoration success; the results suggest a threshold of visitor density above which restoration may be impossible. Planting location, especially with respect to shade, was also important. The planting of 4‐year‐old trees without supportive measures is suggested as the most cost‐effective restoration technique at this site. The results indicate that restoration of open woodland habitats is possible without total visitor exclusion but that some restrictions on visitor numbers or activities are necessary.     

Can health visitors prevent fractures in elderly people?

OBJECTIVES--To assess whether intervention by a health visitor could reduce the number of fractures, over a four year period, in those aged 70 and over. DESIGN--Randomised, controlled trial; randomisation by household. SETTING--General practice in a market town. SUBJECTS--Of 863 patients aged 70 and over on the practice records, 674 were traced and successfully interviewed; 350 were assigned to the intervention group, 324 as controls. INTERVENTION--The people in the intervention group were allocated to the care of a health visitor. The approach was four pronged: assessment and correction of nutritional deficiencies, including reducing smoking and alcohol intake; assessment and referral of medical conditions such as heart block or inappropriate medication; assessment and correction of environmental hazards in the home such as poor lighting; assessment and improvement of fitness--for example, exercise classes for the moderately fit. The intervention continued for four years. MAIN OUTCOME MEASURE--Fracture rate over four years. RESULTS--The incidence of fractures was 5% (16/350) in the intervention group and 4% (14/324) in the control group (difference not significant). CONCLUSIONS--A health visitor visiting a group of people aged 70 and over and using simple preventive measures had no effect on the incidence of fractures.     

Size constraints and flower abundance determine the number of interactions in a plant–flower visitor web

The number of interactions with flower visitor species differs considerably among insect pollinated plants. Knowing the causes for this variation is central to the conservation of single species as well as whole plant–flower visitor communities. Species specific constraints on flower visitor numbers are seldom investigated at the community level. In this study we tested whether flower size parameters set constraints on the morphology of the potential nectar feeding visitors and thus determine the number of visitor species. We studied three possible constraints: the depth and width of tubular structures hiding the nectar (nectar holder depth and width) and the size of flower parts that visitors can land on (size of the alighting place). In addition we assess the role of flower abundance on this relationship. We hypothesized that the stronger size constraints and the smaller flower abundance, the smaller the number of visitor species will be. Our study of a Mediterranean plant–flower visitor community revealed that nectar holder depth, nectar holder width and number of flowers explained 71% of the variation in the number of visitor species. The size of the alighting place did not restrict the body length of the visitors and was not related to visitor species number. In a second step of the analyses we calculated for each plant species the potential number of visitors by determining for each insect species of the local visitor pool whether it passed the morphological limits set by the plant. These potential numbers were highly correlated with the observed numbers (r²=0.5, p<0.001). For each plant species we tested whether the observed visitors were a random selection out of these potential visitors by comparing the mean of the observed and expected proboscis length distributions. For most plant species the observed mean was not significantly different from the random means. Our findings shed light on the way plant–flower visitor networks are structured. Knowing the constraints on interaction patterns will be an important prerequisite to formulate realistic null models and understand patterns of resource partitioning as well as coevolutionary processes.     

Visitor-directed aggression among the Gibraltar macaques

Animal parks and exhibits which offer visitors the option of close interaction with the animals displayed have been very successful with some species, including primates. However, there is always an element of risk to the visitor who enters another species' environment and interacts with its members. This risk factor may cause particular concern when the exhibit animal is a nonhuman primate because of the transmission of various zoonoses. The Barbary macaques (Macaca sylvanus) at Queen's Gate, Gibraltar, attract large numbers of tourists who are permitted to feed them. This animal-human contact sometimes results in monkeys biting visitors. Bite frequency data from hospital records for 1980–1989 and direct observations (July 1990–June 1991) form the basis of this study. Biting is a density-dependent phenomenon since monkey-visitor aggression rates increase with visitor numbers. Time of day affects bite rates, more people being bitten in the afternoon—the main visitation time. Likewise, more bites are recorded during summer months when visitor numbers are higher. A tendency towards acclimatization of the monkeys to the very large number of visitors appears after 1985. Rank correlation coefficients between visitor numbers and bites per month fall from 1985 to 1989, reflecting a drop in visitor density response. Analysis of visitor profiles indicates a negative correlation between visitor age and likelihood of being bitten. However, women are bitten significantly more than men. Average age of people bitten also varies between months. Recorded aggression levels are generally low despite no control over animal-visitor interactions, but are much higher than in similar Barbary macaque enclosures in France and Germany. The Gibraltar troop's small home range and high visitor density may explain recorded bite levels. Effective visitor education can significantly lower biting incidence.     

Functional homogenization of flower visitor communities with urbanization

Land‐use intensification and resulting habitat loss are put forward as the main causes of flower visitor decline. However, the impact of urbanization, the prime driver of land‐use intensification in Europe, is poorly studied. In particular, our understanding of whether and how it affects the composition and functioning of flower visitor assemblages is scant, yet required to cope with increasing urbanization worldwide. Here, we use a nation‐wide dataset of plant‐flower visitor (Coleoptera, Diptera, Hymenoptera, Lepidoptera) interactions sampled by citizen scientists following a standardized protocol to assess macroecological changes in richness and composition of flower visitor communities with urbanization. We measured the community composition by quantifying the relative occurrence of generalist and specialist flower visitors based on their specialisation on flowering plant families. We show that urbanization is associated with reduced flower visitor richness and a shift in community composition toward generalist insects, indicating a modification of the functional composition of communities. These results suggest that urbanization affects not only the richness of flower visitor assemblages but may also cause their large‐scale functional homogenization. Future research should focus on designing measures to reconcile urban development with flower visitor conservation.     

Effect of felid activity on zoo visitor interest

The extent to which the presence of zoo visitors influences animal behavior, and the ways in which animal activity influences visitor interest and perception, are of great interest to zoological parks. Visitors have been variously characterized as being enriching for zoo animals, as being stressors, and generally as influencing behavior in measurable ways. Most studies have focused on primates, and have assumed a “visitor effect” paradigm (i.e., visitors influence animal behavior). Here we present findings from a study of a nonprimate group (felids), and examine the “visitor attraction” model, which assumes that visitors are attracted to active animals. We assessed visitor interest and number at seven cat exhibits at the Brookfield Zoo during the spring and summer of 2002. Data were collected during 1‐min scans of each exhibit at 10‐min intervals. The results indicate that visitor presence per se did not influence cat activity, and that visitor interest was generally greater when cats were active. Various species differences may be explained by visitor familiarity with the species, variations in exhibit design, and species‐specific activity budgets. We conclude that the visitor attraction model may be more appropriate for taxa, such as large cats, that tend naturally to be largely inactive and to respond little (if at all) to visitor disturbances or efforts to engage. The relationship must be viewed as bidirectional: visitors influence animal behavior, and animal behavior influences visitor interest. However, the strength and primary direction of this relationship is likely taxon‐specific. We suggest that a visitor attraction model may be more appropriate not only for felids, but for other taxa with similar behavioral patterns and responses as well. Zoo Biol 22:587–599, 2003. © 2003 Wiley‐Liss, Inc.     

Non-fundholding in Nottingham: a vision of the future.

The 1991 health service reforms introduced the internal market and grave individual fundholding practices budgets with which they could attempt to secure preferential access to secondary health care for their patients. In the view of many doctors this undermined the principle of equity on which the NHS was founded. In Nottingham 200 non-fundholding general practitioners have joined together to act in liaison with their purchasing health authority. A committed representative group of general practitioners can collectively offer more time and knowledge to the contracting process while minimising the impact on clinical workload. As a large purchaser with low management costs the group has secured access to quality secondary care which is equitably available to all patients, preventing the development of a local two tier service. Nottingham''s non-fundholding model of commissioning is equitable and efficient.     

Long-term urethral catheter drainage.

Long-term catheter management is best conducted by specially trained community staff, provided there is close liaison with the urologist. Patients, hospital staff, and the primary health care team all benefit. The scheme is cost-effective, more convenient for patients and relatives, and reduces the need for emergency calls to the general practitioner and hospitals. We advocate development of similar schemes in other districts.     

National survey of current arrangements for diversion from custody in England and Wales.

OBJECTIVES--To assess the extent and nature of psychiatric assessment schemes based at magistrates'' courts in England and Wales for the early diversion of mentally disordered offenders from custody and to determine the response of the NHS to new initiatives concerning alternatives to custody for this group. DESIGN--Postal survey of the probation service, petty sessional divisions, mental health provider units, and district purchasing authorities in England and Wales. SUBJECTS--All chief probation officers (n = 55), clerks to the justices (n = 284), managers of mental health provider units (n = 190), and purchasers of mental health services (n = 190) in each of the district health authorities. MAIN OUTCOME MEASURES--Number of psychiatric assessment schemes, practical difficulties in their operation, extent of regular liaison with health and social services; current and future intentions to purchase or provide services for diversion from custody. RESULTS--Data were obtained from every magistrates'' court. Forty eight psychiatric assessment schemes were identified with another 34 under development. Particular problems were lack of adequate transport arrangements, difficulties with hospital admissions, and overdependence on key people. There was little liaison between health, social services, and members of the criminal justice system. Twenty five of the 106 purchasers who responded had a policy dealing with diversion, and 39 had a scheme under development; 56 purchasers had no current or future plans about diversion. Sixty nine of the 150 providers who responded reported that diversion was included in their current or next business plan. CONCLUSION--Schemes to divert mentally disordered offenders from the criminal justice system are often hampered by lack of adequate transport arrangements, difficulties in hospital admissions, and overdependence on key people.     

Health surveillance of preschool children.

Discussions with every general practice, health visitor, and clinical medical officer in Northumberland Health Authority led to agreement about the content of preschool health surveillance, the ages at which it should be done, and referral pathways after a failed screening test. Each primary health care team now undertakes to do a basic minimum set of screening tests, and each team decides who in the team will do each test. The screening system agreed on should enable time to become available for the equally important aspects of surveillance--namely, developmental guidance, health education, and assessment and follow up of problems. The discussions also led to agreement about how the health authority should evaluate the effect of the surveillance programme on the health of children.     

游客密度对动物园中黇鹿行为的影响

2006年9月20日-10月10日,以江苏省扬州市茱萸湾公园半散放鲇鹿为研究对象,采用目标动物取样法和全事件记录法,研究了不同游客密度条件下黇鹿日行为时间分配.并探讨了游客密度对鲇鹿日活动的影响.结果表明:在游客高峰期与低峰期,雄性取食、观望行为,雌性观望以及幼鹿取食、观望和修饰行为之间均存在显著差异(P＜0.05).在游客低峰期,雄性与雌性取食、反刍、卧息行为,雄性与幼鹿观望、其它行为,雌性与幼鹿取食、卧息、观望均存在极显著差异(P＜0.01);在游客高峰期,雄性与雌性取食、卧息,雌性与幼鹿取食、卧息、观望及移动行为均差异极显著(P＜0.01),雄性和幼鹿观望行为差异显著(P＜0.05).不同游客密度条件下游客活动对鲇鹿的取食、观望具有显著影响,当游客密度达到6人·min-1以上时,雄性观望行为显著增加,当达到16人·min-1以上时,雄性取食行为差异极显著(P＜0.01),此时雌性和幼鹿观望行为差异亦达到极显著水平(P＜0·01).因此,在旅游管理中,应将游客密度限制在16人·min-1以下,以减少对鲇鹿日活动影响.     

Impact of zoo visitors on the fecal cortisol levels and behavior of an endangered species: Indian blackbuck (Antelope cervicapra L.)

This study investigated behavioral activities (resting, moving, aggressive, social, and reproductive behavior) and fecal cortisol levels in 8 individually identified adult male blackbucks during periods of varying levels of zoo visitors (zero, low, high, and extremely high zoo visitor density). This study also elucidated whether zoo visitor density could disturb nonhuman animal welfare. This study analyzed fecal cortisol from the samples of blackbuck by radioimmunoassay and found significant differences (p < .05) for time the animals devoted to moving, resting, aggressive, reproductive, and social behavior on days with high and extremely high levels of zoo visitors. The ANOVA with Duncan's Multiple Range Test test showed that the fecal cortisol concentration was higher (p < .05) during the extremely high (137.30 ± 5.88 ng/g dry feces) and high (113.51 ± 3.70 ng/g dry feces) levels of zoo visitor density. The results of the study suggest that zoo visitor density affected behavior and adrenocortical secretion in Indian Blackbuck, and this may indicate an animal welfare problem.     

CALIFORNIA MEDICAL ASSOCIATION: ARE WE MAKING THE SAME MISTAKES BRITISH DOCTORS MADE?

Almost every doctor who visits England comes back wanting to write an article or give a speech about socialized medicine. Because there has been so much said so many times on the subject, it has lost much of its interest.Yet, the headquarters of the California Academy of General Practice in San Francisco recently had a visitor from England who had some startling, frightening things to say of interest to every American doctor. The visitor was Dr. Alastair J. Marshall, Luton, England, who is visiting in this country under a Ford Foundation Grant. As an area executive in the British Medical Association and on the executive area council (one-third physicians, two-thirds laymen) for the national health system, Dr. Marshall can competently speak on this subject. Here are some of the questions presented to Dr. Marshall by the Academy's Executive Secretary Bill Rogers.     

Objectives and Program of the A.M.A. Committee on Nursing

The continued achievement of high standards of patient care in the preventive, curative, and restorative aspects of illness depends upon a harmonious, collaborative relationship between medicine and nursing. In an effort to protect and foster an enduring alliance of understanding and cooperation between these 2 major health professions, the Committee on Nursing has instituted a continuing program of liaison, communication, education, and research. The Committee has authorized publication of the following report on its objectives and program.     

Controlled trial of three different antismoking interventions in general practice.

Of 6052 adult patients who consulted their doctors in six Oxfordshire general practices between October 1980 and February 1981, 2110 (35%) were smokers. The smokers were allocated to one of four study groups--a control (non-intervention) group; a group that received verbal and written antismoking advice from the general practitioner; a group that received this advice and also a demonstration of exhaled carbon monoxide; and a group that received the advice plus the offer of further help from a health visitor. After one year 72% of smokers replied to a postal follow up questionnaire: 11% of the control group claimed to have stopped smoking compared with 15% in the group that received advice alone, 17% in the exhaled carbon monoxide group, and 13% in the health visitor group. Validation of these findings by assays of urinary concentrations of cotinine showed that between 24% and 40% of subjects may have misreported their smoking habits, but there was no indication that the rate of misreporting was higher in the intervention groups than in the control group. Giving advice routinely against smoking has a useful effect, and showing an immediate, personal, and potentially harmful consequence of smoking using a CO-oximeter may improve this, particularly in lower socioeconomic groups.     

Nested structure is dependent on visitor sex in the flower‒visitor networks in Kyoto,Japan

The characteristics of flower‒visitor networks, comprised of multiple species interacting with each other, predict ecological and evolutionary processes. Intraspecific and interspecific variations in interaction patterns should affect network structures. Because female and male visitors usually differ in flower‐visiting patterns due to mating strategy, visitor sex should affect nestedness, in which specialist species interact with a subset of species that interact with generalist species. I hypothesized that a network of male visitors and flowering plants would be more nested than a female network because males are less picky about which flowers they visit. To examine the effect of visitor sex on nestedness, I used museum specimens of insects and built 11 flower–visitor species networks, each composed of female and male subnetworks, and compared the strength of nestedness and related network metrics between the subnetworks. I found that male subnetworks were significantly more nested than female ones, and species networks were less nested than male or female subnetworks. The result may be attributable to the by‐chance selection of flowers by males. Because a nested structure is predicted to promote community stability in mutualistic flower–visitor networks, the greater nestedness of male subnetworks may suggest a positive effect of male visitors on pollination community stability.     

Impact of Zoo Visitors on the Fecal Cortisol Levels and Behavior of an Endangered Species: Indian Blackbuck (Antelope cervicapra L.)

This study investigated behavioral activities (resting, moving, aggressive, social, and reproductive behavior) and fecal cortisol levels in 8 individually identified adult male blackbucks during periods of varying levels of zoo visitors (zero, low, high, and extremely high zoo visitor density). This study also elucidated whether zoo visitor density could disturb nonhuman animal welfare. This study analyzed fecal cortisol from the samples of blackbuck by radioimmunoassay and found significant differences (p < .05) for time the animals devoted to moving, resting, aggressive, reproductive, and social behavior on days with high and extremely high levels of zoo visitors. The ANOVA with Duncan's Multiple Range Test test showed that the fecal cortisol concentration was higher (p < .05) during the extremely high (137.30 ± 5.88 ng/g dry feces) and high (113.51 ± 3.70 ng/g dry feces) levels of zoo visitor density. The results of the study suggest that zoo visitor density affected behavior and adrenocortical secretion in Indian Blackbuck, and this may indicate an animal welfare problem.