Anthropogenic debris as nest material in three swift species: New insights into the interactions of atmospheric pollution with wildlife.

Plastic pollution has become a global concern, affecting many species around the world. While well-documented for marine ecosystems, the impact of plastic pollution on terrestrial ecosystems is comparatively limited. In fact, only recently have some studies begun to explore the occurrence, pathways, and impacts of plastic in the atmosphere and on terrestrial species. Here, we assess the presence of synthetic material in nests of three swift species breeding in the Western Palearctic: the common swift (Apus apus), the pallid swift (Apus pallidus), and the alpine swift (Tachymarptis melba). Using data from 487 nests spanning 25 colonies and seven European countries, we show that 36.5 % of the examined nests contained anthropogenic materials, mainly plastic debris. Notably, Pallid swifts' nests, with 85 % of the total nests examined with plastic, rank among birds with the highest plastic content in nests. We also demonstrate that the probability of finding plastic in the nest increased substantially with the human footprint of the landscape. Last, we recorded four cases of swifts entangled in their own nest, a low proportion compared to other species studied previously. Our study provides compelling evidence that plastic pollution may also be considered a concern for other terrestrial species, particularly for birds with highly aerial lifestyles, such as other swifts. The correlation with the human footprint suggests that areas with higher human activity contribute more significantly. Moreover, the entanglement cases, although low, indicate a threat to bird health and welfare. To our knowledge, our study is the first to report a direct interaction between floating plastic debris in the atmosphere and any species. Understanding this interaction is key, not only due to the lack of research on the topic, but also because it highlights that plastic pollution is a multifaceted environmental issue affecting various ecosystem categories, and the broader implications of atmospheric plastic circulation on wildlife and ecosystems health.

Investigating and Applying Universal Design: A Partnership Between a University and an Art Museum.

Community settings allow individuals to connect and interact socially with others, and engage in new learning experiences. One type of community setting, public art museums, provide rich, cultural experiences for individuals that are distinctive and often repeated, due to changing exhibits. Unfortunately, for individuals with disabilities, these settings can have a negative impact if the physical environment or the social interactions with docents impede individuals' abilities to function and benefit from this type of community engagement. The principles of universal design (UD) can transform these negative experiences into positive ones that benefit the individuals and the community settings. One public institution of higher education in the United States, Worcester State University in Worcester, Massachusetts has a unique partnership with a nearby art museum. This partnership allowed two separate projects from two health-related professions to be conducted using the principles of UD. One project from the Occupational Therapy Department examined the physical environment in the context of an undergraduate course, and the other project from the Communication and Sciences Department investigated the delivery of docents' presentations for individuals with communication disorders, such as hearing loss. Although each project examined different aspects of the same museum experience, the recommendations benefit all museum visitors and increase community engagement.

Medical and bioethical considerations in elective cochlear implant array removal.

OBJECTIVE: Cochlear explantation for purely elective (e.g. psychological and emotional) reasons is not well studied. Herein, we aim to provide data and expert commentary about elective cochlear implant (CI) removal that may help to guide clinical decision-making and formulate guidelines related to CI explantation. DATA SOURCES: We address these objectives via three approaches: case report of a patient who desired elective CI removal; review of literature and expert discussion by surgeon, audiologist, bioethicist, CI user and member of Deaf community. REVIEW METHODS: A systematic review using three scientific online databases was performed. Included articles addressed the benefits and/or complications of cochlear implantation in young children, CI explantation with or without revision surgery and the ethical debate between the medical and Deaf communities on cochlear implantation and explantation. CONCLUSIONS: The medical and audiological perspectives identify a host of risks related to implant removal without reimplantation, including risk from surgery, general anaesthesia, cochlear ossification and poor audiometric outcomes. The member of the deaf community and bioethicist argue that physicians need to guide the principles of beneficence, non-maleficence and patient autonomy. Taken together, patient desires should be seen as paramount, if the patient is otherwise fit for surgery and well informed. IMPLICATIONS FOR PRACTICE: Similar to the case of device implantation, device explantation should be a multidisciplinary and collaborative decision with the patient and the family's desires at the centre. While every case is different, we offer a CI explantation discussion to assist in clinical decision-making, patient counselling and education.

Improving Art Museum Accessibility for Adults With Acquired Hearing Loss.

PURPOSE: Adults with hearing loss rated the accessibility of guided or docent-led art museum tours with and without hearing assistive technology (HAT). METHOD: Nineteen individuals (average age 64 years, range 35-87 years) with acquired hearing loss participated. All participants had a bilateral hearing loss (mild to profound) using hearing aids (n = 12), cochlear implants (n = 5), or no technology (n = 2). Two docents who were previously trained to modify their presentations and use clear speech led the tours. Participants experienced a tour with and without the museum's HAT and rated its effectiveness using a rating scale. The study used a pre-post test design. RESULTS: The docent-led tours with HAT were rated significantly higher (p = .003) than the tours without HAT. Participants made several suggestions on improving museum accessibility for individuals with hearing loss. CONCLUSIONS: The use of HAT during a museum tour was beneficial for individuals with hearing loss. Training docents to modify their presentations, use clear speech, and HAT improved the accessibility of docent-led tours for individuals with hearing loss.