Diets varying in saturated (SFA) and monounsaturated fatty acid (MUFA) content can impact glycemic control; however, whether underlying differences in genetic make-up can influence blood glucose responses to these dietary fatty acids is unknown. We examined the impact of dietary oils varying in SFA/MUFA content on changes in blood glucose levels (primary outcome) and whether these changes were modified by variants in the stearoyl-CoA desaturase (SCD) gene (secondary outcome). Obese men and women participating in the randomized, crossover, isocaloric, controlled-feeding Canola Oil Multicenter Intervention Trial II consumed 3 dietary oils for 6 wk, with washout periods of ˜6 wk between each treatment. Diets studied included a high SFA/low MUFA Control oil (36.6% SFA/28.2% MUFA), a conventional canola oil (6.2% SFA/63.1% MUFA), and a high oleic acid canola oil (5.8% SFA/74.7% MUFA). No differences in fasting blood glucose were observed following the consumption of the dietary oils. However, when stratified by SCD genotypes, significant SNP-by-treatment interactions on blood glucose response were found with additive models for rs1502593 (p=0.01), rs3071 (p=0.02), and rs522951 (p=0.03). The interaction for rs3071 remained significant (p=0.005) when analyzed with a recessive model, where individuals carrying the CC genotype showed an increase (0.14±0.09 mmol/L) in blood glucose levels with the Control oil diet, but reductions in blood glucose with both MUFA oil diets. Individuals carrying the AA and AC genotypes experienced reductions in blood glucose in response to all 3 oils. These findings identify a potential new target for personalized nutrition approaches aimed at improving glycemic control.

This is an epidemiological study of carbapenem-resistant Enterobacteriaceae (CRE) in Veterans’ Affairs medical centers (VAMCs). In 2017, almost 75% of VAMCs had at least 1 CRE case. We observed substantial geographic variability, with more cases in urban, complex facilities. This supports the benefit of tailoring infection control strategies to facility characteristics.

Ventenata [Ventenata dubia (Leers) Coss.], an invasive winter annual grass, negatively impacts grassland community composition and function in the Pacific Northwest. Ventenata dubia established in Palouse prairie (PP) and canyon grasslands (CG) of northern Idaho/eastern Washington in the mid-1980s to early 1990s. Understanding and comparing patterns of invasion can elucidate future trends as its range expands. We performed surveys in PP (2012 and 2013) and CG (2018) to assess V. dubia abundance. Specifically, we correlated species richness, Shannon diversity, rank abundance, and indicator species with no, low (<12.5%), and high (>12.5%) V. dubia cover. We used nonmetric multidimensional scaling analysis (NMDS) to visualize species similarities and associations with abiotic variables. In both ecoregions, V. dubia was very common, appearing in nearly 60% of 450 plots. When present, V. dubia cover averaged 26% (±2.3 SE) in PP and 19% (±1.8 SE) in CG. Indigenous plant species richness and diversity were lowest in plots with high V. dubia cover. In CG, this relationship held for nonindigenous species; in PP, nonindigenous plant richness and diversity were higher with high V. dubia cover. Ventenata dubia and other winter annual grasses (Bromus spp., medusahead [Taeniatherum caput-medusae (L.) Nevski]) were moderately associated according to the NMDS analysis. Indicator species analysis showed V. dubia was positively associated with nonindigenous winter annual grasses and negatively associated with indigenous low shrub species. Abiotic factors that explained V. dubia abundance included shallow soils and a south to west aspect. Overall, these findings indicate V. dubia can successfully invade both dry and relatively wet plant communities and is more abundant than other invasive annual grasses. We suggest these findings foreshadow what will happen in sagebrush steppe and Great Plains grasslands, regions where V. dubia recently became established.

Finite-amplitude hydromagnetic Rossby waves in the magnetostrophic regime are studied. We consider the slow mode, which travels in the opposite direction to the hydrodynamic or fast mode, in the presence of a toroidal magnetic field and zonal flow by means of quasi-geostrophic models for thick spherical shells. The weakly nonlinear long waves are derived asymptotically using a reductive perturbation method. The problem at the first order is found to obey a second-order ordinary differential equation, leading to a hypergeometric equation for a Malkus field and a confluent Heun equation for an electrical wire field, and is non-singular when the wave speed approaches the mean flow. Investigating its neutral non-singular eigensolutions for different basic states, we find the evolution is described by the Korteweg–de Vries equation. This implies that the nonlinear slow wave forms solitons and solitary waves. These may take the form of a coherent eddy, such as a single anticyclone. We speculate on the relation of the anticyclone to the asymmetric gyre seen in the Earth's fluid core, and in state-of-the-art dynamo direct numerical simulations.

With human influences driving populations of apex predators into decline, more information is required on how factors affect species at national and global scales. However, camera-trap studies are seldom executed at a broad spatial scale. We demonstrate how uniting fine-scale studies and utilizing camera-trap data of non-target species is an effective approach for broadscale assessments through a case study of the brown hyaena Parahyaena brunnea. We collated camera-trap data from 25 protected and unprotected sites across South Africa into the largest detection/non-detection dataset collected on the brown hyaena, and investigated the influence of biological and anthropogenic factors on brown hyaena occupancy. Spatial autocorrelation had a significant effect on the data, and was corrected using a Bayesian Gibbs sampler. We show that brown hyaena occupancy is driven by specific co-occurring apex predator species and human disturbance. The relative abundance of spotted hyaenas Crocuta crocuta and people on foot had a negative effect on brown hyaena occupancy, whereas the relative abundance of leopards Panthera pardus and vehicles had a positive influence. We estimated that brown hyaenas occur across 66% of the surveyed camera-trap station sites. Occupancy varied geographically, with lower estimates in eastern and southern South Africa. Our findings suggest that brown hyaena conservation is dependent upon a multi-species approach focussed on implementing conservation policies that better facilitate coexistence between people and hyaenas. We also validate the conservation value of pooling fine-scale datasets and utilizing bycatch data to examine species trends at broad spatial scales.

Agricultural intensification within forage systems has reduced grassland floral diversity by promoting ryegrass (Lolium spp.), damaging soil functionality which underpins critical ecosystem services. Diverse forage mixtures may enhance environmental benefits of pastures by decreasing nutrient leaching, increasing soil carbon storage, and with legume inclusion, reduce nitrogen fertilizer input. This UK study reports on how species-rich forage mixtures affect soil carbon, phosphorus, and nitrogen at dry, medium and wet soil moisture sites, compared to ryegrass monoculture. Increasing forage mixture diversity (from 1 to 17 species) affected soil carbon at the dry site. No effect of forage mixture on soil phosphorus was found, while forage mixture and site did interact to affect soil nitrate/nitrite availability. Results suggest that forage mixtures could be used to improve soil function, but longer-term studies are needed to conclusively demonstrate environmental and production benefits of high-diversity forages.

A new high time resolution observing mode for the Murchison Widefield Array (MWA) is described, enabling full polarimetric observations with up to $30.72\,$ MHz of bandwidth and a time resolution of ${\sim}$ $0.8\,\upmu$ s. This mode makes use of a polyphase synthesis filter to ‘undo’ the polyphase analysis filter stage of the standard MWA’s Voltage Capture System observing mode. Sources of potential error in the reconstruction of the high time resolution data are identified and quantified, with the $S/N$ loss induced by the back-to-back system not exceeding $-0.65\,$ dB for typical noise-dominated samples. The system is further verified by observing three pulsars with known structure on microsecond timescales.

Praziquantel (PZQ) is the drug of choice for schistosomiasis. The potential drug resistance necessitates the search for adjunct or alternative therapies to PZQ. Previous functional genomics has shown that RNAi inhibition of Ca2+/calmodulin-dependent protein kinase II (CaMKII) gene in Schistosoma adult worms significantly improved the effectiveness of PZQ. Here we tested the in vitro efficacy of 15 selective and non-selective CaMK inhibitors against Schistosoma mansoni and showed that PZQ efficacy was improved against refractory juvenile parasites when combined with these CaMK inhibitors. By measuring CaMK activity and the mobility of adult S. mansoni, we identified two non-selective CaMK inhibitors, Staurosporine (STSP) and 1Naphthyl PP1 (1NAPP1), as promising candidates for further study. The impact of STSP and 1NAPP1 was investigated in mice infected with S. mansoni in the presence or absence of a sub-lethal dose of PZQ against 2- and 7-day-old schistosomula and adults. Treatment with STSP/PZQ induced a significant (47–68%) liver egg burden reduction compared with mice treated with PZQ alone. The findings indicate that the combination of STSP and PZQ dosages significantly improved anti-schistosomal activity compared to PZQ alone, demonstrating the potential of selective and non-selective CaMK/kinase inhibitors as a combination therapy with PZQ in treating schistosomiasis.

Global pork production has largely adopted on-farm biosecurity to minimize vectors of disease transmission and protect swine health. Feed and ingredients were not originally thought to be substantial vectors, but recent incidents have demonstrated their ability to harbor disease. The objective of this paper is to review the potential role of swine feed as a disease vector and describe biosecurity measures that have been evaluated as a way of maintaining swine health. Recent research has demonstrated that viruses such as porcine epidemic diarrhea virus and African Swine Fever Virus can survive conditions of transboundary shipment in soybean meal, lysine, and complete feed, and contaminated feed can cause animal illness. Recent research has focused on potential methods of preventing feed-based pathogens from infecting pigs, including prevention of entry to the feed system, mitigation by thermal processing, or decontamination by chemical additives. Strategies have been designed to understand the spread of pathogens throughout the feed manufacturing environment, including potential batch-to-batch carryover, thus reducing transmission risk. In summary, the focus on feed biosecurity in recent years is warranted, but additional research is needed to further understand the risk and identify cost-effective approaches to maintain feed biosecurity as a way of protecting swine health.

Raw milk cheeses are commonly consumed in France and are also a common source of foodborne outbreaks (FBOs). Both an FBO surveillance system and a laboratory-based surveillance system aim to detect Salmonella outbreaks. In early August 2018, five familial FBOs due to Salmonella spp. were reported to a regional health authority. Investigation identified common exposure to a raw goats' milk cheese, from which Salmonella spp. were also isolated, leading to an international product recall. Three weeks later, on 22 August, a national increase in Salmonella Newport ST118 was detected through laboratory surveillance. Concomitantly isolates from the earlier familial clusters were confirmed as S. Newport ST118. Interviews with a selection of the laboratory-identified cases revealed exposure to the same cheese, including exposure to batches not included in the previous recall, leading to an expansion of the recall. The outbreak affected 153 cases, including six cases in Scotland. S. Newport was detected in the cheese and in the milk of one of the producer's goats. The difference in the two alerts generated by this outbreak highlight the timeliness of the FBO system and the precision of the laboratory-based surveillance system. It is also a reminder of the risks associated with raw milk cheeses.

Introduction: Medical record review (MRR) studies are commonly used in Emergency Medicine (EM) research. It is not always clear how sample size calculations are reported, or the methods by which they were derived. This scoping review sought to examine reporting and justification of MRR sample sizes from the EM literature. Methods: Using Web of Science, we identified the top ten journals, based on impact factor rating in 2018, within the field of Emergency Medicine. Journals were excluded if they were not in English or did not include sufficient articles for analysis. Within each of these ten selected journals, we searched for chart reviews and related terms: "medical record", "outpatient record", "inpatient record", "clinical record", and "nursing note". From this search subset, five articles were randomly selected from each journal. Data about sample size and sample size selection were extracted and analyzed by two reviewers independently for each article. Results: Of the 50 articles randomly selected, 48 articles were retrospective MRRs and two articles were prospective MRRs. 78% (39 articles) chose sample size based on availability, 14% (seven articles) chose sample size based on power calculations, 4% (two articles) chose sample size based on a previous study's methodology, and 4% (two articles) did not give details on sample size selection. Conclusion: While some emergency medicine MRRs based sample size selection on power or previous studies, the vast majority are based on availability with study-specific exclusion/inclusion criteria. This may indicate they are using a smaller sample size than necessary to be sufficiently powered to assess their end goal. More work is required to determine the effect of this on outcomes and interpretability of results, as well as which method is most accurate and efficient.

The term auditory verbal hallucination (AVH) covers a diverse phenomenological experience. One model of AVHs proposes they result from self-monitoring deficits causing inner speech to be experienced as alien. The experimental evidence for such a model is briefly summarised. The fit of inner speech models with the phenomenology of AVHs is then critically examined. The form, function, and development of private and inner speech is discussed, and contrasted with the phenomenology of a range of AVHs. It is argued that only a subset of AVHs are phenomenologically consistent with inner speech models. Implications for the study of AVHs are discussed.