We examined 3,046,538 acute respiratory infection (ARI) encounters with 6,103 national telehealth physicians from January 2019 to October 2021. The antibiotic prescribing rates were 44% for all ARIs; 46% were antibiotic appropriate; 65% were potentially appropriate; 19% resulted from inappropriate diagnoses; and 10% were related to coronavirus disease 2019 (COVID-19) diagnosis.

Long-duration gamma-ray burst (GRB) afterglow observations offer cutting-edge opportunities to characterise the star formation history of the Universe back to the epoch of reionisation, and to measure the chemical composition of interstellar and intergalactic gas through absorption spectroscopy. The main barrier to progress is the low efficiency in rapidly and confidently identifying which bursts are high redshift ($z > 5$) candidates before they fade, as this requires low-latency follow-up observations at near-infrared wavelengths (or longer) to determine a reliable photometric redshift estimate. Since no current or planned gamma-ray observatories carry near-infrared telescopes on-board, complementary facilities are needed. So far this task has been performed by instruments on the ground, but sky visibility and weather constraints limit the number of GRB targets that can be observed and the speed at which follow-up is possible. In this work we develop a Monte Carlo simulation framework to investigate an alternative approach based on the use of a rapid-response near-infrared nano-satellite, capable of simultaneous imaging in four bands from $0.8$ to $1.7\,\unicode{x03BC}$m (a mission concept called SkyHopper). Using as reference a sample of 88 afterglows observed with the GROND instrument on the MPG/ESO telescope, we find that such a nano-satellite is capable of detecting in the H-band (1.6 $\unicode{x03BC}$m) $72.5\% \pm 3.1\%$ of GRBs concurrently observable with the Swift satellite via its UVOT instrument (and $44.1\% \pm 12.3\%$ of high redshift ($z>5$) GRBs) within 60 min of the GRB prompt emission. This corresponds to detecting ${\sim}55$ GRB afterglows per year, of which 1–3 have $z > 5$. These rates represent a substantial contribution to the field of high-z GRB science, as only 23 $z > 5$ GRBs have been collectively discovered by the entire astronomical community over the last ${\sim}24$ yr. Future discoveries are critically needed to take advantage of next generation follow-up spectroscopic facilities such as 30m-class ground telescopes and the James Webb Space Telescope. Furthermore, a systematic space-based follow-up of afterglows in the near-infrared will offer new insight on the population of dusty (‘dark’) GRBs which are primarily found at cosmic noon ($z\sim 1-3$). Additionally, we find that launching a mini-constellation of 3 near-infrared nano-satellites would increase the detection fraction of afterglows to ${\sim}83\%$ and substantially reduce the latency in the photometric redshift determination.

The COllaborative project of Development of Anthropometrical measures in Twins (CODATwins) project is a large international collaborative effort to analyze individual-level phenotype data from twins in multiple cohorts from different environments. The main objective is to study factors that modify genetic and environmental variation of height, body mass index (BMI, kg/m2) and size at birth, and additionally to address other research questions such as long-term consequences of birth size. The project started in 2013 and is open to all twin projects in the world having height and weight measures on twins with information on zygosity. Thus far, 54 twin projects from 24 countries have provided individual-level data. The CODATwins database includes 489,981 twin individuals (228,635 complete twin pairs). Since many twin cohorts have collected longitudinal data, there is a total of 1,049,785 height and weight observations. For many cohorts, we also have information on birth weight and length, own smoking behavior and own or parental education. We found that the heritability estimates of height and BMI systematically changed from infancy to old age. Remarkably, only minor differences in the heritability estimates were found across cultural–geographic regions, measurement time and birth cohort for height and BMI. In addition to genetic epidemiological studies, we looked at associations of height and BMI with education, birth weight and smoking status. Within-family analyses examined differences within same-sex and opposite-sex dizygotic twins in birth size and later development. The CODATwins project demonstrates the feasibility and value of international collaboration to address gene-by-exposure interactions that require large sample sizes and address the effects of different exposures across time, geographical regions and socioeconomic status.

Haploxylon pine(s) and Artemisia dominated the initial vegetation in front of the receding Okanogan Lobe until ca. 10,000 yr B.P., as revealed by two pollen records in north-central Washington. After 10,000 yr B.P. the macroclimate became warmer throughout the Okanogan drainage as diploxylon pines and Artemisia increased. The Mount Mazama eruption at ca. 6700 yr B.P. is recorded as two stratigraphically separate and petrographically distinct tephra units at Bonaparte Meadows. While there are apparent short-term changes in the vegetation coincident with the ashfall(s), Artemisia continues to dominate the Okanogan Valley until ca. 5000 yr B.P. By 4700 yr B.P. the modern vegetation, dominated by Pseudotsuga menziesii, had become established around Bonaparte Meadows.

Most nonnative plants that have become naturalized and even invasive were deliberately introduced into their new range—prompting the quip that we have often “invited trouble” by enthusiastically importing species as putative sources of food, fiber, or fuel without assessing their potential damage. Gant reed is a case in point: a large, rapidly growing grass introduced long ago in the United States that has already become a riparian invader in California and Texas. Concern about the ability of giant reed to wreak environmental damage has taken on new urgency as it is now being touted as a potential biofuel feedstock. Ambitious proposals call for creation of huge plantations devoted to the grass's cultivation. Needed is neutral, comprehensive, transparent accounting of the pros and cons (literally, the credits and debits) of the widespread planting of nonnative biofuel candidates, especially giant reed. Otherwise, the United States could embark on plans to introduce giant reed throughout a much larger new range, while simultaneously paying for its removal—obviously conflicted policies.

Pollen records in the Kootenai and Fisher River drainages in western Montana reveal a fivezone sequence of Holocene vegetation change. Deposition of Glacier Peak Ash-Layer G (ca. 10,540 ± 660 yr B.P.) in the lowermost sediments (clay intermixed with pebbles) at Tepee Lake gives a minimum date for the initiation of sedimentation. Initial vegetation on the newly deglaciated terrain was dominated by Pinus (probably white bark pine) with small amounts of Gramineae, Picea and Abies, reflecting a relatively cool, moist macroclimate. Two vegetation units appear to contribute to Pollen Zone II (ca. 11,000–7100 yr B.P.): arboreal communities with pines, along with Pseudotsuga or Larix, or both, and treeless vegetation dominated by Artemisia. Pollen Zone II represents an overall warmer macroclimate than occurred upon ice withdrawal. After ca. 7100 yr B.P. (Pollen Zone III) diploxylon pines became a major pollen contributor near both Tepee Lake and McKillop Creek Pond, indicating an expansion of xerophytic forest (P. contorta and P. ponderosa) along with an increase in the prominence of Pseudotsuga menziesii or Larix occidentalis, or both. Artemisia briefly expanded coverage near Tepee Lake concomitant with the Mazama ashfall ca. 6700 yr B.P. A short-term climatic trend with more available water began after ca. 4000 yr B.P. as Abies (probably A. grandis) along with Picea engelmannii became a more regular component of the forest surrounding both sites. Emergence of the modern macroclimate is indicated primarily with the first regular appearance of Tsuga heterophylla in the pollen record by ca. 2700 yr B.P., synchronous with the development of western hemlock forest within the same latitudes in northern Idaho and northeastern Washington.

Hager Pond, a mire in northern Idaho, reveals at least five pollen zones since sediments formed after the last recession of continental ice (>9500 yr BP). Zone I (>9500-8300 yr BP) consists mainly of diploxylon pine, plus low percentages of Abies, Artemisia, and Picea. SEM examination of conifer pollen at selected levels in the zone reveals that Pinus albicaulis, P. monticola, and P. contorta are present in unknown proportions. The zone resembles modern pollen spectra from the Abies lasiocarpa-P. albicaulis association found locally today only at high elevation. Presence of whitebark pine indicates a cooler, moister climate than at present, but one which was rapidly replaced in Zone II (8300-7600 yr BP) by warmer, drier conditions as inferred by prominence of grass with diploxylon pine. Zone III (7600-3000 yr BP) was probably dominated by Pseudotsuga menziesii, plus diploxylon pine and prominent Artemisia and denotes a change in vegetation but continuation of the warmer drier conditions. Beginning at approximately 3000 yr BP Picea engelmannii, Abies lasiocarpa, and/or A. grandis and diploxylon pine were dominants and the inferred climate became cooler and moister concomitant with Neoglaciation. The modern climatic climax (Zone 157), with Tsuga heterophylla as dominant, has emerged in approximately the last 1500 yr.

Minimizing the impact of invasive alien species (IAS) on islands and elsewhere requires researchers to provide cogent information on the environmental and socioeconomic consequences of IAS to the public and policy makers. Unfortunately, this information has not been readily available owing to a paucity of scientific research and the failure of the scientific community to make their findings readily available to decision makers. This review explores the vulnerability of islands to biological invasion, reports on environmental and socioeconomic impacts of IAS on islands and provides guidance and information on technical resources that can help minimize the effects of IAS in island ecosystems. This assessment is intended to provide a holistic perspective on island-IAS dynamics, enable biologists and social scientists to identify information gaps that warrant further research and serve as a primer for policy makers seeking to minimize the impact of IAS on island systems. Case studies have been selected to reflect the most scientifically-reliable information on the impacts of IAS on islands. Sufficient evidence has emerged to conclude that IAS are the most significant drivers of population declines and species extinctions in island ecosystems worldwide. Clearly, IAS can also have significant socioeconomic impacts directly (for example human health) and indirectly through their effects on ecosystem goods and services. These impacts are manifest at all ecological levels and affect the poorest, as well as richest, island nations. The measures needed to prevent and minimize the impacts of IAS on island ecosystems are generally known. However, many island nations and territories lack the scientific and technical information, infrastructure and human and financial resources necessary to adequately address the problems caused by IAS. Because every nation is an exporter and importer of goods and services, every nation is also a facilitator and victim of the invasion of alien species. Wealthy nations therefore need to help raise the capacity of island nations and territories to minimize the spread and impact of IAS.

In the framework of our multi-frequency study of Virgo A we have performed observations of Vir A at 10.55 GHz with the Effelsberg 100-m telescope. Using our improved CLEAN procedure for single dish data we have increased the dynamic range to some 40 dB.

By applying our newly developed polarization CLEANing technique we are able to diminish instrumental polarization effects. Since Faraday rotation is negligible at λ2.8 cm the measured linear polarization is a direct trace of the projected magnetic field in Vir A. In combination with low-frequency data obtained with the VLA it is possible to determine parameters like spectral indices, break frequencies, and spectral ages.

Passivated Cu lines deposited by CVD, electroplating, and sputter-reflow were investigated using x-ray diffraction. Blanket films of the three types were measured for strain and texture post-deposition and after an anneal step to mimic the passivation temperature step. Texture in the CVD films was random, while the electroplated and sputtered films showed a strong {111} texture. Lines were then measured of each type. The measured strain was modeled using finite element calculations. While the strain in Cu was high compared to Al lines of similar geometry, no stress voiding was observed using high voltage scanning electron microscopy.

The problem of stress-induced voiding in the metal lines used for VLSI interconnections appeared about 10 years ago and was first reported in the literature in 1984. Some typical voids are shown in Figure 1. It is not entirely coincidental that the problem is of about the same age as the personal computer. The continuing advances in process technology that make possible the ever lower costs and improved performance of VLSI devices often have unexpected and troublesome side effects. Continuous attention to potential effects of process changes on the behavior of the materials comprising a VLSI chip is essential to avoid passing on problems to customers. The history of stress-induced voiding provides a good illustration.