The effect of buffer strip width and selective logging on streamside plant communities.

BACKGROUND: Riparian forests surrounding streams host high biodiversity values, but are threatened by clear-cut logging. Narrow buffer strips of about 15 m are commonly left between the stream and the clear-cut, but studies suggest that the buffer width should be at least 30 m to protect riparian plant communities. Moreover, selective logging is often allowed on the buffer strips in order to increase economic gain. We used an experiment of 43 riparian sites where buffer strip width and selective logging within the strip were manipulated and supplemented with unlogged control sites. We report the short-term changes in the community composition of vascular plants and mosses near the stream (0-15 m distance). RESULTS: 15-meter buffers are not enough to protect the vascular plant communities from changes caused by a clear-cut irrespective of the selective logging on the buffer strip. For moss communities 15-m buffers were not enough if they were selectively logged. Relative to the control sites, we observed no significant changes in community composition of vascular plants or mosses in the sites with 30-m buffer strips, whether selectively logged or not. CONCLUSIONS: We conclude that buffer strips of 15 m are not sufficient to protect streamside plant communities even in the short term, but that buffers of 30 m should be left on both sides of the stream. Selective logging appears not to have effects on buffers that are at least 30 m wide. Thus, it may be more reasonable to increase buffer width and to allow selective logging on the wider buffer in order to compensate for the economic losses than to leave all trees on a narrow and ecologically insufficient buffer.

Meeting the nutritional needs of elderly residents in aged-care: are we doing enough?

OBJECTIVES: [corrected] Institutionalized elderly are at high risk of malnutrition, including those residing in low-level aged-care and able to self-feed. We used comprehensive dietary intake assessments to determine the nutritional adequacy of food served to residents and if food waste contributed to insufficient nutrient intakes. DESIGN: Cross sectional. SETTING: 18 low-level aged care facilities. PARTICIPANTS: 199 residents (mean age 86.7 yrs, 76% females). MEASUREMENTS: Dietary data using 3-6 day weighed food records. Foods were categorized into main food groups (grains, fruit, vegetables, meats, dairy and 'extra') and quantified based on recommended serving sizes. Chi squared test was used to determine sex differences in proportion of residents below recommended intake levels. RESULTS: Residents were provided with sufficient serves of fruit (>2) and meats (>1), but not dairy (<3), vegetables (<5) and grain foods (women only, <4), and excess serves of 'extra' foods (>2). Mean dietary intakes did not meet recommendations for calcium, zinc, magnesium, potassium, folate and dietary fibre with many residents not meeting energy and protein requirements. Sodium intake was up to 3 times higher than recommended, and sugars consumed in excess. Food waste was 0-15% and resulted in men not consuming recommended serves of grain foods. 'Extra' foods contributed substantially to energy intake but provided few of the required nutrients. CONCLUSION: Substituting some 'extra' foods for serves of dairy, vegetables and wholegrain foods would improve the nutritional quality of foods, without altering food volume, so is feasible to improve nutritional status in elderly aged-care residents.

Patients' versus nurses' assessments of pain and sedation after cesarean section.

OBJECTIVE: To compare nurses' and patients' assessments of pain and sedation in patients receiving epidural or intravenous patient-controlled analgesia (PCA) after cesarean section. DESIGN: Prospective, randomized study. SETTING: The perinatal unit and labor and delivery unit in a 1,036-bed university hospital in the mid-Atlantic region. PARTICIPANTS: Twenty-six patients receiving epidural PCA or intravenous PCA. Nurses participating in the study were assigned as caregivers to the 26 patients. MAIN OUTCOME MEASURES: Pain and sedation were assessed using 10-cm visual analogue scales completed by both the patient and the patient's nurse twice daily on the day of surgery and on the 1st and 2nd postoperative days. RESULTS: No significant correlation was found between the nurses' and patients' pain or sedation scores. Chi-square analysis showed that the nurse was as likely to underestimate as to overestimate the patient's pain score. The nurse underestimated the patient's sedation score 85% of the time. CONCLUSIONS: The results suggest that nurses' and patients' assessments of pain and sedation differ. The routine use of a standardized self-assessment tool, such as the visual analogue scale, is recommended to ensure that analgesic treatment is based on the subjective nature of the patient's pain experience rather than the nurse's judgment.