The complementary activity of 4-hydroxphenylpyruvate dioxygenase (HPPD)-inhibitors and atrazine is well documented, but the use of atrazine is restricted in some geographical areas including the province of Quebec in Canada necessitating the evaluation of atrazine alternatives and their interactions with HPPD inhibitors. The objectives of this study were to determine if mixing HPPD-inhibitors with atrazine alternative photosystem II (PS II)-inhibitors, such as metribuzin and linuron applied PRE, or bromoxynil and bentazon applied POST, results in similar control of multiple-herbicide-resistant (MHR) waterhemp [Amaranthus tuberculatus (Moq.) Sauer] in corn. Ten field trials, five with herbicides applied PRE and five with herbicides applied POST, were conducted in Ontario, Canada in fields infested with MHR A. tuberculatus. Isoxaflutole, applied PRE, controlled MHR A. tuberculatus 58% to 76%; control increased 17% to 34% with the addition of atrazine, metribuzin, or linuron at three of five sites across 2, 4, 8, and 12 weeks after application (WAA). The interaction between isoxaflutole and PS II-inhibitors, applied PRE, was additive for MHR A. tuberculatus control, and biomass and density reduction. Mesotrione, tolpyralate, and topramezone, applied POST, controlled MHR A. tuberculatus 54% to 59%, 61%, and 44% to 45%, respectively, at two of five sites across 4, 8, and 12 WAA. The addition of atrazine, bromoxynil, or bentazon to mesotrione improved MHR A. tuberculatus control 29%, 34%, and 22%, to tolpyralate improved control 2%, 20%, and 10%, and to topramezone improved control 3%, 14%, and 8%, respectively. Interactions between HPPD- and PS II-inhibitors were mostly additive; however, synergistic responses were observed with mesotrione + bromoxynil or bentazon, and tolpyralate + bromoxynil. Mixing atrazine alternatives, metribuzin or linuron with isoxaflutole, applied PRE, and bromoxynil or bentazon with mesotrione or tolpyralate, applied POST, resulted in similar or better control of MHR A. tuberculatus in corn (Zea mays L.).

In April 2019, the U.S. Fish and Wildlife Service (USFWS) released its recovery plan for the jaguar Panthera onca after several decades of discussion, litigation and controversy about the status of the species in the USA. The USFWS estimated that potential habitat, south of the Interstate-10 highway in Arizona and New Mexico, had a carrying capacity of c. six jaguars, and so focused its recovery programme on areas south of the USA–Mexico border. Here we present a systematic review of the modelling and assessment efforts over the last 25 years, with a focus on areas north of Interstate-10 in Arizona and New Mexico, outside the recovery unit considered by the USFWS. Despite differences in data inputs, methods, and analytical extent, the nine previous studies found support for potential suitable jaguar habitat in the central mountain ranges of Arizona and New Mexico. Applying slightly modified versions of the USFWS model and recalculating an Arizona-focused model over both states provided additional confirmation. Extending the area of consideration also substantially raised the carrying capacity of habitats in Arizona and New Mexico, from six to 90 or 151 adult jaguars, using the modified USFWS models. This review demonstrates the crucial ways in which choosing the extent of analysis influences the conclusions of a conservation plan. More importantly, it opens a new opportunity for jaguar conservation in North America that could help address threats from habitat losses, climate change and border infrastructure.

Glyphosate-resistant (GR) horseweed was first confirmed in Ontario in 2010. GR horseweed interference can reduce soybean yield by up to 97%. Bromoxynil is a photosystem II–inhibiting herbicide that is primarily used for annual broadleaf weed control in monocot crops. The objective of this study was to determine the biologically effective dose (BED) of bromoxynil applied alone and when mixed with metribuzin applied preplant for control of GR horseweed in soybean in Ontario. Five field experiments were conducted over a 2-yr period (2019–2020) to determine the predicted dose of bromoxynil with or without metribuzin that would control GR horseweed 50%, 80%, and 95%. No soybean injury was observed. The predicted doses of bromoxynil to achieve 50% and 80% control of GR horseweed were 98 and 277 g ai ha−1, respectively, at 8 wk after application (WAA). When mixed with metribuzin (400 g ai ha−1), the predicted doses of bromoxynil for 50%, 80%, and 95% control of GR horseweed were 10, 25, and 54 g ai ha−1, respectively. Bromoxynil (280 g ai ha−1) plus metribuzin (400 g ai ha−1) controlled GR horseweed 97%, a finding that was similar to the industry standards of saflufenacil + metribuzin (99% control) and glyphosate/dicamba + saflufenacil (100% control) at 8 WAA. This study concludes that bromoxynil + metribuzin applied before planting provides excellent control of GR horseweed in soybean.

Control of waterhemp is becoming more difficult in Ontario because biotypes have evolved resistance to four herbicide sites of action (SOA), including groups 2, 5, 9, and 14. The objective of this study was to compare PRE, POST, and PRE followed by (fb) POST herbicide programs for their effect on control, density, and biomass of multiple-herbicide–resistant (MHR) waterhemp as well as corn injury and grain yield. Two separate field studies, each consisting of five field trials, were conducted over a 2-yr period (2018 and 2019) in fields where corn was grown in Ontario, Canada. The first experiment evaluated MHR waterhemp control with an inhibitor of 4-hydroxyphenyl-pyruvate dioxygenase (HPPD) applied PRE, PRE fb glufosinate applied POST, and glufosinate applied POST. The second experiment evaluated MHR waterhemp control with a non-HPPD inhibitor applied PRE, then PRE fb a POST application of atrazine + mesotrione, and then atrazine + mesotrione applied POST. Atrazine + isoxaflutole caused 3% to 5% corn injury at environment 1 (E1); no corn injury was observed with PRE and POST herbicide programs at environments E2, E3, E4, and E5. In general, atrazine/bicyclopyrone/mesotrione/S-metolachlor and dimethenamid-P/saflufenacil applied PRE controlled MHR waterhemp ≥95% 12 wk after POST application (WAA). A POST application of glufosinate following atrazine + tolpyralate PRE, and a POST application of atrazine + mesotrione following atrazine/dicamba or atrazine/S-metolachlor PRE, improved control at 4, 8, and 12 WAA in most environments. In general, PRE fb POST applications resulted in better control of MHR waterhemp throughout the growing season than single PRE and POST applications (P < 0.05). We conclude that herbicide programs based on multiple effective SOAs may offer effective control of MHR waterhemp where field corn is grown. It is advisable that when choosing an herbicide application program that excellent control of MHR waterhemp should be the goal given its high fecundity and competitive ability.

Horseweed and giant ragweed are competitive, annual weeds that can negatively impact crop yield. Biotypes of glyphosate-resistant (GR) giant ragweed and horseweed were first reported in 2008 and 2010 in Ontario, respectively. GR horseweed has spread throughout the southern portion of the province. The presence of GR biotypes poses new challenges for soybean producers in Canada and the United States. Halauxifen-methyl is a recently registered selective herbicide against broadleaf weeds for preplant use in corn and soybean. There is limited literature on the efficacy of halauxifen-methyl on GR horseweed and giant ragweed when combined with currently registered products in Canada. The purpose of this study was to determine the effectiveness of halauxifen-methyl applied alone and tank-mixed to control GR giant ragweed and GR horseweed in glyphosate and dicamba-resistant (GDR) soybean in southwestern Ontario. Six field experiments were conducted separately for each weed species over 2018 and 2019. Halauxifen-methyl applied alone offered 72% control of GR horseweed at 8 wk after application (WAA). Control was improved to >91% when halauxifen-methyl applied in combination with metribuzin, saflufenacil, chlorimuron-ethyl + metribuzin, and saflufenacil + metribuzin. At 8 WAA, halauxifen-methyl provided 11% control of GR giant ragweed, and 76% to 88% control when glyphosate/2,4-D choline, glyphosate/dicamba, glyphosate/2,4-D choline + halauxifen-methyl, and glyphosate/dicamba + halauxifen-methyl were used. We conclude that halauxifen-methyl applied preplant in a tank-mixture can provide effective control of GR giant ragweed and horseweed in GDR soybean.

Can multicellular life be distinguished from single cellular life on an exoplanet? We hypothesize that abundant upright photosynthetic multicellular life (trees) will cast shadows at high sun angles that will distinguish them from single cellular life and test this using Earth as an exoplanet. We first test the concept using unmanned aerial vehicles at a replica moon-landing site near Flagstaff, Arizona and show trees have both a distinctive reflectance signature (red edge) and geometric signature (shadows at high sun angles) that can distinguish them from replica moon craters. Next, we calculate reflectance signatures for Earth at several phase angles with POLDER (Polarization and Directionality of Earth's reflectance) satellite directional reflectance measurements and then reduce Earth to a single pixel. We compare Earth to other planetary bodies (Mars, the Moon, Venus and Uranus) and hypothesize that Earth's directional reflectance will be between strongly backscattering rocky bodies with no weathering (like Mars and the Moon) and cloudy bodies with more isotropic scattering (like Venus and Uranus). Our modelling results put Earth in line with strongly backscattering Mars, while our empirical results put Earth in line with more isotropic scattering Venus. We identify potential weaknesses in both the modelled and empirical results and suggest additional steps to determine whether this technique could distinguish upright multicellular life on exoplanets.

Distinguished Oral

Background: Shared Healthcare Intervention to Eliminate Life-threatening Dissemination of MDROs in Orange County, California (SHIELD OC) was a CDC-funded regional decolonization intervention from April 2017 through July 2019 involving 38 hospitals, nursing homes (NHs), and long-term acute-care hospitals (LTACHs) to reduce MDROs. Decolonization in NH and LTACHs consisted of universal antiseptic bathing with chlorhexidine (CHG) for routine bathing and showering plus nasal iodophor decolonization (Monday through Friday, twice daily every other week). Hospitals used universal CHG in ICUs and provided daily CHG and nasal iodophor to patients in contact precautions. We sought to evaluate whether decolonization reduced hospitalization and associated healthcare costs due to infections among residents of NHs participating in SHIELD compared to nonparticipating NHs. Methods: Medicaid insurer data covering NH residents in Orange County were used to calculate hospitalization rates due to a primary diagnosis of infection (counts per member quarter), hospital bed days/member-quarter, and expenditures/member quarter from the fourth quarter of 2015 to the second quarter of 2019. We used a time-series design and a segmented regression analysis to evaluate changes attributable to the SHIELD OC intervention among participating and nonparticipating NHs. Results: Across the SHIELD OC intervention period, intervention NHs experienced a 44% decrease in hospitalization rates, a 43% decrease in hospital bed days, and a 53% decrease in Medicaid expenditures when comparing the last quarter of the intervention to the baseline period (Fig. 1). These data translated to a significant downward slope, with a reduction of 4% per quarter in hospital admissions due to infection (P < .001), a reduction of 7% per quarter in hospitalization days due to infection (P < .001), and a reduction of 9% per quarter in Medicaid expenditures (P = .019) per NH resident. Conclusions: The universal CHG bathing and nasal decolonization intervention adopted by NHs in the SHIELD OC collaborative resulted in large, meaningful reductions in hospitalization events, hospitalization days, and healthcare expenditures among Medicaid-insured NH residents. The findings led CalOptima, the Medicaid provider in Orange County, California, to launch an NH incentive program that provides dedicated training and covers the cost of CHG and nasal iodophor for OC NHs that enroll.

Funding: None

Disclosures: Gabrielle M. Gussin, University of California, Irvine, Stryker (Sage Products): Conducting studies in which contributed antiseptic product is provided to participating hospitals and nursing homes. Clorox: Conducting studies in which contributed antiseptic product is provided to participating hospitals and nursing homes. Medline: Conducting studies in which contributed antiseptic product is provided to participating hospitals and nursing homes. Xttrium: Conducting studies in which contributed antiseptic product is provided to participating hospitals and nursing homes.

Few studies have derived data-driven dietary patterns in youth in the USA. This study examined data-driven dietary patterns and their associations with BMI measures in predominantly low-income, racial/ethnic minority US youth. Data were from baseline assessments of the four Childhood Obesity Prevention and Treatment Research (COPTR) Consortium trials: NET-Works (534 2–4-year-olds), GROW (610 3–5-year-olds), GOALS (241 7–11-year-olds) and IMPACT (360 10–13-year-olds). Weight and height were measured. Children/adult proxies completed three 24-h dietary recalls. Dietary patterns were derived for each site from twenty-four food/beverage groups using k-means cluster analysis. Multivariable linear regression models examined associations of dietary patterns with BMI and percentage of the 95th BMI percentile. Healthy (produce and whole grains) and Unhealthy (fried food, savoury snacks and desserts) patterns were found in NET-Works and GROW. GROW additionally had a dairy- and sugar-sweetened beverage-based pattern. GOALS had a similar Healthy pattern and a pattern resembling a traditional Mexican diet. Associations between dietary patterns and BMI were only observed in IMPACT. In IMPACT, youth in the Sandwich (cold cuts, refined grains, cheese and miscellaneous) compared with Mixed (whole grains and desserts) cluster had significantly higher BMI (β = 0·99 (95 % CI 0·01, 1·97)) and percentage of the 95th BMI percentile (β = 4·17 (95 % CI 0·11, 8·24)). Healthy and Unhealthy patterns were the most common dietary patterns in COPTR youth, but diets may differ according to age, race/ethnicity or geographic location. Public health messages focused on healthy dietary substitutions may help youth mimic a dietary pattern associated with lower BMI.

This study consisting of six field experiments was conducted in 2018 and 2019 to evaluate the tolerance of four corn hybrids (P9998AM, P9840AM, DKC42-60RIB, and DKC43-47RIB) to the tank mix of tolpyralate + atrazine with a commercial glyphosate formulation. At 1 wk after application (WAA), two corn hybrids (P9998AM and P9840AM) exhibited more injury from tolpyralate + atrazine (2× rate) applied alone and in combination with glyphosate than DKC42-60RIB and DKC43-47RIB; however, all corn hybrids responded similarly with respect to visible injury 2, 4, and 8 WAA, stand loss, and yield. Application of tolpyralate + atrazine or glyphosate + tolpyralate + atrazine at the 2× rate caused greater corn injury (up to 27%) than tolpyralate + atrazine or glyphosate + tolpyralate + atrazine at the 1× rate (up to 8%) at 1 WAA. The addition of commercial glyphosate with tolpyralate + atrazine did not enhance injury symptoms. Results of this study show that there is a wide margin of corn safety with tolpyralate + atrazine applied alone and in combination with a commercial formulation of glyphosate.

Tolpyralate is a new 4-hydroxyphenyl-pyruvate dioxygenase (HPPD)–inhibiting herbicide for weed control in corn. Previous research has reported efficacy of tolpyralate + atrazine on several annual grass and broadleaf weed species; however, no studies have evaluated weed control of tolpyralate + atrazine depending on time-of-day (TOD) of application. Six field experiments were conducted over a 2-yr period (2018, 2019) near Ridgetown, ON, to determine if there is an effect of TOD of application on tolpyralate + atrazine efficacy on common annual grass and broadleaf weeds. An application was made at 3-h intervals beginning at 06:00 h with the last application at 24:00 h. There was a slight TOD effect on velvetleaf, pigweed species, and common ragweed control with tolpyralate + atrazine; however, the magnitude of change throughout the day was ≤3% at 2, 4, or 8 wk after application (WAA). There was no effect of TOD of tolpyralate + atrazine on the control of lambsquarters, barnyardgrass, and green foxtail. All weed species were controlled ≥88% at 8 WAA. There was no effect of TOD of tolpyralate + atrazine application on corn yield. Results of this study show no evidence of a TOD effect on weed control efficacy with tolpyralate + atrazine.

Poultry production is an important way of enhancing the livelihoods of rural populations, especially in low- and middle-income countries (LMICs). As poultry production in LMICs remains dominated by backyard systems with low inputs and low outputs, considerable yield gaps exist. Intensification can increase poultry productivity, production and income. This process is relatively recent in LMICs compared to high-income countries. The management practices and the constraints faced by smallholders trying to scale-up their production, in the early stages of intensification, are poorly understood and described. We thus investigated the features of the small-scale commercial chicken sector in a rural area distant from major production centres. We surveyed 111 commercial chicken farms in Kenya in 2016. We targeted farms that sell the majority of their production, owning at least 50 chickens, partly or wholly confined and provided with feeds. We developed a typology of semi-intensive farms. Farms were found mainly to raise dual-purpose chickens of local and improved breeds, in association with crops and were not specialized in any single product or market. We identified four types of semi-intensive farms that were characterized based on two groups of variables related to intensification and accessibility: (i) remote, small-scale old farms, with small flocks, growing a lot of their own feed; (ii) medium-scale, old farms with a larger flock and well located in relation to markets and (iii) large-scale recently established farms, with large flocks, (iii-a) well located and buying chicks from third-party providers and (iii-b) remotely located and hatching their own chicks. The semi-intensive farms we surveyed were highly heterogeneous in terms of size, age, accessibility, management, opportunities and challenges. Farm location affects market access and influences the opportunities available to farmers, resulting in further diversity in farm profiles. The future of these semi-intensive farms could be compromised by several factors, including the competition with large-scale intensive farmers and with importations. Our study suggests that intensification trajectories in rural areas of LMICs are potentially complex, diverse and non-linear. A better understanding of intensification trajectories should, however, be based on longitudinal data. This could, in turn, help designing interventions to support small-scale farmers.

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: Emergency department (ED) flow is a strong predictor of patient safety, quality of care and provider satisfaction. Throughput interventions have been shown to improve flow metrics, yet few studies have considered MD leadership roles and evaluated provider experience. Our objective was to evaluate the emergency physician lead (EPL) role, a novel MD staffing initiative. Methods: This mixed-method observational time series analysis evaluated ED metrics at two tertiary EDs including ED length of stay (LOS), EMS Park LOS and physician initial assessment (PIA) time as well as 72-hour readmit and left without being seen (LWBS) rates. Data was collected from the ED information system database for control (Dec 6, 2017-Feb 28, 2018 SITE1 and Mar 1–May 31, 2018 SITE2), pre (Sept 3-Nov 30, 2018 SITE 1 and Dec 3, 2018-Feb 28, 2019 SITE2) and post (Dec 3, 2018 –Feb 28, 2019 SITE1, Mar 1- May 31, 2019 SITE2) periods for adult patients presenting to each site. Site data was analyzed independently using descriptive and inferential statistics to calculate differences in means, and means were compared using t-tests. A survey elicited provider feedback from ED physicians, nurses, and EMS professionals on the effect of the EPL on throughput, timeliness of admissions and discharges, provider workload, and the EPL as a resource to other professionals. Results: The number of ED visits at SITE1 were 13136 (Ctrl), 13236 (Pre) and 13137 (Post), and at SITE2 were 14371(Ctrl), 13866 (Pre) and 14962 (Post). Mean ED LOS was decreased by 17 min in post vs control and 20 min vs pre at SITE1 (p < 0.01). SITE2 saw an increase in ED LOS by 7 min vs control and 8 min vs pre (p < 0.01). EMS LOS at SITE1 was decreased by 21 min vs control and 22 min vs pre (p < 0.01), but was increased at SITE2 by 2 min vs control (p = 0.09) and 14 min vs pre (p < 0.01). PIA time at SITE1 was decreased by 15 min vs control (p < 0.01) and 13 min vs pre and increased by 5 min vs control and 12 min vs pre at SITE2 (p < 0.01). 72 hour readmit and LWBS rates were unchanged at both sites. Qualitative feedback from ED providers highlighted the early provision of treatments and investigations by the EPL, and many felt the EPL was an important resource. Conclusion: The inclusion of both quantitative and qualitative data in this study provided a robust analysis of the impact of the EPL role and demonstrated modest but important improvements. A site-dependent, carefully considered implementation of the EPL role may improve ED metrics and provider experiences.