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Background: In older patients with atrial fibrillation (AF), cognitive impairment and frailty are prevalent. It is unknown whether the risk and benefit of anticoagulation differ by cognitive function and frailty. Methods: A total of 1244 individuals with AF with age ≥65 years and a CHADSVASC score ≥2 were recruited from clinics in Massachusetts and Georgia between 2016 and 18 and followed until 2020. At baseline, frailty status and cognitive function were assessed. Hazard ratios of anticoagulation on physician adjudicated outcomes were adjusted by the propensity for receiving anticoagulation and stratified by cognitive function and frailty status. Results: The average age was 75.5 (± 7.1) years, 49% were women, and 86% were prescribed oral anticoagulants. At baseline, 528 (42.4%) participants were cognitively impaired and 172 (13.8%) were frail. The adjusted hazard ratios of anticoagulation for the composite of major bleeding or death were 2.23 (95% confidence interval: 1.08–4.61) among cognitively impaired individuals and 0.94 (95% confidence interval: 0.49–1.79) among cognitively intact individuals (P for interaction = 0.08). Adjusted hazard ratios for anticoagulation were 1.84 (95% confidence interval: 0.66–5.13) among frail individuals and 1.39 (95% confidence interval: 0.84–2.40) among not frail individuals (P for interaction = 0.67). Conclusion: Compared with no anticoagulation, anticoagulation is associated with more major bleeding episodes and death in older patients with AF who are cognitively impaired. See related Editorial by Michael W. Rich in this issue. [ABSTRACT FROM AUTHOR]

OBJECTIVES: Oral anticoagulants are the cornerstone of stroke prevention in high‐risk patients with atrial fibrillation (AF). Geriatric elements, such as cognitive impairment and frailty, commonly occur in these patients and are often cited as reasons for not prescribing oral anticoagulants. We sought to systematically assess geriatric impairments in patients with AF and determine whether they were associated with oral anticoagulant prescribing. DESIGN: Cross‐sectional analysis of baseline data from the ongoing Systematic Assessment of Geriatric Elements in Atrial Fibrillation (SAGE‐AF) prospective cohort study. SETTING: Multicenter study with site locations in Massachusetts and Georgia that recruited participants from cardiology, electrophysiology, and primary care clinics from 2016 to 2018. PARTICIPANTS: Participants with AF age 65 years or older, CHA2DS2‐VASc (congestive heart failure; hypertension; aged ≥75 y [doubled]; diabetes mellitus; prior stroke, transient ischemic attack, or thromboembolism [doubled]; vascular disease; age 65‐74; female sex) score of 2 or higher, and no oral anticoagulant contraindications (n = 1244). MEASUREMENTS: A six‐component geriatric assessment included validated measures of frailty, cognitive function, social support, depressive symptoms, vision, and hearing. Oral anticoagulant use was abstracted from the medical record. RESULTS: A total of 1244 participants (mean age = 76 y; 49% female; 85% white) were enrolled; 42% were cognitively impaired, 14% frail, 53% pre‐frail, 12% socially isolated, and 29% had depressive symptoms. Oral anticoagulants were prescribed to 86% of the cohort. Oral anticoagulant prescribing did not vary according to any of the geriatric elements (adjusted odds ratios [ORs] for oral anticoagulant prescribing and cognitive impairment: OR =.75; 95% confidence interval [CI] =.51‐1.09; frail OR =.69; 95% CI =.35‐1.36; social isolation OR =.90; 95% CI =.52‐1.54; depression OR =.79; 95% CI =.49‐1.27; visual impairment OR =.98; 95% CI =.65‐1.48; and hearing impairment OR = 1.05; 95% CI =.71‐1.54). CONCLUSION: Geriatric impairments, particularly cognitive impairment and frailty, were common in our cohort, but treatment with oral anticoagulants did not differ by impairment status. These geriatric impairments are commonly cited as reasons for not prescribing oral anticoagulants, suggesting that prescribers may either be unaware or deliberately ignoring the presence of these factors in clinical settings. J Am Geriatr Soc 68:147–154, 2019 [ABSTRACT FROM AUTHOR]

The National Chip Processing Trial is a collaborative effort between public breeding programs and the potato (Solanum tuberosum L.) industry to identify new clones with broad adaptation. The objective of this study was to investigate the genetic covariance of trial locations, based on 337 clones evaluated in 10 states from 2011 to 2016. Three models were considered: (I) assuming a uniform genetic correlation between locations within a year, (II) using a factor-analytic (FA) model of the total genetic covariance of environments (location--year combinations), and (III) using a FA model of the additive genetic covariance based on 5278 single-nucleotide polymorphism (SNP) markers. With Model I, the genetic correlation between locations was 0.50 for vine maturity, 0.54 for tuber yield, and 0.72 for specific gravity. The Akaike information criterion decreased as model complexity increased, from Models I to II to III, for maturity and yield but not specific gravity. Of the 10 states in the dataset, Florida stood out for having environments with substantial (up to 88%) genetic variance unexplained by the latent factors. Linear discriminants (LD) of the factor loadings were used to visualize the genetic correlation between locations. For vine maturity, LD1 separated Florida from the other locations, and LD2 separated the remaining southern locations from the northern ones. For yield, LD1 separated Texas from the other locations. This study has created a foundation for the design of more efficient trialing and selection programs for the US potato community. [ABSTRACT FROM AUTHOR]

Processed potato (Solanum tuberosum L.) products, such as chips and French fries, contribute to the dietary intake of acrylamide, a suspected human carcinogen. One of the most promising approaches for reducing its consumption is to develop and commercialize new potato varieties with low acrylamide-forming potential. To facilitate this effort, a National Fry Processing Trial (NFPT) was conducted from 2011 to 2013 in five states. More than 140 advanced breeding lines were evaluated for tuber agronomic traits and biochemical properties from harvest through 8 mo of storage. Thirty-eight and 29 entries had significantly less acrylamide in French fries than standard varieties Russet Burbank and Ranger Russet, with reductions in excess of 50%, after one and 8 mo of storage, respectively. As in previous studies, the glucose content of raw tubers was predictive of acrylamide in finished French fries (R2 = 0.64-0.77). Despite its role in acrylamide formation, tuber free asparagine was not significant, potentially because it showed relatively little variation in the NFPT population. Even when glucose was included in the model as a covariate, genotype was highly significant (p = 0.001) for predicting acrylamide, indicating there may be yet-unidentified genetic loci to target in breeding. The NFPT has demonstrated that there exist many elite US breeding lines with low acrylamide-forming potential. Our ongoing challenge is to combine this trait with complex quality attributes required by the fry processing industry. [ABSTRACT FROM AUTHOR]

Abuse attacks on wireless networks are becoming increasingly sophisticated. Most of the recent research on intrusion detection systems for wireless attacks either focuses on just one layer of observation or uses a limited number of metrics without proper data fusion techniques. However, the true status of a network is rarely accurately detectable by examining only one network layer. The goal of this study is to detect injection types of attacks in wireless networks by fusing multi‐metrics using the Dempster–Shafer (D–S) belief theory. When combining beliefs, an important step to consider is the automatic and self‐adaptive process of basic probability assignment (BPA). This study presents a comparison between manual and automatic BPA methods using the D–S technique. Custom tailoring BPAs in an optimum manner under specific network conditions could be extremely time consuming and difficult. In contrast, automatic methods have the advantage of not requiring any prior training or calibration from an administrator. The results show that multi‐layer techniques perform more efficiently when compared with conventional methods. In addition, the automatic assignment of beliefs makes the use of such a system easier to deploy while providing a similar performance to that of a manual system. [ABSTRACT FROM AUTHOR]

The main objective of this study was to detect fatigue-induced clinical symptoms of immune suppression in medical residents. Samples were collected from the subjects at rest, following the first night (low-stress), and the last night (high-stress) of night float. Computerized reaction tests, Epworth Sleepiness Scale, and Wellness Profile questionnaires were used to quantify fatigue level. DNA of human herpes viruses HSV-1, VZV, EBV, as well as cortisol and melatonin concentrations, were measured in saliva. Residents at the high-stress interval reported being sleepier compared to the rest interval. EBV DNA level increased significantly at both stress intervals, while VZV DNA level increased only at low-stress. DNA levels of HSV-1 decreased at low-stress but increased at high-stress. Combined assessment of the viral DNA showed significant effect of stress on herpes virus reactivation at both stress intervals. Cortisol concentrations at both stress intervals were significantly higher than those at rest. [ABSTRACT FROM AUTHOR]

Some introduced species succeed spectacularly, becoming far more abundant in their introduced than in their native range. ‘Increased niche opportunities’ and ‘release from enemy regulation’ are two hypotheses that have been advanced to explain the enhanced performance of introduced species in their new environments. Using an introduced bird species, the Yellowhammer Emberiza citrinella, which was first released in New Zealand in 1862, as a model, we tested some predictions based on these hypotheses. By quantifying habitat availability and quality, and measuring nest predation rates, we investigated whether increased niche opportunities or release from nest predation could explain the higher density of the Yellowhammer in New Zealand farmland, compared to farmland in their native Britain. Yellowhammer territory densities were over three times higher in New Zealand (0.40 territories per ha) than in comparable British farmland (0.12 territories per ha), and Yellowhammer densities remained significantly higher in New Zealand, after accounting for differences in habitat availability. The density and diversity of invertebrates, a key food resource for nestling Yellowhammers, was significantly lower in New Zealand than in Britain. Hence, these aspects of niche availability and quality cannot explain the higher density of Yellowhammers in New Zealand. Nest predation rates in New Zealand were similar to those in Britain, suggesting that release from nest predation also could not account for the higher density of Yellowhammers in New Zealand. Differences in winter survival, due to differences in winter food supply or the severity of the winter climate, along with release from other types of ‘enemy’ regulation are possible alternative explanations. [ABSTRACT FROM AUTHOR]

Clinical parameters alone have repeatedly been proven unreliable in assessing cardiopulmonary status, especially in hemodynamically unstable patients. To learn if we had a diagnostic problem in our hospital, we compared physician assessment of cardiac index (CI) and thoracic fluid content (TFC) to values obtained using impedance cardiography (ICG). We selected the newest available ICG monitor, the BioZ, which employs this noninvasive technology. For CI measurements we have shown it to be equivalent to thermodilution and to be more reproducible (variability: 6.3% vs. 24.7%). Physician assessment of CI and TFC (high, normal, or low) was compared to the BioZ monitor’s results in 186 patients, considered to be hemodynamically unstable, from the emergency room, the intensive care units, and the floors. Normal values were defined for CI (2.5–4.2 L/min m2) and for TFC (males: 30–50 kohm−1 and females: 21–37 kohm−1). The concordance between physician assessment and the BioZ was 51% for CI with Kappa of 0.14 and 58% for TFC with Kappa of 0.19. Attendings did slightly better than the surgical residents with CI (52% vs. 48%) but slightly worse with TFC (57% vs. 61%). The potentially serious conditions of low CI and high TFC were misdiagnosed 42% and 46% of the time, respectively, by all physicians. Analysis of the data revealed that physician use of clinically available objective hemodynamic data, such as heart rate, blood pressure, and pulse pressure index, would not have been helpful. Furthermore, assistance from the pulmonary artery catheter (PAC) is often not available in our hospital, which has experienced a 90% decrease in its utilization over the past six years. Considering the increasing acuity of our aging patient population, accurate assessment of cardiopulmonary status is needed. The use of ICG could be a valuable addition to the physician’s armamentarium. [ABSTRACT FROM AUTHOR]

The niche hypothesis predicts that some introduced species establish and spread successfully because their new environment provides expanded niche opportunities compared with their native environments. By investigating nestling survival, growth and body condition in relation to diet composition and prey abundance, we tested the prediction that the success of YellowhammersEmberiza citrinellain New Zealand could be explained by the availability of better quality food resources in its introduced range compared with its native range. We found that Yellowhammer nestlings in New Zealand were larger and heavier than those in Britain, but that nestling survival and body condition did not differ between countries. The preferred prey items, which had some influence on nestling development and survival, were more prevalent in the diet of nestlings in New Zealand, suggesting that nestlings in the introduced range had a superior quality diet. However, there was little evidence to support the prediction that the preferred prey were more abundant in the introduced range, implying that some other factor such as prey accessibility or adult fitness may account for the differences in diet between countries. [ABSTRACT FROM AUTHOR]

Network performance monitoring is essential for managing a network efficiently and for ensuring reliable operation of the network. Monitored network performance changes reflect events in the network, such as faults, significant changes in usage patterns or planned alterations. Network managers are interested in how and when the performance of a network changes; however it is inefficient to analyse all the data resulting from the monitoring operation manually. In this paper a rule based algorithm to automate detection of the changes in one of the network performance parameters, namely delay, is presented and described in detail. The nature of the delay pattern in a commercial communication network was the key issue in developing this algorithm. The approach was tested with monitored delay data generated from three different networks and showed good results. Also, the algorithm was tested with sets of delay data which have been already input to a previously developed detector based on a different approach, and the results between the two detectors are compared. In addition to a noticeable improvement in detection performance, the new approach provides more generality and independency of the source of the delay data, making the approach generally applicable to other networks. Copyright © 2004 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Winter mortality, resulting from reduced food supply during a period of agricultural intensification, is thought to have driven population declines for some farmland bird species. Planting of game crops has increased over this period in order to provide food and cover for gamebirds. We investigate the potential of this managed habitat for farmland songbird conservation, using intensive single-site studies, and an extensive national survey. Game crops were used more than other farmland habitats by a wide range of bird species. Kale and quinoa were used by many species, whereas maize was used by very few. Cereals such as triticale and millet were used by many species, including several not associated with brassicas such as kale. Crop species differed in the rate of seed shedding, and therefore in the amount of seed food that they provided through the winter. Crop location influenced use by some bird species, with crops close to hedges or other cover generally being favoured. Use of nitrogen fertilizer influenced seed yield, and therefore crop value as a source of food for birds. Our results suggest that, if managed and sited correctly, a combination of two or three crop species can provide a valuable winter food resource for many nationally declining farmland bird species, but further attention needs to be given to their agronomy. This form of management is now incorporated as an option within agri-environment schemes in England, Scotland and Wales. It enables farmers to apply existing skills to conservation and is compatible with their cultural values. [ABSTRACT FROM AUTHOR]

Presents a study that investigated whether the red-legged partridge is involved in the transmission of shared parasites from ring-necked pheasants. Parasite establishment and fecundity; Discussion of the level of parasite infection to which birds were exposed; Implications of the parasite infection for wildlife management.

The breeding performance of individually colour-ringed Lapwings Vanellus vanellus was studied on marginal grassland in Upper Teesdale, County Durham (UK), from 1992 to 1995. Contrary to many studies of birds, female age had only a minor effect on breeding performance: yearling females produced eggs on average 5% smaller than those of adults. In contrast, the average productivity of male Lapwings was estimated to increase by around 40% between one and two years of age, and by a further 10% between two and three years of age. This was because of a 40% increase in the proportion of males that bred between one and two years of age, and of an increase in mating success with age coupled with a higher breeding success for polygynous males. The likelihood of breeding for male Lapwings was affected by year of hatching. More than half of those males that hatched in 1990, and which were present in both 1993 and 1994, did not breed. It was suggested that this was due to environmental effects experienced by these males as chicks, resulting in reduced success in securing a breeding territory later in life. Individual female Lapwings showed a high degree of consistency between years in both laying date and egg size, and those that raised up to two young in 1993 raised approximately the same number in 1994. However, females producing more than two young in 1993 raised significantly fewer in 1994, perhaps suggesting a cost of reproduction. [ABSTRACT FROM AUTHOR]

The efficient management of large interlinked broadband networks requires an efficient means of network simulation. Throughout the range of algorithms currently available, a trade-off exists between accuracy and run-time: Commercial cell-level simulators successfully mimic specific network scenarios to a high degree of accuracy, but often require many hours of run-time to produce statistically significant results. Conversely, analytical and probabilistic models yield rapid results for more general scenarios, but these usually lack the exactitude needed for network management purposes. This paper proposes a hybrid simulation structure within which an amalgam of different techniques may combine optimum accuracy within economical run-time. The software suite applies a detailed cell-level simulation to those regions of the network which are of specific interest, whilst using a faster but less accurate ‘fluid-flow’ approximation to represent the network in general. This approach is shown to be both accurate and also economical in terms of computation time. Copyright © 2000 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

The Lapwing Vanellus vanellus has traditionally been regarded as a monogamous, single brooded species, defending a single territory. Recent studies involving individually recognizable Lapwings have begun to challenge the ubiquity of these statements, with high frequencies of polygyny and the production of second broods being reported. Breeding Lapwings were studied in Upper Teesdale, County Durham, U.K., between 1993 and 1995, where both adults and chicks had been individually colour-ringed since 1990. A total of 90 territorial males and 64 females were intensively studied during the 3 years. Overall, 30% of territorial males had more than one mate in any year, with 19% more adult males than yearling males mating polygynously. On two occasions, polygynous males simultaneously defended two territories. Five females attempted to produce second broods, and one was polyandrous. [ABSTRACT FROM AUTHOR]