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Drought has long posed an existential threat to society. Engineering and technological advancements have enabled the development of complex, interconnected water supply systems that buffer societies from the impacts of drought, enabling growth and prosperity. However, increasing water demand from population growth and economic development, combined with more extreme and prolonged droughts due to climate change, poses significant challenges for governments in the 21st century. Improved understanding of the cascading multisectoral impacts and adaptive responses resulting from extreme drought can aid in adaptive planning and highlight key processes in modeling drought impacts. The record drought spanning 2008 to 2015 in the Colorado Basin in the state of Texas, United States, serves as an outstanding illustration to assess multisectoral impacts and responses to severe, multi-year drought. The basin faces similar water security challenges to those across the western US, such as groundwater depletion and sustainability, resource competition between agriculture and growing urban populations, limited options for additional reservoir expansion, and the heightened risk of more severe and frequent droughts due to climate change. By analyzing rich, high-quality data sourced from nine different local, state, and federal sources, we demonstrate that characterizing regional multisector dynamics is crucial to predicting and understanding future vulnerability and possible approaches to reduce impacts to human and natural systems in the face of extreme drought conditions. This review reveals that, despite the severe hydrometeorological conditions of the drought, the region's advanced economy and existing water infrastructure effectively mitigated economic and societal impacts. [ABSTRACT FROM AUTHOR]

Acute pericarditis is defined as inflammation of the pericardium and occurs in approximately 4.4% of patients who present to the emergency department for nonischemic chest pain, with a higher prevalence in men. Although there are numerous etiologies of pericarditis, most episodes are idiopathic and the cause is presumed to be viral. Diagnosis of pericarditis requires at least two of the following criteria: new or worsening pericardial effusion, characteristic pleuritic chest pain, pericardial friction rub, or electrocardiographic changes, including new, widespread ST elevations or PR depressions. Pericardial friction rubs are highly specific but transient, and they have been reported in 18% to 84% of patients with acute pericarditis. Classic electrocardiographic findings include PR-segment depressions; diffuse, concave, upward ST-segment elevations without reciprocal changes; and T-wave inversions. Transthoracic echocardiography should be performed in all patients with acute pericarditis to characterize the size of effusions and evaluate for complications. Nonsteroidal anti-inflammatory drugs are the first-line treatment option. Glucocorticoids should be reserved for patients with contraindications to first-line therapy and those who are pregnant beyond 20 weeks' gestation or have other systemic inflammatory conditions. Colchicine should be used in combination with first- or second-line treatments to reduce the risk of recurrence. Patients with a higher risk of complications should be admitted to the hospital for further workup and treatment. (Am Fam Physician. 2024; 109(5):441–446. Copyright © 2024 American Academy of Family Physicians.) Acute pericarditis is defined as inflammation of the pericardium and occurs in approximately 4.4% of patients who present to the emergency department for nonischemic chest pain, with a higher prevalence in men. Although there are numerous etiologies of pericarditis, most episodes are idiopathic and the cause is presumed to be viral. Diagnosis of pericarditis requires at least two of the following criteria: new or worsening pericardial effusion, characteristic pleuritic chest pain, pericardial friction rub, or electrocardiographic changes, including new, widespread ST elevations or PR depressions. Pericardial friction rubs are highly specific but transient, and they have been reported in 18% to 84% of patients with acute pericarditis. Classic electrocardiographic findings include PR-segment depressions; diffuse, concave, upward ST-segment elevations without reciprocal changes; and T-wave inversions. Transthoracic echocardiography should be performed in all patients with acute pericarditis to characterize the size of effusions and evaluate for complications. Nonsteroidal anti-inflammatory drugs are the first-line treatment option. Glucocorticoids should be reserved for patients with contraindications to first-line therapy and those who are pregnant beyond 20 weeks' gestation or have other systemic inflammatory conditions. Colchicine should be used in combination with first- or second-line treatments to reduce the risk of recurrence. Patients with a higher risk of complications should be admitted to the hospital for further workup and treatment. [ABSTRACT FROM AUTHOR]

Hippocampal-dependent episodic memory and stimulus discrimination abilities are both compromised in the elderly. The reduced capacity to discriminate between similar stimuli likely contributes to multiple aspects of age-related cognitive impairment; however, the association of these behaviors within individuals has never been examined in an animal model. In the present study, young and aged F344×BN F1 hybrid rats were cross-characterized on the Morris water maze test of spatial memory and a dentate gyrus-dependent match-to-position test of spatial discrimination ability. Aged rats showed overall impairments relative to young in spatial learning and memory on the water maze task. Although young and aged learned to apply a match-to-position response strategy in performing easy spatial discriminations within a similar number of trials, a majority of aged rats were impaired relative to young in performing difficult spatial discriminations on subsequent tests. Moreover, all aged rats were susceptible to cumulative interference during spatial discrimination tests, such that error rate increased on later trials of test sessions. These data suggest that when faced with difficult discriminations, the aged rats were less able to distinguish current goal locations from those of previous trials. Increasing acetylcholine levels with donepezil did not improve aged rats' abilities to accurately perform difficult spatial discriminations or reduce their susceptibility to interference. Interestingly, better spatial memory abilities were not significantly associated with higher performance on difficult spatial discriminations. This observation, along with the finding that aged rats made more errors under conditions in which interference was high, suggests that match-to-position spatial discrimination performance may rely on extra-hippocampal structures such as the prefrontal cortex, in addition to the dentate gyrus.

Drought has long posed an existential threat to society. Engineering and technological advancements have enabled the development of complex, interconnected water supply systems that buffer societies from the impacts of drought, enabling growth and prosperity. However, increasing water demand from population growth and economic development, combined with more extreme and prolonged droughts due to climate change, pose significant challenges for governments in the 21st century. Improved understanding of the multisectoral impacts and adaptive responses resulting from extreme drought can aid in adaptive planning and highlight key processes in modelling drought impacts. The record drought spanning 2008 - 2015 in the Colorado Basin in the state of Texas, United States serves as an outstanding illustration to assess multisectoral impacts and responses to severe, multi-year drought. The basin faces similar water security challenges as across the Western U.S., such as: groundwater depletion and sustainability, resource competition between agriculture and growing urban populations, limited options for additional reservoir expansion, and the heightened risk of more severe and frequent droughts due to climate change. By analysing rich, high-quality data sourced from nine different local, state, and federal sources, we demonstrate that characterizing regional multisector dynamics is crucial to predicting and understanding future vulnerability and possible approaches to reduce impacts to human and natural systems in the face of extreme drought conditions. This review reveals that, despite the severe hydrometeorological conditions of the drought, the region's advanced economy and existing water infrastructure effectively mitigated economic and societal impacts. [ABSTRACT FROM AUTHOR]