Healthcare personnel (HCP) with unprotected exposures to aerosol-generating procedures (AGPs) on patients with coronavirus disease 2019 (COVID-19) are at risk of infection with severe acute respiratory coronavirus virus 2 (SARS-CoV-2). A retrospective review at an academic medical center demonstrated an infection rate of <1% among HCP involved in AGPs without a respirator and/or eye protection.

Financial literacy is a core life skill for participating in modern society. But how many of us have been educated about money; the importance of budgeting and saving for a rainy day; how bank accounts and debt work and when it makes sense to save for a pension? Our brief research to date indicates a shockingly low level of financial literacy in the general population. And, it does not look like this will get better soon; regarding improving financial literacy, the Financial Services Authority stated in 2003 that “Never has the need been so great or so urgent”. And yet many children will go through school without an hour spent studying financial literacy. Furthermore, efforts to improve financial literacy at older ages are either non-existent or piecemeal at best.

The consequences of poor financial literacy are especially damaging for vulnerable people. Vulnerable groups of people are most at risk of making poor financial decisions throughout their lives, which has negative consequences for saving, home ownership, debt levels, retirement and financial inclusion. In this paper, we consider various mechanisms to protect such financial customers, whilst recognising that improving financial literacy is not a silver bullet to improve customer outcomes from financial products.

Financial literacy cannot be brought to a point where the public can understand many financial products without support and advice. But surely, awareness of basic financial literacy principles can be raised, including the most important: when to seek support and advice before undertaking important financial decisions. The paper suggests some key principles for financial literacy and will also consider methods and tools to allow the public to access much-needed support and advice.

Bayesian analysis of radiocarbon (14C) dates in North American archaeology is increasing, especially among archaeologists working in deeper time. However, historical archaeologists have been slow to embrace these new techniques, and there have been only a few examples of the incorporation of calendar dates as informative priors in Bayesian models in such work in the United States. To illustrate the value of Bayesian approaches to sites with both substantial earlier Native American occupations as well as a historic era European presence, we present the results of our Bayesian analysis of 14C dates from the earlier Guale village and the Mission period contexts from the Sapelo Shell Ring Complex (9MC23) in southern Georgia. Jefferies and Moore have explored the Spanish Mission period deposits at this site to better understand the Native American interactions with the Spanish during the 16th and 17th centuries along the Georgia Coast. Given the results of our Bayesian modeling, we can say with some degree of confidence that the deposits thus far excavated and sampled contain important information dating to the 17th-century mission on Sapelo Island. In addition, our modeling of new dates suggests the range of the pre-Mission era Guale village. Based on these new dates, we can now say with some degree of certainty which of the deposits sampled likely contain information that dates to one of the critical periods of Mission period research, the AD 1660–1684 period that ushered in the close of mission efforts on the Georgia Coast.

Introduction: Most emergency departments (ED) in Canada have a population of high frequency users that present to the ED on a regular basis. These patients are well described in the literature and typically defined by a frequency of 8-10 visits/year. In Thunder Bay, Ontario we have a significant population of patients that present more often that we have termed “super-users”. These patients often are typically from a vulnerable population with multiple co-morbidities and a high mortality rate. Although their risk for poor health outcomes is well recognized, both the chronicity and complexity of their symptoms often contributes to diagnostic dilemmas. The decision to order a computed tomography (CT) scan can be a difficult balance between ruling out life threatening diagnoses and exposing the patient to excessive radiation. Our objective was to describe how often these super-users of the ED received a CT scan and what types of imaging were completed. Methods: The Thunder Bay Regional Health Sciences Centre is a geographically isolated hospital in Northwestern Ontario with the next closest hospital based CT scanner greater than 300 km away. Based on previous literature and our preliminary scoping of the super-user group, we have identified a minimum of 25 visits as the threshold. A retrospective chart review was conducted for the year 2017 using our electronic medical record. Patient demographic data was collected along with the type and number of CT scans into a standardized collection tool. Results: Our preliminary results showed that our total population of super-users was 75 patients with an average of 32 visits to the ED per year. A total of 76% of the patients had a CT scan completed at least once. On average these patients have a CT during 10% of their visits with head CT comprising 50% of the imaging and abdominal/pelvis imaging comprising another 45%. For 20% of these super-users, they had CTs on 20% of their visits. From this population, only 10% of the patients had surgery in 2017 while 7% of visits required admission to hospital. The most common diagnoses for these patient visits relate to mental health/addictions, gastrointestinal complaints and infection. Conclusion: This study has shown that a significant number of our super-user population are receiving multiple CTs. Our next step is collect data on individual radiation doses and calculate exposure risks. We hope to inform policy and decision-makers who are developing programs to treat the underlying cause of their high resource use.

Introduction: All emergency departments (EDs) across Canada can identify a group of high frequency users, which are typically defined in the literature as eight to ten visits per year. Although frequent users of the ED are well-studied in the literature, there is little published in terms of identifying the “super-user” group who present to the ED much more often than 10 visits per year. Faced with multiple co-morbidities and a high mortality rate, the ED is often the most appropriate environment to manage this population. In order to inform future initiatives to improve health outcomes, we aimed to identify the specific characteristics of this super-user group. Methods: A retrospective chart review was conducted using the electronic medical record from the Thunder Bay Regional Health Sciences Centre to identify patients who had at least 25 visits in the year 2017. A total of 75 patients presented to the ED greater than 25 times in 2017. The following data was then collected on each individual patient: demographic characteristics including age, gender, address, access to a primary care provider. In addition, we collected date, time, diagnoses at each visit, admission rate and surgical interventions. Results: Our preliminary results reveal this population presents to the ED on average 32 times per year. The population is 53% male. Most have a private address and half have a primary care provider for all 2017 with one quarter having a primary care provider for part of the year. The percentage of visits for infections was 30%, mental health and addictions presentations comprised 28% of the visits, with gastrointestinal and cardiac visits comprising a total 22% of the visits. Approximately 7% of visits required admission to hospital, and the average length of stay was 5 days. Conclusion: Super-users of the ED are a unique population that are typically well connected with primary care and have a very low admission and surgical rate. The most common reasons for visit are infections and mental health and addictions. The next steps include collecting mortality data. This data should be used to inform ED and community initiatives aimed at improved health outcomes for this population.

Recently, several incidents of glyphosate failure on junglerice [Echinochloa colona (L.) Link] have been reported in the midsouthern United States, specifically in Mississippi and Tennessee. Research was conducted to measure the magnitude of glyphosate resistance and to determine the mechanism(s) of resistance to glyphosate in E. colona populations from Mississippi and Tennessee. ED50 (dose required to reduce plant growth by 50%) values for a resistant MSGR4 biotype, a resistant TNGR population, and a known susceptible MSGS population were 0.8, 1.62, and 0.23 kg ae ha−1 of glyphosate, respectively. The resistance index calculated from the these ED50 values indicated that the MSGR4 biotype and TNGR population were 4- and 7-fold, respectively, resistant to glyphosate relative to the MSGS population. The absorption patterns of [14C]glyphosate in the TNGR and MSGS populations were similar. However, the MSGS population translocated 13% more [14C]glyphosate out of the treated leaf compared with the TNGR population at 48 h after treatment. EPSPS gene sequence analyses of TNGR E. colona indicated no evidence of any point mutations, but several resistant biotypes, including MSGR4, possessed a single-nucleotide substitution of T for C at codon 106 position, resulting in a proline-to-serine substitution (CCA to TCA). Results from quantitative polymerase chain reaction analyses suggested that there was no amplification of the EPSPS gene in the resistant populations and biotypes. Thus, the mechanism of resistance in the MSGR population (and associated biotypes) is, in part, due to a target-site mutation at the 106 loci of the EPSPS gene, while reduced translocation of glyphosate was found to confer glyphosate resistance in the TNGR population.

Herbicide resistance, and in particular multiple-herbicide resistance, poses an ever-increasing threat to food security. A biotype of junglerice [Echinochloa colona (L.) Link] with resistance to four herbicides, imazamox, fenoxaprop-P-ethyl, quinclorac, and propanil, each representing a different mechanism of action, was identified in Sunflower County, MS. Dose responses were performed on the resistant biotype and a biotype sensitive to all four herbicides to determine the level of resistance. Application of a cytochrome P450 inhibitor, malathion, with the herbicides imazamox and quinclorac resulted in increased susceptibility in the resistant biotype. Differential gene expression analysis of resistant and sensitive plants revealed that 170 transcripts were upregulated in resistant plants relative to sensitive plants and 160 transcripts were upregulated in sensitive plants. In addition, 507 transcripts were only expressed in resistant plants and 562 only in sensitive plants. A subset of these transcripts were investigated further using quantitative PCR (qPCR) to compare gene expression in resistant plants with expression in additional sensitive biotypes. The qPCR analysis identified two transcripts, a kinase and a glutathione S-transferase that were significantly upregulated in resistant plants compared with the sensitive plants. A third transcript, encoding an F-box protein, was downregulated in the resistant plants relative to the sensitive plants. As no cytochrome P450s were differentially expressed between the resistant and sensitive plants, a single-nucleotide polymorphism analysis was performed, revealing several nonsynonymous point mutations of interest. These candidate genes will require further study to elucidate the resistance mechanisms present in the resistant biotype.

Effects and interactions of two soil temperatures, 19 ± 1 and 27 ± 3 C, and seven soil-applied herbicide treatments on the morphological development and concentrations of eight essential nutrients in leaves, stems, and roots of pinto beans were determined. Soil temperature did not affect overall plant morphology but did affect some nutrient concentrations in the roots, stems, and leaves. Combinations of alachlor plus trifluralin at 2.2 plus 0.28 kg ai/ha and EPTC plus trifluralin at 2.2 plus 0.28 kg ai/ha caused greater negative effects than when the herbicides were applied separately. Oryzalin at 0.56 kg ai/ha and EPTC at 3.4 kg ai/ha induced the least number of morphological effects, while alachlor at 3.4 kg ai/ha, chloramben at 2.2 kg ai/ha, and trifluralin applied at 0.56 kg ai/ha produced an intermediate number. Alachlor, trifluralin, and combinations of alachlor plus trifluralin and EPTC plus trifluralin inhibited nodule growth. Each herbicide affected different nutrients. Alachlor plus trifluralin affected the level of each nutrient in at least one plant tissue. Many herbicide-soil temperature interactions occurred.

In the mid eleventh century AD, Cahokia emerged as a substantial Mississippian urban centre. To the east, a shrine-complex known as the Emerald Acropolis, marking the beginning of a processional route to the city, also flourished. Excavations and geophysical survey of the monumental landscape around this site suggest that lunar cycles were important in the orientation of structures and settlement layout. They further indicate that water played a significant role in the ritual activities associated with the closure and abandonment of individual structures. The contemporary development of these sites suggests an intrinsic connection between them, and provides early evidence of the importance that the moon and water came to assume in Mississippian culture.

A population of junglerice from Sunflower County, MS, exhibited resistance to fenoxaprop-P-ethyl. An 11-fold difference in ED50 (the effective dose needed to reduce growth by 50%) values was observed when comparing the resistant population (249 g ae ha–1) with susceptible plants (20 g ae ha–1) collected from a different field. The resistant population was controlled by clethodim and sethoxydim at the field rate. Sequencing of the acetyl coenzyme A carboxylase, which encodes the enzyme targeted by fenoxaprop-P-ethyl, did not reveal the presence of any known resistance-conferring point mutations. An enzyme assay confirmed that the acetyl coenzyme A carboxylase in the resistant population is herbicide sensitive. Further investigations with two cytochrome P450 inhibitors, malathion and piperonyl butoxide, and a glutathione-S-transferase inhibitor, 4-chloro-7-nitrobenzofurazan, did not indicate involvement of any metabolic enzymes inhibited by these compounds. The absence of a known target-site point mutation and the sensitivity of the ACCase enzyme to herbicide show that fenoxaprop-P-ethyl resistance in this population is due to a non–target-site mechanism or mechanisms.

The Chesterian (Upper Mississippian) Imo Formation in north-central Arkansas contains an abundant, diverse, and well-preserved gastropod fauna, comprising 35 species referrable to 21 genera and subgenera. Bellerophontaceans and pleurotomariaceans show the greatest species diversity. New taxa proposed include: Euphemites chesterensis, E. whirligigi, Retispira yochelsoni, Patellilabia rhombadella, P. sulcata, Straparollus (Euomphalus) konobasis, S. (E.) variabilis, Trepospira (Angyomphalus) desultoria, Glabrocingulum (Glabrocingulum) parasolum, G. (G.) parvanodum, G. (G.) coronulum, Naticopsis (Marmolatella) macgordoni, N. (M.) imoensis, Globozyga mediocris, and Girtyspira microspirula.

Relicts of color patterns are present on four taxa. Repair of broken shells is common. Borings of acrothoracic barnacles and possibly that of a gastropod are present. Coprolites with gastropods attached may indicate a coprophagous habit, only grazing on the algae and bacteria growing on the coprolite, or may just be a circumstance of preservation.

We report on the preparation and characterization of crystalline bismuth oxide thin films via Biased Target Ion Beam Deposition method. A focused blue laser (405nm) is used to write an array of dots in the bismuth oxide thin film and demonstrate clear and circular recording marks in form of “bubbles” or “little volcanos” (FWHM ∼500nm). Results indicate excellent static recording characteristics, writing sensitivity and contrast. The recording mechanism is investigated and is believed to be related to laser-induced morphology change.

X-ray momentum coupling coefficients, CM, were determined by measuring stress waveforms in planetary materials subjected to impulsive radiation loading from the Sandia National Laboratories Z-machine. Velocity interferometry (VISAR) diagnostics provided equation-of-state data. Targets were iron and stone meteorites, magnesium-rich olivine (dunite) solid and powder (~5–300 μm), and Si, Al, and Fe calibration targets. Samples were ~1-mm thick and, except for Si, backed by LiF single-crystal windows. X-ray spectra combined thermal radiation (blackbody 170–237 eV) and line emissions from pinch materials (Cu, Ni, Al, or stainless steel). Target fluences of 0.4–1.7 kJ/cm2 at intensities of 43–260GW/cm2 produced plasma pressures of 2.6–12.4 GPa. The short (~5 ns) drive pulses gave rise to attenuating stress waves in the samples. The attenuating wave impulse is constant, allowing accurate CM measurements from rear-surface motion. CM was 1.9 − 3.1 × 10−5 s/m for stony meteorites, 2.7 and 0.5 × 10−5 s/m for solid and powdered dunite, 0.8 − 1.4 × 10−5 s/m for iron meteorites, and 0.3, 1.8, and 2.7 × 10−5 s/m respectively for Si, Fe, and Al calibration targets. Results are consistent with geometric scaling from recent laser hohlraum measurements. CTH hydrocode modeling of X-ray coupling to porous silica corroborated experimental measurements and supported extrapolations to other materials. CTH-modeled CM for porous materials was low and consistent with experimental results. Analytic modeling (BBAY) of X-ray radiation-induced momentum coupling to selected materials was also performed, often producing higher CM values than experimental results. Reasons for the higher values include neglect of solid ejecta mechanisms, turbulent mixing of heterogeneous phases, variances in heats of melt/vaporization, sample inhomogeneities, wave interactions at the sample/window boundary, and finite sample/window sizes. The measurements validate application of CM to (inhomogeneous) planetary materials from high-intensity soft X-ray radiation.