The Society for Healthcare Epidemiology of America, the Association of Professionals in Infection Control and Epidemiology, the Infectious Diseases Society of America, and the Pediatric Infectious Diseases Society represent the core expertise regarding healthcare infection prevention and infectious diseases and have written multisociety statement for healthcare facility leaders, regulatory agencies, payors, and patients to strengthen requirements and expectations around facility infection prevention and control (IPC) programs. Based on a systematic literature search and formal consensus process, the authors advocate raising the expectations for facility IPC programs, moving to effective programs that are:

• Foundational and influential parts of the facility’s operational structure

• Resourced with the correct expertise and leadership

• Prioritized to address all potential infectious harms

This document discusses the IPC program’s leadership—a dyad model that includes both physician and infection preventionist leaders—its reporting structure, expertise, and competencies of its members, and the roles and accountability of partnering groups within the healthcare facility. The document outlines a process for identifying minimum IPC program medical director support. It applies to all types of healthcare settings except post-acute long-term care and focuses on resources for the IPC program. Long-term acute care hospital (LTACH) staffing and antimicrobial stewardship programs will be discussed in subsequent documents.

Objectives/Goals: Hearing loss (HL) can result from environmental and genetic factors. Some genetic variants may be more prevalent in populations living in geographic or cultural isolation. This study explores the genetic variants associated with HL in Puerto Rico and correlates these with auditory and balance disorders to uncover novel variants. Methods/Study Population: After obtaining individual informed consent and assent for a minor when applicable, we will collect clinical audiological data and biological samples (n  =  600) from families across Puerto Rico with a history of severe to profound HL. Genomic DNA will be extracted, and exome and mitochondrial genome sequencing will be conducted to identify causal variants in genes associated with HL. The study will assess the prevalence of both novel and reported variants in genes associated with HL and investigate founder variants in the Puerto Rican population. Involvement of genes so far not associated with HL will also be considered when a genetic diagnosis cannot be established. Auditory phenotypes will be correlated with genetic findings, allowing for a comprehensive analysis of genetic contributions to HL in this population. Results/Anticipated Results: This research will advance understanding of the genetic causes of HL in Puerto Rico, leading to more accurate diagnoses, personalized treatment options, and the discovery of novel genes associated with HL. It will also serve as an evidence-based reference to analyze the adequacy of current neonatal hearing screening protocols in PR. Recruitment and sample collection have begun, and we expect our findings to uncover population-specific variants. These results will provide a foundation for further genetic studies aiming at identifying the causes of HL in Puerto Ricans regardless of age of onset. Discussion/Significance of Impact: This study will enhance our understanding of hereditary HL and serve as a basis for developing population-specific diagnostic tools and interventions, particularly in the Puerto Rican population. The research will support future genetic studies and address health disparities in HL in the island.

As part of a broad survey of the trematodes of damselfishes (Pomacentridae) in the tropical Indo-West Pacific, zoogonids were collected from multiple localities in Australia, New Caledonia, and French Polynesia. All zoogonid specimens collected were consistent with the subfamily Lecithostaphylinae, and morphological and molecular data (ITS2 and 28S rDNA, and cox1 mtDNA) were generated for most host-locality combinations to enable an integrative species delimitation. The collection comprised three species: Deretrema stratiotes n. sp. from four species of Abudefduf Forsskål from Ningaloo Reef in Western Australia, and two species consistent with the genus Lecithostaphylus Odhner, 1911 for which Innuptacola n. gen. is proposed based on phylogenetic and morphological distinction, the type-species I. gibsoni (Cribb, Bray & Barker, 1992) n. comb. (= L. gibsoni) from six species of Abudefduf in Ningaloo Reef, Queensland and New Caledonia, and I. torquata n. sp. from 12 pomacentrid species in Ningaloo Reef, the Great Barrier Reef in Queensland, and the Gambier Islands in French Polynesia. The new collection demonstrates that some zoogonid species are geographically widespread (from the Pacific Ocean to the Indian Ocean) and can infect a broad range of hosts (multiple genera within a family), whereas others are apparently geographically restricted and exhibit higher host-specificity (fishes within a single genus).

Democratic theorists hold that voting contributes to some political good: individual and collective autonomy, equality, justice, pluralism, stability, better policies, and many others. But elections are common under authoritarianism, and empirical research finds that holding elections can stabilize authoritarian regimes. This creates what we term the democrat’s dilemma, where citizens who vote in authoritarian elections may bolster the regimes they wish to unseat, even when they cast a vote for the opposition. We identify three major ways of thinking about the democratic value of electoral participation—justice-based, epistemic, and proceduralist approaches—and use them to examine the complex moral considerations that confront voters in authoritarian regimes. We contend that authoritarian elections’ residual democratic value can justify voting, even when doing so could further entrench the autocrat. Our argument also implies that the democratic principles that justify voting in authoritarian elections oblige citizens to choose the most democratic alternative.

Fluridone was registered for use in rice production in 2023, offering a new herbicide site of action for growers. However, little information is available on the degree of rice tolerance to this herbicide. Field experiments conducted in 2022 and replicated in 2023 near Colt, AR, evaluated the tolerance of 12 rice cultivars to fluridone, applied preemergence or at the 3-leaf growth stage, in separate experiments. Each experiment consisted of one cultivar. Fluridone rates included 0, 168 (1 × label rate), and 336 (2 × label rate) g ai ha−1 in all experiments. Visible injury varied between years in all experiments, likely due to different environmental conditions. In 2022, injury following preemergence applications of fluridone was below 25% across cultivars. In contrast, in 2023, injury ≥30% occurred to five cultivars, with a maximum of 58% observed for the cultivar ‘DG263L’. In both years, only three cultivars exhibited injury ≥20% following fluridone applications at the 3-leaf stage. Fluridone negatively affected shoot density, groundcover, chlorophyll content, and days to 50% heading in most cultivars when applied preemergence. When fluridone was applied to 3-leaf rice, at least one of the variables evaluated was negatively affected in two and nine cultivars in 2022 and 2023, respectively. Grain yield reductions of at least 18% were observed from eight cultivars in 2022, and a grain yield decrease from 9% to 49% from eight cultivars occurred in 2023 in the preemergence experiments. Fluridone applied to rice at the 3-leaf stage did not cause a yield penalty to any cultivar in 2022, whereas in 2023, a yield loss occurred from eight cultivars. Yield loss from the DG263L cultivar occurred at the 1 × rate in both experiments, indicating that this cultivar appears to be sensitive to fluridone, regardless of the application timing. Based on these findings, fluridone tolerance is cultivar-dependent. Furthermore, preemergence applications of fluridone to rice should be avoided.

Ulakhan Sular provides one of the largest natural stratigraphic sections through ancient permafrost deposits in the Batagay–Betenkes region of the Yana Uplands of western Beringia, but their depositional environment, age, and paleoenvironmental significance are uncertain. To address these uncertainties, we report the results of reconnaissance observations of the stratigraphy, sedimentology, paleosols and soil-like bodies, plant and insect macrofossils, and geochronology of the permafrost deposits at the stratotype section of the Ulakhan Sular Formation. Sedimentologically, this formation is dominated by well-sorted, fine to very fine sand that contains fluvial, aeolian, and permafrost sedimentary structures consistent with deposition near the paleo-Adycha River. The fluvio-aeolian deposits have similarities and differences to periglacial fluvio-aeolian and aeolian deposits in modern arctic regions of Canada and Greenland, and Pleistocene deposits in Alaska, China, and northwest Europe. The remarkable thickness of aeolian deposits (~50 m) at Ulakhan Sular is attributed to abundant local sand sources, ample accommodation space, and intensive aeolian transport and deposition. Optically stimulated luminescence dating of quartz sand and post-infrared–infrared dating of K-feldspar sand suggests deposition of the Ulakhan Sular Formation during late Marine Oxygen Isotope Stage (MIS) 6 or MIS 5. The aeolian sand-sheet deposits are correlated with other cold-climate aeolian sand and silt (loess) deposits in Beringia and southern Siberia, indicating a regional episode of aeolian sand transport and deposition at a similar time to glaciation by the Eastern Siberian Ice Sheet.

As mid-southern U.S. rice producers continue to adopt furrow-irrigated rice production practices, supplementary management efforts will be vital in combating Palmer amaranth due to the extended germination period provided by the lack of a continual flood. Previous research has revealed the ability of cover crops to suppress Palmer amaranth emergence in corn, cotton, and soybean production systems; however, research on cover crop weed control efficacy in rice production is scarce. Therefore, trials were initiated in Arkansas in 2022 and 2023 to evaluate the effect of cover crops across five site-years on rice emergence, groundcover, grain yield, and total Palmer amaranth emergence. The cover crops evaluated were cereal rye, winter wheat, Austrian winterpea, and hairy vetch. Cover crop biomass accumulation varied by site-year, ranging from 430 to 3,440 kg ha−1, with cereal rye generally being the most consistent producer of high-quantity biomass across site-years. Rice growth and development were generally unaffected by cover crop establishment; however, all cover crops reduced rice emergence by up to 30% in one site-year. Rice groundcover was reduced by 13% from cereal rye in one site-year 2 wk before heading but cover crops did not affect rough rice grain yield in any of the site-years. Palmer amaranth emergence was reduced by 19% and 35% with cereal rye relative to the absence of a cover crop when rice was planted in April in Marianna, and May in Fayetteville, respectively. In most trials, Palmer amaranth emergence was not reduced by a cereal cover crop. In most instances, legume cover crops resulted in less Palmer amaranth emergence than without a cover crop. Based on these results, legume cover crops appear to provide some suppression of Palmer amaranth emergence in furrow-irrigated rice while having a minimal effect on rice establishment and yield.

A 16-year-old male with newly diagnosed granulomatosis with polyangiitis presented to the emergency room with chest pain. He was found to have a myocardial infarction involving the right coronary artery and the left circumflex artery. He underwent mechanical thrombectomy and stent placement without significant sequelae. This is a rare complication associated with granulomatosis with polyangiitis.

Estimates of test size (probability of Type I error) were obtained for several specific repeated measures designs. Estimates were presented for configurations where the underlying covariance matrices exhibited varying degrees of heterogeneity. Conventional variance ratios were employed as basic statistics in order to produce estimates of size for a conventional test, an ∊-adjusted test, and ∊-adjusted test and a conservative test. Indices for empirical distributions of two estimators of ∊j, a measure of covariance heterogeneity, were also provided.

In the current paper, we review existing tools for solving variable selection problems in psychology. Modern regularization methods such as lasso regression have recently been introduced in the field and are incorporated into popular methodologies, such as network analysis. However, several recognized limitations of lasso regularization may limit its suitability for psychological research. In this paper, we compare the properties of lasso approaches used for variable selection to Bayesian variable selection approaches. In particular we highlight advantages of stochastic search variable selection (SSVS), that make it well suited for variable selection applications in psychology. We demonstrate these advantages and contrast SSVS with lasso type penalization in an application to predict depression symptoms in a large sample and an accompanying simulation study. We investigate the effects of sample size, effect size, and patterns of correlation among predictors on rates of correct and false inclusion and bias in the estimates. SSVS as investigated here is reasonably computationally efficient and powerful to detect moderate effects in small sample sizes (or small effects in moderate sample sizes), while protecting against false inclusion and without over-penalizing true effects. We recommend SSVS as a flexible framework that is well-suited for the field, discuss limitations, and suggest directions for future development.

Furrow-irrigated rice (Oryza sativa L.) hectares are increasing in the Midsouth. The lack of sustained flooding creates a favorable environment for weed emergence and persistence, which makes Palmer amaranth (Amaranthus palmeri S. Watson) difficult to control throughout the growing season. The negative yield impacts associated with season-long A. palmeri interference in corn (Zea mays L.), cotton (Gossypium hirsutum L.), and soybean [Glycine max (L.) Merr.] have been evaluated. However, there is limited knowledge of the weed’s ability to influence rice grain yield. Research was initiated in 2022 and 2023 to determine the effect of A. palmeri time of emergence relative to rice on weed seed production and grain yield. Cotyledon-stage A. palmeri plants were marked every 7 d, beginning 1 wk before rice emergence through 4 wk after rice emergence. Amaranthus palmeri seed production decreased exponentially as emergence timing was delayed relative to rice, and seed production increased by 447 seed plant−1 for every 1-g increase in weed biomass. Without rice competition and from the earliest emergence timing, A. palmeri produced 540,000 seeds plant−1. Amaranthus palmeri that emerged 1 wk before the crop had the greatest spatial influence on rice, with grain yield loss of 5% and 50% at a distance of 1.4 m and 0.40 m from the weed, respectively. As A. palmeri emergence was delayed, the area of influence decreased. However, A. palmeri plants emerging 3.5 wk after rice emergence still negatively affected grain yield and produced sufficient seed to replenish the soil seedbank, potentially impacting long-term crop management decisions. These results show that the time of A. palmeri emergence is a crucial factor influencing rice grain yield and weed seed production, which can be used to determine the consequences of escapes in rice.