A canine model to evaluate the effect of exercise intensity and duration on olfactory detection limits: the running nose

Detection canines serve critical roles to support the military, homeland security and border protection. Some explosive detection tasks are physically demanding for dogs, and prior research suggests this can lead to a reduction in olfactory detection sensitivity. To further evaluate the effect of exercise intensity on olfactory sensitivity, we developed a novel olfactory paradigm that allowed us to measure olfactory detection thresholds while dogs exercised on a treadmill at two different exercise intensities. Dogs (n = 3) showed a decrement in olfactory detection for 1-bromooctane at 10-3 (v/v) dilutions and lower under greater exercise intensity. Dogs' hit rate for the lowest concentration dropped from 0.87 ± 0.04 when walking at low intensity to below 0.45 ± 0.06 when trotting at moderate intensity. This decline had an interaction with the duration of the session in moderate intensity exercise, whereby dogs performed near 100% detection in the first 10 min of the 8 km/h session, but showed 0% detection after 20 min. Hit rates for high odor concentrations (10-2) were relatively stable at both low (1 ± 0.00) and moderate (0.91 ± 0.04) exercise intensities. The paradigm and apparatus developed here may be useful to help further understand causes of operationally relevant olfactory detection threshold decline in dogs.

Dogs' ability to detect an inflammatory immune response in cattle via olfaction

Introduction

Canine olfaction is a potential means for detection of respiratory disease in beef cattle. In a prior study, two dogs were trained to discriminate between nasal swabs from healthy cattle and cattle that developed Bovine Respiratory Disease. Dogs had some ability to identify samples from BRD-affected cattle, but results were ambiguous. The purpose of this study was to evaluate more dogs using better-controlled training and testing procedures.

Methods

Nasal and saliva swabs were collected from 96 cattle before and after administering a vaccine to induce an inflammatory immune response. Samples were stored at -80°C for up to 11 months before use, and samples from animals with an elevated body temperature at baseline were omitted. An automated olfactometer apparatus was constructed to improve blinding procedures and reduce opportunities for odor contamination. Four dogs were trained to distinguish between swabs from healthy and sickness-model cattle, including the two dogs from the previous study ("Runnels" and "Cheaps") and two inexperienced dogs ("Molokai" and "Amy"). During a seven-month training period, dogs were exposed to samples from 28 animals. Dogs were tested on 59 sets of unfamiliar samples.

Results

Performance varied among dogs (χ2 = 10.48, p = 0.02). Molokai's performance was above chance (0.73 ± 0.06, p = 0.0006), while Amy (0.44 ± 0.06, p = 0.43), Cheaps (0.53 ± 0.07, p = 0.79), and Runnels (0.56 ± 0.06, p = 0.43) did not respond correctly at a rate different from chance. Accuracy did not differ between nasal swabs (0.63 ± 0.08) and saliva swabs (0.53 ± 0.08, χ2 = 0.81, p = 0.37).

Discussion

The results of this study indicate that canine olfaction may be an effective means of detecting illness in beef cattle. However, individual dogs' aptitude for this detection task varies.

Calibrating canines-a universal detector calibrant for detection dogs

Since the advent of the Universal Detector Calibrant (UDC) by scientists at Florida International University in 2013, this tool has gone largely unrecognized and under-utilized by canine scent detection practitioners. The UDC is a chemical that enables reliability testing of biological and instrumental detectors. Training a biological detector, such as a scent detection canine, to respond to a safe, non-target, and uncommon compound has significant advantages. For example, if used prior to a search, the UDC provides the handler with the ability to confirm the detection dog is ready to work without placing target odor on site (i.e., a positive control), thereby increasing handler confidence in their canine and providing documentation of credibility that can withstand legal scrutiny. This review describes the UDC, summarizes its role in canine detection science, and addresses applications for UDC within scent detection canine development, training, and testing.

Development of an automated human scent olfactometer and its use to evaluate detection dog perception of human scent

Working Dogs have shown an extraordinary ability to utilize olfaction for victim recovery efforts. Although instrumental analysis has chemically characterized odor volatiles from various human biospecimens, it remains unclear what perceptually constitutes human scent (HS) for dogs. This may be in part due to the lack of methodology and equipment to train and evaluate HS perception. The aims of this research were 1) to develop an automated human scent olfactometer (AHSO) to present HS to dogs in a controlled setting and 2) use the AHSO to evaluate dogs' response to different scented articles and individual components of HS. A human volunteer was placed in a clear acrylic chamber and using a vacuum pump and computer-controlled valves, the headspace of this chamber was carried to one of three ports in a different room. Dogs were trained to search all three ports of the olfactometer and alert to the one containing HS. In Experiment 1 and 2, the AHSO was validated by testing two dogs naïve to HS (Experiment 1) and five certified Search and Rescue (SAR) teams naïve to the apparatus (Experiment 2). All dogs showed sensitivity and specificity to HS > 95% in the apparatus. In Experiment 3, we used a spontaneous generalization paradigm to evaluate generalization from the HS chamber to different scented articles exposed to the same volunteer and to a breath sample. Dogs' response rate to the different scented articles was < 10% but exceeded 40% for the breath sample. In Experiment 4, we replicated this result by re-testing spontaneous generalization to breath and when the volunteer had breath exhausted/removed from the chamber. Dogs' response rate to breath alone was 88% and only 50% when breath was removed. Altogether, the data indicate that exhaled breath is an important and salient component of HS under these conditions.

Canine detection of explosives under adverse environmental conditions with and without acclimation training

Canines are one of the best biological detectors of energetic materials available; however, canine detection of explosives is impacted by a number of factors, including environmental conditions. The objectives of this study were: 1) determine how canine detection limits vary when both the canine and odorant are tested in varying temperature and humidity conditions (canine and odor interactive effects); and 2) determine if an acclimatization plan can improve detection limits in an adverse environmental condition. Eight working line canines were trained to detect four energetics: prill ammonium nitrate (AN), Composition 4 (C4), trinitrotoluene (TNT) and double base smokeless powder (SP). In Experiment 1, canines completed a 3-alternative forced choice 3-down-1-up staircase threshold assessment in five environmental conditions: 40°C and 70% relative humidity (RH), 40°C and 40% RH, 0°C and 90% RH, 0°C and 50% RH and 21°C and 50% RH. Canines showed a 3.5-fold detection limit increase (poorer detection) for C4 in 40°C and 70% RH compared to their detection limit at 21°C and 50% RH. In Experiment 2, the eight canines were split into two groups (n = 4), control and acclimation groups. The control group completed the threshold assessment for C4 at 21°C and 50% RH each day for 20 days, with 5 minutes of petting prior to testing. The acclimation group completed the same assessment daily starting at 21°C and 50% RH but temperature and RH were incremented daily over the course of 6 days to the 40°C and 70% RH condition. After the initial six days, the acclimation group completed daily assessments at 40°C and 70% RH condition for the remainder of the experiment. All acclimatization group canines started their session with 5 minutes of toy or food retrieves. Detection limits for C4 for all dogs were tested in 40°C and 70% RH on day 11 and day 22. The acclimatization plan improved detection limits in the 40°C and 70% RH condition for C4 compared to the non-acclimated group. In this set of experiments, canine detection limits for four explosive odorants were found to vary based on environmental condition and were mostly driven by impacts on the canine rather than odor availability. The acclimatization plan did result in lower detection limits (i.e., increased performance). Future work should determine what factor (exercise or environmental exposure) is more effective in acclimatization for odor detection work.

Managing magnets: An audit of introduction of the Royal College of Emergency Medicine Best Practice Guideline

AIM

To evaluate management of children and young people presenting to the Emergency Department (ED) with magnet ingestion before and after new guidance.

METHODS

In May 2021, a National Patient Safety Agency and Royal College of Emergency Medicine (RCEM) Best Practice Guideline about management of ingested magnets was published. This was implemented in our department. Children and young people presenting after magnet ingestion were identified from SNOMED (coded routinely collected data) and X-ray requests between January 2016 and March 2022. Management was compared to national guidance.

RESULTS

There were 138 patient episodes of magnet ingestion, with a rising incidence over the 5-year period. Following introduction of the guideline, there was a higher incidence of admission (36% vs. 20%) and operative intervention (15.7% vs. 8%). Use of follow-up X-ray increased from 56% to 90%. There was substantial variation in the management prior to guidance which reduced after introduction of the RCEM guidance.

CONCLUSION

Management of magnet ingestion has become more standardised since introduction of the National RCEM Best Practice Guideline, but there is still room for improvement.

Part, III: Increasing odor detection performance after training with progressively leaner schedules of odor prevalence

Prior work has demonstrated canine search behavior and performance declines when challenged with infrequent target odors. The purpose of this study was to evaluate whether performance could be maintained in a low target odor prevalence context by explicitly training dogs through progressively leaner target odor schedules. In Experiment 1, nine control dogs were trained at 90% target prevalence rate. Nine experimental dogs were trained with progressively lower prevalence rates in 10% increments until reaching 20% prevalence with > 85% detection accuracy in the training context. Both groups were tested in the operational context at a 10% target odor prevalence. Experimental dogs had higher accuracy, hit percentage, and shorter search latency in the operational context compared with control dogs. In Experiment 2, twenty-three operational dogs were challenged with a target frequency of 10%, which resulted in 67% accuracy. Control dogs were then trained with 90% target frequency, whereas experimental dogs received a progressively decreasing target rate from 90% to 20%. The dogs were rechallenged with target frequencies of 10, 5, and 0%. Experimental dogs outperformed control dogs (93% vs. 82% accuracy) highlighting the effect of explicit training for infrequent targets.

A laboratory model of canine search vigilance decrement, I

Previous studies have found that infrequent targets can reduce dogs' vigilance. The purpose of this study was to develop a laboratory model to evaluate the effects of infrequent targets on dogs' search behavior and performance. Dogs (n = 18) were trained to detect smokeless powder in an automated olfactometer in two distinct rooms ("operational" and "training"). During baseline, the dogs received five daily sessions at a high target odor frequency (90%) in both rooms. Subsequently, the frequency of the target odor was decreased to 10% only in the "operational" room but remained at 90% in the training room. Last, the odor prevalence was returned to 90% in both rooms. All dogs showed a significant decrement in detection performance in the operational room when the target odor frequency was decreased but simultaneusly mantained high performance in the training room. This decrement was largely due to decreases in adequate search behavior. All dogs recovered performance when the odor frequency was increased again to 90%. Trial accuracy was associated with tail position, search score, latency, and duration of environmentally directed behaviors. The data show that low target odor prevalence significantly reduced search behavior and performance and that there are behaviors that can be used by handlers to assess their dog's search state.

Experimental analysis of canine behavior and cognition: Introduction to the special issue

Over the last 3 decades, the use and popularity of canid models for basic and applied behavioral research has grown dramatically, and for good reasons. Dogs are uniquely among the human world, living and working in our homes and places of employment while an even greater population lives on the outskirts of human life, scavenging and navigating the city life. This provides a rich continuum of environmental contexts for the canine experience, leading to some unique and even human-like behaviors in animals. The articles in this special issue provide additional insight into factors that influence canine welfare, methods for evaluating dogs' preferences and the reinforcing effectiveness of stimuli, trick learning and retention, concept learning, and scent detection performance under sparse reinforcement conditions. Here we provide an overview of these articles and their contribution to our understanding of canine behavior.

A mixed-methods analysis of similarities and differences in animal shelter staff, dog behavior professionals, and the public in determining kenneled dog welfare

The ability of animal shelter employees to identify poor welfare states in kenneled dogs is crucial for the mitigation of suffering. Animal shelter employees (n = 28), animal behavior professional (n = 49), and the general public (n = 41) watched 10 videos of kenneled dogs then rated the welfare of the dogs, stated the rationale for their score, indicated how they would improve the welfare, and rated the feasibility of improvements. Professionals gave slightly lower (poorer) welfare scores compared to the public (z = -1.998, p = 0.046). Shelter employees (z = -5.976, p < 0.001) and professionals (z = 9.047, p < 0.001) used body language and behavior to explain their welfare scores more than the public. All three populations mentioned the addition of enrichment to improve the welfare, however, shelter employees (z = -5.748, p < 0.001) and professionals (z = 6.046, p < 0.001) mentioned it significantly more. There were no significant differences in the perceived feasibility of changes. Future research should explore possible reasons for the lack of welfare improvements within animal shelters.

Explosive Odor Signature Profiling: A Review of recent advances in technical analysis and detection

With the ever-increasing threat of improvised explosive devices (IEDs) and homemade explosives (HME) both domestically and abroad, detection of explosives and explosive related materials is an area of urgent importance for preventing terrorist activities around the globe. Canines are a common biological detector used in explosive detection due to their enhanced olfactory abilities, high mobility, efficient standoff sampling, and optimal identification of vapor sources. While other sensors based on different principles have emerged, an important concept for the rapid field detection of explosives is understanding key volatile organic compounds (VOCs) associated with these materials. Explosive detection technology needs to be on par with a large number of threats including an array of explosive materials as well as novel chemicals used in the manufacture of IEDs. Within this much needed area of research for law enforcement and homeland security applications, several studies have sought to understand the explosive odor profile from a range of materials. This review aims to provide a foundational overview of these studies to provide a summary of instrumental analysis to date on the various types of explosive odor profiles evaluated focusing on the experimental approaches and laboratory techniques utilized in the chemical characterization of explosive vapors and mixtures. By expanding upon these concepts, a greater understanding of the explosive vapor signature can be achieved, providing for enhanced chemical and biological sensing of explosive threats as well as expanding upon existing laboratory-based models for continued sensor development.

Laparoscopy uptake for paediatric appendicectomy: a comparison of general surgeons versus specialist paediatric surgeons in England from 1997 to 2015

INTRODUCTION

Laparoscopy is used in as many as 95% of adult appendicectomies. There is level I evidence showing that it reduces wound infection, postoperative ileus and length of inpatient stay in children compared with the open approach. The aim of this study was to report the uptake of laparoscopy for paediatric appendicectomy in England and to determine whether this was similar for general surgeons (GS) and specialist paediatric surgeons (SPS).

METHODS

Hospital Episode Statistics data were obtained for all children aged <16 years who had an OPCS 4.6 code for emergency appendicectomy from 1997 to 2015 (18 years). Data are analysed to compare rate of laparoscopic vs open procedures for GS and SPS over time and to investigate factors associated with the use of laparoscopy.

RESULTS

There were 196,987 appendicectomies and where specialty was available, 133,709 (79%) cases were undertaken by GS and 35,141 (21%) by SPS. The rate of cases undertaken with laparoscopy for both specialties combined increased from 0.8% in 1998 to 50% in 2014 (p<0.0001). In 2014, this rate was 41% for GS compared with 71% for SPS (p<0.0001). Female gender (odds ratio (OR)=1.84, 95% confidence interval (CI) 1.80-1.90), increasing age (OR=1.18, 95% CI 1.18-1.19 per year) and treatment by SPS (OR=3.71, 95% CI 3.60-3.82) were all factors positively associated with use of laparoscopy in multivariate analysis.

CONCLUSIONS

There has been a vast increase in the proportion of appendicectomies undertaken laparoscopically in children. Despite adjusting for patient factors, laparoscopy was used significantly less by GS when compared with SPS. This difference is most apparent in younger children.

Using Canine Olfaction to Detect Bovine Respiratory Disease: A Pilot Study

Bovine respiratory disease (BRD) is the leading cause of morbidity and mortality in feedlot cattle and is a major welfare and economic concern. Identification of BRD-affected cattle using clinical illness scores is problematic, and speed and cost constraints limit the feasibility of many diagnostic approaches. Dogs can rapidly identify humans and animals affected by a variety of diseases based on scent. Canines' olfactory systems can distinguish between patterns of volatile organic compounds produced by diseased and healthy tissue. In this pilot study, two dogs (“Runnels” and “Cheaps”) were trained for 7 months to discriminate between nasal swabs from cattle that developed signs of BRD within 20 days of feedlot arrival and swabs from cattle that did not develop BRD signs within 3 months at the feedlot. Nasal swabs were collected during cattle processing upon arrival to the feedlot and were stored at −80°C. Dogs were presented with sets of one positive and two negative samples and were trained using positive reinforcement to hold their noses over the positive sample. The dogs performed moderately well in the final stage of training, with accuracy for Runnels of 0.817 and Cheaps of 0.647, both greater than the 0.333 expected by chance. During a double-blind detection test, dogs evaluated 123 unique and unfamiliar samples that were presented as 41 sets (3 samples per set), with both the dog handler and data recorder blinded to the positive sample location. Each dog was tested twice on each set of samples. Detection test accuracy was slightly better than chance for Cheaps at 0.451 (95% CI: 0.344–0.559) and was no better than chance for Runnels at 0.390 (95% CI: 0.285–0.496. Overall accuracy was 0.421 (95% CI: 0.345–0.496). When dogs' consensus response on each sample set was considered, accuracy was 0.537 (95% CI: 0.384–0.689). Detection accuracy also varied by sample lot. While dogs showed some ability to discriminate between BRD-affected and healthy cattle using nasal swabs, the complexity of this task suggests that more testing is needed before determining whether dogs could be effective as a screening method for BRD.

An Automated Canine Line-Up for Detection Dog Research

Currently, there is a need to develop technology that facilitates and improves detection dog research. The aim of this research was to develop an automated computer-driven olfactory line-up task. The apparatus consisted of three olfactometers. Each olfactometer was equipped with flow meters to regulate air flow and dilution and six solenoid valves connected to odor jars. Each olfactometer generated an odor which was carried to an odor port where the dogs sample it. The olfactometer's valves were activated by a microcontroller, and a Python program was built to control each olfactometer and randomize and balance the odor presentation. Dogs (N = 12) received one or two 40-trial training sessions in a day where they progressed through a series of training phases where they learned to detect and alert to double-base smokeless powder (SP). An “alert” consisted of a 4-s nose hold. This was measured by infrared sensors in the ports. For each trial, the apparatus recorded dogs' search latency, sniff time, port entries, and response. All this information was automatically recorded in a csv file. A photoionization detector (PID) and solid-phase microextraction followed by gas chromatography-mass spectrometry (SPME-GC/MS) were used to evaluate the odor dynamics and to instrumentally verify odor presence and clearance. A control test was conducted at the end of the training to ensure dogs were alerting exclusively to the odorant. All 12 dogs readily learned to operate the apparatus within 23 days, and all exceeded 85% accuracy. Control tests indicated dogs were leveraging only olfactory cues and not unintentional cues such as auditory cues from the apparatus. Analytical data showed that odor was detected in the port immediately after the activation of a valve and that odor clearance occurred immediately after the valve was closed. The apparatus developed was easy to operate by the dogs and allowed substantial data collection using double-blind testing procedures in a very short period at an affordable cost point for research equipment (~$5,000 USD). The apparatus may prove to be a useful research tool to provide optimal odor stimuli control, ensure double-blind conditions, reduce labor, and significantly increase the amount of data collected.

Barrett's oesophagus and oesophageal cancer following oesophageal atresia repair: a systematic review

BACKGROUND

Concern exists that patients born with oesophageal atresia (OA) may be at high risk for Barrett's oesophagus (BO), a known malignant precursor to the development of oesophageal adenocarcinoma. Screening endoscopy has a role in early BO identification but is not universal in this population. This study aimed to determine prevalence of BO after OA repair surgery, to quantify the magnitude of this association and inform the need for screening and surveillance.

METHODS

A systematic review, undertaken according to PRISMA guidelines, was preregistered on PROSPERO (CRD42017081001). PubMed and EMBASE were interrogated using a standardized search strategy on 31 July 2020. Included papers, published in English, reported either: one or more patients with either BO (gastric/intestinal metaplasia) or oesophageal cancer in patients born with OA; or long-term (greater than 2 years) follow-up after OA surgery with or without endoscopic screening or surveillance.

RESULTS

Some 134 studies were identified, including 19 case reports or series and 115 single- or multi-centre cohort studies. There were 13 cases of oesophageal cancer (9 squamous cell carcinoma, 4 adenocarcinoma) with a mean age at diagnosis of 40.5 (range 20-47) years. From 6282 patients under long-term follow-up, 317 patients with BO were reported. Overall prevalence of BO was 5.0 (95 per cent c.i. 4.5 to 5.6) per cent, with a mean age at detection of 13.8 years (range 8 months to 56 years). Prevalence of BO in series reporting endoscopic screening or surveillance was 12.8 (95 per cent c.i. 11.3 to 14.5) per cent.

CONCLUSION

Despite a limited number of cancers, the prevalence of BO in patients born with OA is relatively high. While limited by the quality of available evidence, this review suggests endoscopic screening and surveillance may be warranted, but uncertainties remain over the design and effectiveness of any putative programme.

Evaluating and re-evaluating intra- and inter-species social transmission of food preferences in domestic dogs

Social-transmission of food preference is a robust behavioral phenomenon in rodents and other species, but less work has evaluated this phenomenon in broader taxa and to what degree social-transmission can occur between species. Here we show that over the span of three experiments that consisted of a human-dog, a dog-dog, and a replication study of a dog-dog demonstrator-observer test, we did not observe successful social transmission of food preferences across all three experiments. For our first experiment, we investigated whether pet dogs acquire food preference from their owners using a two-bowl preference test. The results suggested that our dogs did not acquire a preference for the flavor consumed by their owners. This then led us to investigate whether this failure was the result of an inter-species failure, so we replicated the experiment using two familiar dogs as the demonstrator and observer. The results for Experiment Two also suggested that our participant dogs do not acquire food preference from a canine demonstrator. A third experiment attempted a direct replication of the Lupfer-Johnson and Ross (2007) that found dog-dog transmission of food preferences. Our results again indicated that our participant dogs did not acquire food preference from demonstrators. Over the span of three experiments, our results did not show clear canine food preferences for the food consumed by a demonstrator (human or dog).

Working Dog Training for the Twenty-First Century

Dogs are trained for a variety of working roles including assistance, protection, and detection work. Many canine working roles, in their modern iterations, were developed at the turn of the 20th century and training practices have since largely been passed down from trainer to trainer. In parallel, research in psychology has advanced our understanding of animal behavior, and specifically canine learning and cognition, over the last 20 years; however, this field has had little focus or practical impact on working dog training. The aims of this narrative review are to (1) orient the reader to key advances in animal behavior that we view as having important implications for working dog training, (2) highlight where such information is already implemented, and (3) indicate areas for future collaborative research bridging the gap between research and practice. Through a selective review of research on canine learning and behavior and training of working dogs, we hope to combine advances from scientists and practitioners to lead to better, more targeted, and functional research for working dogs.

Enhancing the Selection and Performance of Working Dogs

Dogs perform a variety of integral roles in our society, engaging in work ranging from assistance (e.g., service dogs, guide dogs) and therapy to detection (e.g., search-and-rescue dogs, explosive detection dogs) and protection (e.g., military and law enforcement dogs). However, success in these roles, which requires dogs to meet challenging behavioral criteria and to undergo extensive training, is far from guaranteed. Therefore, enhancing the selection process is critical for the effectiveness and efficiency of working dog programs and has the potential to optimize how resources are invested in these programs, increase the number of available working dogs, and improve working dog welfare. In this paper, we review two main approaches for achieving this goal: (1) developing selection tests and criteria that can efficiently and effectively identify ideal candidates from the overall pool of candidate dogs, and (2) developing approaches to enhance performance, both at the individual and population level, via improvements in rearing, training, and breeding. We summarize key findings from the empirical literature regarding best practices for assessing, selecting, and improving working dogs, and conclude with future steps and recommendations for working dog organizations, breeders, trainers, and researchers.

Case Study: An Evaluation of Detection Dog Generalization to a Large Quantity of an Unknown Explosive in the Field

Simple Summary

This case study is a series of experiments to investigate a real-life event where two highly trained and certified detection dogs did not find an explosive in a suspicious bag. We tested seven dog teams from the agency in three experiments and confirmed that dogs were able to detect the agency’s training sample in a small quantity (30 g) but not the large amount of the confiscated explosive (13 kg) found in a similar scenario. To further evaluate a possible generalization deficit, we tested dogs with a 30 g subsample of the confiscated explosive, and most of the dogs were able to detect it (but with some decrement) even though they largely failed to detect 13 kg of the same material. Finally, we trained dogs to detect the 30 g subsample until reaching proficiency and found that after training with the small sample, dogs still showed poor generalization to the large-quantity sample until explicit training with the large sample was conducted. Altogether, this series of studies shows the importance of explicitly training for larger quantity finds and has led to changes in agency practices to mitigate future risks.

Abstract

Two explosive detection dogs were deployed to search a suspicious bag, and failed to detect 13 kg of explosive within. The aim of this research was to further evaluate this incident. First, dog teams (N = 7) searched four bags in a similar scenario. One bag contained the same 13 kg of explosive, two bags were blanks, and the other contained the training sample that the agency routinely used for training. All dogs detected the training sample, but most (5/7) did not alert to the 13 kg sample. Subsequently, dogs received two trials in a line up with a 30 g subsample of the explosive to evaluate whether they could generalize to a smaller quantity. Most dogs (6/7) alerted to the subsample at least once. Finally, dogs were trained with the 30 g subsample and later tested with the 13 kg sample. Only three dogs spontaneously generalized to the large sample after training with the small subsample. Dogs’ alert rate to the 13 kg sample was improved with training in subsequent trials with the 13 kg sample. This result indicates that explosive detection dogs may not generalize to a target odor at a significantly higher quantity relative to the one used in training, highlighting the importance of conducting such training.

Training with varying odor concentrations: implications for odor detection thresholds in canines

Detection dogs are required to detect trace quantities of substances, many times in the parts per billion or parts per trillion concentration range. Frequently, detection of trace quantities is not explicitly trained but rather assumed when dogs show proficiency at higher concentrations to which they are trained. The aim of this study was to evaluate the effect of the odor concentration of the training sample on the minimum concentration dogs will subsequently detect. We expected that dogs may not spontaneously generalize to trace odor concentration when trained with higher concentrations, but when trained to a range of lower concentrations, dogs will show superior detection to lower untrained concentrations. A total of 11 dogs were randomly assigned to 2 groups and were trained to alert to isoamyl acetate at 0.01% odor dilution (v/v with mineral oil) using a 3-alternative forced choice test. Once reaching proficiency, odor detection threshold was assessed using a 2-down 1-up descending staircase procedure. Next, experimental dogs received training with systematically lower concentrations of isoamyl acetate and threshold re-assessed. Control dogs were yoked to experimental dogs in terms of training time, but only received training to the 0.01% dilution between threshold assessments. Experimental dogs showed significantly improved detection thresholds, outperforming control dogs by detecting an average dilution about 100-fold lower. Results suggest that explicitly training for lower concentrations is critical for generalization for trace odor detection.

Consensus exercise identifying priorities for research in the field of general surgery of childhood in the UK

BACKGROUND

The evidence base underlying clinical practice in children's general surgery is poor and high-quality collaborative clinical research is required to address current treatment uncertainties. The aim of this study was, through a consensus process, to identify research priorities for clinical research in this field amongst surgeons who treat children.

METHODS

Questions were invited in a scoping survey amongst general surgeons and specialist paediatric surgeons. These were refined by the study team and subsequently prioritized in a two-stage modified Delphi process.

RESULTS

In the scoping survey, a total of 226 questions covering a broad scope of children's elective and emergency general surgery were submitted by 76 different clinicians. These were refined to 71 research questions for prioritization. A total of 168 clinicians took part in stage one of the prioritization process, and 157 in stage two. A 'top 10' list of priority research questions was generated for both elective and emergency general surgery of childhood. These cover a range of conditions and concepts, including inguinal hernia, undescended testis, appendicitis, abdominal trauma and enhanced recovery pathways.

CONCLUSION

Through consensus amongst surgeons who treat children, 10 priority research questions for each of the elective and emergency fields have been identified. These should provide a basis for the development of high-quality multicentre research projects to address these questions, and ultimately improve outcomes for children requiring surgical care.

Intake Vaccinations Reduced Signs of Canine Respiratory Disease During an Outbreak at an Animal Shelter

Animal shelters provide an ideal environment for the spread of disease. Dogs are often housed in close quarters with others of unknown vaccine histories, and experience high levels of sustained stress. As a result, Canine Infection Respiratory Disease (CIRD) is often prevalent and difficult to control. The aims of this study were to (1) identify specific pathogens responsible for CIRD in a city shelter in West Texas, USA, and (2) determine whether intake vaccinations decrease proportion of dogs exhibiting signs of CIRD even during an outbreak. A laboratory analysis of conjunctival, pharyngeal, and nasal swabs (n = 15 dogs) and fecal samples (n = 6 kennels) showed prevalence of various CIRD pathogens (e.g., canine adenovirus-2, canine parainfluenza virus, canine distemper virus). All fifteen dogs tested positive for at least one pathogen, with the most prevalent pathogen being Canine Distemper Virus (CDV; n = 12). All of the kennels (n=6) tested positive for Canine Distemper Virus. Health data on dogs (n = 1,258) over the age of 6 weeks were assessed from May to August 2017. Beginning in July, both stray and owner-surrendered dogs were vaccinated with Nobivac^® Canine 1-DAPPv 5 Way and Nobivac^® Intra-Trac^® 3 upon intake, which differed from the previous policy. For each day in the study, we calculated the proportion of dogs in each nasal discharge category, the proportion of dogs observed coughing, and the mean fecal score across all dogs. We conducted a linear regression between the proportion of the shelter vaccinated and the proportion of dogs coughing. At the beginning of the vaccination phase, ~25% of the dogs were coughing. However, as the proportion of the dogs vaccinated increased, the proportion of dogs coughing decreased. There was a significant decrease of 7% of the proportion of dogs coughing when vaccination was at least at 90% compared to when it was <90%. These data suggest that the shelter in this study was experiencing a CIRD outbreak, with CDV being primary pathogen, and that it is possible to substantially reduce illness by implementing a vaccination on intake protocol. The current study provides support for the importance of vaccination in animal shelter welfare.

Stimulus Control of Odorant Concentration: Pilot Study of Generalization and Discrimination of Odor Concentration in Canines

Simple Summary

Dogs are deployed worldwide for detection tasks, but little is known about how they spontaneously generalize between concentration variations of their trained odor. This study found that dogs spontaneously generalized within a 10-fold concentration range lower than the training stimulus. Further, dogs could be trained to discriminate between concentrations within that 10-fold range. However, discrimination training did not affect dogs’ spontaneous generalization to the odor concentration unless discrimination training occurred in compound with generalization testing, suggesting that relative stimulus control of the target and non-target concentrations might be important in determining whether dogs will respond.

Abstract

Despite dogs’ widespread use as detection systems, little is known about how dogs generalize to variations of an odorant’s concentration. Further, it is unclear whether dogs can be trained to discriminate between similar concentration variations of an odorant. Four dogs were trained to an odorant (0.01 air dilution of isoamyl acetate) in an air-dilution olfactometer, and we assessed spontaneous generalization to a range of concentrations lower than the training stimulus (Generalization Test 1). Dogs generalized to odors within a 10-fold range of the training odorant. Next, we conducted discrimination training to suppress responses to concentrations lower than a concentration dogs showed initial responding towards in Generalization Test 1 (0.0025 air dilution). Dogs successfully discriminated between 0.0025 and 0.01, exceeding 90% accuracy. However, when a second generalization test was conducted (Generalization Test 2), responding at the 0.0025 concentration immediately recovered and was no different than in Generalization Test 1. Dogs were then tested in another generalization test (Compound Discrimination and Generalization) in which generalization probes were embedded within discrimination trials, and dogs showed suppression of responding to the 0.0025 concentration and lower concentrations in this preparation. These data suggest dogs show limited spontaneous generalization across odor concentration and that dogs can be trained to discriminate between similar concentrations of the same odorant. Stimulus control, however, may depend on the negative stimulus, suggesting olfactory concentration generalization may depend on relative stimulus control. These results highlight the importance of considering odor concentration as a dimension for generalization in canine olfactory research.

The Impact of Caring and Killing on Physiological and Psychometric Measures of Stress in Animal Shelter Employees: A Pilot Study

Animal shelter employees are in a unique position where they care for, and later kill, the same animals. The aim of our exploratory study was to assess whether "caring" and/or "killing" evokes physiological and psychometric indicators of stress in employees. Experiment 1 compared three careers that kill regularly, but involve varying degrees of husbandry (n = 28). Blood pressure (BP), salivary cortisol, heart rate (HR), and heart rate variability (HRV) were collected; data showed higher HR and lower HRV during the process of killing. Psychometric scales showed that burnout and Impact Event Scale-Revised (IES-R) scores were higher in careers with higher contact with animals. Experiment 2 compared three careers that involve husbandry, but varying exposure to killing (n = 41). BP, cortisol awakening response, HR, and HRV were measured as well as Professional Quality of Life Scale, IES-R, and Moral Injury Event Scale were administered. There were no significant differences across careers in any measures. The data suggest that the process of killing may be physiologically stressful to the person, and higher levels of animal contact in a euthanasia context may be associated with burnout and traumatic stress, but that the act of euthanasia is not a unique predictor of overall occupational distress.

Diagnostic laparoscopy to exclude malrotation following inconclusive upper gastrointestinal contrast study in infants

PURPOSE

We report the use of diagnostic laparoscopy as an alternative to laparotomy in the investigation of infants with clinical features concerning for malrotation and inconclusive upper gastrointestinal contrast study.

METHOD

Case note review of all infants in whom laparoscopy was performed during 2016-2020 to investigate for possible malrotation.

RESULTS

Eight infants were identified. All presented with acute clinical features of malrotation (bilious vomit) without evidence of an alternate explanatory diagnosis. All underwent upper gastrointestinal contrast study, with three also undergoing abdominal ultrasound. The radiological examinations could not exclude malrotation and all proceeded to laparoscopy. At laparoscopy, the small intestine was run to exclude the presence of midgut volvulus. In six cases, normal rotation was confirmed and no abnormal pathology was found. Two proceeded to laparotomy and underwent correction of malrotation. All infants recovered without complication.

CONCLUSION

Laparoscopy is an excellent modality for further investigation of infants presenting acutely in whom intestinal malrotation cannot be formally excluded radiologically. The positive identification of the DJ flexure and cecum in correct anatomical sites, both fixed to the posterior abdominal wall, provides adequate reassurance of low risk of volvulus and avoids a full laparotomy. We recommend diagnostic laparoscopy in cases of inconclusive upper gastrointestinal contrast study.

Minor procedural variations affect canine behavior during sociability assessments

A growing number of studies make claims about canine sociability in both applied and basic contexts. Yet, there is currently no standard for measuring sociability in dogs. The purpose of this two-part study was to determine whether procedural differences among canine sociability tests would affect dogs' behavior. In Experiment 1, we used a mixed-subjects design to assess whether experimenter position (standing, sitting, or kneeling) and presence of affection (petting and praise or none) affected leashed dogs' social behavior. Mixed-effect logistic regression modeling showed statistically significant main effects and interactions between posture and social contact. On average, dogs were more social when the experimenter knelt and provided social contact. However, there were individual differences in how dogs were affected by changes in procedure. In Experiment 2, we examined correspondence between leashed and unleashed dogs' social behaviors including time in proximity, following patterns, eye gaze, body orientation, jumping, and touching. Individual differences were examined by calculating a binomial mixed-effect logistic regression with condition (leashed, off-leash, following) and subject ID as fixed effects. Interactions were statistically significant for all behaviors, indicating that individual differences were present. The results have implications for the validity of sociability tests.

Effect of Handler Knowledge of the Detection Task on Canine Search Behavior and Performance

Detection dogs are commonly trained and tested under conditions in which the handler or the evaluator knows the true presence or absence of a target odor. Previous research has demonstrated that when handlers are deceived and led to believe that a target odor is present, more false alerts occur. However, many detection teams operate under unknown conditions, and it remains unclear how handler knowledge (or lack thereof) of odor presence/absence influences the dog's behavior. The aim of this study was to evaluate if knowing the number of hides placed influenced detection dog performance in an applied search environment. Professional (n = 20) and sport (n = 39) detection handler-dog teams were asked to search three separate areas (area 1 had one hide, area 2 had one hide, area 3 was blank). Handlers in the Unknown Group were not told any information on the number of hides whereas the Known Group were told there was a total of two hides in the three areas. The sport Unknown Group spent a longer duration (69.04 s) searching in area 3 compared to the sport Known Group (p = 0.004). Further, sport dogs in the Unknown group looked back to the handler more frequently. When a miss did occur, dogs of both sport and professional handlers showed an increase interest in the location of the target odor compared to a comparison location. Critically, however, there was no difference in false alerts between the Known Group and Unknown Group for sport or professional handlers. In a second experiment, fourteen professional, and thirty-nine sport teams from Experiment 1 conducted an additional search double-blind and an additional search single-blind. Both sport and professional-handler dog teams had statistically similar accuracy rate under single and double blind conditions. Overall, when handlers knew the number of hides, it led to significant changes in search behavior of the detection team but did not influence the overall false alert rates.

Repair of oesophageal atresia by consultants and supervised trainees results in similar outcomes

INTRODUCTION

Consultants and trainees require exposure to complex cases for maintaining and gaining operative experience. Oesophageal atresia (OA) repair is a neonatal surgical procedure with indicative numbers for completion of training. A conflict of interest may exist between adequate training, maintaining consultant experience and achieving good outcomes. We aimed to review outcomes of procedures performed primarily by trainees and those performed by consultants.

METHODS

We carried out a retrospective case note review of all consecutive infants who underwent surgical repair of OA with distal tracheooesophageal fistula (TOF) between January 1994 and December 2014 at our institution. Only cases that underwent primary oesophageal anastomosis were included. Surgical outcomes were compared between cases that had a trainee and those that had a consultant listed as the primary operator.

RESULTS

One hundred and twenty-two cases were included. A total of 52 procedures were performed by trainees, and 68 by consultants. Two cases were undeterminable and excluded. Infant demographics, clinical characteristics and duration of follow-up were similar between groups. All infants survived to discharge. Procedures performed by trainees and those performed by consultants as primary operators had a similar incidence of postoperative pneumothorax (trainees 4, consultants 3; p=0.46), anastomotic leak (trainees 5, consultants 3; p=0.29) and recurrent TOF (trainees 0, consultants 2; p=0.5). Overall 52% of cases had an anastomotic dilatation during follow-up, with no difference between the trainee and consultant groups (50% vs 53%; p=0.85).

CONCLUSIONS

Surgical outcomes for repair of OA/TOF are not adversely affected by trainee operating. Trainees with appropriate skills should perform supervised OA/TOF repair. These data are important for understanding the interrelationship between provision of training and surgical outcomes.

Core outcome set for uncomplicated acute appendicitis in children and young people

Background

Research studies to inform clinical practice and policy in children and young people with appendicitis are hampered by inconsistent selection and reporting of outcomes. The aim of this study was to develop a core outcome set for reporting all studies of uncomplicated acute appendicitis in children and young people.

Methods

Systematic literature reviews, qualitative interviews with parents and patients treated for uncomplicated acute appendicitis, and a Study‐Specific Advisory Group informed a long list of outcomes. Outcomes were then prioritized by stakeholders based in the UK (patients, parents, and paediatric and general surgeons) in an online three‐round Delphi consensus process, followed by face‐to‐face consensus meetings.

Results

A long list of 40 items was scored by 147 key stakeholders in the first Delphi round, of whom 90 completed the two subsequent Delphi rounds. The final core outcome set comprises 14 outcomes: intra‐abdominal abscess, reoperation (including interventional radiology procedure), readmission to hospital, bowel obstruction, wound infection, antibiotic failure, wound complication, negative appendicectomy, recurrent appendicitis, death, patient stress/psychological distress, length of hospital stay, time away from full activity and child's quality of life.

Conclusion

A core outcome set comprising 14 outcomes across five key domains has been developed for reporting studies in children and young people with uncomplicated acute appendicitis. Further work is required to determine how and when to measure these outcomes.

A Multi-Site Feasibility Assessment of Implementing a Best-Practices Meet-And-Greet Intervention in Animal Shelters in the United States

Animal shelters must incorporate empirically validated programs to increase life-saving measures; however, altering existing protocols is often a challenge. The current study assessed the feasibility of nine animal shelters within the United States to replicate a validated procedure for introducing an adoptable dog with a potential adopter (i.e., "meet-and-greet") following an educational session. Each of the shelters were first entered into the "baseline" condition, where introduction between adoptable dogs and potential adopters were as usual. After a varying number of months, each shelter entered into the "experimental" phase, where staff and volunteers were taught best practices for a meet-and-greet using lecture, demonstration, and role-play. Data on the likelihood of adoption following a meet-and-greet were collected with automated equipment installed in meet-and-greet areas. Data on feasibility and treatment integrity were collected with questionnaires administered to volunteers and staff followed by a focus group. We found that a single educational session was insufficient to alter the meet-and-greet protocol; challenges included not remembering the procedure, opposing opinions of volunteers and staff, lack of resources, and a procedural drift effect in which the protocol was significantly altered across time. In turn, no animal shelters increased their dog adoptions in the "experimental" phase. New research is needed to develop effective educational programs to encourage animal shelters to incorporate empirical findings into their protocols.

Behavioral predictors of subsequent respiratory illness signs in dogs admitted to an animal shelter

Individual variability is evident in behavior and physiology of animals. Determining whether behavior at intake may predict subsequent illness in the animal shelter may influence the management of dogs housed at animal shelters and reduce overall disease. While normally associated with mild disease and low mortality rates, respiratory disease nevertheless poses significant challenges to the management of dogs in the stressful environment of animal shelters due to its highly infectious nature. Therefore, the aim of the study was to explore whether behavior at intake can predict subsequent occurrence and progression of upper respiratory disease in dogs at animal shelters. In a correlational study, 84 dogs were assessed throughout their stay at a city animal shelter. The dogs were subjected to a behavioral assessment, 1 min in-kennel behavioral observations across two observation periods, and the collection of urinary cortisol:creatinine (C:C) ratio. The occurrence and progression of upper respiratory disease was monitored through repeated clinical exams (rectal temperature and the occurrence of nasal and ocular discharge, and presence of coughing and sneezing). A basic PLS Path regression model revealed that time in the shelter (estimate = .53, p < .001), and sociability (estimate = .24, p < .001) and curiosity scores (estimate = .09, p = .026) were associated with increased illness. Activity and anxiety scores, however, were not associated with illness. Urinary C:C, taken on the first full day, did not predict subsequent illness when accounting for time. Limitations included attrition of dogs, a small percentage receiving vaccinations, and continuous and non-systematic rotation of dogs in the kennels. Understanding if behavior can predict subsequent illness may improve shelter management practices, and in turn, result in improved live-release outcomes.

Behavioral persistence is associated with poorer olfactory discrimination learning in domestic dogs

Domestic dogs are trained for a wide variety of jobs; however, half of dogs that enter working dog training organizations never become certified. The aim of this study was to identify whether a basic measure of behavioral persistence was associated with sixteen dogs' performance on an odor discrimination learning task. Further, we evaluated whether dogs that adopted more of a win-stay or win-shift strategy during discrimination learning was associated with greater persistence. Lastly, we tested if measures of a standardized canine behavior questionnaire (the CBARQ) predicted discrimination learning. We found greater persistence during extinction was associated with poorer discrimination learning. Further, dogs that employed more of a win-stay strategy (compared to win-shift) during the discrimination learning phase showed greater persistence in the persistence task and poorer performance on the odor discrimination task. Lastly, the CBARQ measure of trainability showed a trend association with odor discrimination performance, but no other behavioral characteristics were related. Overall, high levels of behavioral persistence is detrimental to olfactory discrimination learning.

A qualitative synthesis of pharmacist, other health professional and lay perspectives on the role of community pharmacy in facilitating care for people with long-term conditions

BACKGROUND

There is increasing interest in an enhanced role for community pharmacy (CP) in facilitating care for people with long-term conditions (LTCs). It is important to understand the perspectives of stakeholders in order to identify key issues that may impact on future development of the role and related services.

OBJECTIVES

Explore pharmacist, other health professional and lay perspectives on the role of CP in facilitating care for people with LTCs.

METHODS

Synthesis of qualitative research from UK based studies published between 2007 and January 2017 using a meta-ethnographic interpretative approach.

RESULTS

Variation in the conceptualisation of the role of CP in facilitating the care of people with LTCs was apparent across and within lay and health professional accounts. Despite evidence of positive attitudes and a culture amenable to change, there remains a lack of clarity about the existing and potential role of the pharmacist in this area. A theoretical framework is proposed that highlights the dynamic nature of the process involved in the development of lay and health professionals' understanding of the role and engagement with services. Influences on this process include experience and perceived need, service operationalisation, and ongoing developments within wider healthcare policy and commercial environments. Perceived integration with existing professional and peer support structures, views about traditional medical hierarchies and concerns about potential duplication are important influences on the value attributed to the role of CP and the services provided.

CONCLUSIONS

There is acknowledged potential for an extended role in CP to support the care of people with LTCs. To ensure the likelihood of successful engagement with patients and positive health outcomes, developments should acknowledge influences within and beyond the CP setting. Potential overlap with other healthcare services should be explicitly addressed, ensuring this is framed and delivered as valued reinforcement with clearly defined boundaries of responsibility.

Persistence and resistance to extinction in the domestic dog: Basic research and applications to canine training

This review summarizes the research investigating behavioral persistence and resistance to extinction in the dog. The first part of this paper reviews Behavioral Momentum Theory and its applications to Applied Behavior Analysis and training of pet dogs with persistent behavioral problems. I also highlight how research on Behavioral Momentum Theory can be applied to the training of detection dogs in an attempt to enhance detection performance in the presence of behavioral disruptors common in operational settings. In the second part of this review, I highlight more basic research on behavioral persistence with dogs, and how breed differences and experiences with humans as alternative sources of reinforcement can influence dogs' resistance to extinction of a target behavior. Applied Behavior Analysis and Behavior Momentum Theory have important applications for behavioral treatments to reduce the persistence of problem behavior in dogs and for the development of enhanced training methods that enhance the persistence of working dogs. Dogs can also be leveraged as natural models of stereotypic behavior and for exploring individual differences in behavioral persistence by evaluating breed and environmental variables associated with differences in canine persistance.

Food and Food-Odor Preferences in Dogs: A Pilot Study

Evaluation of food palatability and preference is of great importance to the pet food industry. One common technique for evaluating palatability is a 2-bowl test in which 2 products are offered simultaneously and food consumption is measured. This yields clear results with dogs trained to routinely conduct such comparisons, but it is less clear how this extends to untrained pet dogs. In addition, prior research indicates that olfaction is important in food preference, but methods for evaluating odor preference in canines are currently lacking. In this study, we developed a modified 2-bowl test for evaluation of food preferences in pet dogs with minimal training, and an olfactometer technique for the evaluation of odor preferences. In our 2-bowl procedure, we observed clear preferences among 4 commercial food products in 6 pet dogs. Across repeated testing, preferences strengthened, but the first evaluation accurately estimated the direction and significance of preference. In addition, dogs typically (89% of the time) consumed more of the food they chose first, suggesting they did not need to taste each food to choose. Our odor preference olfactometer assessment, however, did not reveal odor preferences other than that dogs preferred to sniff a food odor over clean air. Further work will be needed to identify methods of measuring odor preferences amongst food odors for dogs, but the modified 2-bowl test shows promise for further testing in pet dogs.

Behavioral and Self-report Measures Influencing Children's Reported Attachment to Their Dog

Despite the prevalence of dogs as family pets and increased scientific interest in canine behavior, few studies have investigated characteristics of the child or dog that influence the child-dog relationship. In the present study, we explored how behavioral and self-report measures influence a child's reported feelings of attachment to their dog, as assessed by the Lexington Attachment to Pets Scale (LAPS). We tested specifically whether children (N= 99; Age: M= 10.25 years, SD= 1.31 years) reported stronger attachment to dogs that were perceived as being more supportive (measured by a modified version of the Network of Relationships Inventory), to dogs that are more successful in following the child's pointing gesture in a standard two-object choice test, or to dogs that solicited more petting in a sociability assessment. In addition, we assessed whether children's attachment security to their parent, and whether being responsible for the care of their dog, influenced reported feelings of attachment to the dog. Overall, perceived support provided by the dog was highly predictive of all subscales of the LAPS. The dog's success in following the child's pointing gesture and lower rates of petting during the sociability assessment were associated with higher ratings on the general attachment subscale of the LAPS, but not of other subscales of the LAPS. Caring for the dog did not predict the child's reported attachment to dog, but did predict the dog's behavior on the point following task and petting during the sociability task. If the child cared for the dog, the dog was more likely to be successful on the pointing task and more likely to be petted. These results indicate a dyadic relationship in which the child's care for the dog is associated with the dog's behavior on the behavioral tasks, which in turn is related to the child's reported feelings of attachment. The direction of influence and nature of this dyad will be a fruitful area for future research.

Performance of Pugs, German Shepherds, and Greyhounds (Canis lupus familiaris) on an odor-discrimination task

Public opinion and the scientific literature alike reflect a widespread assumption that there are differences in behavior between dog breeds. Direct empirical behavioral assessments of such differences, however, are rare and have produced mixed results. One area where breed differences are often assumed is olfaction, where German Shepherds, hounds, and Labradors are commonly used for odor-detection work, whereas toy breeds and brachycephalic dogs, such as Pugs, are not. Choice of breed for scent detection work, however, may be driven more by historical choices than data. In this article we directly assessed the ability of German Shepherds, Pugs, and Greyhounds to acquire a simple olfactory discrimination, and their ability to maintain performance when the target odorant was diluted. Our results show that contrary to expectations, Pugs significantly outperformed the German Shepherds in acquiring the odor discrimination and maintaining performance when the odorant concentration was decreased. Nine of 10 Greyhounds did not complete acquisition training because they failed a motivation criterion. These results indicate that Pugs outperformed German Shepherds in the dimensions of olfaction assessed. Greyhounds showed a general failure to participate. Overall, our results highlight the importance of direct behavioral measurement of assumed behavioral breed differences.

Pavlovian conditioning enhances resistance to disruption of dogs performing an odor discrimination

Domestic dogs are used to aid in the detection of a variety of substances such as narcotics and explosives. Under real-world detection situations there are many variables that may disrupt the dog's performance. Prior research on behavioral momentum theory suggests that higher rates of reinforcement produce greater resistance to disruption, and that this is heavily influenced by the stimulus-reinforcer relationship. The present study tests the Pavlovian interpretation of resistance to change using dogs engaged in an odor discrimination task. Dogs were trained on two odor discriminations that alternated every six trials akin to a multiple schedule in which the reinforcement probability for a correct response was always 1. Dogs then received several sessions of either odor Pavlovian conditioning to the S+ of one odor discrimination (Pavlovian group) or explicitly unpaired exposure to the S+ of one odor discrimination (Unpaired group). The remaining odor discrimination pair for each dog always remained an unexposed control. Resistance to disruption was assessed under presession feeding, a food-odor disruptor condition, and extinction, with baseline sessions intervening between disruption conditions. Equivalent baseline detection rates were observed across experimental groups and odorant pairs. Under disruption conditions, Pavlovian conditioning led to enhanced resistance to disruption of detection performance compared to the unexposed control odor discrimination. Unpaired odor conditioning did not influence resistance to disruption. These results suggest that changes in Pavlovian contingencies are sufficient to influence resistance to change.

Assessment of attachment behaviour to human caregivers in wolf pups (Canis lupus lupus)

Previous research suggested that 16-week old dog pups, but not wolf pups, show attachment behaviour to a human caregiver. Attachment to a caregiver in dog pups has been demonstrated by differential responding to a caregiver compared to a stranger in the Ainsworth Strange Situation Test. We show here that 3-7 week old wolf pups also show attachment-like behaviour to a human caregiver as measured by preferential proximity seeking, preferential contact, and preferential greeting to a human caregiver over a human stranger in a modified and counterbalanced version of the Ainsworth Strange Situation Test. In addition, our results show that preferential responding to a caregiver over a stranger is only apparent following brief isolation. In initial episodes, wolf pups show no differentiation between the caregiver and the stranger; however, following a 2-min separation, the pups show proximity seeking, more contact, and more greeting to the caregiver than the stranger. These results suggest intensive human socialization of a wolf can lead to attachment--like responding to a human caregiver during the first two months of a wolf pup's life.

Outcome of appendicectomy in children performed in paediatric surgery units compared with general surgery units

BACKGROUND

Appendicectomy for acute appendicitis in children may be performed in specialist centres by paediatric surgeons or in general surgery units. Service provision and outcome of appendicectomy in children may differ between such units.

METHODS

This multicentre observational study included all children (aged less than 16 years) who had an appendicectomy at either a paediatric surgery unit or general surgery unit. The primary outcome was normal appendicectomy rate (NAR). Secondary outcomes included 30-day adverse events, use of ultrasound imaging and laparoscopy, and consultant involvement in procedures.

RESULTS

Appendicectomies performed in 19 paediatric surgery units (242 children) and 54 general surgery units (461 children) were included. Children treated in paediatric surgery units were younger and more likely to have a preoperative ultrasound examination, a laparoscopic procedure, a consultant present at the procedure, and histologically advanced appendicitis than children treated in general surgery units. The unadjusted NAR was significantly lower in paediatric surgery units (odds ratio (OR) 0.37, 95 per cent confidence interval 0.23 to 0.59; P < 0.001), and the difference persisted after adjusting for age, sex and use of preoperative ultrasound imaging (OR 0.34, 0.21 to 0.57; P < 0.001). Female sex and preoperative ultrasonography, but not age, were significantly associated with normal appendicectomy in general surgery units but not in paediatric surgery units in this adjusted model. The unadjusted 30-day adverse event rate was higher in paediatric surgery units than in general surgery units (OR 1.90, 1.18 to 3.06; P = 0.011). When adjusted for case mix and consultant presence at surgery, no statistically significant relationship between centre type and 30-day adverse event rate existed (OR 1.59, 0.93 to 2.73; P = 0.091).

CONCLUSION

The NAR in general surgery units was over twice that in paediatric surgery units. Despite a more severe case mix, paediatric surgery units had a similar 30-day adverse event rate to general surgery units. Service provision differs between paediatric and general surgery units.

The canid genome: behavioral geneticists' best friend?

We review a range of studies on the genetic contribution to behavior in canid species. We begin by identifying factors that make canids a promising model in behavioral genetics and proceed to review research over the last decade that has used canids to identify genetic contributions to behavior. We first review studies that have selectively bred dogs to identify genetic contributions to behavior and then review studies that estimate heritability from populations of non-laboratory bred dogs. We subsequently review studies that used molecular genetics to identify gene-behavior associations and note associations that have been uncovered. We then note challenges in canid behavioral genetics research that require further consideration. We finish by suggesting alternative phenotyping methods and identify areas in which canids may have as yet unexploited advantages, such as in gene-environment interaction studies where genetic factors are found to moderate the effects of environmental variables.

Scope and feasibility of operating on the neonatal intensive care unit: 312 cases in 10 years

PURPOSE

To report the scope, feasibility and learning experience of operating on neonates on the neonatal intensive care unit (NICU).

METHODS

(1) Review of all NICU operations performed by general neonatal surgeons over 10 years; (2) 6-month prospective comparison of procedures performed in NICU or operating room; (3) structured interviews with five surgeons with 1-13 years experience of operating on NICU.

RESULTS

312 operations were performed in 249 infants. Median birth weight was 1,494 g (range 415-4,365), gestational age 29 weeks (22-42), and age at operation 25 days (0-163). Nearly half (147) were laparotomy for acute abdominal pathology in preterm, very low birth-weight infants There were no surgical adverse events related to location of surgery. Surgeon satisfaction with operating on NICU for this population was high (5/5). Several factors contribute to making this process a success.

CONCLUSIONS

This is the largest reported series of general neonatal surgical procedures performed on NICU. Operating on NICU is feasible and safe, and a full range of neonatal operations can be performed. It removes risks associated with neonatal transfer and is likely to reduce physiological instability. We recommend this approach for all ventilated neonates and urge neonatal surgeons to operate at the cotside of unstable infants.

A review of conservative treatment of acute appendicitis

Appendicitis is a common condition in the pediatric population and appendectomy has been the traditional treatment. Both the urgency of the operation and the need for the appendectomy have recently been challenged. In children, this controversy focuses on operative management of perforated appendicitis and appendix abscesses. In adults, the debate has extended to management of nonperforated appendicitis. This review describes the evidence behind these challenges and updates a per-protocol meta-analysis of randomized controlled trials in adults. In the per-protocol meta-analysis, there was no difference between operative versus nonoperative management in failure of treatment. The complication rate was significantly lower in patients treated nonoperatively. However, in the nonoperative group, 10% of patients needed immediate surgery and 17% developed a recurrence during the 1-year follow-up. Overall, 73% of adults with suspected acute appendicitis may not need operative treatment. There are no data in the literature to support nonoperative treatment of acute appendicitis in children.

Advanced necrotizing enterocolitis part 2: recurrence of necrotizing enterocolitis

AIM OF THE STUDY

The aim of this study was to report incidence and clinical outcomes of recurrent necrotizing enterocolitis (NEC).

METHODS

Review of infants treated for recurrent episode(s) of NEC at a tertiary Neonatal Surgical Intensive Care Unit over 8 years (January 2002 to February 2011). Demographic, clinical, radiological, and operative data were analyzed and compared using Mann-Whitney or Fisher's exact tests. Data are reported as median (range).

RESULTS

A total of 212 consecutive infants were referred for surgical evaluation and treatment of NEC (Bell stage II or III). Of these patients, 22 (10%) had suspected recurrent NEC: in 11 of these the primary episode was Bell stage I successfully treated before coming to our institution (suspected recurrent NEC); in the remaining 11, the primary episode was confirmed (Bell stage II or III) NEC successfully treated in our hospital. Birth weight, gestational age at birth, corrected gestational age, weight on admission, gender, need for surgery, stricture, and mortality rates were similar between infants with recurrent NEC and those with a single episode. Long-term parenteral nutrition (PN) dependency (>28 days) was significantly more common following recurrent NEC compared with a single episode. Among the infants with recurrent NEC, medical therapy alone was not successful in the majority (82%) of cases during the first episode and all required surgery during the recurrent episode.

CONCLUSION

Infants (10%) referred for surgical treatment of NEC develop recurrence of the disease. Surprisingly, these infants have similar mortality and stricture rates to those with a single episode. However, the incidence of long-term PN dependency was significantly increased in those with recurrent episodes of NEC.