The endemic Little Vermilion Flycatcher (LVF) Pyrocephalus nanus has suffered a drastic decline on Santa Cruz Island, Galapagos, where it was common 30 years ago. Currently, fewer than 40 individuals remain in the last remnants of natural humid forest in the Galapagos National Park on the island. This small population has low reproductive success, which is contributing to its decline in Santa Cruz. Previous studies have identified Avian Vampire Fly Philornis downsi parasitism, changes in food sources, and habitat alteration as threats to this species. In Santa Cruz, invasive plants may strongly affect the reproductive success of LVF because they limit accessibility to prey near the ground, the preferred foraging niche of these birds. Since 2019, we restored the vegetation in seven plots of 1 ha each by removing invasive blackberry plants and other introduced plant species. In all nests that reached late incubation, we also reduced the number of Avian Vampire Fly larvae. In this study, we compared foraging and perch height, pair formation, incubation time, and reproductive success between managed and unmanaged areas. As predicted, we found significantly lower foraging height and perch height in 2021 in managed areas compared with unmanaged areas. In 2020, the daily failure rate (DFR) of nests in the egg stage did not differ between management types; however, in 2021, the DFR in the egg stage was significantly lower in managed areas than in unmanaged areas. The DFR during the nestling stage was similar between managed and unmanaged areas in 2020, but in 2021, only nests in managed areas reached the nestling stage. Females brooded significantly more during the incubation phase in managed areas. Additionally, we found significantly higher reproductive success in managed areas compared with unmanaged areas in 2021, but not in 2020. Habitat restoration is a long-term process and these findings suggest that habitat management positively affects this small population in the long term.

We investigated the temporal associations between the severity of foot lesions caused by footrot (FR) and the severity of lameness in sheep. Sixty sheep from one farm were monitored for five weeks. The locomotion of each sheep was scored once each week using a validated numerical rating scale of 0-6. All feet were then examined, FR was the only foot lesion observed; the severity of FR lesions was recorded on a scale from 0 to 4. Sheep had a locomotion score > 0 on 144/298 observations. FR lesions were present on at least one foot on 83% of observations of lame sheep but also present on 27% of observations where sheep were not lame; 95% of these sheep with a lesion but not lame had FR score 1. The results from a linear mixed model with locomotion score as the outcome were that the mean (95% CI) locomotion score of 0.28 (0.02, 0.53) in sheep with no lesions increased by 0.35 (0.05, 0.65) in sheep with FR score 1 or 2 and by 1.55 (1.13, 1.96) in sheep with FR score > 2 at the time of the observation; indicating that as the severity of the lesion increased, the severity of lameness increased. One week before an FR score > 2 was clinically apparent, sheep had a locomotion score 0.81 (0.37, 1.24) higher than sheep that did not have an FR score > 2 in the subsequent week. One week after treatment with intramuscular antibacterials the locomotion score of lame sheep reduced by 1.00 (0.50, 1.49). Our results indicate a positive association between severity of FR lesions and locomotion score and indicate that some non-lame and mildly lame sheep have footrot lesions. Treatment of even those mildly lame will facilitate healing and probably reduce the spread of infection to other sheep in the same group.

We explore the long-term environmental and human history of a small outer coast archipelago on the Northwest Coast in western Canada. Using relative sea-level change, we reconstruct ancient landscapes to design archaeological surveys that document a rich archaeological record spanning at least 11 000 years and demonstrate the cultural centrality of this geographically marginal landscape.

Background: Handshake antibiotic stewardship is an effective but resource-intensive strategy for reducing antimicrobial utilization. At larger hospitals, widespread implementation of direct handshake rounds may be constrained by available resources. To optimize resource utilization and mirror handshake antimicrobial stewardship, we designed an indirect feedback model utilizing existing team pharmacy infrastructure. Methods: The antibiotic stewardship program (ASP) utilized the plan-do-study-act (PDSA) improvement methodology to implement an antibiotic stewardship intervention centered on antimicrobial utilization feedback and patient-level recommendations to optimize antimicrobial utilization. The intervention included team-based antimicrobial utilization dashboard development, biweekly antimicrobial utilization data feedback of total antimicrobial utilization and select drug-specific antimicrobial utilization, and twice weekly individualized review by ASP staff of all patients admitted to the 5 hospitalist teams on antimicrobials with recommendations (discontinuation, optimization, etc) relayed electronically to team-based pharmacists. Pharmacists were to communicate recommendations as an indirect surrogate for handshake antibiotic stewardship. As reviewer duties expanded to include a rotation of multiple reviewers, a standard operating procedure was created. A closed-loop communication model was developed to ensure pharmacist feedback receipt and to allow intervention acceptance tracking. During implementation optimization, a team pharmacist-champion was identified and addressed communication lapses. An outcome measure of days of therapy per 1,000 patient days present (DOT/1,000 PD) and balance measure of in-hospital mortality were chosen. Implementation began April 5, 2019, and data were collected through October 31, 2019. Preintervention comparison data spanned December 2017 to April 2019. Results: Overall, 1,119 cases were reviewed by the ASP, of whom 255 (22.8%) received feedback. In total, 236 of 362 recommendations (65.2%) were implemented (Fig. 1). Antimicrobial discontinuation was the most frequent (147 of 362, 40.6%), and most consistently implemented (111 of 147, 75.3%), recommendation. The DOT/1,000 PD before the intervention compared to the same metric after intervention remained unchanged (741.1 vs 725.4; P = .60) as did crude in-hospital mortality (1.8% vs 1.7%; P = .76). Several contributing factors were identified: communication lapses (eg, emails not received by 2 pharmacists), intervention timing (mismatch of recommendation and rounding window), and individual culture (some pharmacists with reduced buy-in selectively relayed recommendations). Conclusion: Although resource efficient, this model of indirect handshake did not significantly impact total antimicrobial utilization. Through serial PDSA cycles, implementation barriers were identified that can be addressed to improve the feedback process. Communication, expectation management, and interpersonal relationship development emerged as critical issues contributing to poor recommendation adherence. Future PDSA cycles will focus on streamlining processes to improve communication among stakeholders.

Funding: None

Disclosures: None

We describe an ultra-wide-bandwidth, low-frequency receiver recently installed on the Parkes radio telescope. The receiver system provides continuous frequency coverage from 704 to 4032 MHz. For much of the band (${\sim}60\%$), the system temperature is approximately 22 K and the receiver system remains in a linear regime even in the presence of strong mobile phone transmissions. We discuss the scientific and technical aspects of the new receiver, including its astronomical objectives, as well as the feed, receiver, digitiser, and signal processor design. We describe the pipeline routines that form the archive-ready data products and how those data files can be accessed from the archives. The system performance is quantified, including the system noise and linearity, beam shape, antenna efficiency, polarisation calibration, and timing stability.

Antimicrobial stewardship improves patient care and reduces antimicrobial resistance, inappropriate use, and adverse outcomes. Despite high-profile mandates for antimicrobial stewardship programs across the healthcare continuum, descriptive data, and recommendations for dedicated resources, including appropriate physician, pharmacist, data analytics, and administrative staffing support, are not robust. This review summarizes the current literature on antimicrobial stewardship staffing and calls for the development of minimum staffing recommendations.

Ejecta associated with the Xalapasco de la Joya maar 33 km northeast of San Luis Potosi, SLP, Mexico, contain a diverse assemblage of nodules of postulated lower-crust/upper-mantle origin. Spinel lherzolites constitute the most abundant group of nodules and display chemical evidence that crystallization or equilibration took place at temperatures and pressures consistent with upper mantle genesis. Estimated equilibration temperatures and pressures range from 825 to 1025 °C and 7 to 19 kb.