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Background: Pediatric seizures are commonly encountered in emergency medical services (EMS). Evidence is accumulating that the rate of hypoglycemia in this setting is low, challenging the concept of routine prehospital glucose measurement. Objective: We studied factors associated with EMS protocol compliance for glucose testing in children < 18 years of age with a 9‐1‐1 call for seizure as well as rates of hypoglycemia in the prehospital setting. Methods: We performed a retrospective analysis of data from the North Carolina EMS registry from 2013 to 2014. North Carolina EMS protocols require glucose measurement prior to seizure treatment. Scene calls for patients ≤ 17 years with a complaint of seizure were included. We calculated incidence of testing, hypoglycemia, and the relative risk of compliance with glucose measurement. Results: There were 13,182 calls for seizure, of which 6,262 (47.5%, 95% confidence interval [CI] = 46.6% to 48.3%) had a glucose obtained. Hypoglycemia (glucose < 60 mg/dL) was present in 78 of 6,262 (1.25%, 95% CI = 0.97% to 1.5%) patients. Glucose was supplemented in 61 patients (median glucose 61 mg/dL, interquartile range = 51 to 67 mg/dL). Testing rates increased with age (relative risk [RR] = 1.04 per year, 95% CI = 1.03–1.04 per year), emergency medical technician–paramedic (EMT‐P) presence (RR = 1.2, 95% CI = 1.1–1.3) and with antiepileptic medication use (RR = 1.24, 95% CI = 1.1 to 1.2). Testing was less likely in nonwhite patients (RR = 0.95, 95% CI = 0.92 to 0.98). Conclusions: Compliance is suboptimal, varying with patient age, race, and EMT‐P presence. Testing increases when antiepileptic drugs are used. Hypoglycemia in tested patients was infrequent; however, proper treatment for hypoglycemic seizures will not be delivered if testing does not occur. It is worthwhile examining the utility of routine testing in this setting; however, until such time as protocols are revised, regional EMS administration should focus on education and uniform compliance with state protocols. [ABSTRACT FROM AUTHOR]

Analyses of large, long-lived animals suggest that adult survival generally has the potential to contribute more than reproduction to population growth rate (λ), but because survival varies little, high variability in reproduction can have a greater influence. This pattern has been documented for several species of large mammals, but few studies have evaluated such contributions of vital rates to λ, for American black bears (Ursus americunus). We used variance-based perturbation analyses (life table response experiments, LTRE) and analytical sensitivity and elasticity analyses to examine the actual and potential contributions of variation of vital rates to variation in growth rate (λ) of a population of black bears inhabiting the Pisgah Bear Sanctuary in the southern Appalachian Mountains of North Carolina, using a 22-year dataset. We found that recruitment varied more than other vital rates; LTRE analyses conducted over several time intervals thus indicated that recruitment generally contributed at least as much as juvenile and adult survival to observed variation in λ, even though the latter 2 vital rates had the greater potential to affect λ. Our findings are consistent with predictions from studies on polar bears (U. maritimus) and grizzly bears (U. arctos), but contrast with the few existing studies on black bears in ways that suggest levels of protection from human-caused mortality might explain whether adult survival or recruitment contribute most to variation in λ, for this species. We hypothesize that λ is most strongly influenced by recruitment in protected populations where adult survival is relatively high and constant, whereas adult survival will most influence λ for unprotected populations. [ABSTRACT FROM AUTHOR]

We evaluated selection of den sites by American black bears (Ursus americanus) in the Pisgah Bear Sanctuary, western North Carolina, by comparing characteristics of dens at 53 den sites with availability of habitat characteristics in annual home ranges of bears and in the study area. We also tested whether den-site selection differed by sex, age. and reproductive status of bears. In addition, we evaluated whether the den component of an existing habitat model for black bears predicted where bears would select den sites. We found bears selected den sites far from gravel roads, on steep slopes, and at high elevations relative to what was available in both annual home ranges and in the study area. Den-site selection did not differ by sex or age, but it differed by reproductive status. Adult females with cubs preferred to den in areas that were relatively far from gravel roads, but adult females without cubs did not. The habitat model overestimated the value of areas near gravel roads, underestimated the value of moderately steep areas, and did not include elevation as a predictor variable. Our results highlight the importance of evaluating den selection in terms of both use and availability of den characteristics. [ABSTRACT FROM AUTHOR]

We tested the hypothesis that gravel roads, not paved roads, had the largest negative effect on habitat quality for a population of American black bears (Ursus americanus) that lived in a protected area, where vehicle collision was a relatively minimal source of mortality. We also evaluated whether road use by bears differed by sex or age and whether annual variation in hard mast productivity affected the way bears used areas near roads. In addition, we tested previous findings regarding the spatial extent to which roads affected bear behavior negatively. Using summer and fall home ranges for 118 black bears living in the Pisgah Bear Sanctuary in western North Carolina during 1981-2001, we estimated both home-range-scale (2nd-order) and within-home-range scale (3rd-order) selection for areas within 250, 500, 800, and 1,600 m of paved and gravel roads. All bears avoided areas near gravel roads more than they avoided areas near paved roads during summer and fall for 2nd-order selection and during summer for 3rd-order selection. During fall, only adult females avoided areas near gravel roads more than they avoided areas near paved roads for 3rd-order selection. We |found a positive relationship between use of roads by adults and annual variability in hard mast productivity. Overall, bears avoided ureas within 800 m of gravel roads. Future research should determine whether avoidance of gravel roads by bears affects bear survival. [ABSTRACT FROM AUTHOR]

We estimated survival, fertility, and realized and asymptotic population growth rates from 1981 to 2002 for a protected population of black bears (Ursus americanus) in the southern Appalachian Mountains. We used Akaike's information criterion to assess the time interval for averaging observations that was best for estimating vital rates for our study, given our yearly sample sizes. The temporal symmetry approach allowed us to directly assess population growth and to address all losses and gains to the population by using only capture data, offering an alternative to the logistically intensive collection of reproductive data. Models that averaged survival and fertility across 5- and 7-year time intervals were best supported by our data. Studies of black bear populations with annual sample sizes similar to ours should be of at least 5 years in duration to estimate vital rates reliably, and at least 10 years in duration to evaluate changes in population growth rate (λ). We also hypothesized that survival would not track changes in λ because λ is influenced by both survival and fertility. The 5-year model supported our hypothesis, but the 7-year model did not. Where long-term dynamics of large, relatively stable bear populations are of interest, monitoring survival is likely to be sufficient for evaluating trends in λ. For rapidly changing, small populations, however, failure to incorporate fertility into assessments of λ could be misleading. [ABSTRACT FROM AUTHOR]

Compares small mammal populations in undisturbed pocosins with those in pocosins managed as pine plantations in North Carolina in order to assess how habitat alterations can affect community structure. Differences in small community composition among the habitats; Hypothesis that management-related disturbance causes short-term declines of some small mammals.