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Bacterial contamination of platelet components (PC) poses the greatest microbial risk to recipients, as bacteria can multiply over the course of PC storage at room temperature. Between 2010 and 2020, the Irish Blood Transfusion Service (IBTS) screened over 170,000 buffy coat-derived pooled (BCDP) and single-donor apheresis platelets (SDAPs) with the BACT/ALERT 3D microbial detection system (Biomerieux, L'Etoile, France), using a two-step screening protocol which incorporated primary and secondary cultures. Although the protocol was successful in averting septic transfusion reactions (STRs), testing large sample volumes at later time points was reported to improve detection of bacterial contamination. A modified large-volume delayed sampling (LVDS)-type protocol was adopted in 2020, which in the case of SDAP was applied to collections rather than individual splits (2020–2023, 44,642 PC screened). Rates of bacterial contamination for BCDP were 0.125% on Day-2, 0.043% on Day-4 vs. 0.191% in the post-LVDS period. SDAP contamination rates in the pre-LVDS period were 0.065% on Day-1, 0.017% on Day-4 vs. 0.072% in the post-LVDS period. Confirmed STRs were absent, and the interdiction rate for possibly contaminated SDAP was over 70%. In the post-LVDS period, BCDPs had a higher total positivity rate than SDAPs, 0.191% (1:525) versus 0.072% (1:1385), respectively, (chi-squared 12.124, 1 df, p = 0.0005). The majority of organisms detected were skin-flora-type, low pathogenicity organisms, including coagulase-negative staphylococci and Cutibacterium acnes, with little change in the frequency of clinically significant organisms identified over time. Both protocols prevented the issue of potentially harmful components contaminated (rarely) with a range of pathogenic bacteria, including Escherichia coli, Serratia marcesens, Staphylococcus aureus, and streptococci. Culture positivity of outdates post-LVDS whereby 100% of expired platelets are retested provides a residual risk estimate of 0.06% (95% CI 0.016–0.150). However, bacterial contamination rates in expired platelets did not demonstrate a statistically significant difference between the pre-LVDS 0.100% (CI 0.033–0.234) and post-LVDS 0.059% (0.016–0.150) periods (chi-squared = 0.651, 1 df, p = 0.42). [ABSTRACT FROM AUTHOR]

Background and Objectives In Europe, postnatal and subsequently antenatal administration of anti-RH1 (D) immunoglobulins (Ig) has reduced the number of maternal anti-RH1 immunizations and the incidence of haemolytic disease of the foetus and newborn since the 1960s. Non-invasive foetal RHD genotyping now enables antenatal prophylaxis to be targeted only to women carrying RHD-positive foetus. We aimed at describing how Rh disease prevention is currently managed in different European countries. Materials and Methods We prepared an online survey on guidelines and biological tests performed for Rh disease prevention. The link was sent to 15 expert laboratories among Europe, selected by their publications in the field. Results Experts from thirteen countries responded. Guidelines on anti-RH1 prophylaxis are similar regarding the major aspects of RH disease prevention, including indication and timing of anti-RH1 Ig administration, as well as indication of foetal RHD genotyping. Different anti-RH1 Ig preparations are used, and the dosing may differ depending on gestational age. Other controversial issues include (1) timing for foetal RHD genotyping, (2) indication of tests performed to quantitate feto-maternal haemorrhage prior to anti-RH1 Ig administration, (3) if there is a remaining indication for newborn RH1 phenotyping. Procedures for monitoring the prophylaxis efficiency and evaluating the national prevention programme also differ among countries. Conclusion Despite some differences among countries, the Rh disease prevention policies are very efficient in Europe, but HDFN cases due to maternal anti-RH1 immunization have not completely disappeared. It therefore remains important to share best practices for continuous improvement in reducing anti-RH1 alloimmunization. [ABSTRACT FROM AUTHOR]

Brown rats are widespread in agroecosystems, but our understanding of factors affecting their activity is incomplete due to cryptic, nocturnal behaviours. Indirect monitoring methods include tracking plates and camera traps. Supplementary feeding of game birds may provide resources for rats away from farm buildings, allowing them to persist in winter when there is little other food available. Developing reliable methods to monitor such populations will facilitate landscape-scale studies of rat populations in farm environments and aid ecologically based approaches for controlling rats on farms. We compared camera traps and tracking plates to monitor brown rat activity near game bird feeders at a mixed farm in Northumberland, UK. Generalized linear models (GLM) were used to compare rat incidence estimated from camera traps and tracking plates. A strong positive relationship was found between the two methods, although tracking plate estimates were less reliable when rat activity was very low. Factors that affected populations of brown rats near game bird feeders were assessed via linear mixed-effect models (LMM) of monthly tracking plate data (October 2017 to September 2018). Populations were highest at the feeders (0 m) compared with further away (10 m, 20 m) and were also higher in periods of cold, wet weather and when more food was available from the feeders. Rodenticide application near feeders did not significantly affect activity, nor did land cover 100 m around each feeder. A highly significant relationship was detected with food supply, suggesting that the use of game bird feeders could potentially have major impacts on rat population dynamics. [ABSTRACT FROM AUTHOR]

Background: Timeliness is viewed as a key feature of health‐care quality. Internationally, this is challenging. In England, cancer waiting time targets are currently not being met. For example, between 2015 and 2018 only 71% of patients with upper gastrointestinal (UGI) cancer started treatment within the recommended 62 days of referral. Objective: We explored patients' experiences to identify areas for service improvement. Design: Semi‐structured interviews were conducted. Setting and participants: Twenty patients who were referred through the urgent (two‐week) GP referral route and were within six months of receiving first treatment were recruited. Data analysis: Data from the interviews were analysed thematically. Results: Four themes were developed: organization of care; diagnosis; support; and views and expectations of the NHS. Patients described cross‐cutting issues such as complex and varied pathways and uncertainty about what would happen next. They felt daunted by the intensity and speed of investigations. They were presented with a recommended course of action rather than options and had little involvement in decision making. They were grateful for care, reluctant to complain and resigned to the status quo. Discussion and conclusions: In order to meet patient needs, the NHS needs to improve communication and streamline pathways. Future cancer pathways also need to be designed to support shared decision making, be truly person‐centred and informed by patient experience. [ABSTRACT FROM AUTHOR]

Introduction Internationally there is pressure to contain costs due to rising numbers of hospital admissions. Alongside age, socioeconomic disadvantage is the strongest risk factor for avoidable hospital admission. This equity-focussed systematic review is required for policymakers to understand what has been shown to work to reduce inequalities in hospital admissions, what does not work and where the current gaps in the evidence-base are. Methods and analysis An initial framework shows how interventions are hypothesised to reduce socioeconomic inequalities in avoidable hospital admissions. Studies will be included if the intervention focusses exclusively on socioeconomically disadvantaged populations or if the study reports differential effects by socioeconomic status (education, income, occupation, social class, deprivation, poverty or an area-based proxy for deprivation derived from place of residence) with respect to hospital admission or readmission (overall or condition-specific for those classified as ambulatory care sensitive). Studies involving individuals of any age, undertaken in OECD (Organisation for Economic Co-operation and Development) countries, published from 2000 to 29th February 2020 in any language will be included. Electronic searches will include MEDLINE, Embase, CINAHL, Cochrane CENTRAL and the Web of Knowledge platform. Electronic searches will be supplemented with full citation searches of included studies, website searches and retrieval of relevant unpublished information. Study inclusion, data extraction and quality appraisal will be conducted by two reviewers. Narrative synthesis will be conducted and also meta-analysis where possible. The main analysis will examine the effectiveness of interventions at reducing socioeconomic inequalities in hospital admissions. Interventions will be characterised by their domain of action and approach to addressing inequalities. For included studies, contextual information on where, for whom and how these interventions are organised, implemented and delivered will be examined where possible. Ethics and dissemination Ethical approval was not required for this protocol. The research will be disseminated via peer-reviewed publication, conferences and an open-access policy-orientated paper. [ABSTRACT FROM AUTHOR]

Abstract: BACKGROUND: Populations of wild boar and feral pigs are increasing worldwide, in parallel with their significant environmental and economic impact. Reliable methods of monitoring trends and estimating abundance are needed to measure the effects of interventions on population size. The main aims of this study, carried out in five English woodlands were: (i) to compare wild boar abundance indices obtained from camera trap surveys and from activity signs; and (ii) to assess the precision of density estimates in relation to different densities of camera traps. For each woodland, we calculated a passive activity index (PAI) based on camera trap surveys, rooting activity and wild boar trails on transects, and estimated absolute densities based on camera trap surveys. RESULTS: PAIs obtained using different methods showed similar patterns. We found significant between‐year differences in abundance of wild boar using PAIs based on camera trap surveys and on trails on transects, but not on signs of rooting on transects. The density of wild boar from camera trap surveys varied between 0.7 and 7 animals/km2. Increasing the density of camera traps above nine per km2 did not increase the precision of the estimate of wild boar density. CONCLUSION: PAIs based on number of wild boar trails and on camera trap data appear to be more sensitive to changes in population size than PAIs based on signs of rooting. For wild boar densities similar to those recorded in this study, nine camera traps per km2 are sufficient to estimate the mean density of wild boar. © 2017 Crown copyright. Pest Management Science © 2017 Society of Chemical Industry [ABSTRACT FROM AUTHOR]

BACKGROUND Indices of rodent activity are used as indicators of population change during field evaluation of rodenticides. We investigated the potential for using camera traps to determine activity indices for commensal rodents living in and around farm buildings, and sought to compare these indices against previously calibrated survey methods. RESULTS We recorded 41 263 images of 23 species, including Norway rats ( Rattus norvegicus Berk.) and house mice ( Mus musculus L.). We found a positive correlation between activity indices from camera traps and activity indices from a method (footprint tracking) previously shown to have a linear relationship with population size for Norway rats. Filtering the camera trap data to simulate a 30-s delay between camera trigger events removed 59.9% of data and did not adversely affect the correlation between activity indices from camera traps and footprint tracking. The relationship between activity indices from footprint tracking and Norway rat population size is known from a previous study; from this, we determined the relationship between activity indices from camera traps and population size for Norway rats living in and around farm buildings. CONCLUSION Systematic use of camera traps was used to determine activity indices for Norway rats living in and around farm buildings; the activity indices were positively correlated with those derived from a method previously calibrated against known population size for this species in this context. © 2017 Crown copyright. Pest Management Science © 2017 Society of Chemical Industry [ABSTRACT FROM AUTHOR]

Salmonella is the second most commonly reported zoonotic gastrointestinal pathogen in the European Union, and a significant proportion of the cases are linked to the consumption of contaminated pork. Reduction of Salmonella at the farm level helps to mininimise the contamination pressure at the slaughterhouse, and therefore the number of Salmonella bacteria entering the food chain. Cleaning and disinfection (C&D) between batches of pigs is an intervention measure that has potential to reduce the transmission of Salmonella contamination within farms. In this study, two pig finisher buildings in each of 10 Salmonella positive farms were sampled pre-C&D, post-C&D, post-restocking with the following batch of pigs, and shortly before these pigs were sent to slaughter. The incoming batch of pigs was also sampled before it reached the study building (pre-restocking). At each visit, pooled and individual faecal samples were collected and Salmonella isolation was carried out according to an ISO 6579:2002 Annex D-based method. One building on each farm (intervention) was cleaned and disinfected according to a rigorous protocol consisting of several steps and a Defra-approved disinfectant used at the General Orders concentration, whilst the other building (control) was cleaned and disinfected as per normal farm routine. At the post-C&D visit, Enterobacteriaceae and total bacterial counts were determined to evaluate residual faecal contamination and general hygiene levels. Rodent specialists visited the farms before and after C&D and rodent carcasses were collected for Salmonella testing. The intervention buildings were significantly less likely (p = 0.004) to be positive for Salmonella after C&D. The pre-restocking pigs had the highest likelihood (p<0.001) of being Salmonella positive (often with multiple serovars) and there was no significant difference between intervention and control buildings in Salmonella prevalence at the post-restocking visit (p = 0.199). However, the pigs housed in the intervention buildings were significantly less likely (p = 0.004) to be positive for Salmonella at slaughter age. Multivariable analysis suggested that cleaning all fixtures of buildings, leaving the pens empty for 2–3 days and using an effective disinfectant are factors significantly improving the likelihood of removing Salmonella contamination during C&D. Signs of rodents were recorded in all farms, but rodent activity and harbourage availability decreased between visits. All the rats tested were Salmonella negative. S. Typhimurium or its monophasic variants were isolated from 6 mouse carcasses in 3 farms where the same serovars were isolated from pigs. This study demonstrates that an appropriate C&D programme significantly reduces the likelihood of residual contamination in Salmonella positive pig buildings, and suggests a significant reduction in the prevalence of Salmonella in the pigs in appropriately cleaned and disinfected buildings when sampled before slaughter. Due to a high prevalence of infection in replacement pigs, control of Salmonella in pig farms is challenging. Rodents may also contribute to the carry-over of infection between batches. C&D is a useful measure to help reduce the number of infected pigs going to the slaughterhouse, but should be supplemented by other control measures along the pig breeding and production chain. [ABSTRACT FROM AUTHOR]

Background: The Health and Social Care Act mandated research use as a core consideration of health service commissioning arrangements in England. We undertook a controlled before and after study to evaluate whether access to a demand-led evidence briefing service improved the use of research evidence by commissioners compared with less intensive and less targeted alternatives.Methods: Nine Clinical Commissioning Groups (CCGs) in the North of England received one of three interventions: (A) access to an evidence briefing service; (B) contact plus an unsolicited push of non-tailored evidence; or (C) unsolicited push of non-tailored evidence. Data for the primary outcome measure were collected at baseline and 12 months using a survey instrument devised to assess an organisations' ability to acquire, assess, adapt and apply research evidence to support decision-making. Documentary and observational evidence of the use of the outputs of the service were sought.Results: Over the course of the study, the service addressed 24 topics raised by participating CCGs. At 12 months, the evidence briefing service was not associated with increases in CCG capacity to acquire, assess, adapt and apply research evidence to support decision-making, individual intentions to use research findings or perceptions of CCG relationships with researchers. Regardless of intervention received, participating CCGs indicated that they remained inconsistent in their research-seeking behaviours and in their capacity to acquire research. The informal nature of decision-making processes meant that there was little traceability of the use of evidence. Low baseline and follow-up response rates and missing data limit the reliability of the findings.Conclusions: Access to a demand-led evidence briefing service did not improve the uptake and use of research evidence by NHS commissioners compared with less intensive and less targeted alternatives. Commissioners appear well intentioned but ad hoc users of research. Further research is required on the effects of interventions and strategies to build individual and organisational capacity to use research. [ABSTRACT FROM AUTHOR]

Background The Health and Social Care Act 2012 (H&SCA) provided for sweeping changes to the health and healthcare system in England. The UK Faculty of Public Health (FPH) considered the risks of the proposed legislation and remains opposed to many of the Act's provisions. Methods Cross-sectional electronic survey of membership, on the severity and likelihood of risks identified in FPH's original risk assessment. Results Combined severity/likelihood scores rated all risks as severe or high. Respondents identified risks to infrastructure for local public health, healthcare planning and delivery and public health careers as most likely and as having the most severe consequences. Proposals for remediation included review, public health advocacy, co-ordinated working across organizational boundaries and further legislation. However, some respondents considered the current arrangements as irredeemable and advocated revoking the act and undertaking structural reorganization. Ten percent of eligible members responded. Respondents were more likely than the general membership to be in senior roles, with longer FPH membership. Conclusions Surveying public health professionals can provide insights into health and healthcare policy and its implementation. Their insights can assist in both further policy formulation and mitigation of risks for population health and health care. [ABSTRACT FROM AUTHOR]

It is natural to regard most animal movement as a continuous-time process, generally observed at discrete times. Most existing statistical methods for movement data ignore this; the remainder mostly use discrete-time approximations, the statistical properties of which have not been widely studied, or are limited to special cases. We aim to facilitate wider use of continuous-time modelling for realistic problems., We develop novel methodology which allows exact Bayesian statistical analysis for a rich class of movement models with behavioural switching in continuous time, without any need for time discretization error. We represent the times of changes in behaviour as forming a thinned Poisson process, allowing exact simulation and Markov chain Monte Carlo inference. The methodology applies to data that are regular or irregular in time, with or without missing values., We apply these methods to GPS data from two animals, a fisher ( Pekania [ Martes] pennanti) and a wild boar ( Sus scrofa), using models with both spatial and temporal heterogeneity. We are able to identify and describe differences in movement behaviour across habitats and over time., Our methods allow exact fitting of realistically complex movement models, incorporating environmental information. They also provide an essential point of reference for evaluating other existing and future approximate methods for continuous-time inference. [ABSTRACT FROM AUTHOR]

Background Clinical Commissioning Groups (CCGs) are mandated to use research evidence effectively to ensure optimum use of resources by the National Health Service (NHS), both in accelerating innovation and in stopping the use of less effective practices and models of service delivery. We intend to evaluate whether access to a demand-led evidence service improves uptake and use of research evidence by NHS commissioners compared with less intensive and less targeted alternatives. Methods/design This is a controlled before and after study involving CCGs in the North of England. Participating CCGs will receive one of three interventions to support the use of research evidence in their decision-making: 1) consulting plus responsive push of tailored evidence; 2) consulting plus an unsolicited push of non-tailored evidence; or 3) standard service unsolicited push of non-tailored evidence. Our primary outcome will be changed at 12 months from baseline of a CCGs ability to acquire, assess, adapt and apply research evidence to support decision-making. Secondary outcomes will measure individual clinical leads and managers' intentions to use research evidence in decision making. Documentary evidence of the use of the outputs of the service will be sought. A process evaluation will evaluate the nature and success of the interactions both within the sites and between commissioners and researchers delivering the service. Discussion The proposed research will generate new knowledge of direct relevance and value to the NHS. The findings will help to clarify which elements of the service are of value in promoting the use of research evidence. Those involved in NHS commissioning will be able to use the results to inform how best to build the infrastructure they need to acquire, assess, adapt and apply research evidence to support decision-making and to fulfil their statutory duties under the Health and Social Care Act. [ABSTRACT FROM AUTHOR]

BackgroundData on the uptake of clinical guidelines into practice are essential to guide and evaluate quality improvement interventions. Organizations responsible for service specification, monitoring and improvement need to consider the practicality of and trade-offs made in different data collection methods. We examined the feasibility of deriving and applying review criteria for clinical guidelines in English primary care.MethodsWe selected two sets of guidance, on osteoporosis and depression, and used a consensus process to derive review criteria. We manually extracted data on adherence to review criteria from patient records in 20 general practices from three NHS primary care trusts in northern England. We compared the relative utility of extracted data with that of routinely available data, summarizing feasibility using what we termed a Resource Ratio.ResultsOf 53 proposed review criteria we assessed, 41 were judged clinically important, valid, relevant and measurable. Thirty-one could be assessed in 10% or more of sampled patients, whereas 15 could be readily extracted (resource ratio of 15 or less). Only eight met all desirable attributes for use as review criteria. Resource ratios correlated poorly with local stakeholders’ prior views on feasibility of data collection. We observed wide variations in compliance with review criteria, with notably low levels among self-care standards.ConclusionsA minority of guideline recommendations were suitable for review criteria development, fewer still when using routinely available data. Local stakeholders tend to underestimate the actual resource requirements of data collection. Although improved design and use of clinical records may facilitate measurement of adherence to recommended practice, detailed assessments are still likely to rely upon some degree of manual data collection in the foreseeable future. [ABSTRACT FROM PUBLISHER]

Background Alloantibodies to high-prevalence red blood cell ( RBC) antigens are not easily identified by routine serologic techniques. This multicenter study was conducted to test the effectiveness of recombinant blood group proteins ( rBGPs) at regional and international RBC reference laboratories. Study Design and Methods Single or mixed soluble rBGPs ( Lu, Yt, Kn, JMH, Sc, Rg, Ch, Do, and Cr) were assessed for their ability to inhibit the reactivity of antibodies to specific antigens. Initially, the effect of rBGPs was validated by testing panels of well-characterized patient serum samples containing antibodies to high-prevalence antigens in the hemagglutination inhibition assay. Subsequently, the rBGPs were prospectively used for routine antibody identification and the results were compared to those obtained with RBC-based diagnostics. Results Panels of predefined antibodies to high-prevalence antigens were completely and specifically neutralized by the corresponding rBGP specificities. For prospective identification, antibodies to high-prevalence antigens (n = 62) were specifically inhibited by the corresponding rBGP specificities except for some Complement Receptor 1-related antibodies, which may be directed to epitopes not expressed on the truncated recombinant Kn. In 14 cases, additional clinically relevant alloantibodies were identified. In cross-matching, the rBGPs were successfully used to inhibit the reactivity of clinically irrelevant antibodies to high-prevalence antigens to determine compatibility between donor and recipient. Conclusion rBGPs enable the identification of antibodies to high-prevalence antigens without the need for rare RBC reagents, which are often unavailable. Underlying antibodies can be reliably detected and cross-matching results validated, resulting in a more efficient blood supply for immunized patients. [ABSTRACT FROM AUTHOR]

Context. Fertility control is being promoted as a non-lethal means of managing wildlife populations. We recently evaluated a single-dose injectable immunocontraceptive vaccine (GonaCon™) on captive female wild boar for effectiveness and potential side effects; reproductive output was inhibited for 4-6 years, with no obvious detrimental effects on physiology and behaviour. Aims.We injected individual free-living wild boar individuals with the fertility-control vaccineGonaCon™ to examine its effectiveness (measured as raised levels of GnRH antibodies) and looked for potential changes in movement and activity patterns. Methods. We trapped, fitted telemetry devices to, and released wild boar individuals living in woodland in the West Midlands region of England between 2006 and 2010.Wecompared data on movements and activity among 10 adult females treated with the vaccine and 11 controls treated with saline only. We measured anti-GnRH antibody titres in six recaptured boar individuals as an indicator of the effectiveness of the vaccine. Key results. Post-treatment GnRH antibody titres varied among the boar individuals; four of five treated sows resampled between 9 and 30 weeks post-injection had antibody titres high enough to block reproduction (detectable at 1: 32 000-1: 64 000 dilution). At least three treated females were pregnant at the time of vaccination; there was no subsequent evidence that the vaccine interfered with pregnancy. According to the distances moved per hour over a 24-h cycle and the daily activity cycle in relation to season, there were no differences in the behaviour of treated and control females that were likely to be biologically significant. The behaviour of two treated females monitored soon after vaccination and again 12 months later also showed no major differences. Conclusions. Free-living wild boar responded to treatment with a 1.0-mL (1000 mg) dose of an anti-GnRH vaccine and no major adverse effects on activity and movement were subsequently detected. Implications. Our results indicated that the vaccine could be more widely evaluated in the field against overabundant or nuisance populations. Such populations are increasingly found in urban areas and parks, where culling may not be an option. We suggest that further refinement of this approach for managing wild boar populations, including development of an oral vaccine, are warranted. [ABSTRACT FROM AUTHOR]

The article discusses cardiovascular failure, which occurs when tissue oxygen delivery is inadequate to meet tissue oxygen demand. It mentions the importance of using inotropes to increase myocardial contraction and cardiac output; and vasopressors to increase systematic vascular resistance. Definitions of key parameters in cardiovascular physiology are listed. The article also states that patients on inotropes and vasopressors need to be managed on a critical care unit.

Evaluation is an important component of service improvement but is not undertaken often enough. Many evaluation guides are available, and the language describing approaches is complex and varied. This variation is a potential barrier to evaluation, particularly in communication between practitioners. A structured literature review of development and evaluation frameworks for healthcare quality improvement was carried out. Four frameworks with diverse methodological perspectives were identified. Partial mapping was possible against an existing structure for health promotion research. When the questions in this framework were adapted for healthcare evaluation, it provided a common structure for the four frameworks. There is significant common ground underpinning these terminological differences between descriptions of evaluation techniques. The common language developed here has potential to ease communication in healthcare evaluation and improvements in quality and safety. It is an aid for practitioners in framing pragmatic evaluation of improvement projects. [ABSTRACT FROM PUBLISHER]

Rose-ringed parakeets (Psittacula krameri) have become widely established outside their native range through accidental or deliberate release. Potential economic impacts on agriculture, conservation concerns, and mixed public opinion regarding the species have highlighted the need to develop effective but humane management options. Fertility control might provide such a solution if a safe and environmentally benign contraceptive was available. The chemical 20,25-diazacholesterol dihydrochloride (diazacon) has previously been used to reduce reproductive output in avian species through reduction of blood cholesterol and cholesterol-dependent reproductive hormones. We orally dosed captive rose-ringed parakeets with a solution of either 9 mg/kg or 18 mg/kg of diazacon for up to 10 days and found that a dose of 18 mg/kg for 10 days temporarily reduced blood cholesterol levels with no adverse side effects. We evaluated this dose level in a captive population in semi-natural conditions during the 2008 breeding season and found a significant decrease in fertility. We concluded that diazacon has potential for fertility control in this species if a suitable formulation and delivery system is developed for free-living populations. [ABSTRACT FROM AUTHOR]

The article presents a study on the captive breeding of the rose-ringed parakeets, Psittacula krameri in Great Britain. It mentions the authors have established a captive outdoor colony in the north east of England in 2005 in which breeding of parakeets was examined for two years. Moreover, the clutch sizes are found consistent between the first and the second attempt and are similar compared to those in the native range and therefore, this has an implication for the future specie expansion.

The article discusses the census validation methods of measuring changes in house mouse populations. Accordingly, tracking and census baiting are two techniques that are commonly advocated for monitoring the size of mouse populations. However, such techniques are only able to provide an index of population size, rather than an assessment of absolute members. Under semi-natural conditions, census baiting produced more satisfactory population estimates than those derived from tracking activity. An initial field trial established that the optimum bait point density for the technique was one point per two meters. Study found that the bait census technique offers a way to estimate the approximate size of stable populations of mice.

Determines the incidence of erectile dysfunction in patients with aortoiliac occlusive disease or aneurysm. Effect of revascularization by means of open surgery or iliac angioplasty/stenting on erectile function; Use of International Index of Erectile Function questionnaire; Response rate; Proportion of patients who reported deterioration of their sexual function.

This bibliography aims to bring together all the existing literature on the administration and use of rare law book collections and legal archives, in institutional settings. It provides a convenient finding aid to the literature for current and potential practitioners, and also serves to outline the contours of the literature, and thus point out both its strengths and gaps. [ABSTRACT FROM PUBLISHER]

Exhibits allow you to be creative, to use your imagination, and educate the viewer. In fact, exhibitions are one of the only areas that allow you to project the personality of your law library in both intellectual and physical assets. Online exhibits, when done correctly, can impact and affect significant numbers of people, exposing them to historical subjects and objects they never knew existed, or would never have traveled to view in the originals. Outreach can be defined as anything that contributes to a greater awareness about what we do. Today's online outreach allows us to reach many more people than ever before, in a far easier way. Exhibits and outreach, both in traditional forms and in the electronic age, are the special collection librarian's main tools in marketing. [ABSTRACT FROM PUBLISHER]

Presents letters to the editor on medical issues as of July 21, 2001. Response to a study which concluded that measles, mumps, and rubella (MMR) vaccine cannot be responsible for an increase in autism; Relationship between upper respiratory tract infections and the development of asthma; Discussion of how to prevent winter deaths; Others.

Evaluates the benefits of carotid endarterectomy against other alternatives in reducing the burden of morbidity from stroke. Scientific evaluation; Historical background; Benefits to individuals; Population benefits.