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Predictive analytics monitoring, the use of patient data to provide continuous risk estimation of deterioration, is a promising new application of big data analytical techniques to the care of individual patients. We tested the hypothesis that continuous display of novel electronic risk visualization of respiratory and cardiovascular events would impact intensive care unit (ICU) patient outcomes. In an adult tertiary care surgical trauma ICU, we displayed risk estimation visualizations on a large monitor, but in the medical ICU in the same institution we did not. The risk estimates were based solely on analysis of continuous cardiorespiratory monitoring. We examined 4275 individual patient records within a 7 month time period preceding and following data display. We determined cases of septic shock, emergency intubation, hemorrhage, and death to compare rates per patient care pre-and post-implementation. Following implementation, the incidence of septic shock fell by half (p < 0.01 in a multivariate model that included age and APACHE) in the surgical trauma ICU, where the data were continuously on display, but by only 10% (p = NS) in the control Medical ICU. There were no significant changes in the other outcomes. Display of a predictive analytics monitor based on continuous cardiorespiratory monitoring was followed by a reduction in the rate of septic shock, even when controlling for age and APACHE score.

The Lower Keys marsh rabbit ( Sylvilagus palustris hefneri ) is one of many endangered endemic species of the Florida Keys. The main threats are habitat loss and fragmentation from sea-level rise, development, and habitat succession. Exotic predators such as free-ranging domestic cats ( Felis catus ) pose an additional threat to these endangered small mammals. Management strategies have focused on habitat restoration and exotic predator control. However, the effectiveness of predator removal and the effects of anthropogenic habitat modifications and restoration have not been evaluated. Between 2013 and 2015, we used camera traps to survey marsh rabbits and free-ranging cats at 84 sites in the National Key Deer Refuge, Big Pine Key, Florida, USA. We used dynamic occupancy models to determine factors associated with marsh rabbit occurrence, colonization, extinction, and the co-occurrence of marsh rabbits and cats during a period of predator removal. Rabbit occurrence was positively related to freshwater habitat and patch size, but was negatively related to the number of individual cats detected at each site. Furthermore, marsh rabbit colonization was negatively associated with relative increases in the number of individual cats at each site between survey years. Cat occurrence was negatively associated with increasing distance from human developments. The probability of cat site extinction was positively related to a 2-year trapping effort, indicating that predator removal reduced the cat population. Dynamic co-occurrence models suggested that cats and marsh rabbits co-occur less frequently than expected under random conditions, whereas co-detections were site and survey-specific. Rabbit site extinction and colonization were not strongly conditional on cat presence, but corresponded with a negative association. Our results suggest that while rabbits can colonize and persist at sites where cats occur, it is the number of individual cats at a site that more strongly influences rabbit occupancy and colonization. These findings indicate that continued predator management would likely benefit endangered small mammals as they recolonize restored habitats.

Mercury contamination in wildlife has rarely been studied in the Southern Appalachians despite high deposition rates in the region. From 2006 to 2008 we sampled feathers from 458 birds representing 32 species in the Southern Appalachians for total mercury and stable isotope δ (15)N. Mercury concentrations (mean ± SE) averaged 0.46 ± 0.02 μg g(-1) (range 0.01-3.74 μg g(-1)). Twelve of 32 species had individuals (7 % of all birds sampled) with mercury concentrations higher than 1 μg g(-1). Mercury concentrations were 17 % higher in juveniles compared to adults (n = 454). In adults, invertivores has higher mercury levels compared to omnivores. Mercury was highest at low-elevation sites near water, however mercury was detected in all birds, including those in the high elevations (1,000-2,000 m). Relative trophic position, calculated from δ (15)N, ranged from 2.13 to 4.87 across all birds. We fitted linear mixed-effects models to the data separately for juveniles and year-round resident adults. In adults, mercury concentrations were 2.4 times higher in invertivores compared to omnivores. Trophic position was the main effect explaining mercury levels in juveniles, with an estimated 0.18 ± 0.08 μg g(-1) increase in feather mercury for each one unit rise in trophic position. Our research demonstrates that mercury is biomagnifying in birds within this terrestrial mountainous system, and further research is warranted for animals foraging at higher trophic levels, particularly those associated with aquatic environments downslope from montane areas receiving high mercury deposition.

Abundance and population density are fundamental pieces of information for population ecology and species conservation, but they are difficult to estimate for rare and elusive species. Mark--resight models are popular for estimating population abundance because they are less invasive and expensive than traditional mark-recapture. However, density estimation using mark-resight is difficult because the area sampled must be explicitly defined, historically using ad hoc approaches. We developed a spatial mark--resight model for estimating population density that combines spatial resighting data and telemetry data. Incorporating telemetry data allows us to inform model parameters related to movement and individual location. Our model also allows <100% individual identification of marked individuals. We implemented the model in a Bayesian framework, using a custom-made Metropolis-within-Gibbs Markov chain Monte Carlo algorithm. As an example, we applied this model to a mark--resight study of raccoons (Procyon lotor) on South Core Banks, a barrier island in Cape Lookout National Seashore, North Carolina, USA. We estimated a population of 186.71 +/- 14.81 individuals, which translated to a density of 8.29 +/- 0.66 individuals/km2 (mean +/- SD). The model presented here will have widespread utility in future applications, especially for species that are not naturally marked.

False positive errors are a significant component of many ecological data sets, which in combination with false negative errors, can lead to severe biases in conclusions about ecological systems. We present results of a field experiment where observers recorded observations for known combinations of electronically broadcast calling anurans under conditions mimicking field surveys to determine species occurrence. Our objectives were to characterize false positive error probabilities for auditory methods based on a large number of observers, to determine if targeted instruction could be used to reduce false positive error rates, and to establish useful predictors of among-observer and among-species differences in error rates. We recruited 31 observers, ranging in abilities from novice to expert, who recorded detections for 12 species during 180 calling trials (66,960 total observations). All observers made multiple false positive errors, and on average 8.1% of recorded detections in the experiment were false positive errors. Additional instruction had only minor effects on error rates. After instruction, false positive error probabilities decreased by 16% for treatment individuals compared to controls with broad confidence interval overlap of 0 (95% CI:--46 to 30%). This coincided with an increase in false negative errors due to the treatment (26%;--3 to 61%). Differences among observers in false positive and in false negative error rates were best predicted by scores from an online test and a self-assessment of observer ability completed prior to the field experiment. In contrast, years of experience conducting call surveys was a weak predictor of error rates. False positive errors were also more common for species that were played more frequently but were not related to the dominant spectral frequency of the call. Our results corroborate other work that demonstrates false positives are a significant component of species occurrence data collected by auditory methods. Instructing observers to only report detections they are completely certain are correct is not sufficient to eliminate errors. As a result, analytical methods that account for false positive errors will be needed, and independent testing of observer ability is a useful predictor for among-observer variation in observation error rates.

The recent surge in the development and application of species occurrence models has been associated with an acknowledgment among ecologists that species are detected imperfectly due to observation error. Standard models now allow unbiased estimation of occupancy probability when false negative detections occur, but this is conditional on no false positive detections and sufficient incorporation of explanatory variables for the false negative detection process. These assumptions are likely reasonable in many circumstances, but there is mounting evidence that false positive errors and detection probability heterogeneity may be much more prevalent in studies relying on auditory cues for species detection (e.g., songbird or calling amphibian surveys). We used field survey data from a simulated calling anuran system of known occupancy state to investigate the biases induced by these errors in dynamic models of species occurrence. Despite the participation of expert observers in simplified field conditions, both false positive errors and site detection probability heterogeneity were extensive for most species in the survey. We found that even low levels of false positive errors, constituting as little as 1% of all detections, can cause severe overestimation of site occupancy, colonization, and local extinction probabilities. Further, unmodeled detection probability heterogeneity induced substantial underestimation of occupancy and overestimation of colonization and local extinction probabilities. Completely spurious relationships between species occurrence and explanatory variables were also found. Such misleading inferences would likely have deleterious implications for conservation and management programs. We contend that all forms of observation error, including false positive errors and heterogeneous detection probabilities, must be incorporated into the estimation framework to facilitate reliable inferences about occupancy and its associated vital rate parameters.

Many factors affect the number of birds detected on point count surveys of breeding songbirds. The magnitude and importance of these factors are not well understood. We used a bird song simulation system to quantify the effects of detection distance, singing rate, species differences, and observer differences on detection probabilities of birds detected by ear. We simulated 40 point counts consisting of 10 birds per count for five primary species (Black-and-white Warbler Mniotilta varia, Black-throated Blue Warbler Dendroica caerulescens, Black-throated Green Warbler Dendroica virens, Hooded Warbler Wilsonia citrina, and Ovenbird Seiurus aurocapillus) over a range of 15 distances (34-143 m). Songs were played at low (two songs per count) and high (13-21 songs per count) singing rates. Detection probabilities averaged across observers ranged from 0.60 (Black-and-white Warbler) to 0.83 (Hooded Warbler) at the high singing rate and 0.41 (Black-and-white Warbler) to 0.67 (Hooded Warbler) at the low singing rate. Logistic regression analyses indicated that species, singing rate, distance, and observer were all significant factors affecting detection probabilities. Singing rate x species and singing rate X distance interactions were also significant. Simulations of expected counts, based on the best logistic model, indicated that observers detected between 19% (for the worst observer, lowest singing rate, and least detectable species) and 65% (for the best observer, highest singing rate, and most detectable species) of the true population. Detection probabilities on actual point count surveys are likely to vary even more because many sources of variability were controlled in our experiments. These findings strongly support the importance of adjusting measures of avian diversity or abundance from auditory point counts with direct estimates of detection probability.

Background: We investigated the effects of a calcium-fortified beverage supplemented over 12 months on body composition in postmenopausal women (n = 37, age = 48-75 y)., Methods: Body composition (total-body percent fat, %FatTB; abdominal percent fat, %FatAB) was measured with dual energy x-ray absorptiometry. After baseline assessments, subjects were randomly assigned to a free-living control group (CTL) or the supplement group (1,125 mg Ca++/d, CAL). Dietary intake was assessed with 3-day diet records taken at baseline and 12 months (POST). Physical activity was measured using the Yale Physical Activity Survey., Results: At 12 months, the dietary calcium to protein ratio in the CAL group (32.3 +/- 15.6 mg/g) was greater than the CTL group (15.2 +/- 7.5 mg/g). There were no differences from baseline to POST between groups for changes in body weight (CAL = 0.1 +/- 3.0 kg; CTL = 0.0 +/- 2.9 kg), %FatTB (CAL = 0.0 +/- 2.4%; CTL = 0.5 +/- 5.4%), %FatAB (CAL = -0.4 +/- 8.7%; CTL = 0.6 +/- 8.7%), or fat mass (CAL = 1.3 +/- 2.6 kg; CTL = 1.3 +/- 2.7 kg)., Conclusion: These results indicate that increasing the calcium to protein ratio over two-fold by consuming a calcium-fortified beverage for 12 months did not decrease body weight, body fat, or abdominal fat composition in postmenopausal women.