Background: Central-line–associated bloodstream infection (CLABSI) rates increased nationally during COVID-19, the drivers of which are still being characterized in the literature. CLABSI rates doubled during the SARS-CoV-2 omicron-variant surge at our rural academic medical center. We sought to identify potential drivers of CLABSIs by comparing period- and patient-specific characteristics of this COVID-19 surge to a historical control period. Methods: We defined the study period as the time of highest COVID-19 burden at our hospital (July 2021–June 2022) and the control period as the previous 2 years (July 2019–June 2021). We compared NHSN CLABSI standardized infection ratios (SIRs), central-line standardized utilization ratios (SURs), completion of practice evaluation tools (PETs) for monitoring of central-line bundle compliance, and proportions of traveling nurses. We performed chart reviews to determine patient-specific characteristics of NHSN CLABSIs during these periods, including demographics, comorbidities, central-line characteristics and care, and microbiology. Results: The CLABSI SIR was significantly higher during the study period than the control period (0.89 vs 0.52; P = .03); the SUR was significantly higher during the study period (1.08 vs 1.02; P < .01); the PET completion per 100 central-line days was significantly lower during the study period (23.0 vs 31.5; P < .01); and the proportion of traveling nurses was significantly higher during the study period (0.20 vs 0.08; P < .01) (Fig. 1). Patients with NHSN CLABSIs during the study period were more likely to have a history of COVID-19 (27% vs 3%; P = .01) and were more likely to receive a higher level of care (60% vs 27%; P = .02). During the study period, more patients had multilumen catheters (87% vs 61%; P = .04). The type of catheter, catheter care (ie, dressing changes and chlorhexidine bathing), catheter duration before CLABSI, and associated microbiology were similar between the study and control periods (Table 1). Conclusions: During the SARS-CoV-2 omicron-variant surge, the increase in CLABSIs at our hospital was significantly associated with increased central-line utilization, decreased PET completion, and increased proportion of traveling nurses. Critical illness and multilumen catheters were significant patient-specific factors that differed between CLABSIs from the study and control periods. We did not observe differences in catheter type, duration, or catheter care. Our study highlights key modifiable risk factors for CLABSI reduction. These findings may be surrogates for other difficult-to-measure challenges related to the culture of safety during a global pandemic, such as staff education related to infection prevention and daily review of central-line necessity.

Disclosures: None

For 147 hospital-onset bloodstream infections, we assessed the sensitivity, specificity, positive predictive value, and negative predictive value of the National Healthcare Safety Network surveillance definitions of central-line–associated bloodstream infections against the gold standard of physician review, examining the drivers of discrepancies and related implications for reporting and infection prevention.

Using capture-recapture analysis we estimate the effective size of the active Amazon Mechanical Turk (MTurk) population that a typical laboratory can access to be about 7,300 workers. We also estimate that the time taken for half of the workers to leave the MTurk pool and be replaced is about 7 months. Each laboratory has its own population pool which overlaps, often extensively, with the hundreds of other laboratories using MTurk. Our estimate is based on a sample of 114,460 completed sessions from 33,408 unique participants and 689 sessions across seven laboratories in the US, Europe, and Australia from January 2012 to March 2015.

In this survey of 41 hospitals, 18 (72%) of 25 respondents reporting utilization of National Healthcare Safety Network resources demonstrated accurate central-line–associated bloodstream infection reporting compared to 6 (38%) of 16 without utilization (adjusted odds ratio, 5.37; 95% confidence interval, 1.16–24.8). Adherence to standard definitions is essential for consistent reporting across healthcare facilities.

Monoclonal antibody therapeutics to treat coronavirus disease (COVID-19) have been authorized by the US Food and Drug Administration under Emergency Use Authorization (EUA). Many barriers exist when deploying a novel therapeutic during an ongoing pandemic, and it is critical to assess the needs of incorporating monoclonal antibody infusions into pandemic response activities. We examined the monoclonal antibody infusion site process during the COVID-19 pandemic and conducted a descriptive analysis using data from 3 sites at medical centers in the United States supported by the National Disaster Medical System. Monoclonal antibody implementation success factors included engagement with local medical providers, therapy batch preparation, placing the infusion center in proximity to emergency services, and creating procedures resilient to EUA changes. Infusion process challenges included confirming patient severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positivity, strained staff, scheduling, and pharmacy coordination. Infusion sites are effective when integrated into pre-existing pandemic response ecosystems and can be implemented with limited staff and physical resources.

The Variables and Slow Transients Survey (VAST) on the Australian Square Kilometre Array Pathfinder (ASKAP) is designed to detect highly variable and transient radio sources on timescales from 5 s to $\sim\!5$ yr. In this paper, we present the survey description, observation strategy and initial results from the VAST Phase I Pilot Survey. This pilot survey consists of $\sim\!162$ h of observations conducted at a central frequency of 888 MHz between 2019 August and 2020 August, with a typical rms sensitivity of $0.24\ \mathrm{mJy\ beam}^{-1}$ and angular resolution of $12-20$ arcseconds. There are 113 fields, each of which was observed for 12 min integration time, with between 5 and 13 repeats, with cadences between 1 day and 8 months. The total area of the pilot survey footprint is 5 131 square degrees, covering six distinct regions of the sky. An initial search of two of these regions, totalling 1 646 square degrees, revealed 28 highly variable and/or transient sources. Seven of these are known pulsars, including the millisecond pulsar J2039–5617. Another seven are stars, four of which have no previously reported radio detection (SCR J0533–4257, LEHPM 2-783, UCAC3 89–412162 and 2MASS J22414436–6119311). Of the remaining 14 sources, two are active galactic nuclei, six are associated with galaxies and the other six have no multi-wavelength counterparts and are yet to be identified.

The Rapid ASKAP Continuum Survey (RACS) is the first large-area survey to be conducted with the full 36-antenna Australian Square Kilometre Array Pathfinder (ASKAP) telescope. RACS will provide a shallow model of the ASKAP sky that will aid the calibration of future deep ASKAP surveys. RACS will cover the whole sky visible from the ASKAP site in Western Australia and will cover the full ASKAP band of 700–1800 MHz. The RACS images are generally deeper than the existing NRAO VLA Sky Survey and Sydney University Molonglo Sky Survey radio surveys and have better spatial resolution. All RACS survey products will be public, including radio images (with $\sim$ 15 arcsec resolution) and catalogues of about three million source components with spectral index and polarisation information. In this paper, we present a description of the RACS survey and the first data release of 903 images covering the sky south of declination $+41^\circ$ made over a 288-MHz band centred at 887.5 MHz.

Many perennial bioenergy grasses have the potential to escape cultivation and invade natural areas. We quantify dispersal, a key component in invasion, for two bioenergy candidates:Miscanthus sinensis and M. × giganteus. For each species, approximately 1 × 106 caryopses dispersed anemochorously from a point source into traps placed in annuli near the source (0.5 to 5 m; 1.6 to 16.4 ft) and in arcs (10 to 400 m) in the prevailing wind direction. For both species, most caryopses (95% for M. sinensis and 77% for M. × giganteus) were captured within 50 m of the source, but a small percentage (0.2 to 3%) were captured at 300 m and 400 m. Using a maximum-likelihood approach, we evaluated the degree of support in our empirical dispersal data for competing functions to describe seed-dispersal kernels. Fat-tailed functions (lognormal, Weibull, and gamma (Γ)) fit dispersal patterns best for both species overall, but because M. sinensis dispersal distances were significantly affected by wind speed, curves were also fit separately for dispersal distances in low, moderate, and high wind events. Wind speeds shifted the M. sinensis dispersal curve from a thin-tailed exponential function at low speeds to fat-tailed lognormal functions at moderate and high wind speeds. M. sinensis caryopses traveled farther in higher wind speeds (low, 30 m; moderate, 150 m; high, 400 m). Our results demonstrate the ability of Miscanthus caryopses to travel long distances and raise important implications for potential escape and invasion of fertile Miscanthus varieties from bioenergy cultivation.

The Asian grass Miscanthus sinensis (Poaceae) is being considered for use as a bioenergy crop in the U.S. Corn Belt. Originally introduced to the United States for ornamental plantings, it escaped, forming invasive populations. The concern is that naturalized M. sinensis populations have evolved shade tolerance. We tested the hypothesis that seedlings from within the invasive U.S. range of M. sinensis would display traits associated with shade tolerance, namely increased area for light capture and phenotypic plasticity, compared with seedlings from the native Japanese populations. In a common garden experiment, seedlings of 80 half-sib maternal lines were grown from the native range (Japan) and 60 half-sib maternal lines from the invasive range (U.S.) under four light levels. Seedling leaf area, leaf size, growth, and biomass allocation were measured on the resulting seedlings after 12 wk. Seedlings from both regions responded strongly to the light gradient. High light conditions resulted in seedlings with greater leaf area, larger leaves, and a shift to greater belowground biomass investment, compared with shaded seedlings. Japanese seedlings produced more biomass and total leaf area than U.S. seedlings across all light levels. Generally, U.S. and Japanese seedlings allocated a similar amount of biomass to foliage and equal leaf area per leaf mass. Subtle differences in light response by region were observed for total leaf area, mass, growth, and leaf size. U.S. seedlings had slightly higher plasticity for total mass and leaf area but lower plasticity for measures of biomass allocation and leaf traits compared with Japanese seedlings. Our results do not provide general support for the hypothesis of increased M. sinensis shade tolerance within its introduced U.S. range compared with native Japanese populations.

Paint types on black-on-white pottery in the prehistoric American Southwest have had significance for both chronological and sociocultural interpretations. Visual attributes have formed the basis for distinguishing carbon- and mineral-based paints on ancient black-on-white pottery in the American Southwest for over 60 years. In this study, an SEM-EDS (scanning electron microscope-energy dispersive X-ray spectrometer) system was first used to make an independent objective determination of the mineral or non-mineral paint present on 15 Mesa Verde White Ware sherds. Then, a group of 19 people (including experienced archaeologists and newly trained individuals) examined and classified the paint on these sherds, achieving an overall accuracy of 84.2 percent. This group also ranked in priority order the visual attributes they felt were most useful in determining pottery paint type: nature of edges (fuzzy, sharp), absorption (soaks in, sits on top), luster (shiny, dull), color range (black-gray-blue; black-brown-reddish), flakiness (doesn't flake off, flakes off), thickness (thin, thick), and surface polish (polish striations visible through paint, striations not visible through paint). In each case, the attribute applicable to carbon-based paint is listed first. The most difficult sherds for the group to identify displayed attributes of both carbon and mineral paints. A category for "mixed" paint type, already in use by archaeologists, is a reasonable third category for labeling sherd paint, as long as it does not become a "catch-all" category. For problematic sherds, the SEM-EDS can be used to characterize paint type, then the visual attributes adjusted to improve investigator accuracy in paint type determination.

Wool growth, staple strength and fibre diameter are reduced during pregnancy and lactation. This may be due to the increased requirement for protein for foetal growth, udder development and milk production causing a lack of amino acids for wool. Responses in wool production, ewe live weight, lamb birth weight and growth, plasma amino acids and levels of cortisol, insulin and growth hormone were measured when different sources of protein were offered. Either lupin seed (L), fish meal (F) or formaldehyde-treated egg white (E) were included in an oaten hay-based diet offered during the final 3 weeks of pregnancy and first 3 weeks of lactation. Provision of diets containing E or F resulted in significant (P < 0·001) increases in wool growth and trends towards increased staple strength (4 to 6 N/ktex) and clean fleece weights (0·17 to 0·38 kg) compared with the sheep given L. Feeding the E diet increased the concentration of cystine in plasma and sulphur in wool in late pregnancy. Feeding the F diet increased the concentrations of arginine, histidine, lysine and threonine in plasma in early lactation. Ewes given E had higher circulating insulin and increased insulin resistance, compared with sheep given L, on 2 of the 4 days of sampling during pregnancy and lactation during the treatment period. There were no treatment effects on lamb birth weight or growth but ewes given the E diet were significantly (P < 0·05, 3·3 kg) heavier than the ewes given L after 3 weeks of lactation. The results indicate that a lack of protein available for absorption in the small intestine causes reduced wool growth during late pregnancy and early lactation. Wool growth is more sensitive to a reduced protein supply than foetal growth, maternal weight or milk production.