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Recent upticks of stimulant presence in overdose deaths suggest the opioid epidemic is morphing, which raises questions about what drugs are involved and who is impacted. We investigate annual and growth rate trends in combined opioid-stimulant overdose toxicology between 2013 and 2019 for White, Black, and Hispanic male and female decedents in Delaware. During these years, toxicology shifted to illegal drugs for all with fentanyl leading the increase and opioid-cocaine combinations rising substantially. While combined opioid-cocaine toxicology grew among Black and Hispanic Delawareans, White males continue to report the highest rates overall. These findings depart from historical patterns and may challenge existing opioid epidemic policies. [ABSTRACT FROM AUTHOR]

To investigate the association between sensory loss and the timing and type of self-reported departures from the labor force, via retirement or disability, we used data from the Health and Retirement Study, cycles 2004–2018. Based on self-reported sensory loss, we classified individuals into four groups: no sensory loss, hearing loss only, vision loss only, and dual sensory loss (vision and hearing loss). We assumed that older adults could leave the labor force either by retirement or due to disability. Because once one type of exit is observed the other type cannot be observed, we implemented a competing risk approach to estimate the instantaneous rate of departure (sub-distribution hazard rate) for leaving the labor force due to disability, treating retirement as a competing risk, and for departures via retirement, with disability as the competing risk. We found that compared to older adults with no sensory loss, adults with vision loss are at a higher risk for leaving the labor force via disability (when treating retirement as a competing risk). Compared to no sensory loss, hearing loss was associated with a higher risk for retirement in models treating disability as a competing risk. Given the differences between disability and retirement benefits (before and after retirement age), policies intended to keep people with sensory loss from early labor force departures, such as accommodations in the workplace and/or hearing and vision care coverage, might contribute to better retiring conditions and healthy aging among older adults with sensory loss. [ABSTRACT FROM AUTHOR]

Thin layer sediment placement (TLP) is used to build elevation in marshes, counteracting effects of subsidence and sea level rise. However, TLP success may vary due to plant stress associated with reductions in nutrient availability and hydrologic flushing or through the creation of acid sulfate soils. This study examined the influence of sediment grain size and soil amendments on plant growth, soil and porewater characteristics, and greenhouse gas exchange for three key U.S. salt marsh plants: Spartina alterniflora (synonym Sporobolus alterniflorus), Spartina patens (synonym Sporobolus pumilus), and Salicornia pacifica. We found that bioavailable nitrogen concentrations (measured as extractable NH4+‐N) and porewater pH and salinity were inversely related to grain size, while soil redox was more reducing in finer sediments. This suggests that utilizing finer sediments in TLP projects will result in a more reduced environment with higher nutrient availability, while larger grain sized sediments will be better flushed and oxygenated. We further found that grain size had a significant effect on vegetation biomass allocation and rates of gas exchange, although these effects were species‐specific. We found that soil amendments (biochar and compost) did not subsidize plant growth but were associated with increases in soil respiration and methane emissions. Biochar amendments were additionally ineffective in ameliorating acid sulfate conditions. This study uncovers complex interactions between sediment type and vegetation, emphasizing the limitations of soil amendments. The findings aid restoration project managers in making informed decisions regarding sediment type, target vegetation, and soil amendments for successful TLP projects. [ABSTRACT FROM AUTHOR]

Forest ecosystems store large amounts of carbon and can be important sources, or sinks, of the atmospheric carbon dioxide that is contributing to global warming. Understanding the carbon storage potential of different forests and their response to management and disturbance events are fundamental to developing policies and scenarios to partially offset greenhouse gas emissions. Projections of live tree carbon accumulation are handled differently in different models, with inconsistent results. We developed growth-and-yield style models to predict stand-level live tree carbon density as a function of stand age in all vegetation types of the coastal Pacific region, US (California, Oregon, and Washington), from 7,523 national forest inventory plots. We incorporated site productivity and stockability within the Chapman-Richards equation and tested whether intensively managed private forests behaved differently from less managed public forests. We found that the best models incorporated stockability in the equation term controlling stand carrying capacity, and site productivity in the equation terms controlling the growth rate and shape of the curve. RMSEs ranged from 10 to 137 Mg C/ha for different vegetation types. There was not a significant effect of ownership over the standard industrial rotation length (~50 yrs) for the productive Douglas-fir/western hemlock zone, indicating that differences in stockability and productivity captured much of the variation attributed to management intensity. Our models suggest that doubling the rotation length on these intensively managed lands from 35 to 70 years would result in 2.35 times more live tree carbon stored on the landscape. These findings are at odds with some studies that have projected higher carbon densities with stand age for the same vegetation types, and have not found an increase in yields (on an annual basis) with longer rotations. We suspect that differences are primarily due to the application of yield curves developed from fully-stocked, undisturbed, single-species, "normal" stands without accounting for the substantial proportion of forests that don't meet those assumptions. The carbon accumulation curves developed here can be applied directly in growth-and-yield style projection models, and used to validate the predictions of ecophysiological, cohort, or single-tree style models being used to project carbon futures for forests in the region. Our approach may prove useful for developing robust models in other forest types. [ABSTRACT FROM AUTHOR]

Intimate partner homicide (IPH) continues to be a form of violence disproportionately affecting women in the United States, and access to firearms can greatly increase the likelihood that intimate partner violence becomes lethal. In response to concerns about firearms violence and their prevalence in IPH incidents specifically, states have passed restrictive firearms laws and policies. In this study, we provide an analysis of female IPH victimization disaggregated by race/ethnicity that incorporates state‐level firearms legislation. Our analytical approach is informed by intersectionality and accounts for other key intimate partner violence policies and structural predictors. We find that the relationship between firearms legislation and IPH varies in magnitude and direction across specific race/ethnicity female victimization groups. As such, our findings provide support for an intersectional framework in that restrictive firearms laws are not consistently associated with lower levels of IPH when incidents are disaggregated by gender and race/ethnicity. [ABSTRACT FROM AUTHOR]

This article explores the concept of the commodification of the public good and its impacts. It discusses how public services, such as healthcare, have shifted from being centrally-funded and managed to being commissioned and traded. The article examines the philosophical, economic, social, and political drivers of commodification and its empirical manifestations. It also highlights the impacts of commodification on service content, outcomes, and the relationships between commissioners, providers, and users of services. The article concludes that while commodification may enhance awareness of what is being bought, it can also disadvantage those who cannot exploit its mechanisms. [Extracted from the article]

Objectives: We compared ChatGPT’s performance to medical students’ on psychiatry examinations and investigated whether raters could distinguish answers between them. Methods: We used a copy of short-answer questions from a psychiatry examination to compare the performance of three randomized groups – ChatGPT, student, and hybrid (student-modified ChatGPT responses). Furthermore, we investigated raters’ ability to identify response origins. Results: ChatGPT-assisted answers, both ChatGPT alone (p < 0.001) and hybrid (p < 0.001), had significantly better examination performance than did independent students work. Raters showed high accuracy in identifying the origin of the responses, correctly identifying 92% of both students’ and ChatGPT-assisted responses. But raters were only 61% accurate in making the distinction between ChatGPT and hybrid answers. Conclusion: ChatGPT showed superior performance in a psychiatry examination compared to students’ work, but raters showed high accuracy in distinguishing them. Further investigation is warranted to optimize the advantages and mitigate the drawbacks of incorporating such technology into psychiatric education and health care. [ABSTRACT FROM AUTHOR]

Background: Unanticipated symptoms of peripheral nerve damage following surgery are distressing to both the patient and their clinical team, including surgeons, anesthesiologists, and neurologists. The causes that are commonly considered for perioperative neuropathy can include surgical trauma, positioning-related injury, or injury related to a regional anesthetic technique. However, these cases often do not have a clear etiology and can occur without any apparent periprocedural anomalies. Postoperative inflammatory neuropathy is a more recently described, and potentially underrecognized cause of perioperative neuropathy which may improve with corticosteroid therapy. Therefore, it is an important etiology to consider early in the evaluation of perioperative neuropathy. Case presentation: An otherwise healthy patient presented for left anterior cruciate ligament reconstruction. He underwent femoral and sciatic ultrasound-guided single-injection peripheral nerve blocks preoperatively, followed by a general anesthetic for the surgical procedure. He developed postoperative neuropathy in the sciatic distribution with both sensory and motor deficits. The patient received multi-disciplinary consultations, including neurology and pain management, and a broad differential diagnosis was considered. Based on neurological evaluation and imaging studies, a final diagnosis of post-surgical inflammatory neuropathy was made. The patient's course improved with conservative management, but immunosuppressive treatment may have been considered for a more severe or worsening clinical course. Conclusions: There are limited publications describing postoperative inflammatory neuropathy, and this case serves to illustrate a potentially under-recognized and multifactorial cause of postoperative neuropathy. Perioperative neuropathies are a complication that surgeons and anesthesiologists strive to avoid; however, prevention and treatment of this condition have been elusive. Increased reporting and investigation of postoperative inflammatory neuropathy as one cause for this complication will help to further our understanding of this potentially devastating complication. [ABSTRACT FROM AUTHOR]

Understanding soil organic carbon (SOC) response to global change has been hindered by an inability to map SOC at horizon scales relevant to coupled hydrologic and biogeochemical processes. Standard SOC measurements rely on homogenized samples taken from distinct depth intervals. Such sampling prevents an examination of fine‐scale SOC distribution within a soil horizon. Visible near‐infrared hyperspectral imaging (HSI) has been applied to intact monoliths and split cores surfaces to overcome this limitation. However, the roughness of these surfaces can influence HSI spectra by scattering reflected light in different directions posing challenges to fine‐scale SOC mapping. Here, we examine the influence of prescribed surface orientation on reflected spectra, develop a method for correcting topographic effects, and calibrate a partial least squares regression (PLSR) model for SOC prediction. Two empirical models that account for surface slope, aspect, and wavelength and two theoretical models that account for the geometry of the spectrometer were compared using 681 homogenized soil samples from across the United States that were packed into sample wells and presented to the spectrometer at 91 orientations. The empirical approach outperformed the more complex geometric models in correcting spectra taken at non‐flat configurations. Topographically corrected spectra reduced bias and error in SOC predicted by PLSR, particularly at slope angles greater than 30°. Our approach clears the way for investigating the spatial distributions of multiple soil properties on rough intact soil samples. Core Ideas: A novel topographic correction method reduced the effect of surface orientation on lab‐based soil reflectance.A linear empirical approach outperformed two versions of a geometric topographic correction.Bias and error in soil organic carbon predictions were decreased when topographically corrected reflectance spectra were used.Topographic correction advances the use of hyperspectral imaging on intact soil samples displaying natural roughness. [ABSTRACT FROM AUTHOR]

Introduction: Knee osteoarthritis (OA) is a chronic secondary musculoskeletal pain condition resulting in disability, reduced quality of life, and high societal costs. Pain associated with knee OA is linked to increased sensitivity in sensory, cognitive, and emotional areas of the brain. Self-regulation training targeting brain functioning related to pain experience could reduce pain and its associated disability. Self-regulatory treatments such as mindfulness meditation (MM) and electroencephalography neurofeedback (EEG-NF) training improve clinical outcomes in people with knee OA. A feasibility clinical trial can address factors that could inform the design of the full trial investigating the effectiveness of self-regulation training programmes in people with knee OA. This clinical trial will evaluate the feasibility, safety, acceptability, experience and perceptions of the self-regulatory training programmes. Methods: The proposed feasibility trial is based on a double-blind (outcome assessor and investigators), three-arm (MM usual care, EEG-NF + usual care and usual care control group) randomised controlled parallel clinical trial. Participants with knee OA will be recruited from the community and healthcare practices. A research assistant (RA) will administer both interventions (20-min sessions, four sessions each week, and 12 sessions over three successive weeks). Feasibility measures (participant recruitment rate, adherence to interventions, retention rate), safety, and acceptability of interventions will be recorded. An RA blinded to the group allocation will record secondary outcomes at baseline, immediately post-intervention (4th week), and 3 months post-intervention. The quantitative outcome measures will be descriptively summarised. The qualitative interviews will evaluate the participants' experiences and perceptions regarding various aspects of the trial, which includes identifying the barriers and facilitators in participating in the trial, evaluating their opinions on the research procedures, such as their preferences for the study site, and determining the level of acceptability of the interventions as potential clinical treatments for managing knee OA. Māori participant perceptions of how assessment and training practices could be acceptable to a Māori worldview will be explored. The interviews will be audio-recorded and analysed thematically. Discussion: This trial will provide evidence on the feasibility, safety, and acceptability of the MM and EEG-NF training in people with knee OA, thus informing the design of a full randomised clinical control trial. [ABSTRACT FROM AUTHOR]

The journey to drug crime literature has found that, in cities, Black people travel shorter distances from their homes before being arrested relative to White people. Per race and rationality theory, the racialization of space shapes the decision-making processes of people arrested for drug offenses. Because residential segregation patterns and racialized social structures differ across levels of urbanization, this study uses negative binomial regression models to evaluate Black-White differences in journeys to crime for drug possessions, and the study assesses socioeconomic and opportunity characteristics of offense locations at the micro-level using drug arrest reports across the State of Delaware. We find that travel distances and predictors of offense locations differ across geographic areas (i.e., small cities, suburban areas, small towns, rural areas, and touristic rural areas). A place's racial composition, concentrated disadvantage, and opportunity characteristics differently impact offense locations across geographic areas. Accordingly, in studying journeys to crime, researchers should consider the various ways that race shapes constructions of crime and place across the rural–urban continuum. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to determine which growth indicator (weight, weight‐for‐length, BMI) and time frame (6‐ or 12‐month intervals between 0 and 24 months) of rapid infant weight gain (RIWG) best predicted obesity risk and body composition at 11 years of age. Methods: RIWG (increase ≥0.67 z scores between two time points) was calculated from weight and length/height at birth, 0.5, 1, 1.5, and 2 years. The predictive value of each measure and time frame was calculated in relation to obesity (BMI ≥95th percentile) and body fat (fat mass index [FMI], dual‐energy X‐ray absorptiometry scan) at 11 years. Results: The sensitivity (1.5% to 62.1%) and positive predictive value (12.5% to 33.3%) of RIWG to predict obesity varied considerably. Having obesity at any time point appeared a stronger risk factor than any indicator of RIWG for obesity at 11 years. Obesity at any age during infancy consistently predicted a greater FMI of around 1.1 to 1.5 kg/m2 at 11 years, whereas differences for RIWG were inconsistent. Conclusions: A simple measure of obesity status at a single time point between 6 and 24 months of age appeared a stronger risk factor for later obesity and FMI than RIWG assessed by any indicator, over any time frame. [ABSTRACT FROM AUTHOR]

Predicting sediment yield from recently burned areas remains a challenge but is important for hazard and resource management as wildfire impacts increase. Here we use lidar‐based monitoring of two fires in southern California, USA to study the movement of sediment during pre‐rainfall periods and postfire periods of flooding and debris flows over multiple storm events. Using a data‐driven approach, we examine the relative importance of terrain, vegetation, burn severity, and rainfall amounts through time on sediment yield. We show that incipient fire‐activated dry sediment loading and pre‐fire colluvium were rapidly flushed out by debris flows and floods but continued erosion occurred later in the season from soil erosion and, in ∼9% of catchments, from shallow landslides. Based on these observations, we develop random forest regression models to predict dry ravel and incipient runoff‐driven sediment yield applicable to small steep headwater catchments in southern California. Plain Language Summary: Wildfire makes watersheds more susceptible to hazardous flash flooding and debris flows, yet characterization and prediction of these hazards remains limited. In this study, we used repeat airborne laser mapping to quantify the movement of sediment in steep burn areas during initial dry periods and subsequent erosion from runoff events. Based on these observations, we developed two predictive models: one to predict the filling of channels with sediment prior to rainfall and a second one to predict erosion by debris flows and floods during initial storm events, which showed improvement over another commonly used model. After initial runoff events, much of the available sediment in channels was transported downstream, however small landslides and extensive erosion of soils across the landscape continued to supply sediment to floods and debris flows, in line with studies elsewhere showing continued debris flow activity despite reduced sediment in channels. Our study demonstrates that airborne laser mapping together with data‐driven modeling offer opportunities to increase predictive ability of post‐fire erosion and such approaches should be further explored in regions such as northern California, where fire is expanding and models of post‐fire erosion need to be tested and refined. Key Points: Postfire dry and wet sediment transport were quantified with lidar and dominant controls were identified using random forest regressionSlope and sediment supply, including dry ravel, were the strongest controls on initial sediment yield by debris flows and floodsContinued sediment bulking occurred from soil erosion and patchy mass wasting later in the wet season as channels became supply limited [ABSTRACT FROM AUTHOR]

Using a retrospective study design, predictive validity of the Structured Assessment of Violence Risk in Youth, Short-Term Assessment of Risk and Treatability: Adolescent Version (START: AV), and the Violence Risk Scale–Youth Version (VRS-YV) was examined among 87 adolescents referred to a residential treatment program. With few exceptions, moderate to high accuracy was achieved for the three measures in predicting violence and suicidal/nonsuicidal self-injury occurring during the adolescents' time in treatment. Accuracy of the measures peaked within 90 days for violence and gradually increased over the 180-day follow-up for suicidal/nonsuicidal self-injury. Dynamic factors were more predictive of repeated events involving violence relative to static/historical factors, whereas only factors from the START: AV were predictive of repeated events involving suicidal/nonsuicidal self-injury. These results emphasize the need for further examining the risk of adverse outcomes beyond violence among adolescents. [ABSTRACT FROM AUTHOR]

Fire‐exclusion has acted as a major perturbation on dry conifer forests in the western United States, increasing tree density and, in mixed‐conifer forests, the dominance of shade‐tolerant species. Restoration efforts aim to reverse these effects by reducing stand density, restoring relative proportions of tree species, and reintroducing recurrent fire, but there are limited long‐term data on the effects of repeated burning on tree regeneration. We analyzed two decades of seedling and overstory data from the Teakettle Experimental Forest in the southern Sierra Nevada, California, United States to determine how thinning and repeated burning affect seedling establishment and overstory recruitment. Across treatments, pine seedling densities remained much lower than shade‐tolerant seedling densities. We found repeated burns led to modest increases in sugar pine (Pinus lambertiana) and substantial increases in incense‐cedar (Calocedrus decurrens) seedling densities 4 years postburn. No significant differences in seedling densities among repeated burning treatments were detected for Jeffrey pine (P. jeffreyi) or white fir (Abies concolor). Estimates of natural midstory recruitment were much higher among white fir and incense‐cedar than pines, even following treatments. However, postharvest planting increased rates of pine midstory recruitment in overstory thinned treatments. Our results suggest that fire‐exclusion may have shifted the ecosystem out of its initial domain of attraction, creating a forest dominated by shade‐tolerant species that exhibits hysteresis by resisting a return to a natural range of variability even after restoring structure and process. Planting pine species may be effective at overcoming this resistance to restore the forest to a pine‐dominated state. [ABSTRACT FROM AUTHOR]

Thin-layer sediment placement (TLP) is a promising management tool for enhancing tidal marsh resilience to rising seas. We conducted a 3-year experiment at eight US National Estuarine Research Reserves using a standardized implementation protocol and subsequent monitoring to evaluate effects of sediment placement on vegetation in low and high marsh, and compared this to control and reference plots. Sediments added to experimental plots were sourced from nearby quarries, were sandier than ambient marsh soils, and had more crab burrowing, but proved effective, suggesting that terrestrial sources can be used for tidal marsh restoration. We found strong differences among sites but detected general trends across the eight contrasting systems. Colonization by marsh plants was generally rapid following sediment addition, such that TLP plot cover was similar to control plots. While we found that 14-cm TLP plots were initially colonized more slowly than 7-cm plots, this difference largely disappeared after three years. In the face of accelerated sea-level rise, we thus recommend adding thicker sediment layers. Despite rapid revegetation, TLP plots did not approximate vegetation characteristics of higher elevation reference plots. Thus, while managers can expect fairly fast revegetation at TLP sites, the ultimate goal of achieving reference marsh conditions may be achieved slowly if at all. Vegetation recovered rapidly in both high and low marsh; thus, TLP can serve as a climate adaptation strategy across the marsh landscape. Our study illustrates the value of conducting experiments across disparate geographies and provides restoration practitioners with guidance for conducting future TLP projects. [ABSTRACT FROM AUTHOR]

Violence risk prediction in forensic mental health care settings is important in facilitating its management. Although not specifically developed for risk assessment, previous studies have demonstrated that the Health of the Nation Outcome Scales-Secure (HoNOS-secure) and its predecessor may have some predictive validity for violence. This retrospective cohort study examines the predictive validity of HoNOS-secure scores rated on admission in a medium-secure forensic psychiatric ward in New Zealand for inpatient violence in the short- to medium-term at 30 and 90 days respectively. A sample size of 33 eligible admissions was obtained within the study period (2005–2017), and incident reports were rated by two independent clinicians for the occurrence and level of inpatient violence. Poisson, negative binomial and Cox regression analyses were used to investigate HoNOS-secure predictivity for the occurrence of inpatient violence, number of violent events, and time to the first violent event respectively. Although the HoNOS-secure total and subscale scores were not found to be significant predictors, post hoc analysis at the item level demonstrated association of various items with violence. Future studies could consider pooling data from multiple study sites, extending follow-up periods and adopting a prospective design. [ABSTRACT FROM AUTHOR]

Pseudomonas aeruginosa infects the lungs of patients with cystic fibrosis. Sputum expectorated from the lungs of patients contains low levels of oxygen, indicating that P. aeruginosa may be oxygen-deprived during infection. During in vitro growth under oxygen-limiting conditions, a P. aeruginosa reference strain increases expression of a cytochrome oxidase with a high affinity for oxygen, and of nitrate and nitrite reductases that enable it to use nitrate instead of oxygen during respiration. Here, we quantified transcription of the genes encoding these three enzymes in sputum samples from 18 infected patients, and in bacteria isolated from the sputum samples and grown in aerobic and anaerobic culture. In culture, expression of all three genes was increased by averages of 20- to 500-fold in anaerobically grown bacteria compared with those grown aerobically, although expression levels varied greatly between isolates. Expression of the same genes in sputum was similar to that of the corresponding bacteria in anaerobic culture. The isolated bacteria were less susceptible to tobramycin and ciprofloxacin, two widely used anti-pseudomonal antibiotics, when grown anaerobically than when grown aerobically. Our findings show that P. aeruginosa experiences oxygen starvation during infection in cystic fibrosis, reducing the effectiveness of antibiotic treatment. [ABSTRACT FROM AUTHOR]

Antarctica plays a central role in regulating global climatic and oceanographic patterns and is an integral part of global climate change discussions. The functioning of Antarctica's terrestrial ecosystems is dominated by poikilohydric cryptogams such as lichens, bryophytes, eukaryotic algae, and cyanobacteria and there are only two native species of vascular plants. Antarctica's vegetation is highly adapted to the region's extreme conditions but, at the same time, it is potentially highly susceptible to climatic fluctuations. Biological responses to shifts in temperature, water availability, wind patterns, snow, and ice cover are complex, taxa‐specific and act on different temporal and spatial scales. In maritime Antarctica, where warming and mass loss of outlet glaciers have been mainly observed, the vegetation is expected to show increases in productivity, abundance, and cover. In continental Antarctica, observational and experimental evidence is still sparse, but it is pointing toward even drier and harsher conditions for survival. We need more information on what the observed and predicted changes in Antarctic vegetation are for different regions and ecosystems. This will inform us how environmental change and human impact will shape the future of these ecosystems, and whether the speed and magnitude of change have habitat‐specific effects and implications. Antarctica's unique ecosystems are changing and in this review, we describe the current situation, tools to measure, and evaluate change and how change is likely to look in the future. This article is categorized under:Climate, Ecology, and Conservation > Observed Ecological ChangesAssessing Impacts of Climate Change > Evaluating Future Impacts of Climate ChangeClimate, Ecology, and Conservation > Modeling Species and Community InteractionsAssessing Impacts of Climate Change > Observed Impacts of Climate Change [ABSTRACT FROM AUTHOR]

Quantifying above-ground biomass changes, ΔAGB, is key for understanding carbon dynamics. National Forest Inventories, NFIs, aims at providing precise estimates of ΔAGB relying on model-assisted estimators that incorporate auxiliary information to reduce uncertainty. Poststratification estimators, PS, are commonly used for this task. Recently proposed endogenous poststratification, EPS, methods have the potential to improve the precision of PS estimates of ΔAGB. Using the state of Oregon, USA, as a testing area, we developed a formal comparison between three EPS methods, traditional PS estimators used in the region, and the Horvitz-Thompson, HT, estimator. Results showed that gains in performance with respect to the HT estimator were 9.71% to 19.22% larger for EPS than for PS. Furthermore, EPS methods easily accommodated a large number of auxiliary variables, and the inclusion of independent predictions of ΔAGB as an additional auxiliary variable resulted in further gains in performance. [ABSTRACT FROM AUTHOR]

The study aims to expand our understanding of escalation from intimate partner violence to intimate partner homicide (IPH) by exploring the known circumstances leading up to a lethal event. The study draws on qualitative data from law enforcement reports and coroner/medical examiner reports within the National Violent Death Reporting System to identify themes preceding and surrounding IPH incidents. Findings support the utility of risk assessments in identifying escalation while illustrating the complex ways that violence between current or former intimate partners can escalate to lethality, particularly the role of separation and the use of firearms. [ABSTRACT FROM AUTHOR]

As coastal ecosystems become widely recognized for their capacity to sequester carbon (blue carbon), standard accounting methodologies for the generation of carbon credits are being developed. To ensure the applicability of these standards across blue carbon ecosystems, we investigated organic carbon provenance and burial in salt marshes and seagrass meadows of an arid, upwelling‐dominated Eastern Pacific lagoon. We found low carbon density in benthic sediments of Bahía de San Quintín (5.9 ± 0.5 mg C cm−3), only marginally higher in Zostera marina beds (6.9 ± 0.5 mg C cm−3), likely due to remineralization and hydrodynamically driven export of seagrass material, resulting in low carbon burial rates (4.5 ± 2.5 g C m−2 yr−1). Sediment organic carbon is mainly controlled by the fraction of fine sediment and its source is largely allochthonous, although sources differ spatially. Salt marshes at San Quintín derive 40% of their organic matter from autochthonous material and exhibit higher carbon burial rates (up to 414.7 ± 28.6 g C m−2 yr−1) and sediment carbon densities (32.0 ± 0.7 mg C cm−3) compared to benthic sediments. This study emphasizes the connectivity of blue carbon habitats with marsh plant detritus supplementing benthic carbon burial and incorporation of detrital eelgrass in marsh sediments. Our findings highlight the importance of allochthonous organic matter for carbon sequestration in blue carbon habitats, suggesting standard accounting practices that deduct allochthonous organic matter would miss the full potential for carbon burial. [ABSTRACT FROM AUTHOR]

1. Boreal forest soils contain large stocks of soil carbon (C) that may be sensitive to changes in climate and disturbance. Destablization of boreal forest soil C through changes in C inputs, belowground C pools and/or wildfire could feedback to accelerate rising atmospheric CO2 concentration. Additionally, increasing frequency of severe fires may be changing the dominant forest types and reshaping aboveground C stocks. 2. Although controls on ecosystem C pools have received considerable attention, many studies have been limited to locations near the road system, leading to uncertainty in current and future C stocks across boreal Alaska. Here, we leveraged 545 randomly selected and spatially balanced Forest Inventory and Analysis (FIA) plots across ~13.5 million hectares in interior Alaska to examine the factors governing soil and live tree C pools. 3. Forest type mediated the effects of mean summer air temperature and the probability of near-surface permafrost on soil C. Meanwhile, forest type, stand age and aspect were the primary drivers of live tree C. Overall, plots with a known history of wildfire during the past 70 years did not have significantly different soil C stocks than plots without a known history of fire, likely due to the historical predominance of low severity fires. 4. Where wildfire likely initiated a transition to deciduous trees (19% of plots), live tree and soil C pools were reduced by 16% and 20%, respectively. Ecosystem C likely recovered over time, as maturing deciduous stands rapidly gained C in live trees. Deciduous stands without a known fire had comparatively very large live tree C stocks, suggesting a significant change in the distribution of ecosystem C following severe fire. 5. Synthesis. Our results highlight the nuanced interactions among wildfire, landscape position and forest type that will play important roles in shaping future boreal ecosystem C stocks. [ABSTRACT FROM AUTHOR]

Eutrophic conditions in estuaries are a globally important stressor to coastal ecosystems and have been suggested as a driver of coastal salt marsh loss. Potential mechanisms in marshes include disturbance caused by macroalgae accumulations, enhanced soil sulfide levels linked to high labile carbon inputs, accelerated decomposition, and declines in belowground biomass that contribute to edge instability, erosion, and slumping. However, results of fertilization studies have been mixed, and it is unclear the extent to which local environmental conditions, such as soil composition and nutrient profiles, help shape the response of salt marshes to nutrient exposure. In this study, we characterized belowground productivity and decomposition, organic matter mineralization rates, soil respiration, microbial biomass, soil humification, carbon and nitrogen inventories, nitrogen isotope ratios, and porewater profiles at high and low marsh elevations across eight marshes in four estuaries in California and New York that have strong contrasts in nutrient inputs. The higher nutrient load marshes were characterized by faster carbon turnover, with higher belowground production and decomposition and greater carbon dioxide efflux than lower nutrient load marshes. These patterns were robust across marshes of the Atlantic and Pacific coasts that varied in plant species composition, soil flooding patterns, and soil texture. Although impacts of eutrophic conditions on carbon cycling appeared clear, it was ambiguous whether high nutrient loads are causing negative effects on long-term marsh sustainability in terms of studied metrics. While high nutrient exposure marshes had high rates of decomposition and soil respiration rates, high nutrient exposure was also associated with increased belowground production, and reduced levels of sulfides, which should lead to greater marsh sustainability. While this study does not resolve the extent to which nutrient loads are negatively affecting these salt marshes, we do highlight functional differences between Atlantic and Pacific wetlands which may be useful for understanding coastal marsh health and integrity. [ABSTRACT FROM AUTHOR]

Introduction: Hepatobiliary and pancreatic surgery is frequently complicated by surgical site infections (SSI) with significant postoperative morbidity and mortality rates contributing to the economic burden on healthcare. Advancements in operative techniques to prevent SSI are gaining traction in clinical practice. This study compares the effectiveness of the 'loop and drain technique (LDT)', a combination method utilizing a continuous subcutaneous vessel loop and subcuticular suture for surgical wound closure in patients undergoing upper gastrointestinal surgery at a Metropolitan Hospital in Sydney. Methods: A retrospective review of patients who underwent an upper gastrointestinal procedure was conducted at Bankstown‐Lidcombe hospital between 2017 and 2019. There were 77 patients in the LDT group and 123 patients included in the control group. The primary outcome assessed was the rate of SSI. Secondary outcomes included length of stay (LOS) and drainage of surgical site infections. Result: Two hundred adult patients were treated for an upper gastrointestinal procedure. The most common operation was a Whipple procedure (35.0%). The rate of SSI was 12.5% with all these patients receiving intravenous antibiotics. The LDT cohort had a significantly lower rate of SSI compared to their counterparts (3.9% vs. 17.9%, P = 0.004). Conclusion: The LDT method is associated with a decreased incidence of SSI and should be considered as a cost‐effective operative technique to improve patient outcomes after upper gastrointestinal surgery. [ABSTRACT FROM AUTHOR]

The aims of this study were to investigate the clinical effectiveness and patient acceptability of a modified glass ionomer cement placed using the atraumatic restorative treatment (ART) technique to treat root caries, and to carry out microbiological analysis of the restored sites. Two clinically visible root surface carious lesions per participant were restored using ART. One was restored with commercial glass ionomer cement (GIC) (ChemFil® Superior, DENTSPLY, Konstonz, Germany) which acted as the control. The other carious root lesion was restored with the same GIC modified with 5% chlorhexidine digluconate (GIC-CHX; test). Patient acceptability and restoration survival rate were evaluated at baseline and after 6 months. Plaque and saliva samples around the test and control restorations were collected, and microbiological analysis for selected bacterial and fungal viability were completed at baseline, and after 1, 3, and 6 months. In total, 52 restorations were placed using GIC and GIC-CHX in 26 participants; 1 patient was lost to follow-up. After reviewing the restorations during their baseline appointments, participants indicated that they were satisfied with the appearance of the restorations (n = 25, 96%) and did not feel anxious during the procedure (n = 24, 92%). Forty-eight percent (n = 12) of the GIC-CHX restorations were continuous with the existing anatomic form as opposed to six for the GIC restorations (24%), a difference which was statistically significant (p = 0.036). There was no statistically significant reduction in the mean count of the tested microorganisms in plaque samples for either type of restorations after 1, 3, or 6 months. Restoration of carious root surfaces with GIC-CHX resulted in higher survival rates than the control GIC. ART using GIC-CHX may therefore be a viable approach for use in outreach dental services to restore root surface carious lesions where dental services are not readily available, and for older people and special needs groups. [ABSTRACT FROM AUTHOR]

Rationale: Evidence suggests that the effects of smoking cannabis on lung function are different from tobacco. However, long-term follow-up data are scarce and mostly based on young adults. Objectives: To assess the effects of cannabis and tobacco on lung function in mid-adult life. Methods: Cannabis and tobacco use were reported at ages 18, 21, 26, 32, 38, and 45 years in a population-based cohort study of 1,037 participants. Spirometry, plethysmography, and carbon monoxide transfer factor were measured at age 45. Associations between lung function and cannabis use were adjusted for tobacco use. Measurements and Main Results: Data were available from 881 (88%) of 997 surviving participants. Cumulative cannabis use was associated with lower FEV1/FVC ratios, owing to a tendency toward higher FVCs. Cannabis use was also associated with higher TLC, FRC, residual volume, and Va along with lower midexpiratory flows, airway conductance, and transfer factor. Quitting regular cannabis use between assessments was not associated with changes in spirometry. Conclusions: Cannabis use is associated with higher lung volumes, suggesting hyperinflation. There is evidence of increased large-airway resistance and lower midexpiratory airflow, but impairment of FEV1/FVC ratio is because of higher FVC. This pattern of effects is different to those of tobacco. We provide the first evidence that lifetime cannabis use may be associated with impairment of gas transfer. [ABSTRACT FROM AUTHOR]

Purpose: To investigate the presence of metallic particles in the peri-implant mucosa around titanium dental implants after 5 years of loading using single-implant crowns with respect to clinical signs of peri-implant inflammation. Materials and Methods: Sixteen participants from an ongoing, prospective, single-arm clinical trial who had received titanium dental implants restored with single maxillary crowns veneered to zirconia abutments were available for the study. Exfoliative cytology samples were obtained from the peri-implant tissues and contralateral tooth sites using microbrushes and were evaluated by means of light microscopy (LM), scanning electron microscopy, and energy-dispersive spectroscopy (EDS). Trace elemental analysis was also carried out on the microbrushes using inductively coupled plasma mass spectrometry. Peri-implant and periodontal parameters (plaque, bleeding, attachment level, radiographic bone levels) were recorded. Results: Titanium particles were found in both the single-implant crown and contralateral natural tooth sites. LM and EDS analyses showed significantly higher numbers of Ti particles at the implant-abutment interfaces (mean = 14.168; SD = 2.36) and in the internal aspects of peri-implant mucosa in contact with the prostheses (mean = 4.438; SD = 2.22) when compared with other test and control areas. Mean probing depths were ≤ 3 mm, and no differences were found in plaque or bleeding on probing between implant and tooth sites. Median bone levels were within the normal range for both implant (mesial: 0.5 mm; distal: 0.8 mm) and tooth (mesial: 1.5 mm; distal: 1.8 mm) sites. Conclusion: Loading of single-implant zirconia crowns can cause the release of Ti particles because of functional wear at the implant-abutment level. The presence of these metal particles in the peri-implant area did not appear to affect peri-implant health in this patient group. [ABSTRACT FROM AUTHOR]

Robust ecological forecasting of tree growth under future climate conditions is critical to anticipate future forest carbon storage and flux. Here, we apply three ingredients of ecological forecasting that are key to improving forecast skill: data fusion, confronting model predictions with new data, and partitioning forecast uncertainty. Specifically, we present the first fusion of tree‐ring and forest inventory data within a Bayesian state‐space model at a multi‐site, regional scale, focusing on Pinus ponderosa var. brachyptera in the southwestern US. Leveraging the complementarity of these two data sources, we parsed the ecological complexity of tree growth into the effects of climate, tree size, stand density, site quality, and their interactions, and quantified uncertainties associated with these effects. New measurements of trees, an ongoing process in forest inventories, were used to confront forecasts of tree diameter with observations, and evaluate alternative tree growth models. We forecasted tree diameter and increment in response to an ensemble of climate change projections, and separated forecast uncertainty into four different causes: initial conditions, parameters, climate drivers, and process error. We found a strong negative effect of fall–spring maximum temperature, and a positive effect of water‐year precipitation on tree growth. Furthermore, tree vulnerability to climate stress increases with greater competition, with tree size, and at poor sites. Under future climate scenarios, we forecast increment declines of 22%–117%, while the combined effect of climate and size‐related trends results in a 56%–91% decline. Partitioning of forecast uncertainty showed that diameter forecast uncertainty is primarily caused by parameter and initial conditions uncertainty, but increment forecast uncertainty is mostly caused by process error and climate driver uncertainty. This fusion of tree‐ring and forest inventory data lays the foundation for robust ecological forecasting of aboveground biomass and carbon accounting at tree, plot, and regional scales, including iterative improvement of model skill. [ABSTRACT FROM AUTHOR]

Dynamic changes in total organic carbon (TOC) concentration in lakes and reservoirs affect the functions of aquatic ecosystems and are a key component of water quality management, especially in drinking water sources. The Danjiangkou Reservoir is the water source area of the Middle Route Project of the South-to-North Water Diversion in China. Its water quality is of critical importance to the safety of water diversion. TOC concentration and other environmental factors at 19 sampling sites in the Danjiangkou Reservoir were investigated quarterly during 2020–2021 to explore the differences at the spatio-temporal scales. A generalized additive model (GAM) was used to analyze the environmental factors correlated with the observed spatio-temporal variations of TOC concentration. The results showed that the comprehensive trophic level index (TLI) of the Danjiangkou Reservoir was under the state of intermediate nutrition, and the water quality was overall good. In terms of temporal patterns, TOC concentration was higher in both spring and summer and lower in other seasons. Spatially, TOC concentrations were found in descending order from the site of outlet, Han reservoir, entrance of reservoir, and Dan reservoir. The single-factor GAM model showed that TOC correlated with different environmental factors across spatio-temporal scales. Water temperature (WT), permanganate index (CODMn), and ammonia nitrogen (NH4+-N) were significantly correlated with TOC in autumn, but only total nitrogen (TN) and transparency (SD) were significant in winter. Spatially, WT, chemical oxygen demand (COD), NH4+-N, TN, and conductivity (Cond) correlated with TOC in the Dan reservoir, but WT, COD, NH4+-N, total phosphorus (TP), and chlorophyll a (Chl.a) were significant in the Han reservoir. The multi-factor GAM model indicated that the environmental factors correlated with TOC concentration were mainly WT, TN, Cond, CODMn, and TP, among which WT and Cond showed a significant linear relationship with TOC concentration (edf = 1, p < 0.05), while TN, CODMn, and TP had a significant nonlinear relationship with TOC concentration (edf > 1, p < 0.05). Comprehensive trophic level index (TLI) and TOC concentration revealed a highly significant correlation (R2 = 0.414, p < 0.001). Therefore, the GAM model could well explain the environmental factors associated with the spatio-temporal dynamics of TOC concentration, providing a reference for the evaluation of water quality and research on the carbon cycle in similar inland reservoirs. [ABSTRACT FROM AUTHOR]

After a century of intensive logging, federal forest management policies were developed in the 1990s to protect remaining large trees and old forests in the western US. Today, due to rapidly changing ecological conditions, new threats and uncertainties, and scientific advancements, some policy provisions are being re‐evaluated in interior Oregon and Washington. The case for re‐evaluation is clearest where small‐ to large‐sized, immature, fast‐growing, fire‐intolerant trees have filled in forests after both a long period of fire exclusion and the harvest of large, old trees. This infilling has created abundant fuel ladders that increase patch and landscape vulnerability to severe wildfires, which now threaten many forests. As climate change continues to alter fire regimes, we recommend that landscape‐level planning is needed to determine where fire‐tolerant and intolerant forest successional conditions are best retained on the landscape. Critical to our proposal are effective public engagement, collaboration, and tribal consultation. [ABSTRACT FROM AUTHOR]

The oral microbiome is ecologically diverse, complex, dynamic, and little understood. We describe the microbiota of four oral habitats in a birth cohort at age 32 and examine differences by sex, oral hygiene, and current smoking status, dental caries, and periodontal health. Oral biofilm samples collected from anterior labial supragingival, posterior lingual supragingival, subgingival, and tongue sites of 841 Dunedin Multidisciplinary Health and Development Study members were analysed using checkerboard DNA‐DNA hybridization; focusing on 30 ecologically important bacterial species. The four habitats exhibited distinct microbial profiles that differed by sex. Streptococcus gordonii was more dominant in supragingival and tongue biofilms of males; Porphyromonas gingivalis exhibited higher relative abundance in subgingival biofilm of females. Males had higher scores than females for periodontal pathogens at supragingival sites. The relative abundance of several putative caries and periodontal pathogens differed in smokers and non‐smokers. With poor oral hygiene significantly higher proportions of Gram‐negative facultative anaerobes were present in subgingival biofilm and there were higher scores for the principal components characterised by putative cariogenic and periodontal pathogens at each site. Distinctive microenvironments shape oral biofilms and systematic differences exist by sex, oral hygiene, and smoking status. [ABSTRACT FROM AUTHOR]

Background: Currently, the degree of improvement in patients with TMDs is measured through subjective questionnaires and clinical examination This study aimed to investigate the properties of an objective quantitative measure of jaw-opening forces to assess clinical improvement in temporomandibular disorder (TMD) patients following treatment. Methods: Baseline jaw-opening forces were recorded for TMD-patients (n = 62) and a comparison group of TMD-free participants (n = 56), using a jaw-opening forces measuring device. TMD patients were divided into three subcategories (myofascial pain, disc-displacement, and myofascial pain and disc-displacement combined) and received a combination of treatment for six months; meanwhile, TMD-free participants did not receive treatment. Jaw-opening forces for each participant in both groups were measured at their six-month review appointment. Results: Jaw-opening forces were reliable at baseline (single measure ICC 0.98, 95% CI 0.97–0.98, ICC ≥ 0.94 for all groups and subcategories). Jaw-opening forces increased in the TMD group following treatment at six-months (18.6 N at baseline and 32.4 N at six-months, p < 0.001) and did not change significantly in the TMD-free group (49 N at baseline and 48.3 N at six-months). There was a small improvement in the disc displacement group (27.8% higher forces, p = 0.002). However, the myofascial-pain and myofascial-pain-and-disc-displacement groups showed significant improvement following treatment (93.5% higher forces, p < 0.001; 91.1% higher forces, p < 0.001; respectively). Conclusion: This study demonstrated that the measurement of jaw-opening forces could potentially be used to assess the clinical improvement in TMD patients following diagnosis and treatment. [ABSTRACT FROM AUTHOR]

Background: South Africa has rekindled health reform efforts through the implementation of the Centralised Chronic Medicine Dispensing and Distribution (CCMDD) programme, as a precursor towards achieving envisioned National Health Insurance (NHI). The CCMDD programme enables stable patients to collect chronic medicines dispensed centrally from designated pick-up-points (PuPs). Barriers and facilitators of chronic medicine collection exist at different levels. Aim: To identify barriers and facilitators associated with patients' characteristics and noncollection of CCMDD patient medicine parcels (PMPs). Setting: The study was conducted at a regional public sector hospital which provides support for 19 primary facilities. Methods: An observational cross-sectional comparative study was conducted. Results: There was no statistically significant difference in collection status in terms of most of the variables compared. Patients who had been on treatment longer or who were receiving multiple items were more likely to collect medication, as were patients with arthritis, HIV and AIDS, but the association was no longer significant after adjusting for other confounders. Patients using internal PuPs were significantly more likely to collect their PMPs than patients using external PuPs, and this may have implications for achieving CCMDD objectives. Conclusion: This study has revealed that recently diagnosed patients are enrolled onto the CCMDD programme whilst the chronic condition stability is not yet attained. Patients were also enrolled onto the programme at the referral facility instead of being downreferred. Contribution: This study makes a case for evaluation research to further assess the CCMDD programme implementation, in order to improve uptake and cost-effectiveness. [ABSTRACT FROM AUTHOR]

South Africa has embarked on major health policy reform to deliver universal health coverage through the establishment of National Health Insurance (NHI). The aim is to improve access, remove financial barriers to care, and enhance care quality. Health technology assessment (HTA) is explicitly identified in the proposed NHI legislation and will have a prominent role in informing decisions about adoption and access to health interventions and technologies. The specific arrangements and approach to HTA in support of this legislation are yet to be determined. Although there is currently no formal national HTA institution in South Africa, there are several processes in both the public and private healthcare sectors that use elements of HTA to varying extents to inform access and resource allocation decisions. Institutions performing HTAs or related activities in South Africa include the National and Provincial Departments of Health, National Treasury, National Health Laboratory Service, Council for Medical Schemes, medical scheme administrators, managed care organizations, academic or research institutions, clinical societies and associations, pharmaceutical and devices companies, private consultancies, and private sector hospital groups. Existing fragmented HTA processes should coordinate and conform to a standardized, fit-for-purpose process and structure that can usefully inform priority setting under NHI and for other decision makers. This transformation will require comprehensive and inclusive planning with dedicated funding and regulation, and provision of strong oversight mechanisms and leadership. [ABSTRACT FROM AUTHOR]

Journeys to crime, or distances traveled from residences to places of alleged crimes, describe how people enter into the criminal justice system. Race, as an ascribed characteristic of individuals and a determinant of community conditions, introduces disparities in journeys to crime. Use of opioids among nonurban, White populations and changing law enforcement responses prompt inquiry into how race affects journeys to crime associated with opioid possession. This study evaluates Black–White differences in travel among persons arrested for opioid possession in Delaware. It applies race and rationality theory to assess the effects of race and racialized context on travel patterns. Multilevel models reveal travel to possess opioids is greater for White relative to Black Delawareans. Community conditions such as marijuana possession arrest rates and concentrated disadvantage have varying impacts on travel from various geographic areas. Racial–spatial differences in travel show persistent disparities in drug law enforcement amid efforts to curb opioid misuse. [ABSTRACT FROM AUTHOR]

South Africa has embarked on major health policy reform to deliver universal health coverage through the establishment of National Health Insurance (NHI). The aim is to improve access, remove financial barriers to care, and enhance care quality. Health technology assessment (HTA) is explicitly identified in the proposed NHI legislation and will have a prominent role in informing decisions about adoption and access to health interventions and technologies. The specific arrangements and approach to HTA in support of this legislation are yet to be determined. Although there is currently no formal national HTA institution in South Africa, there are several processes in both the public and private healthcare sectors that use elements of HTA to varying extents to inform access and resource allocation decisions. Institutions performing HTAs or related activities in South Africa include the National and Provincial Departments of Health, National Treasury, National Health Laboratory Service, Council for Medical Schemes, medical scheme administrators, managed care organizations, academic or research institutions, clinical societies and associations, pharmaceutical and devices companies, private consultancies, and private sector hospital groups. Existing fragmented HTA processes should coordinate and conform to a standardized, fit-for-purpose process and structure that can usefully inform priority setting under NHI and for other decision makers. This transformation will require comprehensive and inclusive planning with dedicated funding and regulation, and provision of strong oversight mechanisms and leadership. [ABSTRACT FROM AUTHOR]

This study focuses on parental discipline techniques up to 5 years and how these change over time. A cohort of 723 mothers and fathers indicated the frequency with which they used 14 different discipline strategies during the previous week when their child was aged 6, 12, 18, 24, 42 and 60 months of age. Associations between the use of these strategies and a range of demographic, family and child factors (including depression, family quality of life, level of household chaos, parenting style and child temperament) were investigated. The range and frequency of strategies used increased with the child's age. The largest increase in the frequency of use was apparent between 6 and 12 months of age in terms of positive strategies and between 12 and 18 months for the use of negative strategies. Mothers used significantly more positive strategies during the first 24 months, and significantly more negative strategies at 18 and 24 months than fathers. Time out was popular but often poorly implemented. Greater material well-being and satisfaction with family interaction was associated with less negative discipline, and greater household chaos with more negative discipline. The level of stress, anxiety and depression reported at 24 months had little impact on later discipline. [ABSTRACT FROM AUTHOR]

Early diagnostic endoscopy showed widespread necrosis of the oesophageal mucosa consistent with caustic injury (Fig. Clear white arrow: mucosal injury. gl Follow-up endoscopy showed multiple benign-appearing severe intrinsic stenoses. [Extracted from the article]

Federally designated wilderness areas in the US are mandated to fulfill social and ecological goals. Long‐term monitoring is key to this mandate, yet is seldom consistent across boundaries. Our purpose is to compile literature and data to examine the utility of a strategic forest inventory for meeting wilderness management objectives and for enabling coordinated interagency responses to boundary‐crossing challenges (e.g., pollution, wildfires, plant invasions, global changes). We provide examples from a national forest inventory (NFI), which provides nationally consistent information that helps stakeholders comply with protected‐areas policy, reduce risks to public safety, define economic opportunities, guide conservation efforts and forecast key ecological processes. For example, the NFI has helped detect long‐distance air‐pollution, document high‐elevation whitebark pine declines and evaluate the risk of wilderness fires spreading to adjacent lands and private property. We identify opportunities to improve monitoring by expanding existing measurements of nonforest ecosystems and linking supplemental monitoring efforts to the existing framework. Though the NFI alone cannot fulfill all monitoring functions, strategic monitoring enables effective wilderness management by revealing socioecological feedbacks between human communities and the wildlands on which they depend. [ABSTRACT FROM AUTHOR]

Antarctic krill are the dominant metazoan in the Southern Ocean in terms of biomass; however, their wide and patchy distribution means that estimates of their biomass are still uncertain. Most currently employed methods do not sample the upper surface layers, yet historical records indicate that large surface swarms can change the water colour. Ocean colour satellites are able to measure the surface ocean synoptically and should theoretically provide a means for detecting and measuring surface krill swarms. Before we can assess the feasibility of remote detection, more must be known about the reflectance spectra of krill. Here, we measure the reflectance spectral signature of Antarctic krill collected in situ from the Scotia Sea and compare it to that of in situ water. Using a spectroradiometer, we measure a strong absorption feature between 500 and 550 nm, which corresponds to the pigment astaxanthin, and high reflectance in the 600–700 nm range due to the krill's red colouration. We find that the spectra of seawater containing krill is significantly different from seawater only. We conclude that it is tractable to detect high-density swarms of krill remotely using platforms such as optical satellites and unmanned aerial vehicles, and further steps to carry out ground-truthing campaigns are now warranted. [ABSTRACT FROM AUTHOR]

Background: Myeloma survival has greatly increased over past decades. We investigated trends in survival over time in New Zealand by age, ethnicity, and geography and thus examined potential inequalities among these population subgroups.Methods: From data supplied by the New Zealand Ministry of Health, all new diagnoses of multiple myeloma (ICD-10 code C90) between 1990 and 2016 were extracted, as well as their matched mortality data. Cox's proportional hazards regression and competing risks regression were used to estimate multivariable survival functions.Results: Between 1 January 1990 and 1 December 2015, 6642 myeloma cases were registered by the New Zealand Cancer Registry. Although survival from myeloma increased substantially from 1990-1994 to 2010-2015, 5-year survival was still only about 60% in 2010-2015. The greatest improvement in survival was for people aged 60-69 years at diagnosis. Using Cox's proportional hazards regression, Māori showed an increased risk of myeloma death but this was predominantly due to differences in competing risks among ethnic groups. Competing risks analysis found the greatest improvement in myeloma survival in Pacific Islanders, and in 2010-2015 Māori had better survival than other ethnicities. Myeloma survival improved significantly over time in all regional health authorities but in all time periods the Central and Southern regions had significantly poorer survival than the Midland region.Conclusions: Improvements in myeloma survival have been unequal across subgroups and regions in New Zealand. Detailed information about utilization of chemotherapeutic agents and transplantation in New Zealand is not available. This information, as well as more detailed hematological data, is essential to further explore the relationships and reasons for differing myeloma survival in population subgroups of New Zealand. [ABSTRACT FROM AUTHOR]