Long-term health and developmental impact after in utero opioid and other substance exposures is unclear. There is an urgent need for well-designed, prospective, long-term observational studies. The HEALthy Brain and Child Development Study aims to address this need. It will require optimizing recruitment and retention of caregivers and young children in long-term research. Therefore, a scoping review of original research articles, indexed in the PubMed database and published in English between January 1, 2010, and November 23, 2023, was conducted on recruitment and retention strategies of caregiver–child (≤6 years old) dyads in observational, cohort studies. Among 2,902 titles/abstracts reviewed, 37 articles were found eligible. Of those, 29 (78%) addressed recruitment, and 18 (49%) addressed retention. Thirty-four (92%) articles focused on strategies for facilitating recruitment and/or retention, while 18 (49%) described potentially harmful approaches. Recruitment and retention facilitators included face-to-face and regular contact, establishing a relationship with study personnel, use of technology and social platforms, minimizing inconveniences, and promoting incentives. This review demonstrates that numerous factors can affect engagement of caregivers and their children in long-term cohort studies. Better understanding of these factors can inform researchers about optimal approaches to recruitment and retention of caregiver–child dyads in longitudinal research.

State Medical Boards (SMBs) can take severe disciplinary actions (e.g., license revocation or suspension) against physicians who commit egregious wrongdoing in order to protect the public. However, there is noteworthy variability in the extent to which SMBs impose severe disciplinary action. In this manuscript, we present and synthesize a subset of 11 recommendations based on findings from our team’s larger consensus-building project that identified a list of 56 policies and legal provisions SMBs can use to better protect patients from egregious wrongdoing by physicians.

Pollen preserved in a peat deposit from a large swamp, the Old Field in the Mississippi River Valley near Advance, Missouri, records radiocarbon-dated vegetation changes between 9000 and about 3000 years ago. The principal feature of both the percentage and influx pollen diagrams is the replacement of arboreal pollen, primarily Quercus, Fraxinus, and Cephalanthus, with Gramineae and NAP between 8700 and 5000 years BP. This vegetation shift is interpreted as reflecting a decrease in the extent of the Old Field swamp and its associated bottomland forest species along with the expansion of a grass-dominated herb community, as a result of a reduction in available ground water. The desiccation of the swamp during this period indicates a reduction in precipitation within the ground-water source area and a shift to a drier climate in the southern Midwest. The pollen suggests that the lowest water levels and driest climate in southeastern Missouri lasted from 8700 to 6500 years BP, at which time there is a partial reappearance of swamp species. Relatively dry conditions, however, continued until at least 5000 years BP. Although pollen influx data are lacking from the upper part of the profile, the relative pollen frequencies suggest an increase in trees after 5000 BP. The replacement of the arboreal vegetation by grasses and herbs between 8700 and 5000 years BP reflects the period of maximum expansion of the Prairie Peninsula in southeastern Missouri. The Old Field swamp provides the first pollen evidence that the vegetational changes along the southern border of the Prairie Peninsula were chronologically similar to those on the northern and northeastern margins.

An investigation of Illinoian- and Sangamonian-age deposits in the type region for both Pleistocene stages in central Illinois has yielded a palynological record spanning the Illinoian-year during at least the portion of the Sangamonian represented. Sangamonian boundary associated with an interglacial fauna containing Geochelone crassiscutata. The pollen indicates a shift from high Picea and Pinus to deciduous trees, followed by grass and herbaceous taxa, and finally, a return of deciduous trees. This sequence appears to correlate with marine isotopic stages 6 through 5d. Faunal remains are abundant throughout but megafauna are present only in the interglacial section where Geochelone occurs. The presence of Geochelone suggests above-freezing temperatures in central Ilinois throughout the

Pollen contained in 22 fossil packrat middens from the Sonoran Desert provides a complementary, but differing, view of the paleoenvironment from that derived by analysis of the associated plant macrofossils. The regional component of the pollen data is in sharp contrast to the locally oriented macrofossils. A total of 84 macrofossil taxa and 47 pollen taxa were identified; only 18 taxa were common to both. The low Index of Similarity, 0.4, indicates that the two sources of fossil information are providing different sets of paleobotanical data. When combined with plant macrofossils and good radiocarbon dating control, the pollen spectra derived from fossil middens are compatable with other paleoenvironmental sequences.

The spatial and temporal development of shear-induced overturning billows associated with breaking internal solitary waves is studied by means of a combined laboratory and numerical investigation. The waves are generated in the laboratory by a lock exchange mechanism and they are simulated numerically via a contour-advective semi-Lagrangian method. The properties of individual billows (maximum height attained, time of collapse, growth rate, speed, wavelength, Thorpe scale) are determined in each case, and the billow interaction processes are studied and classified. For broad flat waves, similar characteristics are seen to those in parallel shear flow, but, for waves not at the conjugate flow limit, billow characteristics are affected by the spatially varying wave-induced shear flow. Wave steepness and wave amplitude are shown to have a crucial influence on determining the type of interaction that occurs between billows and whether billow overturning can be arrested. Examples are given in which billows (i) evolve independently of one another, (ii) pair with one another, (iii) engulf/entrain one another and (iv) fail to completely overturn. It is shown that the vertical extent a billow can attain (and the associated Thorpe scale of the billow) is dependent on wave amplitude but that its value saturates once a given amplitude is reached. It is interesting to note that this amplitude is less than the conjugate flow limit amplitude. The number of billows that form on a wave is shown to be dependent on wavelength; shorter waves support fewer but larger billows than their long-wave counterparts for a given stratification.

Binary, count, and duration data all code discrete events occurring at points in time. Although a single data generation process can produce all of these three data types, the statistical literature is not very helpful in providing methods to estimate parameters of the same process from each. In fact, only a single theoretical process exists for which known statistical methods can estimate the same parameters—and it is generally used only for count and duration data. The result is that seemingly trivial decisions about which level of data to use can have important consequences for substantive interpretations. We describe the theoretical event process for which results exist, based on time independence. We also derive a set of models for a time-dependent process and compare their predictions to those of a commonly used model. Any hope of understanding and avoiding the more serious problems of aggregation bias in events data is contingent on first deriving a much wider arsenal of statistical models and theoretical processes that are not constrained by the particular forms of data that happen to be available. We discuss these issues and suggest an agenda for political methodologists interested in this very large class of aggregation problems.

Background: Various organizations and universities have developed competencies for health professionals and other emergency responders. Little effort has been devoted to the integration of these competencies across health specialties and professions. The American Medical Association Center for Public Health Preparedness and Disaster Response convened an expert working group (EWG) to review extant competencies and achieve consensus on an educational framework and competency set from which educators could devise learning objectives and curricula tailored to fit the needs of all health professionals in a disaster.

Methods: The EWG conducted a systematic review of peer-reviewed and non–peer reviewed published literature. In addition, after-action reports from Hurricane Katrina and relevant publications recommended by EWG members and other subject matter experts were reviewed for congruencies and gaps. Consensus was ensured through a 3-stage Delphi process.

Results: The EWG process developed a new educational framework for disaster medicine and public health preparedness based on consensus identification of 7 core learning domains, 19 core competencies, and 73 specific competencies targeted at 3 broad health personnel categories.

Conclusions: The competencies can be applied to a wide range of health professionals who are expected to perform at different levels (informed worker/student, practitioner, leader) according to experience, professional role, level of education, or job function. Although these competencies strongly reflect lessons learned following the health system response to Hurricane Katrina, it must be understood that preparedness is a process, and that these competencies must be reviewed continually and refined over time. (Disaster Med Public Health Preparedness. 2008;2:57–68)

Contemporary research on prehispanic Maya landscapes has focused on caves as core features of the cultural geography. Investigations within a number of large caves have suggested that they served as the loci for important rituals, legitimized inhabitants’ claims to their territory, and helped establish the authority of a site’s ruling elite. The ubiquity and centrality of caves in the Maya worldview raises questions about what happened in regions where large caves did not naturally form. Recent investigations at the site of Maax Na in northern Belize suggest that small caves, despite their diminutive size, still functioned to establish legitimacy and uphold power. The results serve to demonstrate the pervasive power of key ideological concepts in shaping the cultural landscape and indicate the need to take these into account in documenting landmarks at Maya sites, as even the less imposing ones may have been important to their inhabitants.

Ixodes (Pholeoixodes) gregsoni sp.nov. is described from adult females, nymphs, and larvae collected from the boreal forests of eastern Canada on American mink, Mustela vison Schreber, a species of weasel, Mustela sp., and American marten, Martes americana (Turton) (Carnivora: Mustelidae). Its morphological attributes, hosts, and distribution are compared with those of apparently its most closely related species, Ixodes (Pholeoixodes) texanus Banks.