The Mediterranean diet: a historical perspective.

The Mediterranean diet, which was born in the Mediterranean basin, was initially quite poor and simple, essentially based on the products that grew almost spontaneously along the shores of the Mediterranean, i.e., olives, grapes, and wheat, which were long cultivated in the Mediterranean region. The invasions of the Roman Empire by barbarian populations, between 400 and 800 AD, made the diet enriched with products from wild uncultivated areas, meat from game and pigs, and vegetables. With the arrival of the Arabs in southern Italy in the ninth century, the focus of the diet shifted to carbohydrates, particularly to dried pasta and to other new ingredients. The Arabs primarily brought a new imaginative spirit to the kitchen by introducing and using an infinity of condiments and seasonings. The discovery of the Americas and the arrival of new ingredients from the New World brought the final adjustments to the Mediterranean diet: new meat (turkey), new vegetables (potatoes, broad beans, corn, tomatoes,) new fruits (strawberries, pineapples, coconuts, peanuts), chocolate, coffee and sugar completed the list of components of the Mediterranean diet as we know it today.

COLUMBUS 5-year update: a randomized, open-label, phase III trial of encorafenib plus binimetinib versus vemurafenib or encorafenib in patients with BRAF.

WHAT IS THIS SUMMARY ABOUT?: Here, we summarize the 5-year results from part 1 of the COLUMBUS clinical study, which looked at the combination treatment of encorafenib plus binimetinib in people with a specific type of skin cancer called melanoma. Encorafenib (BRAFTOVI®) and binimetinib (MEKTOVI®) are medicines used to treat a type of melanoma that has a change in the BRAF gene, called advanced or metastatic BRAF V600-mutant melanoma. Participants with advanced or metastatic BRAF V600-mutant melanoma took either encorafenib plus binimetinib together (COMBO group), compared with encorafenib alone (ENCO group) or vemurafenib (ZELBORAF®) alone (VEMU group). WHAT WERE THE RESULTS?: In this 5-year update, more participants in the COMBO group were alive for longer without their disease getting worse after 5 years than those in the VEMU and ENCO groups. Patients in the COMBO group were alive for longer without their disease getting worse when they: Had less advanced cancer Were able to do more daily activities Had normal lactate dehydrogenase (LDH) levels Had fewer organs with tumors before treatment After treatment, fewer participants in the COMBO group received additional anticancer treatment than participants in the VEMU and ENCO groups. The number of participants who reported severe side effects was similar for each treatment. The side effects caused by the drugs in the COMBO group decreased over time. WHAT DO THE RESULTS MEAN?: Overall, this 5-year update confirmed that people with BRAF V600-mutant melanoma that has spread to other parts of the body and who took encorafenib plus binimetinib were alive for longer without their disease getting worse than those who took vemurafenib or encorafenib alone. Clinical Trial Registration: NCT01909453 (ClinicalTrials.gov).

Is COVID-19 Causing More Business Closures in Poor and Minority Neighborhoods?

We are starting to understand the magnitude of economic damage from the COVID-19 pandemic. Current estimates cover the national or state level, but tell us little about how massive business closures may be affecting urban vitality at the intrametropolitan level. A particular concern is whether urban areas with high poor or minority populations are more deeply affected. This paper combines InfoGroup Historic Business Data and Google Map API to analyze business closures at the neighborhood level in Franklin County, Ohio, encompassing the Columbus Metropolitan Area. As expected, retail and restaurant sectors had the highest number of closures, but closure rates were higher in other sectors. Descriptive and multivariate analyzes reveal that downtown Columbus has been severely affected, but no disadvantaging effect for communities of color or neighborhoods with concentrations of poor residents is found to be statistically significant.

Long-Term Azithromycin Maintenance Treatment in Patients with Frequent Exacerbations of Chronic Obstructive Pulmonary Disease.

Macrolides are effective in reducing the number of exacerbations in COPD patients with the frequent exacerbator phenotype. Our study did not show a persistent effect of azithromycin on exacerbation frequencies after more than one year of usage.

First Genomic Resource of the Columbia Lance Nematode Hoplolaimus columbus.

The Columbia lance nematode Hoplolaimus columbus has been reported frequently from North America due to its negative impact on agricultural production. In this study, for the first time, we sequenced the whole genome of a female specimen by using whole-genome amplification and Illumina MiSeq. Data were de novo assembled to form scaffolds of 205.75 Mbp consisting of 118,374 contigs. The largest scaffold was 636,881 bp. Benchmarking Universal Single-Copy Orthologs completeness was 66.6% (eukaryotic dataset), and >8,000 unique genes were predicted by GeneMark-ES. In total, 61,855 protein sequences were predicted by AUGUSTUS, and 10,085 of them were annotated by PANNZER2 with at least one function. These data will provide valuable resources for studies focusing on pathogenicity and phylogenomics of plant-parasitic nematodes.

Eight Species of Poaceae Are Hosting Different Genetic and Pathogenic Strains of Sugarcane Mosaic Virus in the Everglades Agricultural Area.

Sugarcane mosaic virus (SCMV) was detected by reverse transcription polymerase chain reaction in eight different species of the Poaceae family in the Everglades Agricultural Area (EAA) of south Florida: broadleaf signalgrass (Urochloa platyphylla), Columbus grass (Sorghum almum), goosegrass (Eleusine indica), maize (Zea mays), sorghum (Sorghum bicolor), St. Augustine grass (Stenotaphrum secundatum), southern crabgrass (Digitaria ciliaris), and sugarcane (Saccharum interspecific hybrids). Based on their coat protein (CP) gene sequence, 62 isolates of SCMV from Florida and 29 worldwide isolates representing the known genetic diversity of this virus were distributed into eight major phylogenetic groups. SCMV isolates infecting Columbus grass, maize, and sorghum in Florida formed a unique group, whereas virus isolates infecting sugarcane in the United States (Florida and Louisiana) clustered with isolates from other countries. Based on the entire genome coding region, SCMV isolates infecting sugarcane in Florida were closest to virus isolates infecting sorghum species or St. Augustine grass. Virus isolates from Columbus grass, St. Augustine grass, and sugarcane showed different virulence patterns after mechanical inoculation of Columbus grass, St. Augustine grass, and sugarcane plants, thus proving that these isolates were different pathogenic strains. Sugarcane was symptomless and tested negative for SCMV by tissue blot immunoassay after inoculation with crude sap from SCMV-infected Columbus grass, indicating that Columbus grass was not a reservoir for SCMV infecting sugarcane in the EAA. Close CP sequence identity between isolates of SCMV from Columbus grass, maize, and sorghum suggested that the same virus strain was naturally spreading between these three plants in south Florida.

Zaccaria Lilio and the shape of the earth: A brief response to Allegro's "Flat earth science".

This is a response to James J. Allegro's article "The Bottom of the Universe: Flat Earth Science in the Age of Encounter," published in Volume 55, Number 1, of this journal. Against the solid consensus of modern scholars, Allegro contends that the decades around 1500 saw a resurgence of popular and learned doubts about the existence of a southern hemisphere and the concept of a spherical earth more generally. It can be shown that a substantial part of Allegro's argument rests on an erroneous reading of his main textual witness, Zaccaria Lilio's Contra Antipodes (1496), and on a failure adequately to place this source in the context of the cosmographical debate of the late fifteenth and early sixteenth centuries. Once this context is taken into account, the notion that Lilio was a flat-earther falls flat.

The Effect of Ambulance Staffing Models in a Metropolitan, Fire-Based EMS System.

Introduction The staffing of ambulances with different levels of Emergency Medical Service (EMS) providers is a difficult decision with evidence being mixed on the benefit of each model. Hypothesis/Problem The objective of this study was to describe a pilot program evaluating alternative staffing on two ambulances utilizing the paramedic-basic (PB) model (staffed with one paramedic and one emergency medical technician[EMT]). METHODS: This was a retrospective study conducted from September 17, 2013 through December 31, 2013. The PB ambulances were compared to geographically matched ambulances staffed with paramedic-paramedic (PP ambulances). One PP and one PB ambulance were based at Station A; one PP and one PB ambulance were based at Station B. The primary outcome was total on-scene time. Secondary outcomes included time-to-electrocardiogram (EKG), time-to-intravenous (IV) line insertion, IV-line success rate, and percentage of protocol violations. Inclusion criteria were all patients requesting prehospital services that were attended to by these teams. Patients were excluded if they were not attended to by the study ambulance vehicles. Descriptive statistics were reported as medians and interquartile ranges (IQR). Proportions were reported with 95% confidence intervals (CI). The Mann-Whitley U test was used for significance testing (P<.05). RESULTS: Median on-scene times at Station A for the PP ambulance were shorter than the PB ambulance team (PP: 10.1 minutes, IQR 6.0-15; PB: 13.0 minutes, IQR 8.1-18; P=.01). This finding also was noted at Station B (PP: 13.5 minutes, IQR 8.5-19; PB: 14.3 minutes, IQR 9.9-20; P=.01). There were no differences between PP and PB ambulance teams at Station A or Station B in time-to-EKG, time-to-IV insertion, IV success rate, and protocol violation rates. CONCLUSION: In the setting of a well-developed EMS system utilizing an all-Advanced Life Support (ALS) response, this study suggests that PB ambulance teams may function well when compared to PP ambulances. Though longer scene times were observed, differences in time to ALS interventions and protocol violation rates were not different. Hybrid ambulance teams may be an effective staffing alternative, but decisions to use this model must address clinical and operational concerns. Cortez EJ , Panchal AR , Davis JE , Keseg DP . The effect of ambulance staffing models in a metropolitan, fire-based EMS system. Prehosp Disaster Med. 2017;32(2):175-179.

The bottom of the universe: Flat earth science in the Age of Encounter.

This essay challenges the dominance of the spherical earth model in fifteenth- and early-sixteenth-century Western European thought. It examines parallel strains of Latin and vernacular writing that cast doubt on the existence of the southern hemisphere. Three factors shaped the alternate accounts of the earth as a plane and disk put forward by these sources: (1) the unsettling effects of maritime expansion on scientific thought; (2) the revival of interest in early Christian criticism of the spherical earth; and (3) a rigid empirical stance toward entities too large to observe in their entirety, including the earth. Criticism of the spherical earth model faded in the decades after Magellan's crew returned from circuiting the earth in 1522.

Serial founder effects and genetic differentiation during worldwide range expansion of monarch butterflies.

Range expansions can result in founder effects, increasing genetic differentiation between expanding populations and reducing genetic diversity along the expansion front. However, few studies have addressed these effects in long-distance migratory species, for which high dispersal ability might counter the effects of genetic drift. Monarchs (Danaus plexippus) are best known for undertaking a long-distance annual migration in North America, but have also dispersed around the world to form populations that do not migrate or travel only short distances. Here, we used microsatellite markers to assess genetic differentiation among 18 monarch populations and to determine worldwide colonization routes. Our results indicate that North American monarch populations connected by land show limited differentiation, probably because of the monarch's ability to migrate long distances. Conversely, we found high genetic differentiation between populations separated by large bodies of water. Moreover, we show evidence for serial founder effects across the Pacific, suggesting stepwise dispersal from a North American origin. These findings demonstrate that genetic drift played a major role in shaping allele frequencies and created genetic differentiation among newly formed populations. Thus, range expansion can give rise to genetic differentiation and declines in genetic diversity, even in highly mobile species.

Site specific nematode management-development and success in cotton production in the United States.

Variability in edaphic factors such as clay content, organic matter, and nutrient availability within individual fields is a major obstacle confronting cotton producers. Adaptation of geospatial technologies such global positioning systems (GPS), yield monitors, autosteering, and the automated on-and-off technology required for site-specific nematicide application has provided growers with additional tools for managing nematodes. Multiple trials in several states were conducted to evaluate this technology in cotton. In a field infested with Meloidogyne spp., both shallow (0 to 0.3 m) and deep (0 to 0.91 m) apparent electrical conductivity (ECa) readings were highly correlated with sand content. Populations of Meloidogyne spp. were present when shallow and deep EC values were less than 30 and 90 mS/m, respectively. Across three years of trials in production fields in which verification strips (adjacent nematicide treated and untreated rows across all soil zones) were established to evaluate crop response to nematicide application, deep EC values from 27.4-m wide transects of verification strips were more predictive of yield response to application of 1,3-dichloropropene than were shallow EC values in one location and both ECa values equally effective at predicting responses at the second location. In 2006, yields from entire verification strips across three soil zones in four production fields showed that nematicide response was greatest in areas with the lowest EC values indicating highest content of sand. In 2008 in Ashley and Mississippi Counties, AR, nematicide treatment by soil zone resulted in 36% and 42% reductions in the amount of nematicide applied relative to whole-field application. In 2007 in Bamberg County, SC, there was a strong positive correlation between increasing population densities of Meloidogyne incognita and increasing sand content. Trials conducted during 2007 and 2009 in South Carolina against Hoplolaimus columbus showed a stepwise response to increasing rates of aldicarb in zone 1 but not in zones 2 and 3. Site-specific application of nematicides has been shown to be a viable option for producers as a potential management tool against several nematode pathogens of cotton.

One year after navigated total knee replacement, no clinically relevant difference found between fixed bearing and mobile bearing knee replacement in a double-blind randomized controlled trial.

BACKGROUND: The mobile bearing designs have not yet been shown to improve clinical outcome of total knee arthroplasty (TKA). In this prospective randomized study, we compared the short-term clinical results of a mobile bearing implant with those of the fixed bearing version of the same implant. METHODS: We randomized 100 knees into two double-blind groups who received either the fixed (FB, 52 knees) or the mobile bearing (MB, 48 knees) version of the same implant. We used navigation to standardize the surgical technique. For up to one year, we recorded the Knee Society (KSS) and Oxford (OXF) scores. We performed an exploratory analysis of variance (ANOVA) to determine the influence of baseline scores as covariate and the extent of improvement in clinical outcome over time. RESULTS: After one year, we did not detect any statistically significant difference between the two groups. The KSS scores differed by 2 points, the OXF scores by 1.1 points. CONCLUSION: Even with identical geometry of implant surfaces and a navigated surgical technique, first-year results do not support a preference for either a fixed or a mobile design.

Genetic variation of Hoplolaimus columbus populations in the United States using PCR-RFLP analysis of nuclear rDNA ITS regions.

Hoplolaimus columbus is an important nematode pest which causes economic loss of crops including corn, cotton, and soybean in the Southeastern United States. DNA sequences of the ITS1-5.8S-ITS2 region of ribosomal DNA from H. columbus were aligned and analyzed to characterize intraspecific genetic variation between eleven populations collected from Georgia, Louisiana, North Carolina, and South Carolina. In comparative sequence analysis with clones from either one or two individuals obtained from the eleven populations, we found variability existed among clones from an individual and that clonal diversity observed from within individuals was verified by PCR-RFLP. PCR-RFLP analysis with Rsa I and Msp I restriction enzymes yielded several fragments on 3.0% agarose gel that corresponded to different haplotypes in all populations and the sum of digested products exceeded the length of undigested PCR products, which revealed that ITS heterogeneity existed in a genome of H. columbus. This indicates that heterogeneity may play a role in the evolution of this parthenogenetic species.

Influence of poultry litter applications on nematode communities in cotton agroecosystems.

The effects of the application of poultry litter at 0.0, 6.7, 13.4, and 20.1 tons/ha on population changes during the growing season on nematode communities were evaluated in two cotton production fields in North Carolina. Numbers of bactivorous nematodes increased at midseason in response to the rate at which litter was applied but decreased with increasing litter application rates at cotton harvest. Numbers of fungivores at cotton harvest were related positively to the rate of litter applied, and this affected a positive increase in the fungivore-to-bacterivore ratio at this sampling date. The rate at which poultry litter was applied resulted in an increase in the bacterivore to plant-parasite ratio, and this corresponded with increased cotton lint yield. Trophic diversity was increased by litter application rate at cotton harvest at one location but not at another. The plant-parasite maturity index was greater consistently at one site than at a second site where the Hoplolaimus columbus population density was above the damage threshold for cotton. The population density of H. columbus was suppressed with increasing rates of poultry litter application, but other plant-parasitic nematodes were affected marginally.

Impact of Cotton Production Systems on Management of Hoplolaimus columbus.

The effectiveness of selected cultural practices in managing the Columbia lance nematode, Hoplolaimus columbus, on cotton was evaluated in experiments in growers' infested fields. The effects of planting date, cotton cultivar, treatment with the growth regulator mepiquat chloride, and destruction of cotton-root systems after harvest on cotton-lint yield and population densities of H. columbus were studied. The yield of cotton cultivar Deltapine 50 was negatively related (P = 0.054) to initial population density of H. columbus whereas the yield of Deltapine 90 was not affected by preplant density of this nematode, indicating tolerance in Deltapine 90. Reproduction of this nematode did not differ on the two cultivars. Planting date and treatment with the growth regulator mepiquat chloride did not influence cotton yield in a consistent manner. Application of mepiquat chloride suppressed (P

Tolerance to Hololaimus columbus in Glyphosate-Resistant, Transgenic Soybean Cultivars.

Transgenic soybean cultivars, resistant to glyphosate herbicide in maturity groups V and VI, were evaluated for tolerance to the Columbia lance nematode, Hoplolaimus columbus, in field experiments conducted in 1998 and 1999. Treatment with 43 liter/ha of 1,3-dichloropropene was effective in suppressing H. columbus population densities in a split-plot design. Fumigation increased soybean yield, but a significant cultivar x fumigation interaction indicated variation in cultivar response to H. columbus. A tolerance index (yield of nontreated / yield of treated x 100) was used to compare cultivar differences. Two cultivars in maturity group VI and one cultivar in maturity group V had a tolerance index greater than 90, indicating a high level of tolerance.

Efficacy of Cotton Root Destruction and Winter Cover Crops for Suppression of Hoplolaimus columbus.

The efficacy of rye (Secale cereale) and wheat (Triticum aestivum) winter cover crops and cotton stalk and root destruction (i.e., pulling them up) were evaluated in field tests during two growing seasons for Hoplolaimus columbus management in cotton. The effect of removing debris from the field following root destruction also was evaluated. Wheat and rye produced similar amounts of biomass, and both crops produced more biomass (P

Survey of crop losses in response to phytoparasitic nematodes in the United States for 1994.

Previous reports of crop losses to plant-parasitic nematodes have relied on published results of survey data based on certain commodities, including tobacco, peanuts, cotton, and soybean. Reports on crop-loss assessment by land-grant universities and many commodity groups generally are no longer available, with the exception of the University of Georgia, the Beltwide Cotton Conference, and selected groups concerned with soybean. The Society of Nematologists Extension Committee contacted extension personnel in 49 U.S. states for information on estimated crop losses caused by plant-parasitic nematodes in major crops for the year 1994. Included in this paper are survey results from 35 states on various crops including corn, cotton, soybean, peanut, wheat, rice, sugarcane, sorghum, tobacco, numerous vegetable crops, fruit and nut crops, and golf greens. The data are reported systematically by state and include the estimated loss, hectarage of production, source of information, nematode species or taxon when available, and crop value. The major genera of phytoparasitic nematodes reported to cause crop losses were Heterodera, Hoplolaimus, Meloidogyne, Pratylenchus, Rotylenchulus, and Xiphinema.

Survey of Heterodera glycines Races and Other Plant-parasitic Nematodes on Soybean in North Carolina.

A survey of soybean-production areas in the Piedmont, Coastal Plain and Tidewater regions of North Carolina was conducted from 1994 to 1996. Heterodera glycines was detected in 55 of 77 fields sampled in 15 counties. The host race of H. glycines was determined for 39 of the populations collected. Of all populations collected, 4% were race 1, 40% race 2, 16% race 4, 7% race 5, and 4% race 9; the remaining 29% could not be accurately categorized. None of the populations evaluated had high levels of reproduction on the resistant cultivar Hartwig. The southern root-knot nematode Meloidogyne incognita was detected in 26% of the fields. Helicotylenchus spp. were detected in all fields sampled, Tylenchorhynchus spp. were found in 62%, Paratrichodorus spp. in 56%, and Pratylenchus spp. in 72% of fields sampled. Mesocriconema spp., Xiphinema spp., and Hoplolaimus spp. were detected in less than 20% of the fields sampled.