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Growth-promoting endophytes have great potential to boost crop production and sustainability. There is, however, a lack of research on how differences in the plant host affect an endophyte’s ability to promote growth. We set out to quantify how different maize genotypes respond to specific growth-promoting endophytes. We inoculated genetically diverse maize lines with three different known beneficial endophytes: Herbaspirillum seropedicae (a Gram-negative bacteria), Burkholderia WP9 (a Gram-negative bacteria), and Serendipita vermifera Subsp. bescii (a Basidiomycota fungi). Maize seedlings were grown for 3 weeks under controlled watering and limited nutrient conditions in the greenhouse and assessed for various growth-promotion phenotypes. We found Herbaspirillum seropedicae to increase chlorophyll content (p = 0.02), plant height (p = 0.012), root length (p = 0.057), and root volume (p = 0.044) significantly in different maize genotypes, while Burkholderia WP9 did not promote growth in maize genotypes under these conditions. Serendipita bescii significantly increased plant height (p = 0.0041), root (p = 0.0004) and shoot biomass (p = 0.0046) for different maize genotypes, and shoot mass growth promotion correlated (r = 0.58, p = 1.97e−09) with measured fungal abundance. Although plant genetic variation by itself had a strong effect on phenotype, its interaction with the different endophytes was weak, and the endophytes rarely produced consistent effects across different genotypes. This genome-by-genome interaction indicates that the relationship between a plant host and beneficial endophytes is complex, and it may partly explain why many microbe-based growth stimulants fail to translate from laboratory settings to the field. Detangling these interactions will provide a ripe area for future studies to understand how to best harness beneficial endophytes for agriculture.

Recognition of pathogen-or-damage-associated molecular patterns is critical to inflammation. However, most pathogen-or-damage-associated molecular patterns exist within intact microbes/cells and are typically part of non-diffusible, stable macromolecules that are not optimally immunostimulatory or available for immune detection. Partial digestion of microbes/cells following phagocytosis potentially generates new diffusible pathogen-or-damage-associated molecular patterns, however, our current understanding of phagosomal biology would have these molecules sequestered and destroyed within phagolysosomes. Here, we show the controlled release of partially-digested, soluble material from phagolysosomes of macrophages through transient, iterative fusion-fission events between mature phagolysosomes and the plasma membrane, a process we term eructophagy. Eructophagy is most active in proinflammatory macrophages and further induced by toll like receptor engagement. Eructophagy is mediated by genes encoding proteins required for autophagy and can activate vicinal cells by release of phagolysosomally-processed, partially-digested pathogen associated molecular patterns. We propose that eructophagy allows macrophages to amplify local inflammation through the processing and dissemination of pathogen-or-damage-associated molecular patterns.

Intracranial aneurysms (IA) occur in 3–5% of the general population and may require surgical or endovascular obliteration if the patient is symptomatic or has an increased risk of rupture. These procedures carry an inherent risk of neurological complications, and the outcome can be influenced by the physiological and pharmacological effects of the administered anesthetics. Despite the critical role of anesthetic agents, however, there are no current studies to systematically assess the intraoperative anesthetic risks, benefits, and outcome effects in this population. In this systematic review of the literature, we carefully examine the existing evidence on the risks and benefits of common anesthetic agents during IA obliteration, their physiological and clinical characteristics, and effects on neurological outcome. The initial search strategy captured a total of 287 published studies. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, 28 studies were included in the final report. Our data showed that both volatile and intravenous anesthetics are commonly employed, without evidence that either is superior. Although no specific anesthetic regimens are promoted, their unique neurological, cardiovascular, and physiological properties may be critical to the outcome in vulnerable patients. In particular, patients at risk for perioperative ischemia may benefit from timely administration of anesthetic agents with neuroprotective properties and optimization of their physiological parameters. Further studies are warranted to examine if these anesthetic regimens can reduce the risk of neurological injury and improve the overall outcome in these patients.

Activation of nociceptor sensory neurons by noxious stimuli both triggers pain and increases capillary permeability and blood flow to produce neurogenic inflammation1,2, but whether nociceptors also interact with the immune system remains poorly understood. Here we report a neurotechnology for selective epineural optogenetic neuromodulation of nociceptors and demonstrate that nociceptor activation drives both protective pain behavior and inflammation. The wireless optoelectronic system consists of sub-millimeter-scale light-emitting diodes embedded in a soft, circumneural sciatic nerve implant, powered and driven by a miniaturized head-mounted control unit. Photostimulation of axons in freely moving mice that express channelrhodopsin only in nociceptors resulted in behaviors characteristic of pain, reflecting orthodromic input to the spinal cord. It also led to immune reactions in the skin in the absence of inflammation and potentiation of established inflammation, a consequence of the antidromic activation of nociceptor peripheral terminals. These results reveal a link between nociceptors and immune cells, which might have implications for the treatment of inflammation.

The photonic characteristics of chromophore-containing metal-organic frameworks (MOFs) have led to extensive photophysical studies in an effort to capitalize on the potency of precisely controlled chromophore ensembles. Several examples have laid the foundation that demonstrates how photophysical properties of chromophores can be manipulated by tuning their communications (interactions) through integration within a MOF matrix. The main focus of this review is on harnessing the versatile MOF platform to accentuate the photophysical properties of integrated chromophores. In particular, this review will highlight chromophore dynamics that enhance, alter, or tune the photoluminescence response of single- and multi-chromophore-containing scaffolds, as well as alignment-guided anisotropic fluorescence. Building upon this groundwork, utilization of a hybrid crystalline motif can induce preferential orientation of chromophores resulting in enhanced communication and tailored behavior compared to randomly oriented emissive molecules. Moreover, frameworks that produce upconverted emission via sensitized triplet-triplet annihilation (sTTA), excited-state absorption (ESA), energy transfer upconversion (ETU), multi-photon absorption (MPA), or second-harmonic generation (SHG) can invoke dynamic control of material properties using photochromic linkers and will be discussed herein with a focus on the effects of chromophore alignment. Integration within a framework is a vehicle to fuse chromophores into solid-state platforms, opening an avenue for chromophore utilization in applications such as portable electronics that require solids or thin films. For those reasons, the design of chromophore-containing MOFs with desirable properties that rely on the alignment and communication of hundreds of chromophores within a single platform is a pressing demand for the development of futuristic technologies.

Mindfulness training for smoking cessation may work by lessening the association between craving and smoking. However, no studies have tested whether baseline craving may be an indicator of individual smokers who might benefit more from receiving mindfulness training. This study evaluated baseline craving strength and frequency as treatment moderators in a randomized controlled trial for smoking cessation comparing mobile (smartphone-based) mindfulness training plus ecological momentary assessment (MMT-EMA) to ecological momentary assessment (EMA). Participants included 325 adult smokers (71.7% female; 81.4% White; mean age = 41.27). Craving strength and frequency were assessed with the Craving Experiences Questionnaire. Smoking was measured as cigarettes per day (CPD) at baseline and six-month follow-up. Moderated regression models were conducted. There was a significant interaction between treatment group and craving strength, but not craving frequency, in the prediction of smoking. Follow-up analyses indicated that baseline craving strength predicted benefit from receiving MMT-EMA, such that higher craving strength at baseline was significantly associated with greater reductions in CPD from baseline to six months in the MMT-EMA group, but not in the EMA group. Findings suggest that baseline craving strength may be a prognostic marker of benefit from smartphone app-delivered mindfulness training for smoking cessation. Future work is warranted for understanding baseline craving as a moderator of mindfulness training for smoking cessation.

A comprehensive database of the optical response in the form of complex dielectric function (e) spectra of magnetron co-sputtered CdSe1−xSx alloy thin films is developed spanning the full 0 ≤ x ≤ 1 range of compositions. A parametric model is presented and used to determine e describing each film while in both as-deposited and thermally annealed states. This model combines a critical point electronic transition lineshape and an Urbach tail in the above- and below-bandgap portions of the measured spectrum, respectively, while maintaining first derivative continuity. Additionally, this hybrid parametric description of e automatically determines the Urbach energy (EU) describing the width of the sub-bandgap absorption tail, thereby providing a relative measure of the defect density of the modeled material. These as-deposited CdSe1−xSx films are generally found to be the most defective at intermediate compositions with some EU reaching energies > 200 meV. Annealing reduces EU in all films to a relatively uniform value

OBJECTIVES: Mindfulness-based relapse prevention (MBRP) is an effective group-based aftercare treatment for substance use disorders (SUDs), yet few studies have examined moderators of MBRP efficacy. This secondary data analysis evaluated individual gender and group gender composition (e.g., proportion of women relative to men in each therapy group) as treatment moderators of MBRP. METHODS: The analysis sample included 186 individuals with SUDs randomized to MBRP or relapse prevention (RP) as an aftercare treatment. Outcomes included number of heavy drinking days and drug use days at the 12-month follow-up. RESULTS: There were no treatment moderation effects for models with heavy drinking days as the outcome (all ps > .05). Group gender composition, but not individual gender, moderated the effect of treatment condition on drug use days (p < .01). Individuals who received MBRP had significantly fewer drug use days at 12-months than those who received RP, but only among individuals in therapy groups comprising one-third or more women (p

In many species, both males and females possess sexual signals, but most research focuses on understanding signal expression in males. Females are often assumed to possess signals as a non-functional by-product of selection on males, but increasing evidence demonstrates functional explanations for variation in female signals. Theory suggests that—for many bird species—differences in long-term fitness associated with female signaling are more likely to be driven by variation in offspring quality than quantity, but research paradigms developed for studying male signals have primarily focused on counting offspring produced. Here, we tested the hypothesis that female ornamentation reliably signals the ability to incubate effectively. We used temperature loggers placed in the nest of common yellowthroat warblers (Geothlypis trichas) to record incubation behavior across multiple breeding attempts. Incubation bout length and the onset of daily activity were highly variable between females, but repeatable within females across multiple nesting attempts. Females with longer bouts and later onset of activity had higher hatching success. Wing length and plumage coloration were not related to incubation length or onset of activity, but were correlated with the total percentage of time spent on the nest each day. However, there was only a trend for repeatability in percentage of time spent on the nest and this measure was not correlated with any metrics of offspring quality or hatching success that we recorded. Therefore, we did not find any single aspect of incubation behavior that was (i) consistent, (ii) related to nestling quality or success, and (iii) signaled by ornamentation. Our results demonstrate the importance of variation in incubation behavior, but also suggest that ornaments are of limited utility as a signal of incubation ability in this species. Nevertheless, our study highlights the need to explore alternative fitness proxies in order to understand variation in female ornamentation. Choosing a high-quality mate is an important determinant of reproductive success and animals often attend to elaborate ornaments as signals of quality during mate choice. In many species, both males and females have ornaments, but most research has focused on male signals and female mate choice. We found that female incubation behavior is associated with both plumage ornaments and hatching success, but there was no single signal that provided reliable information about the aspects of incubation behavior that were related to reproductive success. Our findings suggest that understanding female ornamentation may depend on considering the specific ways that females contribute to offspring survival.

Purpose The steady development of biotechnology-derived therapeutic biologics over the last few decades has generated drugs that are now standard medical treatments for a range of indications. While the development of protein products has surged in recent years, the formulation and delivery of these complex molecules have relied on drug-specific studies and, in some instances, data from non-proteinaceous drug products. The commonalities, trends, and gaps in excipient technologies used to support the development of therapeutic proteins largely remain unexplored due to the drug-specific nature of many formulations. Methods Using a comprehensive and relational database approach, we aimed to provide a scientific survey of all approved or licensed biotechnology-derived drug products with the goal of providing evidence-based information on common attributes and trending features in protein product excipients. We examined 665 formulations, and 395 unique formulations based on having unique excipients within them, that supported 211 therapeutic proteins as of June 2020. Results We report the prevalence of each excipient class and excipient chemical used in eight different drug types including monoclonal antibodies, antibody conjugates, cytokines and growth factors, enzymes, polypeptide hormones, pulmonary surfactants, recombinant fusion proteins, and toxins. We also report the prevalence by excipient type among all therapeutic proteins, in the context of each drug’s recommended pH range, concentration ranges for excipients, and route of administration. Conclusions The results of our analyses indicate certain excipients common to monoclonal antibodies, cytokines, and polypeptide hormones. We also report on excipients unique to protein drug products, such as amino acids, solubilizers, and lyoprotectants. Overall, our report summarizes the current landscape of excipients used in marketed biotechnology-derived therapeutic biologic products.

Background Children with congenital heart disease (CHD) have an elevated risk of future cardiovascular disease but the underlying mechanisms are unclear. Abdominal obesity (measured as waist circumference) is a risk factor for adult onset of cardiovascular diseases and is correlated with low physical activity levels, commonly found in children with congenital heart disease. Elevated waist circumference may be a mechanism by which cardiovascular disease risk is elevated in children with CHD. The purpose of this study was to compare waist circumference between children with and without CHD, while considering potential confounders. We hypothesized that children with CHD would have higher measures of waist circumference when controlling for differences in birthweight, lean mass, and physical activity. Methods Thirty-two children with CHD (10.9 ± 2.6 years; 12 female) from the Children’s Healthy-Heart Activity Monitoring Program in Saskatchewan, and 23 healthy controls (11.7 ± 2.5 years; 10 female) were studied. Waist circumference, physical activity (physical activity questionnaire), body composition (lean mass; dual x-ray absorptiometry), and birthweight were assessed. Analysis of covariance, Mann-Whitney U, and independent sample t-tests were used to assess group differences (p Results Children with CHD had greater waist circumference than controls, controlling for lean mass, physical activity, birthweight, and sex (F (1, 49) = 4.488, p = 0.039). Physical activity, lean mass, and birthweight were not significantly different between groups (p > 0.05). Conclusion Our findings generate a novel hypothesis—higher waist circumferences in children with CHD compared to age-matched controls, may contribute to an elevated risk of cardiovascular disease.

Revealing the mechanisms underlying the reversible physiology of hibernation could have applications to both human and animal health as hibernation is often associated with disease-like states. The present study uses RNA-sequencing to reveal the tissue and seasonal transcriptional changes occurring in grizzly bears (

To review the epidemiology of hepatitis B virus (HBV) transmission in the healthcare setting and outline best practices in the prevention and management of chronic HBV in healthcare professionals. Hepatitis B virus (HBV) infection remains a global public health burden and chronically infects an estimated 257 million persons worldwide. HBV represents one of the most important occupational risks for healthcare workers (HCWs) due to efficient transmission through percutaneous exposure of HBV-infected blood and blood-contaminated body fluids. Although the incidence of HCW-patient transmission of HBV has decreased significantly since 2000, ongoing deficits in HCW testing, vaccination, and confirmation of immunity, as well as post-exposure management protocols, raise concern for ongoing risk for nosocomial exposure. Established recommendations of the AASLD, CDC, and SHEA provide guidance to clinicians on the prevention and management of chronic HBV in healthcare professionals.

Different components of learned birdsongs change at different rates across generations, and the rate of change may correspond to the information carried by each component. To characterize the role of the buzz segment of Savannah sparrow songs, we examined recordings from southeastern Canada and the northeastern US and fully characterized buzz segments in songs recorded from two populations: one on Kent Island, NB, Canada and another in Williamstown, MA, USA. Buzzes varied geographically: Kent Island buzzes had higher mean frequencies and shorter pulse periods than Williamstown buzzes and the differences between the two populations persisted over time. Population-specific buzz characteristics also appeared to be resistant to change. Variants appeared on Kent Island in the late 1980s and were learned by some younger birds; however, these buzz variants disappeared by 2011. We conducted a playback experiment and found that males from both populations had longer responses to local buzzes. Therefore, buzz structure varies geographically; population characteristics of the buzz persist through time despite the introduction of variant forms; and territorial males discriminate between buzzes from different populations. The learned buzz segment of the song may thus serve as a population marker for Savannah sparrows.

Multi-junction all-perovskite tandem solar cells are a promising choice for next-generation solar cells with high efficiency and low fabrication cost. However, the lack of high-quality low-bandgap perovskite absorber layers seriously hampers the development of efficient and stable two-terminal monolithic all-perovskite tandem solar cells. Here, we report a bulk-passivation strategy via incorporation of chlorine, to enlarge grains and reduce electronic disorder in mixed tin–lead low-bandgap (~1.25 eV) perovskite absorber layers. This enables the fabrication of efficient low-bandgap perovskite solar cells using thick absorber layers (~750 nm), which is a requisite for efficient tandem solar cells. Such improvement enables the fabrication of two-terminal all-perovskite tandem solar cells with a champion power conversion efficiency of 21% and steady-state efficiency of 20.7%. The efficiency is retained to 85% of its initial performance after 80 h of operation under continuous illumination. Two-terminal monolithic all-perovskite tandem solar cells are attractive due to their flexible nature and low-cost fabrication. Here the authors develop a process to obtain high-quality Sn–Pb perovskite thin films by incorporating chlorine. Such layers are employed to fabricate 20.7%-efficient tandem cells with 80 h operational stability.

Mindfulness-based relapse prevention (MBRP) is an effective treatment for substance use disorders (SUD). However, evidence is primarily based on studies of closed groups, and few studies support flexible formats of MBRP, such as rolling groups. This nonrandomized, open trial evaluated feasibility, acceptability, dose-response relations, and mechanisms of rolling admission MBRP ("Rolling MBRP") offered as part of short-term residential treatment for SUD. Rolling MBRP was developed prior to the trial through an iterative process over several years. Participants included 109 adults (46% female, 74.3% racial/ethnic minorities, mean age=36.40). Rolling MBRP was offered to all patients in the program 2x/week and attendance was tracked. Outcomes were craving, self-efficacy, mental health, mindfulness, and self-compassion at discharge. Self-reported out-of-session mindfulness practice was examined as a mediator of attendance-outcome relations. Analyses involved multiple regression and mediation models. Feasibility was demonstrated by good attendance rates. Acceptability was demonstrated by high engagement in mindfulness practice and high satisfaction ratings. Total sessions attended did not predict outcomes at discharge. However, attending 2+ sessions (versus 1 or none) significantly predicted better mental health and higher mindfulness at discharge, and these effects were mediated by informal and formal mindfulness practice. Total sessions attended had significant indirect effects on craving, self-compassion, mindfulness, and mental health, via mindfulness practice. Results support the feasibility and acceptability of Rolling MBRP and suggest mindfulness practice may be a key mechanism driving effects of MBRP on other key mechanisms during the recovery process, such as decreased craving and improved mental health.

We present the defect analysis by photoluminescence (PL) spectroscopy of CdSexTe1-x thin films, grown with varying Se content by a co-sputtered deposition method. We observe a peak at 1.203 eV in the CdSexTe1-x film for x = 0.21, which shifts towards higher energies with increase in laser power. This peak was assigned to a donor-to-acceptor (DAP) transition, with a measured j-shift of ~4.7 meV/decade. Temperature dependent PL intensity measurements confirm that the observed DAP peak involves a shallow defect state of binding energy ~34.7 meV. In contrast, a free-to-bound (FB) peak at 1.294 eV involving a shallow defect of binding energy ~18.3 meV was observed in the CdSexTe1-x film for x = 0.14. Additionally, we observe band edge emission at 1.452 eV and 1.448 eV in CdSexTe1-x films for x = 0.14 and x = 0.21 respectively. Our analysis shows that the Se concentration not only changes the band gap energy of the resulting CdSexTe1-x alloy thin film, but also modifies the nature of the dominant observed defect emission.

Hepatocyte growth factor (HGF) is a novel potential therapy for improving bone health in patients with type II diabetes and hypertension, but its effect on the bone molecular structure is not revealed yet. Here, X-ray absorption near edge structure (XANES) spectroscopy was used to explore the effects elicited by HGF on the bone chemical structure. This study assessed local calcium (Ca) and phosphorus (P) coordination of diabetic hypertensive rat bones, each with and without HGF treatment. Results revealed that HGF has significant effects on Ca and P coordination chemistry as confirmed by presence of more soluble phosphates in the HGT-treated groups. Data indicated that treated bones have a poorly developed phosphate structure as evidenced by drastic drop in post-edge shoulder in P L2, 3-edge compared to diabetic hypertensive and diabetic control bone. Presence of soluble Ca and P, products of bone resorption, with HGF treatment suggests unbalanced bone resorption and formation.

Long-term resorbable mesh represents a promising technology for complex ventral and incisional hernia repair (VIHR). Preclinical studies indicate that poly-4-hydroxybutyrate (P4HB) resorbable mesh supports strength restoration of the abdominal wall. This study evaluated outcomes of high-risk subjects undergoing VIHR with P4HB mesh. This was a prospective, multi-institutional study of subjects undergoing retrorectus or onlay VIHR. Inclusion criteria were CDC Class I, defect 10–350 cm2, ≤ 3 prior repairs, and ≥ 1 high-risk criteria (obesity (BMI: 30–40 kg/m2), active smoker, COPD, diabetes, immunosuppression, coronary artery disease, chronic corticosteroid use, hypoalbuminemia, advanced age, and renal insufficiency). Physical exam and/or quality of life surveys were performed at regular intervals through 18 months (to date) with longer-term, 36-month follow-up ongoing. One hundred and twenty-one subjects (46M, 75F) with an age of 54.7 ± 12.0 years and BMI of 32.2 ± 4.5 kg/m2 (mean ± SD), underwent VIHR. Comorbidities included the following: obesity (n = 95, 78.5%), hypertension (n = 72, 59.5%), cardiovascular disease (n = 42, 34.7%), diabetes (n = 40, 33.1%), COPD (n = 34, 28.1%), malignancy (n = 30, 24.8%), active smoker (n = 28, 23.1%), immunosuppression (n = 10, 8.3%), chronic corticosteroid use (n = 6, 5.0%), advanced age (n = 6, 5.0%), hypoalbuminemia (n = 3, 2.5%), and renal insufficiency (n = 1, 0.8%). Hernia types included the following: primary ventral (n = 17, 14%), primary incisional (n = 54, 45%), recurrent ventral (n = 15, 12%), and recurrent incisional hernia (n = 35, 29%). Defect and mesh size were 115.7 ± 80.6 and 580.9 ± 216.1 cm2 (mean ± SD), respectively. Repair types included the following: retrorectus (n = 43, 36%), retrorectus with additional myofascial release (n = 45, 37%), onlay (n = 24, 20%), and onlay with additional myofascial release (n = 8, 7%). 95 (79%) subjects completed 18-month follow-up to date. Postoperative wound infection, seroma requiring intervention, and hernia recurrence occurred in 11 (9%), 7 (6%), and 11 (9%) subjects, respectively. High-risk VIHR with P4HB mesh demonstrated positive outcomes and low incidence of hernia recurrence at 18 months. Longer-term 36-month follow-up is ongoing.

Although the selective loss of individuals susceptible to disease can favor the evolution of female preference for older males, the interrelationship between age, infection, longevity, and mating success remains poorly characterized in natural populations. In a longitudinal study of 61 male common yellowthroats (Geothlypis trichas), we found that the probability of infection with hematozoa increased as males aged from 1 to 5 years. Despite a significant, negative association between infection and longevity that partially masked age-effects, the odds that a male was infected with Trypanosoma, Plasmodium, or Leucocytozoon increased 71-212% per year. Nearly 75% of males in their first breeding season were either uninfected or infected with only a single parasite, while 50% of older males were infected with at least two parasites and 16% were infected with all three. No males escaped infection after their second breeding season. Older males were also more likely to sire extra-pair young (EPY) and, as a consequence, infection with multiple parasites was associated with a fourfold increase in the odds of producing EPY. Unlike younger males, 80% of the oldest males had a history of either surviving chronic infection or recovering. Combined with previous work showing higher diversity at the major histocompatibility complex among older males, our results suggest that the song and plumage traits that signal male age in common yellowthroats also, perforce, signal resistance to parasites. By preferring older males, females may obtain good genes for disease resistance even in the absence of any effect of infection on male ornamentation.

Fever is a common occurrence in the Neurocritical Care Unit (NCCU). It is reported that up to 50 % of these fevers are associated with a non-infectious source. As this is a diagnosis of exclusion, a complete fever evaluation must be done to rule out infection. Procalcitonin (PCT) has been identified as a possible biomarker to distinguish infectious from non-infectious etiologies of fever. We hypothesized that PCT could be used as a predictor of infectious fever in febrile patients with intracranial hemorrhage admitted to the NCCU. A prospective observational cohort of patients admitted to a 12-bed NCCU in a tertiary-care university hospital from January 1, 2014, to October 1, 2014, was studied. Patients with intracranial hemorrhage (aneurismal subarachnoid hemorrhage, traumatic brain injury, intracerebral hemorrhage, or non-traumatic subdural hemorrhage) and fever defined as ≥101.4 °F were included. All patients had a urinalysis, chest X-ray, two sets of blood cultures, and PCT as part of their fever evaluation. Patients also had urine, sputum, CSF cultures, and Clostridium difficile toxin PCR as clinically indicated. Patients with incomplete fever evaluations were excluded. Seventy-three patients met inclusion criteria: 36 had infections identified and 37 did not. Type of intracranial hemorrhage was similar between groups. For those with identified infection, median PCT was 0.15 ng/mL (IQR 0.06–0.5 ng/mL). For those without identified infection, median PCT was 0.09 ng/mL (IQR 0.05–0.45 ng/mL), p = 0.30. Analyzing subgroups of intracranial hemorrhage patients revealed no group with a significant difference in PCT values. Patients with identified infection did have higher white blood cell counts (median 14.1 × 109/L (11.6–17.4 × 109/L) compared to those without identified infection 12 × 109/L (9.9–14.1 × 109/L), p = 0.02. Among patients with intracranial hemorrhage, PCT did not differentiate infectious fever from non-infectious fever.