Convalescent plasma with a high level of virus-specific antibody effectively neutralizes SARS-CoV-2 variants of concern.

The ongoing evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants severely limits available effective monoclonal antibody therapies. Effective drugs are also supply limited. COVID-19 convalescent plasma (CCP) qualified for high antibody levels effectively reduces immunocompetent outpatient hospitalization. The Food and Drug Administration currently allows outpatient CCP for the immunosuppressed. Viral-specific antibody levels in CCP can range 10- to 100-fold between donors, unlike the uniform viral-specific monoclonal antibody dosing. Limited data are available on the efficacy of polyclonal CCP to neutralize variants. We examined 108 pre-δ/pre-ο donor units obtained before March 2021, 20 post-δ COVID-19/postvaccination units, and 1 pre-δ/pre-ο hyperimmunoglobulin preparation for variant-specific virus (vaccine-related isolate [WA-1], δ, and ο) neutralization correlated to Euroimmun S1 immunoglobulin G antibody levels. We observed a two- to fourfold and 20- to 40-fold drop in virus neutralization from SARS-CoV-2 WA-1 to δ or ο, respectively. CCP antibody levels in the upper 10% of the 108 donations as well as 100% of the post-δ COVID-19/postvaccination units and the hyperimmunoglobulin effectively neutralized all 3 variants. High-titer CCP neutralizes SARS-CoV-2 variants despite no previous donor exposure to the variants.

High Viral Specific Antibody Convalescent Plasma Effectively Neutralizes SARS-CoV-2 Variants of Concern.

The ongoing evolution of SARS-Co-V2 variants to omicron severely limits available effective monoclonal antibody therapies. Effective drugs are also supply limited. Covid-19 convalescent plasma (CCP) qualified for high antibody levels effectively reduces immunocompetent outpatient hospitalization. The FDA currently allows outpatient CCP for the immunosuppressed. Viral specific antibody levels in CCP can range ten-to hundred-fold between donors unlike the uniform viral specific monoclonal antibody dosing. Limited data are available on the efficacy of polyclonal CCP to neutralize variants. We examined 108 pre-delta/pre-omicron donor units obtained before March 2021, 20 post-delta COVID-19/post-vaccination units and one pre-delta/pre-omicron hyperimmunoglobulin preparation for variant specific virus (vaccine-related isolate (WA-1), delta and omicron) neutralization correlated to Euroimmun S1 IgG antibody levels. We observed a 2-to 4-fold and 20-to 40-fold drop in virus neutralization from SARS-CoV-2 WA-1 to delta or omicron, respectively. CCP antibody levels in the upper 10% of the 108 donations as well as 100% of the post-delta COVID-19/post-vaccination units and the hyperimmunoglobulin effectively neutralized all three variants. High-titer CCP neutralizes SARS-CoV-2 variants despite no previous donor exposure to the variants. Key points: All of the post-delta COVID-19/post vaccination convalescent plasma effectively neutralizes the omicron and delta variants.High-titer CCP and hyperimmunoglobulin neutralizes SARS-CoV-2 variants despite no previous donor exposure to the variants.

Precision gain versus effort with joint models using detection/non-detection and banding data.

Capture-recapture techniques provide valuable information, but are often more cost-prohibitive at large spatial and temporal scales than less-intensive sampling techniques. Model development combining multiple data sources to leverage data source strengths and for improved parameter precision has increased, but with limited discussion on precision gain versus effort. We present a general framework for evaluating trade-offs between precision gained and costs associated with acquiring multiple data sources, useful for designing future or new phases of current studies.We illustrated how Bayesian hierarchical joint models using detection/non-detection and banding data can improve abundance, survival, and recruitment inference, and quantified data source costs in a northern Arizona, USA, western bluebird (Sialia mexicana) population. We used an 8-year detection/non-detection (distributed across the landscape) and banding (subset of locations within landscape) data set to estimate parameters. We constructed separate models using detection/non-detection and banding data, and a joint model using both data types to evaluate parameter precision gain relative to effort.Joint model parameter estimates were more precise than single data model estimates, but parameter precision varied (apparent survival > abundance > recruitment). Banding provided greater apparent survival precision than detection/non-detection data. Therefore, little precision was gained when detection/non-detection data were added to banding data. Additional costs were minimal; however, additional spatial coverage and ability to estimate abundance and recruitment improved inference. Conversely, more precision was gained when adding banding to detection/non-detection data at higher cost. Spatial coverage was identical, yet survival and abundance estimates were more precise. Justification of increased costs associated with additional data types depends on project objectives.We illustrate a general framework for evaluating precision gain relative to effort, applicable to joint data models with any data type combination. This framework evaluates costs and benefits from and effort levels between multiple data types, thus improving population monitoring designs.

Clefting of the Alveolus: Emphasizing the Distinction from Cleft Palate.

Oral clefting is one of the most common significant fetal abnormalities. Cleft lip and cleft palate have drastically different clinical ramifications and management from one another. A cleft of the alveolus (with or without cleft lip) can confuse the diagnostic picture and lead to a false assumption of cleft palate. The cleft alveolus should be viewed on the spectrum of cleft lip rather than be associated with cleft palate. This is made evident by understanding the embryological development of the midface and relevant terminology. Cleft alveolus carries significantly different clinical implications and treatment options than that of cleft palate. Accurately distinguishing cleft alveolus from cleft palate is crucial for appropriate discussions regarding the patient's care.

Modeling the effects of environmental disturbance on wildlife communities: avian responses to prescribed fire.

Prescribed fire is a management tool used to reduce fuel loads on public lands in forested areas in the western United States. Identifying the impacts of prescribed fire on bird communities in ponderosa pine (Pinus ponderosa) forests is necessary for providing land management agencies with information regarding the effects of fuel reduction on sensitive, threatened, and migratory bird species. Recent developments in occupancy modeling have established a framework for quantifying the impacts of management practices on wildlife community dynamics. We describe a Bayesian hierarchical model of multi-species occupancy accounting for detection probability, and we demonstrate the model's usefulness for identifying effects of habitat disturbances on wildlife communities. Advantages to using the model include the ability to estimate the effects of environmental impacts on rare or elusive species, the intuitive nature of the modeling, the incorporation of detection probability, the estimation of parameter uncertainty, the flexibility of the model to suit a variety of experimental designs, and the composite estimate of the response that applies to the collection of observed species as opposed to merely a small subset of common species. Our modeling of the impacts of prescribed fire on avian communities in a ponderosa pine forest in Washington indicate that prescribed fire treatments result in increased occupancy rates for several bark-insectivore, cavity-nesting species including a management species of interest, Black-backed Woodpeckers (Picoides arcticus). Three aerial insectivore species, and the ground insectivore, American Robin (Turdus migratorius), also responded positively to prescribed fire, whereas three foliage insectivores and two seed specialists, Clark's Nutcracker (Nucifraga columbiana) and the Pine Siskin (Carduelis pinus), declined following treatments. Land management agencies interested in determining the effects of habitat manipulations on wildlife communities can use these methods to provide guidance for future management activities.

Quantifying the multi-scale response of avifauna to prescribed fire experiments in the southwest United States.

Landscape-scale disturbance events, including ecological restoration and fuel reduction activities, can modify habitat and affect relationships between species and their environment. To reduce the risk of uncharacteristic stand-replacing fires in the southwestern United States, land managers are implementing restoration and fuels treatments (e.g., mechanical thinning, prescribed fire) in progressively larger stands of dry, lower elevation ponderosa pine (Pinus ponderosa) forest. We used a Before-After/Control-Impact experimental design to quantify the multi-scale response of avifauna to large (approximately 250-400 ha) prescribed fire treatments on four sites in Arizona and New Mexico dominated by ponderosa pine. Using distance sampling and an information-theoretic approach, we estimated changes in density for 14 bird species detected before (May-June 2002-2003) and after (May-June 2004-2005) prescribed fire treatments. We observed few site-level differences in pre- and posttreatment density, and no species responded strongly to treatment on all four sites. Point-level spatial models of individual species response to treatment, habitat variables, and fire severity revealed ecological relationships that were more easily interpreted. At this scale, pretreatment forest structure and patch characteristics were important predictors of posttreatment differences in bird species density. Five species (Pygmy Nuthatch [Sitta pygmaea], Western Bluebird [Sialia mexicana], Steller's Jay [Cyanocitta stelleri], American Robin [Turdus migratorius], and Hairy Woodpecker [Picoides villosus]) exhibited a strong treatment response, and two of these species (American Robin and Hairy Woodpecker) could be associated with meaningful fire severity response functions. The avifaunal response patterns that we observed were not always consistent with those reported by more common studies of wildland fire events. Our results suggest that, in the short-term, the distribution and abundance of common members of the breeding bird community in Southwestern ponderosa pine forests appear to be tolerant of low- to moderate-intensity prescribed fire treatments at multiple spatial scales and across multiple geographic locations.

Thermal analysis of the plant encapsulation-dehydration cryopreservation protocol using silica gel as the desiccant.

The encapsulation-dehydration cryopreservation protocol is critically dependent upon the evaporative desiccation step, which must optimise survival with the retention of glass stability on sample cooling and rewarming. Desiccation is usually achieved evaporatively by drying in a sterile airflow. However, chemical desiccation using silica gel has advantages for laboratories that do not have environmental control and/or which are exposed to high relative humidities and risks of microbial contamination. This study characterised thermal profiles of silica gel-desiccated encapsulated shoot-tips of two Ribes species using Differential Scanning Calorimetry. For both species silica gel-desiccation at 16 degrees C for 5 h decreased bead water content from ca. 75 to 28% fresh weight (3.8 to 0.4 g x g(-1) dry weight); further desiccation (for 6 and 7 h) reduced the bead water content to 21% (0.3 g x g(-1) dry weight). These changes in water status altered the thermal properties of beads for both species. After 7 h desiccation over silica gel stable glass transitions were observed on both cooling and rewarming of beads containing meristems. Tg mid-point temperatures ranged from -78 to -51 degrees C (cooling) and from -88 to -54 degrees C (warming) [at cooling and warming rates of 10 and 5 degrees C min(-1), respectively] after 5 to 7 h silica gel-desiccation. Post-cryopreservation viability of both species was ca. 63%. Thermal analysis studies revealed that an encapsulation/dehydration protocol using silica gel as a desiccant should comprise a minimum 5 h drying (at 16 degrees C). This reduces bead moisture content to a critical point (ca. 0.4 g x g(-1) dry weight) at which stable glasses are formed on cooling and rewarming. It is concluded that silica gel has advantages for use as a desiccant for alginate-encapsulated plant meristems by promoting stable vitrification and is useful in laboratories and/or geographical locations where environmental conditions are not under stringent control.

Water status and thermal analysis of alginate beads used in cryopreservation of plant germplasm.

Encapsulation and dehydration techniques using alginate beads are used increasingly for the pre-treatment of various plant materials for cryopreservation to improve survival post-cryogenic storage. This study reports the effects of the water content of beads (formed with 3% (w/v) alginic acid in liquid S-RIB), polymerisation time (in 100 mM calcium chloride solution), osmotic dehydration (in 0.75 M sucrose solution), and evaporative air desiccation on the thermal properties of alginate beads used in cryopreservation protocols. Experimental beads were assayed using a differential scanning calorimeter (DSC) with a cooling programme to -150 degrees C, followed by re-warming. Resultant thermograms were evaluated with particular reference to the onset temperature and enthalpy of the melt endotherm from which the quantities of frozen and unfrozen water were calculated. Treatments were applied sequentially to samples of beads and their thermal features evaluated at each stage of the protocol. Using 'standard' beads (40-55 mg fresh weight), formed using plastic disposable pipettes, the degree of polymerisation (>10 min) proportionally reduced their dry weight and increased their water content. Thermal characteristics of the beads were unaffected by polymerisation times >10 min, but the maximum level (23%) of unfrozen (osmotically inactive) water was achieved after 15 min polymerisation. Osmotic dehydration using 0.75 M sucrose significantly lowered bead water content and mean dry weight approximately doubled with 20-24 h immersion time. Bead desiccation in still air reduced their water content by 83% of fresh weight, whilst dry weight remained constant. After 8 h desiccation in air between 27 and 37% of the water in the bead was osmotically inactive (unfrozen) in DSC scans. Desiccation >18 h reduced this fraction to zero. The melt onset temperature and the enthalpy of melting were directly related to bead water content. The unfrozen water fraction increased substantially with reduced water content of the beads (from 23 to 37% of total water content), concomitant with a reduction in the ratio of unfrozen to frozen water from 1:3 to 1:2. For successful vitrification and the production of a glass that did not destabilise on rewarming, a bead water content of ca. 26% of fresh weight (0.4 g waterg(-1) dry weight) was required, much of which was osmotically inactive water. These data are discussed in relation to optimal pre-treatments for alginate bead encapsulation techniques used in the cryopreservation of a range of plant germplasm. It is proposed that increased standardisation of alginate beads, in terms of volume, fresh weight, and water content, is required to reduce the variability in physical and thermal features, which in turn will improve survival of plant samples post-cryopreservation.

Water or ice?--the challenge for invertebrate cold survival.

The ecophysiology of cold tolerance in many terrestrial invertebrate animals is based on water and its activity at low temperatures, affecting cell, tissue and whole organism functions. The normal body water content of invertebrates varies from 40 to 90% of their live weight, which is influenced by water in their immediate environment, especially in species with a water vapour permeable cuticle. Water gain from, or loss to, the surrounding atmosphere may affect animal survival, but under sub-zero conditions body water status becomes more critical for overwinter survival in many species. Water content influences the supercooling capacity of many insects and other arthropods. Trehalose is known to maintain membrane integrity during desiccation stress in several taxa. Dehydration affects potential ice nucleators by reducing or masking their activity and a desiccation protection strategy has been detected in some species. When water crystallises to ice in an animal it greatly influences the physiology of nearby cells, even if the cells remain unfrozen. A proportion of body water remains unfrozen in many cold hardened invertebrates when they are frozen, which allows basal metabolism to continue at a low level and aids recovery to normal function when thawing occurs. About 22% of total body water remains unfrozen from calculations using differential scanning calorimetry (compared with ca 19% in food materials). The ratio of unfrozen to frozen water components in insects is 1:4 (1:6 for foods). Such unfrozen water may aid recovery of freezing tolerant species after a freezing exposure. Rapid changes in cold hardiness of some arthropods may be brought about by subtle shifts in body water management. It is recognised that cold tolerance strategies of many invertebrates are related to desiccation resistance, and possibly to mechanisms inherent in insect diapause, but the role of water is fundamental to them all. Detailed experimental studies are needed to provide information which will allow a more complete and coherent understanding of the behaviour of water in biological systems and aid the cryopreservation of a wide range of biological material.

Desiccation stress at sub-zero temperatures in polar terrestrial arthropods.

Cold tolerant polar terrestrial arthropods have evolved a range of survival strategies which enable them to survive the most extreme environmental conditions (cold and drought) they are likely to encounter. Some species are classified as being freeze tolerant but the majority of those found in the Antarctic survive sub-zero temperatures by avoiding freezing by supercooling. For many arthropods, not just polar species, survival of desiccating conditions is equally important to survival of low temperatures. At sub-zero temperatures freeze avoiding arthropods are susceptible to desiccation and may lose water due to a vapour diffusion gradient between their supercooled body fluids and ice in their surroundings. This process ceases once the body fluids are frozen and so is not a problem for freeze tolerant species. This paper compares five polar arthropods, which have evolved different low temperature survival strategies, and the effects of exposure to sub-zero temperatures on their supercooling points (SCP) and water contents. The Antarctic oribatid mite (Alaskozetes antarcticus) reduced its supercooling point temperature from -6 to -30 degrees C, when exposed to decreasing sub-zero temperatures (cooled from 5 to -10 degrees C over 42 days) with little loss of body water during that period. However, Cryptopygus antarcticus, a springtail which occupies similar habitats in the Antarctic, showed a decrease in both water content and supercooling ability when exposed to the same experimental protocol. Both these Antarctic arthropods have evolved a freeze avoiding survival strategy. The Arctic springtail (Onychiurus arcticus), which is also freeze avoiding, dehydrated (from 2.4 to 0.7 g water g(-1) dry weight) at sub-zero temperatures and its SCP was lowered from c. -3 to below -15 degrees C in direct response to temperature (5 to -5.5 degrees C). In contrast, the freeze tolerant larvae of an Arctic fly (Heleomyza borealis) froze at c. -7 degrees C with little change in water content or SCP during further cold exposure and survived frozen to -60 degrees C. The partially freeze tolerant sub-Antarctic beetle Hydromedion sparsutum froze at c. -2 degrees C and is known to survive frozen to -8 degrees C. During the sub-zero temperature treatment, its water content reduced until it froze and then remained constant. The survival strategies of such freeze tolerant and freeze avoiding arthropods are discussed in relation to desiccation at sub-zero temperatures and the evolution of strategies of cold tolerance.

Uterine rupture: what family physicians need to know.

Vaginal birth after cesarean section is common in this country. Physicians providing obstetric care should be aware of the potential complications. Uterine rupture occurs in approximately one of every 67 to 500 women (with one prior low-transverse incision) undergoing a trial of labor for vaginal birth after cesarean section. Rupture poses serious risks to mother and infant. There are no reliable predictors or unequivocal clinical manifestations of rupture, so physicians must maintain a high index of suspicion for possible rupture, especially in the presence of fetal bradycardia or other evidence of fetal distress. Management is surgery for prompt delivery of the infant and control of maternal hemorrhage. Newborns often require admission to an intensive care nursery. Prevention of poor outcomes depends on thorough anticipation and preparation. The physicians and the delivery institution should be prepared to provide emergency surgical and neonatal care in the event of uterine rupture.

Regulation of eosinophil-active cytokine production from human cord blood-derived mast cells.

Human mast cells are multifunctional tissue-dwelling cells that play a crucial role in eosinophil-dependent disorders, such as asthma and parasitic diseases, by the secretion of eosinophil-active mediators. Mast cell-derived cytokines, generated in response to cross-linking of the high-affinity IgE receptor, can regulate eosinophil activation, survival, and chemotaxis. In this study, mast cells generated from human cord blood progenitors (stem cells) were studied for eosinophil-active inflammatory cytokine expression. Cord blood-derived mast cells (CBDMC) expressed typical intracellular scroll granules and microvilli-like structures on their cell surfaces, demonstrated the presence of tryptase, and elaborated prostaglandin D2 (PGD2) after cross-linkage of the high-affinity receptor for IgE (FcepsilonRI). CBDMC expressed tumor necrosis factor-alpha (TNF-alpha) and the eosinophil-active growth factors, interleukin-5 (IL-5) and granulocyte-macrophage colony-stimulating factor (GM-CSF) after activation. (IL-1beta greatly enhanced IgE-dependent production of these cytokines in response to FcepsilonRI cross-linkage, suggesting a role for bystander/phagocytic cells in modulating mast cell function. In contrast, interferon-alpha (IFN-alpha) inhibited IL-5 and GM-CSF generation, and the glucocorticoid, dexamethasone (Dex), inhibited production of IL-5 and GM-CSF from CBDMC. A macrophage-mast cell-eosinophil axis may exist in vivo that may be susceptible to pharmacologic manipulation.

Ecomorphological relationships of a guild of ground-foraging birds in northern California, USA.

We studied habitat and morphological relationships of nine species of birds comprising a groundforaging guild within four distinct locations in northern California. Although the nine species overlapped extensively in habitat use, we observed subtle differences among species in specific characteristics of the habitats they used. About 40% of all cases were classified to the correct species based on a discriminant analysis (DA) of habitats across all study areas. Classification success from DAs on habitats within study areas ranged from 42 to 66%. Morphologies of species differed to varying degrees as 91% of all cases were classified to correct species by a DA of morphological variables. This morphological separation suggested that each species used different modes of obtaining resources. We found only weak relationships between habitat use and morphology. Morphology predicted from 13.6 to 19.0% of the variation in habitat use within each study area and only 13.9% of the habitat variation across all study areas. Habitat predicted from 6.2 to 14.6% of the morphological variation within each study area and 6.9% across all study areas. We suggest that complimentary relationships of habitat and morphology enabled species within this guild to use unique sets of resources.