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How environmental features (e.g., people, enrichment, or other animals) affect movement is an important element for the study of animal behavior, biomechanics, and welfare. Here we present a stationary overhead camera-based persistent monitoring framework for the investigation of bottlenose dolphin (Tursiops truncatus) response to environmental stimuli. Mask R-CNN, a convolutional neural network architecture, was trained to automatically detect 3 object types in the environment: dolphins, people, and enrichment floats that were introduced to stimulate and engage the animals. Detected objects within each video frame were linked together to create track segments across frames. The animals’ tracks were used to parameterize their response to the presence of environmental stimuli. We collected and analyzed data from 24 sessions from bottlenose dolphins in a managed lagoon environment. The seasons had an average duration of 1 h and around half of them had enrichment (42%) while the rest (58%) did not. People were visible in the environment for 18.8% of the total time (∼4.5 h), more often when enrichment was present (∼3 h) than without (∼1.5 h). When neither enrichment nor people were present, the animals swam at an average speed of 1.2 m/s. When enrichment was added to the lagoon, average swimming speed decreased to 1.0 m/s and the animals spent more time moving at slow speeds around the enrichment. Animals’ engagement with the enrichment also decreased over time. These results indicate that the presence of enrichment and people in, or around, the environment attracts the animals, influencing habitat use and movement patterns as a result. This work demonstrates the ability of the proposed framework for the quantification and persistent monitoring of bottlenose dolphins’ movement, and will enable new studies to investigate individual and group animal locomotion and behavior.

ABSTRACT: This paper presents a micro-mechanical model of crack propagation in rock subject to mineral weathering. We focus on the example of biotite, which expands as it weathers and generates stresses on the surrounding rock matrix. Our approach is to model a rock Representative Elementary Volume as a composite made of a homogeneous matrix that contains ellipsoidal cracks of various orientations and ellipsoidal mineral inclusions that represent biotites. The mechanical properties of the bulk rock are obtained by two-step Mori-Tanaka homogenization. This model captures the propagation of anisotropic damage as a result of biotite weathering under various stress conditions, showing that weathering eigenstress dominates the propagation of micro-cracks over the deformation energy of the bedrock. Finite element simulations further show that biotite weathering changes the distribution and intensity of stress in the rock mass beyond the depth of the weathered zone. Simulations conducted for a sinusoidal topography with a sinusoidal weathering gradient out-of-phase with the topography show that the gradient of damage always follows the weathering gradient, regardless of biotite orientations. Simulations also show that the intensity of damage in each direction of space depends on the orientation of the biotite minerals, with higher damage for vertical bioites. 1 INTRODUCTION The expansion of biotite in granitic rock and regolith due to iron oxidation by meteoric waters is thought to generate enough stress to cause a breakdown in rock strength and initiate chemical weathering (Fletcher et al., 2006; Buss et al., 2008; Goodfellow et al., 2016). Goodfellow et al. (2016) showed evidence for distributed microcracking of the rock matrix surrounding biotite minerals upon oxidation and a coincident reduction in rock strength. How landscape-scale patterns of immobile regolith properties emerge from this microcracking is unknown. Since biotite only expands along the basal cleavage plane (Dong et al., 1998), rock with a dominant biotite orientation could exhibit different behavior and lead to immobile regolith with anisotropic properties (Leone et al., 2020).

Introduction: Trochlear dysplasia is a known risk factor for patellar dislocations yet normal trochlea development is not well described. This study will define the articular cartilage and subchondral trochlear morphology development in pediatric patients using MRI evaluation. Methods: Retrospective knee MRI review including patients aged 3-16 years with non-patellofemoral related diagnoses. ICD-9/ICD-10 codes identified eligible study patients. Measurements of the trochlea were made based on previously established methods using the axial MRI image just distal to the physis at the deepest portion of the trochlear groove. Three linear (Lateral Trochlear Height (LTH), Medial Trochlear Height (MTH), Central Trochlear Height (CTH)) and three angular (Sulcus Angle (SA), Lateral Trochlear Slope (LTS), Medial Trochlear Slope (MTS)) were made at the Articular Cartilage (AC) and Subchondral Bone (SCB) (Figure 1). Twelve measurements were made independently by two study authors. Interrater reliability was assessed. Trochlea measurements were summarized across age quartiles: 1st (age 5.1 - 8.3y), 2nd (8.3 - 11.5y), 3rd (11.5 - 14.3y), 4th (14.3 - 16.9y). Associations between age and trochlea measures were assessed using linear regression with Huber-White adjusted standard errors. Results: 246 knee MRIs from 230 patients were included in this study. 113 patients (51%) were female while 117 (49%) were male. 116 MRIs (47%) were of the Left knee and 130 (53%) were Right knee. Average patient age was 11.4±3.4 years. Interrater agreement was high (ICC values >0.7). Mean values for measurements are presented by age quartiles (Table 1). LTH, MTH, and CTH showed linear increase with age (range 2 to 2.6 mm per year, p0.05) however LTS and MTS measured at SCB showed significant increases with age (0.6 and 0.9 degrees per year, p0.05) however for MTH, LTH, and CTH, males were found to have a significantly greater growth rate (p

BACKGROUND Increased enrollment in government-based insurance plans has been reported. With youth sports injuries on the rise, increased ordering of advanced imaging such as magnetic resonance imaging (MRI) has occurred. This study sought to report on the impact of insurance type on access to and results of knee MRI in pediatric sports medicine patients. METHODS A retrospective review of 178 consecutive pediatric sports medicine clinics was completed. INCLUSION CRITERIA patients younger than 18 years, routine knee MRI ordered, sports medicine diagnosis, and insurance. Data included basic demographics, injury date, date and location (urgent care vs. clinic) of the first presentation, details of MRI ordering and approval, date and location of MRI follow-up, MRI results (negative, minor findings, major findings), and eventual treatment required. RESULTS A total of 168 charts underwent a complete review. The patients' average age was 14±3 years and 54% (N=90) were female. Ninety-eight had government insurance and 70 had commercial insurance. The time between injury and MRI completion was significantly longer with government insurance (34 vs. 67 d, P

Since SARS-CoV-2, the novel coronavirus that causes coronavirus disease 2019 (COVID-19), was first detected in December 2019 (1), approximately 1.3 million cases have been reported worldwide (2), including approximately 330,000 in the United States (3). To conduct population-based surveillance for laboratory-confirmed COVID-19-associated hospitalizations in the United States, the COVID-19-Associated Hospitalization Surveillance Network (COVID-NET) was created using the existing infrastructure of the Influenza Hospitalization Surveillance Network (FluSurv-NET) (4) and the Respiratory Syncytial Virus Hospitalization Surveillance Network (RSV-NET). This report presents age-stratified COVID-19-associated hospitalization rates for patients admitted during March 1-28, 2020, and clinical data on patients admitted during March 1-30, 2020, the first month of U.S. surveillance. Among 1,482 patients hospitalized with COVID-19, 74.5% were aged ≥50 years, and 54.4% were male. The hospitalization rate among patients identified through COVID-NET during this 4-week period was 4.6 per 100,000 population. Rates were highest (13.8) among adults aged ≥65 years. Among 178 (12%) adult patients with data on underlying conditions as of March 30, 2020, 89.3% had one or more underlying conditions; the most common were hypertension (49.7%), obesity (48.3%), chronic lung disease (34.6%), diabetes mellitus (28.3%), and cardiovascular disease (27.8%). These findings suggest that older adults have elevated rates of COVID-19-associated hospitalization and the majority of persons hospitalized with COVID-19 have underlying medical conditions. These findings underscore the importance of preventive measures (e.g., social distancing, respiratory hygiene, and wearing face coverings in public settings where social distancing measures are difficult to maintain)† to protect older adults and persons with underlying medical conditions, as well as the general public. In addition, older adults and persons with serious underlying medical conditions should avoid contact with persons who are ill and immediately contact their health care provider(s) if they have symptoms consistent with COVID-19 (https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html) (5). Ongoing monitoring of hospitalization rates, clinical characteristics, and outcomes of hospitalized patients will be important to better understand the evolving epidemiology of COVID-19 in the United States and the clinical spectrum of disease, and to help guide planning and prioritization of health care system resources.

Background: Inhaled bronchodilators are frequently used among patients with primary ciliary dyskinesia (PCD), although neither the effectiveness nor the prevalence of their use is known, due to the paucity of relevant studies. Methods: This is a retrospective analysis of pre- and post-bronchodilator spirometry results, of patients with PCD from two centers. Correlations were examined of bronchodilator response, with asthma and atopy markers. Results: Of 115 patients, 46 (40%) completed spirometry pre- and post-bronchodilation. Of these, 26 (56.5%) demonstrated reversible airway obstruction (increase in %FEV1 predicted ≥ 10%). Obstruction reversibility was not found to be associated with a family history of asthma, blood eosinophil level, elevated IgE, or atopy symptoms. Of the 46 patients who completed bronchodilator spirometry, 29 (63%) were regularly using bronchodilators and inhaled corticosteroids. Conclusions: More than half of patients with PCD presented with reversible airway obstruction, without any correlation to markers of personal or familial atopy. Inhaled bronchodilators and corticosteroid therapies are commonly used for treating PCD. Evaluating bronchodilator response should be considered, and its effectiveness should be further studied.

Although it has been long understood that rock properties strongly modulate the chemical and physical transformation of rock to regolith, recent studies highlight the central role of mechanical fracturing in the shallow subsurface. Competing hypotheses for how fractures co-evolve with surface processes suggest either that topographic stresses enhance or dampen the potential for fracture propagation, or alternatively suggest that fracture growth depends on the coupling between subsurface hydrology and weathering reactions. Both end-member models produce predictable and systematic spatial patterns of subsurface fracture distributions. To elucidate the processes responsible for the development of asymmetric hillslope topography and critical zone structure, we combine direct observations of subsurface fracture distributions in boreholes, indirect measures of subsurface rock properties inferred from seismic refraction surveys, and geochemical variations from subsurface samples at a small, shale-underlain catchment in central Pennsylvania. Our results reveal that seismic P-wave velocity profiles are consistent with subsurface fracture densities and zones of chemical depletion observed in boreholes, but that these distributions co-vary with hillslope aspect. Simple models of frost cracking show that, while modern climates are not conducive to subsurface segregation ice growth, asymmetric fracture distributions could have been achieved by subtle differences in aspect-related microclimates driving freeze-thaw during past periglacial climates. The spatial co-variance among fracture density, hillslope gradient, regolith depth, and regolith transport efficiency is consistent with chemo-mechanical damage arising from microclimatic conditions governing the long-term architecture of this watershed. Thus, damage driven by climate could explain the asymmetric topography observed today.

INTRODUCTION Diversity has increased within youth sports. It is unknown whether these demographic or socioeconomic factors affect adolescent patients' and their guardians' preferences of sports medicine physicians and involvement in medial decision making. Demographic and socioeconomic factors may affect adolescent patient and guardian preferences for sports medicine physicians. METHODS Patients, age 10 to 18 years, and their guardians presenting to two sports medicine offices were asked to complete matched, anonymous surveys assessing their preferences for medical decision making, sports medicine physician gender, and personality characteristics. Analysis of demographic and socioeconomic effects on preferences was completed. RESULTS Matched survey responses were collected from 353 patients and 325 corresponding guardians. Patient average age was 14.6 years (SD 2.1), with 43% female. Guardian average age was 43.4 years (SD 8.3), with 79% female. For both patients and guardians, the highest valued physician characteristic was being a good listener. Overall, 21% of patients and 17% of guardians reported a physician gender preference that matched the gender of the patient. Among all female patients, 32% preferred a female physician. Among all male patients, 12% preferred a male physician (P < 0.001). Ninety-two percent of patients reported wanting to be involved, and 93% of guardians thought that their child should be involved in the decision-making process. Hispanic, non-White, non-English speaking, government or no insurance, or less than college level of education patients and guardians reported a significantly greater importance of the physician independently determining the treatment plan (P < 0.001). CONCLUSIONS Demographic and socioeconomic factors do affect adolescent patient and guardian preferences for sports medicine physicians. Young patients have a desire to be included in the medical decision-making process. Female adolescent patients may have a same-gender preference for their sports medicine physician. STUDY DESIGN This is a prospective, cohort study.

Background and objectives Ischemic events, such as ischemic heart disease and stroke, are the number one cause of death globally. Ischemia prevents blood, carrying essential nutrients and oxygen, from reaching tissues, leading to cell and tissue death, and eventual organ failure. While humans are relatively intolerant to ischemic events, other species, such as marine mammals, have evolved a unique tolerance to chronic ischemia/reperfusion during apneic diving. To identify possible molecular features of an increased tolerance for apnea, we examined changes in gene expression in breath-holding dolphins. Methodology Here, we capitalized on the adaptations possesed by bottlenose dolphins (Tursiops truncatus) for diving as a comparative model of ischemic stress and hypoxia tolerance to identify molecular features associated with breath holding. Given that signals in the blood may influence physiological changes during diving, we used RNA-Seq and enzyme assays to examine time-dependent changes in gene expression in the blood of breath-holding dolphins. Results We observed time-dependent upregulation of the arachidonate 5-lipoxygenase (ALOX5) gene and increased lipoxygenase activity during breath holding. ALOX5 has been shown to be activated during hypoxia in rodent models, and its metabolites, leukotrienes, induce vasoconstriction. Conclusions and implications The upregulation of ALOX5 mRNA occurred within the calculated aerobic dive limit of the species, suggesting that ALOX5 may play a role in the dolphin’s physiological response to diving, particularly in a pro-inflammatory response to ischemia and in promoting vasoconstriction. These observations pinpoint a potential molecular mechanism by which dolphins, and perhaps other marine mammals, respond to the prolonged breath holds associated with diving.

Research into the epigenome is of growing importance as a loss of epigenetic control has been implicated in the development of neurodegenerative diseases. Previous studies have implicated aberrant DNA and histone methylation in multiple sclerosis (MS) disease pathogenesis. We have previously reported that the methyl donor betaine is depleted in MS and is linked to changes in histone H3 trimethylation (H3K4me3) in neurons. We have also shown that betaine increases histone methyltransferase activity by activating chromatin bound betaine homocysteine S-methyltransferase (BHMT). Here, we investigated the role of the BHMT-betaine methylation pathway in oligodendrocytes. Immunocytochemistry in the human MO3.13 cell line, primary rat oligodendrocytes, and tissue from MS postmortem brain confirmed the presence of the BHMT enzyme in the nucleus in oligodendrocytes. BHMT expression is increased 2-fold following oxidative insult, and qRT-PCR demonstrated that betaine can promote an increase in expression of oligodendrocyte maturation genes SOX10 and NKX-2.2 under oxidative conditions. Chromatin fractionation provided evidence of a direct interaction of BHMT on chromatin and co-IP analysis indicates an interaction between BHMT and DNMT3a. Our data show that both histone and DNA methyltransferase activity are increased following betaine administration. Betaine effects were shown to be dependent on BHMT expression following siRNA knockdown of BHMT. This is the first report of BHMT expression in oligodendrocytes and suggests that betaine acts through BHMT to modulate histone and DNA methyltransferase activity on chromatin. These data suggest that methyl donor availability can impact epigenetic changes and maturation in oligodendrocytes.

Author(s): Wortham, Jonathan M; Meador, Seth A; Hadler, James L; Yousey-Hindes, Kimberly; See, Isaac; Whitaker, Michael; O'Halloran, Alissa; Milucky, Jennifer; Chai, Shua J; Reingold, Arthur; Alden, Nisha B; Kawasaki, Breanna; Anderson, Evan J; Openo, Kyle P; Weigel, Andrew; Monroe, Maya L; Ryan, Patricia A; Kim, Sue; Reeg, Libby; Lynfield, Ruth; McMahon, Melissa; Sosin, Daniel M; Eisenberg, Nancy; Rowe, Adam; Barney, Grant; Bennett, Nancy M; Bushey, Sophrena; Billing, Laurie M; Shiltz, Jess; Sutton, Melissa; West, Nicole; Talbot, H Keipp; Schaffner, William; McCaffrey, Keegan; Spencer, Melanie; Kambhampati, Anita K; Anglin, Onika; Piasecki, Alexandra M; Holstein, Rachel; Hall, Aron J; Fry, Alicia M; Garg, Shikha; Kim, Lindsay | Abstract: ObjectivesSome studies suggested more COVID-19-associated hospitalizations among racial and ethnic minorities. To inform public health practice, the COVID-19-associated Hospitalization Surveillance Network (COVID-NET) quantified associations between race/ethnicity, census tract socioeconomic indicators, and COVID-19-associated hospitalization rates.MethodsUsing data from COVID-NET population-based surveillance reported during March 1-April 30, 2020 along with socioeconomic and denominator data from the US Census Bureau, we calculated COVID-19-associated hospitalization rates by racial/ethnic and census tract-level socioeconomic strata.ResultsAmong 16,000 COVID-19-associated hospitalizations, 34.8% occurred among non-Hispanic White (White) persons, 36.3% among non-Hispanic Black (Black) persons, and 18.2% among Hispanic or Latino (Hispanic) persons. Age-adjusted COVID-19-associated hospitalization rate were 151.6 (95% Confidence Interval (CI): 147.1-156.1) in census tracts with g15.2%-83.2% of persons living below the federal poverty level (high-poverty census tracts) and 75.5 (95% CI: 72.9-78.1) in census tracts with 0%-4.9% of persons living below the federal poverty level (low-poverty census tracts). Among White, Black, and Hispanic persons living in high-poverty census tracts, age-adjusted hospitalization rates were 120.3 (95% CI: 112.3-128.2), 252.2 (95% CI: 241.4-263.0), and 341.1 (95% CI: 317.3-365.0), respectively, compared with 58.2 (95% CI: 55.4-61.1), 304.0 (95%: 282.4-325.6), and 540.3 (95% CI: 477.0-603.6), respectively, in low-poverty census tracts.ConclusionsOverall, COVID-19-associated hospitalization rates were highest in high-poverty census tracts, but rates among Black and Hispanic persons were high regardless of poverty level. Public health practitioners must ensure mitigation measures and vaccination campaigns address needs of racial/ethnic minority groups and people living in high-poverty census tracts.

Background: Isolated pediatric lateral ankle injuries, including ankle sprain (AS) and nondisplaced Salter-Harris type 1 (SH-1) distal fibular fracture, are common orthopaedic sports-related injuries. Variability in treatment is suspected among pediatric orthopaedic surgeons. Complications from medical treatment or lack thereof have not been reported in this population. Purpose: The purpose of this study was to investigate treatment variability and associated complications after pediatric AS and SH-1 via a survey of members of the Pediatric Orthopaedic Society of North American (POSNA). Study Design: Cross-sectional study. Level of evidence, 5. Methods: A voluntary, anonymous survey was distributed to POSNA membership (approximately 1400 members) via email. Survey questions, specific to both grade 1 or 2 AS and nondisplaced or minimally displaced SH-1 injuries in skeletally immature patients, focused on initial evaluation, immobilization, return to sports, and complications. We analyzed variability both in treatment between AS and SH-1 injury and in respondent characteristics. For statistical analysis, chi-square or Fisher exact test was used for categorical variables, and analysis of variance was used for continuous variables. Results: The survey response rate was 16.4% (229/1400). Of the respondents, 27.7% used examination only to distinguish between AS and SH-1, whereas 18.7% performed serial radiography to aid with diagnosis. A controlled ankle motion boot or walking boot was the most common immobilization technique for both AS (46.3%) and SH-1 (55.6%); the second most common technique was bracing in AS (33.5%) and casting in SH-1 (34.7%). Approximately one-third of all respondents recommended either outpatient or home physical therapy for AS, whereas only 11.4% recommended physical therapy for SH-1 ( P < .01). Results showed that 81.2% of respondents reported no complications for SH-1 treatment and 87.8% reported no complications for AS treatment. Cast complications were reported by 9.6% for SH-1 and 5.2% for AS. Rare SH-1 complications included distal fibular growth arrest, infection, nonunion, late fracture displacement, and recurrent fracture. Conclusion: Significant variability was found in primary treatment of pediatric AS and SH-1 injuries. Rare complications from injury, treatment, and neglected treatment after SH-1 and AS were reported.

Shared positive emotions involving caring and synchrony—termed “positivity resonance”—are associated with mental health (Major et al., 2018). We hypothesized that, during the COVID-19 pandemic, individual differences in trait resilience would be linked with better overall mental health in part because those higher in trait resilience experience more positivity resonance. We surveyed respondents nationally in April and May of 2020 (total N = 1,059), during pervasive stay-at-home orders. Participants completed self-reports of trait resilience and mental health and used the Day Reconstruction Method to describe their social and emotional experiences. Structural equation models showed positivity resonance to mediate the links between trait resilience and mental health outcomes. Subsequent analyses showed these mediating effects to be independent of overall positive emotion and social interaction quantity (amongst nationwide adults). These results indicate that high-quality social connection played a uniquely important role in maintaining mental health during the COVID-19 pandemic.

RNA oxidation has been implicated in neurodegeneration, but the underlying mechanism for such effects is unclear. Recently, we demonstrated extensive RNA oxidation within the neurons in multiple sclerosis (MS) brain. In this report we identified selectively oxidized mRNAs in neuronal cells that pertained to neuropathological pathways. N-acetyl aspartate transferase 8 like (NAT8L) mRNA is one such transcript, whose translated product enzymatically synthesizes N-acetyl aspartic acid (NAA), a neuronal metabolite important for myelin synthesis. We reasoned that impediment of translation of an oxidizedNAT8LmRNA will result in reduction in its cognate protein, thus lowering NAA level. This assertion is directly supported by our studies on a model cellular system, an MS animal model and postmortem human MS brain. Reduced NAA level in the brain hampers myelin integrity making neuronal axons more susceptible to damage, which contributes in MS neurodegeneration. Overall, this work provides a framework for mechanistic understanding of the link between RNA oxidation and neurodegenerative diseases.

Landscapes are thought to respond to changes in relative base level through the upstream propagation of a boundary that delineates relict from adjusting topography. However, spatially-variable rock strength can influence the topographic expression of such transient landscapes, especially in layered rocks, where strength variations can mask topographic signals expected due to changes in climate or tectonics. Here, we analyze the landscape response to base-level fall in Young Womans Creek, a 220 km2 catchment on the Appalachian Plateau, USA underlain by gently folded Paleozoic sedimentary rocks. We measured in situ 10Be concentrations in stream sands from 17 nested watersheds, and used a spatially-distributed model of sediment and 10Be production to constrain a threefold increase in the rate of base-level fall propagating upstream from the catchment outlet. Using lidar topography and a nearby detailed stratigraphic section, we map the extent of continuous, blocky, resistant sandstone strata that act as a caprock overlying more easily erodible sandstones and siltstones. The caprock influences landscape response in two ways. First, it serves as a boundary between slowly eroding (11.5 m Myr−1), low-sloping (3–5°) areas of relict topography and lower, steeper portions of the landscape adjusting to base-level fall. Second, hillslopes supported by the overlying caprock are armored with coarse sediment and are significantly steeper (20–30°) than hillslopes where the caprock has been eroded (10°), despite having similar erosion rates (36 m Myr−1) and bedrock substrate. Our results illustrate how gently dipping, layered rocks engender complicated relationships between lithology, topography and erosion rate, highlighting the importance of understanding how rock material properties influence surface processes and landscape evolution.

The piwi interacting RNAs (piRNAs) are small non-coding RNAs that specifically bind to the PIWI proteins, a functional requirement. The piRNAs regulate germline development, transposons control, and gene expression. However, piRNA-mediated post-transcriptional gene regulation in human somatic cells is not well understood. We discovered a human piRNA (piR-FTH1) which has a complementary sequence in the ferritin heavy chain 1 (Fth1) mRNA. We demonstrated that expression of piR-FTH1 and Fth1 are inversely correlated in the tested tumor cell lines. We found that piR-FTH1 negatively regulates the Fth1 expression at post-transcriptional level in triple negative breast cancer (TNBC) cells. Additionally, we confirmed that transfected piR-FTH1 knocks down the Fth1 mRNA via the HIWI2 and HILI mediated mechanism. piR-FTH1 mediated Fth1 repression also increased doxorubicin sensitivity by a remarkable 20-fold in TNBC cells. Since the current piRNA-mediated knockdowns of target mRNA are mostly reported in germ line cells, piRNA-mediated post-transcriptional gene regulation in somatic cells is rather unique in its application and mechanistically uses an alternative pathway to siRNA and miRNA. This work begins to lay the groundwork with a broader impact on treatment of various diseases that are linked to elevated levels of specific mRNAs which have a piRNA target.

EON-ROSE (Earth-System Observing Network - Réseau d’Observation du Système terrestrE) is a new initiative for a pan-Canadian research collaboration to holistically examine Earth systems from the ionosphere into the core. The Canadian Cordillera Array (CC Array) is the pilot phase, and will extend across the Cordillera from the Beaufort Sea to the U.S. border. The vision for EON-ROSE is to install a network of telemetered observatories to monitor solid Earth, environmental and atmospheric processes. EON-ROSE is an inclusive, combined effort of Canadian universities, federal, provincial and territorial government agencies, industry, and international collaborators. Brainstorming sessions and several workshops have been held since May 2016. The first station will be installed at Kluane Lake Research Station in southwestern Yukon during the summer of 2018. The purpose of this report is to provide a framework for continued discussion and development.RÉSUMÉEON-ROSE (Earth-System Observing Network - Réseau d’Observation du Système terrestrE) est une nouvelle initiative de collaboration de recherche pancanadienne visant à étudier de manière holistique les systèmes terrestres, depuis l’ionosphère jusqu’au noyau. Le Réseau canadien de la cordillère (CC Array) en est la phase pilote, laquelle couvrira toute la Cordillère, de la mer de Beaufort jusqu’à la frontière étasunienne. L’objectif d’EON-ROSE est d’installer un réseau d’observatoires télémétriques pour suivre en continu les processusterrestres, environnementaux et atmosphériques. EON-ROSE est un effort combiné et inclusif des universités canadiennes, des organismes gouvernementaux fédéraux, provinciaux et territoriaux, de l’industrie et de collaborateurs internationaux. Des séances de remue-méninges et plusieurs ateliers ont été tenus depuis mai 2016. La première station sera installée à la station de recherche du lac Kluane, dans le sud-ouest du Yukon, au cours de l’été 2018. Le but du présent rapport est de fournir un cadre de discussion et de développement continu.

OBJECTIVES: Shigella species are the third most common cause of bacterial gastroenteritis in the United States. During a Shigella sonnei outbreak in Oregon from July 2015 through June 2016, Shigella cases spread among homeless persons with onset of the wettest rainy season on record. METHODS: We conducted time series analyses using Poisson regression to determine if a temporal association between precipitation and shigellosis incidence existed. Models were stratified by housing status. RESULTS: Among 105 infections identified, 45 (43%) occurred in homeless persons. With increasing precipitation, cases increased among homeless persons (relative risk [RR] = 1.36 per inch of precipitation during the exposure period; 95% confidence interval [CI] = 1.17–1.59), but not among housed persons (RR = 1.04; 95% CI 0.86–1.25). CONCLUSIONS: Heavy precipitation likely contributed to shigellosis transmission among homeless persons during this outbreak. When heavy precipitation is forecast, organizations working with homeless persons could consider taking proactive measures to mitigate spread of enteric infections. Published by Elsevier Ltd on behalf of The British Infection Association.

The Susquehanna Shale Hills Critical Zone Observatory (SSHCZO) was established to investigate the form, function, and dynamics of the critical zone developed on sedimentary rocks in the Appalachian Mountains in central Pennsylvania. When first established, the SSHCZO encompassed only the Shale Hills catchment, a 0.08-km subcatchment within Shaver’s Creek watershed. The SSHCZO has now grown to include 120 km of the Shaver’s Creek watershed. With that growth, the science team designed a strategy to measure a parsimonious set of data to characterize the critical zone in such a large watershed. This parsimonious design includes three targeted subcatchments (including the original Shale Hills), observations along the main stem of Shaver’s Creek, and broad topographic and geophysical observations. Here we describe the goals, the implementation of measurements, and the major findings of the SSHCZO by emphasizing measurements of the main stem of Shaver’s Creek as well as the original Shale Hills subcatchment.

Critical Zone (CZ) science is entering its second decade. A new generation of scientists is emerging trained specifically in CZ science and are contributing to advances in environmental science across disciplines. Concurrently, the global scope of CZ science is being elevated as new countries invest in Critical Zone Observatories. Global CZ science has great potential to address a diverse array of questions beyond any single discipline. In this commentary we discuss a series of CZ science grand challenges that should be targeted by early-career researchers: understanding water availability in the CZ; expanding CZ science into new environments; communicating the societal relevance of CZ science including earthcasting to the public; seamlessly integrating biological sciences within the CZ framework; and scaling CZ processes over large spatial and temporal gradients. Targeting these grand challenges will push CZ science well into the future. We also highlight mechanisms for increased leadership within the CZ community.

BackgroundInfectious disease forecasting aims to predict characteristics of both seasonal epidemics and future pandemics. Accurate and timely infectious disease forecasts could aid public health responses by informing key preparation and mitigation efforts.Main bodyFor forecasts to be fully integrated into public health decision-making, federal, state, and local officials must understand how forecasts were made, how to interpret forecasts, and how well the forecasts have performed in the past. Since the 2013–14 influenza season, the Influenza Division at the Centers for Disease Control and Prevention (CDC) has hosted collaborative challenges to forecast the timing, intensity, and short-term trajectory of influenza-like illness in the United States. Additional efforts to advance forecasting science have included influenza initiatives focused on state-level and hospitalization forecasts, as well as other infectious diseases. Using CDC influenza forecasting challenges as an example, this paper provides an overview of infectious disease forecasting; applications of forecasting to public health; and current work to develop best practices for forecast methodology, applications, and communication.ConclusionsThese efforts, along with other infectious disease forecasting initiatives, can foster the continued advancement of forecasting science.

The hydrologic connectivity between hillslopes and streams impacts the geomorphological evolution of catchments. Here, we propose a conceptual model for hydrogeomorphological evolution of the Susquehanna Shale Hills Critical Zone Observatory (SSHCZO), a first-order catchment developed on shale in central Pennsylvania, U.S.A. At SSHCZO, the majority of available water (the difference between incoming meteoric water and outgoing evapotranspiration) flows laterally to the catchment outlet as interflow, while the rest is transported by regional groundwater flow. Interflow, shallow hillslope flow, is limited to the upper 5 to 8 m of highly fractured bedrock, thought to have formed during periglacial conditions in the late Pleistocene. In contrast, groundwater flowpaths are influenced by the primary permeability of the varying stratigraphic units. Both flowpaths respond to weathering-related secondary permeability. O2-rich interflow mixes with deep O2-poor groundwater under the catchment outlet at depths of 5–8 m. Penetration of this oxygenated interflow under the valley results in pyrite oxidation, release of sulfuric acid, dissolution of minerals, and weakening of bedrock. This is hypothesized to enhance channel incision and, in turn, to promote drainage of deep groundwater from the ridges. Drainage subsequently lowers the catchment water table, advancing the cascade of reactions that produce regolith. Weathering in the catchment is characterized by both sharp and diffuse reaction fronts. Relatively sharp fronts (pyrite, carbonate) mark where vertical, unsaturated flow changes to horizontal, saturated flow, while diffuse fronts (illite, chlorite, feldspar) mark where flow is largely vertical and unsaturated. According to this model, catchment morphology reflects subsurface pyrite reactions due to mixing of interflow and groundwater flow under the valley floor that ultimately results in clay weathering and regolith production nearer the land surface.

The application of multiple isotope proxies on the same location within a Critical Zone (CZ), which we term “CZ-tope”, elucidates the interactions of geochemical, geomorphological, hydrological and biological processes together with anthropogenic influences in the CZ across widely disparate timescales. We exemplify the CZ-tope approach by summarizing the emerging hypotheses developed from isotopic measurements at the Susquehanna Shale Hills CZ Observatory (SSHCZO), Pennsylvania (U.S.A). At SSHCZO, measurements of U-series isotopes and meteoric 10Be in regolith provide evidence that the catchment is approaching a steady state at the ridgetops where regolith production is balanced by erosive loss. Isotopic measurements of δ13C, 87Sr/86Sr, and δ34S in the regolith, bedrock and water, together with 3H, δ2H and δ18O in various water reservoirs (precipitation, soil water, stream water and groundwater) support the hypothesis that nested reaction fronts have developed in the subsurface over timescales of millennia. Combinations of U-series and meteoric 10Be in bedrock and regolith and measurements of soil water δ18O led to the hypothesis that freeze-thaw is the dominant soil creep mechanism controlling regolith fluxes and hillslopes. Utilizing the CZ-tope approach of measuring δ26Mg, δ56Fe and δ11B isotopes on identical samples, we also developed a working hypothesis that particle transport in the subsurface represents a significant weathering loss from the catchment. Likewise, the use of δ18O, Ge/Si and 87Sr/86Sr ratios in xylem source waters (precipitation, soil, stream- and ground-), along with 87Sr/86Sr ratios from soils, led to the hypothesis that O isotope fractionation occurs near clay surfaces. Finally, analyses of 206Pb/204Pb, 207Pb/204Pb, 208Pb/204Pb and 137Cs in soil from hillslope profiles have also revealed the imprint of widespread human activity. CZ-tope — the interpretation of multiple elements' isotopic ratios quantified for identical samples in one landscape — thus paints an emerging picture of SSHCZO as a relatively fast-eroding but slow-weathering landscape in which: i) nutrients are tightly cycled by vegetation, ii) soils move downslope largely by freeze-thaw, iii) subsurface particle transport is an important flux for mass loss, iv) mobile and immobile reservoirs act to fractionate water and cations into trees and stream water, and v) the imprint of humans is manifested in the metal contents of the topsoil.

For critical ill patients, the use of a blood gas analyzer (BGA) rather than central laboratory instruments (CL) for biochemical and hematological parameters is common due to more convenient monitoring. Potential significant differences between the methods could be misleading. This study aimed to confirm the agreement between the BGA and CL results and to analyze the effects of inter-methods bias on medical decisions. Blood samples from arterial lines were collected in the Cardio Surgical Intensive Care Unit simultaneously for gas analyses (RapidPoint 500, Siemens, Erlangen, Germania) and CL ( $D{\times}C$ 880i and $D{\times} H$ 800 (Beckman Coulter, Fullerton, CA, USA) determinations. Methods were compared using Passing-Bablok (PB) regression and Bland Altman analysis. Positive and negative false results of the BGA tests were calculated considering the reference CL tests at critical values for glucose (70, 150 and 180 mg/dL), hemoglobin (7 and 10 g/dL), potassium (3.5–5 mEq/L), sodium (135–145 mEq/L) and lactate (6.5–19.3 mg/dL). PB regression did not show a significant deviation from linearity for all of the parameters; proportional and constant differences were observed for hemoglobin, potassium, and lactate. Intercept and slope of sodium and glucose regression line were significantly different from zero and one respectively. Only the potassium, lactate, and glucose bias estimations were acceptable. However, for hemoglobin it was possible to significantly lower negative false results using PB transformed data. Only the glucose, potassium and lactate results, using both methods, were interchangeable; however the hemoglobin adjustment of BGA values based on PB regression might represent a safer solution.

The piwi-interacting RNAs (piRNAs) are small non-coding RNAs, mostly 24–32 nucleotides in length. The piRNAs are not known to have any conserved secondary structure or sequence motifs. Using bioinformatics analysis, we discovered the presence of putative G-quadruplex (GQ) forming sequences in human piRNAs. We studied human piR-48164/piR-GQ containing a potential GQ forming sequence and using biochemical and biophysical techniques confirmed its ability to form a GQ. Using EMSA, we discovered that the formation of GQ structure led to inhibition of the piRNA binding to the HIWI-PAZ domain as well as the complementary base pairing to a target RNA. The inability of the piR-GQ to interact with the PIWI protein might be detrimental to the function of the piRNA. To investigate if the formation of a GQ structure in piRNA prevents its target gene silencing in vivo, we used a reporter assay. The piR-GQ failed to inhibit the reporter gene expression while a mutated version that lacked the ability to form GQ inhibited reporter gene expression indicating that the presence of GQ in piRNA is detrimental to its function. These studies unraveled the dependence of a piRNA's functionality on an RNA secondary structure and added a new layer of regulation to their function.

Amblyopia is a preventable, sight stealing disorder with a prevalence of approximately 2-4 percent in the U.S. pediatric population. Identifying efficacious, early stage screening modalities is of critical importance to sustain quality of vision and quality of life. This project assessed the quality of screening methods used in the Children's Vision Screening Initiative (CVSI), administered by Northern Plains Eye Foundation in collaboration with Western South Dakota Lions Clubs, by comparing to data collected in follow-up appointments at professional eye care clinics.Data from 120 cases for children ages 6 months-12 years collected between February 2014 to July 2016 were compared. Only cases that had undergone initial screening by CVSI using a SPOT photoscreener device and that attended a subsequently scheduled eye care professional referral follow-up appointment were evaluated. SPOT screening performance measures on detecting amblyopia risk factors and the accuracy of refractive error data were evaluated.Review of professional evaluations showed that 23 percent of cases referred by SPOT screening had detectable amblyopia and 82 percent of all cases referred were found to be in need of further therapy as a result of examination findings. The SPOT device showed fair sensitivity and good specificity in the detection of astigmatism (76 percent/86 percent), strabismus (50 percent/96 percent), and anisometropia (75 percent/90 percent).Vision screening performed using the SPOT device represents a valuable modality that is easily employable and can provide tremendous benefit to children in the state of South Dakota.

Over 10 million people every year become infected by Treponema pallidum and develop syphilis, a disease with broad symptomatology that, due to the difficulty to eradicate the pathogen from the highly vascularized secondary sites of infection, is still treated with injections of penicillin. Unlike most other bacterial pathogens, T. pallidum infection produces indeed a strong angiogenic response whose mechanism of activation, however, remains unknown. Here, we report that one of the major antigen of T. pallidum, the TpF1 protein, has growth factor-like activity on primary cultures of human endothelial cells and activates specific T cells able to promote tissue factor production. The growth factor-like activity is mediated by the secretion of IL-8 but not of VEGF, two known angiogenic factors. The pathogen's factor signals IL-8 secretion through the activation of the CREB/NF-κB signalling pathway. These findings are recapitulated in an animal model, zebrafish, where we observed that TpF1 injection stimulates angiogenesis and IL-8, but not VEGF, secretion. This study suggests that the angiogenic response observed during secondary syphilis is triggered by TpF1 and that pharmacological therapies directed to inhibit IL-8 response in patients should be explored to treat this disease.

Although variations in insolation and emergent feedbacks among soil moisture, vegetation, and soil cohesion are commonly invoked to explain topographic asymmetry that depends on aspect, few studies have directly quantified the efficiency of regolith transport along hillslopes of opposing aspect. We utilize meteoric 10 Be concentrations in regolith (n = 74) to determine mass flux along equatorial-facing and polar-facing hillslopes in three forested upland watersheds in and adjacent to the Susquehanna Shale Hills Critical Zone Observatory in central Pennsylvania (USA). In combination with regolith depth measurements and high-resolution topography, these fluxes allow us to evaluate transport rate laws and the efficiency of regolith creep. Concentrations of meteoric 10 Be in regolith along six separate transects imply that regolith flux is similar along all hillslopes, despite differences in topographic gradient and regolith thickness. Comparison of flux with regolith depth and topographic gradient reveals that transport depends on regolith depth, and that regolith creep is twice as efficient along low-gradient, south-facing slopes with thin regolith as compared to steep, north-facing slopes mantled with thicker regolith. We suggest that the observed topographic asymmetry in these watersheds has evolved over geologic time as a result of differences in the frequency of freeze-thaw events between hillslopes of opposing aspect.

Background Pseudomonas aeruginosa is intrinsically resistant to many commonly used antimicrobials and carbapenems are often required to treat infections. We describe the epidemiology and crude incidence of carbapenem-resistant P. aeruginosa(CRPA) in the EIP catchment area. Methods From August 1, 2016 through July 31, 2017, we conducted laboratory- and population-based surveillance for CRPA in selected metropolitan areas in Colorado, Georgia, Maryland, Minnesota, New Mexico, New York, Oregon, and Tennessee. We defined an incident case as the first isolate of P. aeruginosa-resistant to imipenem, meropenem, or doripenem from the lower respiratory tract, urine, wounds, or normally sterile sites identified from a resident of the EIP catchment area in a 30-day period. Patient charts were reviewed. A random sample of isolates was screened at CDC for carbapenemases using the modified carbapenem inactivation method (mCIM) and real-time PCR. Results During the 12-month period, we identified 3,042 incident cases among 2,154 patients. The crude incidence rate was 21.2 (95% CI, 20.4–21.9) per 100,000 persons and varied by site (range: 7.7 in Oregon to 31.1 in Maryland). The median age of patients was 64 years (range: Conclusion The burden of CRPA varied by EIP site. Most cases occurred in persons with healthcare exposures and underlying conditions. The majority of isolates were susceptible to at least one first-line antimicrobial. Carbapenemase producers were rare; a more specific phenotypic definition would greatly facilitate surveillance for these isolates. Disclosures All authors: No reported disclosures.

Background Pseudomonas aeruginosa is intrinsically resistant to many commonly used antimicrobials, and carbapenems are often required to treat infections. We describe the crude incidence, epidemiology, and molecular characteristics of carbapenem-resistant P. aeruginosa (CRPA) in the EIP catchment area. Methods From August 1, 2016 through July 31, 2018, we conducted laboratory- and population-based surveillance for CRPA in selected areas in eight sites. We defined a case as the first isolate of P. aeruginosa resistant to imipenem, meropenem, or doripenem from the lower respiratory tract, urine, wounds, or normally sterile sites identified from a resident of the EIP catchment area in a 30-day period. Patient charts were reviewed. Analysis excluded cystic fibrosis patients. A random sample of isolates was collected. Real-time PCR to detect carbapenemase genes and whole-genome sequencing are in progress. Results We identified 4,209 cases in 3373 patients. The annual incidence was 14.50 (95% CI, 14.07–14.94) per 100,000 persons and varied among sites from 4.89 in OR to 25.21 in NY. The median age of patients was 66 years (range: < 1–101), 42.1% were female, and nearly all (97.5%) had an underlying condition. Most cases were identified from urine (42.8%) and lower respiratory tract (35.7%) cultures. Nearly all (93.3%) occurred in patients with inpatient healthcare facility stay, surgery, chronic dialysis, or indwelling devices in the prior year; death occurred in 7.2%. Among 937 isolates tested, 847 (90.4%) underwent PCR; six (0.7%) harbored a carbapenemase, from four sites (CO, MD, NY, and OR): blaVIM (3), blaKPC (2), and blaIMP (1). Of 612 (65.3%) isolates sequenced, the most common ST types were ST235 (9.2%) and ST298 (4.9%). Conclusion Carbapenemases were rarely the cause of carbapenem resistance but were found at EIP sites with high and low CRPA incidence. The emergence of mobile carbapenemases in P. aeruginosa has the potential to increase the incidence of CRPA. Increased detection and early response to carbapenemase-producing CRPA is key to prevent further emergence. Disclosures All authors: No reported disclosures.