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Honey bees (Linnaeus, Hymenoptera: Apidae) are widely used as commercial pollinators and commonly forage in agricultural and urban landscapes containing neonicotinoid-treated plants. Previous research has demonstrated that honey bees display adverse behavioral and cognitive effects after treatment with sublethal doses of neonicotinoids. In laboratory studies, honey bees simultaneously increase their proportional intake of neonicotinoid-treated solutions and decrease their total solution consumption to some concentrations of certain neonicotinoids. These findings suggest that neonicotinoids might elicit a suboptimal response in honey bees, in which they forage preferentially on foods containing pesticides, effectively increasing their exposure, while also decreasing their total food intake; however, behavioral responses in semifield and field conditions are less understood. Here we conducted a feeder experiment with freely flying bees to determine the effects of a sublethal, field-realistic concentration of imidacloprid (IMD) on the foraging and recruitment behaviors of honey bees visiting either a control feeder containing a sucrose solution or a treatment feeder containing the same sucrose solution with IMD. We report that IMD-treated honey bees foraged less frequently (–28%) and persistently (–66%) than control foragers. Recruitment behaviors (dance frequency and dance propensity) also decreased with IMD, but nonsignificantly. Our results suggest that neonicotinoids inhibit honey bee foraging, which could potentially decrease food intake and adversely affect colony health. MJC and RS are supported by the United States Department of Agriculture, National Institute of Food and Agriculture; Hatch Projects VA-160097 and VA-160129, respectively. Published version

AIM OF THE STUDY: Delirium is a frequent intensive care unit (ICU) complication, affecting 26% to 80% of ICU patients, often with serious consequences. This study aimed to evaluate the effectiveness, costs and benefits of following a standardised multiprofessional, multicomponent delirium guideline on eight outcomes: delirium prevalence and duration, lengths of stay in ICU and hospital, in-hospital mortality, duration of mechanical ventilation, and cost and nursing hours per case. It also aimed to explore the associations of delirium with length of ICU stay, length of hospital stay and duration of mechanical ventilation. METHODS: This retrospective cohort study used a pre-post design. ICU patients in an historical control group (n = 1608) who received standard ICU care were compared with a postintervention group (n = 1684) who received standardised delirium management - delirium risk identification, preventive measures, screening and treatment - with regard to eight outcomes. The delirium management guideline was developed and implemented in 2012 by a group of experts from the study hospital. As appropriate, descriptive statistics and multivariate, multilevel models were used to compare the two groups and to explore the association between delirium occurrence and the selected outcomes. RESULTS: Twelve percent of the 1608 historical controls and 20% of the 1684 postintervention patients were diagnosed with delirium according to the ICD-10 delirium diagnosis codes. Patients being treated for heart disease, and those with septic shock, ARDS, renal insufficiency (acute or chronic), older age and higher numbers of comorbidities were significantly more likely to develop delirium during their stay. Multivariate models comparing the historical controls with the post intervention group indicated significant differences in delirium period prevalence (odds ratio 1.68, 95% confidence interval [CI] 1.38-2.06; p < 0.001), length of stay in the ICU (time ratio [TR] 0.94, CI 0.89-1.00; p = 0.048), cost per case (median difference 3.83, CI 0.54-7.11; p = 0.023) and duration of mechanical ventilation (TR 0.84, CI 0.77-0.92; p < 0.001). The observed differences in the other four outcomes - in-hospital mortality, delirium duration, length of stay in the hospital, and nursing hours per case - were not significant. Delirium was a significant predictor for prolonged duration of mechanical ventilation and for both ICU and hospital stay. CONCLUSION: Standardised delirium management, specifically delirium screening, supports timely detection of delirium in ICU patients. Increased awareness of delirium after the implementation of standardised multiprofessional, multicomponent management leads to increased therapeutic attention, a prolongation of ICU stay and increased costs, but with no influence on mortality. Gottfried und Julia Bangerter-Rhyner Foundation; Swiss Academy of Medical Sciences (SAMS) [842/HEGDSV] This study was funded by Gottfried und Julia Bangerter-Rhyner Foundation, the Swiss Academy of Medical Sciences (SAMS) (842/HEGDSV), in the context of a five-year Health Service Research (HSR) funding programme (2012-2016). Grant recipients: Prof. Rebecca Spirig, Prof. Maria Schubert, University Hospital Zurich. The study also received hospital funds in the form of the human resources and time (working hours) allocated for this project.

Background Delirium is a well-known complication in cardiac surgery and intensive care unit (ICU) patients. However, in many other settings its prevalence and clinical consequences are understudied. The aims of this study were: (1) To assess delirium prevalence in a large, diverse cohort of acute care patients classified as either at risk or not at risk for delirium; (2) To compare these two groups according to defined indicators; and (3) To compare delirious with non-delirious patients regarding hospital mortality, ICU and hospital length of stay, nursing hours and cost per case. Methods This cohort study was performed in a Swiss university hospital following implementation of a delirium management guideline. After excluding patients aged

A successful honey bee forager tells her nestmates the location of good nectar and pollen with the waggle dance, a symbolic language that communicates a distance and direction. Because bees are adept at scouting out profitable forage and are very sensitive to energetic reward, we can use the distance that bees communicate via waggle dances as a proxy for forage availability, where the further the bees fly, the less forage can be found locally. Previously we demonstrated that bees fly furthest in the summer compared with spring or autumn to bring back forage that is not necessarily of better quality. Here we show that August is also the month when significantly more foragers return with empty crops (P = 7.63e-06). This provides additional support that summer may represent a seasonal foraging challenge for honey bees.

Successful honey bee foragers communicate where they have found a good resource with the waggle dance, a symbolic language that encodes a distance and direction. Both of these components are repeated several times (1 to > 100) within the same dance. Additionally, both these components vary within a dance. Here we discuss some causes and consequences of intra-dance and inter-dance angular variation and advocate revisiting von Frisch and Lindauer’s earlier work to gain a better understanding of honey bee foraging ecology.