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Translocations are a critical tool for reversing biodiversity loss but are often characterized by unreasonably high expectations, leading to many translocation programs being brief and terminated before achieving their full potential. To address these issues, we developed the "Translocation Continuum Framework", an easy‐to‐use tool that clarifies the criteria, strategies, tactics, progress measures, and expected outcomes for five key translocation "phases": Feasibility Studies, Pilot Studies, Primary Trials, Secondary Experiments, and Tertiary Reinforcements. By accounting for uncertainty, the Framework aims to empower practitioners to design translocation programs that suit their context. We also discuss the limitations of "success" and "failure" labels in translocations, and the importance of parsimonious decision making to maximize learning with the least amount of loss. Only by managing expectations of the likelihood of establishment, growth, and regulation throughout a program's lifetime can we galvanize trust and investment in translocations so they can contribute meaningfully to long‐term restoration. [ABSTRACT FROM AUTHOR]

Background and Purpose: Paramagnetic rim lesions (PRLs) are an MRI biomarker of chronic inflammation in people with multiple sclerosis (MS). PRLs may aid in the diagnosis and prognosis of MS. However, manual identification of PRLs is time‐consuming and prone to poor interrater reliability. To address these challenges, the Automated Paramagnetic Rim Lesion (APRL) algorithm was developed to automate PRL detection. The primary objective of this study is to evaluate the accuracy of APRL for detecting PRLs in a multicenter setting. Methods: We applied APRL to a multicenter dataset, which included 3‐Tesla MRI acquired in 92 participants (43 with MS, 14 with clinically isolated syndrome [CIS]/radiologically isolated syndrome [RIS], 35 without RIS/CIS/MS). Subsequently, we assessed APRL's performance by comparing its results with manual PRL assessments carried out by a team of trained raters. Results: Among the 92 participants, expert raters identified 5637 white matter lesions and 148 PRLs. The automated segmentation method successfully captured 115 (78%) of the manually identified PRLs. Within these 115 identified lesions, APRL differentiated between manually identified PRLs and non‐PRLs with an area under the curve (AUC) of.73 (95% confidence interval [CI]: [.68,.78]). At the subject level, the count of APRL‐identified PRLs predicted MS diagnosis with an AUC of.69 (95% CI: [.57,.81]). Conclusion: Our study demonstrated APRL's capability to differentiate between PRLs and lesions without paramagnetic rims in a multicenter study. Automated identification of PRLs offers greater efficiency over manual identification and could facilitate large‐scale assessments of PRLs in clinical trials. [ABSTRACT FROM AUTHOR]

Background: Internationally, there is an increasing trend in using Rapid Response Systems (RRS) to stabilize in‐patient deterioration. Despite a growing evidence base, there remains limited understanding of the processes in place to aid the early recognition and response to deteriorating children in hospitals across Europe. Aim: To describe the processes in place for early recognition and response to in‐patient deterioration in children in European hospitals. Study Design: A cross‐sectional opportunistic multi‐centre European study, of hospitals with paediatric in‐patients, using a descriptive self‐reported, web‐based survey, was conducted between September 2021 and March 2022. The sampling method used chain referral through members of European and national societies, led by country leads. The survey instrument was an adaptation to the survey of Recognition and Response Systems in Australia. The study received ethics approval. Descriptive analysis and Chi‐squared tests were performed to compare results in European regions. Results: A total of 185 questionnaires from 21 European countries were received. The majority of respondents (n = 153, 83%) reported having written policies, protocols, or guidelines, regarding the measurement of physiological observations. Over half (n = 120, 65%) reported that their hospital uses a Paediatric Early Warning System (PEWS) and 75 (41%) reported having a Rapid Response Team (RRT). Approximately one‐third (38%) reported that their hospital collects specific data about the effectiveness of their RRS, while 100 (54%) reported providing regular training and education to support it. European regional differences existed in PEWS utilization (North = 98%, Centre = 25%, South = 44%, p <.001) and process evaluation (North = 49%, Centre = 6%, South = 36%, p <.001). Conclusions: RRS practices in European hospitals are heterogeneous. Differences in the uptake of PEWS and RRS process evaluation emerged across Europe. Relevance to Clinical Practice: It is important to scope practices for the safe monitoring and management of deteriorating children in hospital across Europe. To reduce variance in practice, a consensus statement endorsed by paediatric and intensive care societies could provide guidance and resources to support PEWS implementation and for the operational governance required for continuous quality improvement. [ABSTRACT FROM AUTHOR]

Endovascular thrombectomy (EVT) safety and efficacy in patients with large core infarcts receiving oral anticoagulants (OAC) are unknown. In the SELECT2 trial (NCT03876457), 29 of 180 (16%; vitamin K antagonists 15, direct OACs 14) EVT, and 18 of 172 (10%; vitamin K antagonists 3, direct OACs 15) medical management (MM) patients reported OAC use at baseline. EVT was not associated with better clinical outcomes in the OAC group (EVT 6 [4–6] vs MM 5 [4–6], adjusted generalized odds ratio 0.89 [0.53–1.50]), but demonstrated significantly better outcomes in patients without OAC (EVT 4 [3–6] vs MM 5 [4–6], adjusted generalized odds ratio 1.87 [1.45–2.40], p = 0.02). The OAC group had higher comorbidities, including atrial fibrillation (70% vs 17%), congestive heart failure (28% vs 10%), and hypertension (87% vs 72%), suggesting increased frailty. However, the results were consistent after adjustment for these comorbidities, and was similar regardless of the type of OACs used. Whereas any hemorrhage rates were higher in the OAC group receiving EVT (86% in OAC vs 70% in no OAC), no parenchymal hemorrhage or symptomatic intracranial hemorrhage were observed with OAC use in both the EVT and MM arms. Although we did not find evidence that the effect was due to excess hemorrhage or confounded by underlying cardiac disease or older age, OAC use alone should not exclude patients from receiving EVT. Baseline comorbidities and ischemic injury extent should be considered while making individualized treatment decisions. ANN NEUROL 2024;96:887–894 [ABSTRACT FROM AUTHOR]

Background: Recurrent laryngeal nerve (RLN) injury is a known complication of thyroidectomy. Most cases manifest immediately and are promptly recognized. Rarely, some patients experience delayed‐onset vocal cord palsy. This can occur despite normal findings on intra‐operative nerve monitoring and initial post‐operative endoscopy. This can cause considerable distress for patients, and its incidence and prognosis should be recognized. Methodology: We report seven patients experiencing delayed‐onset RLN palsy (RLNP) after thyroidectomy. All had normal findings on pre‐operative flexible nasoendoscopy (FNE), intra‐operative nerve monitoring at conclusion of surgery, and initial post‐operative FNE. All diagnoses of RLNP were confirmed on endoscopy. Serial FNE examinations were performed to evaluate recovery. Results: Of seven patients (43% male, median age 65 years), the median timing of delayed‐onset RLNP was 12 (range 9–35) days. RLNP was diagnosed on the unilateral side of surgery in six out of seven patients (86%). All received conservative management, including referral to voice therapy. All seven patients recovered vocal cord function after a median duration of 24 weeks (range 8–52 weeks), and six within ~6 months (28 weeks). The incidence of this complication was 0.1% (among 6607 thyroidectomies). Conclusion: We report the first Australian series of delayed‐onset vocal cord palsy after thyroidectomy. We explore its prognosis, discussing different pathophysiological mechanisms and the timeframe for recovery compared to most other RLN injuries. This may assist recognition of a rare complication, reassure patients, and facilitate early intervention to improve a patient's quality of life. [ABSTRACT FROM AUTHOR]

The article explores the phenomenon of "dear enemy effects" in the stoplight parrotfish, Sparisoma viride. Dear enemy effects refer to the tendency of territory holders to act less aggressively towards their neighbors compared to strangers. The study observed territorial interactions between male parrotfish and neighboring males or nonterritorial "floaters." The results showed that territorial males were more likely to engage in escalated chases with floaters than with neighbors. The study suggests that the dear enemy effect may be influenced by the defense of food resources and the presence of females. The findings contribute to understanding the mechanisms underlying territoriality in parrotfish and its role in population regulation and ecosystem functioning. [Extracted from the article]

Background and Purpose: Activation of CB1 by exogenous agonists causes adverse effects in vivo. Positive allosteric modulation may offer improved therapeutic potential and a reduced on‐target adverse effect profile compared with orthosteric agonists, due to reduced desensitisation/tolerance, but this has not been directly tested. This study investigated the ability of PAMs/ago‐PAMs to induce receptor regulation pathways, including desensitisation and receptor internalisation. Experimental Approach: Bioluminescence resonance energy transfer (BRET) assays in HEK293 cells were performed to investigate G protein dissociation, ERK1/2 phosphorylation and β‐arrestin 2 translocation, while immunocytochemistry was performed to measure internalisation of CB1 in response to the PAMs ZCZ011, GAT229 and ABD1236 alone and in combination with the orthosteric agonists AEA, 2‐AG, and AMB‐FUBINACA. Key Results: ZCZ011, GAT229 and ABD1236 were allosteric agonists in all pathways tested. The ago‐PAM ZCZ011 induced a biphasic ERK1/2 phosphorylation time course compared to transient activation by orthosteric agonists. In combination with 2‐AG but not AEA or AMB‐FUBINACA, ZCZ011 and ABD1236 caused the transient peak of ERK1/2 phosphorylation to become sustained. All PAMs increased the potency and efficacy of AEA‐induced signalling in all pathways tested; however, no notable potentiation of 2‐AG or AMB‐FUBINACA was observed. Conclusion and Implications: Ago‐PAMs can potentiate endocannabinoid CB1 agonism by AEA to a larger extent compared with 2‐AG. However, all compounds were found to be allosteric agonists and induce activation of CB1 in the absence of endocannabinoid, including β‐arrestin 2 recruitment and internalisation. Thus, the spatiotemporal signalling of endogenous cannabinoids will not be retained in vivo. [ABSTRACT FROM AUTHOR]

Objective: This article outlines for family scholars and researchers designing surveys or searching for data on sexual and gender‐diverse (SGD) families the latest methodological advancements in United States population‐based surveys for studying SGD partnerships by reviewing five recently collected, publicly available, population‐representative data sets. Background: LGBTQIA+ adults and SGD partnerships are an expanding demographic group in the United States. Yet, measurement limitations have restricted studies of these partnerships that use population‐based studies. To address this issue, researchers designing population‐representative data collections have adopted new strategies to measure SGD partnerships accurately. However, most population representative surveys continue to lack data on growing segments of the LGBTQIA+ population by relying solely on the sex of partners or limited sexual and gender identity measures. Conclusion: We recommend expanding population‐based surveys to incorporate inclusive measures of sexual and gender identity, directly asking about the gender composition of a couple and measurement of cohabiting and other nonmarital relationships. These approaches are especially important for understanding relationships among younger populations who do not follow heteronormative relationship trajectories and hold diverse gender and sexual identities. Implications: Although the research opportunities on SGD individuals and partnerships are expanding; researchers must remain mindful of the limitations of current data sets and advocate for updates to the United States population data infrastructure. [ABSTRACT FROM AUTHOR]

Issues Addressed: Alcohol depictions are extremely common online, and there is a reported relationship between alcohol exposure and alcohol use. A browser plug‐in specifically designed to block online alcohol depictions may be helpful to prevent the uptake of alcohol or increased alcohol use. Methods: Twenty‐five semi‐structured interviews were conducted, examining participants' beliefs about the effects of online alcohol exposure and their support for developing the browser plug‐in. Results: Using reflexive thematic analysis, we found participants highlighted a clear impact of viewing alcohol online and offline alcohol use. Participants believed a browser plug‐in that blocked alcohol was acceptable and would be especially useful for minors (to prevent alcohol initiation) and those who are aiming to reduce their alcohol use. Conclusions: Participants emphasised that viewing online alcohol exposure had an impact on drinking behaviours, such as increased craving and temptation. The browser plug‐in was considered an easy intervention tool for both parents and people who are experiencing alcohol‐related problems or trying to reduce their drinking. So What?: Participants' continuous support of an alcohol‐blocking browser plug‐in suggests that future health promotion strategies should consider the development of a prototype plug‐in. [ABSTRACT FROM AUTHOR]

Relationships between plant biodiversity and productivity are highly variable across studies in managed grasslands, partly because of the challenge of accounting for confounding's and reciprocal relationships between biodiversity and productivity in observational data collected at a single point in time. Identifying causal effects in the presence of these challenges requires new analytical approaches and repeated observations to determine the temporal ordering of effects.Though rarely available, data collected at multiple time points within a growing season can help to disentangle the effects of biodiversity on productivity and vice versa. Here we advance this understanding using seasonal grassland surveys from 150 managed grassland sites repeated over 2 years, along with statistical methods that are relatively new in ecology, that aim to infer causal relationships from observational data. We compare our approach to common methods used in ecology, that is, mixed‐effect models, and to analyses that use observations from only one point in time within the growing seasons.We find that mixed models overestimated the effect of biodiversity on productivity by two standard errors as compared to our main models, which find no evidence for a strong positive effect. For the effect of productivity on biodiversity we found a negative effect using mixed models which was highly sensitive to the time at which the data was collected within the growing season. In contrast, our main models found no evidence for an effect. Conventional models overestimated the effects between biodiversity and productivity, likely due to confounding variables.Synthesis. Understanding the biodiversity‐productivity relationships is a focal topic in ecology, but unravelling their reciprocal nature remains challenging. We demonstrate that higher‐resolution longitudinal data along with methods to control for a broader suite of confounding variables can be used to resolve reciprocal relationships. We highlight future data needs and methods that can help us to resolve biodiversity‐productivity relationships, crucial for reconciling a long‐running debate in ecology and ultimately, to understand how biodiversity and ecosystem functioning respond to global change. [ABSTRACT FROM AUTHOR]

The Hippo tumor suppressor pathway controls transcription by regulating nuclear abundance of YAP and TAZ, which activate transcription with the TEAD1-TEAD4 DNA-binding proteins. Recently, several small-molecule inhibitors of YAP and TEADs have been reported, with some entering clinical trials for different cancers with Hippo pathway deregulation, most notably, mesothelioma. Using genome-wide CRISPR/Cas9 screens we reveal that mutations in genes from the Hippo, MAPK, and JAK-STAT signaling pathways all modulate the response of mesothelioma cell lines to TEAD palmitoylation inhibitors. By exploring gene expression programs of mutant cells, we find that MAPK pathway hyperactivation confers resistance to TEAD inhibition by reinstating expression of a subset of YAP/TAZ target genes. Consistent with this, combined inhibition of TEAD and the MAPK kinase MEK, synergistically blocks proliferation of multiple mesothelioma and lung cancer cell lines and more potently reduces the growth of patient-derived lung cancer xenografts in vivo. Collectively, we reveal mechanisms by which cells can overcome small-molecule inhibition of TEAD palmitoylation and potential strategies to enhance the anti-tumor activity of emerging Hippo pathway targeted therapies. Synopsis: Genome-wide CRISPR/Cas9 screens identify mechanisms by which mesothelioma cells respond to TEAD palmitoylation inhibitors, which are the first Hippo pathway targeted therapies. MAPK pathway targeted therapies enhance the anti-tumor activity of TEAD inhibitors. Mutating the Hippo, MAPK, and JAK-STAT pathways modulates the cellular response to TEAD inhibitors. MAPK pathway hyperactivation confers resistance to TEAD inhibition by reinstating expression of a subset of YAP/TAZ targets. Combined inhibition of TEAD and MEK synergistically blocks proliferation of mesothelioma and lung cancer cell lines. MEK inhibitors enhance the ability of TEAD inhibitors to suppress the growth of patient-derived lung cancer xenografts. Genome-wide CRISPR/Cas9 screens identify mechanisms by which mesothelioma cells respond to TEAD palmitoylation inhibitors, which are the first Hippo pathway targeted therapies. MAPK pathway targeted therapies enhance the anti-tumor activity of TEAD inhibitors. [ABSTRACT FROM AUTHOR]

Ponds are characterized by high biodiversity, intense biogeochemical cycling, and susceptibility to anthropogenic impacts. Yet few studies have quantified the water velocities responsible for vertical mixing or lateral transport in ponds. We used high‐resolution observations of velocity to examine mixing and transport during summer in a 50‐m‐long, 2.7‐m‐deep temperate pond. Many observed transport and mixing processes resembled those found in larger stratified lakes. A surface mixed layer was observed, whose depth ranged between ~ 1 m at night and < 0.3 m during the day. Turbulence was usually sufficient to vertically mix the surface layer in 4–12 min, but no turbulence was observed in the hypolimnion. Persistent (2.5‐h‐averaged) currents usually flowed downwind near the surface and returned upwind near the mixed layer base. Surface currents were proportional to windspeed, with root‐mean‐squared speed of 8×10−3ms−1 (persistent hypolimnion currents were much weaker). Superposed on persistent currents were 30‐ to 100‐min‐period fluctuations resulting from internal seiches. These fluctuations were comparable in magnitude to more persistent currents in the mixed layer and dominated in the hypolimnion. Seiches did not advect particles far across the pond, but did contribute to production of mixed layer turbulence. Seiches also contributed to shear dispersion, which was sufficient to mix near‐surface tracers across the pond in 2–4 d. Theory suggests that hypolimnion bottom boundary layers were laminar during the downslope phase of seiche motion, but became turbulent during the upslope phase as near‐bed water flows created unstable stratification. [ABSTRACT FROM AUTHOR]

A species is expected to be most resilient to environmental change when it occurs across a broad diversity of habitats. However, there is often no visual representation of the past (i.e. prehistoric and historical) context for a species in the range maps published by national and global authorities. Therefore, it is easy to overlook the fact that many species once occupied a broader geographic range, or greater diversity of habitats. Such oversights hinder the effective conservation of species that have become restricted to a subset of their formerly occupied habitats. Here, we quantified the shifted baseline that may underpin some of the ecological misconceptions about species, and developed a rapid assessment method to aid the identification and prioritisation of 'potential refugee species' (i.e. species that have become restricted to a subset of their formerly occupied niche). The assessment of potential refugee status is different from, but complementary to, the International Union for Conservation of Nature (IUCN) Red List and Green Status frameworks. Our framework defines a continuum of potential refugee status, which was demonstratable in continent‐scale maps drawn from biogeographic regionalisation. Applying this framework to all native rodent species across the continent of Australia (a group that has suffered several extinctions and notable declines), we found that the risk of ecological misconceptions caused by shifted baselines (i.e. resulting from 'shifting baseline syndrome') was prevalent. This suggests that in many cases, translocation opportunities that might be avoided because they are perceived as conservation introductions (as defined by the IUCN translocation guidelines), may in fact fall within the indigenous range, and should therefore be considered reasonable reintroductions. Ultimately, our potential refugee assessment framework will help to facilitate the undertaking of ambitious translocations that will build species' resilience to environmental change by resuming their adaptation to habitats across all formerly occupied bioregions. [ABSTRACT FROM AUTHOR]

Background: Total knee replacement (TKR) is the gold standard treatment for end‐stage chronic osteoarthritis pain, yet many patients report chronic postoperative pain after TKR. The search for preoperative predictors for chronic postoperative pain following TKR has been studied with inconsistent findings. Methods: This study investigates the predictive value of quantitative sensory testing (QST) and PainDETECT for postoperative pain 3, 6 and 12 months post‐TKR. We assessed preoperative and postoperative (3 and 6 months) QST measures in 77 patients with knee OA (KOA) and 41 healthy controls, along with neuropathic pain scores in patients (PainDETECT). QST parameters included pressure pain pressure threshold (PPT), pain tolerance threshold (PTT), conditioned pain modulation (CPM) and temporal summation (TS) using cuff algometry, alongside mechanical hyperalgesia and temporal summation to repeated pinprick stimulation. Results: Compared to healthy controls, KOA patients at baseline demonstrated hyperalgesia to pinprick stimulation at the medial knee undergoing TKR, and cuff pressure at the calf. Lower cuff algometry PTT and mechanical pinprick hyperalgesia were associated with preoperative KOA pain intensity. Moreover, preoperative pinprick pain hyperalgesia explained 25% of variance in pain intensity 12 months post‐TKR and preoperative neuropathic pain scores also captured 30% and 20% of the variance in postoperative pain at 6 and 12 months respectively. A decrease in mechanical pinprick hyperalgesia from before surgery to 3 months after TKR was associated with lower postoperative pain at the 12 months post‐TKR follow‐up. Conclusion: Our findings suggest that preoperative pinprick hyperalgesia and neuropathic‐like pain symptoms show predictive value for the development of chronic post‐TKR pain. Significance Statement: This study's findings hold significant implications for chronic pain management in knee osteoarthritis patients, particularly those undergoing total knee replacement surgery (TKR). Mechanical hyperalgesia and neuropathic pain‐like characteristics predict postoperative pain 1 year after TKR, emphasizing the importance of understanding pain phenotypes in OA for selecting appropriate pain management strategies. The normalization of hyperalgesia after surgery correlates with better long‐term outcomes, further highlighting the therapeutic potential of addressing abnormal pain processing mechanisms pre‐ and post‐TKR. [ABSTRACT FROM AUTHOR]

Background: Pressure offloading is a critical component of plantar foot ulcer management, including diabetes‐related foot ulcers (DFU). Conventional offloading options such as total contact casting and removable knee‐high walkers may be unsuitable or unsuccessful in patients with morbid obesity, intermittent lower limb oedema, high exudative wounds or poor mobility. A mouldable fibreglass backslab device (BSD) may be a practical alternative to be considered in these situations. Methods: Data were retrospectively collected on 28 patients (29 foot ulcers) with non‐healing ulcers who received a BSD to offload their foot ulcer as an extension to standard offloading care. Baseline data included: patient demographics, type of offloading prior to BSD application, date of ulcer onset, days ulcer present prior to BSD application and ulcer size at BSD initiation. Measures of success included ulcer size reduction 12 weeks post‐BSD application, time to complete ulcer healing in BSD, time to 50% reduction in ulcer size post‐BSD application and total number of days ulcer present. Results: The median (IQR) ulcer area and ulcer duration at baseline for 19 patients (20 ulcers) who used the BSD was 1.65 (0.4–3.8) cm2 and 531 (101–635) days. At 12 weeks, the median (IQR) ulcer area was 0.3 (0–0.55) cm2 with a median (IQR) reduction of 97 (80–100) %. Nine (45%) ulcers achieved complete wound healing (100% reduction in wound size) at 12 weeks post‐BSD application, and the remaining 11 (55%) ulcers achieved at least 50% reduction in wound size. The median (IQR) time to complete wound healing and 50% reduction in wound size was 71 (35–134) days and 24 (15–44) days, respectively. Nine patients ceased use of the BSD and reverted to conventional offloading before their wounds had healed. Of these, four patients achieved a 50% reduction in wound size at the 12‐week mark with conventional offloading. Conclusion: Our preliminary data suggests that a mouldable fibreglass BSD may be a practical offloading option in the management of DFUs, especially when conventional offloading methods are unsuccessful, unsuitable or unacceptable to patients. Higher level evidence is required to demonstrate suitability or efficacy of the BSD compared to current evidence‐based recommended offloading methods. [ABSTRACT FROM AUTHOR]

Objective: To review cases of congenital frontonasal dermoids to gain insight into the accuracy of preoperative computed tomography (CT) and magnetic resonance imaging (MRI) in predicting intracranial extension. Methods: This retrospective study included all patients who underwent primary excision of frontonasal dermoids at an academic children's hospital over a 23‐year period. Preoperative presentation, imaging, and operative findings were reviewed. Receiver operating characteristic (ROC) statistics were generated to determine CT and MRI accuracy in detecting intracranial extension. Results: Search queries yielded 129 patients who underwent surgical removal of frontonasal dermoids over the study period with an average age of presentation of 12 months. Preoperative imaging was performed on 122 patients, with 19 patients receiving both CT and MRI. CT and MRI were concordant in the prediction of intracranial extension in 18 out of 19 patients. Intraoperatively, intracranial extension requiring craniotomy was seen in 11 patients (8.5%). CT was 87.5% sensitive and 97.4% specific for predicting intracranial extension with an ROC of 0.925 (95% CI [0.801, 1]), whereas MRI was 60.0% sensitive and 97.8% specific with an ROC of 0.789 (95% CI [0.627, 0.950]). Conclusion: This is the largest case series in the literature describing a single institution's experience with frontonasal dermoids. Intracranial extension is rare and few patients required craniotomy in our series. CT and MRI have comparable accuracy at detecting intracranial extension. Single‐modality imaging is recommended preoperatively in the absence of other clinical indications. Level of Evidence: 4 Laryngoscope, 134:1961–1966, 2024 [ABSTRACT FROM AUTHOR]

Objective: We estimate the prevalence of suicidal ideation among partnered U.S. adults overall and by sexual identity using a population‐representative sample of cohabiting and married adults. Background: Intimate partner problems and other aspects of intimate relationships are substantial precipitating factors to suicide. Even so, there are currently no family‐based interventions targeting suicide risk among adults; this may be because little is known as to how prevalent suicidal ideation and behaviors are in the context of intimate relationships. Sexually diverse adults show higher proportions of suicidal ideation than heterosexual adults. Method: Weighted logistic regression was used to analyze data from a subsample of the National Couples' Health and Time Study (n = 3,618), a population‐representative sample of cohabiting and married adults. Unadjusted and model‐adjusted prevalence estimates for suicidal ideation (thoughts and plans) were calculated. Results: The model adjusted prevalence estimates for suicide thoughts and plans were similar to estimates among general population samples. Bisexual and queer+ respondents had double the odds of reporting suicide thoughts and plans compared with gay, lesbian, and heterosexual respondents. Conclusions: Cohabiting and married adults showed a similar prevalence of suicidal ideation as the general population. Bisexual and queer+ adults are a growing U.S. population and require unique attention because they confront higher suicide risk compared with not only heterosexual but also gay and lesbian adults. Implications: Family‐based interventions are needed to target suicidal ideations and behaviors among adults, including those who are married or cohabiting. Sexually diverse adults should not be treated as a monolithic group when tailoring interventions for sexually diverse populations. [ABSTRACT FROM AUTHOR]

Repetitive subconcussive head impacts (RSHI) are believed to induce sub‐clinical brain injuries, potentially resulting in cumulative, long‐term brain alterations. This study explores patterns of longitudinal brain white matter changes across sports with RSHI‐exposure. A systematic literature search identified 22 datasets with longitudinal diffusion magnetic resonance imaging data. Four datasets were centrally pooled to perform uniform quality control and data preprocessing. A total of 131 non‐concussed active athletes (American football, rugby, ice hockey; mean age: 20.06 ± 2.06 years) with baseline and post‐season data were included. Nonparametric permutation inference (one‐sample t tests, one‐sided) was applied to analyze the difference maps of multiple diffusion parameters. The analyses revealed widespread lateralized patterns of sports‐season‐related increases and decreases in mean diffusivity (MD), radial diffusivity (RD), and axial diffusivity (AD) across spatially distinct white matter regions. Increases were shown across one MD‐cluster (3195 voxels; mean change: 2.34%), one AD‐cluster (5740 voxels; mean change: 1.75%), and three RD‐clusters (817 total voxels; mean change: 3.11 to 4.70%). Decreases were shown across two MD‐clusters (1637 total voxels; mean change: −1.43 to −1.48%), two RD‐clusters (1240 total voxels; mean change: −1.92 to −1.93%), and one AD‐cluster (724 voxels; mean change: −1.28%). The resulting pattern implies the presence of strain‐induced injuries in central and brainstem regions, with comparatively milder physical exercise‐induced effects across frontal and superior regions of the left hemisphere, which need further investigation. This article highlights key considerations that need to be addressed in future work to enhance our understanding of the nature of observed white matter changes, improve the comparability of findings across studies, and promote data pooling initiatives to allow more detailed investigations (e.g., exploring sex‐ and sport‐specific effects). [ABSTRACT FROM AUTHOR]

Remotely sensed measures of vegetation structure have been shown to explain patterns in the occurrence and diversity of several animal taxa, including birds, mammals, and invertebrates. However, very little research in this area has focused on reptiles and amphibians (herpetofauna). Moreover, most remote sensing studies on animal–habitat associations have relied on airborne or satellite data that provide coverage over relatively large areas but may not have the resolution or viewing angle necessary to measure vegetation features at scales that are meaningful to herpetofauna. Here, we combined terrestrial laser scanning (TLS), unmanned aerial vehicle laser scanning (ULS), and fused (FLS) data to provide the first test of whether vegetation structural attributes can help explain variation in herpetofauna abundance, species richness, and diversity across a woodland landscape. We identified relationships between the abundance and diversity of herpetofauna and several vegetation metrics, including canopy height, skewedness, vertical complexity, volume of vegetation, and coarse woody debris. These relationships varied across species, groups, and sensors. ULS models tended to perform as well or better than TLS or FLS models based on the methods we used in this study. In open woodland landscapes, ULS data may have some benefits over TLS data for modeling relationships between herpetofauna and vegetation structure, which we discuss. However, for some species, only TLS data identified significant predictor variables among the LiDAR‐derived structural metrics. While the overall predictive power of models was relatively low (i.e., at most R2 = 0.32 for ULS overall abundance and R2 = 0.32 for abundance at the individual species level [three‐toed skink (Chalcides striatus)]), the ability to identify relationships between specific LiDAR structural metrics and the abundance and diversity of herpetofauna could be useful for understanding their habitat associations and managing reptile and amphibian populations. [ABSTRACT FROM AUTHOR]

The inevitability of death does not change its variability. In The Hour of Our Death (1981), Philippe Ariès positioned the sudden, unexpected, mass death of epidemics (especially from the Black Death) against the personalized, domesticated death for which one had time to prepare. The domesticated death, so he argued, appeared during a specific epoche of European history and was an historical inflection point, coinciding with the 18th century Enlightenment. Ariès looked unfavorably at this climax for what he saw as a process of de‐spiritualization, waning of faith, and the beginnings of commercialization and medicalization of death. Since his publications, scholars from a range of fields—history, anthropology, literature, religion, and art—have sought to address the omissions, exaggerations, and misleading claims in Ariès' account and, in doing so, have developed a rich field studying the cultural history and significance of death. Now situated in a transdisciplinary space, studying the good death and the tradition of ars moriendi (the art of the dying well) offers new perspectives and answers new questions about death. Although there is much that could be discussed, the focus here will be on recent trends in scholarship on the tradition of ars moriendi and its relationship to the interrelated histories of burial, the role of clerical and lay comforters, and the role of physicians as well as the historical and religious‐philosophical problems of the prolongation of life and sudden death. [ABSTRACT FROM AUTHOR]

Background Objectives Material and methods Results Discussion Conclusion Sex hormones are likely to be important determinants of COVID‐19 severity, and two opposing explanations regarding severity, the low‐androgen‐driven and high‐androgen‐driven theories, seek to explain this pattern. Digit ratios are sex dependent (males < females) and are claimed to be markers for both prenatal and postnatal testosterone.Here, we use a measure of COVID‐19severity (hospitalization), compare digit ratios in patients and controls and consider whether vaccination status changed these associations.Four digits were measured (2D, 3D, 4D, 5D). There were 194 participants (94 hospitalized patients [45 men] and 100 controls [53 men]) in Sample I and 162 participants (100 hospitalized [42 men], including 40 vaccinated and 62 controls [32 men]) in Sample II. Six ratios were calculated (2D:3D; 2D:4D; 2D:5D; 3D:4D; 3D:5D, 4D:5D) and compared between COVID‐19 hospitalized and non‐hospitalized patients and vaccinated and non‐vaccinated.In comparison to controls, we found higher (“feminized”) means in patient ratios that included 5D (2D:5D; 3D:5D; 4D:5D) in both samples. The differences were independent of sex and age. Hospitalized patients with COVID‐19 have higher (feminized) means and higher standard deviations (SDs) for 5D digit ratios.Digit ratios are sex dependent (males < females) and are considered as markers for both prenatal and postnatal testosterone. If verified in future studies, the results will be helpful in regard to targeting mortality‐reducing therapies for COVID‐19 in certain groups of patients.We conclude that the association between high (feminized) 5D ratios and hospitalization supports the low‐androgen‐driven theory of COVID‐19 severity. [ABSTRACT FROM AUTHOR]

Atmospheric trace gas measurements can be used to independently assess national greenhouse gas inventories through inverse modeling. Atmospheric nitrous oxide (N2O) measurements made in the United Kingdom (UK) and Republic of Ireland are used to derive monthly N2O emissions for 2013–2022 using two different inverse methods. We find mean UK emissions of 90.5 ± 23.0 (1σ) and 111.7 ± 32.1 (1σ) Gg N2O yr−1 for 2013–2022, and corresponding trends of −0.68 ± 0.48 (1σ) Gg N2O yr−2 and −2.10 ± 0.72 (1σ) Gg N2O yr−2, respectively, for the two inverse methods. The UK National Atmospheric Emissions Inventory (NAEI) reported mean N2O emissions of 73.9 ± 1.7 (1σ) Gg N2O yr−1 across this period, which is 22%–51% smaller than the emissions derived from atmospheric data. We infer a pronounced seasonal cycle in N2O emissions, with a peak occurring in the spring and a second smaller peak in the late summer for certain years. The springtime peak has a long seasonal decline that contrasts with the sharp rise and fall of N2O emissions estimated from the bottom‐up UK Emissions Model (UKEM). Bayesian inference is used to minimize the seasonal cycle mismatch between the average top‐down (atmospheric data‐based) and bottom‐up (process model and inventory‐based) seasonal emissions at a sub‐sector level. Increasing agricultural manure management and decreasing synthetic fertilizer N2O emissions reduces some of the discrepancy between the average top‐down and bottom‐up seasonal cycles. Other possibilities could also explain these discrepancies, such as missing emissions from NH3 deposition, but these require further investigation. Plain Language Summary: Atmospheric nitrous oxide (N2O) is an important greenhouse gas and ozone depleting substance. Atmospheric N2O measurements made in the United Kingdom (UK) and Republic of Ireland were used to derive UK N2O emissions for 2013–2022 using two inverse methods. UK emissions derived using atmospheric N2O measurements were on average 22%–51% higher than emissions reported in the UK National Atmospheric Emissions Inventory. A pronounced seasonal cycle in N2O emissions is inferred from the atmospheric N2O observations which contrasts the seasonal N2O emissions estimated in the bottom‐up (process model and inventory‐based) UK Emissions Model (UKEM). We find increasing agricultural manure management N2O emissions and decreasing synthetic fertilizer N2O emissions reduces some of the discrepancy between the seasonal cycles. Key Points: Atmospheric N2O measurements from 2013 to 2022 are used to evaluate the UK's reported emissions using two inverse methodsEmissions derived from atmospheric data are on average 22%–51% higher than the UK's national emissions inventory values across 2013–2022Agreement between the average top‐down and bottom‐up seasonal emissions was improved by decreasing bottom‐up synthetic fertilizer emissions [ABSTRACT FROM AUTHOR]

Soil carbon (C) management has been promoted as one of the few readily available strategies to mitigate the rising concentration of atmospheric CO2 and its associated impacts on climate change. One of these carbon management strategies is enhanced rock weathering (ERW) which involves adding crushed silicate rocks to the soil. These rocks weather and remove atmospheric CO2 by converting it into bicarbonate in solution. The approach requires careful interpretation of the differences between soil organic carbon (SOC) and soil inorganic carbon (SIC) and their measurement, with implications for land management and C credit accounting. In this Opinion, we emphasise the distinct nature and fates of SOC and SIC, advocating for their separate management, particularly in C credit schemes. It is imperative that protocols for soil C management explicitly recognise the difference between SOC and SIC to prevent any ambiguity. Farmers should be able to claim credits for increases in SOC alongside and independently of any claim for credits for ERW (i.e. SIC). Despite the potential of ERW for C removal, we emphasise that further research is needed to improve the measurement and monitoring of SIC and to understand ERW's potential implications for SOC turnover and greenhouse gas emissions. Highlights: Enhanced Rock Weathering increases dissolved inorganic carbon (bicarbonate).Soil organic carbon (SOC) may be influenced by Enhanced Rock Weathering.Carbon credit via Enhanced Rock Weathering is separate from credit linked to soil organic carbon.Soil organic matter and enhanced rock weathering both have roles to play for carbon credits. [ABSTRACT FROM AUTHOR]

Background: Image‐to‐patient registration aligns preoperative images to intra‐operative anatomical structures and it is a critical step in image‐guided surgery (IGS). The accuracy and speed of this step significantly influence the performance of IGS systems. Rigid registration based on paired points has been widely used in IGS, but studies have shown its limitations in terms of cost, accuracy, and registration time. Therefore, rigid registration of point clouds representing the human anatomical surfaces has become an alternative way for image‐to‐patient registration in the IGS systems. Purpose: We propose a novel correspondence‐based rigid point cloud registration method that can achieve global registration without the need for pose initialization. The proposed method is less sensitive to outliers compared to the widely used RANSAC‐based registration methods and it achieves high accuracy at a high speed, which is particularly suitable for the image‐to‐patient registration in IGS. Methods: We use the rotation axis and angle to represent the rigid spatial transformation between two coordinate systems. Given a set of correspondences between two point clouds in two coordinate systems, we first construct a 3D correspondence cloud (CC) from the inlier correspondences and prove that the CC distributes on a plane, whose normal is the rotation axis between the two point clouds. Thus, the rotation axis can be estimated by fitting the CP. Then, we further show that when projecting the normals of a pair of corresponding points onto the CP, the angle between the projected normal pairs is equal to the rotation angle. Therefore, the rotation angle can be estimated from the angle histogram. Besides, this two‐stage estimation also produces a high‐quality correspondence subset with high inlier rate. With the estimated rotation axis, rotation angle, and the correspondence subset, the spatial transformation can be computed directly, or be estimated using RANSAC in a fast and robust way within only 100 iterations. Results: To validate the performance of the proposed registration method, we conducted experiments on the CT‐Skull dataset. We first conducted a simulation experiment by controlling the initial inlier rate of the correspondence set, and the results showed that the proposed method can effectively obtain a correspondence subset with much higher inlier rate. We then compared our method with traditional approaches such as ICP, Go‐ICP, and RANSAC, as well as recently proposed methods like TEASER, SC2‐PCR, and MAC. Our method outperformed all traditional methods in terms of registration accuracy and speed. While achieving a registration accuracy comparable to the recently proposed methods, our method demonstrated superior speed, being almost three times faster than TEASER. Conclusions: Experiments on the CT‐Skull dataset demonstrate that the proposed method can effectively obtain a high‐quality correspondence subset with high inlier rate, and a tiny RANSAC with 100 iterations is sufficient to estimate the optimal transformation for point cloud registration. Our method achieves higher registration accuracy and faster speed than existing widely used methods, demonstrating great potential for the image‐to‐patient registration, where a rigid spatial transformation is needed to align preoperative images to intra‐operative patient anatomy. [ABSTRACT FROM AUTHOR]

Introduction: Tobacco smoking is highly prevalent among alcohol and other drugs (AOD) service clients and, despite interest in quitting, abstinence is rarely sustained. Nicotine products may assist after discharge from residential treatment services, but little is known about client receptivity to them. This study examined AOD withdrawal service clients' experiences of two types of nicotine products for smoking cessation post‐discharge, combination nicotine replacement therapy (cNRT) and nicotine vaping products (NVP). Methods: We held semi‐structured telephone interviews with 31 Australian AOD service clients in a clinical trial of a 12‐week smoking cessation intervention using Quitline support plus cNRT or NVP delivered post‐discharge from a smoke‐free residential service. We asked about health and social factors, nicotine cravings, Quitline experience, and barriers and facilitators to cNRT or NVP, then thematically analysed data. Results: cNRT and NVP were described by participants as feasible and acceptable for smoking cessation. For most participants, cost limited cNRT access post study, as did difficulty navigating NVP prescription access. Quitline support was valued, but not consistently used, with participants noting low assistance with NVP‐facilitated cessation. Participants considered both cessation methods acceptable and socially supported, and sought information on decreasing nicotine use via NVP. Discussion and Conclusions: AOD service clients highly valued receiving cNRT or NVP with behavioural support for smoking reduction or abstinence. Both interventions were acceptable to service clients. Findings suggest a potential need to examine both whether NVP use should be permitted in this context, and guidance on the individual suitability of cNRT or NVP. [ABSTRACT FROM AUTHOR]

Long‐term experiments are critical for understanding ecological processes, but their management comes with unique challenges. As time passes, projects may encounter unavoidable changes due to external factors, like availability of materials, affecting aspects of their research methodology. At the Kellogg Biological Station Long‐Term Ecological Research Site, one of the many National Science Foundation‐funded long‐term research stations, a three‐decade project recently experienced a supply‐chain‐induced change in insect sampling methodology in their lady beetle observation study. Since 1989, lady beetles (Coleoptera: Coccinellidae) have been sampled weekly over the growing season using yellow sticky cards. In 2021, the original sticky traps were discontinued by the manufacturer and replaced with a similar, but not identical trap. We conducted a 3‐year study while the new traps were phased in to examine how the trap change would impact the observed biodiversity patterns at the site. We examined community metrics and individual taxa captures to examine within‐year and between‐year differences in performance between the card types. Overall, we noted several small but statistically detectable differences in capture patterns between the two trap types. After accounting for other sources of variation, we observed a difference in Shannon diversity of insects captured on the two card types, but not richness or abundance, for the overall insect community. Yet, these differences were dwarfed by the magnitude of difference observed between years within card types. For individual taxa, similar patterns held: between trap differences could be detected statistically, but the number of differences in capture rate between trap types was less than the number of differences observed for the same trap, between years. Thus, we conclude that while subtle changes in methodology could impact data produced in long‐term experiments; in this case, the magnitude of this change is smaller than other factors such as time and plant treatment. However, if sustained changes in the capture rates of focal taxa are observed, future data users may use our observations to specifically quantify and correct for these shifting patterns related to the protocol change. [ABSTRACT FROM AUTHOR]

Firms are increasingly expected to engage in corporate social responsibility (CSR) in reaction to external crises. Yet, we still know little about how they do it. This study discusses what we can learn from how large global firms responded to the COVID‐19 pandemic. Employing a cluster analysis on Fortune Global 500 firms, our findings reveal that to meet both institutional and economic pressures posed by the crisis, global firms adopted what we call a synergistic multi‐stakeholder approach by addressing the needs of multiple stakeholder groups simultaneously through transferable response strategies. These strategies varied by firm, ranging from donations and educational initiatives to collaboration and minimal support. We discuss the characteristics and potential drivers of each strategy. Our findings suggest that synergistic CSR strategies combine (social) value creation with operational efficiencies across stakeholder groups, with critical implications for how firms may respond to future disasters and crises. [ABSTRACT FROM AUTHOR]

Adverse effects of large artery stiffening are well established in the systemic circulation; stiffening of the proximal pulmonary artery (PPA) and its sequelae are poorly understood. We combined in vivo (n = 6) with ex vivo data from cadavers (n = 8) and organ donors (n = 13), ages 18 to 89, to assess whether aging of the PPA associates with changes in distensibility, biaxial wall strain, wall thickness, vessel diameter, and wall composition. Aging exhibited significant negative associations with distensibility and cyclic biaxial strain of the PPA (p ≤ 0.05), with decreasing circumferential and axial strains of 20% and 7%, respectively, for every 10 years after 50. Distensibility associated directly with diffusion capacity of the lung (R2 = 0.71, p = 0.03). Axial strain associated with right ventricular ejection fraction (R2 = 0.76, p = 0.02). Aging positively associated with length of the PPA (p = 0.004) and increased luminal caliber (p = 0.05) but showed no significant association with mean wall thickness (1.19 mm, p = 0.61) and no significant differences in the proportions of mural elastin and collagen (p = 0.19) between younger (<50 years) and older (>50) ex vivo samples. We conclude that age‐related stiffening of the PPA differs from that of the aorta; microstructural remodeling, rather than changes in overall geometry, may explain age‐related stiffening. [ABSTRACT FROM AUTHOR]

Introduction: Digit ratio (2D:4D: the relative length of the 2nd and 4th digit) is thought to be a negative correlate of prenatal testosterone. The 2D:4D is related to oxygen metabolism, but the precise nature of this relationship is unclear. The purpose of the present study was to consider associations between digit ratios (right 2D:4D, left 2D:4D, right–left 2D:4D [Dr‐l]) and VO2max and ventilatory thresholds (VT1 and VT2). Methods: One hundred and thirty‐three Caucasian (n = 133) professional football players competing in Cyprus participated in the study. Players underwent anthropometric measurements, and digit lengths were measured from hand scans. They also completed an incremental cardiopulmonary test to exhaustion on a treadmill. Results: There were negative correlations between digit ratios and VO2max (right 2D:4D, r = −.65; left 2D:4D r = −.37, both p <.0001; Dr‐l r = −.30, p =.0005). There were no relationships between digit ratios and VT1. For VT2, there were negative relationships with digit ratios (right 2D:4D, r = −.43, p <.0001; left 2D:4D, r = −.21 and Dr‐l, r = −.21, both p =.02). Digit ratios are negatively related to VO2max with large (right 2D:4D) and medium (left 2D:4D, Dr‐l) effect sizes. For VT2, there were also negative correlations, which were medium (right 2D:4D) and small (left 2D:4D, Dr‐l). Conclusion: Our findings may help clarify the relationships between digit ratios and high‐intensity actions for extended periods, which are dependent on efficient oxygen metabolism. [ABSTRACT FROM AUTHOR]

Adults who have substantial histories of homelessness and complex support needs may feel ambivalent about integrating into their communities and find it difficult to do so. Being familiar to and recognized by others as a resident in a neighborhood or community are sources of "distal support" that provide individuals with feelings of belonging to their community and are important to recovery from homelessness. We hypothesized that individuals engaged with Housing First (HF) programs would report more distal support than individuals engaged with traditional homeless services (treatment as usual, TAU), and that distal support would predict more community integration, growth‐related recovery, and achieved capabilities. We analyzed data collected from homeless services users (n = 445) engaged with either HF or TAU in eight European countries. Measures included achieved capabilities, growth‐focused recovery, distal supports, and community integration. Serial mediation analyses confirmed our hypothesis that the effects of HF on growth‐related recovery and achieved capabilities are indirect, mediated by distal supports and community integration. Findings are discussed in relation to the importance of modeling the effects of HF on social and psychological outcomes as indirect and identifying important mediators that translate the effects of HF components on social and psychological outcomes. We also note the importance of case management activities that encourage clients to develop and sustain distal supports with others who live and work in their neighborhoods. Highlights: Participants in Housing First (HF) reported more distal supports (DS) than those in staircase services.More distal supports predicted stronger sense of community integration (CI).The link from Housiing First to well‐being indicators is indirect, through DS and CI.More research on the indirect effects of HF on important well‐being outcomes is needed.Future research should identify the specific mechanisms through whch HF programs promote DS. [ABSTRACT FROM AUTHOR]

Background: Intravenous dihydroergotamine (DHE) has well‐established efficacy for the acute treatment of migraine, but its use is limited by the need for in‐hospital administration and the nausea/vomiting associated with a high maximum plasma concentration (Cmax). Inhalation is an alternative to intravenous dosing. The surface area of the lung allows for rapid absorption of a self‐administered dose. Objective: This study evaluated the safety, tolerability, and systemic pharmacokinetics (PK) of a dry powder formulation (PUR3100) DHE when delivered via inhalation compared to intravenous delivery. Method s : In this double‐blind, double‐dummy Phase 1 study, healthy volunteers (N = 26) were randomized (1:1:1:1) to one of four groups: orally inhaled placebo plus intravenous DHE 1.0 mg or orally inhaled PUR3100 (0.5, 1.0, or 1.5 mg) plus intravenous placebo. Blood samples were drawn pre‐dose and at time points post‐dose over 48 h. Standard PK and safety parameters were assessed and values for Cmax and area under plasma concentration time curve (AUC) were used to assess comparative exposures of PUR3100 versus intravenous DHE. Results: All doses of PUR3100 were associated with a lower incidence of nausea (21% vs. 86%), vomiting (0% vs. 29%), and headache (16% vs. 57%) compared to intravenous DHE. The PK profile of PUR3100 versus intravenous DHE was characterized by a similar mean time to Cmax (5 vs. 5.5 min), with reduced AUC0–2h (1120–4320 vs. 6340), and a lower Cmax (3620–14,400 vs. 45,000). Compared to intravenous DHE 1.0 mg, the highest nominal PUR3100 dose (1.5 mg), which delivers a fine‐particle dose of approximately 0.9 mg to the lungs, had a geometric mean ratio percentage (90% confidence interval [CI]) for Cmax of 32% [17.2, 59.6] and AUC0–inf of 93% (62.9, 138.5), the latter of which was not significantly different. Conclusions: Inhaled PUR3100 is associated with rapid systemic PK within the therapeutic window and an improved safety profile relative to intravenous DHE. Plain Language Summary: Intravenous dihydroergotamine (DHE) works for the acute treatment of migraine; however, it must be given in a hospital or clinic and has side‐effects including nausea and vomiting. A dry powder formulation of DHE (PUR3100) delivered by oral inhalation had fewer side‐effects than intravenous DHE in healthy volunteers. The pharmacokinetics (the amount of the study drug in blood) showed that inhaled PUR3100 was associated with rapid absorption of DHE into the blood within the desired range associated with pain relief. [ABSTRACT FROM AUTHOR]

Introduction: Convergence insufficiency (CI) is an oculomotor abnormality characterised by exophoria and inadequate convergence when focusing on nearby objects. CI has been shown to cause symptoms when reading. However, the downstream consequences on brain structure have yet to be investigated. Here, we investigated the neural consequences of symptomatic CI, focusing on the left arcuate fasciculus, a bundle of white matter fibres which supports reading ability and has been associated with reading deficits. Methods: We compared the arcuate fasciculus microstructure of participants with symptomatic CI versus normal binocular vision (NBV). Six CI participants and seven NBV controls were included in the analysis. All participants were scanned with 3 T magnetic resonance imaging (MRI), and anatomical and diffusion‐weighted images were acquired. Diffusion‐weighted images were processed with TRACULA to identify the arcuate fasciculus in each participant and compute volume and radial diffusivity (RD). Results: Compared with NBV controls, those with symptomatic CI had significantly smaller arcuate fasciculi bilaterally (left: t = −3.21, p = 0.008; right: t = −3.29, p = 0.007), and lower RD in the left (t = −2.66, p = 0.02), but not the right (t = −0.81, p = 0.44, false discovery rate (FDR)‐corrected p > 0.05) arcuate fasciculus. Those with higher levels of reading symptoms had smaller arcuate fasciculi (r = −0.74, p = 0.004) with lower RD (r = −0.61, p = 0.03). Conclusions: These findings suggest that symptomatic CI may lead to microstructural changes in the arcuate fasciculus. Since it is highly unlikely that abnormalities in the arcuate fasciculus are the cause of the neuromuscular deficits in the eyes, we argue that these changes may be a potential neuroplastic consequence of disruptions in sustained reading. [ABSTRACT FROM AUTHOR]

Introduction: Novel, scalable, low‐cost interventions are needed to reduce harmful drinking amongst middle–older adults. Approach bias modification (ApBM) is a promising form of cognitive training for preventing/reducing alcohol use that can be delivered via smartphone. This study explored the acceptability and preliminary effectiveness of smartphone delivered and personalised ApBM amongst Australians ≥55 years, an age cohort at risk of alcohol‐related harms. Methods: Secondary analyses in a middle–older adult subsample (≥55 years, n = 289) of an open‐label pilot study using a retrospective, repeated measures design. We explored acceptability (adherence, user mobile acceptability ratings, free‐text responses) and preliminary effectiveness (changes in drinking quantity and frequency, craving, dependence and proportion drinking within government‐recommended guidelines) of two sessions/week over 4 weeks of evidence‐based ApBM training, adapted to include personalisation and smartphone delivery amongst Australians ≥55 years. Results: Although minor adaptations to training were suggested, the intervention was acceptable amongst survey completers, with 72% training adherence. Relative to baseline, there was a significant increase in the proportion of drinking within recommended single‐session and weekly guidelines post‐training (from 25% to 41% and 6% to 28%, respectively, p < 0.001), with past‐week standard drinks significantly decreasing by 18% (p < 0.001) and significant reductions in drinking days, mean craving and dependence scores (p < 0.001). Discussion and Conclusions: Findings suggest smartphone ApBM is acceptable amongst middle‐to‐older aged Australians and may support this 'at risk' cohort to remain within government‐recommended alcohol consumption guidelines to optimise healthy aging, although, in the context of a single‐arm study, preliminary results should be interpreted cautiously. [ABSTRACT FROM AUTHOR]

While global patterns of bee diversity have been modelled, our understanding of fine‐scale regional patterns is more limited, particularly for under‐sampled regions such as Africa. South Africa is among the exceptions on the African continent; its bee fauna (ca. 1253 species) has been well collected and documented, including mass digitising of its natural history collections. It is a region with high floral diversity, high habitat heterogeneity and variable rainfall seasonality.Here, we combine a South African bee species distributional database (877 bee species) with a geospatial modelling approach to determine fine‐scale (~11 × 11 km grid cell resolution) hotspots of bee species richness, endemism and range‐restricted species.Our analyses, based on the probabilities of occurrence surfaces for each species across 108,803 two‐minute grid cells, reveal three bee hotspots of richness: Winter rainfall, Aseasonal rainfall and Early‐to‐late summer rainfall. These hotspots contain large numbers of endemic and geographically restricted taxa. Hotspots with particularly high bee diversity include the Fynbos, Succulent Karoo and Desert biomes; the latter showing 6–20 times more species per unit area than other biomes. Our results conform with global species‐area patterns: areas of higher‐than‐expected bee density are largely concentrated in Mediterranean and arid habitats.This study further enhances our knowledge in identifying regional and global hotspots of richness and endemism for a keystone group of insects and enabling these to be accounted for when setting conservation priorities. [ABSTRACT FROM AUTHOR]

What might a conversation between a highly trained generator that calculates the probability of the next word in a sentence, and the jumbled mess of organic neurons inside the head of a human architect look like? Through such a fictitious dialogue, architectural designer and educator Ryan Vincent Manning explores issues of human inquisitiveness, uniqueness and agency, human‐ machine interfaces, machine intelligence, AI latent spaces and the assimilation of design originality into free‐access, ubiquitous machine code that is adding to huge potential datasets. [ABSTRACT FROM AUTHOR]

The leadership baton that students and educators will pass to the next generation is that of systems. Fostering systems thinking among student leaders could create significant transformations in their university leadership experiences. However, a notable gap in leadership education praxis exists concerning how student leaders interact with systems thinking in their leadership roles. The current article highlights examples of systems thinking in college student leadership and methods for teaching systems thinking as a crucial leadership skill. [ABSTRACT FROM AUTHOR]

This thesis develops an open economy structural vector autoregression model to determine how the Australian economy is affected by both a US housing demand shock and a US housing supply shock. Previous literature has either grouped Australia with other economies or has excluded Australia altogether. This leaves a significant literature gap in explaining how the Australian economy is solely impacted. The results of the model indicate both a US housing demand and a US housing supply shock significantly impact the Australian economy, with the most significant being the impact of a US house price shock upon Australian GDP which is large and persistent over time. The results contribute to the understanding of how Australian policymakers should incorporate the US housing market into policy decisions and central bank modelling. [ABSTRACT FROM AUTHOR]

Effective food safety (FS) management relies on the understanding of the factors that contribute to FS incidents (FSIs) and the means for theirmitigation and control. This review aims to explore the application of systematic accident analysis tools to both design FS management systems (FSMSs) as well as to investigate FSI to identify contributive and causative factors associated with FSI and the means for their elimination or control. The study has compared and contrasted the diverse characteristics of linear, epidemiological, and systematic accident analysis tools and hazard analysis critical control point (HACCP) and the types and depth of qualitative and quantitative analysis they promote. Systematic accident analysis tools, such as the Accident Map Model, the Functional Resonance Accident Model, or the Systems Theoretical Accident Model and Processes, are flexible systematic approaches to analyzing FSI within a socio-technical food system which is complex and continually evolving. They can be applied at organizational, supply chain, or wider food system levels. As with the application of HACCP principles, the process is time-consuming and requires skilled users to achieve the level of systematic analysis required to ensure effective validation and verification of FSMS and revalidation and reverification following an FSI. Effective revalidation and reverification are essential to prevent recurrent FSI and to inform new practices and processes for emergent FS concerns and the means for their control. [ABSTRACT FROM AUTHOR]

This study illustrates how the microstructure of garnet solid‐state electrolytes (SSE) affects the stress‐state and dendrite growth. Tantalum‐doped lithium lanthanum zirconium oxide (LLZTO, Li6.4La3Zr1.4Ta0.6O12) is synthesized by powder processing and sintering (AS), or with the incorporation of intermediate‐stage high‐energy milling (M). The M compact displays higher density (91.5% vs 82.5% of theoretical), and per quantitative stereology, lower average grain size (5.4 ± 2.6 vs 21.3 ± 11.1 µm) and lower AFM‐derived RMS surface roughness contacting the Li metal (45 vs 161 nm). These differences enable symmetric M cells to electrochemically cycle at constant capacity (0.1 mAh cm−2) with enhanced critical current density (CCD) of 1.4 versus 0.3 mA cm−2. It is demonstrated that LLZTO grain size distribution and internal porosity critically affect electrical short‐circuit failure, indicating the importance of electronic properties. Lithium dendrites propagate intergranularly through regions where LLZTO grains are smaller than the bulk average (7.4 ± 3.8 µm for AS in a symmetric cell, 3.1 ± 1.4 µm for M in a half‐cell). Metal also accumulates in the otherwise empty pores of the sintered compact present along the dendrite path. Mechanistic modeling indicates that reaction and stress heterogeneities are interrelated, leading to current focusing and preferential plating at grain boundaries. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Little is known regarding quality of life (QoL) in dementia with Lewy bodies (DLB), particularly in advanced stages. METHODS: Dyads of individuals with moderate–advanced DLB and their primary caregivers were recruited from specialty clinics, advocacy organizations, and research registries. The study collected demographics, disease‐related measures, and measures of patient/caregiver experiences. RESULTS: The Quality of Life in Alzheimer's Disease (QoL‐AD) was completed by the person with DLB and the caregiver (proxy) in 61 dyads; 85 dyads had only a proxy‐completed QoL‐AD. Patient‐ and proxy‐reported scores were moderately correlated (r = 0.57, P < 0.0001). Worse patient‐reported QoL correlated with daytime sleepiness, autonomic symptom burden, and behavioral symptoms. Proxy ratings correlated with dementia severity, daytime sleepiness, behavioral symptoms, dependence in activities of daily living, and caregiver experience measures. DISCUSSION: Patient‐ and proxy‐reported quality of life (QoL) should be assessed separately in advanced DLB. Some symptoms associated with QoL have available therapeutic options. Research is needed regarding strategies to optimally improve QoL in DLB. Highlights: Patient and proxy quality of life (QoL) ratings had moderate correlation in advanced dementia with Lewy bodies.Daytime sleepiness affected patient‐ and proxy‐reported QoL.Behavioral symptoms affected patient‐ and proxy‐reported QoL.Autonomic symptom burden affected patient‐reported QoL.Dementia severity, dependence, and caregiver experiences affected proxy ratings. [ABSTRACT FROM AUTHOR]

Objective: To determine the prevalence of neuroimaging abnormalities in individuals with Down syndrome regression disorder (DSRD) and evaluate if neuroimaging abnormalities were predictive of therapeutic responses. Methods: A multicenter, retrospective, case–control study which reviewed neuroimaging studies of individuals with DSRD and compared them to a control cohort of individuals with Down syndrome (DS) alone was performed. Individuals aged 10–30 years and meeting international consensus criteria for DSRD were included. The presence of T1, T2/FLAIR, and SWI signal abnormalities was reviewed. Response rates to various therapies, including immunotherapy, were evaluated in the presence of neuroimaging abnormalities. Results: In total, 74 individuals (35%) had either T2/FLAIR and/or SWI signal abnormality compared to 14 individuals (12%) without DSRD (p < 0.001, 95%CI: 2.18–7.63). T2/FLAIR signal abnormalities were not appreciated more frequently in individuals with DSRD (14%, 30/210) than in the control cohort (9%, 11/119) (p = 0.18, OR: 1.63, 95%CI: 0.79–3.40). SWI signal abnormalities were appreciated at a higher frequency in individuals with DSRD (24%, 51/210) compared to the control cohort (4%, 5/119) (p < 0.001, OR: 7.31, 95%CI: 2.83–18.90). T2/FLAIR signal abnormalities were localized to the frontal (40%, 12/30) and parietal lobes (37%, 11/30). SWI signal abnormalities were predominantly in the bilateral basal ganglia (94%, 49/52). Individuals with DSRD and the presence of T2/FLAIR and/or SWI signal abnormalities were much more likely to respond to immunotherapy (p < 0.001, OR: 8.42. 95%CI: 3.78–18.76) and less likely to respond to benzodiazepines (p = 0.01, OR: 0.45, 95%CI: 0.25–0.83), antipsychotics (p < 0.001, OR: 0.28, 95%CI: 0.11–0.55), or electroconvulsive therapy (p < 0.001, OR: 0.12; 95%CI: 0.02–0.78) compared to individuals without these neuroimaging abnormalities. Interpretation: This study indicates that in individuals diagnosed with DSRD, T2/FLAIR, and SWI signal abnormalities are more common than previously thought and predict response to immunotherapy. [ABSTRACT FROM AUTHOR]

Background & Aims: We aimed to develop a Transformer‐based deep learning (DL) network for prognostic stratification in hepatocellular carcinoma (HCC) patients undergoing RFA. Methods: A Swin Transformer DL network was trained to establish associations between magnetic resonance imaging (MRI) datasets and the ground truth of microvascular invasion (MVI) based on 696 surgical resection (SR) patients with solitary HCC ≤3 cm, and was validated in an external cohort (n = 180). The multiphase MRI‐based DL risk outputs using an optimal threshold of.5 was employed as a MVI classifier for prognosis stratification in the RFA cohort (n = 180). Results: Over 90% of all enrolled patients exhibited hepatitis B virus infection. Liver cirrhosis was significantly more prevalent in the RFA cohort compared to the SR cohort (72.2% vs. 44.1%, p <.001). The MVI risk outputs exhibited good performance (area under the curve values =.938 and.883) for predicting MVI in the training and validation cohort, respectively. The RFA patients at high risk of MVI classified by the MVI classifier demonstrated significantly lower recurrence‐free survival (RFS) and overall survival rates at 1, 3 and 5 years compared to those classified as low risk (p <.001). Multivariate cox regression modelling of a‐fetoprotein > 20 ng/mL [hazard ratio (HR) = 1.53; 95% confidence interval (95% CI): 1.02–2.33, p =.047], high risk of MVI (HR = 3.76; 95% CI: 2.40–5.88, p <.001) and unfavourable tumour location (HR = 2.15; 95% CI: 1.40–3.29, p =.001) yielded a c‐index of.731 (bootstrapped 95% CI:.667–.778) for evaluating RFS after RFA. Among the three risk factors, MVI was the most powerful predictor for intrahepatic distance recurrence. Conclusions: The proposed MVI classifier can serve as a valuable imaging biomarker for prognostic stratification in early‐stage HCC patients undergoing RFA. [ABSTRACT FROM AUTHOR]

Objective: Bioengineered tracheal grafts are a potential solution for the repair of long‐segment tracheal defects. A recent advancement is partially decellularized tracheal grafts (PDTGs) which enable regeneration of host epithelium and retain viable donor chondrocytes for hypothesized benefits to mechanical properties. We propose a novel and tunable 3D‐printed bioreactor for creating large animal PDTG that brings this technology closer to the bedside. Methods: Conventional agitated immersion with surfactant and enzymatic activity was used to partially decellularize New Zealand white rabbit (Oryctolagus cuniculus) tracheal segments (n = 3). In parallel, tracheal segments (n = 3) were decellularized in the bioreactor with continuous extraluminal flow of medium and alternating intraluminal flow of surfactant and medium. Unprocessed tracheal segments (n = 3) were also collected as a control. The grafts were assessed using the H&E stain, tissue DNA content, live/dead assay, Masson's trichrome stain, and mechanical testing. Results: Conventional processing required 10 h to achieve decellularization of the epithelium and submucosa with poor chondrocyte viability and mechanical strength. Using the bioreactor reduced processing time by 6 h and resulted in chondrocyte viability and mechanical strength similar to that of native trachea. Conclusion: Large animal PDTG created using our novel 3D printed bioreactor is a promising approach to efficiently produce tracheal grafts. The bioreactor offers flexibility and adjustability favorable to creating PDTG for clinical research and use. Future research includes optimizing flow conditions and transplantation to assess post‐implant regeneration and mechanical properties. Level of Evidence: NA. [ABSTRACT FROM AUTHOR]