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The great reed warbler Acrocephalus arundinaceus is a common migrant through the Western Palearctic. However, its migration strategy, especially the spatiotemporal pattern of accumulation and utilisation of energy stores en route, is poorly known. Using ringing data collected at distant stopover sites located from Central Europe to Asia Minor, we observed that pattern in juvenile great reed warblers migrating along the eastern European flyway in autumn. We analysed body condition and stopover duration and estimated potential flight ranges for this species, taking into account two large ecological barriers – the Mediterranean Sea and the Sahara Desert – which it crosses during its southward migration. In Central and South-Eastern Europe the seasonal trends in body condition were similar and non-linear, with low values in August (i.e., during intensive migration of Acrocephalidae), and then a significant increase from the beginning of September until the end of the month. Estimated potential flight ranges showed that individuals migrating through Central and South-Eastern Europe might generally reach only the northern coast of the Mediterranean Sea. On the other hand, those flying from Asia Minor were able to reach the northern edge of the Sahel zone, crossing two large ecological barriers without refuelling. Therefore, it seems that great reed warblers change their autumn strategy en route: first, they migrate in short steps with low energy reserves through continental Europe; and then, after intensive refuelling before the Mediterranean Sea, they reach sub-Saharan Africa in a long flight. Based on the analysis of ringing data from several stopover sites, we show the complex pattern of how a long-distance migratory species accumulates and utilises its energy stores en route. [ABSTRACT FROM AUTHOR]

Background: Approximately 8.1 million outpatient surgical procedures were performed in Germany in 2021. Little is known about the quality of postoperative pain treatment in the outpatient sector. Methods: The AQS1 project comprises a combined survey of patients and staff in the framework of quality control for ambulatory surgery. The primary endpoint of this study was the prevalence of relevant incisional pain (≥ 4/10 on the numerical rating scale) up to postoperative day 3. Secondary endpoints included prognostic variables for pain and pain-associated outcomes, based on the AQS1 patient questionnaire. Moreover, mixed regression models were used to analyze potential prognostic variables and associations of pain with other outcomes (study registration number DRKS00028052). Results: Data from 330 008 patients were evaluated (from 1 July 2001 to 31 December 2021). The overall prevalence of relevant incisional pain up to postoperative day 3 was 22.5%, with major differences between different types of procedure (3.2%--51.2%). Pain was most common after hemorrhoid surgery (51.2%) and the laparoscopic lysis of large and small bowel adhesions (45.4%). The main associations of relevant pain were with younger age (odds ratio [OR] 1.87, 95% confidence interval [1.82; 1.91]), early postoperative pain (1.34, [1.30; 1.39]), inadequate provision of analgesics (2.90, [2.71; 3.09]), and surgical wound infections (2.60, [2.43; 2.78]). Patients with pain reported lower overall satisfaction with the procedure and a longer inability to work. Conclusion: These data have not been tested for representativeness. They can serve as a point of departure for the optimization of individualized perioperative pain therapy and for the planning of prospective studies. [ABSTRACT FROM AUTHOR]

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Copyright of Der Urologe A is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)