Guidance for management of free-roaming community cats: a bioeconomic analysis

2021 ◽  
pp. 1098612X2110556
Author(s):  
Valerie A Benka ◽  
John D Boone ◽  
Philip S Miller ◽  
Joyce R Briggs ◽  
Aaron M Anderson ◽  
...  

Objectives This study used computer simulation modeling to estimate and compare costs of different free-roaming cat (FRC) management options (lethal and non-lethal removal, trap–neuter–return, combinations of these options and no action) and their ability to reduce FRC population abundance in open demographic settings. The findings provide a resource for selecting management approaches that are well matched for specific communities, goals and timelines, and they represent use of best available science to address FRC issues. Methods Multiple FRC management approaches were simulated at varying intensities using a stochastic individual-based model in the software package Vortex. Itemized costs were obtained from published literature and expert feedback. Metrics generated to evaluate and compare management scenarios included final population size, total cost and a cost efficiency index, which was the ratio between total cost and population size reduction. Results Simulations suggested that cost-effective reduction of FRC numbers required sufficient management intensity, regardless of management approach, and greatly improved when cat abandonment was minimized. Removal yielded the fastest initial reduction in cat abundance, but trap–neuter–return was a viable and potentially more cost-effective approach if performed at higher intensities over a sufficient duration. Of five management scenarios that reduced the final population size by approximately 45%, the three scenarios that relied exclusively on removal were considerably more expensive than the two scenarios that relied exclusively or primarily on sterilization. Conclusions and relevance FRCs present a challenge in many municipalities, and stakeholders representing different perspectives may promote varying and sometimes incompatible population management policies and strategies. Although scientific research is often used to identify FRC impacts, its use to identify viable, cost-effective management solutions has been inadequate. The data provided by simulating different interventions, combined with community-specific goals, priorities and ethics, provide a framework for better-informed FRC policy and management outcomes.

Author(s):  
Turki Badr Alshebani ◽  
Sufyan Soud Alsufyani ◽  
Ashwaq Menwer Almutairi ◽  
Ridha Mohammed Alsuwayq ◽  
Hadi Mubarak Al Wahhas ◽  
...  

Dialysis and kidney transplantation are the only available management approaches for these patients. Estimates show that the survival rates and quality of life are significantly higher for patients that receive kidney transplantation than others with dialysis. In addition, the effectiveness of preemptive kidney transplantation was well-evidenced in the literature. It had been further demonstrated that performing preemptive kidney transplantation significantly reduces the complications of renal transplantation and dialysis and was incredibly cost-effective when compared to dialysis. Furthermore, evidence regarding its effectiveness was well-established among studies in the literature as a safe primary management approach for patients suffering from end-stage kidney disease. This literature review discussed preemptive kidney transplantation's indications, outcomes and complications. Our findings indicated the efficacy of the approach for patients suffering from end-stage kidney disease. However, the appropriate selection of the patients was a critical issue. Besides, serious efforts should be exerted to prepare the patient perioperatively. Nevertheless, kidney functions were reported to increase following preemptive kidney transplantation. Graft rejection and delayed graft functions were also reported to follow preemptive kidney transplantation. However, the estimated rates are lower than those for patients having transplantation following the start of dialysis. We encourage further relevant investigations to further elaborate on the long-term findings, prognosis, and complications.


2015 ◽  
Vol 8 (1) ◽  
Author(s):  
Arturo Basaure ◽  
Heikki Kokkinen ◽  
Heikki Hämmäinen ◽  
V. Sridhar

Radio spectrum for commercial mobile services continues to be scarce. Countries around the world have recognized the importance of efficient utilization of this scarce resource and have initiated regulatory and policy steps towards flexible approaches to spectrum management, including sharing of licensed spectrum, and releasing unlicensed spectrum for mobile services. Technologies for shared access and the associated standardization activities have also progressed towards possible large scale deployments. In this paper, we analyze the evolution of spectrum management policies using a causal model and indicate how the markets can lock in to either centralized or flexible approach. We also cite a use case of a flexible spectrum management approach using spectrum band fill option and indicate its suitability to the Indian context.


2021 ◽  
pp. 221049172198908
Author(s):  
Lam Wei Sze Yvette ◽  
Fong Sin Tak ◽  
Mak Ka Lok

Introduction: Fibromatosis is a benign disease yet prone to recurrence. The best treatment option remains controversial. The purpose of this study was to analyse the management approach in our musculoskeletal tumour centre. Materials and Methods: Thirty-four patients with extra-abdominal fibromatosis referred to our centre between 2000 to 2018 were included. Patients’ demographics, tumour location and size, year of diagnosis, treatment modalities, surgical margins, recurrence, and subsequent management were analysed. Results: Patients mostly presented in the second and third decade, with female predominance. Twenty-seven patients underwent excision. Other management options included ‘watchful waiting’, pharmacological treatment and radiotherapy. Recurrence rate was 51.9%. There was no statistically significant relationship between marginal status and recurrence. Conclusion: We report our experiences on management of fibromatosis, with strategy shifted from early excision to a conservative approach over the years. Surgical excision is still indicated in some situations. Tumour recurrence is not rare but second excision is not always necessary.


Kidney Cancer ◽  
2021 ◽  
pp. 1-14
Author(s):  
Elizabeth E. Ellis ◽  
Edward Messing

Background: Our goal is to review current literature regarding active surveillance (AS) of small renal masses (SRMs) and identify trends in survival outcomes, factors that predict the need for further intervention, and quality of life (QOL). Methods: We performed a comprehensive literature search in PubMed and EMBASE and identified 194 articles. A narrative summary was performed in lieu of a meta-analysis due to the heterogeneity of selected studies. Results: Seventeen articles were chosen to be featured in this review. Growth rate (GR) was not an accurate predictor of malignancy, although it was the characteristic most commonly used to trigger delayed intervention (DI). The mean 5-year overall survival (OS) of all studies was 73.6% ±1.7% for AS groups. The combined cancer specific survival (CSS) for AS is 97.1% ±0.6% , compared to 98.6% ±0.4% for the primary intervention (PI) groups, (p = 0.038). Conclusions: Short and intermediate-term data demonstrate that AS with the option for DI is a management approach whose efficacy (in terms of CSS) approaches that of PI at 5 years, is cost effective, and prevents overtreatment, especially in patients with significant comorbidities.


Water ◽  
2021 ◽  
Vol 13 (15) ◽  
pp. 2009
Author(s):  
Caroline Ednah Mwebaze ◽  
Jackson-Gilbert Mwanjalolo Majaliwa ◽  
Joshua Wanyama ◽  
Geoffrey Gabiri

Limited studies in East Africa and particularly in Uganda have been carried out to determine and map water use and demands. This study aimed at assessing the impact of management options on sustainable water allocation in environmentally sensitive catchments of Mubuku and Sebwe of Lake Edward-George basin in Western Uganda. We used hydro-meteorological data analysis techniques to quantify the available water. We applied Mike Hydro model to allocate water to the different ongoing developments in the catchment based on 2015 and 2040 water demand management scenarios. We used the Nile Basin Decision Support System to assess the sustainability of the different water management scenarios for sustainable water resources use. Reliability computation did not consider hydropower in this study. Results show that water available in 2015 was 60 MCM/YR and 365 MCM/YR for Sebwe and Mubuku, respectively and is projected to decrease by 15% and 11% by the year 2040 under climate scenario RCP8.5. We project water demand to rise by 64% for domestic, 44% for livestock, 400% for industry, 45% for hydro power and 66% for irrigation by 2040. Mubuku water demand is projected to increase from 5.2 MCM in 2015 to 10.7 MCM in 2040. Mubuku available water is projected to fall from 364.8 to 329.8 MCM per annum. Sebwe water demand is projected to increase from 9.7 MCM in 2015 to 22.2 MCM in 2040 and its available water is projected to fall from 60 to 52 MCM per annum by the year 2040 from 2015. Water managers ought to allocate water based on the reliable water allocation which prioritizes domestic and environmental water demands, allocates 90% of industrial demand, 70% of irrigation and 60% of livestock demand. We recommend institutionalizing this model to guide water allocation in the Mubuku-Sebwe sub catchments. Water users should employ more efficient water use techniques to achieve high reliability and sustainable water resources management.


2021 ◽  
Vol 1 (5) ◽  
Author(s):  
Alberto Bettanti ◽  
Antonella Lanati

AbstractIn broad terms, risk management (RM) covers four conventional actions in addressing operational risks (OpRisks), i.e., actions to mitigate, eliminate, accept, and transfer operational risks. In relation to transferring OpRisks to external third parties, this study aids chief risk officers (CROs) in addressing issues related to the reduction of economic exposure to OpRisk. In this respect, the economic handling of OpRisks and their coverage through specific insurance programs are among the major challenges that CROs face within their roles. The aim of this paper is to provide CROs with an analytical pathway to addressing these challenges by applying the total cost of risk (TCoR) method tailored to their purposes. Through a leading example, this paper demonstrates that the TCoR approach meaningfully and productively supports CROs’ decisions when striving to deal with OpRisk. In fact, the TCoR approach implementation, together with the application of Monte Carlo simulation as a computational tool, drives TCoR value optimization when OpRisk is transferred to insurance agencies. In addition, by applying a TCoR framework, CROs can find the correct and cost-effective balance between the company’s retention level—consistent with the company’s risk appetite—and the premiums paid to insurance agencies. In conclusion, this paper provides CROs with a methodological approach for efficiently building relationships with insurance agencies by consistently addressing TCoR-based dealings.


2021 ◽  
Author(s):  
Valerio Donini ◽  
Luca Corlatti ◽  
Luca Pedrotti

AbstractReliable and cost-effective monitoring tools to track population size over time are of key importance for wildlife management and conservation. Deterministic cohort analysis may be used to this aim, especially in hunted populations, but it requires that all mortality events are recorded and that individual age at death is known exactly. In this study, we investigated the reliability of cohort analysis as a relative index to track over-time variation in red deer (Cervus elaphus) abundance, in the absence of exact information about natural mortality and age. Visual tooth inspection was used to age 18,390 individuals found dead or hunted between 1982 and 2020 within the Trentino sector of the Stelvio National Park and the Val di Sole hunting district (Central Italian Alps). Temporal trend of reconstructed population size was checked using spring spotlight counts as a benchmark, through the Buishand range test and a linear model. Our results showed a significant and positive relationship between reconstructed population size and spring spotlight counts between 1982 and 2013, suggesting that cohort analysis could reliably track red deer population trend up to 7 years in the past. With a relative error of  +  1.1 (SD  =  1.5) years in the estimation of age, and fairly stable hunting pressure, our results support the use of deterministic cohort analysis as a relative index of abundance for monitoring red deer over time, even in the absence of exact information about natural mortality. Under violation of assumptions, however, the performance of deterministic reconstruction should be carefully inspected at the management scale.


1998 ◽  
Vol 5 (2) ◽  
pp. 150-162 ◽  
Author(s):  
Tom Mikkelsen

Background: Cytotoxic therapy for malignant gliomas is limited by poor delivery and drug resistance, and local therapy is ineffective in managing migratory cells. However, recent developments in malignant glioma therapy involve trials of cytostatic rather than conventional cytotoxic agents. Methods: The biology of the brain extracellular matrix, tumor invasion, and angiogenesis are reviewed, and the cytostatic agents that inhibit matrix metalloproteinases, angiogenesis, cell proliferation, and signal transduction are discussed, as well as studies of the angiogenic and migratory capacity of malignant brain tumors. Results: Two specific and interrelated areas, anti-invasion (migration) and anti-angiogenesis, are potential areas to develop new treatment strategies. Tumor invasion and angiogenesis are important components of the spread and biologic effects of malignant gliomas. Several proteinase inhibitors are in clinical trial, as well as anti-angiogenic agents and signal transduction cascade inhibitors. Conclusions: Biologic control of brain tumor cell populations may offer a new management approach to add to currently available management options for malignant brain tumors.


Author(s):  
Anja Bluth ◽  
Axel Schindelhauer ◽  
Katharina Nitzsche ◽  
Pauline Wimberger ◽  
Cahit Birdir

Abstract Purpose Placenta accreta spectrum (PAS) disorders can cause major intrapartum haemorrhage. The optimal management approach is not yet defined. We analysed available cases from a tertiary perinatal centre to compare the outcome of different individual management strategies. Methods A monocentric retrospective analysis was performed in patients with clinically confirmed diagnosis of PAS between 07/2012 and 12/2019. Electronic patient and ultrasound databases were examined for perinatal findings, peripartum morbidity including blood loss and management approaches such as (1) vaginal delivery and curettage, (2) caesarean section with placental removal versus left in situ and (3) planned, immediate or delayed hysterectomy. Results 46 cases were identified with an incidence of 2.49 per 1000 births. Median diagnosis of placenta accreta (56%), increta (39%) or percreta (4%) was made in 35 weeks of gestation. Prenatal detection rate was 33% for all cases and 78% for placenta increta. 33% showed an association with placenta praevia, 41% with previous caesarean section and 52% with previous curettage. Caesarean section rate was 65% and hysterectomy rate 39%. In 9% of the cases, the placenta primarily remained in situ. 54% of patients required blood transfusion. Blood loss did not differ between cases with versus without prenatal diagnosis (p = 0.327). In known cases, an attempt to remove the placenta did not show impact on blood loss (p = 0.417). Conclusion PAS should be managed in an optimal setting and with a well-coordinated team. Experience with different approaches should be proven in prospective multicentre studies to prepare recommendations for expected and unexpected need for management.


2001 ◽  
Vol 43 (10) ◽  
pp. 67-74 ◽  
Author(s):  
P. Xu ◽  
F. Valette ◽  
F. Brissaud ◽  
A. Fazio ◽  
V. Lazarova

An integrated technical-economic model is used to address water management issues in the French island of Noirmoutier. The model simulates potable water production and supply, potable and non potable water demand and consumption, wastewater collection, treatment and disposal, water storage, transportation and reuse. A variety of water management scenarios is assessed through technical, economic and environmental evaluation. The scenarios include wastewater reclamation and reuse for agricultural and landscape irrigation as well as domestic non potable application, desalination of seawater and brackish groundwater for potable water supply. The study shows that, in Noirmoutier, wastewater reclamation and reuse for crop irrigation is the most cost-effective solution to the lack of water resources and the protection of sensitive environment. Some water management projects which are regarded as having less economic benefit in the short-term may become competitive in the future, as a result of tightened environmental policy, changed public attitudes and advanced water treatment technologies. The model provides an appropriate tool for water resources planning and management.


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