Effects of understory characteristics on browsing patterns of roe deer in central European mountain forests.

Selective browsing by deer on young trees may impede the management goal of increasing forest resilience against climate change and other disturbances. Deer population density is often considered the main driver of browsing impacts on young trees, however, a range of other variables such as food availability also affect this relationship. In this study, we use browsing survey data from 135 research plots to explore patterns of roe deer (Capreolus capreolus) browsing pressure on woody plants in mountainous forests in central Europe. We fitted species-specific generalised linear mixed models for eight woody taxa, assessing the potential effects of understory characteristics, roe deer abundance and lying deadwood on browsing intensity. Our study reveals conspecific and associational effects for woody taxa that are intermediately browsed by roe deer. Selective browsing pressure was mediated by preferences of plants, in that, browsing of strongly preferred woody taxa as for example mountain ash (Sorbus aucuparia) and of least preferred woody taxa, for example Norway spruce (Picea abies) was not affected by the surrounding understory vegetation, while browsing pressure on intermediately browsed species like for example silver fir (Abies alba) was affected by understory characteristics. Contrary to our expectations, roe deer abundance was only positively associated with browsing pressure on silver fir and bilberry (Vaccinium myrtillus), while all other plants were unaffected by deer abundance. Finally, we did not find an influence of lying deadwood volume on the browsing pressure on any woody-plant species. Overall, our results indicate that patterns in browsing preference and intensity are species-specific processes and are partly affected by the surrounding understory vegetation. Current management strategies that aim to reduce browsing pressure through culling may be inefficient as they do not address other drivers of browsing pressure. However, managers also need to consider the characteristics of the local understory vegetation in addition to deer abundance and design species-specific plans to reduce browsing on woody plant taxa.

Valproic acid-induced eosinophilic pleural effusion: An uncommon occurrence.

A 43-year-old male using valproic acid (VA) for 2 years for seizure disorder presented with right-sided moderate pleural effusion. Pleural fluid analysis revealed exudative effusion with 42% eosinophils. There was no evidence of haemothorax, pneumothorax, malignancy, and parasitic infections. Suspecting a drug-related event, VA was discontinued. The patient showed clinical improvement with resolution of pleural effusion on chest radiograph three weeks later. VA is a popular drug used for variety of disorders like seizures, migraines, and schizophrenia. There is a paucity of literature on VA-induced pleural effusion. Though a rare phenomenon, clinicians should be aware of such a possibility to avoid erroneous diagnosis.

Liver function tests at admission as marker of severity and prognosis in COVID-19 patients - A retrospective analysis.

Introduction: With evolving pandemic, a substantial proportion of patients are presenting with liver dysfunction as an extra-pulmonary manifestation of COVID-19 illness. We planned this study to evaluate the incidence of liver dysfunction in COVID-19 pneumonia and find an association between abnormal liver function and the severity of the disease. Method: We retrospectively analysed the hospital records of 344 patients with moderate to severe COVID-19 illness admitted to a Dedicated COVID Hospital in North India. Results: Out of 344 patients included in the study, 59.9% were males. The abnormal liver functions were present in 78.49% of patients at admission. Mean age of the patient with liver dysfunction was 53.41 ± 15.71 years. The incidence of elevated aspartate aminotransferase (AST), alanine aminotransferase (ALT), and hypoalbuminemia was 82.96%, 74.91%, and 69.7%, respectively, in patients with COVID-19 at admission. A positive correlation was found between the levels of AST, ALT and hypoalbuminemia with severity of disease. Mortality was 33% in patients with liver dysfunction in comparison to 18.9% in patients with normal liver functions. Conclusion: More than 75% of the patient had abnormal liver functions at admission, and mortality was also high in this group. Mortality can be effectively reduced if laboratory parameters such as elevated AST and ALT and hypoalbuminemia are closely monitored at admission and during hospital stay in patients with risk factors like male, age <55 years and HTN.

Inducing fear using acoustic stimuli-A behavioral experiment on moose (Alces alces) in Sweden.

Prey species may display anti-predatory behavior, i.e., flight, increased vigilance, and decreased feeding, in response to the true presence of a predator or to the implied presence of a predator through, e.g., acoustic cues. In this study, we investigated the anti-predatory reactions of moose (Alces alces) to acoustic stimuli related to hunting, at saltlick stones, a known attractant. In before-during-after-control-impact experiments, we compared the behavioral responses of individuals to: (i) two hunting-related acoustic stimuli-hunting dog barking and human speaking; (ii) nonpredatory acoustic stimuli-bird sounds and; and (iii) no acoustic stimulus (control). We asked: (1) How does the probability of moose leaving the site differ depending on the stimulus they are exposed to?; (2) What affect do the acoustic stimuli have on the amount of time moose spend vigilant, feeding, or away from the site?; and (3) What affect do the stimuli have on the time between events at a site? We found that when exposed to the human stimulus, moose left the sites in 75% of the events, which was significantly more often compared to the dog (39%), bird (24%), or silent (11%) events. If moose did not leave the site, they spent more time vigilant, and less time feeding, particularly when exposed to a dog or human stimulus. Furthermore, moose spent the most time away from the site and took the longest to visit the site again after a human stimulus. Moose were also more likely to leave the site when exposed to the bird stimulus than during silent controls. Those that remained spent more time vigilant, but their behaviors returned to baseline after the bird stimulus ended. These findings suggest that acoustic stimuli can be used to modify the behavior of moose; however, reactions towards presumably threatening and nonthreatening stimuli were not as distinct as we had expected.

Ungulates and trains - Factors influencing flight responses and detectability.

Wildlife-train collisions can have deleterious effects on local wildlife populations and come with high socio-economic costs, such as damages, delays, and psychological distress. In this study, we explored two major components of wildlife-train collisions: the response of wildlife to oncoming trains and the detection of wildlife by drivers. Using dashboard cameras, we explored the flight response of roe deer (Capreolus capreolus) and moose (Alces alces) to oncoming trains and explored which factors, such as lighting and physical obstructions, affect their detection by drivers. In a majority of cases, roe deer and moose fled from an oncoming train, at an average flight initiation distance (FID) of 78 m and 79 m respectively. Warning horns had unexpected influences on flight behaviour. While roe deer initiated flight, on average, 44 m further away from the train when warned, they usually fled towards the tracks, in the direction of danger. FID of moose, however, was unaffected by the use of a warning horn. As train speed increased, moose had a lower FID, but roe deer FID did not change. Finally, detection of wildlife was obstructed by the presence of vegetation and uneven terrain in the rail-side verge, which could increase the risk of collisions. Our results indicate the need for early detection and warning of wildlife to reduce the risk of collisions. We propose that detection systems should include thermal cameras to allow detection behind vegetation and in the dark, and warning systems should use cues early to warn of oncoming trains and allow wildlife to escape the railway corridor safely.

Adherence to Anti- Hypertensive Medications among Patients in Selected Health Facilities of Nepal.

BACKGROUND: Hypertension is a non-communicable disease and one of the most prominent modifiable risk factors for cardiovascular diseases. 7.6 million premature deaths are attributed to high blood pressure around the world. Better adherence with antihypertensive medications improves quality and length of life. This research focuses on the extent of adherence towards prescribed antihypertensive treatment, and identify factors influencing non-adherence. METHODS: Descriptive cross-sectional study design was undertaken in various health care centers (2 primary health care center and 3 hospitals) of Nepal. A total of 348 individuals (age above 30) who suffered from hypertension visiting health institutes were included in the study. Adherence was calculated using Morisky Medication Adherence scale. RESULTS: Adherence level to the antihypertensive medication as per the morisky adherence scale, 38.8% had medium level of adherence, 37.4% had a low adherence level, and 23.9% had a high adherence level among 348 participants. From the total participants, 89 admitted to be irregular in medication use. 56% of them claimed to do so because of forgetfulness, 12.4 % because of consistent exercise and low-salt diet, 10.1% due to the lack of affordability. CONCLUSIONS: Our study had concluded that the majority of participants had medium to low levels of adherence to anti-hypertensive drugs. Forgetfulness was major cause for irregular medication. Patient education and counseling, family support also seem to be important for proper adherence to drugs. Thus, health care providers should allocate ample time in educating, counseling clients and family.

Insectivorous bats are less active near freeways.

Traffic disturbances (i.e. pollution, light, noise, and vibrations) often extend into the area surrounding a road creating a 'road-effect zone'. Habitat within the road-effect zone is degraded or, in severe cases, completely unsuitable for wildlife, resulting in indirect habitat loss. This can have a disproportionate impact on wildlife in highly modified landscapes, where remaining habitat is scarce or occurs predominantly along roadside reserves. In this study, we investigated the road-effect zone for insectivorous bats in highly cleared agricultural landscapes by quantifying the change in call activity with proximity to three major freeways. The activity of seven out of 10 species of bat significantly decreased with proximity to the freeway. We defined the road-effect zone to be the proximity at which call activity declined by at least 20% relative to the maximum detected activity. The overall road-effect zone for bats in this region was 307 m, varying between 123 and 890 m for individual species. Given that this road-effect zone exceeds the typical width of the roadside verges (<50 m), it is possible that much of the vegetation adjacent to freeways in this and similar landscapes provides low-quality habitat for bats. Without accounting for the road-effect zone, the amount of habitat lost or degraded due to roads is underestimated, potentially resulting in the loss of wildlife, ecosystem services and key ecosystem processes (e.g. predator-prey or plant-pollinator interactions) from the landscape. We suggest all future environmental impact assessments include quantifying the road-effect zone for sensitive wildlife, in order to best plan and mitigate the impact of roads on the environment. Mitigating the effects of new and existing roads on wildlife is essential to ensure enough high-quality habitat persists to maintain wildlife populations.

Ungulate use of non-wildlife underpasses.

Wildlife crossing structures can provide safe passage for wildlife across transportation corridors, and can help mitigate the effects of highways and exclusion fencing on wildlife. Due to their costs, wildlife crossing structures are usually installed sparsely and at strategic locations along transportation networks. Alternatively, non-wildlife underpasses (i.e. conventional underpasses for human and domestic animal use) are usually abundant along major infrastructure corridors and could potentially provide safe crossing opportunities for wildlife. To investigate this, we monitored the use of 40 non-wildlife underpasses by roe deer (Capreolus capreolus), and moose (Alces alces) in south-central Sweden. We found that roe deer and moose use non-wildlife underpasses, and prefer underpasses that are at least 11.5 m wide and 5 m tall. Furthermore, roe deer used structures that had little human co-use and were in locations where the forest cover differed on both sides of the highway. In most cases, roe deer and moose were detected within 50 m of the underpass more than they were detected crossing under them. This suggests that animals often approach underpasses without crossing under them, however modifications to underpass design may improve non-wildlife underpass use. We recommend non-wildlife underpasses at gravel and minor roads, particularly those with little human co-use and with variable forest cover on both sides of the highway, be built wider than 11.5 m and taller than 5 m.

Immune reconstitution inflammatory syndrome in non-HIV patients with tuberculosis. A case series.

Tuberculosis associated Immune reconstitution inflammatory syndrome (IRIS) in a HIV negative patient can present with a multitude of clinic-radiological presentations that are often confused with drug resistance/treatment failure. Being a diagnosis of exclusion, this clinical entity is often prone to under-diagnosis. We present a series of 5 patients who presented with varied but uncommon IRIS manifestations. High index of suspicion coupled with clinical reasoning and judicious use of phenotypic and genotypic culture methods helped in their timely detection and successful treatment.

Little evidence of a road-effect zone for nocturnal, flying insects.

Roads and traffic may be contributing to global declines of insect populations. The ecological effects of roads often extend far into the surrounding habitat, over a distance known as the road-effect zone. The quality of habitat in the road-effect zone is generally degraded (e.g., due to edge effects, noise, light, and chemical pollution) and can be reflected in species presence, abundance, or demographic parameters. Road-effect zones have been quantified for some vertebrate species but are yet to be quantified for insects. Investigating the road-effect zone for insects will provide a better understanding of how roads impact ecosystems, which is particularly important given the role insects play as pollinators, predators, and prey for other species. We quantified the road-effect zone for nocturnal flying insects along three major freeways in agricultural landscapes in southeast Australia. We collected insects using light traps at six points along 2-km transects perpendicular to each highway (n = 17). We sorted the samples into order, and dried and weighed each order to obtain a measure of dry biomass. Using regression models within a Bayesian framework of inference, we estimated the change in biomass of each order with distance from the road, while accounting for environmental variables such as temperature, moon phase, and vegetation structure. The biomass of nine of the ten orders sampled did not change with distance from the freeway. Orthoptera (i.e., grasshoppers and crickets) was the only order whose biomass increased with distance from the freeway. From our findings, we suggest that the impacts of roads on insects are unlikely extending into the surrounding landscape over a distance of 2 km. Therefore, if there are impacts of roads on insects, these are more likely to be concentrated at the road itself, or on finer taxonomic scales such as family or genus level.

Correcting common misconceptions to inspire conservation action in urban environments.

Despite repeated calls to action, proposals for urban conservation are often met with surprise or scepticism. There remains a pervasive narrative in policy, practice, and the public psyche that urban environments, although useful for engaging people with nature or providing ecosystem services, are of little conservation value. We argue that the tendency to overlook the conservation value of urban environments stems from misconceptions about the ability of native species to persist within cities and towns and that this, in turn, hinders effective conservation action. However, recent scientific evidence shows that these assumptions do not always hold. Although it is generally true that increasing the size, quality, and connectivity of habitat patches will improve the probability that a species can persist, the inverse is not that small, degraded, or fragmented habitats found in urban environments are worthless. In light of these findings we propose updated messages that guide and inspire researchers, practitioners, and decision makers to undertake conservation action in urban environments: consider small spaces, recognize unconventional habitats, test creative solutions, and use science to minimize the impacts of future urban development.

Corrección de Ideas Erróneas para Inspirar Acciones de Conservación en Ambientes Urbanos Resumen A pesar de las repetidas llamadas a actuar, las propuestas para la conservación urbana con frecuencia se enfrentan a reacciones de sorpresa o escepticismo. Todavía existe una narrativa penetrante en la política, la práctica y el psique del público que dicta que los ambientes urbanos, aunque sean útiles para comprometer a las personas con la naturaleza o para proporcionar servicios ambientales, tienen poco valor para la conservación. Argumentamos que la tendencia de pasar por alto el valor para la conservación de los ambientes urbanos surge de las ideas erróneas sobre la habilidad que tienen las especies nativas para persistir dentro de ciudades y pueblos y que esto, en cambio, impide la acción efectiva de la conservación. A pesar de esto, la evidencia científica reciente muestra que estas suposiciones no siempre se sostienen. Aunque casi siempre es verdad que incrementar el tamaño, la calidad y la conectividad de los fragmentos de hábitat mejorará la probabilidad de que una especie pueda persistir, lo contrario, que los hábitats fragmentados, degradados y pequeños que se encuentran en los ambientes urbanos son inútiles, no lo es. A la luz de estos hallazgos proponemos mensajes actualizados que guíen e inspiren a los investigadores, practicantes y a los tomadores de decisiones a emprender acciones de conservación en ambientes urbanos: considerar espacios pequeños, reconocer hábitats poco convencionales, probar con soluciones creativas, y utilizar la ciencia para minimizar los impactos de desarrollos urbanos futuros.

Evaluation of tuberculosis-associated chronic obstructive pulmonary disease at a tertiary care hospital: A case-control study.

CONTEXT: Irreversible airway obstruction is important sequelae of pulmonary tuberculosis (TB) that might contribute to a significant proportion of chronic obstructive pulmonary disease (COPD). India has the highest TB burden in the world. However, there are limited data on the prevalence and presentation of TB-associated COPD from this region. AIMS: This study aims to evaluate the prevalence of TB-associated COPD among COPD patients presenting to a tertiary care hospital. SETTINGS AND DESIGN: It was a case-control study conducted in a tertiary care hospital. SUBJECTS AND METHODS: Stable COPD patients presenting to chest OPD and an equal number of healthy controls were enrolled. COPD patients were subjected to detailed clinical evaluation and lung function test. History of pulmonary TB was evaluated from both groups through self-reporting and/or checking previous records. TB-associated COPD patients were identified and their prevalence and distinguishing features evaluated. RESULTS: Of 74 COPD patients, 24 (32.4%) had previous history of pulmonary TB. The odds of having a previous TB in COPD patients was 3.96 (95% confidence interval: 1.64-9.55; P = 0.002) as compared to controls. Patients with TB-associated COPD were younger (P = 0.02), had lesser pack-years of smoking (P = 0.027) but had more number of hospitalizations (P = 0.01). The airflow limitation was similar in both groups. CONCLUSIONS: TB-associated COPD constitutes a significant proportion of COPD patients. It is a distinct clinical entity with preponderance in young. It may be associated with frequent hospitalizations as compared to other COPD patients.

Do People Take Stimulus Correlations into Account in Visual Search?

In laboratory visual search experiments, distractors are often statistically independent of each other. However, stimuli in more naturalistic settings are often correlated and rarely independent. Here, we examine whether human observers take stimulus correlations into account in orientation target detection. We find that they do, although probably not optimally. In particular, it seems that low distractor correlations are overestimated. Our results might contribute to bridging the gap between artificial and natural visual search tasks.

Visual Decisions in the Presence of Measurement and Stimulus Correlations.

Humans and other animals base their decisions on noisy sensory input. Much work has been devoted to understanding the computations that underlie such decisions. The problem has been studied in a variety of tasks and with stimuli of differing complexity. However, how the statistical structure of stimuli, along with perceptual measurement noise, affects perceptual judgments is not well understood. Here we examine how correlations between the components of a stimulus-stimulus correlations-together with correlations in sensory noise, affect decision making. As an example, we consider the task of detecting the presence of a single or multiple targets among distractors. We assume that both the distractors and the observer's measurements of the stimuli are correlated. The computations of an optimal observer in this task are nontrivial yet can be analyzed and understood intuitively. We find that when distractors are strongly correlated, measurement correlations can have a strong impact on performance. When distractor correlations are weak, measurement correlations have little impact unless the number of stimuli is large. Correlations in neural responses to structured stimuli can therefore have a strong impact on perceptual judgments.