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Existing microbiota databases are biased toward adult samples, hampering accurate profiling of the infant gut microbiome. Here, we generated a metagenome-assembled genome inventory for children (MAGIC) from a large collection of bulk and viral-like particle-enriched metagenomes from 0 to 7 years of age, encompassing 3,299 prokaryotic and 139,624 viral species-level genomes, 8.5% and 63.9% of which are unique to MAGIC. MAGIC improves early-life microbiome profiling, with the greatest improvement in read mapping observed in Africans. We then identified 54 candidate keystone species, including several Bifidobacterium spp. and four phages, forming guilds that fluctuated in abundance with time. Their abundances were reduced in preterm infants and were associated with childhood allergies. By analyzing the B. longum pangenome, we found evidence of phage-mediated evolution and quorum sensing-related ecological adaptation. Together, the MAGIC database recovers genomes that enable characterization of the dynamics of early-life microbiomes, identification of candidate keystone species, and strain-level study of target species. [Display omitted] • MAGIC features 3,299 prokaryotic and 139,624 viral species-level genomes • MAGIC improves early-life microbiome profiling with extended genomic information • Candidate keystone species are associated with diseases, geography, and age • Extended Bifidobacterium longum pangenome reveals evolutionary insights Existing microbiota databases are biased toward adults, hindering infant gut microbiome profiling. Peng et al. introduce the metagenome-assembled genome inventory for children (MAGIC), featuring 3,299 prokaryotic and 139,624 viral genomes. MAGIC enables characterization of early-life microbiome dynamics, identification of candidate keystone species, and strain-level study of target species. [ABSTRACT FROM AUTHOR]

Communication requires both signals and receiver responses, yet we know little about how signals and responses covary when recognition capacity differs across a species' geographical range. Previous work has shown that Polistes fuscatus wasps from Michigan, U.S.A. are capable of individual face recognition, while P. fuscatus from central Pennsylvania, U.S.A. are not. Here, we provide a broader assessment of intraspecific variation in signals and responses across the range of P. fuscatus. We quantify the amount of perceivable facial pattern variation in each population as a measure of individual identity signalling. We also measure how accurately wasps from each population learn to discriminate between a standard set of conspecific faces as a measure of individual face recognition. We show that wasps are equally adept at learning to discriminate faces of wasps from their own population and faces of wasps from different populations, confirming that discriminating a standard set of faces provides a comparable measure of individual face learning capacity. We find that there is striking variation in signals and responses across wasp populations and that individual identity signals and receiver responses are linked. Wasps from populations with more variable individual identity signals learn to discriminate between a standard set of conspecific faces more accurately than wasps from populations with less variable individual identity signals. Overall, we find surprisingly high levels of intraspecific geographical variation in individual identity signals and responses. Work in additional taxa will be important to assess whether signal phenotype and receiver responses are commonly linked in geographically variable communication systems. • Paper wasps have a geographically variable communication system. • Both individual identity signals and individual recognition varied across populations. • Wasps discriminated faces of wasps from their own and different populations. • Some populations with variable facial patterns were capable of individual recognition. • Populations that lacked variable facial patterns did not recognize individuals. [ABSTRACT FROM AUTHOR]

Bracken ferns (genus Pteridium) are among the most prevalent plants worldwide, with their distribution expanding due to their invasive nature. The environmental implications of their proliferation in areas affected by human activity, natural disasters, or land-use changes are concerning, primarily because of the carcinogenic illudane glycosides they produce. These compounds cause domestic and wildlife animal poisoning, as well as contamination of dairy products and drinking water. Several illudane glycosides are known, but usually only ptaquiloside (PTA) is monitored. This study investigates the spatial and temporal variations in illudane glycosides PTA, caudatoside (CAU) and ptesculentoside (PTE) across two phenotypes of Pteridium aquilinum (vars. aquilinum and latiusculum) over a broad geographic range spanning Denmark, Sweden, and Finland, encompassing 66 locations. We analysed different parts of the fern fronds (the tips and the lowest pinnae) using LC–MS and statistically explored the influence of phenotype, frond part, geographic location, sunlight exposure, and the surrounding ecosystem on glycoside content. Our findings reveal that PTA accounts for approximately two-thirds of the total illudane glycoside content, followed by CAU at nearly one-third, and a minor contribution from PTE. Glycoside levels were not influenced by phenotypic varieties or the studied environmental factors, but were significantly affected by geographic location. Specifically, CAU levels increased progressively towards the northeast, while PTA concentrations were highest in Denmark and markedly decreased in northeastern countries by over threefold, presumably due to climatic gradient. It has been further supported by temporal analysis in selected PTA-dominant regions indicating a reduction in PTA towards the end of the growing season, aligning its levels with those of CAU. Our study highlights that CAU concentrations in bracken ferns may equal or surpass PTA, contesting the prevailing view that PTA is the only notable illudane glycoside in Bracken. To provide unbiased assessment of the potential risks posed by P. aquilinum in the region, environmental and toxicological research should include measurements of not only PTA, but also CAU and, if possible, PTE. [ABSTRACT FROM AUTHOR]

Sand cats, Felis margarita, range from northern Africa and the Arabian Peninsula to Central Asia. Their apparently discontinuous distribution is recognized as comprising four subspecies. Recent genetic research found little differentiation between subspecies except for the North African form. In this study, 90 skins and 88 skulls were analyzed from the four subspecies. A discriminant function analysis of the scores, ranging from 1 to 4, of four pelage characteristics revealed differentiation between putative subspecies, except between Turkmenian and Pakistani sand cats. Northern African and Arabian sand cats tend to be spotted and striped, while Turkmenian and Pakistani sand cats are less spotted and have a dorsal crest of fur. Nonmetric multidimensional scaling (NMDS) models generated from 21 skull measurements revealed an overlap in morphospace between all subspecies, except for larger Turkmenian sand cats; northern African sand cats were smallest. Therefore, both pelage characteristics and skull morphometrics support up to three subspecies. However, considering recent genetic research, it is likely that two subspecies should be recognized, F. m. margarita from northern Africa and F. m. thinobia from the Arabian Peninsula, and Southwest and Central Asia. Widening of the dataset and nuclear DNA evidence are required to increase our understanding of geographical variation in this little studied species. [ABSTRACT FROM AUTHOR]

Simple Summary: This epidemiological study of adenoid cystic carcinoma (ACC) using data from the SEER system aims to investigate independent predictors of late mortality, including factors such as age, stage, and tumor location, as well as racial differences, geographical distribution, and lack of social support (being unmarried). A total of 5150 patients were identified. Our study revealed that stage, tumor location in the thoracic region, and treatment modalities, in addition to geographical distribution (Western region) and lack of social support (being unmarried), were identified as independent predictors of late mortality. While the SEER data are not designed to explain why disease patterns occur, they provide valuable insights into health-related issues that cannot be overlooked. Further studies are needed to determine why the Western region of the USA is associated with poorer survival compared to the Northeast. Objective: Adenoid cystic carcinoma (ACC) is a rare malignant tumor that mainly arises in the head and neck area. We aimed to compare the long-term survival of patients with ACC based on their geographic regions within the United States using the Surveillance, Epidemiology, and End Results (SEER) registry data. Methods: We queried the SEER database to evaluate the geographic distribution of ACC patients based on inpatient admissions. The states included in the study were divided into four geographical regions (Midwest, Northeast, South, and West) based on the U.S. Census Bureau-designated regions and divisions. Demographic and clinical variables were compared between the groups. Kaplan–Meier curves and Cox regression were used to assess late mortality. Results: A total of 5150 patients were included (4.2% from the Midwest, 17.2% from the Northeast, 22.5% from the South, and 56.1% from the West regions). The median follow-up was 12.3 (95% CI: 11.6–13.1 years). Median overall survival was 11.0 (95% CI: 9.2-NR years), 14.3 (95% CI: 12.4–16.4 years), 11.3 (95% CI: 9.7–14.8 years), and 12.0 (95% CI: 11.3–13.0 years) for Midwest, Northeast, South, and West regions, respectively. In multivariable analysis, older age, male sex, thoracic cancer, the presence of regional and distal disease, receiving chemotherapy, not undergoing surgical resection, and being treated in the West vs. Northeast region were found to be independent predictors of poor survival. We identified a significant survival difference between the different regions, with the West exhibiting the worst survival compared to the Northeast region. Conclusions: In addition to the well-known predictors of late mortality in ACC (tumor location, stage, and treatment modalities), our study identified a lack of social support (being unmarried) and geographic location (West region) as independent predictors of late mortality in multivariable analysis. Further research is needed to explore the causal relationships. [ABSTRACT FROM AUTHOR]

Abstract Bracken ferns (genus Pteridium) are among the most prevalent plants worldwide, with their distribution expanding due to their invasive nature. The environmental implications of their proliferation in areas affected by human activity, natural disasters, or land-use changes are concerning, primarily because of the carcinogenic illudane glycosides they produce. These compounds cause domestic and wildlife animal poisoning, as well as contamination of dairy products and drinking water. Several illudane glycosides are known, but usually only ptaquiloside (PTA) is monitored. This study investigates the spatial and temporal variations in illudane glycosides PTA, caudatoside (CAU) and ptesculentoside (PTE) across two phenotypes of Pteridium aquilinum (vars. aquilinum and latiusculum) over a broad geographic range spanning Denmark, Sweden, and Finland, encompassing 66 locations. We analysed different parts of the fern fronds (the tips and the lowest pinnae) using LC–MS and statistically explored the influence of phenotype, frond part, geographic location, sunlight exposure, and the surrounding ecosystem on glycoside content. Our findings reveal that PTA accounts for approximately two-thirds of the total illudane glycoside content, followed by CAU at nearly one-third, and a minor contribution from PTE. Glycoside levels were not influenced by phenotypic varieties or the studied environmental factors, but were significantly affected by geographic location. Specifically, CAU levels increased progressively towards the northeast, while PTA concentrations were highest in Denmark and markedly decreased in northeastern countries by over threefold, presumably due to climatic gradient. It has been further supported by temporal analysis in selected PTA-dominant regions indicating a reduction in PTA towards the end of the growing season, aligning its levels with those of CAU. Our study highlights that CAU concentrations in bracken ferns may equal or surpass PTA, contesting the prevailing view that PTA is the only notable illudane glycoside in Bracken. To provide unbiased assessment of the potential risks posed by P. aquilinum in the region, environmental and toxicological research should include measurements of not only PTA, but also CAU and, if possible, PTE.

We present the first comprehensive set of estimates of variation in intergenerational social mobility across regions of Great Britain using data from the UK Labour Force Survey. Unlike the Social Mobility Index produced by the Social Mobility Commission, we focus directly on variation in measures of intergenerational social class mobility between the regions in which individuals were brought up. We define regions using the NUTS classification and we consider three levels, from 11 large NUTS1 regions, to 168 NUTS3 regions, across England, Wales, and Scotland. We investigate whether it is possible to form an index of social mobility from these measures and we address a neglected question: how much does the region in which someone was raised matter in comparison with the social class in which they were raised? [ABSTRACT FROM AUTHOR]

Adaptive differentiation of traits and underlying loci can occur at a small geographical scale if natural selection is stronger than countervailing gene flow and drift. We investigated this hypothesis using coupled quantitative genetic and genomic approaches for a wind‐pollinated tree species, Quercus rubra, along the steep, narrow gradient of the Lake Superior coast that encompasses four USDA Hardiness Zones within 100 km. For the quantitative genetic component of this study, we examined phenotypic differentiation among eight populations in a common garden, measuring seed mass, germination, height, stem diameter, leaf number, specific leaf area and survival. For the genomic component, we quantified genetic differentiation for 26 populations from the same region using RAD‐seq. Because hybridisation with Quercus ellipsoidalis occurs in other parts of the species' range, we included two populations of this congener for comparison. In the common garden study, we found a strong signal of population differentiation that was significantly associated with at least one climate factor for nine of 10 measured traits. In contrast, we found no evidence of genomic differentiation among populations based on FST or any other measures. However, both distance‐based and genotype–environment association analyses identified loci showing the signature of selection, with one locus in common across five analyses. This locus was associated with the minimum temperature of the coldest month, a factor that defines the climate zones and was also significant in the common garden analyses. In addition, we documented introgression from Q. ellipsoidalis into Q. rubra, with rates of introgression correlated with the climate gradient. In sum, this study reveals signatures of selection at the quantitative trait and genomic level consistent with climate adaptation, a pattern that is more often documented at a much broader geographical scale, especially in long‐lived wind‐pollinated species. [ABSTRACT FROM AUTHOR]

Herbicide resistance has become a major issue in recent decades. Because diagnostics is still expensive, prediction models are helping to assess risks of resistance evolution. In this paper the influence of weed management on the evolution of resistance of the grass Alopecurus myosuroides Huds to ALSinhibitors is investigated based on field history data from two regions, Hohenlohe in Germany and Champagne in France respectively. Champagne data also comprise information on Lolium spp. Using a random forest method variable importance and performance measures were obtained for a large number of single analyses allowing for a statistical analysis of the four performance measures, type I error, type II error, AUC and accuracy. It could be shown that acceptable predictions can be obtained for training data from Hohenlohe applied to Champagne and vice versa. It turned out that in nearly all analyses false negative classifications are more frequent than false positive classifications. Based on a combined training set of A.myosuroides samples from Hohenlohe and Champagne resistance status of Lolium spp. from the Champagne dataset can be predicted with a good accuracy. This suggest that resistance evolution to ALS-inhibitors of the two grasses are closely related. This work is a first step to set a simple herbicide resistance prediction tool to the users based on field history weed management data. [ABSTRACT FROM AUTHOR]

Background The species Cupressus funebris holds substantial ecological value and economic potential, particularly in the realms of rehabilitating barren mountain landscapes and advancing urban greening endeavors. However, inadequate attention has been given to research endeavors exploring the genetic diversity and morphological characteristics of Cupressus funebris, a deficiency that could potentially hinder its development, utilization, and conservation of genetic resources. Methods To rectify the shortage of existing basic morphological data, a morphological analysis was conducted in this study on 180 Cupressus funebris germplasm resources sourced from five provenances. Key traits explored included growth characteristics, overall morphology, branch/leaf features, and seed traits. This will facilitate the evaluation of genetic diversity in Cupressus funebris. Results The findings reveal a considerable level of phenotypic variation (PVC of 16.9%) and genetic diversity (1.97 index) in Cupressus funebris germplasm resources. The phenotypic differentiation is observed to be 48% between provenances and 52% within provenances, primarily attributed to variation originating from individual provenances. Based on these morphological characteristics, the germplasm resources have been categorized into four distinct groups: Ecological Restoration Planting, Secondary Reserve Forest, Urban Greening, and Timber Forest. Interestingly, the pattern of variation observed within these groups is irregular, exhibiting no significant correlation with their respective provenances. Furthermore, conifer trees sharing similar growth characteristics tend to display comparable patterns of random variation, suggesting potential underlying genetic mechanisms. This study significantly enriches the phenotypic dataset within the genetic variation research of Cupressus funebris, facilitating development and utilization for ecological construction, timber breeding, and horticultural greening.

Summary: Background: Although dementia incidence has decreased in high-income countries, it is important to monitor the prevalence of dementia and identify potential underdiagnosis in population subgroups. This study provides the most up-to-date prevalence of dementia diagnosis in Sweden, by geographical regions and sociodemographic groups. Methods: We identified all individuals aged ≥62 years, registered and alive in Sweden at the end of 2022 (n = 2.48 million). Dementia diagnoses were identified using ICD-9/10 codes in the National Patient Register since 1987, as well as anti-dementia drug use from the Prescribed Drug Register since 2005. Findings: At the end of 2022, 3.7% (92,293/2,483,798) of people aged ≥62 years in Sweden had a dementia diagnosis from specialist care or drug prescriptions and varied from 0.6% in ages 62–69 to 14.8% in ages ≥90. The prevalence of cognitive impairment diagnosis was 2.5%. There was some geographical variation in the prevalence of dementia diagnosis, with a larger proportion of diagnoses coming from drug prescriptions than from specialist care in northern Sweden. While people born abroad and people without a close relative had a slightly higher prevalence of dementia diagnosis than Swedish born and those with close relatives, the prevalence was substantially lower for people living alone than for cohabiting individuals. Interpretation: Comparing case estimates from previous screening cohorts, our results suggest underdiagnosis of dementia in the general older population, particularly among people who live alone. In more rural areas with lower availability of memory clinics, primary care may play an important role in diagnosing older adults with dementia. Funding: Swedish Research Council for Health, Working Life and Welfare; Swedish Research Council; Region Stockholm.

Certain carnivorous plant species display geographical variation in trap coloration, which may impact interactions with prey. Our study focused on Drosera indica (Droseraceae) in tropical Thailand and its phylogenetically related species Drosera toyoakensis in temperate Japan. Drosera indica in Thailand has green leaf blades with red tentacles when flowering, making the entire trap appear red. In contrast, D. toyoakensis in Japan has green leaf blades with green‐white tentacles when flowering, and the entire trap appears white. Field observations revealed statistically significant differences in taxa and size of prey caught by D. indica and D. toyoakensis. Both species caught small flies, but D. toyoakensis additionally caught larger flies and butterflies, including pollinators. These differences in prey composition may reflect differences in trap coloration that evolved under different selection pressures for capturing prey. However, trap coloration and prey assemblages were influenced by various factors, and further research is required to elucidate their evolutionary significance. [ABSTRACT FROM AUTHOR]

The head is the most important element in trophic ecology among snakes. Head shape is affected by several factors, both intrinsic, such as size and sex, and extrinsic, such as geographical variation. Often, different populations are subject to different environmental conditions that are reflected in different phenotypes adapted to local conditions. Here, we investigate sexual dimorphism, ontogenetic allometry and environmental effects on head shape in two populations of Bothrops jararaca. We have found a significant effect of sex and population, with females from the highland population having a large braincase region and a more arrow-shaped head. Size increase accounted for a considerable amount of variation in shape, but the coefficient of correlation diverged between populations. Sexual dimorphism in head shape was not found in juveniles, but the ontogenetic trajectory was non-parallel between populations. Rainfall was most associated with a larger snout and reduced braincase. In the genus Bothrops , except in early stages, females often grow faster and attain larger sizes than males, which might affect head shape. Also, possible differences in diet, behaviour and ontogenetic variations between populations might be a reasonable cause of specific allometric trajectories. [ABSTRACT FROM AUTHOR]

Comparative studies of animal communication systems are particularly important for understanding the origins and evolution of core features of human language like syntax and dialects. Recent studies have begun to develop bats as models for investigating shared traits with human language, given the complex social vocalizations of the former. Our previous research revealed that bat social calls contained almost 20 syllable types and the occurrence of these syllable types in the call sequences followed certain permutation rules. However, the differences in these patterns between populations remain unclear. Here, we examined the syntactic patterns of social calls in greater horseshoe bats, Rhinolophus ferrumequinum , from three geographically distant populations in China. The aggressive calls and behaviours during agonistic interactions of 26 bats were analysed to examine the consistency and variation between two aggression levels and across three populations. Common types of syllables, transitions and sequence patterns were found in all three populations. However, there were significant differences in the occurrence frequencies of shared syllable types, transition types and sequence types. Further, more noisy and composite syllables occurred when aggression was high than when it was low. There were also more transitions between noisy syllables and more repetitions in calls in a high aggression than in a low aggression context. The universal syntactic patterns and differences in social vocalizations of bats across different populations are of interest for fields of animal communication and language evolution. • Shared acoustic elements and patterns existed in social calls across populations. • Occurrence frequencies of vocalization types were different between populations. • High aggression calls were more noisy and complex than low aggression calls. [ABSTRACT FROM AUTHOR]

The use of acoustic signals to communicate is widespread among marine mammals and vocalizations are involved in all their social interactions. Due to many factors, acoustic features of a species' vocalizations may differ among populations. The present study investigated both micro‐ and macro‐geographical variation in the vocalizations of Cape fur seal females, males, and pups. Acoustic measurements were performed on calls recorded at four South African and two Namibian sites (maximum range ~ 1,000 km). Comparisons among close sites in South Africa revealed no micro‐geographical variation (maximum range ~130 km) in females' and pups' vocalizations. Barks of subadult males had different features among sites, which may be explained mostly by the context of call production. At the macro‐geographical scale (South Africa vs. Namibia), all call types varied significantly among sites. Several extrinsic and intrinsic factors were suggested to drive such differences. For females' and pups' calls, differences might be explained by environmental factors, whereas for males' barks, behavioral differences are the most likely explanation for acoustic differences (breeding vs. resting sites). Such investigations help understand how acoustic communication in marine mammals is shaped by ecological drivers. [ABSTRACT FROM AUTHOR]

Herbicide resistance has become a major issue in recent decades. Because diagnostics is still expensive, prediction models are helping to assess risks of resistance evolution. In this paper the influence of weed management on the evolution of resistance of the grass Alopecurus myosuroides Huds to ALS-inhibitors is investigated based on field history data from two regions, Hohenlohe in Germany and Champagne in France respectively. Champagne data also comprise information on Lolium spp. Using a random forest method variable importance and performance measures were obtained for a large number of single analyses allowing for a statistical analysis of the four performance measures, type I error, type II error, AUC and accuracy. It could be shown that acceptable predictions can be obtained for training data from Hohenlohe applied to Champagne and vice versa. It turned out that in nearly all analyses false negative classifications are more frequent than false positive classifications. Based on a combined training set of A.myosuroides samples from Hohenlohe and Champagne resistance status of Lolium spp. from the Champagne dataset can be predicted with a good accuracy. This suggest that resistance evolution to ALS-inhibitors of the two grasses are closely related. This work is a first step to set a simple herbicide resistance prediction tool to the users based on field history weed management data.

Sand cats, Felis margarita, range from northern Africa and the Arabian Peninsula to Central Asia. Their apparently discontinuous distribution is recognized as comprising four subspecies. Recent genetic research found little differentiation between subspecies except for the North African form. In this study, 90 skins and 88 skulls were analyzed from the four subspecies. A discriminant function analysis of the scores, ranging from 1 to 4, of four pelage characteristics revealed differentiation between putative subspecies, except between Turkmenian and Pakistani sand cats. Northern African and Arabian sand cats tend to be spotted and striped, while Turkmenian and Pakistani sand cats are less spotted and have a dorsal crest of fur. Nonmetric multidimensional scaling (NMDS) models generated from 21 skull measurements revealed an overlap in morphospace between all subspecies, except for larger Turkmenian sand cats; northern African sand cats were smallest. Therefore, both pelage characteristics and skull morphometrics support up to three subspecies. However, considering recent genetic research, it is likely that two subspecies should be recognized, F. m. margarita from northern Africa and F. m. thinobia from the Arabian Peninsula, and Southwest and Central Asia. Widening of the dataset and nuclear DNA evidence are required to increase our understanding of geographical variation in this little studied species.

Objectives: Compulsory mental health care includes compulsory hospitalisation and outpatient commitment with medication treatment without consent. Uncertain evidence of the effects of compulsory care contributes to large geographical variations and a controversy on its use. Some argue that compulsion can rarely be justified and should be reduced to an absolute minimum, while others claim compulsion can more frequently be justified. The limited evidence base has contributed to variations in care that raise issues about the quality/appropriateness of care as well as ethical concerns. To address the question whether compulsory mental health care results in superior, worse or equivalent outcomes for patients, this project will utilise registry‐based longitudinal data to examine the effect of compulsory inpatient and outpatient care on multiple outcomes, including suicide and overall mortality; emergency care/injuries; crime and victimisation; and participation in the labour force and welfare dependency. Methods: By using the natural variation in health providers' preference for compulsory care as a source of quasi‐randomisation we will estimate causal effects of compulsory care on short‐ and long‐term trajectories. Conclusions: This project will provide valuable insights for service providers and policy makers in facilitating high quality clinical care pathways for a high risk population group. [ABSTRACT FROM AUTHOR]

Polyphenolic stilbene glucosides are abundant in the fresh bark of Norway spruce (Picea abies [L.] Karst.) trees. Stilbene-rich bark extracts could be industrially utilized as preservatives due to their antioxidative, antifungal, and antibacterial properties. The postharvesting conditions, especially industrial debarking, influence the chemical properties of bark. Inherent variation in high-value compounds of bark is assumed to be offset by modifications within the bark supply chain; however, essential quantitative information is still rare. This study elucidated the magnitude of variation in the stilbenoid content and composition of Norway spruce bark due to (1) the geographical origin of Norway spruce seeds, (2) the geographical location of the growing site, (3) within-tree variability, and (4) industrial handling and pilot-scale extraction and fractioning processes. The inherent variation in stilbenoid content was large: the total average stilbenoid content of the inner bark varied from 70 to 110 mg/g of dry weight (DW). Sampling position in the stem and growing site explained over 50% of the total variance in stilbenoid content. Trees with a northern origin of seeds had a higher isorhapontin/astringin ratio than the trees with a southern origin of seeds, regardless of their growing site. Industrial bark from sawmills showed a significantly higher total stilbenoid content in winter than in summer, 22 mg/g and 1–3 mg/g DW, respectively. The inherent variation in the stilbenoid content was offset by the variation caused by the debarking process and experimental pilot-scale processing. To optimize the yield of stilbenoids from spruce bark, sampling of northern forests and short handling times in the supply chain are recommended. [ABSTRACT FROM AUTHOR]

Factors behind intraspecific variation in sensitivity to pathogens remain poorly understood. We investigated how geographical origin in two North European amphibians affects tolerance to infection by the chytrid fungus Batrachochytrium dendrobatidis (Bd), a generalist pathogen which has caused amphibian population declines worldwide. We exposed newly metamorphosed individuals of moor frog Rana arvalis and common toad Bufo bufo from two latitudinal regions to two different BdGPL strains. We measured survival and growth as infections may cause sub-lethal effects in fitness components even in the absence of mortality. Infection loads were higher in B. bufo than in R. arvalis, and smaller individuals had generally higher infection loads. B. bufo had high mortality in response to Bd infection, whereas there was little mortality in R. arvalis. Bd-mediated mortality was size-dependent and high-latitude individuals were smaller leading to high mortality in the northern B. bufo. Bd exposure led to sub-lethal effects in terms of reduced growth suggesting that individuals surviving the infection may have reduced fitness mediated by smaller body size. In both host species, the Swedish Bd strain caused stronger sublethal effects than the British strain. We suggest that high-latitude populations can be more vulnerable to chytrids than those from lower latitudes and discuss the possible mechanisms how body size and host geographical origin contribute to the present results. [ABSTRACT FROM AUTHOR]

Learned vocal signals of birds provide one of the most comprehensive sources of evidence for culture in animals. Such vocal signals often vary spatially and temporally. Signal variation can be driven by direct factors such as cultural drift and selection or by indirect factors such as changes in the environment, which may affect morphology and therefore acoustic capability. In this study we analysed flight and excitement calls of several call types of the Red Crossbill Loxia curvirostra and other crossbill species. Calls were recorded between 1962 and 2019 across the Palaearctic region. We measured acoustic similarity within flight and excitement calls and modelled the size of the effect attributed to temporal and geographical distance. Geographical distance between different sampling locations explained less call variation compared with temporal distance, and temporal variation within the excitement calls was smaller than in the flight calls. We conclude that calls of most call types of Red, Scottish and Parrot Crossbill are an example of cultural evolution. We suggest that excitement calls are less modifiable because they can serve better in dangerous situations when they are stable in time and space. In addition, we found no clear support for increasing or decreasing flight call similarity of call types while or after being in contact, as found in another study from North America. The reasons for the cultural evolution in calls of Palaearctic crossbills remain unclear. [ABSTRACT FROM AUTHOR]

Objectives: Being healthy and active is a goal to achieve a better quality of life as individuals age. This study aimed to explore and validate the Active Ageing (AA) model, and examine geographic variations, and demographic and socioeconomic disparities. Study design: Utilising a cross-sectional secondary data analysis, the analytic unit is older adults aged 60–80 across all provinces in Thailand. Methods: Exploratory Factor Analysis explored the AA structures, and the second-order Confirmatory Factor Analysis validated the model fit. Factor scores were used to identify geographic variation and sociodemographic disparities in AA. The association between geographic, and sociodemographic characteristics, and AA was examined through hierarchical regression analysis. Results: The AA model, comprised of 14 indicators representing three latent factors–physical health, participation, and security–exhibited an optimal fit. Geographic inequality in AA emerged across the country, with specific areas linked to lower AA. An inverse relation between participation and security was observed. Rural residence, younger age, male, being married, and adequate income were associated with better AA. The association between AA and geographic, demographic, and socioeconomic emphasised the positive role of marital and economic status. Conclusions: This study contributes to understanding the social determinants of health by constructing a comprehensive AA model. The findings highlight the geographic variations and demographic and socioeconomic disparities in AA across Thailand. While AA generally declines with age, a better economy may help alleviate these disparities. These findings underscore the need for tailored social and public health policies, avoiding a “one-size-fits-all” approach.

Abstract Considerable geographical variation in the uptake of euthanasia has been reported: some municipalities in the Netherlands have a 25 times higher euthanasia rate than other municipalities. Current ‘geomedical’ frameworks for interpreting practice variation in health care utilization seem inadequately tailored to understand regional variation in morally controversial procedures such as euthanasia. The aim of this conceptual article is threefold: i) to add relevant medical ethical principles to current frameworks; ii) to provide a four-step ethical-geomedical model for the interpretation of geographical differences in the utilization of health care in general and for ethically controversial treatments in specific; iii) to gain better understanding of the existing geographical variation in the incidence of euthanasia by using this framework in our analysis.

Abstract Background The most common family planning method is modern contraception. It is a cost-effective way to reduce maternal and neonatal morbidity and mortality and enable women to make informed choices about their reproductive and sexual health. The trend of modern contraceptive utilization has shown drastic change in Ethiopia, and identifying the major factors contributing to such a drastic change is vital to improving plans and strategies for family planning programs. Therefore, this study analyzed the trend, geographical distribution, and determinants of modern contraceptive use among married reproductive-age women in Ethiopia. Method This study used secondary data from the EDHS 2000–2016, collected from a population-based cross-sectional study by the Central Statistical Agency, focusing on married reproductive-age women aged 15–49. The study analyzed the modern contraceptive use trends through descriptive analyses conducted in three phases: 2000–2005, 2005–2011, and 2011–2016. The study utilized bivariable and multivariable logistic regression analyses to identify determinant factors, with significant variables declared using a P-value of 0.05 and an adjusted OR with 95% confidence interval. Analysis was conducted using STATA.14 and R. Spatial analysis was done using ArcGIS version 10.8 and SatScan™ version 9.6. Result A weighted total of 33,478 women are included in the study, with a mean age of 31.4 years (8.6 SD). There was a significant increase in the trend of modern contraceptive use among married women over the study period, from 2000 to 2016, from 7.2% to 2000 to 15.7% in 2005, to 30% in 2011, and to 39.5% in 2016. The maximum increase was seen in the second phase (2005–2011), with a 14.3% increase. Factors like age of respondents, educational status, religion, residence, region, wealth index, number of living children, husbands’ desire to have more children, and media exposure were found to be predictors for modern contraceptive utilization. Conclusion The prevalence of modern contraceptive use is below 50%, and there is also evidence of wide geographical variation in modern contraceptive use in Ethiopia. Thus, policymakers, high institutions, and other stakeholders must work collaboratively with the government in order to improve awareness about modern contraceptive use.

Abstract Objectives Compulsory mental health care includes compulsory hospitalisation and outpatient commitment with medication treatment without consent. Uncertain evidence of the effects of compulsory care contributes to large geographical variations and a controversy on its use. Some argue that compulsion can rarely be justified and should be reduced to an absolute minimum, while others claim compulsion can more frequently be justified. The limited evidence base has contributed to variations in care that raise issues about the quality/appropriateness of care as well as ethical concerns. To address the question whether compulsory mental health care results in superior, worse or equivalent outcomes for patients, this project will utilise registry‐based longitudinal data to examine the effect of compulsory inpatient and outpatient care on multiple outcomes, including suicide and overall mortality; emergency care/injuries; crime and victimisation; and participation in the labour force and welfare dependency. Methods By using the natural variation in health providers' preference for compulsory care as a source of quasi‐randomisation we will estimate causal effects of compulsory care on short‐ and long‐term trajectories. Conclusions This project will provide valuable insights for service providers and policy makers in facilitating high quality clinical care pathways for a high risk population group.

Predation has the potential to impart strong selective pressures on organisms within their environments, resulting in adaptive changes in prey that minimize risk of predation. Pressures from venomous snakes present an exceptional challenge to prey, as venom represents a unique chemical arsenal evolutionarily tailored to incapacitate prey. In response, venom resistance has been detected in various snake prey species, and to varying degrees. This study analyzes venom resistance in an eastern Colorado grassland habitat, where the Prairie Rattlesnake (Crotalus viridis) and Desert Massasauga Rattlesnake (Sistrurus tergeminus edwardsii) co-occur with a suite of grassland rodents. We test for venom resistance across rodent and snake pairings using two geographically distant field sites to determine the role of 1) predation pressure and trophic ecology, and 2) sympatric and allopatric patterns of venom resistance. Resistance was measured using serum-based metalloproteinase inhibition assays to determine potential inhibition of proteolytic activity, augmented by median lethal dose (LD50) assays on rodent species to assess toxicity of crude venoms. Resistance is present in several rodent species, with strong resistance present in populations of Eastern Woodrat (Neotoma floridana), Ord's Kangaroo Rat (Dipodomys ordii), and Northern Grasshopper Mouse (Onychomys leucogaster). Resistance is less developed in other species, including the House Mouse (Mus musculus) and Plains Pocket Mouse (Perognathus flavescens). An unexpected differential is present, where Lincoln County Kangaroo Rats are highly resistant to venom of co-occurring Prairie Rattlesnakes yet are sensitive to an allopatric population of Prairie Rattlesnakes in Weld County. Lincoln Co. Northern Grasshopper Mice also demonstrate extremely elevated resistance to Weld Co. Prairie Rattlesnake venoms, and they may possess resistance mechanisms for myotoxin a, an abundant component of Weld Co. C. v viridis venoms. This study illustrates the complexity of venom resistance in biological communities that can exist when incorporating multiple species interactions. Future studies aimed at characterizing resistance mechanisms at the molecular level will provide a more detailed physiological context for understanding mechanisms by which resistance to venoms occurs.

The microbial community composition is crucial for diverse life‐history traits in many organisms. However, we still lack a sufficient understanding of how the host microbiome is acquired and maintained, a pressing issue in times of global environmental change. Here we investigated to what extent host genotype, environmental conditions, and the endosymbiont Wolbachia influence the bacterial communities in the parasitic wasp Asobara japonica. We sampled multiple wasp populations across 10 locations in their natural distribution range in Japan and sequenced the host genome (whole genome sequencing) and microbiome (16S rRNA gene). We compared the host population structure and bacterial community composition of wasps that reproduce sexually and are uninfected with Wolbachia with wasps that reproduce asexually and carry Wolbachia. The bacterial communities in asexual wasps were highly similar due to a strong effect of Wolbachia rather than host genomic structure. In contrast, in sexual wasps, bacterial communities appear primarily shaped by a combination of population structure and environmental conditions. Our research highlights that multiple factors shape the bacterial communities of an organism and that the presence of a single endosymbiont can strongly alter their compositions. This information is crucial to understanding how organisms and their associated microbiome will react in the face of environmental change. [ABSTRACT FROM AUTHOR]

Geography shapes the structure and function of human gut microbiomes. In this study, we have explored the available human gut microbiome 16S rRNA sequence datasets of cohorts representing large geographical gradients. The 16S rRNA sequences representing V3-V4 as well as V4 regions generated using Illumina sequencing chemistry in the MiSeq platform encompassing the United States of America, Chile, South Africa, Kuwait, and Malaysia were subjected to in-depth computational biology analyses. Firmicutes and Bacteroidetes were the most dominant phyla present in all studied cohorts but Actinobacteria was exclusively present in high abundance in cohorts from Malaysia (15.99%). The relative abundance of five families, namely Bacteroidaceae, Ruminococcaceae, Prevotellaceae, Clostridiaceae, and Eubacteriaceae were highest representing the studied cohorts. The permutational multivariate analysis of variance (PERMANOVA) showed that the dissimilarity in the gut microbiome structure of cohorts representing studied countries was significant (R2 = 0.28, P < 0.001). The calculated Firmicutes to Bacteroidetes (F : B) ratio was found to be lowest in cohorts from South Africa (1.11) and Chile (0.95). The cohorts from South Africa exhibited the highest alpha diversity based on Hill numbers at q=0, whereas at q=1 and 2, cohorts from Malaysia had the highest alpha diversity. The beta diversity analysis revealed that cohorts from Chile formed a distinct cluster among all the studied geographical locations. For the first time, the study also showed that cohorts from Malaysia representing short geographical distances exhibited distinct intrapopulation differences in the gut microbiome and may not be influenced by cultural and genetic factors. [ABSTRACT FROM AUTHOR]

Considerable geographical variation in the uptake of euthanasia has been reported: some municipalities in the Netherlands have a 25 times higher euthanasia rate than other municipalities. Current 'geomedical' frameworks for interpreting practice variation in health care utilization seem inadequately tailored to understand regional variation in morally controversial procedures such as euthanasia. The aim of this conceptual article is threefold: i) to add relevant medical ethical principles to current frameworks; ii) to provide a four-step ethical-geomedical model for the interpretation of geographical differences in the utilization of health care in general and for ethically controversial treatments in specific; iii) to gain better understanding of the existing geographical variation in the incidence of euthanasia by using this framework in our analysis. [ABSTRACT FROM AUTHOR]

Variability in chemical composition of Gymnema sylvestre R.Br. (Apocynaceae) sampled from different biogeographical regions of India was investigated. The impact of geographic conditions on gymnemagenin, deacylgymnemic acid, lupeol and stigmasterol content variability was studied by using chromatographic analysis. HPLC analyses showed gymnemagenin and deacylgymnemic acid content to vary between 10.19-23.38 µg/mg and 4.70-35.42 µg/mg (w/w dry weight plant material) respectively, while lupeol and stigmasterol were found to range from 0.57 to 10.8 µg/mg and 0.25 to 15.6 µg/mg (w/w in methanolic extract) respectively, by HPTLC. Taking into account the importance of geographical origin and climatic conditions that significantly affect the production and accumulation of secondary metabolites, the selected accessions/germplasms of G. sylvestre with high concentration of biologically potential phytoconstituents could be useful to industries for harvesting optimum levels of bioactive antidiabetic agent gymnemic acids and other sterols. These elite accessions/germplasms could be promoted and used for mass propagation and cultivation to ensure sustained supply of quality raw material for herbal drug industries, companies and entrepreneurs involved in the profession of medicinal plants and as secondary source of income generation to farmers. [ABSTRACT FROM AUTHOR]

Temporal and geographical changes in the infections of intestinal helminths of striped dolphins, Stenella coeruleoalba were investigated in waters off the Spanish Mediterranean coast based on a sample of 233 dolphins stranded during 1982-2016. The influence of host-related factors (length and sex) and seasonality was also examined. Four helminth species had a prevalence > 5%, including adults of three cestodes, i.e, Trigonocotyle globicephalae (prevalence: 5.2%), Tetrabothrius forsteri (94.4%) and Strobilocephalus triangularis (18%); and juveniles of an acanthocephalan of the genus Bolbosoma (15.9%), identified as B. capitatum using molecular techniques. One immature specimen of Diphyllobothrium sp. (Cestoda) was also found in a single dolphin, and two juveniles of Bolbosoma balaenae in two dolphins. Trigonocotyle globicephalae seems to have low specificity for striped dolphins and was only found sporadically. Tetrabothrius forsteri and S. triangularis experienced a slight vs. a strong decrease, followed by a recovery, in infection levels throughout the study period, which are compatible with a reduction in the striped dolphin population caused by the Dolphin Morbillivirus outbreak in 1990. Infections of B. capitatum, a parasite typical from pilot whales, suddenly increased in 1990, then vanished. This rapid increase and following decrease are puzzling and can hardly be explained by a single factor. Infections of any helminth species were apparently uncorrelated to geographic origin, dolphin sex or season, but parasite load decreased with dolphin length in the case of T. forsteri and S. triangularis. To our knowledge, this study represents the first investigation of multi-decadal changes in cetacean parasites.

Continuous phenotypic variation reflecting geographical clines can be difficult to distinguish from subspecific discontinuities when specimens are few and heterogeneously distributed. Nonetheless, increases in the holdings of museum collections over recent decades contribute to our ability to resolve more fine-scaled phenotypic gradients for many species. Although the big-eared woolly bat (Chrotopterus auritus) is not commonly encountered and thus poorly represented in museum collections, sufficient numbers have accumulated to allow an assessment of subspecific, sexual, spatial and environmental components of phenotypic variation. I examined 123 specimens from across the distribution of C. auritus and characterized the phenotype based on external, cranial and mandibular characteristics. I decomposed variation into components based on univariate and multivariate statistical analyses. All components accounted for significant phenotypic variation. Nonetheless, when examined together and after accounting for correlated variation among components, only sexual, spatial and environmental components accounted for significant unique variation. This, combined with the observation that all qualitative characteristics used to define subspecies of C. auritus can be observed throughout its geographical range, suggest that phenotypic variation is clinal and not characterized by discontinuities reflective of subspecies. Clinal variation was most strongly related to temperature and its seasonality, highlighting the important role played by these climatic characteristics in many aspects of the biology of Phyllostomidae. [ABSTRACT FROM AUTHOR]

Objective: The aim is to study the trends in ventricular septal defect (VSD) mortality in children in Kazakhstan. Methods: The retrospective study was done for the period 2011-2020. Descriptive and analytical methods of epidemiology were applied. The universally acknowledged methodology used in sanitary statistics is used to calculate the extensive, crude, and age-specific mortality rates. Results: Kazakhstan is thought to be seeing an increase in mortality from VSDs in children. As a result, this study for the years 2011 to 2020 was conducted to retrospectively assess data from the central registration of the Bureau of National Statistics that was available throughout the nation. Age-standardized mortality data were obtained and compared between age categories. It was shown that 507 children died from this condition throughout the time period under study. The average annual standardized mortality rate was 1.88 per 100,000 population and tended to decrease over time. The peak of mortality was noted at the age of up to 1 year, namely the neonatal period. Cartogram mortality rates were calculated using standardized indicators. Additionally, age-sex variations were taken into account when performing all calculations. Conclusion: In recent years, the death rate from VSD has declined from 1.5 to 0.6 per 100,000 people, with the trend remaining constant (T = 1.4%, R² = 0.5825). The analysis of mortality trends related to VSD is crucial in both theoretical and practical aspects, as it enables early detection and treatment of VSDs. The findings of this study will be valuable to public health authorities in developing a strategy to treat VSDs effectively. [ABSTRACT FROM AUTHOR]

Grooming behaviour, which maintains and cleans the integument, is a widespread behaviour of birds, mammals and arthropods. The extent to which grooming is influenced by large-scale environmental differences, such as geographical and seasonal variation, remains largely unexplored. We investigated spatial and temporal variation in the grooming behaviour of a common species of bird, the American kestrel, Falco sparverius. Specifically, we compared the self-grooming behaviour (preening and scratching) of kestrels in the subtropical Bahamas to kestrels in temperate northern Utah, U.S.A., in both summer and winter. We also compared differences in parasite 'pressure' by quantifying the prevalence and abundance of ectoparasitic lice (Insecta: Phthiraptera) on kestrels in both locations. Bahama kestrels had significantly more lice than Utah kestrels, which is typical of birds in humid regions, compared to arid regions. Bahama kestrels groomed significantly more than Utah kestrels, which may constrain the time–activity budgets of Bahama kestrels. Within each region, however, birds with more lice did not groom more. This pattern is consistent with geographical differences in programmed grooming, rather than stimulus-driven grooming. Kestrels in both locations groomed significantly more in summer than in winter, presumably because feather moult occurs in summer. To our knowledge, this study provides the first demonstration of geographical variation in the grooming behaviour of any animal. Experimental studies are needed to confirm the causes and consequences of this variation. Spatial and temporal comparisons of grooming in other birds, as well as mammals and arthropods, would be informative. • American kestrels varied in grooming time, both seasonally and geographically. • Birds in the subtropics groomed more than birds in the temperate region. • Parasitic feather lice were more abundant on subtropical than temperate birds. • Birds in both regions groomed more in summer (during moult) than in winter. [ABSTRACT FROM AUTHOR]

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Organisms or societies are resource limited, causing important trade-offs between reproduction and defence. Given such trade-offs, optimal allocation theory predicts that, for animal societies with a soldier caste, allocation to soldiers should reflect local external threats. Although both threat intensity and soldier allocation can vary widely in nature, we currently lack strong evidence that spatial variation in threat can drive the corresponding variation in soldier allocation. The diverse guild of trematode parasites of the California horn snail provides a useful system to address this problem. Several of these species form colonies in their hosts with a reproductive division of labour including a soldier caste. Soldiers are non-reproductive and specialized in defence, attacking and killing invading parasites. We quantified invasion threat and soldier allocation for 168 trematode colonies belonging to six species at 26 sites spread among 10 estuaries in temperate and tropical regions. Spatial variation in invasion threat was matched as predicted by the relative number of soldiers for multiple parasite species. Soldier allocation correlated with invasion threat at fine spatial scales, suggesting that allocation is at least partly inducible. These results may represent the first clear documentation of a spatial correlation between allocation to any type of caste and a biotic selective agent.

Key points MRI is frequently used, and a substantial proportion of MRIs are potential of low value. A small number of referrers account for a large proportion of potential low-value imaging. The use of imaging is not associated with travel distance to imaging facilities or referrers’ experience. Targeting “high-referrers” may be a promising strategy for reducing low-value imaging.

Abstract Geographical variations are documented for a wide range of health care services. As many such variations cannot be explained by demographical or epidemiological differences, they are problematic with respect to distributive justice, quality of care, and health policy. Despite much attention, geographical variations prevail. One reason for this can be that the ethical issues of geographical variations are rarely addressed explicitly. Accordingly, the objective of this article is to analyse the ethical aspects of geographical variations in the provision of health services. Applying a principlist approach the article identifies and addresses four specific ethical issues: injustice, harm, lack of beneficence, and paternalism. Then it investigates the normative leap from the description of geographical variations to the prescription of right care. Lastly, the article argues that professional approaches such as developing guidelines, checklists, appropriateness criteria, and standards of care are important measures when addressing geographical variations, but that such efforts should be accompanied and supported by ethical analysis. Hence, geographical variations are not only a healthcare provision, management, or a policy making problem, but an ethical one. Addressing the ethical issues with geographical variations is key for handling this crucial problem in the provision of health services.

The present study was carried out to understand the impact of climatic conditions on adult life table parameters of Aedes albopictus (Skuse) (Diptera: Culicidae). Thus, strains of Aedes albopictus were collected from two different ecological regions of Rajasthan, India i.e., Kota (semi-arid) and Barmer (arid), and compared under insectary conditions. The result showed that male life expectancy was greater in the Kota strain (8.19 days) than in the Barmer strain (5.91 days) with significant differences whereas no significant differences were found for female life expectancy (Kota: 13.75 days; Barmer: 12.24 days). Barmer strain showed a higher intrinsic rate of increase (rm) (0.25), finite rate of increase (λ) (1.29), and lower doubling time (DT) (2.66 days) than the Kota strain (rm: 0.22; λ: 1.24; DT: 3.12 days) with significant differences which shows more r-strategic pattern in Barmer strain. However, the slobodkin curve for males and females of both strains showed a type II survivorship curve. No significant differences were found for net reproductive rate (R0), mean generation time (T), oviposition schedule, and fecundity parameters. Conclusively, the present study may help in the better prediction of Ae. albopictus population dynamics prevalent in these geographical areas and for implementing the efficient vector management practices. [ABSTRACT FROM AUTHOR]

Because the nematodes were identified as I Sheraphelenchus i sp., they were picked up individually using stainless-steel insect pins (Insect pin No. 00, Shiga Kontyu), and transferred to new MEA previously inoculated with I Pestalotiopsis i sp., which has been used as I S. sucus i food in the laboratory (Kanzaki, 2021). Keywords: distribution; geographical variation; new locality; phylogeny EN distribution geographical variation new locality phylogeny 713 716 4 07/06/23 20230601 NES 230601 The nematode genus I Sheraphelenchus i Nickle, 1970 (Tylenchomorpha: Aphelenchoididae) currently contains five species and most have been isolated from rotten plant material, especially fruit, vegetables and sap, I i.e. i , organic matter that is relatively carbohydrate-rich and fermented, and insects associated with these environments (Kanzaki, 2021). Of the five species, I Sheraphelenchus sucus i Kanzaki & Tanaka, 2013 has been found in Ibaraki (Kanzaki & Tanaka, 2013) and Kyoto (Kanzaki, 2021), Japan. [Extracted from the article]

Introduction: The rise in colorectal cancer (CRC) incidence becomes a global concern. As geographical variations in the CRC incidence suggests the role of area-level determinants, the current study was designed to identify the spatial distribution pattern of CRC at the neighbourhood level in Malaysia. Method: Newly diagnosed CRC cases between 2010 and 2016 in Malaysia were identified from the National Cancer Registry. Residential addresses were geocoded. Clustering analysis was subsequently performed to examine the spatial dependence between CRC cases. Differences in socio-demographic characteristics of individuals between the clusters were also compared. Identified clusters were categorized into urban and semi-rural areas based on the population background. Result: Most of the 18 405 individuals included in the study were male (56%), aged between 60 and 69 years (30.3%) and only presented for care at stages 3 or 4 of the disease (71.3%). The states shown to have CRC clusters were Kedah, Penang, Perak, Selangor, Kuala Lumpur, Melaka, Johor, Kelantan, and Sarawak. The spatial autocorrelation detected a significant clustering pattern (Moran’s Index 0.244, p< 0.01, Z score >2.58). CRC clusters in Penang, Selangor, Kuala Lumpur, Melaka, Johor, and Sarawak were in urbanized areas, while those in Kedah, Perak and Kelantan were in semi-rural areas. Conclusion: The presence of several clusters in urbanized and semi-rural areas implied the role of ecological determinants at the neighbourhood level in Malaysia. Such findings could be used to guide the policymakers in resource allocation and cancer control.

Background Geographical mapping of variations in the treatment and outcomes of a disease is a valuable tool for identifying inequity. We examined international and intranational variations in initiating oral anticoagulation (OAC) therapy and clinical outcomes among patients with atrial fibrillation (AF) in Nordic countries. We also tracked real-world trends in initiating OAC and the clinical outcomes. Methods We conducted a registry-based multinational cohort study of OAC-naive patients with an incident hospital diagnosis of AF in Denmark (N = 61,345), Sweden (N = 124,120), and Finland (N = 59,855) and a CHA2DS2-VASc score of ≥1 in men and ≥2 in women between 2012 and 2017. Initiation of OAC therapy was defined as dispensing at least one prescription between 90 days before and 90 days after the AF diagnosis. Clinical outcomes included ischemic stroke, intracerebral hemorrhage, intracranial bleeding, other major bleeding, and all-cause mortality. Results The proportion of patients initiating OAC therapy ranged from 67.7% (95% CI: 67.5–68.0) in Sweden to 69.6% (95% CI: 69.2–70.0) in Finland, with intranational variation. The 1-year risk of stroke varied from 1.9% (95% CI: 1.8–2.0) in Sweden and Finland to 2.3% (95% CI: 2.2–2.4) in Denmark, with intranational variation. The initiation of OAC therapy increased with a preference for direct oral anticoagulants over warfarin. The risk of ischemic stroke decreased with no increase in intracranial and intracerebral bleeding. Conclusion We documented inter- and intranational variation in initiating OAC therapy and clinical outcomes across Nordic countries. Adherence to structured care of patients with AF could reduce future variation.

• Allophylus edulis is a native plant of the Brazilian cerrado. • The essential oil was obtained from two locations in the state of Mato Grosso do Sul. • The dominant components of essential oils were caryophyllene oxide and α-zingiberene. • Seasonal and spatial variation can influence the chemical composition of A. edulis essential oil. Allophylus edulis (Sapindaceae), also known as "chal-chal", "vacuum" or "cocu", is a tree widely found in Brazil whose leaves are still used in folk medicine and are rich in essential oil. The focus of this research was to investigate the chemical composition profiles of the essential oil from A. edulis leaves collected seasonally (the four seasons) in two cities. The A. edulis leaves were collected in winter (July) and spring (November) 2018 and summer (January) and autumn (May) 2019, in the cities of Bonito and Dourados, in the state of Mato Grosso do Sul, Brazil. The essential oils were extracted by hydrodistillation and analyzed by gas chromatography-mass spectrometry (GC–MS). The essential oil yield in this seasonal variation study consistently ranged between 0.07% and 0.6% (wet wt.) for all samples, increasing considerably with higher temperature and during the inflorescence stage. In the oil samples obtained from Dourados, the major components present were α-pinene, caryophyllene oxide, and viridiflorol with yields of 3.04–29.81% across all four seasons, being caryophyllene oxide the most abundant (20.1–29.81%). The major compound identified in the oil samples obtained from Bonito was α-zingiberene for all four seasons, though its concentrations were highest in summer (46.90%) and spring (45.05%). The chemical composition profiles of both cities' oil samples were similar, in that they shared four sesquiterpene compounds, caryophyllene oxide, germacrene D, E-caryophyllene and viridiflorol. The study highlighted that both seasonal and geographical variation can influence the chemical composition of essential oil from A. edulis. [ABSTRACT FROM AUTHOR]

Species with wide ranges often exhibit morphological variability that is mostly shaped by ecological and evolutionary processes, and the resulting diversity is frequently reflected in intraspecific taxonomy. Dianthus sylvestris in the Balkan Peninsula encompasses six subspecies (D. sylvestris subspp. alboroseus , bertisceus , kozjakensis , nodosus , sylvestris and tergestinus), the identification of which is problematic due to a great morphological variability and complex patterns of environmental variation. To explore morphological variation of described subspecies and to investigate how their morphology varies in relation to environmental variations across their geographical distribution, we evaluated 97 populations of D. sylvestris for variability in 25 morphological characters and 20 environmental variables. Number and shape of epicalyx scales, calyx length and petal denticulation captured the greatest extent of morphological variability between populations. Morphometric analyses revealed a continuous variability in quantitative morphological characters and an absence of clear morphological differentiation between the investigated subspecies. However, two main morphologically distinct entities, the north-western Balkan populations and the south-eastern Balkan populations, were identified and they were split approximately along the Neretva River valley. In addition, our results indicate that environment, rather than geography, plays a potentially more important role in shaping the morphological variability of this taxon. Overall, our results do not support the recognition of the described subspecies or the currently accepted taxonomic concept, instead pointing to a continuous morphological variability of D. sylvestris in the Balkan Peninsula. [ABSTRACT FROM AUTHOR]

Paediatric poisoning is a major cause of childhood injury, and most poisonings are preventable. We aimed to describe hospitalisations resulting from poisoning and envenomation in Australian children, including demographics, cause of the exposure, hospital length of stay, rates of intensive care unit admission and in-hospital deaths. We also aimed to describe risk factors for increased length of stay and intensive care unit admission. A retrospective analysis was performed of hospitalised poisoning and envenomation cases of children (<15 years) in Australia from 1 July 2009 to 30 June 2019. A nationwide hospital admissions database was used for this study. During the 10-year study period 33,438 children were admitted to hospital due to a pharmaceutical or non-pharmaceutical poisoning/envenomation; an average of 74.8 cases per 100,000 population per year. Approximately 10 children were admitted to hospital each day for poisoning. Over 70% of these cases were due to pharmaceuticals (n = 23,628), most frequently non-opioid analgesics, anti-pyretics and anti-rheumatics (n = 8759, 37.1% of pharmaceutical exposures). The most common non-pharmaceutical exposure was contact with venomous animals and toxic plants (n = 4578, 46.7% of non-pharmaceuticals). Intentional self-harm occurred in 7833 (23.4%) of cases. Intensive care unit admission was required in 519 cases (2.5% of the 20,739 cases where this information was available), while 200 (0.96% of 20,739) needed ventilator support. Ten children (0.03%) died. Older age, female sex, poisoning with pharmaceuticals and metropolitan hospital location were associated with increased length of stay. Older age and poisoning with pharmaceuticals were also associated with intensive care unit admission. Approximately 10 children were admitted to hospital with poisoning every day in Australia. Most poisonings were due to pharmaceuticals, particularly simple analgesics that are found in most Australian homes. Severe outcomes (intensive care unit admissions and deaths) were rare. [ABSTRACT FROM AUTHOR]

Background: Even though imaging is essential to modern medicine, some examinations are of low value as they do not lead to any change in the management of the patient. The Choosing Wisely (CW) campaign aims to reduce the use of such services. In the Norwegian version of CW, specific magnetic resonance imaging (MRI) of the head, lower back, and knee are amongst others identified as potential low-value examinations. However, referral practice and access to imaging may drive low-value utilisation. By using registry data from 2019 and descriptive analysis, this study aimed to examine the role of referral practice and access to imaging on the use of specific CW-examinations in one representative area in Norway. Results: A total of 237,554 examinations were performed by four public and two private imaging facilities located within the area. Forty-two percent (19,210/45,289) of all MRI examinations were related to CW. Private imaging centres performed most of the CW-imaging. A total of 3700 referrers were identified, and 2.3% were identified as "high-referrers," accounting for 33% of all CW-examinations. Referrers' experience did not influence imaging utilisation. A subset of referrers ("super-referrers," 0.5%) accounted for 10% of CW-examinations. Distance to service had no impact on the use of CW-examinations. Conclusions: This study provides valuable insight into the use of imaging and referral practice in one representative area in Norway. A great variation in referral practice was observed. Therefore, targeting referrers with high referral rates may be a promising strategy for reducing the use of low-value imaging. Key points: MRI is frequently used, and a substantial proportion of MRIs are potential of low value. A small number of referrers account for a large proportion of potential low-value imaging. The use of imaging is not associated with travel distance to imaging facilities or referrers' experience. Targeting "high-referrers" may be a promising strategy for reducing low-value imaging. [ABSTRACT FROM AUTHOR]

Behavioral divergence among populations is common across taxonomic groups, still we know very little about anti-predator behaviors. Animal exposure to predation risk is variable in different ecological contexts. In addition, reproduction value of animals in different geographical regions usually varies. In this study, we tested whether cinereous tits Parus cinereus in different populations exhibited nest defense behaviors similar to those of nest or adult predators and whether their nest defense behaviors showed geographical variation. By using field dummy experiments, we observed tits' nest defense behavior in nest predator common chipmunk Tamias sibiricus and red squirrel Sciurus vulgaris , adult predator Eurasian sparrowhawk Accipiter nisus and nonthreatening species Oriental turtle dove Streptopelia orientalis in the ZJ (44° N), DZ (31° N), and DLS (18° N) populations, respectively. The response scores varied significantly across the 4 dummies in ZJ-tits and DLS-tits but did not in DZ-tits. When facing the chipmunk, ZJ-tits showed the highest response score and DZ-tits showed the lowest response score. When facing the squirrel, ZJ-tits showed a higher response score than tits in the other 2 populations. However, tits among the 3 populations responded similarly to a sparrowhawk or dove with slight response behaviors. In addition, response scores to nest predators were positively correlated with brood size across the 3 populations, but no trend was found for sparrowhawks or doves. Our results indicated that the nest defense behaviors of cinereous tits have evolved in response to large-scale geographical variation in ecological contexts and reproduction value. [ABSTRACT FROM AUTHOR]

Animal personality is defined as behavior that is consistent across time and context. Ecological and evolutionary pressures might exert sexually dimorphic effects on personality traits. In this study, variations in docility and exploratory behaviors of male and female plateau zokor (Eospalax baileyi) in two populations from different geographical sites were quantified during their breeding season, using bag and open field test. We observed significant repeatability of behaviors in the bag and open field test, except for sniffing behavior in zokors from TZ site. We found that sex influences the personality traits of plateau zokors more than geographical variation in both the bag and open field test. Females had a higher docility than males in the bag test. The findings of this study emphasize the importance of considering plateau zokors' sex and personality traits when assessing their fitness, behavior, or suitability for behavioral future research work. [ABSTRACT FROM AUTHOR]

Adhatoda vasica (L.), Nees is a widespread plant in Asia. It is used in Ayurvedic and Unani medications for the management of various infections and health disorders, especially as a decoction to treat cough, chronic bronchitis, and asthma. Although it has a diverse metabolomic profile, this plant is particularly known for its alkaloids. The present study is the first to report a broad range of present compounds, e.g., α-linolenic acid, acetate, alanine, threonine, valine, glutamate, malate, fumaric acid, sucrose, β-glucose, kaempferol analogues, quercetin analogues, luteolin, flavone glucoside, vasicine and vasicinone, which were identified by NMR spectroscopy-based metabolomics. Multivariate data analysis was used to analyze 1H-NMR bucketed data from a number of Adhatoda vasica leave samples collected from eight different regions in Pakistan. The results showed large variability in metabolomic fingerprints. The major difference was on the basis of longitude/latitude and altitude of the areas, with both primary and secondary metabolites discriminating the samples from various regions. [ABSTRACT FROM AUTHOR]