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Abstract Post marketing safety surveillance depends in part on the ability to detect concerning clinical events at scale. Spontaneous reporting might be an effective component of safety surveillance, but it requires awareness and understanding among healthcare professionals to achieve its potential. Reliance on readily available structured data such as diagnostic codes risks under-coding and imprecision. Clinical textual data might bridge these gaps, and natural language processing (NLP) has been shown to aid in scalable phenotyping across healthcare records in multiple clinical domains. In this study, we developed and validated a novel incident phenotyping approach using unstructured clinical textual data agnostic to Electronic Health Record (EHR) and note type. It’s based on a published, validated approach (PheRe) used to ascertain social determinants of health and suicidality across entire healthcare records. To demonstrate generalizability, we validated this approach on two separate phenotypes that share common challenges with respect to accurate ascertainment: (1) suicide attempt; (2) sleep-related behaviors. With samples of 89,428 records and 35,863 records for suicide attempt and sleep-related behaviors, respectively, we conducted silver standard (diagnostic coding) and gold standard (manual chart review) validation. We showed Area Under the Precision-Recall Curve of ~ 0.77 (95% CI 0.75–0.78) for suicide attempt and AUPR ~ 0.31 (95% CI 0.28–0.34) for sleep-related behaviors. We also evaluated performance by coded race and demonstrated differences in performance by race differed across phenotypes. Scalable phenotyping models, like most healthcare AI, require algorithmovigilance and debiasing prior to implementation.

Light and nitrogen availability are basic requirements for photosynthesis. Changing in light intensity and nitrogen concentration may require adaptive physiological and life process changes in phytoplankton cells. Our previous study demonstrated that two Thalassiosira species exhibited, respectively, distinctive physiological responses to light and nitrogen stresses. Transcriptomic analyses were employed to investigate the mechanisms behind the different physiological responses observed in two diatom species of the genus Thalassiosira. The results indicate that the congeneric species are different in their cellular responses to the same shifting light and nitrogen conditions. When conditions changed to high light with low nitrate (HLLN), the large-celled T. punctigera was photodamaged. Thus, the photosynthesis pathway and carbon fixation related genes were significantly down-regulated. In contrast, the small-celled T. pseudonana sacrificed cellular processes, especially amino acid metabolisms, to overcome the photodamage. When changing to high light with high nitrate (HLHN) conditions, the additional nitrogen appeared to compensate for the photodamage in the large-celled T. punctigera, with the tricarboxylic acid cycle (TCA cycle) and carbon fixation significantly boosted. Consequently, the growth rate of T. punctigera increased, which suggest that the larger-celled species is adapted for forming post-storm algal blooms. The impact of high light stress on the small-celled T. pseudonana was not mitigated by elevated nitrate levels, and photodamage persisted.

Fine-grained organic-rich sediments (FGORS) are accumulating in estuaries worldwide, with multi-faceted negative ecosystem impacts. A pilot experiment was carried out in a residential canal of the Indian River Lagoon estuary (IRL, Florida, USA) using an aeration treatment intended to mitigate the harmful ecological effects of organic-rich sediment pollution. Planktonic and benthic communities were monitored, and environmental data collected throughout the aeration process. Results were compared against control conditions to evaluate the efficacy of aeration in the mitigation of FGORS. During the aeration process, hurricane Irma impacted the study area, bringing heavy rainfall and spawning a brown tide event (Aureoumbra lagunensis). The overall thickness and volume of FGORS, and the organic content of surface sediments did not change during the aeration treatment. Dissolved oxygen was higher and ammonium concentrations were lower in aeration canal bottom water compared to the control canal. During treatment, aeration did facilitate benthic animal life when temperatures dropped below 25°C, likely due to water column mixing and the increased capacity of water to hold dissolved gasses. In general, aeration did not significantly change the planktonic community composition relative to the control canal, but, during the post-bloom period, aeration helped to weaken the brown tide and phytoplankton densities were 35–50% lower for A. lagunensis in aeration canal surface water compared to the control canal. Aeration has important management applications and may be useful for mitigating algal blooms in flow-restricted areas and promoting benthic communities in cooler environments.

To yield environmental benefits, fine sediments with ~10% organic matter, termed muck, were dredged from a tributary to the Indian River Lagoon. Key changes were documented by sampling amphipods, sediments, and the water column near the bottom before dredging, and approximately one month and one year after dredging. Overall, muck yielded the fewest taxa, muck or sediments in creeks that were dredged yielded a moderate number of taxa, and undisturbed sediments in the lagoon yielded the highest number of taxa. Amphipods did not appear in areas with muck until one month and one year after dredging. In contrast, amphipods in sediments that were not muck decreased after dredging. Increases in the occurrence of amphipods paralleled increases in concentrations of dissolved oxygen and decreases in the water, silt/clay, and organic content of sediments. Overall, results indicated that conditions for amphipods were improved by removing muck, and that dredging sandier sediment led to decreased taxonomic richness and numbers of amphipods, which resembled the effects of navigational dredging. Thus, this study suggested that managers should consider the type of sediment to be dredged when permitting projects.