Anticipating anthropogenic threats in acquiring new protected areas

Biodiversity continues to decline despite protected area expansion and global conservation commitments. Biodiversity losses occur in existing protected areas, yet common methods used to select protected areas ignore postimplementation threats that reduce effectiveness. We developed a conservation planning framework that considers the ongoing anthropogenic threats within protected areas when selecting sites and the value of planning for costly threat-mitigating activities (i.e., enforcement) at the time of siting decisions. We applied the framework to a set of landscapes that contained the range of possible correlations between species richness and threat. Accounting for threats and implementing enforcement activities increased benefits from protected areas without increasing budgets. Threat information was valuable in conserving more species per spending level even without enforcement, especially on landscapes with randomly distributed threats. Benefits from including threat information and enforcement were greatest when human threats peaked in areas of high species richness and were lowest where human threats were negatively associated with species richness. Because acquiring information on threats and using threat-mitigating activities are costly, our findings can guide decision-makers regarding the settings in which to pursue these planning steps.

A multi-criteria framework for disease surveillance site selection: case study for Plasmodium knowlesi malaria in Indonesia

Disease surveillance aims to collect data at different times or locations, to assist public health authorities to respond appropriately. Surveillance of the simian malaria parasite, Plasmodium knowlesi, is sparse in some endemic areas and the spatial extent of transmission is uncertain. Zoonotic transmission of Plasmodium knowlesi has been demonstrated throughout Southeast Asia and represents a major hurdle to regional malaria elimination efforts. Given an arbitrary spatial prediction of relative disease risk, we develop a flexible framework for surveillance site selection, drawing on principles from multi-criteria decision-making. To demonstrate the utility of our framework, we apply it to the case study of Plasmodium knowlesi malaria surveillance site selection in western Indonesia. We demonstrate how statistical predictions of relative disease risk can be quantitatively incorporated into public health decision-making, with specific application to active human surveillance of zoonotic malaria. This approach can be used in other contexts to extend the utility of modelling outputs.

MULTIMOORA Method-Based Schweizer–Sklar Operations for CO2 Geological Storage Site Selection Under Pythagorean Fuzzy Environment

The site selection of CO₂ geological storage facilities is essential for the development of safe and efficient carbon capture, utilization, and storage (CCUS) projects. Normally, CO₂ geological storage site selection can be regarded as a complex multi-criteria decision-making (MCDM) problem. The aim of this paper is to present an integrated decision-making method for solving the site selection problem for CO₂ geological storage. To achieve this goal, this method is based on multi-objective optimization by ratio analysis plus the full multiplicative form (MULTIMOORA) method and prioritized aggregation operators in Pythagorean fuzzy environment. The academic contributions of this study include: first, some Pythagorean fuzzy Schweizer–Sklar prioritized aggregation (PFSSPA) operators are proposed, which take into account the priority levels of criteria and the risk preferences of decision makers. The excellent properties of these operators are given. Then this study extends the classical MULTIMOORA method based on the developed aggregation operators (named PFSSPA-MULTIMOORA), and the calculation process of this method is described in detail. Subsequently, on the basis of the constructed criteria system, the PFSSPA-MULTIMOORA method is applied to rank the alternatives. Finally, we successfully utilized the PFSSPA-MULTIMOORA method to solve the site selection problem of CO₂ geological storage in China. A comparative analysis of existing methods verifies the effectiveness and robustness of the proposed method. This work can provide advanced decision support for researchers and practitioners.

Country Parks as Sites of Emergency Medical Facility: A Case of COVID-19 in Hangzhou, China

City parks are suitable sites for the construction of emergency medical facilities. A comparison of various types of city parks revealed that country parks fit closely with site selection conditions for emergency medical facilities. Based on the latter site selection requirements, eight impact factors such as park type, effective avoidance area, spatial fragmentation degree, water source protection area, wind direction, distance from city center, impermeability, and transport duration were quantified, and then 29 country parks in the Hangzhou Urban Area were compared using Principal Component Analysis (PCA). The calculation results showed that Linglong Country Park has the highest score, taking into account the characteristics of safety, scalability, rehabilitation, convenience, pollution prevention, and isolation. Linglong can be given priority selection as a target location for emergency medical facilities. In addition, Silver Lake Country Park, Dongqiao Country Park, Taihuyuan Country Park, and Tuankou Country Park have higher scores and can be used as alternative targets for emergency plans. The scoring results prove that the evaluation method has a high degree of rigor, a significant degree of discrimination, and a high degree of consistency between the validity and weight assignment of each impact factor. In view of the different geographical conditions in each region, the weight assignment of each impact factor can be adjusted according to local conditions and can help make effective use of existing conditions and avoid disadvantages.

POPULATIONS AND SITE SELECTION OF DIROFILARIA URSI (NEMATODA: ONCHOCERCIDAE) IN AMERICAN BLACK BEARS (URSUS AMERICANUS)

A total of 4,846 (84.5±87.15, 3-429: mean±SD, range) subadult or adult Dirofilaria ursi were recovered from 56 American black bears (Ursus americanus) in Ontario, 1975-77. Yearling bears had fewer worms than older bears; age classes greater than 2.5 yr had similar numbers of worms. Dead worms comprised 3.7% of all worms. There was one dead worm in total in 10 yearling bears and consistently more dead worms in older bears. The occurrence of worms within local sites in bears differed over time. Increasing numbers of worms appeared first in peritracheal sites (Site 1) following 1-3 seasons of transmission, in abundance in perirenal sites (Site 2) following the second season of transmission, and in lateral and ventral trunk and abdomen plus medio-proximal legs (Site 3) following three and four seasons of transmission. Few worms occupied other sites (Site 4). The proportion of worms recovered from the four sites was 46, 30, 19.8, and 3.9%, respectively. Dead worms comprised only 3.2% of worms in the first three definitive sites but 14% of worms in other sites. These data are consistent with primary, secondary, and tertiary site preferences for mature D. ursi in this species. Circulating microfilaremia in peripheral blood was periodic in 7/10 experiments and revealed a pattern of variable numbers during the day, highest in the evening and lowest during the night. The time of high density of microfilariae in peripheral blood was synchronous with the feeding cycle of Simulium venustum, the vector of D. ursi. Immediately postmortem, microfilariae were at highest densities in blood of lungs regardless of their relative density in peripheral blood. These data can direct diagnostic efforts to maximize detection of adult D. ursi in tissues and larvae in blood samples of naturally infected bears.

Application of ArcGIS and QFD-based model for site selection for bio-medical waste disposal

With the increasing formalisation of the health sector in India, the bio-medical waste (BMW) disposal regulations are getting stringent and its implementation is being enforced strictly. The coronavirus disease 2019 (COVID-19) created a healthcare crisis because of the highly contagious nature of the novel virus. Measures employed for the prevention and management of COVID-19 resulted in the generation of an unprecedented amount of BMW in Indian medical history. This BMW needs to be disposed of safely at a suitable site to prevent secondary infection and the potential spread of the virus in the environment. The selection of an appropriate site for BMW disposal requires comparing a wide range of social, economic and environmental factors corresponding to different site locations, which makes it a multi-criteria decision-making (MCDM) problem. This study aims to solve the BMW site selection problems using a quality function deployment-based model that can consider both the subjective and the objective criteria, and evaluate them as per the user's requirements. The proposed model is applied to evaluate the suitability of waste disposal sites in the city of Bilaspur in Chhattisgarh, India. At first, eight possible locations for BMW disposal are identified, while utilising geographical information system (GIS). Consequently, the developed model is applied to evaluate the identified sites, taking 18 relevant criteria into consideration. A software prototype is developed in Visual BASIC 6 to automate the entire decision-making process, further adding to the novelty of the work.

Combining multi-criteria decision analysis with GIS approaches for decentralized organic wastes composting plants site selection in Tiassalé, Southern Côte d'Ivoire

In recent years, decentralized composting appeared as one of the most appropriate treatment options for organic waste valorization in low- and middle-income countries. In Cote d'Ivoire, a pilot project has proved the feasibility of organic municipal solid waste composting for the city of Tiassalé. However, numerous issues still need to be addressed for the establishment of a sustainable decentralized composting system in this city. One of the key issues is site selection. Until now, there is no clear model for such plant site selection. In this study, multi-criteria decision analysis (MCDA) and geographical information system (GIS) approaches were combined to develop an appropriate model for selecting decentralized composting sites in the city of Tiassalé. The methodology used involved two different and complementary phases. First, MCDA and GIS techniques were used to identify the most suitable site areas. Seven criteria clustered in three main factors (environmental, social and economic), and five constraints were considered in the analysis process. Second, five sites were selected within the most suitable areas after a basic field visit and ranked using the Analytic Hierarchy Process. The results showed that the most suitable spaces for decentralized composting plant siting represent only 2.6% of the study area. The investigation yielded on the selection of the two best options for decentralized composting plant siting for the city of Tiassalé. This study proved that the combination of MCDA and GIS is a practical and efficient method to identify suitable sites for decentralized composting plants.

Optimization of Urban Shelter Locations Using Bi-Level Multi-Objective Location-Allocation Model

Recently, global natural disasters have occurred frequently and caused serious damage. As an important urban space resource and public service facility, the reasonable planning and layout optimization of shelters is very important to reduce the disaster loss and improve the sustainable development of cities. Based on the review of location theory and models for shelter site selection, this study constructs a bi-level multi-objective location-allocation model, an accessibility, economy, and efficiency (AEE) model, based on sequential decision logic to maximize the economic sustainability and social utility. The model comprehensively considers factors such as the level of decision-making, the utilization efficiency, and capacity constraints of shelters. The gravity model is introduced to simulate the decision-making behavior of evacuees. A calculation example and its solution prove the high practicability and operability of the AEE model in an actual shelter site selection and construction investment, which can achieve the global optimization of evacuation time and the maximization of the use efficiency of the shelters under the financial constraints. It provides a scientific and effective decision-making method for the multi-objective location optimization problem of shelters.

Prey-driven behavioral habitat use in a low-energy ambush predator

Food acquisition is an important modulator of animal behavior and habitat selection that can affect fitness. Optimal foraging theory predicts that predators should select habitat patches to maximize their foraging success and net energy gain, likely achieved by targeting areas with high prey availability. However, it is debated whether prey availability drives fine-scale habitat selection for predators. We assessed whether an ambush predator, the timber rattlesnake (Crotalus horridus), exhibits optimal foraging site selection based on the spatial distribution and availability of prey. We used passive infrared camera trap detections of potential small mammal prey (Peromyscus spp., Tamias striatus, and Sciurus spp.) to generate variables of prey availability across the study area and used whether a snake was observed in a foraging location or not to model optimal foraging in timber rattlesnakes. Our models of small mammal spatial distributions broadly predicted that prey availability was greatest in mature deciduous forests, but T. striatus and Sciurus spp. exhibited greater spatial heterogeneity compared with Peromyscus spp. We found the spatial distribution of cumulative small mammal encounters (i.e., overall prey availability), rather than the distribution of any one species, to be highly predictive of snake foraging. Timber rattlesnakes appear to forage where the probability of encountering prey is greatest. Our study provides evidence for fine-scale optimal foraging in a low-energy, ambush predator and offers new insights into drivers of snake foraging and habitat selection.

Strategic site selection for placement of HIV early infant diagnosis point-of-care technology within a national diagnostic network in Lesotho

Background

New technologies for rapid point-of-care (POC) diagnostic tests hold great potential for improving the health outcomes of HIV-exposed infants. POC testing for HIV early infant diagnosis (EID) was introduced in Lesotho in late 2016. Here we highlight critical requirements for selecting routine POC EID sites to ensure a sustainable and optimised EID diagnostic network.

Intervention

Lesotho introduced POC EID in a phased approach that included assessments of national databases to identify sites with high test volumes, the creation of local networks of sites to potentially increase access to POC EID, and a standardised capacity assessment to determine site readiness. Potential site networks comprising ‘hub’ testing sites and ‘spoke’ specimen referring sites were created.

Lessons learnt

After determining optimal placement, a total of 29 testing facilities were selected for placement of POC EID to potentially increase access to 189 facilities through the use of a hub-and-spoke model. Site capacity assessments identified vital human resources and infrastructure capacity gaps that needed to be addressed before introducing POC EID and informed appropriate POC platform selection.

Recommendations

POC placement involves more than just purchasing the testing platforms. Considering the relatively small proportion of sites that can be eligible for placement of a POC platform, utilising a hub-and-spoke model can maximise the number of health facilities served by a POC platform while reducing the necessary capacity building and infrastructure investments to fewer sites.

Climate-Simulated culturing suggests high microalgal biomass and oil productivities in most of the South American continent

BACKGROUND

Current production costs of microalgal biomass indicate that only highly-productive cultivation facilities will approach commercial feasibility. Geographical site selection for siting those facilities is critical for achieving target productivities. The aim of this study was to provide a semi-empirical estimation of microalgal biomass and lipids productivity in South America.

METHODS AND RESULTS

Simulated-climate was programed in environmental photobioreactors (Phenometrics) for a simulation of cultivation in open raceway ponds at different geographical sites. The mean annual South American biomass productivity of 20-cm deep ponds was 12 ± 4 g · m^{- 2} · d^-1 . The most productive regions were clustered in the subtropical and tropical regions of the continent. Fortaleza (Brazil) showed a low seasonality and a high annual mean productivity of 23 g · m^-2 · d^-1 in 5-cm deep ponds, closely approaching the productivity target. Lipids accumulation and productivity in Fortaleza showed a high microalgal oil accumulation up to 46% (w/w) and a maximum oil productivity of 5 g · m^-2 · d^-1 for biomass containing around 20% lipids (w/w).

CONCLUSION

This study provides the first semi-empirical estimation of microalgal productivity in South America and supports a high potential of a vast region of the continent.

Factors Affecting Site Use Preference of Grazing Cattle Studied from 2000 to 2020 through GPS Tracking: A Review

Understanding the behaviour of grazing animals at pasture is crucial in order to develop management strategies that will increase the potential productivity of grazing systems and simultaneously decrease the negative impact on the environment. The objective of this review was to summarize and analyse the scientific literature that has addressed the site use preference of grazing cattle using global positioning systems (GPS) collars in the past 21 years (2000–2020) to aid the development of more sustainable grazing livestock systems. The 84 studies identified were undertaken in several regions of the world, in diverse production systems, under different climate conditions and with varied methodologies and animal types. This work presents the information in categories according to the main findings reviewed, covering management, external and animal factors driving animal movement patterns. The results showed that some variables, such as stocking rate, water and shade location, weather conditions and pasture (terrain and vegetation) characteristics, have a significant impact on the behaviour of grazing cattle. Other types of bio-loggers can be deployed in grazing ruminants to gain insights into their metabolism and its relationship with the landscape they utilise. Changing management practices based on these findings could improve the use of grasslands towards more sustainable and productive livestock systems.

Current Status and Challenges of Community-Based Elderly Care Centers in Chongqing, China: A Cross-Sectional Study

PURPOSE

China is facing various societal pressures owing to its rapidly aging population. In order to provide evidence-based suggestions to promote elderly care, this study investigated the community-based elderly care centres (CBECCs) in Chongqing of China, focusing on the site selections, physical environment, facilities, and operation.

METHODS

All CBECCs in a district of Chongqing were analysed via a single-stage cluster sampling survey design. Descriptive statistics were used to analyse the data.

RESULTS

A total of 69 CBECCs (60 government-run and 9 collective-run centres) were identified and analysed. Most site selections were reasonable. CBECCs that were located inside of apartment complexes with entrance guards, not located on main roads, and near a market were more popular. Only 4 (13.3%) CBECCs that were not located on the ground floor were equipped with elevators. A small number of CBECCs were near a noise pollution (10.1%) or far from a medical institution (11.6%). Nearly half (42.7%) of CBECCs only had an indoor area of <200 m2. Nearly all CBECCs had sufficient ventilation, natural lighting, and sufficient floor-to-floor height. 51.5% and 88.4% of the CBECCs fully met the criteria of 'four rooms and one canteen' and 'eight functional zones', but no significant difference was found in terms of the number of people served per month between the CBECCs that met the criteria and those that did not. A quarter of the CBECCs were operated by part-time staff. Only half provided home services (54.5%). The median of average number of people they served every month was 100 (interquartile range = 10-300).

CONCLUSION

Certain problems existed in the current CBECCs. Better elderly care especially calls for adequate elevator establishment, sufficient indoor and outdoor space, appropriate facilities and service, qualified managers and caregivers. A feasible and evidence-based plan to optimize the physical environment and facilities, functional layout and service provision is crucial to improve the CBECC service.

[Air quality assessment and health site guidelines for city squares based on RANS method]

The concentration of pollutants and pathogens in the air directly affects human health. When the pollution source remains unchanged, effective ventilation determines air quality. It is therefore critically needed to establish a quantitative determination index for effective ventilation, which can be used for real-time evaluation of air quality in specific areas, so as to guide residents to choose healthy outdoor activity places. In this study, Reynolds average Navier-Stokes (RANS) method was used to establish urban air pollution simulation system by computational fluid dynamics (CFD) technology. The correlations among wind speed, pollutant concentration, and pollutant diffusion efficiency were analyzed. With real-time meteorological data, wind field simulation and air quality evaluation were carried out for different periods of urban square space. The results showed that the critical wind speed value at pedestrian height (1.5 m) for the effective diffusion of pollutants was 1.0 m·s^-1, which could be used as an air quality evaluation standard. With reference to this judgment index and the real-time weather system link, the pedestrian height wind speed distribution could be obtained through simulation. Therefore, the spatial variation of air quality could be visually displayed in real time, which help realize fair, efficient and reasonable use of urban space resources. This work could provide guidelines for choosing healthy outdoor venues, and provide technologies and means for public disease prevention and health promotion.

Characteristics of expert nurses' assessment of insertion sites for peripheral venous catheters in elderly adults with hard-to-find veins

AIM

To clarify the characteristics of expert nurses' assessments when selecting an insertion site for a peripheral venous catheter (PVC).

METHODS

Participants were 11 competent (control group) and 13 expert nurses. Using a simulated patient, we recorded the procedures participants followed when selecting a site for a PVC insertion. The researchers interviewed the nurses after the procedure by asking targeted questions about the site selection to clarify the factors influencing that selection. During the interview, a video of that nurse's procedure was observed, and each step performed during the procedure was investigated.

RESULTS

We identified three assessment characteristics specific to expert nurses that influenced their PVC site selection: (a) focusing on a patient's unique characteristics and choosing the appropriate procedure for that individual; (b) avoiding complications and paying attention to the patient's daily self-care needs; and (c) carefully considering the patient's fear and fatigue during site selection and catheter insertion. Other assessments, based on the general knowledge and skill acquired by nurses in selecting a PVC site, were common to both groups: arm selection based on the patient's preference and site selection to avoid nerve injuries or complications. The control group's approach was assessed on the basis of their confidence in selecting a site for a PVC insertion.

CONCLUSIONS

Expert nurses assessed the patient's individual characteristics and daily self-care needs and helped mitigate the patient's anxiety. Our findings provide a basis for educational programs that share how expert nurses assess sites for a PVC insertion.

Using Spectral Blurring to Assess Effects of Channel Interaction on Speech-in-Noise Perception with Cochlear Implants

Cochlear implant (CI) listeners struggle to understand speech in background noise. Interactions between electrode channels due to current spread increase the masking of speech by noise and lead to difficulties with speech perception. Strategies that reduce channel interaction therefore have the potential to improve speech-in-noise perception by CI listeners, but previous results have been mixed. We investigated the effects of channel interaction on speech-in-noise perception and its association with spectro-temporal acuity in a listening study with 12 experienced CI users. Instead of attempting to reduce channel interaction, we introduced spectral blurring to simulate some of the effects of channel interaction by adjusting the overlap between electrode channels at the input level of the analysis filters or at the output by using several simultaneously stimulated electrodes per channel. We measured speech reception thresholds in noise as a function of the amount of blurring applied to either all 15 electrode channels or to 5 evenly spaced channels. Performance remained roughly constant as the amount of blurring applied to all channels increased up to some knee point, above which it deteriorated. This knee point differed across listeners in a way that correlated with performance on a non-speech spectro-temporal task, and is proposed here as an individual measure of channel interaction. Surprisingly, even extreme amounts of blurring applied to 5 channels did not affect performance. The effects on speech perception in noise were similar for blurring at the input and at the output of the CI. The results are in line with the assumption that experienced CI users can make use of a limited number of effective channels of information and tolerate some deviations from their everyday settings when identifying speech in the presence of a masker. Furthermore, these findings may explain the mixed results by strategies that optimized or deactivated a small number of electrodes evenly distributed along the array by showing that blurring or deactivating one-third of the electrodes did not harm speech-in-noise performance.

Testing the presence of marine protected areas against their ability to reduce pressures on biodiversity

Marine protected areas (MPAs) are the preferred tool for preventing marine biodiversity loss, as reflected in international protected area targets. Although the area covered by MPAs is expanding, there is a concern that opposition from resource users is driving them into already low-use locations, whereas high-pressure areas remain unprotected, which has serious implications for biodiversity conservation. We tested the spatial relationships between different human-induced pressures on marine biodiversity and global MPAs. We used global, modeled pressure data and the World Database on Protected Areas to calculate the levels of 15 different human-induced pressures inside and outside the world's MPAs. We fitted binomial generalized linear models to the data to determine whether each pressure had a positive or negative effect on the likelihood of an area being protected and whether this effect changed with different categories of protection. Pelagic and artisanal fishing, shipping, and introductions of invasive species by ships had a negative relationship with protection, and this relationship persisted under even the least restrictive categories of protection (e.g., protected areas classified as category VI under the International Union for Conservation of Nature, a category that permits sustainable use). In contrast, pressures from dispersed, diffusive sources (e.g., pollution and ocean acidification) had positive relationships with protection. Our results showed that MPAs are systematically established in areas where there is low political opposition, limiting the capacity of existing MPAs to manage key drivers of biodiversity loss. We suggest that conservation efforts focus on biodiversity outcomes and effective reduction of pressures rather than prescribing area-based targets, and that alternative approaches to conservation are needed in areas where protection is not feasible.

Site-selection bias and apparent population declines in long-term studies

Detecting population declines is a critical task for conservation biology. Logistical difficulties and the spatiotemporal variability of populations make estimation of population declines difficult. For statistical reasons, estimates of population decline may be biased when study sites are chosen based on abundance of the focal species. In this situation, apparent population declines are likely to be detected even if there is no decline. This site-selection bias is mentioned in the literature but is not well known. We used simulations and real population data to examine the effects of site-selection biases on inferences about population trends. We used a left-censoring method to detect population-size patterns consistent with site-selection bias. The site-selection bias is an important consideration for conservation biologists, and we offer suggestions for minimizing or mitigating it in study design and analysis. Article impact statement: Estimates of population declines are biased if studies begin in large populations, and time-series data show a signature of such an effect.

Effect of Temperature on Oviposition Behavior and Egg Load of Blow Flies (Diptera: Calliphoridae)

Making optimal oviposition decisions is especially important for female carrion colonizing insects whose larvae often depend on ephemeral resources. Optimal oviposition theory predicts that females should exhibit behaviors that will maximize the performance of their offspring. Oviposition can be influenced by a variety of factors, including temperature. The aim of this study was to investigate the effects of temperature on the oviposition behavior and egg load of two blow fly species native to southern Ontario: Phormia regina Meigen, and Lucilia sericata Meigen (Diptera: Calliphoridae). Using fetal pig carcasses as an oviposition substrate, we assessed the length of time until the first oviposition event, preferred oviposition sites, and the total number of eggs oviposited. For each of the two species, five different temperature treatments ranging from 15 to 35°C were used. Temperature influenced time to the first oviposition event, as well as the number of eggs deposited by L. sericata and P. regina. As temperature increased, oviposition occurred faster with more eggs deposited for these two species. Female P. regina, in particular, demonstrated a higher egg load with increasing temperature. Differences in optimal temperatures for reproduction, including egg load and oviposition, may be a mechanism driving seasonal temporal resource partitioning leading to species coexistence utilizing ephemeral resources.

Evaluation of Skin Colonisation And Placement of vascular access device Exit sites (ESCAPE Study)

Background

Skin microorganisms may contribute to the development of vascular access device (VAD) infections. Baseline skin microorganism type and quantity vary between body sites, yet there is little evidence to inform choice of VAD site selection.

Objective

To compare microorganisms present at different body sites used for VAD insertions and understand the effect of transparent dressings on skin microflora.

Methods

The ESCAPE observational study consisted of three phases: (1) skin swabs of four sites (mid-neck, base neck, chest, upper arm) from 48 hospital patients; (2) skin swabs of five body sites (mid-neck, base neck, chest, upper arm, lower arm) from 10 healthy volunteers; and (3) paired skin swabs (n = 72) under and outside of transparent dressings from 36 hospital patients (16 mid/base neck, 10 chest, upper arm). Specimens were cultured for 72 h, species identified and colony-forming units (CFU) counted. Ordinal logistic regression compared CFU categories between variables of interest.

Results

The chest and upper arm were significantly associated with fewer microorganisms compared to neck or forearm (odds ratio [OR] = 0.40, 95% confidence interval [CI] = 0.25-0.65, P < 0.05). CFU levels under transparent dressings were not significantly different from outside (OR = 0.57, 95% CI = 0.22-1.45). Staphylococci were predominant at all sites. Other significant (P < 0.05) predictors of higher CFU count included prolonged hospitalisation and medical/surgical patient status.

Discussion

Skin microorganism load was significantly lower at the upper arm or chest, compared to the mid- or base neck. This may impact VAD site selection and subsequent infection risk.

Optimal site selection and image fusion guidance technology to facilitate cardiac resynchronization therapy

INTRODUCTION

Cardiac resynchronization therapy (CRT) has emerged as one of the few effective treatments for heart failure. However, up to 50% of patients derive no benefit. Suboptimal left ventricle (LV) lead position is a potential cause of poor outcomes while targeted lead deployment has been associated with enhanced response rates. Image-fusion guidance systems represent a novel approach to CRT delivery, allowing physicians to both accurately track and target a specific location during LV lead deployment.

AREAS COVERED

This review will provide a comprehensive evaluation of how to define the optimal pacing site. We will evaluate the evidence for delivering targeted LV stimulation at sites displaying favorable viability or advantageous mechanical or electrical properties. Finally, we will evaluate several emerging image-fusion guidance systems which aim to facilitate optimal site selection during CRT.

EXPERT COMMENTARY

Targeted LV lead deployment is associated with reductions in morbidity and mortality. Assessment of tissue characterization and electrical latency are critical and can be achieved in a number of ways. Ultimately, the constraints of coronary sinus anatomy have forced the exploration of novel means of delivering CRT including endocardial pacing which hold promise for the future of CRT delivery.

Landfill siting based on optimisation, multiple decision analysis, and geographic information system analyses

Sanitary landfill remains the most common methodology for final treatment and disposal of municipal solid waste worldwide, the cost per tonne depends on its scale. The bigger the landfill, the cheaper the cost of treatment, so the consortium of municipalities is the solution to achieve an economic scale. However, the growth of waste production introduces pressure for adequate solutions and therefore has been increasing sanitary landfill site selection studies. This study proposes a methodology for siting sanitary landfills and optimising the transport of municipal solid waste for a locality in the state of São Paulo, Brazil. Environmental, social, and economic criteria were established. Their correlated attributes were categorised into suitability levels and weighted according to multiple decision analysis. The data were organised and mapped within a geographic information system. Considering sites where landfills are prohibited, two scenarios were generated. The Mixed-Integer Quadratic Programming mathematical model is used to minimise the costs of transporting municipal solid waste and operating sanitary landfills. In Scenario 1, the results indicated that 64% of the area was suitable as a potential sanitary landfill site, 9% of the area exhibited medium suitability, and 27% of the area was classified as restricted. In Scenario 2, the results indicated that 25% of the area was suitable as a potential sanitary landfill site, 4% of the area had medium suitability, and 71% of the area was classified as restricted. The optimal solutions for Scenario 1 and Scenario 2 enabled sites to be determined for five landfills and four landfills, respectively.

Myxobolus infection in the cornea of the roach (Rutilus rutilus) in Lake Balaton

Infection of the cornea in fishes by Myxobolus plasmodia is a common but still little known site preference of myxosporeans. A sporadic but striking infection in the cornea of the roach (Rutilus rutilus) was observed in Lake Balaton, Hungary. Relatively small, round plasmodia 250 to 500 μm in diameter developed in the dense connective tissue of the cornea. Morphological and molecular biological examination of spores collected from cysts in the cornea demonstrated that this infection is caused by Myxobolus fundamentalis, a species hitherto reported only from the cartilaginous gill arch of the roach. The 18S rDNA sequences of spores from the cornea showed 99.9% identity to the sequences of spores from the gill arch, and they also shared 99.9% identity with the sequences of triactinomyxon actinospores obtained from the oligochaete Isochaetides michaelseni.

Cross section of gill filaments in histological preparations helps better identification of the location of myxosporean plasmodia in gill tissues

Location and tissue preference of filamental-type myxosporean plasmodia in histological slides of the gills can be properly identified only in cross sections of the gill filaments. The authors selected three myxosporeans (Myxobolus rutili, M. dispar and Henneguya psorospermica, parasites of the roach, the common carp and the pike, respectively) for studying the problem. The plasmodia of these species studied in longitudinal sections were earlier regarded as developing inside the filamental arteries. Cross sections of the filaments showed that all the three species developed plasmodia in the dense connective tissue constituting the adventitia of gill arteries and covering the cartilaginous gill rays. Myxobolus rutili started its development close to the afferent branchial artery but attached to the cartilaginous gill ray. More developed plasmodia of this species surrounded the rays. Plasmodia of M. dispar were formed on the inner side of the afferent branchial artery, while those of H. psorospermica were located at the external side of the efferent branchial artery.

[Research of pollution-free and precision cultivation system of Chinese herbal medicines]

The issues of disordering production and non-standard pesticide application are common in the production of Chinese herbal medicines. Aimed to above problems, research groups built the pollution-free and precision cultivation system of medicinal plants. This system mainly included the precise site selection of medicinal plants based on the GIS technology, modern omics-assisted breeding, metagenomics guiding the soil complex improvement, and the precise field management based on rational application of fertilizer and comprehensive control of disease. At present, the production and distribution of medicinal plants were performed in the many poor counties of the whole nation. The breeding platform of resistant varieties was built, and certificates of new and well-bred varieties were received, in the base of genetic backgrounds of the original species of medicinal plants. The disease incidences were declined after application of these resistant varieties. Additionally, chemical pesticide consumption of medicinal plants (such as Panax ginseng, P. notoginseng, Salvia miltiorrhiza, P. quinquefolium, Schisandra chinensis, Platycodon grandiflorum and P. grandiflorus etc.) reduced by 20%-80% based on the genetic testing technologies of plant diseases and insect pests and safety evaluation of pollution-free pesticides. The application of pollution-free and precision cultivation system of Chinese herbal medicines achieve significantly social, economic and ecological benefits.

Assessing Study Start-up Practices, Performance, and Perceptions Among Sponsors and Contract Research Organizations

BACKGROUND

Site identification, site selection, and study start-up have become the focus of improvement by organizations conducting clinical trials.

METHODS

To examine and measure the process from site identification through site activation, Tufts Center for the Study of Drug Development (CSDD) conducted a comprehensive survey among pharmaceutical organizations, biotech companies, and contract research organizations (CROs). Responses from over 400 unique companies were gathered and analyzed.

RESULTS

The results indicate that the start-up process is on average 5 to 6 months in total duration, and cycle times across all activities, including site identification, site selection, and study start-up, are faster for repeat sites than for new sites. Comparisons between sponsor and CROs indicate that CROs completed all site-related activities 6 to 11 weeks faster than sponsors. Other areas impacting cycle times were examined, including centralized versus decentralized functions, investment in technology, and organizational strategies that improve cycle time efficiency and performance.

CONCLUSION

Tufts CSDD will explore this area in future research to gather additional insights into other factors that may be associated with speed and efficiency.

Communities ready for takeoff

Although much of the social science literature supports the importance of community assets for success in many policy areas, these assets are often overlooked when selecting communities for new infrastructure facilities. Extensive collaboration is crucial for the success of environmental and economic projects, yet it often is not adequately addressed when making siting decisions for new projects. This article develops a social asset framework that includes social, creative, and human capital to inform site-selection decisions. This framework is applied to the Northwest Advanced Renewables Alliance project to assess community suitability for biofuel-related developments. This framework is the first to take all necessary community assets into account, providing insight into successful site selection beyond current models. The framework not only serves as a model for future biorefinery projects but also guides tasks that depend on informed location selection for success.

Improving site selection in clinical studies: a standardised, objective, multistep method and first experience results

INTRODUCTION

A considerable number of clinical studies experience delays, which result in increased duration and costs. In multicentre studies, patient recruitment is among the leading causes of delays. Poor site selection can result in low recruitment and bad data quality. Site selection is therefore crucial for study quality and completion, but currently no specific guidelines are available.

MATERIAL AND METHODS

Selection of sites adequate to participate in a prospective multicentre cohort study was performed through an open call using a newly developed objective multistep approach. The method is based on use of a network, definition of objective criteria and a systematic screening process.

ILLUSTRATIVE EXAMPLE OF THE METHOD AT WORK

Out of 266 interested sites, 24 were shortlisted and finally 12 sites were selected to participate in the study. The steps in the process included an open call through a network, use of selection questionnaires tailored to the study, evaluation of responses using objective criteria and scripted telephone interviews. At each step, the number of candidate sites was quickly reduced leaving only the most promising candidates. Recruitment and quality of data went according to expectations in spite of the contracting problems faced with some sites.

CONCLUSION

The results of our first experience with a standardised and objective method of site selection are encouraging. The site selection method described here can serve as a guideline for other researchers performing multicentre studies.

TRIAL REGISTRATION NUMBER

ClinicalTrials.gov: NCT02297581.

Communities ready for takeoffIntegrating social assets for biofuel site-selection modeling

Although much of the social science literature supports the importance of community assets for success in many policy areas, these assets are often overlooked when selecting communities for new infrastructure facilities. Extensive collaboration is crucial for the success of environmental and economic projects, yet it often is not adequately addressed when making siting decisions for new projects. This article develops a social asset framework that includes social, creative, and human capital to inform site-selection decisions. This framework is applied to the Northwest Advanced Renewables Alliance project to assess community suitability for biofuel-related developments. This framework is the first to take all necessary community assets into account, providing insight into successful site selection beyond current models. The framework not only serves as a model for future biorefinery projects but also guides tasks that depend on informed location selection for success.

[Site selection of nature reserve based on the self-learning tabu search algorithm with space-ecology set covering problem: An example from Daiyun Mountain, Southeast China]

Designing the nature reserves is an effective approach to protecting biodiversity. The traditional approaches to designing the nature reserves could only identify the core area for protecting the species without specifying an appropriate land area of the nature reserve. The site selection approaches, which are based on mathematical model, can select part of the land from the planning area to compose the nature reserve and to protect specific species or ecosystem. They are useful approaches to alleviating the contradiction between ecological protection and development. The existing site selection methods do not consider the ecological differences between each unit and has the bottleneck of computational efficiency in optimization algorithm. In this study, we first constructed the ecological value assessment system which was appropriated for forest ecosystem and that was used for calculating ecological value of Daiyun Mountain and for drawing its distribution map. Then, the Ecological Set Covering Problem (ESCP) was established by integrating the ecological values and then the Space-ecology Set Covering Problem (SSCP) was generated based on the spatial compactness of ESCP. Finally, the STS algorithm which possessed good optimizing performance was utilized to search the approximate optimal solution under diverse protection targets, and the optimization solution of the built-up area of Daiyun Mountain was proposed. According to the experimental results, the difference of ecological values in the spatial distribution was obvious. The ecological va-lue of selected sites of ESCP was higher than that of SCP. SSCP could aggregate the sites with high ecological value based on ESCP. From the results, the level of the aggregation increased with the weight of the perimeter. We suggested that the range of the existing reserve could be expanded for about 136 km² and the site of Tsuga longibracteata should be included, which was located in the northwest of the study area. Our research aimed at providing an optimization scheme for the sustai-nable development of Daiyun Mountain nature reserve and the optimal allocation of land resource, and a novel idea for designing the nature reserve of forest ecosystem in China.

Practical Aspects of Nontunneled and Tunneled Hemodialysis Catheters

Nontunneled hemodialysis catheters (NTHCs) are typically used when vascular access is required for urgent renal replacement therapy. The preferred site for NTHC insertion in acute kidney injury is the right internal jugular vein followed by the femoral vein. When aided by real-time ultrasound, mechanical complications related to NTHC insertion are significantly reduced. The preferred site for tunneled hemodialysis catheters placement is the right internal jugular vein followed by the left internal jugular vein. Ideally, the catheter should be inserted on the opposite side of a maturing or planned fistula/graft. Several dual-lumen, large-diameter catheters are available with multiple catheter tip designs, but no one catheter has shown significant superior performance.

Oviposition Site Selection of the Codling Moth (Lepidoptera: Tortricidae) and its Consequences for Egg and Neonate Performance

The codling moth Cydia pomonella (L.) is a worldwide pest of pome fruit. A better understanding of oviposition site selection by this insect would help management of this pest in orchards. Oviposition site selection of codling moth was assessed by manipulative experiments and field survey. In addition, the temperatures of different sites were recorded. Neonate infestation and egg hatching were tested to evaluate the consequences of oviposition site selection. The percentage of eggs laid on the shady side of apple clusters was significantly higher than on the sunny side. How.ever, this was not influenced by leaf surface turning. Percentage of eggs on upper and lower leaf surfaces was significantly influenced by leaf surface turning. Percentage of eggs on the lower leaf surface was significantly higher than turned lower leaf surface (∼41.1% higher) and significantly higher (∼35.5%) on the turned upper leaf surface on than upper leaf surfaces. There was no significant difference in neonate infestation between leaves and fruit, as well as between the upper and lower leaf surfaces. Number of eggs hatching on the shady side of clusters was significantly higher than on the sunny side (56.3% higher). In both the manipulative experiment and field survey, codling moths did not choose the sites with the highest mean temperature, but chose sites suitable for egg development and hatching. This indicates that in the field codling moth, oviposition site selection is not strictly thermophilous, but they look for the lower leaf surface on the shady side, which benefits the offspring.

A Critical Evaluation of Waste Incineration Plants in Wuhan (China) Based on Site Selection, Environmental Influence, Public Health and Public Participation

With the rapid development of the waste incineration industry in China, top priority has been given to the problem of pollution caused by waste incineration. This study is the first attempt to assess all the waste incineration plants in Wuhan, the only national key city in central China, in terms of environmental impact, site selection, public health and public participation. By using a multi-criterion assessment model for economic, social, public health and environmental effects, this study indicates these incineration plants are established without much consideration of the local residents’ health and environment. A location analysis is also applied and some influences of waste incineration plants are illustrated. This study further introduces a signaling game model to prove that public participation is a necessary condition for improving the environmental impact assessment and increasing total welfare of different interest groups in China. This study finally offers some corresponding recommendations for improving the environmental impact assessments of waste incineration projects.

Inclusion of costs in conservation planning depends on limited datasets and hopeful assumptions

Many conservation organizations use spatial prioritization to help identify locations in which to work. Increasingly, prioritizations seek to account for spatial heterogeneity in the costs of conservation, motivated in part by claims of large efficiency savings when these costs are included. I critically review the cost estimates on which such claims are based, focusing on acquisition and management costs associated with terrestrial protected areas. If researchers are to evaluate how including costs affects conservation planning outcomes, estimation methods need to preserve the covariation between and relative variation within costs and benefits of conservation activities. However, widely used methods for estimating costs and incorporating them into prioritizations may not meet these standards. For example, among relevant studies, there is surprisingly little attention given to the costs that conservation organizations actually face. Instead, there is a heavy reliance on untested proxies for conservation costs. Analytical shortcuts are also common. Now that debate is moving beyond whether to account for costs in conservation planning, it is time to evaluate just how we can include them to greatest effect.

Oviposition by Aedes aegypti and Aedes albopictus: influence of congeners and of oviposition site characteristics

We investigated the oviposition behavior of Ae. aegypti and Ae. albopictus. In particular we examined whether small-scale site characteristics and the presence of conspecifics or congeners altered oviposition by these mosquitoes. Various combinations of females of the two species were allowed to oviposit inside cages among either vegetation (potted plants) or structural components (wood and concrete blocks). Numbers of eggs deposited per female were compared between species, sides, and treatments. Most significant differences between treatments and species involved differences between single species and mixed species treatments. Ae. aegypti deposited more eggs/female in the vegetation side than in the structure side whereas the opposite pattern was evident for Ae. albopictus. Ae. aegypti females had higher frequency of skip oviposition than Ae. albopictus. An average of 63% of the containers in the two-species treatments contained eggs of both species, with more frequent joint occurrences observed in the treatment with three females of each species than in the treatments with one of each. Our results point to the existence of various interactions between gravid Ae. aegypti and Ae. albopictus females at or near the oviposition sites but further experimental work is necessary to fully characterize the interactions and their specific mechanisms.

Predicting and mapping potential Whooping Crane stopover habitat to guide site selection for wind energy projects

Migratory stopover habitats are often not part of planning for conservation or new development projects. We identified potential stopover habitats within an avian migratory flyway and demonstrated how this information can guide the site-selection process for new development. We used the random forests modeling approach to map the distribution of predicted stopover habitat for the Whooping Crane (Grus americana), an endangered species whose migratory flyway overlaps with an area where wind energy development is expected to become increasingly important. We then used this information to identify areas for potential wind power development in a U.S. state within the flyway (Nebraska) that minimize conflicts between Whooping Crane stopover habitat and the development of clean, renewable energy sources. Up to 54% of our study area was predicted to be unsuitable as Whooping Crane stopover habitat and could be considered relatively low risk for conflicts between Whooping Cranes and wind energy development. We suggest that this type of analysis be incorporated into the habitat conservation planning process in areas where incidental take permits are being considered for Whooping Cranes or other species of concern. Field surveys should always be conducted prior to construction to verify model predictions and understand baseline conditions.

Use of inverse spatial conservation prioritization to avoid biological diversity loss outside protected areas

Globally expanding human land use sets constantly increasing pressure for maintenance of biological diversity and functioning ecosystems. To fight the decline of biological diversity, conservation science has broken ground with methods such as the operational model of systematic conservation planning (SCP), which focuses on design and on-the-ground implementation of conservation areas. The most commonly used method in SCP is reserve selection that focuses on the spatial design of reserve networks and their expansion. We expanded these methods by introducing another form of spatial allocation of conservation effort relevant for land-use zoning at the landscape scale that avoids negative ecological effects of human land use outside protected areas. We call our method inverse spatial conservation prioritization. It can be used to identify areas suitable for economic development while simultaneously limiting total ecological and environmental effects of that development at the landscape level by identifying areas with highest economic but lowest ecological value. Our method is not based on a priori targets, and as such it is applicable to cases where the effects of land use on, for example, individual species or ecosystem types are relatively small and would not lead to violation of regional or national conservation targets. We applied our method to land-use allocation to peat mining. Our method identified a combination of profitable production areas that provides the needed area for peat production while retaining most of the landscape-level ecological value of the ecosystem. The results of this inverse spatial conservation prioritization are being used in land-use zoning in the province of Central Finland.

The integrated design and optimization of a WEEE collection network in Shanghai, China

An integrated formal collection and recycling network is a significant concern to achieve efficient management of waste electrical and electronic equipment (WEEE). This study, which aimed to investigate the present problems of WEEE recycling in China, proposes the application of a comprehensive solution approach to address a complete WEEE collection and transportation network in Shanghai, China. The methodologic steps regard three things: identification of WEEE collection sites and transit sites with quadratic optimizing models solved by exact algorithm; vehicle routing planning with a modified ant colony algorithm; and defining of minimum transportation cycles and proper shipping arrangements. The rounded WEEE collection network is presented as technical support and a demonstration of further planning and construction of the WEEE recycling system in China.

It's only a little ice: a personal view with companion commentary

First, parallels are drawn between the conduct of clinical trials and a few events in history that share a management style known as "top-down" management or a hierarchal decision-making process. The author suggests that this process isolates investigative sites from sponsors and contributes to the failure of clinical trials. Trial design, patient recruitment, site selection, the use of electronic data devices, and enrollment timelines are examined in greater detail. Suggestions for a more open or shared process are offered, with the belief that fewer trials might fail and fewer questions might remain in the case of those that do.Next, in the companion commentary, some of the problems arising in drug development and clinical trials are mentioned along with a partial listing of solution providers. An outline of circumstances involved in the decision-making process in drug development are presented along with some factors leading to decreased signal detection.

Strategies for ensuring quality data from Indian investigational sites

The topic of ensuring quality and compliance is and must be a top priority in the conduct of clinical trials, as warranted by regulatory guidelines as well as the inherent responsibility of the professionals conducting such research. Fast-growing emerging clinical geographies such as India demand special attention due to rapid growth and associated factors that may put study quality at risk. In this paper, we used the basic principle of PDCA (Plan, Do, Check, and Adjust) to structure the processes of a clinical trial from protocol to final analysis in order to highlight the interactive nature of involved people and processes required to ensure quality of data and site functioning.

Retroviral integration site selection

The stable insertion of a copy of their genome into the host cell genome is an essential step of the life cycle of retroviruses. The site of viral DNA integration, mediated by the viral-encoded integrase enzyme, has important consequences for both the virus and the host cell. The analysis of retroviral integration site distribution was facilitated by the availability of the human genome sequence, revealing the non-random feature of integration site selection and identifying different favored and disfavored genomic locations for individual retroviruses. This review will summarize the current knowledge about retroviral differences in their integration site preferences as well as the mechanisms involved in this process.