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Recovery of anadromous salmonid populations is complicated by their complex life histories. We examined the spatiotemporal interplay of stream temperature, geomorphic features, and a species' thermal sensitivity mediated by biological interactions in a case study of steelhead trout (Oncorhynchus mykiss) and Chinook salmon (Oncorhynchus tshawytscha) in California's Eel River watershed. We estimated habitat suitability and fish capacity for each salmonid run and freshwater life stage during average, cool, and warm years in each of the watershed's subbasins, including a historically occupied highelevation subbasin upstream of an impassable dam. Our estimates varied depending on whether we accounted for exposure to the Sacramento pikeminnow (Ptychocheilus grandis), an introduced predator and competitor. Our results indicate that the dammed subbasin has substantial salmonid capacity relative to the rest of the watershed and could provide an important cool-water refuge during warm years and from pikeminnow, potentially improving the productivity and resilience of multiple anadromous salmonid populations. Our approach can be applied in any setting where spatially explicit habitat metrics can be estimated and population-specific and life-stage-specific habitat criteria can be specified. La complexite des cycles biologiques des salmonides anadromes complique le retablissement de leurs populations. Nous examinons l'interaction spatiotemporelle de la temperature du cours d'eau, d'elements geomorphologiques et de la sensibilite thermique des especes modulee par les interactions biologiques dans une etude de cas de la truite arc-en-ciel anadrome (Oncorhynchus mykiss) et du saumon chinook (Oncorhynchus tshawytscha) dans le bassin versant de la riviere Eel, en Californie. Nous estimons la qualite des habitats et la capacite de charge de poissons pour les differentes etapes de migration et de vie en eau douce de ces salmonides durant des annees moyennes, froides et chaudes dans chacun des sous-bassins du bassin versant, dont un sous-bassin de haute altitude occupe par le passe situe en amont d'un barrage infranchissable. Nos estimations varient selon que nous tenons compte ou non de l'exposition a la sauvagesse du Sacramento (Ptychocheilus grandis), un predateur et concurrent introduit. Nos resultats indiquent que le sous-bassin endigue presente une capacite de charge de salmonides considerable comparativement au reste du bassin versant et pourrait offrir un important refuge d'eau froide durant des annees chaudes et contre la sauvagesse, ameliorant potentiellement la productivite et la resilience de plusieurs populations de salmonides anadromes. Notre approche peut s'appliquer a tout contexte oU des parametres spatialement explicites de l'habitat peuvent etre estimes et des criteres relatifs a l'habitat peuvent etre specifies pour des populations et etapes du cycle biologique precises. [Traduit par la Redaction], Introduction Recovery of anadromous salmonid populations is complicated by the fact that these fish have complex life histories, exposing them to a variety of climatic, physical, and biological impacts throughout [...]

Introduction Acute large vessel occlusion (LVO) can be secondary to thromboembolism or intracranial atherosclerotic disease (ICAD). Data on LVO management due to underlying ICAD are scarce. We hypothesized that patients with ICAD have worse clinical outcomes following mechanical thrombectomy (MT) than those without ICAD. Methods We performed a retrospective analysis of consecutive patients who underwent MT for LVO in a large academic comprehensive stroke center between January 14, 2018 and October 24, 2021. Presence of ICAD at LVO site was determined by the interventionalist. We compared in‐hospital mortality, 90‐day mortality, and 90‐day modified Rankin Scale (mRS) scores between those with and without ICAD, in unadjusted and adjusting logistic regression models. Results Among 215 patients (mean age 67.1±16.0 years; 60.5% female; 80.5% Black, median NIHSS score 16), ICAD was present in 38 patients (17.7%). Diabetes and dyslipidemia were more common in those with ICAD (57.9% vs. 38.4%, p = 0.027 and 29.0% vs. 14.7%, p = 0.035, respectively). Substantial reperfusion (TICI ≥ 2b) was achieved less often (84.2% vs. 94.4%, p = 0.031) but symptomatic ICH was also less common in ICAD patients (0% vs. 9.0%, p = 0.054). In‐hospital and 90‐day mortality were more common (36.8% vs. 15.8%, p = 0.003 and 52.6% vs. 26.6%, p = 0.002, respectively) and favorable functional outcome (mRS 0–2) at 90 days was less common (7.9% vs. 33.9%, p = 0.001) in ICAD patients. After adjusting for prognostic variables, ICAD was independently associated with in‐hospital mortality (OR = 4.1, 95% CI 1.7‐9.7), 90‐day mortality (OR = 3.7, 95% CI 1.6‐8.6), and poor functional outcome at 90 days (OR = 5.5, 95% CI 1.6‐19.4). Conclusions Symptomatic ICAD in a predominantly African American cohort is associated with increased odds of mortality and poor functional outcome at 90 days in patients with LVO undergoing MT. Further research is warranted to understand factors associated with worse outcomes and investigate alternative interventional approaches and medical management in this high‐risk population.

Image‐based algorithms have become a powerful tool for estimating flow velocities in rivers. In this study, we generalize the space‐time image velocimetry (STIV) framework for reach‐scale application rather than along a cross section. The new algorithm provides information on both the magnitude and orientation of velocity vectors, and we refer to the algorithm as two‐dimensional STIV, or 2D‐STIV. The workflow involves setting up a grid, using centreline tangent vectors as initial estimates of flow direction, and then extracting space‐time images (STIs) along search lines radiating from each grid node. The autocorrelation function is used to infer the inclination of streak lines present in STIs, which represents the advection of water surface features. Information on flow direction is obtained by evaluating various candidate search lines and identifying that which yields the highest velocity. This search can be performed exhaustively or via optimization. We applied the new 2D‐STIV algorithm to three test cases, one simulated data set and two natural channels, and compared image‐derived velocities to modelled or measured values. We also applied two established particle image velocimetry (PIV) algorithms to the same data sets. 2D‐STIV performed as well as the two PIV algorithms for simulated images. For a natural river with distinct water surface features, 2D‐STIV was effective for much of the channel but also led to a more patchy, irregular velocity field than the two PIV algorithms. For a site lacking obvious surface features, exhaustive 2D‐STIV led to velocity estimates uncorrelated with field data while the optimization‐based version produced erratic flow directions. 2D‐STIV also required greater image sequence durations, higher frame rates, and generally longer computational run times. Overall, ensemble PIV was the most reliable algorithm. [ABSTRACT FROM AUTHOR]

Background: Multiple factors, such as less complex U.S. adult pneumococcal recommendations that could increase vaccination rates, childhood pneumococcal vaccination indirect effects that decrease adult vaccination impact, and increased vaccine hesitancy (particularly in underserved minorities), could diminish the cost‐effectiveness of programs to increase pneumococcal vaccination in older adults. Prior analyses supported the economic favorability of these programs. Methods: A Markov model compared no vaccination and current recommendations (either 20‐valent pneumococcal conjugate vaccine [PCV20] alone or 15‐valent pneumococcal conjugate vaccine plus the 23‐valent pneumococcal polysaccharide vaccine [PCV15/PPSV23]) without or with programs to increase vaccine uptake in Black and non‐Black 65‐year‐old cohorts. Pre‐pandemic population‐ and serotype‐specific pneumococcal disease risk and illness/vaccine costs came from U.S. databases. Program costs were $2.19 per vaccine‐eligible person and increased absolute vaccination likelihood by 7.5%. Delphi panel estimates and trial data informed vaccine effectiveness values. Analyses took a healthcare perspective, discounting at 3%/year over a lifetime time horizon. Results: Uptake programs decreased pneumococcal disease overall. In Black cohorts, PCV20 without program cost $216,805 per quality‐adjusted life year (QALY) gained compared with no vaccination; incremental cost‐effectiveness was $245,546/QALY for PCV20 with program and $425,264/QALY for PCV15/PPSV23 with program. In non‐Black cohorts, all strategies cost >$200,000/QALY gained. When considering the potential indirect effects from childhood vaccination, all strategies became less economically attractive. Increased vaccination with less complex strategies had negligible effects. In probabilistic sensitivity analyses, current recommendations with or without programs were unlikely to be favored at thresholds <$200,000/QALY gained. Conclusion: Current U.S. pneumococcal vaccination recommendations for older adults were unlikely to be economically reasonable with or without programs to increase vaccine uptake. Alternatives to current pneumococcal vaccines that include pneumococcal serotypes associated with adult disease should be considered. See related Editorial by Melissa K. Andrew in this issue. [ABSTRACT FROM AUTHOR]

This study examines the dietary intake changes and factors related to dietary acculturation in international students attending an urban university in the United States. The researchers administered seven focus groups of college-age international students (n = 32) between June and August 2012. The participants were enrolled in Northeastern and Midwestern U.S. universities. A qualitative research inquiry was used for data collection, presentation, and analysis. An interview guide was developed to explore the dietary habits of international students. The results show the participants face many dietary challenges as a result of adapting to American culture. The major dietary-related influences include: the food environment, campus environment, religion, and individual preferences. Additionally, the consequences of dietary changes were associated with undesirable health outcomes including weight gain, increased blood glucose levels, increased cholesterol levels, high blood pressure, and mental problems.

ObjectiveMALT1 regulates immunity and inflammation in multiple ways, while its role in rheumatoid arthritis (RA) is obscure. This study aimed to investigate the relationship of MALT1 with disease features, treatment outcome, as well as its effect on Th1/2/17 cell differentiation and underlying molecule mechanism in RA.MethodsTotally 147 RA patients were enrolled. Then their blood Th1, Th2, and Th17 cells were detected by flow cytometry. Besides, PBMC MALT1 expression was detected before treatment (baseline), at week (W) 6, W12, and W24. PBMC MALT1 in 30 osteoarthritis patients and 30 health controls were also detected. Then, blood CD4+ T cells were isolated from RA patients, followed by MALT1 overexpression or knockdown lentivirus transfection and Th1/2/17 polarization assay. In addition, IMD 0354 (NF-κB antagonist) and SP600125 (JNK antagonist) were also added to treat CD4+ T cells.ResultsMALT1 was increased in RA patients compared to osteoarthritis patients and healthy controls. Meanwhile, MALT1 positively related to CRP, ESR, DAS28 score, Th17 cells, negatively linked with Th2 cells, but did not link with other features or Th1 cells in RA patients. Notably, MALT1 decreased longitudinally during treatment, whose decrement correlated with RA treatment outcome (treatment response, low disease activity, or disease remission). In addition, MALT1 overexpression promoted Th17 differentiation, inhibited Th2 differentiation, less affected Th1 differentiation, activated NF-κB and JNK pathways in RA CD4+ T cells; while MALT1 knockdown exhibited the opposite effect. Besides, IMD 0354 and SP600125 addition attenuated MALT1’s effect on Th2 and Th17 differentiation.ConclusionMALT1 regulates Th2 and Th17 differentiation via NF-κB and JNK pathways, as well as correlates with disease activity and treatment outcome in RA.

Cities provide opportunities for biodiversity conservation through the design of urban greenspaces as wildlife habitat. A significant proportion of urban public land is narrow linear road verges, though their small size and harsh environmental conditions (e.g. high soil temperatures) may limit their ability to support plants and animals.We worked with a municipal government in a highly urbanised area to test whether conversion of standard road verges (e.g. lawn) to predominantly native understorey plants (forbs, grasses and shrubs) selected for their abilities to tolerate harsh growing conditions and provide habitat increased the abundance and richness of bees, butterflies and birds. We used a before‐after‐control‐impact experiment and characterised temporal dynamics of biodiversity responses 1 year prior to planting and 4 years post‐planting. We also tested whether traits known to influence species responses to urbanisation (body size and feeding specialisation) mediated responses to road verge plantings.Bee species richness and abundance increased at experimental plantings in the first post‐planting year and remained stable thereafter despite fluctuations at control sites. Butterfly abundance but not richness increased, and there was no evidence of bird responses to plantings.Larger bee species, which are known to be most negatively impacted by urbanisation, benefited more from the road verge plantings, while there was no effect of feeding specialisation. Bird and butterfly traits did not mediate responses to plantings.Synthesis and applications. Road verges comprise a significant proportion of urban green spaces, and our results suggest that despite their small sizes and harsh environmental conditions they can provide habitat for bees and to a lesser extent butterflies. We demonstrated that habitat value can be rapidly enhanced by converting standard road verges to native understorey plants and that these benefits may be greatest for the bee species most negatively impacted by urbanisation. Modifications such as additional plant species or wider verges may be required for urban road verges to provide habitat for a greater range of taxa including birds and butterflies. [ABSTRACT FROM AUTHOR]

Introduction: Information on spatial patterns of water depth in river channels is valuable for numerous applications, but such data can be difficult to obtain via traditional field methods. Ongoing developments in remote sensing technology have enabled various image-based approaches for mapping river bathymetry; this study evaluated the potential to retrieve depth from multispectral images acquired by an uncrewed aircraft system (UAS). Methods: More specifically, we produced depth maps for a 4 km reach of a clearflowing, relatively shallow river using an established spectrally based algorithm, Optimal Band Ratio Analysis. To assess accuracy, we compared image-derived estimates to direct measurements of water depth. The field data were collected by wading and from a boat equipped with an echo sounder and used to survey cross sections and a longitudinal profile. We partitioned our study area along the Sacramento River, California, USA, into three distinct sub-reaches and acquired a separate image for each one. In addition to the typical, self-contained, per-image depth retrieval workflow, we also explored the possibility of exporting a relationship between depth and reflectance calibrated using data from one site to the other two sub-reaches. Moreover, we evaluated whether sampling configurations progressively more sparse than our full field survey could still provide sufficient calibration data for developing robust depth retrieval models. Results: Our results indicate that under favorable environmental conditions like those observed on the Sacramento River during low flow, accurate, precise depth maps can be derived from images acquired by UAS, not only within a sub-reach but also across multiple, adjacent sub-reaches of the same river. Discussion: Moreover, our findings imply that the level of effort invested in obtaining field data for calibration could be significantly reduced. In aggregate, this investigation suggests that UAS-based remote sensing could facilitate highly efficient, cost-effective, operational mapping of river bathymetry at the reach scale in clear-flowing streams. [ABSTRACT FROM AUTHOR]

Neisseria is a genus containing diverse organisms; most are rarely pathogenic. N. meningitidis and N. gonorrhoeae are the most clinically relevant species. The polysaccharide capsule is the most critical meningococcal [...]

Mistletoes have a fraught public relations history. Vilified as toxic tree-killing weeds, they have long been targeted for removal by arborists and forest managers concerned with tree health. Research on mistletoe ecology has revealed their positive influence on diversity and community structure via complex networks of interactions. In areas where mistletoe has traditionally been removed, managers are now asking whether these parasitic plants can return on their own or whether they should be reintroduced. To evaluate the practicalities of mistletoe restoration, we inoculated 28 London plane trees Platanus × acerfolia (Aiton) Willd. in inner Melbourne with creeping mistletoe Muellerina eucalyptoides (DC.) Barlow, a locally rare species. Branch dimensions and aspect had no discernible effect on germination or seedling emergence, but trees where access to possums (Trichosurus vulpecula (Kerr, 1792) and Pseudocheirus peregrinus (Boddaert, 1785)) was restricted were 30% more likely to host seedlings. Five years after inoculation, seven mistletoes successfully established on five trees, with two mistletoes bearing fruit. Communications with residents and city users elicited positive feedback, catalysing four additional inoculation trials in urban and forest settings elsewhere. In addition to representing a cost-effective means of enhancing habitat values, mistletoe restoration is useful for addressing open questions about mistletoe ecology and educating the community about the functional roles these parasitic plants play. [ABSTRACT FROM AUTHOR]

We describe 2 cases of extensively drug-resistant Pseudomonas aeruginosa infection caused by a strain of public health concern, as it was recently associated with a nationwide outbreak of contaminated artificial tears. Both cases were detected through database review of genomes in the Enhanced Detection System for Hospital-Associated Transmission (EDS-HAT), a routine genome sequencing–based surveillance program. We generated a high-quality reference genome for the outbreak strain from an isolate from our center and examined the mobile elements encoding bla VIM-80 and bla -GES-9 carbapenemases. We used publicly available Pseudomonas aeruginosa genomes to explore the genetic relatedness and antimicrobial resistance genes of the outbreak strain. [ABSTRACT FROM AUTHOR]

Persons with HIV (PWH) are at increased risk for bacterial infections, and previous publications document an increased risk for invasive meningococcal disease (IMD) in particular. This analysis provides evidence that PWH face a 6-fold increase in risk for IMD based on Active Bacterial Core surveillance data collected during 2009–2019. [ABSTRACT FROM AUTHOR]