Antibiotic utilization for respiratory conditions (AXR) is a new Healthcare Effectiveness Data & Information Set ® (HEDIS®) measure designed to complement disease-specific metrics to improve outpatient antibiotic prescribing. Unique challenges include ensuring clinicians understand the metric and establishing appropriate goals within different health systems and service lines. Successful implementation requires awareness of the metric’s limitations and may be enhanced by co-reporting with condition-specific antibiotic use metrics to prioritize local interventions.

Children hospitalised with severe malnutrition have high mortality and readmission rates post-discharge. Current milk-based formulations target restoring ponderal growth but not the modification of gut barrier integrity or microbiome which increases the risk of gram-negative sepsis and poor outcomes. We propose that legume-based feeds rich in fermentable carbohydrates will promote better gut health and improve overall outcomes. We conducted an open-label phase II trial at Mbale and Soroti Regional Referral Hospitals, Uganda, involving 160 children aged 6 months to 5 years with severe malnutrition (mid-upper arm circumference (MUAC) < 11·5 cm and/or nutritional oedema). Children were randomised to a lactose-free, chickpea-enriched legume paste feed (LF) (n 80) v. WHO standard F75/F100 feeds (n 80). Co-primary outcomes were change in MUAC and mortality to day 90. Secondary outcomes included weight gain (> 5 g/kg/d), de novo development of diarrhoea, time to diarrhoea and oedema resolution. Day 90 MUAC increase was marginally lower in LF v. WHO arm (1·1 cm (interquartile range (IQR) 1·1) v. 1·4 cm (IQR 1·40), P = 0·09); day 90 mortality was similar (11/80 (13·8 %) v. 12/80 (15 %), respectively, OR 0·91 (95 % CI 0·40, 2·07), P = 0·83). There were no differences in any of the other secondary outcomes. Owing to initial poor palatability of the LF, ten children switched to WHO feeds. Per-protocol analysis indicated a trend to lower day 90 mortality and readmission rates in the LF (6/60 (10 %) and 2/60(3 %)) v. WHO feeds (12/71(17·5 %) and 4/71(6 %)). Further refinement of LF and clinical trials are warranted, given the poor outcomes in children with severe malnutrition.

Massive stars are predominantly found in binaries and higher order multiples. While the period and eccentricity distributions of OB stars are now well established across different metallicity regimes, the determination of mass-ratios has been mostly limited to double-lined spectroscopic binaries. As a consequence, the mass-ratio distribution remains subject to significant uncertainties. Open questions include the shape and extent of the companion mass-function towards its low-mass end and the nature of undetected companions in single-lined spectroscopic binaries. In this contribution, we present the results of a large and systematic analysis of a sample of over 80 single-lined O-type spectroscopic binaries (SB1s) in the Milky Way and in the Large Magellanic Cloud (LMC). We report on the developed methodology, the constraints obtained on the nature of SB1 companions, the distribution of O star mass-ratios at LMC metallicity and the occurrence of quiescent OB+black hole binaries.

As international criminal lawyers and diplomats discuss the Draft Treaty on Crimes Against Humanity on the one hand, and the potential of adding a fifth crime, ecocide, to the Rome Statute on the other, Janet Lord, William Pons, and Michael Stein issue a well-timed and compelling call to demonstrate our understanding that people with disabilities (PWD) are a part of humanity. The authors map the many crimes and various situations in which PWD have been and continue to be specifically targeted, and persuasively argue that it is past time for the system of international criminal law to embrace prosecutions of crimes against PWD. In so doing, the authors make a series of important recommendations for international criminal law: for example, that international criminal processes must be made fully accessible to PWD. This essay offers three reflections on the authors’ call to use international criminal prosecutions, specifically at the International Criminal Court (ICC), to elevate the rights of PWD, centering around the following questions: (1) do the people of the world believe that disabled lives matter; (2) if they do not, might international criminal law help shape domestic laws and overcome ableism; and, relatedly, (3) can the ICC create the necessary change? Or put another way, how capacious can and should the category of “crimes against humanity” be since institutional credibility and longevity are concerns?

Research into second language (L2) reading is an exponentially growing field. Yet, it still has a relatively short supply of comparable, ecologically valid data from readers representing a variety of first languages (L1). This article addresses this need by presenting a new data resource called MECO L2 (Multilingual Eye Movements Corpus), a rich behavioral eye-tracking record of text reading in English as an L2 among 543 university student speakers of 12 different L1s. MECO L2 includes a test battery of component skills of reading and allows for a comparison of the participants’ reading performance in their L1 and L2. This data resource enables innovative large-scale cross-sample analyses of predictors of L2 reading fluency and comprehension. We first introduce the design and structure of the MECO L2 resource, along with reliability estimates and basic descriptive analyses. Then, we illustrate the utility of MECO L2 by quantifying contributions of four sources to variability in L2 reading proficiency proposed in prior literature: reading fluency and comprehension in L1, proficiency in L2 component skills of reading, extralinguistic factors, and the L1 of the readers. Major findings included (a) a fundamental contrast between the determinants of L2 reading fluency versus comprehension accuracy, and (b) high within-participant consistency in the real-time strategy of reading in L1 and L2. We conclude by reviewing the implications of these findings to theories of L2 acquisition and outline further directions in which the new data resource may support L2 reading research.

Surveyed caregivers of children in Denver, Colorado, with acute otitis media (AOM) preferred immediate antibiotics over delayed antibiotics or observation. Overall, 77% stated that they would immediately fill a prescription written as delayed. In contrast, 86% of caregivers favored whichever duration was recommended by the provider or the shortest duration necessary.

In a series of seed burial studies, we tested the hypothesis that reduced tillage and cereal rye (Secale cereale L.) cover cropping influence seed persistence and that these effects are mediated by differences in fungal pathogens and exposure to light. Seeds of Powell amaranth (Amaranthus powellii S. Watson) and large crabgrass [Digitaria sanguinalis (L). Scop.] were buried in mesh bags in a long-term experiment with two levels of tillage (full-width tillage [FWT] or strip tillage [ST]) and two levels of cover cropping (none or cereal rye). In Experiment 1, seeds were exhumed each spring for 3 yr and tested for viability. In Experiment 2, untreated and fungicide-treated seeds were buried, exhumed at shorter intervals, and tested for viability. In addition, a subset of seeds in FWT treatments were exhumed and stored in either light or darkness during tillage operations and evaluated for persistence at 8.5 mo after burial (MAB). In Experiment 1, the persistence of D. sanguinalis seeds declined by 80% at 7 MAB regardless of cover crop or tillage treatment. The persistence of A. powellii seeds at 19 MAB declined by 95% in FWT compared with only 50% in ST. In Experiment 2, seed persistence of both species was greater in ST compared with FWT treatments, for seeds that had been exposed to light, but not for those that were maintained in darkness. Rye cover cropping resulted in a 2-fold increase in overwinter persistence of seeds of D. sanguinalis regardless of fungicide treatment. These results demonstrate that increased persistence under ST was primarily due to reductions in light-induced fatal germination and that increased overwinter persistence of D. sanguinalis in rye cover crop treatments could not be explained by differences in decay due to fungal pathogens controlled by the seed treatment.

The equation of state of Fo90 hydrous ringwoodite has been measured using X-ray powder diffraction to 45 GPa at the GSECARS beam line at the Advanced Photon Source synchrotron at Argonne National Laboratory. The sample was synthesized at 1400°C and 20 GPa in the 5000 ton multi anvil press at Bayerisches Geoinstitut in Bayreuth. The sample has the formula Mg1.70Fe0.192+ Fe0.023+H0.13- Si1.00O4 as determined by electron microprobe, Fourier transform infrared and Mössbauer spectroscopies, and contains ~0.79% H2O by weight. Compression of the sample had been been measured previously to 11 GPa by single crystal X-ray diffraction. A third-order Birch-Murnaghan equation of state fit to all of the data gives V0 = 530.49±0.07 Å3, K0 = 174.6±2.7 GPa and K' = 6.2±0.6. The effect of 1% H incorporation in the structure on the bulk modulus is large and roughly equivalent to an increase in the temperature of ∼600°C at low pressure. The large value of K' indicates significant stiffening of the sample with pressure so that the effect of hydration decreases with pressure.

Based on an herbarium survey, clover broomrape (Orobanche minor J. E. Smith) was found to have an 116 yr history in the United States. It has been collected 98 times in a total of 32 counties in 12 states and the District of Columbia, and it appears to have become established in seaports and along railroads. It most commonly parasitizes red and white clover, but also burley tobacco, carrots, and several species of ornamental shrubs and herbs. Distribution of clover broomrape indicates either a pattern of repeated introductions from foreign sources, or a persistence in areas where the parasite has become established. While not presently a significant threat, the potential for damage to crops of economic importance cannot be ruled out. The flowers are autogamous.

The link between parental depressive history and parenting styles is well established, as is the association of parenting with child psychopathology. However, little research has examined whether a depressive history in one parent predicts the parenting style of the other parent. As well, relatively little research has tested transactional models of the parenting–child psychopathology relationship in the context of parents' depressive histories. In this study, mothers and fathers of 392 children were assessed for a lifetime history of major depression when their children were 3 years old. They then completed measures of permissiveness and authoritarianism and their child's internalizing and externalizing symptoms when children were 3, 6, and 9 years old. The results showed that a depressive history in one parent predicted the other parent's permissiveness. Analyses then showed that child externalizing symptoms at age 3 predicted maternal permissiveness and authoritarianism and paternal permissiveness at age 6. Maternal permissiveness at age 6 predicted child externalizing symptoms at age 9. No relationships in either direction were found between parenting styles and child internalizing symptoms. The results highlight the importance of considering both parents' depressive histories when understanding parenting styles, and support transactional models of parenting styles and child externalizing symptoms.

Rattail fescue, a winter annual grass weed, has been increasing in Pacific Northwest (PNW) dryland cereal producing areas. Although rattail fescue is not a new weed species in the PNW, its incidence is expanding rapidly in circumstances where soil disturbances are minimized such as in direct seed systems. Options for effective rattail fescue control in winter wheat cropping systems have not been adequately investigated and need to be developed. Rattail fescue control with herbicide treatments was investigated in imidazolinone-resistant winter wheat using imazamox and other herbicides. Across multiple sites and two growing seasons, crop injury from herbicide treatments was minor to negligible with some exceptions. Treatments containing imazamox or mesosulfuron produced minor, transient winter wheat crop injury at some locations in some years. With the exception of flufenacet applied preemergence (PRE), control of rattail fescue in wheat was variable with single herbicide applications, but improved with sequential herbicide treatments. Rattail fescue biomass was greatly reduced by several treatments especially those containing flufenacet or from sequential herbicide application. Crop yield varied among sites due to growing season precipitation, and in some cases from rattail fescue control or herbicide related crop injury.

Sulfur cinquefoil is an invasive, perennial forb on rangelands of western Canada and the United States. Sulfur cinquefoil reproduces solely by seed and it is a prolific seed producer. Our 2-yr study (2006, 2007) investigated the optimal timing and intensity of defoliation to decrease aboveground productivity and seed production of sulfur cinquefoil plants on foothill rangeland in southwestern Montana. Each year, 150 sulfur cinquefoil plants within a 430-m2 enclosure were tagged for identification and randomly assigned to one of 15 clipping treatments with 10 plants per treatment. Clipping treatments were conducted at three timings: (preflower [early June], flowering [late June], and seedset [mid-July]) and all possible combinations of timings for a total of seven timing treatments clipped to two stubble heights (7.5 cm or 15 cm), comprising 14 unique treatments. The final (15th) treatment consisted of an unclipped control. Response variables collected at senescence (late July) included aboveground biomass; number of buds, flowers and fruits on each plant; and number and viability of seeds produced. Results indicated that defoliation of sulfur cinquefoil can effectively reduce its yield and seed production. All clipping treatments reduced aboveground biomass of sulfur cinquefoil compared with control plants (P ≤ 0.05), except clipping to 15 cm during preflowering in the wetter year of 2006. Clipping to either 7.5 cm or 15 cm at all times or combinations of timings reduced the number of buds, flowers, fruits, and seeds produced by sulfur cinquefoil (P ≤ 0.05). Viable seed production was reduced 99 to 100% when plants were clipped once to either 7.5 or 15 cm during flowering or seedset. Results suggest that targeted livestock grazing or mowing applied one time per season during flowering or seedset could effectively suppress the biomass production and viable seed production of sulfur cinquefoil.