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Abstract Expendable Bathythermographs (XBTs) are oceanographic instruments that fall through the ocean's water column and measure ocean temperature with depth. In many instances, however, XBTs continue to record temperature after they impact the seabed. Here we show evidence that XBTs produce unique temperature responses when they impact the seabed that depend directly on seabed physical properties. Specifically, standard‐use XBTs (e.g., T‐4s and T‐5s), when deployed above a mud‐rich seabed, require significant time (tens of minutes) to equilibrate to steady‐state seafloor temperatures after seabed impact. In contrast, XBTs deployed above sand‐rich sediments equilibrate to seabed temperatures rapidly (644k XBT measurements exist publicly (via the National Oceanographic and Atmospheric Administration website), and >74,000 XBTs record temperatures post seabed impact, we suggest that XBT data represents a large, low‐cost, and currently untapped data set for characterizing seabed physical properties globally.

Background Early clinical experience with the Tenzing 7 delivery catheter (T7, Route 92 Medical, San Mateo, CA, USA) demonstrates high success rates for intracranial delivery of large bore aspiration catheters. Its soft, flexible, tapered tip mitigates the “ledge effect” that may cause resistance when navigating neurovascular devices through tortuous internal carotid arteries (ICAs) or other arterial branch origin variants. This study aims to characterize T7 performance across ICAs with varying tortuosities. Methods A retrospective analysis was performed of prospectively collected data from patients with acute ischemic stroke treated with aspiration thrombectomy using T7 between January 2020 and July 2022 at 3 stroke centers. The ICA tortuosity index (TI) was derived from the ratio of actual to straight length measurements from anterior‐posterior and lateral projections during digital subtraction angiography. T7 success is defined as delivering the aspiration catheter to the face of the occlusion. Regression analysis between TI and T7 success was performed. Correlations were calculated between TI, ICA grading, puncture‐to‐reperfusion time, number of passes, and final modified Treatment in Cerebral Infarction score. Significance was P ≤$ \le $ 0.05. Results Of 107 patients meeting inclusion, median age was 69 (interquartile range 60–81) years, and most occlusions were in the M1 segment (73/107; 68.2%). T7 rate of success was 95.3% (102/107), and there was no association between TI and T7 technical success (P = 0.23). Greater TIs and cavernous ICA tortuosity grades were not correlated with worse intraprocedural outcomes (P>0.24). Conclusion In our multicenter experience, T7 performed well even in highly tortuous extracranial vasculature. Successful aspiration catheter delivery and intraprocedural performance were consistent irrespective of ICA tortuosity. Our findings support the use of T7 in aspiration endovascular thrombectomy for acute stroke for patients with tortuous extracranial vasculature.

Objective: Exposure of adipocytes to ‘cool’ temperatures often found in the periphery of the body induces expression of Stearoyl-CoA Desaturase-1 (Scd1), an enzyme that converts saturated fatty acids to monounsaturated fatty acids. The goal of this study is to further investigate the roles of Scd in adipocytes. Method: In this study, we employed Scd1 knockout cells and mouse models, along with pharmacological Scd1 inhibition to dissect the enzyme's function in adipocyte physiology. Results: Our study reveals that production of monounsaturated lipids by Scd1 is necessary for fusion of autophagosomes to lysosomes and that with a Scd1-deficiency, autophagosomes accumulate. In addition, Scd1-deficiency impairs lysosomal and autolysosomal acidification resulting in vacuole accumulation and eventual cell death. Blocking autophagosome formation or supplementation with monounsaturated fatty acids maintains vitality of Scd1-deficient adipocytes. Conclusion: This study demonstrates the indispensable role of Scd1 in adipocyte survival, with its inhibition in vivo triggering autophagy-dependent cell death and its depletion in vivo leading to the loss of bone marrow adipocytes.

Anthropogenic emissions of mercury to the environment are of great concern due to its toxicity. The burning of coal contributes highly to Hg emissions and, as such, much lower effluent discharge limits for Hg in flue gas desulphurisation (FGD) wastewater have recently been proposed in the USA. Lower detection limits are required to meet the most demanding discharge limit of 10 ng L−1. Therefore, in this work, a new analyser for online monitoring of Hg in FGD wastewater based on syringe injections of chemicals combined with gold amalgamation – atomic fluorescence spectrometry has been developed. The instrument has been validated against international standard method ISO 17852, as well as an interference study with extreme levels of salts majorly present in FGD water. Detection limits of 1.8 ng L−1 as well as accurate performance in an on-site field trial indicate that the methodology is fit to meet the new legislation. HIGHLIGHTS LOD of 1.8 ng L−1 and LOQ of 3.7 ng L−1, with possibilities to further reduction by varying sample intake.; Successful analysis carried out on-site with a constantly changing effluent Hg concentration.; Interference study indicates the instrument is robust in high levels of extreme levels of salts present in FGD wastewater.;

Abstract Previous studies have documented natural infections of SARS-CoV-2 in various domestic and wild animals. More recently, studies have been published noting the susceptibility of members of the Cervidae family, and infections in both wild and captive cervid populations. In this study, we investigated the presence of SARS-CoV-2 in mammalian wildlife within the state of Vermont. 739 nasal or throat samples were collected from wildlife throughout the state during the 2021 and 2022 harvest season. Data was collected from red and gray foxes (Vulpes vulples and Urocyon cineroargentus, respectively), fishers (Martes pennati), river otters (Lutra canadensis), coyotes (Canis lantrans), bobcats (Lynx rufus rufus), black bears (Ursus americanus), and white-tailed deer (Odocoileus virginianus). Samples were tested for the presence of SARS-CoV-2 via quantitative RT-qPCR using the CDC N1/N2 primer set and/or the WHO-E gene primer set. Surprisingly, we initially detected a number of N1 and/or N2 positive samples with high cycle threshold values, though after conducting environmental swabbing of the laboratory and verifying with a second independent primer set (WHO-E) and PCR without reverse transcriptase, we showed that these were false positives due to plasmid contamination from a construct expressing the N gene in the general laboratory environment. Our final results indicate that no sampled wildlife were positive for SARS-CoV-2 RNA, and highlight the importance of physically separate locations for the processing of samples for surveillance and experiments that require the use of plasmid DNA containing the target RNA sequence. These negative findings are surprising, given that most published North America studies have found SARS-CoV-2 within their deer populations. The absence of SARS-CoV-2 RNA in populations sampled here may provide insights in to the various environmental and anthropogenic factors that reduce spillover and spread in North American’s wildlife populations.

Aspiration catheters are widely used for thrombectomy either alone or in combination with a stent-retriever, with a distal inner diameter and trackability keys to their success. In an illustrative case series, we report our clinical experience with AXS Vecta (Stryker Neurovascular, Fremont, CA, USA), available in both 0.071-inch and 0.074-inch distal inner diameters, including the first 2 Vecta 74 cases reported. A literature review on AXS Vecta is also provided. In our series, 9 thrombectomies were performed (Vecta 71: 2 M1, 5 M2 occlusions; Vecta 74: 1 M1 and 1 ICA-terminus occlusion). The AXS Vecta was successfully delivered to the target site in all cases. In 7 of 9 cases, the catheter was delivered over a Tenzing 7 delivery catheter (Route 92 Medical, San Mateo, CA, USA). For 2 of 9 combination approach cases, Vecta was delivered using the stent-retriever wire as a rail. The median improvement in NIHSS score during hospitalization was 9 (IQR 5–12). Successful mTICI 2C or 3 recanalization was achieved in 8 of 9 (89%) patients after a median 2 (IQR 1–2) passes. Our median groin-to-reperfusion time was 23 (IQR 12.5–32) minutes, with no procedural complications. Two previous clinical studies of a total of 29 patients treated with Vecta 71 reported successful mTICI 2b–3 recanalization in 89–90% of cases. The Median groin-to-reperfusion time was 30 minutes. Complications were seen in 2 of 29 (6.9%) cases (vessel perforation and/or intracerebral hemorrhage). These data support the efficacy, deliverability, and safety of AXS Vecta for mechanical thrombectomy.

The adipose-derived hormone leptin acts via its receptor (LepRb) in the brain to control energy balance. A potentially unidentified population of GABAergic hypothalamic LepRb neurons plays key roles in the restraint of food intake and body weight by leptin. To identify markers for candidate populations of LepRb neurons in an unbiased manner, we performed single-nucleus RNA-Seq of enriched mouse hypothalamic LepRb cells, identifying several previously unrecognized populations of hypothalamic LepRb neurons. Many of these populations displayed strong conservation across species, including GABAergic Glp1r-expressing LepRb (LepRbGlp1r) neurons, which expressed more Lepr than other LepRb cell populations. Ablating Lepr from LepRbGlp1r cells provoked hyperphagic obesity without impairing energy expenditure. Similarly, improvements in energy balance caused by Lepr reactivation in GABA neurons of otherwise Lepr-null mice required Lepr expression in GABAergic Glp1r-expressing neurons. Furthermore, restoration of Glp1r expression in LepRbGlp1r neurons in otherwise Glp1r-null mice enabled food intake suppression by the GLP1R agonist, liraglutide. Thus, the conserved GABAergic LepRbGlp1r neuron population plays crucial roles in the suppression of food intake by leptin and GLP1R agonists.

Abstract Breastfeeding (BF) has been identified as a protective factor against childhood obesity. However, evidence of the association between BF duration and adiposity remains inconclusive. Few studies have been conducted among Southeast Asian infants that have measured body composition during infancy using the gold standard stable isotope method. This study aimed to evaluate the association between BF duration and body composition during infancy. Healthy full‐term Thai infants aged 6–8 months (n = 60) receiving exclusive or predominant BF for at least 3 months were recruited. Skinfold thickness (SFT) was measured by well‐trained investigators. Body composition was assessed by the deuterium dilution technique. Infants with longer BF duration (>6 months; mean 7.5 ± 0.5 months, n = 29) had a higher subscapular SFT z‐score than those with shorter BF duration (≤6 months; mean 5.3± 0.9 months, n = 31) by 0.48 (95% confidence interval [CI]: 0.01–0.94). After adjustment for age and sex, BF duration and age at introduction of complementary feeding (CF) were positively associated with fat mass and fat mass index at 6–8 months. One month increase in BF duration and CF age was associated with a 0.37 (95% CI: 0.05, 0.69) kg/m2 and 0.76 (95% CI: 0.18, 1.34) kg/m2 increase in the fat mass index, respectively. After adjusting for infant body mass index (BMI) during the earlier infancy period, the strength of the association was attenuated. This finding may reflect reverse causality where infants with lower BMI received formula or CF earlier. A longitudinal study with follow‐up into childhood is warranted to confirm the effects of BF on adiposity in infancy and childhood.

Many consequences of climate change undermine the stability of global food systems, decreasing food security and diet quality, and exposing vulnerable populations to multiple forms of malnutrition. The emergence of pandemics such as Covid-19 exacerbate the situation and make interactions even more complex. Climate change impacts food systems at different levels, including changes in soil fertility and crop yield, composition, and bioavailability of nutrients in foods, pest resistance, and risk of malnutrition. Sustainable and resilient food systems, coupled with climate-smart agriculture, are needed to ensure sustainable diets that are adequately diverse, nutritious, and better aligned with contextual ecosystem functions and environmental conservation. Robust tools and indicators are urgently needed to measure the reciprocal food systems-climate change interaction, that is further complicated by pandemics, and how it impacts human health.

Mercury exposure constitutes an acute risk to human health and the environment. Driven by the requirement to monitor trace-level mercury, we report a highly sensitive mercury(II) DNA sensor enhanced by silver(I) activation, followed by mercury(II)-specific oligonucleotides (MSO) molecular configuration switch and mercury(II)-modulated FRET. Activating the MSO strands with silver(I), mismatched cytosine–silver(I)–cytosine bridges induce individual MSO strands to fold readily in response to mercury(II) resulting in enhanced fluorescence signal. The structural switches were studied by 2D 1H–1H NOESY and TOCSY NMR spectroscopy, and 260 nm absorbance. The signal decreases with increasing mercury(II) concentration from 100 pM to 0.1 mM. The approach affords outstanding mercury(II) selectivity over other environmentally associated metals. Furthermore, the methodology was deployed for detection of mercury(II) in spiked pond waters with 97.9–100.6% recovery. The simple and feasible format has great potential for developing a cost effective and useful tool for environmental monitoring.

Abstract: It has long been a shared assumption of textile specialists that the underside couching technique was used exclusively in Western Europe in the Middle Ages. England is the most renowned medieval center of gold embroidery in this technique, although sporadic examples are known from other centers, particularly in Italy. Works of gold embroidery that employ underside couching, no matter how Byzantine their stylistic appearance, have been attributed to Western workshops based on the principle that the Byzantines were ignorant of the technique. New information, however, should prompt a reevaluation of this assumption. Several examples that have recently come to light from the regions north of the Black Sea suggest that the Byzantines and their Slavic neighbors may have experimented with the underside couching technique in the twelfth and early thirteenth centuries.

Background. For liver transplant candidates on the waiting list, deciding to accept a donor organ with known or potential risk factors can be stressful and can lead to declined offers. Current education for patients and family often takes place during transplant evaluations and can be overwhelming and result in low retention and poor understanding of donor quality. Methods. In the first phase, we sought to understand provider experiences when counseling patients about donor risks and donor offers. We conducted interviews and focus groups with liver transplant providers at 1 local center and at a national clinician conference. Twenty providers participated: 15 hepatologists and 5 surgeons. The provider feedback was used to create an initial outline of content that is consistent with decision support frameworks. In a second phase, graphic design collaborators created mockups of a patient-friendly tool. We reviewed mockups with 4 transplant coordinators and 9 liver transplant candidates for feedback on clarity and utility to prepare for an organ offer. Patient responses allowed a comparison of perceived readiness to receive an offer call before and after viewing mockups. Results. We identified themes relating to the offer process, repetition and timing of education, and standardization and tailoring of content. The results indicated a gap in available education after the evaluation session, and information specific to offer decisions is needed. Patient feedback emphasized the need to review the offer process before a real offer. Conclusions. Patients and providers responded favorably to a patient tool addressing existing gaps in education while waiting for a donor offer. Additional patient, family, and provider feedback will guide the development of an interactive tool to prepare patients and families for an offer decision.

Abstract Methane hydrates are solid structures containing methane inside of a water lattice that form under low temperature and relatively high pressure. Appropriate hydrate‐forming conditions exist along continental shelves or are associated with permafrost. Hydrates have garnered scientific interest via their potential as a source of natural gas and their role in the global carbon cycle. While methane hydrates have been collected in multiple diverse geographic settings, their quantities and distribution in sediments remain poorly constrained due to sparse relevant data. Using statistical and machine learning approaches, we have developed a workflow to probabilistically predict methane hydrate occurrence from local microbial methane sourcing. This approach utilizes machine‐learned global maps produced by the Global Predictive Seabed Model (GPSM) as inputs for the statistical sampling software, Dakota, and multiphase reservoir simulation software, PFLOTRAN. Dakota performs Latin hypercube sampling of the GPSM‐predicted values and uncertainties to generate unique sets of input parameters for 1‐D PFLOTRAN simulations of gas hydrate and free gas formation resulting from methanogenesis to steady state. We ran 100 1‐D simulations spanning a kilometer in depth at 5,297 locations near Blake Ridge. Masses of hydrate and free gas formed at each location were determined by integrating the predicted saturation profiles. Elevated hydrate formation is predicted to occur at depths >500 meters below sea level at this location, and is strongly associated with high seafloor total organic carbon values. We produce representative maps of expected hydrate occurrence for the study area based on multiple realizations that can be validated against geophysical observations.

Intra-host tumor virus variants may influence the pathogenesis and treatment responses of some virally-associated cancers. However, the intra-host variability of Kaposi sarcoma-associated herpesvirus (KSHV), the etiologic agent of Kaposi sarcoma (KS), has to date been explored with sequencing technologies that possibly introduce more errors than that which occurs in the viral population, and these studies have only studied variable regions. Here, full-length KSHV genomes in tumors and/or oral swabs from 9 Ugandan adults with HIV-associated KS were characterized. Furthermore, we used deep, short-read sequencing using duplex unique molecular identifiers (dUMI)-random double-stranded oligonucleotides that barcode individual DNA molecules before library amplification. This allowed suppression of PCR and sequencing errors to ~10-9/base as well as afforded accurate determination of KSHV genome numbers sequenced in each sample. KSHV genomes were assembled de novo, and rearrangements observed were confirmed by PCR and Sanger sequencing. 131-kb KSHV genome sequences, excluding major repeat regions, were successfully obtained from 23 clinical specimens, averaging 2.3x104 reads/base. Strikingly, KSHV genomes were virtually identical within individuals at the point mutational level. The intra-host heterogeneity that was observed was confined to tumor-associated KSHV mutations and genome rearrangements, all impacting protein-coding sequences. Although it is unclear whether these changes were important to tumorigenesis or occurred as a result of genomic instability in tumors, similar changes were observed across individuals. These included inactivation of the K8.1 gene in tumors of 3 individuals and retention of a region around the first major internal repeat (IR1) in all instances of genomic deletions and rearrangements. Notably, the same breakpoint junctions were found in distinct tumors within single individuals, suggesting metastatic spread of rearranged KSHV genomes. These findings define KSHV intra-host heterogeneity in vivo with greater precision than has been possible in the past and suggest the possibility that aberrant KSHV genomes may contribute to aspects of KS tumorigenesis. Furthermore, study of KSHV with use of dUMI provides a proof of concept for utilizing this technique for detailed study of other virus populations in vivo.

Patients in the US in need of a life-saving organ transplant must complete a long process of medical decisions, and a first step is to identify a transplant center to complete an evaluation. This study describes a patient-centered process of testing and refinement of a new website (www.transplantcentersearch.org) that was developed to provide data to patients who are seeking a transplant center. Mixed methods, including online surveys and structured usability testing, were conducted to inform changes in an iterative process. Survey data from 684 participants indicated the effects of different icon styles on user decisions. Qualitative feedback from 38 usability testing participants informed improvements to the website interface. The mixed methods approach was feasible and well suited to the need to address multiple development steps of a patient-facing tool. The combined methods allowed for large survey sample sizes and also allowed interaction with a functioning website and in-depth qualitative discussions. The approach is applicable for a broad range of target user groups who are faced with challenging decisions and a need for information tailored to individual users. The survey and usability testing concluded with a functioning website that is positively received by users and meets the objective to support patient decisions when seeking an organ transplant.

We demonstrate a novel way to introduce a so-called Hg reference gas, produced by a gas generator, into an elemental detector, such as ICP-MS, and to directly measure gaseous oxidized mercury (GOM as HgCl2) at a wide range of concentrations, covering 4 orders of magnitude. The approach was tested using two types of generators based on the dilution of a gas saturated with mercury chloride vapours (from dry HgCl2 salt) and on the evaporation of aqueous HgCl2 standards. The former generator provided reference gas at μg m−3 concentrations, while the latter was applicable from low ng m−3 to μg m−3. The generation and measurement of gaseous Hg was achieved in real time without significant memory effects, and with a response time shorter than 5 min. This unique approach of direct measurement (without thermal conversion) of both gaseous elemental mercury (GEM) and GOM from environmentally relevant to industrial concentrations has been shown to offer the potential to significantly improve the reliability of Hg determination from gas generators. This, in the longer term, will be invaluable to improve accuracy of in-field Hg measurements.

Background. Patients face obstacles in finding a transplant program that meets their healthcare needs. Acceptance criteria and waiting times vary by region and program. The Scientific Registry of Transplant Recipients provides program-specific information, but it is unclear what patients and referring physicians need to know. Methods. We examined variability in program-specific characteristics that could influence access to transplantation. We also conducted 20 interviews and 16 focus groups with transplant candidates, recipients, and their family members. Participants were shown prototypes of a patient-specific search tool and evaluated its capacity to identify programs tailored to the needs of individual patients. Results. The distribution of recipient and donor characteristics that may impact access to transplantation, such as recipients on Medicaid, varied across programs (all with P < 0.01). Several themes emerged related to impressions of access to transplantation and the usability of patient-specific search functions. Perceptions of the prototypes and results varied, but were positive overall and support providing an individualized search of program level data. Participants revealed significant barriers to identifying and evaluating transplant programs and suggest that patient-specific search results reduce the anxiety associated with selecting a program. Conclusions. Providing patient-specific tools is valued by patients and important to maximizing access to transplant.

Abstract A newly compiled, open‐source database of focused fluid flow sites (e.g., cold seeps) and associated SEAfloor FLuid Expulsion Anomalies (SEAFLEAs) reveals a variable distribution of anomalies across global continental margins. The SEAFLEA distribution is heavily biased toward North American continental margins, with most observations between 100‐ and 200‐m water depth globally, and with an equal distribution between active and passive margins. Using a machine learning classification methodology based on outlier detection algorithms, we predict the probability of encountering a SEAFLEA globally. Results show the highest probability in regions with multiple SEAFLEA observations and parametrically similar regions concentrated on continental margins. In general, geologic, biologic, and chemical predictors are the best predictors of SEAFLEAs. We validate our results using a random and geospatial validation technique that reveals our methods are robust to random variations in observations, but that certain margins, such as the Svalbard Margin, represent parametrically distinct locals. These distinct regions have control over the global distribution of predicted anomalies due to their unique features. Our final prediction on a global 5 × 5 arc minute grid reveals that the average probability of encountering a SEAFLEA is 33.1 ± 17.7% on active margins and 31.2 ± 18.9% on passive margins, showing equal likelihood of encountering fluid expulsion between passive and active margins. Therefore, the lateral compaction on active margins does not increase the likelihood of fluid expulsion relative to the predominantly vertical compaction on passive margins. These results however say nothing of the fluid flux rates or density of expulsion features.

Purpose: The HIV epidemic has contributed to the increasing incidence of cancer in sub-Saharan Africa, where most patients with cancer present at an advanced stage. However, improved access to HIV care and treatment centers in sub-Saharan Africa may facilitate earlier diagnosis of cancer among patients who are HIV positive. To test this hypothesis, we characterized the stage of cancer and evaluated the factors associated with advanced stage at presentation among patients in Uganda. Methods: We conducted a retrospective analysis of adult patients with any of four specific cancers who presented for care in Kampala, Uganda, between 2003 and 2010. Demographic, clinical, and laboratory data were abstracted from the medical record, together with the outcome measure of advanced stage of disease (clinical stage III or IV). We identified measures for inclusion in a multivariate logistic regression model. Results: We analyzed 731 patients with both AIDS-defining cancers (cervical [43.1%], and non-Hodgkin lymphoma [18.3%]), and non–AIDS-defining cancers (breast [30.0%] and Hodgkin lymphoma [8.6%]). Nearly 80% of all patients presented at an advanced stage and 37% had HIV infection. More than 90% of patients were symptomatic and the median duration of symptoms before presentation was 5 months. In the multivariate model, HIV-positive patients were less likely to present at an advanced stage as were patients with higher hemoglobin and fewer symptoms. Conclusion: Patients with limited access to primary care may present with advanced cancer because of a delay in diagnosis. However, patients with HIV now have better access to clinical care. Use of this growing infrastructure to increase cancer screening and referral is promising and deserves continued support, because the prognosis of HIV-positive patients with advanced cancer is characterized by poor survival globally.

An analytical method to determine tin concentrations in natural samples, by coupling atomic fluorescence spectrometry, hydride generation and flow injection system was developed. The sample digestion procedure and the conditions of hydride generation were fully optimized. The best conditions for the generation of SnH4 were obtained with NaBH4 4% (m v-1) and HCl 0.6 mol L-1. The optimized flow rates were 1.2 mL min-1 for sample, 1.2 mL min-1 for HCl and 1.6 mL min-1 for NaBH4 solution. The sample volume was 500 µL. The best acid volume for digestion of solid samples was stablished to be 3 mL HNO3 + 1 mL HCl. The accuracy of the method was established by the analysis of certified reference materials and by comparative determinations, using inductively coupled optical emission spectrometry. The approach developed was shown to offer a robust method with excellent accuracy and precision for the determination of Sn in environmental samples. Finally, the method was applied to analyse the soil, sediment and water samples, collected in area under anthropogenic activities: processing area of cassiterite in Corumbataí/SP. The obtained data indicated that there was alteration in the natural quality of the environment as a result of the activities developed in that site

An extensive 2013 mass mortality event along the West Coast of North America due to Sea Star Wasting Disease (SSWD) has affected at least 20 species of sea stars. Among environmental factors potentially contributing to the timing of the current outbreak, increased coastal water temperatures are hypothesized to have contributed to previous and current outbreaks of SSWD. With a laboratory experiment, we tested whether cooler temperatures, similar to average winter temperatures, compared to average summer temperatures could slow the progression of morbidity or prevent SSWD mortality entirely in Pisaster ochraceus. Sea stars housed in cooler water progressed through SSWD states more slowly than sea stars housed at summer temperatures. However, the cooler temperature did not prevent SSWD mortality, and all stars died of the disease. Our data are consistent with experimental studies and field observations during previous and current outbreaks, and support the hypothesis that changes in coastal water temperatures have influenced one of the largest disease related mass mortality events in our oceans.

Purpose: Recognition the urethral plate comprises tissues that normally should have created the urethra was an important milestone in hypospadias surgery, giving rise to new operative repairs - most notably the tubularized incised plate technique. This article reviews the current state of the art for hypospadias repair using tubularized, incised plate (TIP). Materials and Methods: Personal experience and literature reports were reviewed to summarize use of TIP urethroplasty for distal, proximal, and re-operative hypospadias repairs. Results: The TIP can be used to correct all distal and most proximal hypospadias. The major contraindication is ventral curvature that leads to urethral plate transection for straightening, which is only necessary in some proximal cases. Reoperations can also be performed using TIP provided the urethral plate has been maintained and is not grossly scarred. Complication rates are comparable to previously used techniques, while cosmetic appearance after TIP is considered superior to other available procedures. Conclusions: Recognition of the urethral plate and its incorporation into the neourethra has revolutionized hypospadias repair. The most commonly used operative procedure today is TIP.

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We describe refinements to and new experimental applications of the Data Mining Surveillance System (DMSS), which uses a large electronic health-care database for monitoring emerging infections and antimicrobial resistance. For example, information from DMSS can indicate potentially important shifts in infection and antimicrobial resistance patterns in the intensive care units of a single health-care facility.

An adequate calcium intake and vitamin-D status is important for bone mineralization in adolescents. In Northern China, calcium intake and plasma vitamin-D level of adolescents is low due to low consumption of dairy foods and inadequate sunshine exposure. True fractional calcium absorption (TFCA) in Chinese adolescents has never been performed. This study aims to evaluate nutritional adaptation namely, TFCA and urinary calcium excretion among Chinese adolescents in northern China.

The adipose-derived hormone leptin acts via its receptor (LepRb) in the brain to control energy balance. A potentially unidentified population of GABAergic hypothalamic LepRb neurons plays key roles in the restraint of food intake and body weight by leptin. To identify markers for candidate populations of LepRb neurons in an unbiased manner, we performed single-nucleus RNA-Seq of enriched mouse hypothalamic LepRb cells, identifying several previously unrecognized populations of hypothalamic LepRb neurons. Many of these populations displayed strong conservation across species, including GABAergic Glp1r-expressing LepRb ([LepRb.sup.Glp1r]) neurons, which expressed more Leprthan other LepRb cell populations. Ablating Lepr from [LepRb.sup.Glp1r] cells provoked hyperphagic obesity without impairing energy expenditure. Similarly, improvements in energy balance caused by Lepr reactivation in GABA neurons of otherwise Lepr-null mice required Lepr expression in GABAergic Glp1r-expressing neurons. Furthermore, restoration of Glp1r expression in [LepRb.sup.Glp1r] neurons in otherwise Glp1r-null mice enabled food intake suppression by the GLP1R agonist, liraglutide. Thus, the conserved GABAergic [LepRb.sup.Glp1r] neuron population plays crucial roles in the suppression of food intake by leptin and GLP1R agonists., Introduction The ongoing obesity pandemic represents an enormous challenge to human health and longevity (1). Identifying therapeutic targets to combat obesity will require understanding the physiologic systems that modulate feeding [...]

By the end of 2018, 42 years after the landing of the two Viking seismometers on Mars, InSight will deploy onto Mars' surface the SEIS (Seismic Experiment for Internal Structure) instrument; a six-axes seismometer equipped with both a long-period three-axes Very Broad Band (VBB) instrument and a three-axes short-period (SP) instrument. These six sensors will cover a broad range of the seismic bandwidth, from 0.01 Hz to 50 Hz, with possible extension to longer periods. Data will be transmitted in the form of three continuous VBB components at 2 sample per second (sps), an estimation of the short period energy content from the SP at 1 sps and a continuous compound VBB/SP vertical axis at 10 sps. The continuous streams will be augmented by requested event data with sample rates from 20 to 100 sps. SEIS will improve upon the existing resolution of Viking's Mars seismic monitoring by a factor of ∼2500 at 1 Hz and ∼200000 at 0.1 Hz. An additional major improvement is that, contrary to Viking, the seismometers will be deployed via a robotic arm directly onto Mars' surface and will be protected against temperature and wind by highly efficient thermal and wind shielding. Based on existing knowledge of Mars, it is reasonable to infer a moment magnitude detection threshold of Mw∼3 at 40∘ epicentral distance and a potential to detect several tens of quakes and about five impacts per year. In this paper, we first describe the science goals of the experiment and the rationale used to define its requirements. We then provide a detailed description of the hardware, from the sensors to the deployment system and associated performance, including transfer functions of the seismic sensors and temperature sensors. We conclude by describing the experiment ground segment, including data processing services, outreach and education networks and provide a description of the format to be used for future data distribution.Electronic supplementary materialThe online version of this article (10.1007/s11214-018-0574-6) contains supplementary material, which is available to authorized users.