2 results
Long-term quality of life in patients with vestibular schwannoma managed with microsurgery
- C Santa Maria, P L Santa Maria, V Bulsara, J Jayawardena, J D Caldow, L H Png, M D Atlas
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- Journal:
- The Journal of Laryngology & Otology / Volume 133 / Issue 11 / November 2019
- Published online by Cambridge University Press:
- 31 October 2019, pp. 953-959
- Print publication:
- November 2019
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Objective
Little is known about the long term (greater than 10 years) quality of life in patients with vestibular schwannoma. This study aimed to evaluate long-term outcomes in patients with vestibular schwannoma.
MethodA retrospective cohort study was performed across 2 academic institutions, with patients followed at least 10 years after vestibular schwannoma surgery (2000 to 2007). Telephone interviews were used to assess quality of life using the Glasgow Benefit Inventory and short form 12 item (version 2) health survey.
ResultsA total of 99 out of 110 patients were included. Increasing age and symptom burden were associated with poorer quality of life (p = 0.01 and 0.02, respectively). The presence of imbalance, headache and facial nerve dysfunction were all associated with poorer quality of life scores (p = 0.01, 0.04 and 0.02, respectively).
ConclusionIdentifying and managing post-operative symptoms may improve quality of life in vestibular schwannoma patients and can guide clinical decision making.
Intake rates and the functional response in shorebirds (Charadriiformes) eating macro-invertebrates
- John D. Goss-Custard, Andrew D. West, Michael G. Yates, Richard W. G. Caldow, Richard A. Stillman, Louise Bardsley, Juan Castilla, Macarena Castro, Volker Dierschke, Sarah. E. A. Le. V. dit Durell, Goetz Eichhorn, Bruno J. Ens, Klaus-Michael Exo, P. U. Udayangani-Fernando, Peter N. Ferns, Philip A. R. Hockey, Jennifer A. Gill, Ian Johnstone, Bozena Kalejta-Summers, Jose A. Masero, Francisco Moreira, Rajarathina Velu Nagarajan, Ian P. F. Owens, Cristian Pacheco, Alejandro Perez-Hurtado, Danny Rogers, Gregor Scheiffarth, Humphrey Sitters, William J. Sutherland, Patrick Triplet, Dave H. Worrall1, Yuri Zharikov, Leo Zwarts, Richard A. Pettifor
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- Journal:
- Biological Reviews / Volume 81 / Issue 4 / November 2006
- Published online by Cambridge University Press:
- 24 July 2006, pp. 501-529
- Print publication:
- November 2006
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As field determinations take much effort, it would be useful to be able to predict easily the coefficients describing the functional response of free-living predators, the function relating food intake rate to the abundance of food organisms in the environment. As a means easily to parameterise an individual-based model of shorebird Charadriiformes populations, we attempted this for shorebirds eating macro-invertebrates. Intake rate is measured as the ash-free dry mass (AFDM) per second of active foraging; i.e. excluding time spent on digestive pauses and other activities, such as preening. The present and previous studies show that the general shape of the functional response in shorebirds eating approximately the same size of prey across the full range of prey density is a decelerating rise to a plateau, thus approximating the Holling type II (‘disc equation’) formulation. But field studies confirmed that the asymptote was not set by handling time, as assumed by the disc equation, because only about half the foraging time was spent in successfully or unsuccessfully attacking and handling prey, the rest being devoted to searching.
A review of 30 functional responses showed that intake rate in free-living shorebirds varied independently of prey density over a wide range, with the asymptote being reached at very low prey densities (<150/m−2). Accordingly, most of the many studies of shorebird intake rate have probably been conducted at or near the asymptote of the functional response, suggesting that equations that predict intake rate should also predict the asymptote.
A multivariate analysis of 468 ‘spot’ estimates of intake rates from 26 shorebirds identified ten variables, representing prey and shorebird characteristics, that accounted for 81% of the variance in logarithm-transformed intake rate. But four-variables accounted for almost as much (77.3%), these being bird size, prey size, whether the bird was an oystercatcher Haematopus ostralegus eating mussels Mytilus edulis, or breeding. The four variable equation under-predicted, on average, the observed 30 estimates of the asymptote by 11.6%, but this discrepancy was reduced to 0.2% when two suspect estimates from one early study in the 1960s were removed. The equation therefore predicted the observed asymptote very successfully in 93% of cases.
We conclude that the asymptote can be reliably predicted from just four easily measured variables. Indeed, if the birds are not breeding and are not oystercatchers eating mussels, reliable predictions can be obtained using just two variables, bird and prey sizes. A multivariate analysis of 23 estimates of the half-asymptote constant suggested they were smaller when prey were small but greater when the birds were large, especially in oystercatchers. The resulting equation could be used to predict the half-asymptote constant, but its predictive power has yet to be tested.
As well as predicting the asymptote of the functional response, the equations will enable research workers engaged in many areas of shorebird ecology and behaviour to estimate intake rate without the need for conventional time-consuming field studies, including species for which it has not yet proved possible to measure intake rate in the field.