Climate change and other anthropogenic stressors are reshaping Earth’s biodiversity, motivating efforts to monitor changing faunal diversity. Canada is home to 80 documented species of mosquitoes, 38 of which are reported in New Brunswick. Using Centers for Disease Control and Prevention miniature CO2 light traps, three adult mosquito collection surveys were performed to encompass 43 trapping sites across New Brunswick, Canada. Study one took place from 21 July 2022 to 9 September 2022, study two took place from 29 May 2023 to 24 October 2023, and study three took place from 15 May 2024 to 19 September 2024. Among the specimens collected, a total of 18 Uranotaenia sapphirina (Osten Sacken) (Diptera: Culicidae) were identified from five separate trapping sites. This species, previously documented only in Ontario, Quebec, and Manitoba, is considered rare in Canada and is known for its specialisation in feeding on annelids rather than vertebrates. Our detection of Ur. sapphirina in New Brunswick, where it has been absent in earlier surveys, suggests a recent range expansion, possibly driven by climate change. This observation highlights the need for ongoing surveillance to monitor the impacts of environmental changes on mosquito distribution.

Background: Our prior six-year review (n=2165) revealed 24% of patients undergoing posterior decompression surgeries (laminectomy or discectomy) sought emergency department (ED) care within three months post-surgery. We established an integrated Spine Assessment Clinic (SAC) to enhance patient outcomes and minimize unnecessary ED visits through pre-operative education, targeted QI interventions, and early post-operative follow-up. Methods: We reviewed 13 months of posterior decompression data (n=205) following SAC implementation. These patients received individualized, comprehensive pre-operative education and follow-up phone calls within 7 days post-surgery. ED visits within 90 days post-surgery were tracked using provincial databases and compared to our pre-SAC implementation data. Results: Out of 205 patients, 24 (11.6%) accounted for 34 ED visits within 90 days post-op, showing a significant reduction in ED visits from 24% to 11.6%, and decreased overall ED utilization from 42.1% to 16.6% (when accounting for multiple visits by the same patient). Early interventions including wound monitoring, outpatient bloodwork, and prescription adjustments for pain management, helped mitigate ED visits. Patient satisfaction surveys (n=62) indicated 92% were “highly satisfied” and 100% would recommend the SAC. Conclusions: The SAC reduced ED visits after posterior decompression surgery by over 50%, with pre-operative education, focused QI initiatives, and its individualized, proactive approach.

Background: Currently there are no disease modifying treatment for Synucleinopathies including Parkinson’s disease Dementia (PDD). Carrying a mutation in the GBA gene (beta-glucocerebrosidase/ GCAse) is a leading risk factor for synucleinopathies. Raising activity GCAse lowers α-synuclein levels in cells and animal models. Ambroxol is a pharmacological chaperone for GCAse and can raise GCAse levels. Our goal is to test Ambroxol as a disease-modifying treatment in PDD. Methods: We randomized fifty-five individuals with PDD to Ambroxol 1050mg/day, 525mg/day, or placebo for 52 weeks. Primary outcome measures included safety, Alzheimer’s disease Assessment Scale-cognitive (ADAS-Cog) subscale and the Clinician’s Global Impression of Change (CGIC). Secondary outcomes included pharmacokinetics, cognitive and motor outcomes and and plasma and CSF biomarkers. Results: Ambroxol was well tolerated. There were 7 serious adverse events (SAEs) none deemed related to Ambroxol. GCase activity was increased in white blood cells by ~1.5 fold. There were no differences between groups on primary outcome measures. Patients receiving high dose Ambroxol appeared better on the Neuropsychiatric Inventory. GBA carriers appeared to improve on some cognitive tests. pTau 181 was reduced in CSF. Conclusions: Ambroxol was safe and well-tolerated in PDD. Ambroxol may improve biomarkers and cognitive outcomes in GBA1 mutation carrie.rs Ambroxol improved some biomarkerss. ClinicalTrials.gov NCT02914366

Shear significantly influences turbulence in the energy-containing range of shear-dominated flows, and the longitudinal structure functions do not have a universal form as they do in homogeneous isotropic turbulence. Despite this, the relative scaling of structure functions exhibits universal sub-Gaussian behaviour in shear-dominated flows, in particular for turbulent boundary layers, channels and Taylor–Couette flows. Our investigation of a turbulent vertical buoyancy layer at $Pr = 0.71$ using direct numerical simulation shows this universality even in moderate-Reynolds-number buoyancy-driven but shear-dominated boundary layers. It is demonstrated that the universality is related to the energy density of the eddies, which attains a hierarchical equilibrium in the energy-containing range of shear-dominated turbulence. We conjecture that the universal sub-Gaussian behaviour of the energy density of the energy-containing range, which was considered to be non-trivial in prior studies, is related to the universal anomalous scaling exponents of the inertial subrange turbulence. Based on this conjecture, we propose a hypothesis that relates large-scale eddies and the intermittent dissipation field in shear-dominated turbulence, highlighting a relationship between large and small scales. A phenomenological model is also developed to predict the scaling, which is verified using data from a turbulent boundary layer, half-channel and vertical buoyancy layer at friction Reynolds numbers spanning four orders of magnitude. Excellent agreement is observed.

Older adults who age at home independently are often celebrated as having anticipated and planned for their care needs in the later stages of life, whereas those who receive assistance from home support services are often stigmatised as dependent and characterised as a ‘drain on the system’. However, this thematic analysis of interview data from 12 home care clients in two Canadian provinces offers evidence that counters the assumption that home care clients are passive recipients of care. Extending Corbin and Strauss' theorisation of how individuals manage chronic conditions alongside Dorothy Smiths' conception of work, we explore how home care clients ‘work’ to receive care as they age in place. Specifically, home care clients not only engage in daily life work, illness work and biographical work, but also advocate for themselves and their workers, co-ordinate and negotiate with members of their caring convoys and networks, and adapt in various ways to navigate personal, relational, structural and policy-level challenges. We suggest that work done by older adults who are ageing in place be addressed, acknowledged and incorporated into care planning and operational policy development to challenge both the stigma of dependency and neoliberal narratives of self-sufficiency.

Folate and choline are methyl donor nutrients that may play a role in fetal brain development. Animal studies have reported that prenatal folate and choline supplementation are associated with better cognitive outcomes in offspring and that these nutrients may interact and affect brain development. Human studies that have investigated associations between maternal prenatal folate or choline levels and neurodevelopmental outcomes have reported contradictory findings and no human studies have examined the potential interactive effect of folate and choline on children’s neurodevelopment. During the second trimester of pregnancy, maternal red blood cell folate was measured from blood samples and choline intake was estimated using a 24-h dietary recall in 309 women in the APrON cohort. At 3–5 years of age, their children’s neurodevelopment was assessed using the Wechsler Preschool and Primary Scales of Intelligence – Fourth EditionCND, NEPSY-II language and memory subtests, four behavioral executive function tasks, and the Movement Assessment Battery for Children – Second Edition. Adjusted regressions revealed no associations between maternal folate and choline levels during pregnancy and most of the child outcomes. On the Dimensional Change Card Sort, an executive function task, there was an interaction effect; at high levels of choline intake (i.e., 1 SD above the mean; 223.03 mg/day), higher maternal folate status was associated with decreased odds of receiving a passing score (β = −0.44; 95%CI −0.81, −0.06). In conclusion, maternal folate status and choline intake during the second trimester of pregnancy were not associated with children’s intelligence, language, memory, or motor outcomes at 3–4 years of age; however, their interaction may have an influence children’s executive functions.

Inclusion in nasogastric tube feeds (NGTF) of acid-sensitive, seaweed-derived alginate, expected to form a reversible gel in the stomach, may create a more normal intragastric state and modified gastrointestinal responses. This may ameliorate NGTF-associated risk of diarrhoea, upper gastrointestinal symptoms and appetite suppression. In a randomised, crossover, comparison study, undertaken in twelve healthy males, an alginate-containing feed (F + ALG) or one that was alginate-free (F-ALG) (300 ml) was given over 1 h with a 7–14-d washout period between treatments. Baseline and for 4-h post-feed initiation, MRI measurements were made to establish small bowel water content (SBWC), gastric contents volume (GCV) and appearance, and superior mesenteric artery blood flux. Blood glucose and gut peptides were measured. Subjective appetite and upper gastrointestinal symptoms scores were obtained. Ad libitum pasta consumption 3-h post-feeding was measured. F + ALG exhibited a gastric appearance consistent with gelling surrounded by a freely mobile water halo. Significant main effects of feed were seen for SBWC (P = 0·03) and peptide YY (PYY) (P = 0·004) which were attributed to generally higher values for SBWC with F + ALG (max difference between adjusted means 72 ml at 210 min) and generally lower values for PYY with F + ALG. GCV showed a faster reduction with F + ALG, less between-participant variation and a feed-by-time interaction (P = 0·04). Feed-by-time interactions were also seen with glucagon-like-peptide 1 (GLP-1) (P = 0·02) and glucose-dependent insulinotropic polypeptide (GIP) (P = 0·002), both showing a blunted response with F + ALG. Apparent intragastric gelling with F + ALG and subsequent differences in gastrointestinal and endocrine responses have been demonstrated between an alginate-containing and alginate-free feed.

Three types of fertility control, surgical sterilization, hormonal chemosterilization, and immunosterilization, are reviewed with regard to their potential for controlling problematic populations of carnivores. The fertility control agent and delivery protocol of choice may vary considerably according to: (i) the reason for control; (ii) the degree, urgency and duration of population reduction required; (iii) concerns about ethics and public opinion; and (iv) the status, population dynamics, social structure, mating system, size, behaviour and reproductive endocrinology of the target animals. Although they are often perceived and advocated as more preferable methods of population control than lethal approaches, it is important that wildlife managers as well as members of the public realize that the ethical acceptability of the various fertility control techniques may differ considerably - and that numerous questions regarding their effectiveness, humaneness and ecological safety remain unanswered.

We report on the efficacy of body weight change as a measure of trapping and handling stress in two species of wild small mammal: bank voles (Clethrionomys glareolus) and wood mice (Apodemus sylvaticus). We tested two hypotheses: (1) that weight change after capture and handling is related to the intensity of the trapping and handling regime, and (2) that weight change after an intensive handling regime is related to an individual's current pattern of energy expenditure. Trapped wood mice that were subjected to intensive handling (intensive stressor) lost more weight than did animals that were handled minimally (less intensive stressor), but this was not the case for bank voles. Patterns and factors related to body weight change in response to intensive handling also differed between the two species: heavier and non-breeding bank voles were more likely to lose weight, but this was not true for wood mice, and none of the factors we measured was found to affect weight loss in this species. Our results were broadly consistent with the predictions of the biological cost hypothesis. We discuss the limitations and benefits of weight loss as a measure of stress.

Small mammals are routinely live-trapped and subsequently handled for a range of ecological and behavioural studies. Despite the techniques commonly employed being potentially stressful for the individual animals involved, it has hitherto been difficult to quantify the physiological impact. Here, we report on the first instance of using the Leukocyte Coping Capacity technique (LCC) in bank voles (Clethrionomys glareolus) and wood mice (Apodemus sylvaticus) to investigate the physiological impact of routine trapping and handling techniques. Twenty microlitres of blood were obtained from 40 animals, of which 25 were handled following standard protocols and 15 were not. We found that even a short period of acute stress is sufficient to trigger an immune response which was measurable using the LCC technique. These results further validate the use of the LCC technique for measuring the physiological impact of standard trapping and handling treatments on wild mammals.