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Changes in reproduction may be closely linked to population density and often manifest in various behaviours. Thus, variation in behaviours associated with reproduction can provide insights into the mechanisms influencing the distribution and abundance of populations as well as broader community dynamics. We used a combination of occurrence and behavioural data from camera traps to measure variation in the abundance of Canada lynx during two time periods with contrasting abundance of their primary prey, snowshoe hare. Our first objective was to determine if N-mixture models, camera occurrence rates, and behaviours could be used to monitor trends in cyclic abundance. Our second objective was to investigate the underlying environmental and ecological factors influencing lynx reproductive behaviours (cheek-rubbing, scent-marking, and grouping). We found that lynx behaviours and relative abundance were correlated among years and that those relationships varied with the abundance of snowshoe hare. Consistent with our predictions, years with greater abundance of lynx and hare were characterized by increases in cheek-rubbing, scent-marking, and grouping behaviours. Variation in behaviour and estimates of abundance proved to be strong co-occurring indicators of the cyclic population dynamics of Canada lynx. Behaviour can provide valuable insights into the mechanisms (i.e., prey availability, breeding activity) that influence population distributions and abundance.

The IMPACC cohort, composed of >1,000 hospitalized COVID-19 participants, contains five illness trajectory groups (TGs) during acute infection (first 28 days), ranging from milder (TG1-3) to more severe disease course (TG4) and death (TG5). Here, we report deep immunophenotyping, profiling of >15,000 longitudinal blood and nasal samples from 540 participants of the IMPACC cohort, using 14 distinct assays. These unbiased analyses identify cellular and molecular signatures present within 72 h of hospital admission that distinguish moderate from severe and fatal COVID-19 disease. Importantly, cellular and molecular states also distinguish participants with more severe disease that recover or stabilize within 28 days from those that progress to fatal outcomes (TG4 vs. TG5). Furthermore, our longitudinal design reveals that these biologic states display distinct temporal patterns associated with clinical outcomes. Characterizing host immune responses in relation to heterogeneity in disease course may inform clinical prognosis and opportunities for intervention.

Abstract: Importance: SARS-CoV-2 infection can result in ongoing, relapsing, or new symptoms or other health effects after the acute phase of infection; termed post-acute sequelae of SARS-CoV-2 infection (PASC), or long COVID. The characteristics, prevalence, trajectory and mechanisms of PASC are ill-defined. The objectives of the Researching COVID to Enhance Recovery (RECOVER) Multi-site Observational Study of PASC in Adults (RECOVER-Adult) are to: (1) characterize PASC prevalence; (2) characterize the symptoms, organ dysfunction, natural history, and distinct phenotypes of PASC; (3) identify demographic, social and clinical risk factors for PASC onset and recovery; and (4) define the biological mechanisms underlying PASC pathogenesis. Methods: RECOVER-Adult is a combined prospective/retrospective cohort currently planned to enroll 14,880 adults aged ≥18 years. Eligible participants either must meet WHO criteria for suspected, probable, or confirmed infection; or must have evidence of no prior infection. Recruitment occurs at 86 sites in 33 U.S. states, Washington, DC and Puerto Rico, via facility– and community-based outreach. Participants complete quarterly questionnaires about symptoms, social determinants, vaccination status, and interim SARS-CoV-2 infections. In addition, participants contribute biospecimens and undergo physical and laboratory examinations at approximately 0, 90 and 180 days from infection or negative test date, and yearly thereafter. Some participants undergo additional testing based on specific criteria or random sampling. Patient representatives provide input on all study processes. The primary study outcome is onset of PASC, measured by signs and symptoms. A paradigm for identifying PASC cases will be defined and updated using supervised and unsupervised learning approaches with cross– validation. Logistic regression and proportional hazards regression will be conducted to investigate associations between risk factors, onset, and resolution of PASC symptoms. Discussion: RECOVER-Adult is the first national, prospective, longitudinal cohort of PASC among US adults. Results of this study are intended to inform public health, spur clinical trials, and expand treatment options.

BackgroundThere is a large number of research studies about the prevention of non-communicable diseases (NCD), with findings taking several years to be translated into practice. One reason for this lack of translation is a limited understanding of how to best disseminate NCD research findings to user-groups in a way that is salient and useful. An understanding of barriers and facilitators to dissemination is key to informing the development of strategies to increase dissemination. Therefore, this review aims to identify and synthesise the barriers and facilitators to dissemination of NCD research findings.MethodsA mixed studies systematic review was performed following JBI (formerly known as Joanna Briggs Institute) methodology. The search included articles from January 2000 until May 2021. We conducted a comprehensive search of bibliographic and grey literature of five databases to identify eligible studies. Studies were included if they involved end-users of public health research that were decision-makers in their setting and examined barriers/facilitators to disseminating research findings. Two pairs of reviewers mapped data from included studies against the Framework of Knowledge Translation (FKT) and used a convergent approach to synthesise the data.ResultsThe database search yielded 27,192 reports. Following screening and full text review, 15 studies (ten qualitative, one quantitative and four mixed methods) were included. Studies were conducted in 12 mostly high-income countries, with a total of 871 participants. We identified 12 barriers and 14 facilitators mapped to five elements of the FKT. Barriers related to: (i) the user-group (n = 3) such as not perceiving health as important and (ii) the dissemination strategies (n = 3) such as lack of understanding of content of guidelines. Several facilitators related to dissemination strategies (n = 5) such as using different channels of communication. Facilitators also related to the user-group (n = 4) such as the user-groups’ interest in health and research.ConclusionResearchers and government organisations should consider these factors when identifying ways to disseminate research findings to decision-maker audiences. Future research should aim to build the evidence base on different strategies to overcome these barriers.Systematic review registrationThe protocol of this review was deposited in Open Science Framework (https://doi.org/10.17605/OSF.IO/5QSGD).

Abstract Background Chronic diseases are a considerable burden to health systems, communities, and patients. Much of this burden, however, could be prevented if interventions effective in reducing chronic disease risks were routinely implemented. Aims The aim of this paper is to discuss the role of public health agencies in preventing chronic disease through the application of learning health system (LHS) approaches to improve the implementation of evidence‐based interventions. Materials and Methods We draw on the literature and our experience operating a local LHS in Australia that has achieved rapid improvements in the implementation of chronic disease prevention interventions. Results The proposed LHS framework has been adapted to be both implementation and chronic disease prevention focused. The framework describes both broad improvement processes, and the infrastructure and other support (pillars) recommended to support its core functions. Conclusion The framework serves as a basis for further exploration of the potentially transformative role LHS's may have in addressing the chronic disease health crisis.

Abstract Estimating the abundance or density of wildlife populations is a critical part of species conservation and management, but estimates can vary greatly in precision and accuracy according to the sampling and statistical methods, sampling and ecological variation, and sample size. We used images of moose (Alces americanus) from camera traps to parameterize N‐mixture models and tested the effect of ecological conditions, the spatial scale of measurement, and the criteria used to define independent detections on estimates of population abundance. We compared the model estimates to those generated empirically with aerial survey data, the standard method for many species of ungulate. We explored the sensitivity of estimates to model choice based on the common statistical criterion of parsimony. The two most parsimonious N‐mixture models (i.e. AICc) were considerably biased, producing implausibly large and considerably imprecise estimates of abundance. Most of the other models produced estimates of moose abundance that were ecologically realistic and relatively accurate. The accuracy of population estimates produced by N‐mixture models was not overly sensitive to the formulation of models, the scale at which ecological conditions were measured, or the criteria used to define independent detection and by extension sample size. Our results suggested that parsimony was a poor measure of the predictive accuracy of the population estimates produced with the N‐mixture model. We recommend using a suite of models to generate predictions of abundance instead of the single top‐ranked model. Collecting and processing data from the aerial survey was less expensive and took less time, but data from camera traps provided a broader set of insights into the behaviour of moose and the co‐occurrence of competitors and predators.