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1.
Facial Plast Surg ; 40(2): 245-251, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37944997

RESUMO

Follicular unit excision (FUE) is an increasingly popular hair restoration technique. In many instances, it surpasses linear strip excision (LSE) surgery in terms of number of procedures and clinics dedicated to performing FUE. The rise in popularity relates primarily to a somewhat misguided perception that FUE produces less evidence of a surgical procedure having been performed. This is based on the fact that a linear scar is avoided. The procedure is easier to learn and "less invasive" as compared to LSE harvesting and requires less staff and capital expense. The FUE procedure is aggressively marketed often as "scarless surgery." This false statement, along with the ease of starting an FUE practice, has resulted in various ethical issues related to evaluation, methodology, and business practices. In this chapter, we discuss the ethical issues surrounding FUE hair restoration surgery and the examination of the mathematics of donor management as it relates to the ethical management of the FUE patient.


Assuntos
Folículo Piloso , Coleta de Tecidos e Órgãos , Humanos , Cabelo , Transplante Autólogo , Cicatriz/etiologia , Cicatriz/prevenção & controle
2.
Zoo Biol ; 43(1): 100-109, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-37991115

RESUMO

The implementation of environmental enrichment (EE) can be effective in promoting zoo animal welfare by enhancing the performance of natural or species-typical behaviors. Research on the effects of EE is biased towards larger mammalian species, with less charismatic species being overlooked. Armadillos are one such overlooked example. A captive environment that results in inactivity, obesity, and associated poor health can negatively affect armadillo well-being. The aim of this study was to evaluate how the implementation of four physical object-based EEs could positively affect the behaviors of three armadillo species, housed in four similar exhibits. Behavioral data were collected both before (baseline) and during (treatment) EE periods, alongside of visitor number and environmental temperatures. The EE comprised of a plastic ball or a cardboard tube or a cardboard box, or a scatter-feed, and these were rotated each week of study until each exhibit had received them in turn. Despite the presence of different EE types, activity remained low throughout the study. However, results suggest that the plastic ball and cardboard box increased exploratory behaviors in the armadillos, but no overall increase in activity was noted during the scatter feed. Visitor presence had no effect on armadillo activity, and armadillos showed reduced activity with increasing environmental temperature. Overall, the use of physical object-based EE promoted beneficial natural behaviors in zoo-housed armadillos, but environmental conditions (i.e., temperature) also impacted armadillo activity, suggesting a complicated relationship between an enclosure's environmental variable and any behavioral husbandry measures.


Assuntos
Animais de Zoológico , Tatus , Animais , Bem-Estar do Animal , Temperatura , Comportamento Animal
3.
Zoo Biol ; 43(1): 83-91, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-37909672

RESUMO

Environmental enrichment (EE) is commonly provided to animals managed under human care, being beneficial to behavioral diversity and improving animal welfare. Use of EE appears to be particularly beneficial to individual wild animals spending a short period of time in captivity, for example, as part of conservation or rehabilitation programs. This paper documents a case study on the application and relevance of EE for a group of captive mute swans housed in a rescue center. Observational data were analyzed for two groups of juvenile swans that were provided with a physical EE device to increase time spent foraging. Periods of no EE were observed and compared to data from when birds were provided with EE. Results show that EE promoted foraging time and helped to reduce long periods of inactivity in captive birds. EE helped to reduce occurrence of captive-focused (i.e., abnormal behaviors) although these was already seen at very low rates. Inactivity as a measure of welfare in captive swans specifically (and waterbirds generally) should be further investigated to understand potential impacts on bird health. Our research shows the benefits of simple and easy-to-use EE devices on captive animal behavior and how use of EE for individuals spending a short amount of time in captivity (e.g., within a rescue center) could ensure diversity of behavior patterns and promote the performance of adaptive behaviors upon release to the wild.


Assuntos
Animais de Zoológico , Comportamento Animal , Humanos , Animais , Animais Selvagens , Aves , Bem-Estar do Animal
4.
Zoo Biol ; 2024 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-38874018

RESUMO

Asian hornbills have limited ex situ breeding success, yet these species are some of the most threatened of birds, in need of managed breeding programs. To optimize breeding and increase the sustainability of such populations, it is necessary to assess and improve their husbandry and welfare. Evidence to improve reproduction can be gathered through global husbandry surveys. A survey was sent out to all European Association of Zoos and Aquaria and Association of Zoos and Aquarium holders of the wreathed hornbill (Rhyticeros undulatus) and Papuan hornbill (R. plicatus) to determine predictors for ex situ breeding success. This research found that pairs that have spent more years together (p = .016) and that adding additional proteins to the diet (p = .006) are two significant predictors of breeding success for wreathed- and Papuan hornbill pairs. This paper found a general trend that successful hornbill pairs prefer nest boxes that are situated outside (p = .054). The behaviors of calling to each other and sitting in close proximity showed a general trend and were observed more frequently in successful pairs and, therefore, could be good indicators of bonded pairs. We recommend that ex situ institutions allow their hornbill pairs time to form strong bonds, and that pair compatibility is monitored regularly to ensure that such interactions are positive and not consistently negative. An increase in the percentage of dietary proteins, prior and during the breeding season appears to stimulate pairs to breed. If the management and husbandry alterations presented in this study are implemented, the sustainability of Rhyticeros hornbill populations may be enhanced.

5.
Zoo Biol ; 42(6): 811-817, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37283070

RESUMO

It is important that the environment provided in the zoo is relevant to the species being housed and its suitability be easily assessed by personnel. As shared space and resources can overlap in a zoo's enclosure a tool is required to measure the effects of such overlap between individual animals in a shared enclosure. This paper outlines the Pianka Index (PI), a tool used in ecology to quantify niche overlap, that has value in quantifying the amount of time that animals spend in shared enclosure zones. One limitation to this method, however, is that the established method of determining the PI requires division of the enclosure into equally sized zones, something that is not always relevant to a zoo enclosure. To combat this, we created a modified index, entitled the Zone Overlap Index (ZOI). This modified index is the exact mathematical equivalent of the original index when zone sizes are equal. When zone sizes are unequal, the ZOI generates higher values when animals share smaller, as opposed to larger, zones. This is because animals are more likely to share larger enclosure zones simply by chance, and shared use of smaller zones brings individuals into closer proximity with the potential for competition. To illustrate the application of the ZOI, a series of hypothetical situations were generated to reflect real-world scenarios, demonstrating how this index could be used to better understand zone occupancy overlap in the zoo.


Assuntos
Animais de Zoológico , Abrigo para Animais , Humanos , Animais
6.
Zoo Biol ; 42(6): 766-779, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37350422

RESUMO

Zoo management techniques for captive birds, such as flight restraint and enclosure type, may affect behavioral performance and are consequently worthy of investigation. Flamingos are amongst the most popular of zoo-housed birds and, as such, research into their captive management and associated behavioral responses are widely applicable to many thousands of individuals. As a highly social species, understanding social bonds and behavior of the individual bird and the flock overall can help inform decisions that support husbandry and population management. In this project, 41 greater flamingos at Bristol Zoo Gardens were observed for 49 days across spring and summer 2013 to assess the following: (i) social associations within the flock, (ii) overall activity patterns, and (iii) distribution of time within specific enclosure zones for both full-winged and flight-restrained birds living in the same enclosure. Results showed that pinioning interacted with age in regard to flamingo time-activity patterns, but wing condition did not significantly influence association patterns, performance of social interactions, or performance of breeding behavior. Social network analysis revealed that associations were nonrandom and flamingos, of either wing condition, displayed different roles within the network. Birds of similar age formed the strongest bonds. Enclosure usage was not even, suggesting that the flamingos favored specific areas of the enclosure during the observation period. This study showed that wing condition does not affect flamingo behavior, social bonds, or space use, and that age and sex have more of an overall influence on what flamingos do, and with whom they chose to do it. Further research should extend this study into other, larger captive flocks to further refine behavioral measures of welfare for these popular zoo birds.


Assuntos
Animais de Zoológico , Aves , Humanos , Animais , Animais de Zoológico/fisiologia , Aves/fisiologia , Comportamento Animal/fisiologia , Estações do Ano , Cruzamento
7.
Zoo Biol ; 42(3): 343-356, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36642934

RESUMO

As global wildlife populations continue to decline, the health and sustainability of ex situ populations in zoos and aquariums have become increasingly important. However, the majority of managed ex situ populations are not meeting sustainability criteria and are not viable in the long term. Historically, ex situ flamingo (Phoenicopteriformes) populations have shown low rates of reproductive success and improvements are needed for long-term viability. Both flock size and environmental suitability have previously been shown to be important determinants of ex situ flamingo reproductive success in a limited number of sites in some species. Here we combined current and historic globally shared zoological records for four of the six extant species of flamingo (Phoeniconaias minor, Phoenicopterus chilensis, Phoenicopterus roseus, and Phoenicopterus ruber) to analyze how flock size, structure, and climatic variables have influenced reproductive success in ex situ flamingo populations at 540 zoological institutions from 1990 to 2019. Flock size had a strong nonlinear relationship with reproductive success for all species, with flock sizes of 41-100 birds necessary to achieve ca. 50% probability of reproduction. Additionally, an even sex ratio and the introduction of new individuals to a flock both increased ex situ reproductive success in some cases, while climatic variables played a limited role. We demonstrate the conservation management potential from globally shared zoological data and provide species-specific management recommendations to increase the reproductive success of global ex situ flamingo populations: minimum flock sizes should be increased, and we encourage greater collaboration between individual institutions and regional associations in exchanging birds between flocks.


Assuntos
Animais Selvagens , Animais de Zoológico , Animais , Aves , Reprodução
8.
Biomacromolecules ; 22(4): 1695-1705, 2021 04 12.
Artigo em Inglês | MEDLINE | ID: mdl-33783189

RESUMO

We report a metal free synthetic hydrogel copolymer with affinity and selectivity for His6-tagged peptides and proteins. Small libraries of copolymers incorporating charged and hydrophobic functional groups were screened by an iterative process for His6 peptide affinity. The monomer selection was guided by interactions found in the crystal structure of an anti-His tag antibody-His6 peptide antigen complex. Synthetic copolymers incorporating a phenylalanine-derived monomer were found to exhibit strong affinity for both His6-containing peptides and proteins. The proximity of both aromatic and negatively charged functional groups were important factors for the His6 affinity of hydrogel copolymers. His6 affinity was not compromised by the presence of enzyme cleavage sequences. The His6-copolymer interactions are pH sensitive: the copolymer selectively captured His6 peptides at pH 7.8 while the interactions were substantially weakened at pH 8.6. This provided mild conditions for releasing His6-tagged proteins from the copolymer. Finally, a synthetic copolymer coated chromatographic medium was prepared and applied to the purification of a His6-tagged protein from an E. coli expression system. The results establish that a synthetic copolymer-based affinity medium can function as an effective alternative to immobilized metal ion columns for the purification of His6-tagged proteins.


Assuntos
Escherichia coli , Polímeros , Cromatografia de Afinidade , Escherichia coli/genética , Metais , Proteínas , Proteínas Recombinantes
9.
Med Humanit ; 2021 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-33674413

RESUMO

Conceptions of genetic kinship have recently emerged as a powerful new discourse through which to trace and imagine connections between individuals and communities around the globe. This article argues that, as a new way to think and represent such connections, genetic discourses of relatedness constitute a new poetics of kinship. Discussing two exemplary contemporary novels, Amitav Ghosh's The Calcutta Chromosome (1995) and Zadie Smith's White Teeth (2000), this article argues further that literary fiction, and postcolonial literary fiction in particular, is uniquely positioned to critically engage this new biomedical discourse of global and interpersonal relations. Ghosh's and Smith's novels illuminate and amplify the concept of a cultural poetics of genetic kinship by aesthetically transcending the limits of genetic science to construct additional genetic connections between the West and the Global South on the level of metaphor and analogy. As both novels oscillate spatially between the West and a postcolonial Indian subcontinent, the texts' representations of literal and figurative genetic relations become a vehicle through which the novels test and reconfigure postcolonial and diasporic identities, as well as confront Western genetic science with alternative forms of knowledge. The emerging genetic imaginary highlights-evoking recent sociological and anthropological work-that meaningful kinship relations rely on biological as much as on cultural discourses and interpretations, especially in postcolonial and migrant contexts where genetic markers become charged with conflicting notions of connection and otherness.

10.
Zoo Biol ; 40(6): 493-502, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34227153

RESUMO

Social networks research using non-human animals has grown over the past decade, utilizing a wide range of species to answer an array of pure and applied questions. Network approaches have relevance to conservation, evaluating social influences on fecundity, health, fitness and longevity. While the application of network approaches to in situ populations with conservation concern appears in published literature, the degree to which ex situ and zoo-housed populations are the focus of "social networks for conservation research" is limited. Captive environments provide scientists with an ability to understand the social behavior of species that may be hard to observe consistently in the wild. This paper evaluates the scope of network research involving ex situ populations, analyzing output from 2010 to 2019 to determine trends in questions and subjects using ex situ populations. We show that only 8.2% of ex situ social network analysis (SNA) implications are of conservation-focus, apparent in papers relating to birds, carnivores, bats, primates, reptiles, and ungulates. Husbandry and welfare questions predominate in ex situ network research, but over half of these papers have nonpractical application (basic science). The chance of a citation for a basic science paper was 95.4% more than for a conservation-based paper. For taxonomic groups, primate-focused papers had the most citations. The focus of ex situ conservation-based networks research may be driven by the needs of conservation programs (e.g., population recovery outcomes) or by a need to evaluate the efficacy of ex situ conservation goals. We evaluate our findings considering the IUCN's One Plan Approach to conservation to show how in situ and ex situ network research is applicable to global conservation efforts. We have identified that there is a lack of application and evaluation of SNA to wildlife conservation. We highlight future areas of research in zoos and hope to stimulate discussion and collaboration between relevant parties.


Assuntos
Animais de Zoológico , Conservação dos Recursos Naturais , Animais , Animais Selvagens , Pesquisa Comportamental , Rede Social
11.
Zoo Biol ; 40(5): 386-397, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33969920

RESUMO

Zoo-housed pelicans are commonplace, but their breeding record is poor and little research is published on the activity patterns, as potential predictors of nesting, of captive flocks. Existing literature shows that comparative research can provide useful information for husbandry and conservation planning for pelican populations. The opportunity arose to investigate the time-activity budget and social network of a breeding flock of captive great white pelicans. Three chicks were hatched in June and July 2016 and one in March 2017. Data on state behaviors, space use, and association preferences were collected around these nesting events, from October 2016 to February 2017 and July to October 2017. Results suggest that pre-nesting periods were associated with heightened flock-wide vigilance, suggesting that vigilance may be a precursor for courtship or nesting activity. Social network analysis revealed nonrandom associations between birds and a social structure across the flock, in which subadults seemed to associate more with each other than with adult birds. A limited visitor effect was noted; whilst no overall behavior change was apparent with different numbers of visitors, pelicans did widen their enclosure usage with increased visitor presence. These data are relevant to those attempting to breed this pelican, who wish to know more about the daily behavior patterns of this species across the season and physiological state, and who wish to understand pelican social structure, which is useful to the planning and implementation of bird moves or changes to the social environment of the flock. Further extending such research to include uninterrupted observation over a successful breeding event is recommended.


Assuntos
Animais de Zoológico , Aves , Animais , Comportamento de Nidação , Estações do Ano , Comportamento Social , Meio Social
12.
Zoo Biol ; 40(5): 363-375, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33969913

RESUMO

The sound environment of a zoo animal is a complex milieu of animal and human-generated sounds; coming from the species itself, other species, visitors, keepers and other zoo-users. Research determining how different components of the sound environment affect animal behaviour is surprisingly lacking but could have real-world impacts for animal welfare and zoo enclosure design. The current study investigated the effects of the sound environment on two flocks of flamingos housed in open-air enclosures at British zoos. Measures of how each flock used its enclosure (as a response variable) and environmental variables (Inband Power and Peak Frequency were recorded as characteristics of the sound environment, as well as temperature, humidity and cloud cover, and finally visitor presence-all as potential predictor variables) were made over a 2-month period. Assessment of space use by zoo animals is often used as a measure of the appropriateness of an exhibit and to understand welfare. Given that flamingo activity is influenced by weather and that the sound environment of the zoo is likely to be influenced by the number and the presence of visitors, it was assumed that these predictor variables would influence where the flamingos were located at different times of the day. As expected, there was a complicated relationship between enclosure use and Inband Power (average spectral density, a measure of sound energy) in both flocks; visitors generated salient sound but other visitor characteristics such as their physical presence may have impacted the movement of the birds around their enclosures. Results show a complex picture where environmental conditions influence flamingo enclosure usage as well as visitor presence and sounds around/in the enclosure. Findings are not consistent between the two flocks, with one flock demonstrating distinct temporal change to enclosure zone occupancy and the other responsive to humidity and cloud cover variation. We believe enclosure use can provide a valuable indication of how birds react to their soundscape; however, our findings suggest more work is needed to unpick the components of captive sound environments, and their relative effects on how animals use their space.


Assuntos
Bem-Estar do Animal , Animais de Zoológico , Animais , Comportamento Animal , Aves , Som
13.
Dermatol Surg ; 45(10): 1262-1273, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-30882509

RESUMO

BACKGROUND: Platelet-rich plasma (PRP) treatment may encourage hair growth by promoting cellular maturation, differentiation, and proliferation. OBJECTIVE: The objective of this study was to evaluate the effectiveness of PRP as a treatment for androgenetic alopecia (AGA). MATERIALS AND METHODS: A literature search combined with meta-analysis was used to calculate the overall standardized mean difference (SMD) in hair density in patients treated with PRP injections in comparison with baseline and placebo treatment. Chi squared analysis and Fisher exact test were used to investigate variation in protocols. RESULTS: The overall SMD in hair density was 0.58 (95% confidence interval [CI]: 0.35-0.80) and 0.51 (95% CI: 0.23-0.80, p < .0004) in favor of PRP treatment when compared with baseline and placebo treatment, respectively. CONCLUSION: Platelet-rich plasma is beneficial in the treatment of AGA. It is recommended that 3 monthly sessions of PRP (once monthly ×3 treatments) be used followed by a 3- to 6-month maintenance period.


Assuntos
Alopecia/terapia , Transfusão de Sangue Autóloga/métodos , Plasma Rico em Plaquetas , Diferenciação Celular , Proliferação de Células , Relação Dose-Resposta a Droga , Esquema de Medicação , Cabelo/fisiologia , Humanos , Injeções Subcutâneas , Masculino , Resultado do Tratamento
14.
Am J Gastroenterol ; 113(5): 746-754, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29487413

RESUMO

OBJECTIVES: Effectiveness of fecal occult blood test (FOBT) for colorectal cancer (CRC) screening depends on annual testing, but little is known about patterns of repeat stool-based screening within different settings. Our study's objective was to characterize screening patterns and identify factors associated with repeat screening among patients who completed an index guaiac FOBT (gFOBT) or fecal immunochemical test (FIT). METHODS: We performed a multi-center retrospective cohort study among people who completed a FOBT between January 2010 and December 2011 to characterize repeat screening patterns over the subsequent 3 years. We studied at 4 large health care delivery systems in the United States. Logistic regression analyses were used to identify factors associated with repeat screening patterns. We included individuals aged 50-71 years who completed an index FOBT and had at least 3 years of follow-up. We excluded people with a history of CRC, colonoscopy within 10 years or flexible sigmoidoscopy within 5 years before the index test, or positive index stool test. Consistent screening was defined as repeat FOBT within every 15 months and inconsistent screening as repeat testing at least once during follow-up but less than consistent screening. RESULTS: Among 959,857 eligible patients who completed an index FIT or gFOBT, 344,103 had three years of follow-up and met inclusion criteria. Of these, 46.6% had consistent screening, 43.4% inconsistent screening, and 10% had no repeat screening during follow-up. Screening patterns varied substantially across healthcare systems, with consistent screening proportions ranging from 1 to 54.3% and no repeat screening proportions ranging from 6.9 to 42.8%. Higher consistent screening proportions were observed in health systems with screening outreach and in-reach programs, whereas the safety-net health system, which uses opportunistic clinic-based screening, had the lowest consistent screening. Consistent screening increased with older age but was less common among racial/ethnic minorities and patients with more comorbidities. CONCLUSIONS: Adherence with annual FOBT screening is highly variable across healthcare delivery systems. Settings with more organized screening programs performed better than those with opportunistic screening, but evidence-based interventions are needed to improve CRC screening adherence in all settings.


Assuntos
Neoplasias Colorretais/diagnóstico , Detecção Precoce de Câncer/estatística & dados numéricos , Programas de Rastreamento/estatística & dados numéricos , Sangue Oculto , Padrões de Prática Médica/estatística & dados numéricos , Fatores Etários , Idoso , Detecção Precoce de Câncer/métodos , Detecção Precoce de Câncer/normas , Fezes/química , Feminino , Seguimentos , Fidelidade a Diretrizes/estatística & dados numéricos , Humanos , Masculino , Programas de Rastreamento/métodos , Programas de Rastreamento/normas , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Padrões de Prática Médica/normas , Estudos Retrospectivos , Provedores de Redes de Segurança/normas , Provedores de Redes de Segurança/estatística & dados numéricos , Estados Unidos
15.
Zoo Biol ; 37(5): 290-299, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30168187

RESUMO

Wild flamingos are known to forage overnight, but little is known of their nocturnal activity patterns in captivity. Captive flamingos can show daytime inactivity, reflecting natural periods of resting and loafing documented in wild birds. Assessment of behavior outside of normal zoo opening hours can provide more detailed information on how animals use the space provided to them, and highlights how enclosure areas not commonly occupied during the day may still be important for inhabitants at other times. We examine whether captive flamingos at WWT Slimbridge Wetland Centre change their enclosure usage and behavior overnight compared to that observed during daylight. Using three night-vision remote cameras, the behavior and enclosure usage of a flock of over 270 greater flamingos was recorded from March to July 2016. Results show that these flamingos had higher rates of foraging at certain points during the night, and had a more even enclosure usage when compared to daylight hours. Change in pool use is apparent throughout the course of the day and night, suggesting that different areas of water depth are used by these flamingos at different times. Flamingos increased nocturnal foraging in their pool during the breeding season. The large enclosure size and range of different land and water areas may have enabled these flamingos to follow daily activity patterns similar to those observed in wild birds. Captive flamingos clearly show a difference between daytime and nocturnal behavior patterns and this should be considered when designing enclosures and general management routines for these birds.


Assuntos
Comportamento Animal/fisiologia , Aves/fisiologia , Ritmo Circadiano , Atividade Motora/fisiologia , Animais , Animais de Zoológico
16.
MMWR Morb Mortal Wkly Rep ; 66(8): 201-206, 2017 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-28253225

RESUMO

Healthy People 2020 (HP2020) includes objectives to increase screening for breast, cervical, and colorectal cancer (1) as recommended by the U.S. Preventive Services Task Force (USPSTF).* Progress toward meeting these objectives is monitored by measuring cancer screening test use against national targets using data from the National Health Interview Survey (NHIS) (1). Analysis of 2015 NHIS data indicated that screening test use remains substantially below HP2020 targets for selected cancer screening tests. Although colorectal cancer screening test use increased from 2000 to 2015, no improvements in test use were observed for breast and cervical cancer screening. Disparities exist in screening test use by race/ethnicity, socioeconomic status, and health care access indicators. Increased measures to implement evidence-based interventions and conduct targeted outreach are needed if the HP2020 targets for cancer screening are to be achieved and the disparities in screening test use are to be reduced.


Assuntos
Colonoscopia/estatística & dados numéricos , Mamografia/estatística & dados numéricos , Teste de Papanicolaou/estatística & dados numéricos , Adulto , Idoso , Neoplasias da Mama/prevenção & controle , Neoplasias Colorretais/prevenção & controle , Feminino , Disparidades em Assistência à Saúde , Programas Gente Saudável , Humanos , Masculino , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Fatores Socioeconômicos , Estados Unidos , Neoplasias do Colo do Útero/prevenção & controle , Adulto Jovem
17.
Zoo Biol ; 36(2): 152-160, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28206675

RESUMO

Turacos (Musophagidae) are common zoo birds; the 14 species of Tauraco being most often exhibited. Turacos possess unique non-structural, copper-based feather pigments, and a specialized dietary strategy. Tauraco inhabit tropical woodlands, foraging for predominantly folivorous and/or frugivorous food items. Using a study population of 16 red-crested turacos (T. erythrolophus) at seven zoos in the United Kingdom, the nutrient composition of diets from diet sheets was calculated, using Zootrition v.2.6, Saint Louis Zoo, USA for analyses of important nutrients within each diet, and compared against an example of currently available literature. For all nutrients analyzed, significant differences were noted between amounts presented in each zoo's diet (as fed). Turacos are presented with a wide range of ingredients in diets fed, and all zoos use domestic fruits to a large extent in captive diets. Similarities exist between zoos when comparing amounts of as-fed fiber. Analysis of the calcium to phosphorous ratio for these diets showed there to be no significant difference from the published ratio available. While this is a small-scale study on only a limited number of zoos, it provides useful information on current feeding practice for a commonly-housed species of bird and highlights potential areas of deviation away from standard practice, as well as identifying ways of reducing wastage of food. Data on wild foraging behavior and food selection, or collaboration with tauraco keepers from institutions in the tropics, is recommended as a way of improving feeding regimes and updating feeding practice for this and other Tauraco species.


Assuntos
Criação de Animais Domésticos , Fenômenos Fisiológicos da Nutrição Animal , Animais de Zoológico/fisiologia , Aves/fisiologia , Dieta/veterinária , Ração Animal/análise , Animais , Métodos de Alimentação/veterinária , Software , Reino Unido
18.
Med Care ; 54(8): e47-54, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-24374419

RESUMO

BACKGROUND: Researchers are increasingly interested in using observational data to evaluate cancer outcomes following treatment, including cancer recurrence and disease-free survival. Because population-based cancer registries do not collect recurrence data, recurrence is often imputed from health claims, primarily by identifying later cancer treatments after initial treatment. The validity of this approach has not been established. RESEARCH DESIGN: We used the linked Surveillance, Epidemiology, and End Results-Medicare data to assess the sensitivity of Medicare claims for cancer recurrence in patients very likely to have had a recurrence. We selected newly diagnosed stage II/III colorectal (n=6910) and female breast cancer (n=3826) patients during 1994-2003 who received initial cancer surgery, had a treatment break, and then died from cancer in 1994-2008. We reviewed all claims from the treatment break until death for indicators of recurrence. We focused on additional cancer treatment (surgery, chemotherapy, radiation therapy) as the primary indicator, and used multivariate logistic regression analysis to evaluate patient factors associated with additional treatment. We also assessed metastasis diagnoses and end-of-life care as recurrence indicators. RESULTS: Additional treatment was the first indicator of recurrence for 38.8% of colorectal patients and 35.2% of breast cancer patients. Patients aged 70 and older were less likely to have additional treatment (P < 0.05), in adjusted analyses. Over 20% of patients either had no recurrence indicator before death or had end-of-life care as their first indicator. CONCLUSIONS: Identifying recurrence through additional cancer treatment in Medicare claims will miss a large percentage of patients with recurrences; particularly those who are older.


Assuntos
Neoplasias da Mama/diagnóstico , Neoplasias Colorretais/diagnóstico , Recidiva Local de Neoplasia/epidemiologia , Bases de Dados Factuais , Intervalo Livre de Doença , Feminino , Humanos , Revisão da Utilização de Seguros , Modelos Logísticos , Masculino , Medicare , Sensibilidade e Especificidade , Estados Unidos/epidemiologia
19.
Zoo Biol ; 35(6): 546-555, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27735990

RESUMO

Banteng (Bos javanicus) are an example of a species of conservation concern without current "best practice" guidance, as they have been the focus of little applied husbandry research. Despite their elevated conservation status, and established, increasing global captive population, zoos do not yet have information on optimal husbandry. To help address this problem, a husbandry survey was distributed to all global holders of banteng. Questions focused on herd demographic structure, exhibit features (including mixed-species exhibition), dietary provision, and behavioral management. Completed surveys from 16 zoos enabled analysis of contemporary practice between institutions. Results indicate differences in enclosure size between zoos, and that herd size is unlikely to predict enclosure size. Herd sizes are smaller than wild examples, and enclosure space (per animal) is significantly smaller than a potential wild range. Banteng are frequently maintained successfully in mixed species exhibits alongside a wide range of other taxa. Nutrient analysis focused on fiber and protein, and although provision of these nutrients appears comparable between zoos, more work is needed on browse and forage intake to determine overall diet suitability. Behavior management shows variation between zoos, with numerous collections providing browse but only a minority undertaking training, and not all providing enrichment. The overall diversity in findings between zoos suggest future research areas that should focus on key aspects of behavioral ecology, such as wild foraging behavior, food plant selection and day/night activity patterns, which may help underpin husbandry guidelines and excellent animal welfare. Zoo Biol. 35:546-555, 2016. © 2016 Wiley Periodicals, Inc.


Assuntos
Criação de Animais Domésticos , Bem-Estar do Animal/normas , Comportamento Animal/fisiologia , Conservação dos Recursos Naturais/métodos , Espécies em Perigo de Extinção , Abrigo para Animais , Animais , Animais de Zoológico , Dieta/veterinária , Feminino , Masculino , Densidade Demográfica
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