Lithic usewear confirms the function of Wilamaya Patjxa projectile points.

Approximately 9000 years ago at the Andean highland site of Wilamaya Patjxa, forager communities interred female and male individuals with projectile points, suggesting that large-mammal hunting may have been a gender neutral activity among that community. We report a lithic usewear analysis, which confirms that the ostensible projectile points were indeed used as projectile points. The data further reveal evidence of cutting and hide scraping consistent with animal processing activities.

Habitat selection of Gould's wild turkeys in southeastern Arizona.

In semi-arid environments, resources necessary for survival may be unevenly distributed across the landscape. Gould's wild turkeys (Meleagris gallopavo mexicana) are spatially restricted to mountainous semi-arid areas of southwestern United States and Mexico, and information on their distribution and habitat use is limited. We described how landcover type and topographical features influenced space use and habitat selection by Gould's wild turkeys in southeastern Arizona.

Fatigue amongst anaesthesiology and intensive care trainees in Europe: A matter of concern.

Background: There is a growing awareness of the effects of fatigue on trainee wellbeing and health. Trainees in anaesthesiology and intensive care work long hours, switching work schedules frequently with insufficient rest. This may have unwanted long-term effects on mental and physical health and emotional well being, resulting in burnout and affecting patient safety.

Fatigue and its impact on performance and health.

An increasing body of evidence suggests that fatigue among healthcare staff is widespread, owing to a combination of high work intensity, long daytime hours and night-shift working. This has been linked to poorer outcomes for patients and longer inpatient stays, and to increased risks of work-related accidents, errors and injuries for practitioners. These include needlestick injuries and motor vehicle accidents, and other impacts on practitioner health, ranging from cancer, mental health problems, metabolic disorders to coronary disease.

Patient-Physician Concordance for Quantitative Formats and Treatment Options and the Relationship with State Anxiety.

Patient-physician concordance about topics discussed in a clinic visit is essential for effective communication but may be difficult to achieve in cancer care. We conducted a multicenter, observational study at two Midwestern oncology clinics. A sample of 48 English-speaking or Spanish-speaking women with newly diagnosed stage 0-3 breast cancer completed surveys before and after a visit with an oncologist.