Availability of resources for paediatric hearing care in a South African province

Background: Unavailability of healthcare resources can lead to poor patient outcomes. The latter is true for infants with hearing loss and require early hearing detection and intervention (EHDI). Aim: To determine the availability and distribution of resources for EHDI in state hospitals in the Eastern Cape (EC) province, South Africa. Setting: Sixteen state hospitals (nine district, four regional and three tertiary hospitals). Methods: Descriptive cross-sectional survey completed between July 2022 and October 2022. Results: Thirteen hospitals had audiologists (n = 4) or speech therapists and audiologists (n = 9). Specific to equipment, 10 hospitals had a screening otoacoustic emissions or automated auditory brainstem response, 8 hospitals had diagnostic middle ear analysers and only 3 hospitals had diagnostic auditory brainstem response and/or auditory steady state response. Twelve hospitals did not have visual response audiometry (VRA) and 94% had no hearing aid verification systems. Budget allocations were uneven, with only 10 hospitals, i.e., 4 districts, all regional and 2 tertiary hospitals being allocated varying amounts. Subsequently, only 50% provided newborn hearing screening, 56% provided diagnostic evaluations and 14 hospitals fitted hearing aids. Conclusion: Results revealed a limited and uneven distribution of resources, which negatively impacted the provision of EHDI. Even distribution of healthcare resources and further research aimed at strengthening hearing health services is recommended as these could potentially improve equitable access to EHDI and the overall quality of healthcare provided. Contribution: This study highlights the need for even distribution of resources and strengthening of health systems, especially in the dawn of the National Health Insurance.

Information needs and information resources availability for nursing students in mission-Owned schools of nursing in Imo state

This study investigated the information needs and information resources availability for nursing students in mission-owned schools of nursing in Imo State. The study adopted the descriptive survey research design and five research questions guided the study. All the 416 second and third year nursing students were used for the study. Questionnaire on Information Needs of Nursing Students and a Checklist on Information Resources Availability were the instruments used to collect data. A total of 397 copies of the questionnaire were completed and returned for analysis representing 95.4% of the total population. All the head- librarian of the schools of nursing complied with the checklist. The findings showed that the students need varieties of information. It also showed that the students consulted different sources, mainly textbooks and internet to meet their information needs. Print information resources were available in the libraries and only few electronic information resources were available. The study recommended that the nursing school authorities should be updating their print resources since students were observed to rely more on textbooks. Also the libraries should upgrade to higher bandwidth so as to have easier and faster access to more e-books and e-journals.Keywords: Information, Information needs, Print and Electronic Information Resources Availability, Nursing Education

Contrasting effects of sampling scale on insect herbivores distribution in response to canopy structure

Species diversity of insect herbivores associated to canopy may vary local and geographically responding to distinct factors at different spatial scales. The aim of this study was to investigate how forest canopy structure affects insect herbivore species richness and abundance depending on feeding guilds´ specificities. We tested the hypothesis that habitat structure affects insect herbivore species richness and abundance differently to sap-sucking and chewing herbivore guilds. Two spatial scales were evaluated: inside tree crowns (fine spatial scale) and canopy regions (coarse spatial scale). In three sampling sites we measured 120 tree crowns, grouped in five points with four contiguous tree crowns. Insects were sampled by beating method from each crown and data were summed up for analyzing each canopy region. In crowns (fine spatial scale) we measured habitat structure: trunk circumference, tree height, canopy depth, number of ramifications and maximum ramification level. In each point, defined as a canopy region (coarse spatial scale), we measured habitat structure using a vertical cylindrical transect: tree species richness, leaf area, sum of strata heights and maximum canopy height. A principal component analysis based on the measured variables for each spatial scale was run to estimate habitat structure parameters. To test the effects of habitat structure upon herbivores, different general linear models were adjusted using the first two principal components as explanatory variables. Sap-sucking insect species richness and all herbivore abundances increased with size of crown at fine spatial scale. On the other hand, chewer species richness and abundance increased with resource quantity at coarse scale. Feeding specialization, resources availability, and agility are discussed as ecological causes of the found pattern.

La diversidad de especies de insectos herbívoros asociados con el dosel puede variar geográficamente y responder a distintos factores a diferentes escalas espaciales. El objetivo de este estudio fue investigar cómo la estructura del dosel afecta la riqueza de especies de insectos herbívoros y la abundancia en función la especialización alimenticia. Se evaluó la hipótesis que propone que la estructura del hábitat afecta en forma diferente la riqueza y abundancia de especies de insectos que se alimentan de savia y la de especies herbívoras masticadoras. Dos escalas espaciales fueron evaluadas: el interior de las copas de árboles (escala fina) y regiones del dosel (escala gruesa). En tres sitios de muestreo medimos 120 copas de árboles, agrupadas en cinco puntos con cuatro copas de árboles contiguas. Los insectos fueron muestreados golpeando las copas y los datos fueron sumados para analizar cada región del dosel. En las copas (escala espacial fina) medimos la estructura del hábitat: circunferencia del tronco, altura del árbol, profundidad del dosel, número de ramificaciones y máximo nivel de ramificación. En cada punto, definiendo una región del dosel (escala gruesa), medimos la estructura del hábitat usando un transecto cilíndrico vertical: riqueza de especies árboles, área foliar, sumatoria de altura de los estratos y máxima altura del dosel. Fue realizado un análisis de componentes principales basado en las variables medidas para cada escala espacial para estimar los parámetros de la estructura del hábitat. Para probar los efectos de la estructura del hábitat sobre los herbívoros, se ajustaron diferentes modelos lineares generales usando estos componentes principales como variables causales. La riqueza de especies chupadoras de savia y la abundancia de todas las especies herbívoras se incrementaron con el tamaño de la copa en la escala espacial final. Por otro lado, la riqueza y abundancia de especies masticadoras incrementaron con la complejidad de la estructura del hábitat en la escala más gruesa. La especialización alimenticia, la disponibilidad de recursos y la movilidad son propuestas como los factores ecológicos que explican los patrones observados.

Use of food resources by the fish fauna of a small reservoir (rio Jordão, Brazil) before and shortly after its filling

The construction of dams brings about changes in the course of a river, which directly or indirectly affect the fish fauna. Alterations in the food resources available to the fish favor some species and deter others. In addition to the implications originating from damming, Jordão Reservoir has a characteristically large number of endemic species that, because of the impacts they have undergone, run the risk of extinction. In this study, we investigate the feeding flexibility of the fishes faced with alterations in the food supply through the assessment of the diet and trophic organization of the fish fauna (before and after the damming). Diet was determined analyzing 1,861 stomach contents from 27 fish species. Eight of this species were not caught after the damming. Detrended Correspondence Analysis (DCA) discriminated seven trophic groups. Omnivorous, insectivorous and invertivorous species had more temporal alterations in their diets. These changes altered the composition (in abundance and biomass) of the trophic groups, mainly after the damming. The detritivorous and piscivorous species maintained their diets during all study period. Analyses showed that about 75 percent of the species quickly changed their diets according to alterations in food supply. This implies that food is not a limiting factor (at first) for the maintenance of fish fauna of this reservoir, at least for the species that persisted after the filling.

A construção de reservatórios causa mudanças no curso natural dos rios que afetam direta ou indiretamente a ictiofauna. Alterações na disponibilidade dos recursos alimentares favorecem algumas espécies e prejudicam outras. Além das implicações decorrentes do represamento, o reservatório de Jordão tem como característica um grande número de espécies de peixes endêmicas, que em função dos impactos causados por esse empreendimento, correm risco de extinção. Nesse estudo, nós investigamos como os peixes se comportaram frente às alterações no suprimento alimentar, através da dieta e organização trófica da ictiofauna (antes e após o represamento). Foram analisados 1861 conteúdos estomacais, pertencentes a 27 espécies. Oito dessas espécies não foram mais capturadas após o represamento. Uma análise de correspondência com remoção do efeito do arco (DCA) discriminou sete grupos tróficos. As espécies onívoras, insetívoras e invertívoras apresentaram alterações temporais acentuadas em suas dietas. Essas mudanças alteraram a composição (em abundância e biomassa) dos grupos tróficos, principalmente após o represamento. As espécies detritívoras e piscívoras mantiveram suas dietas durante todo o período de estudos. As análises mostraram que aproximadamente 75 por cento das espécies mudaram rapidamente suas dietas de acordo com as alterações no suprimento alimentar. Este fato permite inferir que o alimento não é um fator limitante para a manutenção das espécies que permaneceram no reservatório de Jordão.