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Communication is a critical clinical skill closely linked to clinical reasoning, medical problem solving, and significant outcomes of care such as accuracy, efficiency, supportiveness, adherence to treatment plans, and client and veterinarian satisfaction. More than 40 years of research on communication and communication education in human medicine and, more recently, in veterinary medicine provide a substantive rationale for formal communication teaching in veterinary education. As a result, veterinary schools are beginning to invest in communication training. However, if communication training is to result in development of veterinary communication skills to a professional level of competence, there must be follow-through with effective communication modeling and coaching in practice settings. The purpose of this article is to move the communication modeling and coaching done in the "real world" of clinical practice to the next level. The development of skills for communication coaching and feedback is demanding. We begin by comparing communication coaching with what is required for teaching other clinical skills in practice settings. Examining both, what it takes to teach others (whether DVM students or veterinarians in practice for several years) and what it takes to enhance one's own communication skills and capacities, we consider the why, what, and how of communication coaching. We describe the use of teaching instruments to structure this work and give particular attention to how to engage in feedback sessions, since these elements are so critical in communication teaching and learning. We consider the preconditions necessary to initiate and sustain communication skills training in practice, including the need for a safe and supportive environment within which to implement communication coaching and feedback. Finally we discuss the challenges and opportunities unique to coaching and to building and delivering communication skills training in practice settings.  相似文献   
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Plant production in potting substrates provides maximum profit on the applied inputs, and hence, directly improving the socio-economic condition of the grower/nurserymen. The main challenge in this industry is sourcing of materials for their potting substrates. Peat and perlite have been widely preferred materials. However, recently higher prices, more restrictive legislation of many countries and wetland ecosystem destruction through its extraction has limited peat use. Nowadays, producers focus towards peat alternatives that provide good performance, are readily available, inexpensive and environment friendly to attain sustainability in potted plant production. In an effort to grasp sustainability during the last few decades, many industrial and agricultural waste materials were reviewed for their use in potting substrates. In these studies, the major focus remained on material characterization, neglecting their economics, technical aspects and environmental impacts. Thus, switching from peat and perlite to alternatives requires material exploration. In the present review, we summarize a clearer and practical approach for substituting different materials especially biochar to fulfill the need of modern potting substrate industry. Biochar has the potential to sustain the substrate production on a long-term basis.  相似文献   
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In the mid-1990s, anecdotal reports of Olympic marmot (Marmota olympus) disappearances from historically occupied locations suggested that the species might be declining. Concern was heightened by the precipitous decline of the Vancouver Island marmot (Marmota vancouverensis), coupled with reports that climate change was affecting other high-elevation species. However, it was unclear whether the Olympic marmot was declining or undergoing natural extinctions and recolonizations; distinguishing between normal metapopulation processes and population declines in naturally fragmented species can be difficult. From 2002-2006, we used multiple approaches to evaluate the population status of the Olympic marmot. We surveyed sites for which there were records indicating regular occupancy in the later half of the 20th century and we conducted range-wide surveys of open high-elevation habitat to establish current and recent distribution. We used these targeted and general habitat surveys to identify locations and regions that have undergone extinctions or colonizations in the past 1-4 decades. Simultaneously, we conducted detailed demographic studies, using marked and radio-tagged marmots, to estimate the observed and projected current population growth rate at nine locations. The habitat surveys indicate that local extinctions have been wide-spread, while no recolonizations were detected. Abundance at most intensive study sites declined from 2002-2006 and the demographic data indicate that these local declines are ongoing. Adult female survival in particular is considerably lower than it was historically. The spatial pattern of the extinctions is inconsistent with observed metapopulation dynamics in other marmot species and, together with very low observed dispersal rates, indicates that population is not at equilibrium.  相似文献   
46.
A 16-year-old castrated male Arabian horse was presented to the Purdue University Veterinary Teaching Hospital with a 4-hour history of colic. Initial examinations provided strong evidence for small intestinal obstruction. Abdominal surgery revealed a strangulating lipoma, and 25 feet of small intestine were resected. Postoperatively, the horse developed obstructive ileus due to adhesion formation, which required a second laparotomy. During and after surgery, the abdomen was lavaged with sodium carboxymethylcellulose (CMC). One week after the second surgery, evaluation of peritoneal fluid revealed an inflammatory exudate, with many macrophages containing amorphous to granular, pink to magenta phagocytosed material. Extracellular aggregates of the material were also observed. The material was consistent with CMC. To our knowledge, this report is the first to demonstrate the phagocytosis of CMC by peritoneal fluid macrophages.  相似文献   
47.
Tick‐borne relapsing fever (TBRF) is a potentially serious spirochetal infection caused by certain species of Borrelia and acquired through the bite of Ornithodoros ticks. In 2017, Austin Public Health, Austin, TX, identified five cases of febrile illness among employees who worked in caves. A cross‐sectional serosurvey and interview were conducted for 44 employees at eight organizations that conduct cave‐related work. Antibodies against TBRF‐causing Borrelia were detected in the serum of five participants, four of whom reported recent illness. Seropositive employees entered significantly more caves (Median 25 [SD: 15] versus Median 4 [SD: 16], p = 0.04) than seronegative employees. Six caves were entered more frequently by seropositive employees posing a potentially high risk. Several of these caves were in public use areas and were opened for tours. Education of area healthcare providers about TBRF and prevention recommendations for cavers and the public are advised.  相似文献   
48.
We have developed a set of tools that operate within an aquatic geographic information system to improve the accessibility, and usability of remote‐sensed satellite and computer‐modeled oceanographic data for marine science and ecosystem‐based management. The tools form the Pelagic Habitat Analysis Module (PHAM), which can be applied as a modeling platform, an investigative aid in scientific research, or utilized as a decision support system for marine ecological management. Applications include fisheries, marine biology, physical and biological oceanography, and marine spatial management. The GIS provides a home for diverse data types and automated tools for downloading remote sensed and global circulation model data. Within the GIS environment, PHAM provides a framework for seamless interactive four‐dimensional visualization, for matching between disparate data types, for flexible statistic or mechanistic model development, and for dynamic application of user developed models for habitat, density, and probability predictions. Here we describe PHAM in the context of ecosystem‐based fisheries management, and present results from case study projects which guided development. In the first, an analysis of the purse seine fishery for tropical tuna in the eastern Pacific Ocean revealed oceanographic drivers of the catch distribution and the influence of climate‐driven circulation patterns on the location of fishing grounds. To support management of the Common Thresher Shark (Alopias vulpinus) in the California Current Ecosystem, a simple empirical habitat utilization model was developed and used to dynamically predict the seasonal range expansion of common thresher shark based on oceanographic conditions.  相似文献   
49.
The intertidal cockle Austrovenus stutchburyi, also known as tuangi or littleneck clam, is endemic to New Zealand, where it commonly occurs in sheltered sandflats and estuaries. While it is still abundant in some places, recreational collecting and habitat change have resulted in the losses of shellfish beds. This paper reviews the current status of cockle beds in New Zealand and outlines some of the methods that are being used to try to re-establish them. Cockle populations differ both within and between locations, and recent research suggests that this is often site-specific and correlated with sediment properties, salinity and contamination levels. The role of Customary Fishing Regulations and the management of Maori Marine Reserves in promoting cockles as a sustainable shellfishery is discussed, together with the role of closures. The transfer of adult stock may be the most promising technique for restoration. There is, however, a need to identify the potential risks and choose the sites carefully to ensure that shellfish are sustainable and that they improve ecosystem function.  相似文献   
50.
This study aimed at assessing the pathogenicity of two Vibrio splendidus-related species and evaluating the influence of the origin and annual life cycle of mussels on their sensitivity during a bacterial challenge. Thus, in vivo infection assays were made with Vibrio crassostreae 7T4_12 and Vibrio splendidus 3G1_6, over, respectively, thirteen and 9 months, on adult blue mussels from five recruitment areas in France. Two bacterial concentrations were tested: one consistent with the loads of Vibrio spp. in environment and mussel tissues (~105 CFU/ml) and another one much higher (~108 CFU/ml). The tested environmental concentration has no pathogenic effect whatever the time of year, the strain used and the origin of mussels. However, at the highest concentration, a pathogenic effect was observed only at specific moments, and one of the origins appeared to be more resistant. The physiological state of mussels—depending on the time of year—seemed significant in mussels’ sensitivity, as their recruitment origin. This study is the first to test the pathogenicity of V. splendidus-related strains at concentrations close to what is found in the wild, over the annual cycle of mussels, and considering their origin.  相似文献   
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