The integration of a telemental health service into rural primary medical care

Mental health care shortages in rural areas have resulted in the majority of services being offered through primary medical care settings. The authors argue that a paradigm shift must occur so that those in need of mental health care have reasonable, timely access to these services. Changes proposed include integrating mental health services into primary medical care settings, moving away from the traditional view of mental health care services (one therapist, one hour, and one client), and increasing the consultative role of psychologists and other mental health care providers in primary medical care. Characteristics of mental health providers that facilitate effective integration into primary medical care are presented. The results of a needs assessment survey and an example of a telemental health project are described. This project involved brief consultations with patients and their physicians from a shared care model using a broadband internet telecommunications link between a rural clinic and mental health service providers in an urban area.     

Early growth and ecophysiological responses of Koa (Acacia koa A. Gray) seedlings to reduced water and phosphorus

Sites in need of restoration typically have one or more environmental factors that limit seedling establishment. Identifying ecophysiological responses to environmental stressors can provide important insights into mitigating measures that would allow seedlings to overcome such constraints to survival. Koa (Acacia koa A. Gray) is a nitrogen-fixing tree species endemic to Hawai?i that is highly valued in restoring degraded forest ecosystems, which are often limited in available water and phosphorus. This study examined how koa seedlings respond to conditions of reduced water (65 W) and no phosphorus (0P). After 17 weeks, seedlings subjected to 65 W or 0P accumulated less biomass, smaller root-collar diameters, and lower nitrogen and phosphorus contents. Combined reductions in water and P resulted in seedlings with increased root to shoot dry biomass and shorter shoots. Seedlings subjected to 65 W also had lower instantaneous rates of CO₂ assimilation, but higher instantaneous water-use efficiencies following irrigation, suggesting that koa responds to water deficits by decreasing water loss via reduced stomatal conductance. Seedlings subjected to 0P had similar rates of CO₂ assimilation relative to those grown with adequate P, suggesting that koa is able to employ strategies to avoid physiological impairment from conditions of inadequate P. Future research should assess whether subjecting koa seedlings to reduced water before planting on water-limited sites cues increased drought resistance and whether uptake and storage of P by seedlings in the nursery better supports growth following outplanting, particularly on sites with anticipated low plant-available water.

     

Transient Fanconi syndrome in Quarter horses

Two Quarter horses with weight loss had glucosuria, euglycemia, and a mild metabolic acidosis suggesting a proximal renal tubular defect. Further testing revealed transient generalized aminoaciduria, lactic aciduria, and glucosuria, indicating Fanconi syndrome. Both horses recovered with supportive therapy. This is the first report of acquired Fanconi syndrome in horses.     

Pharmacokinetics and safety of firocoxib after oral administration of repeated consecutive doses to neonatal foals

The purpose of this study was to determine the pharmacokinetics and safety profile of firocoxib in neonatal foals. Seven healthy foals were administered 0.1 mg/kg firocoxib orally q24 h for nine consecutive days, commencing at 36 h of age. Blood was collected for firocoxib analysis using high‐pressure liquid chromatography with fluorescence detection at 0 (dose #1 only), 0.25, 0.5, 1, 2, 4, 8, 16, and 24 h after doses 1, 5, and 9. For all other doses (2, 3, 4, 6, 7, and 8), blood was collected immediately prior to the next dose (24 h trough). Elimination samples (36, 48, 72, 96, 120, and 144 h) were collected after dose 9. Safety was assessed via physical examinations, body weight measurements, gastroscopy, complete blood count, plasma biochemistry and urinalysis. Firocoxib was rapidly absorbed following oral administration with minimal accumulation after repeat dosing. After the final dose, the terminal half‐life was approximately 11 h. Firocoxib was below the limit of detection (<2.5 ng/mL) in plasma 72 h after the final dose. No significant abnormalities were found on blood analyses, urinalysis, or gastroscopy. This study demonstrated that firocoxib is absorbed in neonatal foals with no demonstrable adverse effects after repeated doses of 0.1 mg/kg.     

Septic funiculitis caused by Streptococcus equi subspecies equi infection with associated immune‐mediated haemolytic anaemia

A 2‐year‐old Quarter Horse gelding presented for anaemia, icterus, depression and intermittent colic 2 weeks after routine castration. Bilateral septic funiculitis with Streptoccocus equi ssp. equi with secondary immune‐mediated haemolytic anaemia were diagnosed. A blood transfusion was required to facilitate general anaesthesia for surgical excision of the septic funiculitis. Antibiotic therapy was provided initially with chloramphenicol and later enrofloxacin. Immunosuppressive therapy was provided with dexamethasone and later azathioprine. The horse responded well to treatment and was discharged 8 weeks after presentation. Streptococcus equi ssp. equi should be considered in cases with septic funiculitis and the potential for a secondary immune‐mediated haemolytic anaemia exists with this bacterial species.     

A preliminary study on the effects of dietary supplementation of brewers yeast and nucleotides, singularly or in combination, on juvenile red drum (Sciaenops ocellatus)

This study was designed to evaluate the effects of dietary supplementation with brewers yeast (Brewtech^®) and nucleotides (Optimûn), either singularly or in combination, on red drum growth, body composition, stress responses and possible resistance to Amyloodinium ocellatum infection. Juvenile red drum (～1 g initially) fed practical fish‐meal‐based diets for 6 weeks had similar weight gain regardless of whether the diet was unsupplemented (basal) or supplemented with brewers yeast (2% of diet), nucleotides (Optimûn at 0.2% of diet) or both brewers yeast (2% of diet) and nucleotides (Optimûn at 0.2% of diet). Dietary effects on hepatosomatic index, intraperitoneal fat ratio or whole‐body composition were not significant, except that fish fed the singular nucleotide supplement had a significantly higher whole‐body lipid content compared with fish fed the basal diet. No significant dietary effects on cortisol response were observed after a 15 min confinement stress test perhaps because of the extreme variation among individual fish. Subsequently, in situ challenge by co‐habitation with A. ocellatum caused 100% mortality regardless of dietary treatment within a 48 h period. It is concluded that dietary supplementation of brewers yeast and nucleotides did not promote enhanced growth or improved cortisol response and resistance to uncontrolled amyloodiniosis in juvenile red drum, at least at the tested dosages.     

Effect of Photoperiod on Feeding,Intraperitoneal Fat,and Insulin‐like Growth Factor‐I in Sunshine Bass*

The length of the photoperiod has been implicated as affecting growth of sunshine bass. This study was done to determine if photoperiod length might affect insulin‐like growth factor‐I (IGF‐I), which is a major hormonal regulator of growth in fish. Growth, feed conversion, peritoneal fat content, and plasma concentrations of IGF‐I of sunshine bass were compared on fish held on a short (8 h) or a long (16 h) photoperiod, or after the fish were switched from one photoperiod to the other. Fish were fed daily to apparent satiation for up to 5 wk and were not fed for the last 2 wk of the experiment. Body weight and intraperitoneal fat content increased for the first 2 wk of the experiment and then remained steady for the remainder of the experiment, and feed consumption decreased from 3.5% during the first 2 wk to about 1.5% for the second 2 wk and finally to only 1% during the last week of feeding. Plasma IGF‐I concentrations fell steadily during the entire experiment and was at the lowest level during the last 2 wk when the fish were not fed. There was no consistent effect of the photoperiod in any of the conditions; however, feeding and IGF‐I concentrations were affected by fish density.     

Investigation of the Effects of Salinity and Dietary Protein Level on Growth and Survival of Pacific White Shrimp, Litopenaeus vannamei

It is presumed that in hypo‐ and hypersaline environments, shrimp’s requirements for some specific nutrients, such as protein, may differ from those known in the marine habitat; however, few investigations have been conducted in this area of study. In the present investigation, the effects of salinity and dietary protein level on the biological performance, tissue protein, and water content of Pacific white shrimp, Litopenaeus vannamei, were evaluated. In a 3 × 4 factorial experiment, juvenile shrimp with an average initial weight of 0.36 ± 0.02 g were exposed for 32 d to salinities of 2, 35, and 50 ppt and fed experimental diets with crude protein contents of 25, 30, 35, and 40%. A significant effect of salinity on growth of shrimp was detected, with the growth responses (final weight, weight gain) ranked in the order 2 ppt (3.87, 3.50 g) > 35 ppt (3.40, 3.04 g) > 50 ppt (2.84, 2.47 g). No effects of dietary protein level or an interaction between salinity and protein on growth of shrimp were observed under the experimental conditions of this study. Percent survival of shrimp fed the highest protein content (40%, survival of 74%) was, however, significantly lower than those of shrimp fed the other feeds (25, 30 and 35% protein, survival of 99, 91, and 94%, respectively), a result likely associated with the concentration of total ammonia nitrogen, which increased significantly at increasing protein levels. Final water content of whole shrimp was significantly lower in animals exposed to 50 ppt (70.8%) than in shrimp held at 2 (73.7%) and 35 ppt (72.3%). No effect of salinity, protein, or their interaction was observed on the protein content of whole shrimp. The results of the present study are in agreement with reports of superior and inferior growth of L. vannamei reared in hypo‐ and hypersaline environments, respectively, as compared to what is generally observed in seawater.     

National Park stewardship and ‘vital signs’ monitoring: a case study from Channel Islands National Park,California

• 1. Place‐based conservation strategies require that stewards know and understand the targeted ecosystems, restore impaired resources, protect the ecosystems, and connect people wholeheartedly to the places. Knowledge of ecosystem structure and functioning is the cornerstone of stewardship.
• 2. This paper describes the design, implementation, and application of an ecological monitoring programme in Channel Islands National Park, California, USA. Experience from this programme showed that monitoring ecological ‘vital signs’ was a quick, sure, and inexpensive way to discover and track ecosystem dynamics.
• 3. Monitoring ecological ‘vital signs’ determined status and trends of ecosystem integrity and established limits of normal variation of key ecosystem features. It also provided early warnings of situations that required intervention and helped frame research questions to determine chains of cause and consequence.
• 4. The strong influence and probabilistic nature of biological interactions in ecosystems precluded effective use of deterministic modelling to predict ecosystem behaviour accurately. Therefore, ongoing monitoring was required to increase knowledge of system dynamics reliably. The US National Park Service has begun to identify and monitor the ecological ‘vital signs’ in 32 networks of 270 parks.

Published in 2004 by John Wiley & Sons, Ltd.     

Fish and flows: Abiotic drivers influence the recruitment response of a freshwater fish community throughout a regulated lotic system of the Murray-Darling Basin,Australia

1. Fish assemblages in dryland rivers have life-history strategies that have evolved in response to environmental conditions and triggers, particularly water temperatures and flow regimes. The regulation of rivers through the construction of dams, weirs and other water diversion structures has altered natural flow regimes and the associated ecological processes of river systems worldwide.
2. Over a 3-year period, using standardized fish sampling and daily otolith ageing, the recruitment of eight freshwater fish species was monitored in response to various abiotic drivers, including hydrology and water temperatures, throughout the Macquarie River, a large regulated river system of the Australian Murray-Darling Basin.
3. A data-driven statistical classification system is provided that groups species into reproductive guilds, based on their recruitment response to hydrology and water temperature, specifically designed for use in environmental flow management.
4. The eight species were grouped into three distinct reproductive guilds that showed similar recruitment responses to the abiotic drivers. Murray-Darling rainbowfish, Murray cod, and eel-tailed catfish were considered as a single guild, characterized by seasonal recruitment during a relatively narrow thermal window under low to moderate stable discharges. The second group included common carp, bony herring, and golden perch, which recruited primarily in association with larger flow events. Un-specked hardyhead and Australian smelt formed a more differentiated guild, recruiting over a broad range of temperatures and discharges. Limitations associated with using a reproductive guild approach to simplify water management are discussed.
5. This study highlighted important relationships among hydrology, water temperatures, and successful recruitment that can, in turn, be used to inform development of adaptive flow management plans and effective use of environmental water for the conservation management of native fish communities. Important considerations in the design of studies that aim to examine relationships between recruitment and abiotic drivers are also discussed.