Surface material of acoustic transmitters influences the inflammatory response of rainbow trout (Oncorhynchus mykiss) during long-term implantation.

Telemetry tags are a widely used technology for tracking animals that are difficult to observe in their natural environment. This technology has been increasingly used to monitor and study populations of high value salmonid species in Canadian waters. This study expands on a previous study of the impacts of tag implantation on the immune system of Rainbow Trout (Oncorhynchus mykiss). Pro-inflammatory cytokines and protein level markers were examined in fish that underwent peritoneal implantation of three tag types and compared to a sham surgery control group. The different materials on the surface of the tags showed differential immune induction extending over a two-month period. This included peritoneal total protein, IL-1ß protein, the immunoglobulins IgT and IgM, as well as pro-inflammatory transcripts in the spleen. These results are suggestive of a prolonged, costly foreign body response which may be differentially induced by the different types of tag coating, with ceramic tags being least immunogenic. Examining tag impacts at the level of the immune system will facilitate the development of more biocompatible tags which will improve data fidelity. This will support more effective strategies for the management of fisheries resources.

"A Widely Applicable Model": Teaching Sarah Manguso's The Two Kinds of Decay Across Institutions.

Many of those teaching at the intersection of medicine and the humanities are siloed within institutional spaces. This essay recounts the teaching of Sarah Manguso's The Two Kinds of Decay to students across different academic contexts and considers what we can learn when we put classrooms in conversation with each other. This essay argues for the value of texts like Manguso's, which explicitly hold the narrating subject and form of illness narrative up for critical examination. The authors call for more collaborative teaching, which has special resonance in the health humanities, where conversations already depend on bridging disciplines and listening to the stories others can tell.

Unfamiliar Face Matching With Driving Licence and Passport Photographs.

Matching two different images of an unfamiliar face is difficult, although we rely on this process every day when proving our identity. Although previous work with laboratory photosets has shown that performance is error-prone, few studies have focussed on how accurately people carry out this matching task using photographs taken from official forms of identification. In Experiment 1, participants matched high-resolution, colour face photos with current UK driving licence photos of the same group of people in a sorting task. Averaging 19 mistaken pairings out of 30, our results showed that this task was both difficult and error-prone. In Experiment 2, high-resolution photographs were paired with either driving licence or passport photographs in a typical pairwise matching paradigm. We found no difference in performance levels for the two types of ID image, with both producing unacceptable levels of accuracy (around 75%-79% correct). The current work benefits from increased ecological validity and provides a clear demonstration that these forms of official identification are ineffective and alternatives should be considered.

Autumn distribution of Bristol Bay red king crab using fishery logbooks.

Spatial distributions of fished species must be well characterized to avoid local depletions, identify critical habitat, and predict and mitigate interactions with other fisheries. The Bristol Bay red king crab (Paralithodes camtschaticus) fishery is one of the largest crab fisheries in Alaska. Summer crab distributions have been well documented by decades of bottom trawl surveys. However, crab movement and distribution are poorly understood outside the summer survey period, which creates several management challenges. One important component of fishery management is the existence of no-trawl zones, which are intended to protect crab from bottom trawl fisheries. However, it is difficult to evaluate the placement of no-trawl zones, because most crab bycatch occurs in trawl fisheries during winter when crab distributions are unknown. Daily fishing logs, kept by skippers in the red king crab fleet since 2005, contain detailed information on the spatial distribution of catch and effort of legal sized male crab during the autumn crab fishery. However, data contained in these hand-written logbooks have not been readily accessible. We digitized daily fishing logs from 2005 to 2016 and used spatial information on catch and effort to infer geographic distributions of legal sized male king crab during the crab fishing season. Changes in distribution were tracked across this 12-yr period and comparisons were made between warm and cold temperature regimes. In warm years (2005, 2014-2016), crab aggregated in the center of Bristol Bay, Alaska, while in cold years (2007-2013) they were closer to the Alaska Peninsula. The majority of crab were caught in no-trawl areas (63.4% on average), but variations occurred among years and with temperature regime (40.0-86.8% in no-trawl zones). As temperatures continue to shift in the Bering Sea, it will be important to continue monitoring crab distributions outside the summer survey period.

Nematode-associated microbial taxa do not correlate with host phylogeny, geographic region or feeding morphology in marine sediment habitats.

Studies of host-associated microbes are critical for advancing our understanding of ecology and evolution across diverse taxa and ecosystems. Nematode worms are ubiquitous across most habitats on earth, yet little is known about host-associated microbial assemblages within the phylum. Free-living nematodes are globally abundant and diverse in marine sediments, with species exhibiting distinct buccal cavity (mouth) morphologies that are thought to play an important role in feeding ecology and life history strategies. Here, we investigated patterns in marine nematode microbiomes, by characterizing host-associated microbial taxa in 281 worms isolated from a range of habitat types (deep-sea, shallow water, methane seeps, Lophelia coral mounds, kelp holdfasts) across three distinct geographic regions (Arctic, Southern California and Gulf of Mexico). Microbiome profiles were generated from single worms spanning 33 distinct morphological genera, using a two-gene metabarcoding approach to amplify the V4 region of the 16S ribosomal RNA (rRNA) gene targeting bacteria/archaea and the V1-V2 region of the 18S rRNA gene targeting microbial eukaryotes. Contrary to our expectations, nematode microbiome profiles demonstrated no distinct patterns either globally (across depths and ocean basins) or locally (within site); prokaryotic and eukaryotic microbial assemblages did not correlate with nematode feeding morphology, host phylogeny or morphological identity, ocean region or marine habitat type. However, fine-scale analysis of nematode microbiomes revealed a variety of novel ecological interactions, including putative parasites and symbionts, and potential associations with bacterial/archaeal taxa involved in nitrogen and methane cycling. Our results suggest that in marine habitats, free-living nematodes may utilize diverse and generalist foraging strategies that are not correlated with host genotype or feeding morphology. Furthermore, some abiotic factors such as geographic region and habitat type do not appear to play an obvious role in structuring host-microbe associations or feeding preferences.

Salix arctica changes root distribution and nutrient uptake in response to subsurface nutrients in High Arctic deserts.

Moisture is critical for plant success in polar deserts but not by the obvious pathway of reduced water stress. We hypothesized that an indirect, nutrient-linked, pathway resulting from unique water/frozen soil interactions in polar deserts creates nutrient-rich patches critical for plant growth. These nutrient-rich patches (diapirs) form deep in High Arctic polar deserts soils from water accumulating at the permafrost freezing front and ultimately rising into the upper soil horizons through cryoturbated convective landforms (frost boils). To determine if diapirs provide an enhanced source of plant-available N for Salix arctica (Arctic willow), we characterized soil, root, stem, and leaf 15 N natural abundance across 24 diapir and non-diapir frost boils in a High Arctic granitic semi-desert. When diapir horizons were available, S. arctica increased its subsurface (i.e., diapir) N uptake and plant root biomass doubled within diapir. Plant uptake of enriched 15 N injected into organic rich soil patches was 2.5-fold greater in diapir than in non-diapir frost boils. S. arctica percent cover was often higher (7.3 ± 1.0 [mean ± SE]) on diapiric frost boils, compared to frost boils without diapirs (4.4 ± 0.7), potentially reflecting the additional 20% nitrogen available in the subsurface of diapiric frost boils. Selective N acquisition from diapirs is a mechanism by which soil moisture indirectly enhances plant growth. Our work suggests that diapirs may be one mechanism contributing to Arctic greening by shrub expansion.

Larval Biology and Environmental Tolerances of the King Crab Parasite Briarosaccus regalis.

Rhizocephalan barnacles in the genus Briarosaccus parasitize and castrate king crab hosts, thereby preventing host reproduction and potentially altering host abundance. To better understand how environmental factors in Alaska may influence Briarosaccus prevalence, we studied the effects of temperature and salinity on the larvae of Briarosaccus regalis (previously Briarosaccus callosus). Nauplius larvae were reared at 7 temperatures (2 to 16 C) and 8 salinities (19 to 40) to determine larval survival and development rates. Maximum survival occurred from 4 to 12 C and at salinities between 25 and 34. In the Gulf of Alaska and Bering Sea, ocean temperatures and salinities are often within these ranges; thus current conditions appear favorable for high B. regalis larval survival. In addition, temperature was negatively correlated with larval development time; thus warmer waters can reduce the time larvae are exposed to the dangers of the planktonic environment. Since only female B. regalis larvae can infect crabs, we investigated the sex ratios of B. regalis broods at different temperatures and how size and morphological traits can be used to sex cyprid larvae. Larval rearing temperature did not affect brood sex ratio (F0.947, P = 0.369), but sex ratio varied among broods (F221.9; P < 0.001). Male larvae (424.5 ± 24.3 µm [mean ± 1 SD]) were significantly larger than female larvae (387.6 ± 22.7 µm [mean ± 1 SD]; F1,221.4; P < 0.001), consistent with other rhizocephalan cyprids, but sizes overlapped between the sexes such that morphological traits were also necessary for determining sex. Overall, this study provides new information on the larval biology, larval morphology, and environmental tolerances of B. regalis , an important king crab parasite.

Diagnostic Yield of Outpatient Pediatric Echocardiograms: Impact of Indications and Specialty.

Multiple reports have shown that echocardiograms are neither cost-effective nor of high diagnostic yield for a number of indications. This study sought to evaluate the impact of indications and provider type on the diagnostic yield of first-time outpatient pediatric echocardiograms. All initial echocardiograms interpreted at our institution from February 2009 to December 2014 were reviewed retrospectively. Positive findings were defined as any abnormality of structure or function. Ordering physicians were grouped as Primary Care, Subspecialist, or Cardiologist. A cost analysis of cardiac consultation versus direct echocardiogram ordering was performed using 2014 Arkansas Medicaid office-based allowables. A total of 7854 echocardiograms had complete data and were included in the study. Median age was 7.2 years (range 2 days to 18.9 years). There were 1179 (15%) abnormal first-time echocardiograms. Diagnostic yields were particularly low for the indications of chest pain (4.9%), syncope (5.3%), and palpitations (9.1%). When ordered by the Cardiology group, echocardiographic yields were increased 35% for all indications (p < 0.001) and 100% for murmurs (p < 0.001) when compared to the Primary Care group. Cost analysis using the model of cardiology consultation rather than direct primary care echocardiogram ordering estimated a 19.6% reduction in medical costs for the most common indication, murmur. The diagnostic yield of outpatient pediatric echocardiograms is low for most indications. Overall, cardiologists had an improved diagnostic yield compared to other ordering physicians. For the indication of murmur, cardiology evaluation before echocardiogram might decrease unnecessary testing and healthcare expenses. This study provides a framework for improving resource utilization in the pediatric population.

Can Screening with the Ages and Stages Questionnaire Detect Autism?

OBJECTIVE: Parents rely on pediatricians to monitor their child's development. The American Academy of Pediatrics recommends routine developmental screening with both broadband and autism-specific instruments at specified ages. If broadband screeners can detect autism risk, this might minimize the burden of administering autism-specific screens to all children. The current study examines the ability of the Ages and Stages Questionnaire-Third Edition (ASQ-3) to identify children at risk for autism. We looked at ASQ-3 scores of children who screen positive on the Modified Checklist for Autism in Toddlers-Revised (M-CHAT-R), children who continue to screen positive on the M-CHAT-R Follow-up Interview, and children diagnosed with autism spectrum disorder (ASD). METHODS: A total of 2848 toddlers, aged 16 to 30 months, were screened with the ASQ-3 and M-CHAT-R across 20 pediatric sites. Children who screened positive on the M-CHAT-R and its follow-up interview were offered a diagnostic evaluation. RESULTS: Using the "monitor and/or fail" cutoff on any domain, the ASQ-3 identified 87% of the children who screened positive on the M-CHAT-R with follow-up and 95% (20/21) of those diagnosed with an ASD. Monitor and/or fail on the Communication domain alone also identified 95% of the diagnosed children. CONCLUSIONS: Scores below the "monitor" cutoff on the Communication domain of the ASQ-3 can indicate initial concern requiring autism-specific follow-up. If these results are confirmed with a sample large enough to separately examine toddlers of different ages and different cultural backgrounds, it may be feasible to implement a 2-stage screening strategy, with autism-specific screening reserved for those who are positive on a broadband screen.

Can the source-sink hypothesis explain macrofaunal abundance patterns in the abyss? A modelling test.

Low food availability is a major structuring force in deep-sea benthic communities, sustaining only very low densities of organisms in parts of the abyss. These low population densities may result in an Allee effect, whereby local reproductive success is inhibited, and populations are maintained by larval dispersal from bathyal slopes. This slope-abyss source-sink (SASS) hypothesis suggests that the abyssal seafloor constitutes a vast sink habitat with macrofaunal populations sustained only by an influx of larval 'refugees' from source areas on continental slopes, where higher productivity sustains greater population densities. Abyssal macrofaunal population densities would thus be directly related to larval inputs from bathyal source populations. We evaluate three predictions derived from the SASS hypothesis: (i) slope-derived larvae can be passively transported to central abyssal regions within a single larval period, (ii) projected larval export from slopes to the abyss reproduces global patterns of macrofaunal abundance and (iii) macrofaunal abundance decreases with distance from the continental slope. We find that abyssal macrofaunal populations are unlikely to be sustained solely through influx of larvae from slope sources. Rather, local reproduction probably sustains macrofaunal populations in relatively high-productivity abyssal areas, which must also be considered as potential larval source areas for more food-poor abyssal regions.

Swallowing outcomes in patients with oropharyngeal cancer undergoing organ-preservation treatment.

BACKGROUND: The purpose of this study was to assess swallowing outcomes in a cohort of patients with oropharyngeal squamous cell carcinoma (SCC) undergoing nonoperative treatment. METHODS: We conducted a retrospective study of patients who completed videofluoroscopic swallowing studies (VFSS) after nonoperative treatment of oropharyngeal SCC. All patients received intensity-modulated radiation therapy (IMRT) ± chemotherapy. Swallowing abnormalities were recorded and the Penetration Aspiration Scale (PAS) quantified airway infiltration. RESULTS: Posttreatment VFSS (n = 71) occurred at an average of 4.69 months posttreatment. Abnormal PAS was noted in 45% of swallow studies. Swallowing decompensations included reduced pharyngeal constriction (75%), epiglottic tilt (70%), cricopharyngeal opening (42%), and hyoid excursion (42%). The only variable independently associated with abnormal PAS was pretreatment swallowing difficulty (odds ratio [OR] = 4.02; p = .009). CONCLUSION: This study demonstrates that patients undergoing nonsurgical treatment for oropharyngeal SCC are at risk for posttreatment dysphagia. This suggests a need for dysphagia evaluation/management and refinement of interventions to minimize dysphagia.

Pediatric resident exposure to urology: identifying a need.

PURPOSE: We evaluated current trends of pediatric urology exposure during the 3-year pediatric residency period nationwide. We also evaluated the opinions of urology and pediatric residency program directors regarding the need for additional exposure to pediatric urology. MATERIALS AND METHODS: From February to October 2011 we administered 2 concurrent electronic surveys. One set was sent to urology residency program directors and the other was sent to pediatric residency program directors. The surveys consisted of 6 and 12 questions, respectively. The questions were created to best evaluate exposure to pediatric urology from the perspective of each cohort. Response data were analyzed using the chi-square test and case-control methods. RESULTS: Of the 117 accredited urology residency program directors and 190 pediatric residency program directors 51 (43.5%) and 78 (41.1%), respectively, completed the survey. Urology program directors answered favorably by a margin of 66% toward increased involvement with pediatric residents, while 84.6% of pediatric residency directors would like increased exposure to pediatric urology. Furthermore, 87% of pediatric residency directors reported that they do not require residents to have a formal pediatric urology rotation. However, in 65% of pediatric programs residents received some form of didactic education. CONCLUSIONS: These results show the desire on the part of urology and pediatric residency program directors for pediatric residents to have greater exposure to pediatric urology, particularly didactic and bedside teaching in the management of pediatric urological disorders. Increasing pediatric resident exposure to pediatric urological pathology and treatment during training would have a positive impact on the subsequent diagnosis and care of pediatric urological conditions.

A tri-oceanic perspective: DNA barcoding reveals geographic structure and cryptic diversity in Canadian polychaetes.

BACKGROUND: Although polychaetes are one of the dominant taxa in marine communities, their distributions and taxonomic diversity are poorly understood. Recent studies have shown that many species thought to have broad distributions are actually a complex of allied species. In Canada, 12% of polychaete species are thought to occur in Atlantic, Arctic, and Pacific Oceans, but the extent of gene flow among their populations has not been tested. METHODOLOGY/PRINCIPAL FINDINGS: Sequence variation in a segment of the mitochondrial cytochrome c oxidase I (COI) gene was employed to compare morphological versus molecular diversity estimates, to examine gene flow among populations of widespread species, and to explore connectivity patterns among Canada's three oceans. Analysis of 1876 specimens, representing 333 provisional species, revealed 40 times more sequence divergence between than within species (16.5% versus 0.38%). Genetic data suggest that one quarter of previously recognized species actually include two or more divergent lineages, indicating that richness in this region is currently underestimated. Few species with a tri-oceanic distribution showed genetic cohesion. Instead, large genetic breaks occur between Pacific and Atlantic-Arctic lineages, suggesting their long-term separation. High connectivity among Arctic and Atlantic regions and low connectivity with the Pacific further supports the conclusion that Canadian polychaetes are partitioned into two distinct faunas. CONCLUSIONS/SIGNIFICANCE: Results of this study confirm that COI sequences are an effective tool for species identification in polychaetes, and suggest that DNA barcoding will aid the recognition of species overlooked by the current taxonomic system. The consistent geographic structuring within presumed widespread species suggests that historical range fragmentation during the Pleistocene ultimately increased Canadian polychaete diversity and that the coastal British Columbia fauna played a minor role in Arctic recolonization following deglaciation. This study highlights the value of DNA barcoding for providing rapid insights into species distributions and biogeographic patterns in understudied groups.

Predicting the distribution and ecological niche of unexploited snow crab (Chionoecetes opilio) populations in Alaskan waters: a first open-access ensemble model.

Populations of the snow crab (Chionoecetes opilio) are widely distributed on high-latitude continental shelves of the North Pacific and North Atlantic, and represent a valuable resource in both the United States and Canada. In US waters, snow crabs are found throughout the Arctic and sub-Arctic seas surrounding Alaska, north of the Aleutian Islands, yet commercial harvest currently focuses on the more southerly population in the Bering Sea. Population dynamics are well-monitored in exploited areas, but few data exist for populations further north where climate trends in the Arctic appear to be affecting species' distributions and community structure on multiple trophic levels. Moreover, increased shipping traffic, as well as fisheries and petroleum resource development, may add additional pressures in northern portions of the range as seasonal ice cover continues to decline. In the face of these pressures, we examined the ecological niche and population distribution of snow crabs in Alaskan waters using a GIS-based spatial modeling approach. We present the first quantitative open-access model predictions of snow-crab distribution, abundance, and biomass in the Chukchi and Beaufort Seas. Multi-variate analysis of environmental drivers of species' distribution and community structure commonly rely on multiple linear regression methods. The spatial modeling approach employed here improves upon linear regression methods in allowing for exploration of nonlinear relationships and interactions between variables. Three machine-learning algorithms were used to evaluate relationships between snow-crab distribution and environmental parameters, including TreeNet, Random Forests, and MARS. An ensemble model was then generated by combining output from these three models to generate consensus predictions for presence-absence, abundance, and biomass of snow crabs. Each algorithm identified a suite of variables most important in predicting snow-crab distribution, including nutrient and chlorophyll-a concentrations in overlying waters, temperature, salinity, and annual sea-ice cover; this information may be used to develop and test hypotheses regarding the ecology of this species. This is the first such quantitative model for snow crabs, and all GIS-data layers compiled for this project are freely available from the authors, upon request, for public use and improvement.

Characteristics and psychosocial predictors of psychiatric emergency center transport and length of stay in patients with dementia and Alzheimer's disease: a preliminary report.

BACKGROUND: Agitation and aggression are common behaviors that often lead to psychiatric emergency center (PEC) admission of nursing home patients with dementia or Alzheimer's disease. However, few if any data are available that adequately describe characteristics and psychosocial triggers of agitation and aggression leading to transport and admission to a PEC. METHODS: A preliminary investigation to explore all possible characteristics and psychosocial predictors of PEC transport and length of stay in men and women nursing home patients with dementia or Alzheimer's disease was designed. Frequency distributions, chi-square, analyses of variance, and regression analyses were used to analyze the data. RESULTS: One hundred PEC patient charts were reviewed, of which 58 charts were missing information and 42 charts provided evaluable data. Nursing homes located in impoverished areas transported patients to the PEC significantly more often than those in affluent areas. A disconnect between the agitated/aggressive mental state reported by nursing home staff leading to the PEC transport and the calm/cooperative mental status PEC clinicians observed during the admission process was evident. Data from the charts also showed that 74% of patients received off-label antipsychotics rather than FDA-approved medications to treat dementia or Alzheimer's disease. CONCLUSIONS: This is one of the few studies to identify characteristics and psychosocial triggers of PEC use and length of stay in nursing home patients. We also highlight potentially dangerous antipsychotic use in dementia and Alzheimer disease. Thus, our data add to the existing knowledge base regarding PEC utilization, length of stay, and pharmacotherapy in nursing home patients with dementia and Alzheimer's disease. Given the preliminary nature of this study, however, the results should be interpreted with caution.

The dynamics of biogeographic ranges in the deep sea.

Anthropogenic disturbances such as fishing, mining, oil drilling, bioprospecting, warming, and acidification in the deep sea are increasing, yet generalities about deep-sea biogeography remain elusive. Owing to the lack of perceived environmental variability and geographical barriers, ranges of deep-sea species were traditionally assumed to be exceedingly large. In contrast, seamount and chemosynthetic habitats with reported high endemicity challenge the broad applicability of a single biogeographic paradigm for the deep sea. New research benefiting from higher resolution sampling, molecular methods and public databases can now more rigorously examine dispersal distances and species ranges on the vast ocean floor. Here, we explore the major outstanding questions in deep-sea biogeography. Based on current evidence, many taxa appear broadly distributed across the deep sea, a pattern replicated in both the abyssal plains and specialized environments such as hydrothermal vents. Cold waters may slow larval metabolism and development augmenting the great intrinsic ability for dispersal among many deep-sea species. Currents, environmental shifts, and topography can prove to be dispersal barriers but are often semipermeable. Evidence of historical events such as points of faunal origin and climatic fluctuations are also evident in contemporary biogeographic ranges. Continued synthetic analysis, database construction, theoretical advancement and field sampling will be required to further refine hypotheses regarding deep-sea biogeography.

Adolescent mental health: Challenges with maternal noncompliance.

The leading cause of suicide ideation, attempts, and completion in adolescents is persistent and unresolved parental conflict. National statistics show extremely high rates of childhood neglect and abuse are perpetrated most often by single mothers. Psychiatric disorders arising from maternal-child dysfunction are well-documented. However, resources to prevent offspring victimization are lacking. Here, we report maternal neglect of a 15-year-old male brought to the psychiatric emergency room for suicidal ideation. An inpatient treatment plan including pharmacotherapy, family therapy and psychological testing was initiated. The patient's mother failed to attend clinic appointments or family therapy sessions. Clinician attempts to engage the mother in the treatment plan was met with verbal assaults, aggression, and threatening behavior. The patient decompensated in relation to the mother's actions. Child Protective Services were contacted and a follow-up assessment with the patient and mother is pending. Psychiatric treatment of the mother may be a necessary intervention and prevention regimen for both the adolescent and the mother. Without consistent Child Protective Services oversight, medical and psychosocial follow-up, the prognosis and quality of life for this adolescent is considered very poor. Stringent mental health law and institutional policies are needed to adequately intercede and protect adolescents with mental illness.