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This article is part of the theme issue ‘Measuring physiology in free-living animals (Part II)’.Drawing on insights from qualitative social science research, this paper aims to prompt reflection on social, ethical and regulatory challenges faced by scientists undertaking invasive animal research in the field and propose ways of addressing these challenges to promote good care for animals and environments. In particular, we explore challenges relating to the management of (i) relationships with publics and stakeholders, who may be present at field sites or crucial to research success; (ii) ethical considerations not present in the laboratory, such as the impacts of research on populations and ecosystems; (iii) working under an array of regulations, which may operate in accordance with competing ethical principles or objectives; and (iv) relationships with regulators (especially vets), which may involve disagreements over ethics and expertise, especially because regulators may be more accustomed to overseeing research in the laboratory than the field. We argue that flexibility-at a personal and policy level-and respect for others’ expertise emerged as two key ways of negotiating ethical challenges, fostering positive working relationships and promoting good care for individual animals and broader ecosystems. While our analysis focuses on the UK, we propose that many of these lessons are broadly applicable to international contexts. This article is part of the theme issue ‘Measuring physiology in free-living animals (Part II)’.How individuals interact with their environment and respond to changes is a key area of research in evolutionary biology. A physiological parameter that provides an instant proxy for the activation of the automatic nervous system, and can be measured relatively easily, is modulation of heart rate. Over the past four decades, heart rate has been used to assess emotional arousal in non-human animals in a variety of contexts, including social behaviour, animal cognition, animal welfare and animal personality. In this review, I summarize how measuring heart rate has provided new insights into how social animals cope with challenges in their environment. I assess the advantages and limitations of different technologies used to measure heart rate in this context, including wearable heart rate belts and implantable transmitters, and provide an overview of prospective research avenues using established and new technologies, with a special focus on implications for applied research on animal welfare. This article is part of the theme issue ‘Measuring physiology in free-living animals (Part II)’.Seasonal energetic challenges may constrain an animal’s ability to respond to changing individual and environmental conditions. Here, we investigated variation in heart rate, a well-established proxy for metabolic rate, in Svalbard reindeer (Rangifer tarandus platyrhynchus), a species with strong seasonal changes in foraging and metabolic activity. In 19 adult females, we recorded heart rate, subcutaneous temperature and activity using biologgers. Mean heart rate more than doubled from winter to summer. Typical drivers of energy expenditure, such as reproduction and activity, explained a relatively limited amount of variation (2-6% in winter and 16-24% in summer) compared to seasonality, which explained 75% of annual variation in heart rate. The relationship between heart rate and subcutaneous temperature depended on individual state via body mass, age and reproductive status, and the results suggested that peripheral heterothermy is an important pathway of energy management in both winter and summer. While the seasonal plasticity in energetics makes Svalbard reindeer well-adapted to their highly seasonal environment, intraseasonal constraints on modulation of their heart rate may limit their ability to respond to severe environmental change. This study emphasizes the importance of encompassing individual state and seasonal context when studying energetics in free-living animals. This article is part of the theme issue ‘Measuring physiology in free-living animals (Part II)’.Heart rate monitoring in free-ranging cetaceans to understand their behavioural ecology and diving physiology is challenging. Here, we developed a simple, non-invasive method to monitor the heart rate of cetaceans in the field using an electrocardiogram-measuring device and a single suction cup equipped with an electrode. The unipolar suction cup was placed on the left lateral body surface behind the pectoral fin of Risso’s dolphins (Grampus griseus) and a false killer whale (Pseudorca crassidens) in captivity; their heart rate was successfully monitored. We observed large heart rate oscillations corresponding to respiration in the motionless whales during surfacing (a false killer whale, mean 47 bpm, range 20-75 bpm; Risso’s dolphins, mean ± s.d. 61 ± 15 bpm, range 28-120 bpm, n = 4 individuals), which was consistent with the sinus arrhythmia pattern (eupneic tachycardia and apneic bradycardia) observed in other cetaceans. Immediately after respiration, the heart rate rapidly increased to approximately twice that observed prior to the breath. Heart rate then gradually decreased at around 20-50 s and remained relatively constant until the next breath. Furthermore, we successfully monitored the heart rate of a free-swimming Risso’s dolphin. The all-in-one suction cup device is feasible for field use without restraining animals and is helpful in further understanding the diving physiology of free-ranging cetaceans. This article is part of the theme issue ‘Measuring physiology in free-living animals (Part II)’.

Investigations detailing predictive measures of hospital disposition after traumatic injury are scarce. We aim to examine the discharge practices among trauma centers in the US and to identify factors that may influence post-hospital disposition.

A retrospective analysis of trauma patients using the American College of Surgeons-Trauma Quality Improvement Program dataset from 2007-2017. Selleck Cyclopamine Primary study outcome was hospital disposition (including long term care facility [LTC], others). Secondary outcomes included Intensive Care Unit (ICU)-length of stay (LOS), complications, others).

6899538 patients were analyzed. Odds of LTC discharge was significantly higher for Black patients (aOR = 1.30, 95% CI1.24-1.37), abbreviated injury score (AIS) ≥3 (aOR = 4.22, 95% CI 4.05-4.39), and higher injury severity score (ISS) (aOR = 9.41, 95% CI9.03-9.80). Significantly more self-pay patients were discharged home compared to other insurance types (

< .0001). Significantly longer hospital- and ICU-LOS were experienced by those who had an AIS ≥3 (hospital 4.