Project description:Highly seasonal conditions of tropical dry forests determine the temporal patterns of insect abundance. However, density-independent factors such as natural disturbances can abruptly change environmental conditions, affecting insect populations. We address the effects of the Hurricane Patricia (category 5) on species density and abundance of three feeding guilds of herbivorous insects (sap-sucking, folivorous beetles and xylophagous) and predatory beetles associated to the canopy of a tropical dry forest. Hurricane Patricia has been the strongest tropical hurricane ever reported in the Western Hemisphere. Herbivorous insects (sap-sucking and xylophagous) and predatory beetles increased in species density and abundance in the following months after the hurricane, compared to samples before it. The positive response of sap-sucking insects to Hurricane Patricia was probably related to an increase in the availability of new shoots and leaf meristems after the natural coppicing by the hurricane, while xylophagous guild seems to have been positively affected by the increase in the amount and diversity of deadwood resources. The positive response of predatory beetles may be the result of a bottom-up effect due to a greater availability of arthropod preys after the hurricane. We demonstrated that catastrophic hurricane disturbances could be important events that temporarily increase the species density and abundance of insects in tropical dry forests.
Project description:Mrs. Elizabeth Croll was selected as an American Society of Plastic Surgeons (ASPS) Patient of Courage in 2016. During a boating accident that occurred within 1 month after graduating from Harvard Business School, she was struck by an oncoming boat and suffered severe facial trauma, resulting in an open skull injury with loss of her right eye. She has since undergone multiple reconstructive surgical procedures beginning in 1997 and continuing up to the month before she was awarded the ASPS Patient of Courage. During this time, she got married, started a family, and continued an ambitious business career. Mrs. Croll is the epitome of an individual who has overcome tragedy to further her career, her community, and access to medical care for indigent children.
Project description:BackgroundIn 2015, the drive-through pharmacy was first introduced in Queen Elizabeth Hospital (QEH), Malaysia as one of the pharmacy value-added services. Therefore, it is imperative to review the service for further amelioration to fulfil patients' needs and expectations.ObjectiveThe aim of this study is to evaluate the drive-through pharmacy service in Queen Elizabeth Hospital, Malaysia.MethodsA cross-sectional observational study was conducted from July to December 2018. The questionnaire was developed and underwent thorough validation process which yielded a Cronbach's alpha reliability score of 0.9130. Satisfaction was calculated by mean percentage score (0% (dissatisfied) to 100% (satisfied). All data were analysed descriptively and thematic analysis was used in analysing open-ended question.ResultsCompliance in obtaining medication was at 96.3% with a given two-week grace collection period. Insufficient quantity of medications (33.3%) was the highest near-missed medication errors occurred at the drive-through pharmacy. The mean satisfaction percentage score for all patients were 76.6%?±?8.1. A total of 69.2% (n?=?83) were "very satisfied" while 30.8% (n?=?37) were "satisfied" with the service. Among the reasons for satisfaction are convenience in getting medication refills (n?=?74, 62%), short waiting time (n?=?75, 63%) and knowledgeable dispensers (n?=?87, 73%). A handful of patients were "dissatisfied" with the opening hours (n?=?14, 11.7%) and the location of the drive-through pharmacy service (n?=?19, 15.8%).ConclusionCompliance in medication collection is acceptable within stipulated grace period. Despite low occurrence, identification of near-missed medication errors provides useful insights for future improvement of the service. Generally, our patients are satisfied with the service. However, we need to re-evaluate on the opening hours and location of the service.
Project description:Bacillus anthracis, the bacteria that causes anthrax, a disease that primarily affects herbivorous animals, is a soil borne endospore-forming microbe. Environmental distribution of viable spores determines risky landscapes for herbivore exposure and subsequent anthrax outbreaks. Spore survival and longevity depends on suitable conditions in its environment. Anthrax is endemic in Queen Elizabeth Protected Area in western Uganda. Periodic historical outbreaks with significant wildlife losses date to 1950s, but B. anthracis ecological niche in the ecosystem is poorly understood. This study used the Maximum Entropy modeling algorithm method to predict suitable niche and environmental conditions that may support anthrax distribution and spore survival. Model inputs comprised 471 presence-only anthrax occurrence data from park management records of 1956-2010, and 11 predictor variables derived from the World Climatic and Africa Soil Grids online resources, selected considering the ecology of anthrax. The findings revealed predicted suitable niche favoring survival and distribution of anthrax spores as a narrow-restricted corridor within the study area, defined by hot-dry climatic conditions with alkaline soils rich in potassium and calcium. A mean test AUC of 0.94 and predicted probability of 0.93 for anthrax presence were registered. The five most important predictor variables that accounted for 93.8% of model variability were annual precipitation (70.1%), exchangeable potassium (12.6%), annual mean temperature (4.3%), soil pH (3.7%) and calcium (3.1%). The predicted suitable soil properties likely originate from existing sedimentary calcareous gypsum rocks. This has implications for long-term presence of B. anthracis spores and might explain the long history of anthrax experienced in the area. However, occurrence of suitable niche as a restricted hot zone offers opportunities for targeted anthrax surveillance, response and establishment of monitoring strategies in QEPA.