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1.
J Environ Manage ; 232: 722-728, 2019 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-30529414

RESUMO

Wild hogs (Sus scrofa) are an invasive, non-native species quickly gaining ground on private, as well as public, lands in Tennessee and much of the United States. Wildlife management personnel may benefit from assessing stakeholders' views towards various management options to control and eradicate wild hogs. A statewide mail survey of 5000 randomly selected landowners in Tennessee counties known to have wild hogs yielded 1620 completed responses (33% response rate). Using this dataset, an index of potential for conflict among landowner groups was computed for each of eleven management options, which varied from leaving the wild hogs alone, to both lethal and non-lethal options. Results indicate varying levels of potential for conflict depending on hunter status, wild hog hunter status, presence of wild hogs on land, percent of income derived from land, and amount of land damage caused by wild hogs. Overall, three management options including leaving the wild hogs alone, allowing sale of wild hogs, and capturing and relocating were found unacceptable whereas many other options including capturing and killing, providing technical assistance to landowners and educating people on preventing damage were found to have high level of acceptability and most consensus among landowner subgroups. Findings will be useful in understanding how support for wild hog control options vary across population segments, and which options are likely to see more or less resistance from certain landowners.


Assuntos
Animais Selvagens , Conservação dos Recursos Naturais , Animais , Espécies Introduzidas , Inquéritos e Questionários , Suínos , Tennessee
2.
J Neurointerv Surg ; 12(4): 370-373, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30530770

RESUMO

BACKGROUND: Following the results of randomized clinical trials supporting the use of mechanical thrombectomy (MT) with tissue plasminogen activator for emergent large vessel occlusion (ELVO), our state Stroke Task Force convened to: update legislation to recognize differences between Primary Stroke Centers (PSCs) and Comprehensive Stroke Centers (CSCs); and update Emergency Medical Services (EMS) protocols to triage direct transport of suspected ELVO patients to CSCs. PURPOSE: We developed a single-session training curriculum for EMS personnel focused on the Los Angeles Motor Scale (LAMS) score, its use to correctly triage patients as CSC-appropriate in the field, and our state-wide EMS stroke protocol. We assessed the effect of our training on EMS knowledge. METHODS: We assembled a focus group to develop a training curriculum and assessment questions that would mimic real-life conditions under which EMS personnel operate. Ten questions were formulated to assess content knowledge before and after training, and scores were compared using generalized mixed models. RESULTS: Training was provided for 179 EMS providers throughout the state.Average pre-test score was 52.4% (95% CI 49% to 56%). Average post-test score was 85.6% (83%-88%, P<0.0001). Each of the 10 questions was individually assessed and all showed significant gains in EMS knowledge after training (P<0.0001). CONCLUSIONS: A brief educational intervention results in substantial improvements in EMS knowledge of prehospital stroke severity scales and severity-based field triage protocols. Further study is needed to establish whether these gains in knowledge result in improved real-world performance.


Assuntos
Serviços Médicos de Emergência/métodos , Pessoal de Saúde/educação , Trombólise Mecânica/educação , Trombólise Mecânica/métodos , Acidente Vascular Cerebral/terapia , Triagem/métodos , Serviço Hospitalar de Emergência , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Acidente Vascular Cerebral/diagnóstico , Ativador de Plasminogênio Tecidual/administração & dosagem
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