What information sources do Dutch medical specialists use in medical decision-making: a qualitative interview study.

Objective: To explore what information sources medical specialists currently use to inform their medical decision-making.

Design: Qualitative, semistructured interviews.

Setting And Participants: A total of 20 semistructured interviews were conducted with 10 surgeons and 10 internal medicine specialists who work in academic and/or regional hospitals in the Netherlands.

[The role of clinical guidelines in daily practice].

In a time of exponential growth of medical scientific knowledge medical specialists need all the help they can get in translating the vast amount of information to the best treatment for their patients. Evidence based guidelines in essence seem a useful tool in promoting this translation as they report an extensive evaluation of available evidence. In daily practice however, guidelines do not always find their way to the clinical encounter with patients.

Environmental drivers of autumn migration departure decisions in midcontinental mallards.

Background: The timing of autumn migration in ducks is influenced by a range of environmental conditions that may elicit individual experiences and responses from individual birds, yet most studies have investigated relationships at the population level. We used data from individual satellite-tracked mallards (Anas platyrhynchos) to model the timing and environmental drivers of autumn migration movements at a continental scale.

Methods: We combined two sets of location records (2004-2007 and 2010-2011) from satellite-tracked mallards during autumn migration in the Mississippi Flyway, and identified records that indicated the start of long-range (≥ 30 km) southward movements during the migration period.