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Smadar Atlibenkin,1 Tzvi Dwolatzky,1,2 Or Porat,1 Amir Karban,1,3,* Ronen Zalts1,3,* 1Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, 3109601, Israel; 2Geriatrics Unit, Rambam Health Care Campus, Haifa, Israel; 3Department of Internal Medicine C, Rambam Health Care Campus, Haifa, Israel*These authors contributed equally to this workCorrespondence: Ronen Zalts, Department of Internal Medicine C, Rambam Health Care Campus, Ha’Aliyah Street 8, Box 9602, Haifa, 3109601, Israel, Tel +972 4 7772321, Fax +972 4 7772260, Email r_zalts@rambam.health.gov.ilBackground: Lipid profile measurement in order to identify patients with elevated low-density lipoprotein cholesterol (LDL-C) is clearly recommended for all age groups. However, the value of screening patients for elevated LDL-C during hospitalization has not been determined. The aim of this study was to investigate the value of lipid screening tests in patients admitted to internal medicine wards, and as part of our efforts to promote a more intelligent and efficient use of laboratory and imaging tests during hospital care.Methods: We conducted this retrospective, observational study, in which medical charts of patients for whom at least one lipid profile measurement was performed during hospitalization were reviewed. The patients were categorized into 5 groups according to admission diagnosis, and for each patient, we looked if the lipid profile was mentioned or referred to, based on guidelines, in the discharge summary.Results: Lipid profile taken during hospitalization was referred to in the discharge letter in only 38.7% of patients, and even in the case of a need to consider according to guidelines, only a 45.7% consideration rate was found.Conclusion: This study highlights the need for a more efficient and focused approach to the use of lipid profile measurement during hospitalization.Keywords: lipid profile measurement, hospitalization, efficiency, discharge recommendations

Plants exchange a variety of information intra- and interspecifically by using various mediating cues. For example, plant individuals that are injured by herbivores release volatile chemicals, which induce receiver plants to express anti-herbivore resistance. Remarkably, some plant species were known to represent kin specificity in the response, where cues from a damaged individual induce a higher level of resistance in a kin receiver than in a non-kin receiver. Such higher sensitivity to warning cues from kin could be advantageous via two mechanisms. If each herbivore tends to attack plants with a certain genotype, plants should be more sensitive to warning cues from kin that share genetic properties. In addition, if herbivores successively attack the neighboring plant with a high probability, and if related plants tend to grow in close proximity, plants may be more sensitive to warning cues from neighboring kin under the presence of a trade-off between sensitivity to kin and non-kin. In the present study, we constructed a mathematical model including those mechanisms to investigate the evolutionary process of the higher sensitivity to warning cues from kin than sensitivities to cues from non-kin. According to the analysis of evolutionary dynamics, we revealed that both mechanisms could contribute, although higher sensitivity to cues from kin is more likely to evolve when the spatial range of competition is greater than the range of effective alarm cues. This result highlights the importance of the competition regime in the evolution of signaling among kin.

The present study was undertaken to provide more information on the peripheral RNA containing ring of ringshaped nucleoli (RSNo). Human lymphocytes of blood donors and patients suffering from B chronic lymphocytic leukemia mostly characterized by RSNo represented very convenient cell models for such study. According to the light microscopy the peripheral RNA ring possessed several highly condensed foci. Such regions represented accumulated dense RNA fibrillar components (DFCs) seen by the electron microscopy. In contrary, the incidence of dense granular RNA-containing components (GCs) in surrounding portions of the RNA ring was small. Thus, the structural and morphological organization of the peripheral RNA ring of RSNo apparently reflects sites of micro-segregated foci of DFCs and a small incidence of GCs. That structural organization of the peripheral RNA ring of RSNo appeared to be a prerequisite for further regressive nucleolar changes resulting in the development of micronucleoli in terminal lymphocytes.

Vehicle pollution is a pervasive aspect of anthropogenic change across rural and urban habitats. The most common emissions are carbon- or nitrogen-based pollutants that may impact diverse interactions between plants and insect herbivores. However, the effects of vehicle pollution on plant-insect interactions are poorly understood. Here, we combine a city-wide experiment across the Sacramento Metropolitan Area and a laboratory experiment to determine how vehicle emissions affect insect herbivory and leaf nutritional quality. We demonstrate that leaf damage to a native oak species (Quercus lobata) commonly planted across the western US is substantially elevated on trees exposed to vehicle emissions. In the laboratory, caterpillars preferred leaves from highway-adjacent trees and performed better on leaves from those same trees. Synthesis and applications. Together, our studies demonstrate that the heterogeneity in vehicle emissions across cities may explain highly variable patterns of insect herbivory on street trees. Our results also indicate that trees next to highways are particularly vulnerable to multiple stressors, including insect damage. To combat these effects, urban foresters may consider planting trees that are less susceptible to insect herbivory along heavily travelled roadways.

Dispersal is a key driver of spatial population dynamics. Dispersal behaviour may be shaped by many factors, such as mate-finding, the spatial distribution of resources, or wind and currents, yet most models of spatial dynamics assume random dispersal. We examined the spatial dynamics of a day-flying moth species (Arctia virginalis) that forms mating aggregations on hilltops (hilltopping) based on long-term adult and larval population censuses. Using time-series models, we compared spatial population dynamics resulting from empirically founded hilltop-based connectivity indices and modelled the interactive effects of temperature, precipitation and density dependence. Model comparisons supported hilltop-based connectivity metrics including hilltop elevation over random connectivity, suggesting an effect of hilltopping behaviour on dynamics. We also found strong interactive effects of temperature and precipitation on dynamics. Simulations based on fitted time-series models showed lower patch occupancy and regional synchrony, and higher colonization and extinction rates when hilltopping was included, with potential implications for the probability of persistence of the patch network. Overall, our results show the potential for dispersal behaviour to have important effects on spatial population dynamics and persistence, and we advocate the inclusion of such non-random dispersal in metapopulation models.

Animal biologists have recently focused on individual variation in behavioral traits and have found that individuals of many species have personalities. These are defined as consistent intraspecific differences in behaviors that are repeatable across different situations and stable over time. When animals sense danger, some individuals will alert neighbors with alarm calls and both calling and responding vary consistently among individuals. Plants, including sagebrush, emit volatile cues when they are attacked by herbivores and neighbors perceive these cues and reduce their own damage. We experimentally transferred volatiles between pairs of sagebrush plants to evaluate whether individuals showed consistent variation in their effectiveness as emitters and as receivers of cues, measured in terms of reduced herbivore damage. We found that 64% of the variance in chewing damage to branches over the growing season was attributable to the identity of the individual receiving the cues. This variation could have been caused by inherent differences in the plants as well as by differences in the environments where they grew and their histories. We found that 5% of the variance in chewing damage was attributable to the identity of the emitter that provided the cue. This fraction of variation was statistically significant and could not be attributed to the environmental conditions of the receiver. Effective receivers were also relatively effective emitters, indicating consistency across different situations. Pairs of receivers and emitters that were effective communicators in 2018 were again relatively effective in 2019, indicating consistency over time. These results suggest that plants have repeatable individual personalities with respect to alarm calls.

Cicadas have amongst the longest development times and are also amongst the largest insects. Cicadas feed exclusively on xylem fluid, which is nutritionally dilute and difficult to obtain. One possible explanation for their slow development is that poor nutrition limits their growth rate. An analysis of 30 cicada species with known development times is consistent with this hypothesis as species with more equatorial distributions grew more rapidly than those at higher latitudes. A second possible explanation is that prolonged development maximizes net reproductive rate because there is little risk of mortality once early instar cicada nymphs establish feeding sites. Extended development probably allows nymphs to store resources and produce more offspring. Spittlebugs also feed obligately on xylem fluid and grow at similarly slow rates although they attain small adult sizes. Unlike cicadas, spittlebugs do not have steep survivorship curves and have shorter development times. The life histories of cicadas and spittlebugs are therefore consistent with both hypotheses. Cicada development times may be limited if (1) the risk of nymphal mortality equals increased fecundity associated with prolonging development, (2) fluctuating conditions sometimes favour rapid development times, or (3) host plant quality changes over time and penalizes nymphs that cannot relocate feeding sites.

Plant-to-plant volatile-mediated communication and subsequent induced resistance to insect herbivores is common. Less clear is the adaptive significance of these interactions; what selective mechanisms favour plant communication and what conditions allow individuals to benefit by both emitting and responding to cues? We explored the predictions of two non-exclusive hypotheses to explain why plants might emit cues, the kin selection hypothesis (KSH) and the mutual benefit hypothesis (MBH). We examined 15 populations of sagebrush that experience a range of naturally occurring herbivory along a 300 km latitudinal transect. As predicted by the KSH, we found several uncommon chemotypes with some chemotypes occurring only within a single population. Consistent with the MBH, chemotypic diversity was negatively correlated with herbivore pressure; sites with higher levels of herbivory were associated with a few common cues broadly recognized by most individuals. These cues varied among different populations. Our results are similar to those reported for anti-predator signalling in vertebrates.

Climate change can affect biotic interactions, and the impacts of climate on biotic interactions may vary across climate gradients. Climate affects biotic interactions through multiple drivers, although few studies have investigated multiple climate drivers in experiments. We examined the effects of experimental watering, warming, and predator access on leaf water content and herbivory rates of woolly bear caterpillars (Arctia virginalis) on a native perennial plant, pacific silverweed (Argentina anserina ssp. pacifica), at two sites across a gradient of precipitation in coastal California. Based on theory, we predicted that watering should increase herbivory at the drier end of the gradient, predation should decrease herbivory, and watering and warming should have positive interacting effects on herbivory. Consistent with our predictions, we found that watering only increased herbivory under drier conditions. However, watering increased leaf water content at both wetter and drier sites. Warming increased herbivory irrespective of local climate and did not interact with watering. Predation did not affect herbivory rates. Given predictions that the study locales will become warmer and drier with climate change, our results suggest that the effects of future warming and drying on herbivory may counteract each other in drier regions of the range of Argentina anserina. Our findings suggest a useful role for range-limit theory and the stress-gradient hypothesis in predicting climate change effects on herbivory across stress gradients. Specifically, if climate change decreases stress, herbivory may increase, and vice versa for increasing stress. In addition, our work supports previous suggestions that multiple climate drivers are likely to have dampening effects on biotic interactions due to effects in different directions, though this is context-dependent.

Induced plant responses to herbivory are common, and we have learned a lot about the mechanisms of induced resistance and their effects on herbivore performance. We know less about their effects on herbivore behaviour and especially on spatial patterns of damage. Theoretical models predict that induced responses can cause patterns of damage to become aggregated, random or even. A recent model predicted that informed herbivore movement coupled with communication between plants would make damage more even within individual plants. We tested these predictions in the field using a specialist beetle Trirhabda pilosa that feeds on sagebrush Artemisia tridentata. Both the beetle and the plant are well-documented to respond to damage-induced volatile cues. Beetle larvae were more likely to move from damaged leaves and leaves that had been exposed to volatiles from nearby damaged leaves compared to undamaged control leaves. Previous laboratory results indicated that beetles were more likely to choose undamaged leaves compared to damaged leaves or those exposed to volatile cues of damage. A comparison of damage patterns early in the season and after completion of beetle feeding revealed that variance in damage among branches decreased as the season progressed; that is, damage became more evenly distributed among the branches within a plant. Larvae damaged many leaves on a plant but removed relatively little tissue from each leaf. Herbivore movement and the spatial patterns of damage that it creates can be important in determining effects on plant fitness and other population processes. Dispersion of damage deserves more consideration in plant-herbivore studies.

Plants respond to damage by herbivores or to reliable cues of damage by changing in ways that provide greater resistance and increase their fitness. Sagebrush has been a model system for understanding induced resistance, although resistance in this system is commonly assessed by quantifying damage at the end of the season; this measure is slow and lacks accuracy and interpretability because so many other factors also affect levels of damage. Herbivore choice offers a potentially rapid and accurate alternative assay of induced resistance. Here we evaluate whether feeding behavior of a specialized Chrysomelid beetle, Trirhabda pilosa, could be used to assay induced changes in plant quality. Beetle larvae were offered the choice between two leaves in Petri dish arenas. We found that beetles avoided leaves that were naturally damaged by herbivores, experimentally clipped with scissors, and exposed to the volatiles from naturally or experimentally damaged neighboring leaves compared to control leaves. Experiments varied the source of the damage, the duration of the feeding test, and how damage was measured, still, beetles consistently preferred uninduced controls by a 2:1 ratio over leaves exposed to cues of damage. These results suggest that behavioral assays using T. pilosa larvae can be used to rapidly evaluate induced resistance in this system. More generally, movement and feeding behaviors of herbivores are an important and underappreciated component of induced plant responses.

Children at increased genetic risk for type 1 diabetes (T1D) after environmental exposures may develop pancreatic islet autoantibodies (IA) at a very young age. Metabolic profile changes over time may imply responses to exposures and signal development of the first IA. Our present research in The Environmental Determinants of Diabetes in the Young (TEDDY) study aimed to identify metabolome-wide signals preceding the first IA against GAD (GADA-first) or against insulin (IAA-first). We profiled metabolomes by mass spectrometry from children's plasma at 3-month intervals after birth until appearance of the first IA. A trajectory analysis discovered each first IA preceded by reduced amino acid proline and branched-chain amino acids (BCAAs), respectively. With independent time point analysis following birth, we discovered dehydroascorbic acid (DHAA) contributing to the risk of each first IA, and γ-aminobutyric acid (GABAs) associated with the first autoantibody against insulin (IAA-first). Methionine and alanine, compounds produced in BCAA metabolism and fatty acids, also preceded IA at different time points. Unsaturated triglycerides and phosphatidylethanolamines decreased in abundance before appearance of either autoantibody. Our findings suggest that IAA-first and GADA-first are heralded by different patterns of DHAA, GABA, multiple amino acids, and fatty acids, which may be important to primary prevention of T1D.

1. Plants perceive herbivore damage or increased risk and respond. These changes may increase plant fitness, although effects on fitness have often been assumed without supporting evidence. 2. Three models have been proposed to explain induced rather than constitutive defence. The optimal defence model posits that induction allow plants to reduce allocation costs; it predicts demonstrably lower costs when defences are not needed. The moving target model posits that induction increases spatial and temporal variability; it predicts that variability will be difficult for herbivores and will provide defence. The information transfer model posits that induced responses provide cues to other tissues on that individual plant and to other organisms in the community; it predicts that induced cues will provide systemic resistance, deter herbivores, and/or attract enemies of herbivores, thereby benefiting the induced plant. 3. All three models predict that cues must be reliable to be useful. In some cases, cues provide specific information about the damaged plant tissue and the herbivore and this specific information may allow plants to fine-tune responses. Recent theory posits that selection should favour plants that minimise recognition errors and reduce fitness costs associated with errors. 4. Future research should focus on exploring different modalities used by plants to perceive herbivore risk, the benefits and costs of perceiving cues and inducing resistance, and the basic natural history of these phenomena. Induced responses have great unrealised potential in agriculture, and research should focus on host plant resistance rather than attempting to involve other trophic levels.

Background and aimsPendulous flowers (due to a flexible pedicel) are a common, convergent trait of hummingbird-pollinated flowers. However, the role of flexible pedicels remains uncertain despite several functional hypotheses. Here we present and test the 'lever action hypothesis': flexible pedicels allow pendulous flowers to move upwards from all sides, pushing the stigma and anthers against the underside of the feeding hummingbird regardless of which nectary is being visited.MethodsTo test whether this lever action increased pollination success, we wired emasculated flowers of serpentine columbine, Aquilegia eximia, to prevent levering and compared pollination success of immobilized flowers with emasculated unwired and wire controls.Key resultsSeed set was significantly lower in wire-immobilized flowers than unwired control and wire control flowers. Video analysis of visits to wire-immobilized and unwired flowers demonstrated that birds contacted the stigmas and anthers of immobilized flowers less often than those of flowers with flexible pedicels.ConclusionsWe conclude that flexible pedicels permit the levering of reproductive structures onto a hovering bird. Hummingbirds, as uniquely large, hovering pollinators, differ from flies or bees which are too small to cause levering of flowers while hovering. Thus, flexible pedicels may be an adaptation to hummingbird pollination, in particular due to hummingbird size. We further speculate that this mechanism is effective only in radially symmetric flowers; in contrast, zygomorphic hummingbird-pollinated flowers are usually more or less horizontally oriented rather than having pendulous flowers and flexible pedicels.

Many plants engage in protective mutualisms, offering resources such as extrafloral nectar and shelters to predatory arthropods in exchange for protection against herbivores. Recent work indicates that sticky plants catch small insects and provide this carrion to predators who defend the plants against herbivores. In this study, we investigated whether wild tobacco, Nicotiana attenuata, fits this sticky plant defense syndrome that has been described for other sticky plants. We developed a bioassay for stickiness involving the number of flies that adhered to flowers, the stickiest tissues. In surveys conducted over three field seasons at four sites, we found that the number of carrion that adhered to a plant was positively correlated with the number of predators that we observed foraging over its surfaces. The number of predators was positively correlated with the number of seed capsules that the plant produced, a measure of lifetime female reproductive success. Structural equation modeling indicated strong support for the causal path linking carrion numbers to predator numbers to capsule production. We investigated whether stickiness was an inducible trait and examined two potential cues. We found that experimental clipping of rosette leaves induced greater stickiness, although clipping of neighboring sagebrush leaves did not. Damage to leaf tissue is likely to be a more reliable predictor of risk than is damage to a neighboring plant. The sticky plant defense syndrome is a widespread protective mutualism; its strength and ecological relevance can adjust as risk of herbivory changes.

Although many studies have investigated plant growth in the context of episodic herbivory and pressed resource availability, relatively few have examined how plant growth is affected by pulsed resources and chronic herbivory. Periodical cicada (Magicicada spp.) adults represent a pulsed detrital subsidy that fertilizes plants, and live cicada nymphs are long-lived root-feeding herbivores. Previous studies of cicada herbivory effects have been inconclusive, and previous studies of cicada-mediated fertilization did not examine effects on trees, or on a multiyear timescale. Here, we describe the results of a 3-yr experiment that factorially manipulated the presence and absence of cicada fertilization and herbivory in a population of 100 American sycamore (Platanus occidentalis) trees. We found that cicada fertilization strongly increased tree growth in the year of emergence, creating differences in tree size that persisted at least 2 yr later. By comparison, we did not detect reductions in tree growth associated with cicada herbivory in any year of this experiment. However, cicada herbivory reduced the densities of, and damage from, other aboveground herbivores. These results suggest that cicadas affect the size structure of forests over multiple years, and raise questions about how cicada-mediated fertilization and herbivory will affect tree growth over longer timescales.

Grasses frequently have unidirectional hairs, prickles, and spines; these leaf features have been hypothesized to move herbivores and their chewing damage away from grass meristems, which are located basally. Observations of chewing damage to two grasses, Andropogon virginicus and Phragmites australis, were consistent with this hypothesis as leaf tips received 10 × and 2 × more damage than bases. Grasshoppers were no more likely to land on leaf tips than bases although they oriented towards the tips after landing. Leaves of A. virginicus that were damaged by chewing herbivores had fewer spines than leaves on the same or neighboring plants that lacked damage. This suggests that herbivores chose less spiny leaves. At a larger spatial scale, plants in neighborhoods favorable for grasshoppers had more spines than plants in less favorable neighborhoods. We found no evidence that marginal spines allowed leaves to shed water more rapidly, a potential alternative benefit. The density of spines on new leaves increased following cues of damage. A. virginicus leaves produced after an adjacent leaf had been clipped with scissors had 13% more spines than new leaves on unclipped plants. Clipping with scissors failed to increase spine density for new P. australis leaves although experimental chewing by caterpillars led to the production of new leaves with 24% more spines than controls. Unchewed new leaves within 20 cm of a chewed neighbor had 13% more spines than controls. Grasses are capable of responding to cues of tissue damage to their own and neighboring leaves, potentially reducing herbivory to meristems.

Grasses are major agricultural products worldwide and they are critical to ecosystem function in many terrestrial habitats. Despite their global importance, we know relatively little about their defenses against herbivory. Grasses tend to be tolerant of leaf loss because their valuable meristems are located underground, out of reach for above ground herbivores. Many grasses have unidirectional leaf hairs, prickles, and spines that make moving up the leaf blade easy, but make moving down, toward the meristem, difficult. We tested the hypothesis that unidirectional grass hairs direct small arthropod herbivores away from the meristems. In a field survey of the distribution of herbivore damage, we found that leaf tips received five times more damage than leaf bases for Avena barbata. Early-instar grasshoppers fed three times as often on leaf tops as on leaf bases of pubescent individuals in a common garden laboratory experiment. This effect was not observed for glabrous individuals where grasshoppers damaged leaf bases as often as leaf tops. A common generalist caterpillar, Heliothus virescens, was more than twice as likely to turn in the direction of the hairs, away from the meristems, when it encountered pubescent leaves of A. barbata. However, larger caterpillars of the generalist feeder Arctia virginalis showed no directional bias when they encountered pubescent leaves. In common garden experiments, selection on pubescence was weak and inconsistent over space and time. Under some circumstances, individuals of A. barbata with pubescent leaves were more likely to produce seeds than were individuals with fewer hairs. The surveys, behavioral experiments with small insects, and estimates of lifetime reproduction all support the hypothesis that unidirectional leaf hairs on A. barbata, and perhaps other grasses, serve as an unstudied defense that direct small herbivores away from the meristems.

SADIE (Spatial Analysis by Distance Indices) is designed specifically to quantify patterns in spatially-referenced count-based data. It was developed for dealing with data that can be considered ‘patchy’. Such distributions are commonly found, for example, in insect populations where discrete patches of individuals are often evident. The distributions of such populations have ‘hard edges’, with patches and gaps occurring spatially. In these cases variance of abundance does not vary smoothly, but discontinuously. In this paper we outline the use of SADIE and provide free access to the SADIE software suite, establishing Rethinking Ecology as its permanent home. Finally, we review the use of SADIE and demonstrate its use in a wide variety of sub-disciplines within the general field of ecology.

SADIE (Spatial Analysis by Distance Indices) is designed specifically to quantify patterns in spatially-referenced count-based data. It was developed for dealing with data that can be considered ‘patchy’. Such distributions are commonly found, for example, in insect populations where discrete patches of individuals are often evident. The distributions of such populations have ‘hard edges’, with patches and gaps occurring spatially. In these cases variance of abundance does not vary smoothly, but discontinuously. In this paper we outline the use of SADIE and provide free access to the SADIE software suite, establishing Rethinking Ecology as its permanent home. Finally, we review the use of SADIE and demonstrate its use in a wide variety of sub-disciplines within the general field of ecology.

Herbivory is a major threat to virtually all plants, so adaptations to avoid herbivory will generally be selected. One potential adaptation is the ability to 'listen in' on the volatile cues emitted by plants that are experiencing herbivory and to then respond by ramping up defences. The nature of these volatile cues is poorly understood. Sagebrush (Artemisia tridentata) plants that were exposed to cues of experimentally damaged neighbours experienced less herbivory; this induction was most effective if emitter and receiver plants had similar volatile emission profiles, termed chemotypes. Previously, we observed that sagebrush populations that were in locations with high herbivory exhibited little diversity of volatiles compared to populations with low herbivory. Several hypotheses could produce this correlation. High risk of herbivory could have selected for individuals that converged on a common 'alarm cue' that all individuals would respond to. In this case, individuals of locally rare chemotypes that were less able to eavesdrop would experience more damage than common chemotypes when herbivores were abundant. Alternatively, low chemotypic diversity could allow higher levels of damage to plants. In this case, rare chemotypes would experience less damage than common chemotypes. We examined the chemotypes of sagebrush individuals from multiple sites and found that rare chemotypes experienced more damage than common chemotypes when herbivores were abundant. This pattern was seen among sites and among years with different densities of herbivores. This result is consistent with the hypothesis that herbivory selects for individuals that are effective communicators and shapes the communication system. [ABSTRACT FROM AUTHOR]