North Carolina growers have long struggled to control Italian ryegrass, and recent research has confirmed that some Italian ryegrass biotypes have become resistant to nicosulfuron, glyphosate, clethodim, and paraquat. Integrating alternative management strategies is crucial to effectively control such biotypes. The objectives of this study were to evaluate Italian ryegrass control with cover crops and fall-applied residual herbicides and investigate cover crop injury from residual herbicides. This study was conducted during the fall/winter of 2021–22 in Salisbury, NC, and fall/winter of 2021–22 and 2022–23 in Clayton, NC. The study was designed as a 3 × 5 split-plot in which the main plot consisted of three cover crop treatments (no-cover, cereal rye at 80 kg ha−1, and crimson clover at 18 kg ha−1), and the subplots consisted of five residual herbicide treatments (S-metolachlor, flumioxazin, metribuzin, pyroxasulfone, and nontreated). In the 2021–22 season at Clayton, metribuzin injured cereal rye and crimson clover 65% and 55%, respectively. However, metribuzin injured both cover crops ≤6% in 2022–23. Flumioxazin resulted in unacceptable crimson clover injury of 50% and 38% in 2021–22 and 2022–23 in Clayton and 40% in Salisbury, respectively. Without preemergence herbicides, cereal rye controlled Italian ryegrass by 85% and 61% at 24 wk after planting in 2021–22 and 2022–23 in Clayton and 82% in Salisbury, respectively. In 2021–22, Italian ryegrass seed production was lowest in cereal rye plots at both locations, except when it was treated with metribuzin. For example, in Salisbury, cereal rye plus metribuzin resulted in 39,324 seeds m–2, compared to ≤4,386 seeds m–2 from all other cereal rye treatments. In 2022–23, Italian ryegrass seed production in cereal rye was lower when either metribuzin or pyroxasulfone were used preemergence (2,670 and 1,299 seeds m–2, respectively) compared with cereal rye that did not receive an herbicide treatment (5,600 seeds m–2). cereal rye (Secale cereale L.) and crimson clover (Trifolium incarnatum L.)

While clozapine has risks, relative risk of fatality is overestimated. The UK pharmacovigilance programme is efficient, but comparisons with other drugs can mislead because of reporting variations. Clozapine actually lowers mortality, partly by reducing schizophrenia-related suicides, but preventable deaths still occur. Clozapine should be used earlier and more widely, but there should be better monitoring and better management of toxicity.

The ability to accurately identify human gait intent is a challenge relevant to the success of many applications in robotics, including, but not limited to, assistive devices. Most existing intent identification approaches, however, are either sensor-specific or use a pattern-recognition approach that requires large amounts of training data. This paper introduces a real-time walking speed intent identification algorithm based on the Mahalanobis distance that requires minimal training data. This data efficiency is enabled by making the simplifying assumption that each time step of walking data is independent of all other time steps. The accuracy of the algorithm was analyzed through human-subject experiments that were conducted using controlled walking speed changes on a treadmill. Experimental results confirm that the model used for intent identification converges quickly (within 5 min of training data). On average, the algorithm successfully detected the change in desired walking speed within one gait cycle and had a maximum of 87% accuracy at responding with the correct intent category of speed up, slow down, or no change. The findings also show that the accuracy of the algorithm improves with the magnitude of the speed change, while speed increases were more easily detected than speed decreases.

ABSTRACT IMPACT: Within three EDs in a regional health system in Connecticut, African American race, male gender, non-Hispanic ethnicity, lack of private insurance, and homelessness were associated with significant odds of being physically restrained during a visit. OBJECTIVES/GOALS: Agitated patient encounters in the Emergency Department (ED) are on the rise, and physical restraints are used to protect staff and prevent self-harm. However, these are associated with safety risks and potential stigmatization of vulnerable individuals. We aim to determine factors that are associated with odds of being restrained in the ED. METHODS/STUDY POPULATION: We conducted a retrospective cohort analysis of all patients (≥18 yo) placed in restraints during an ED visit to three hospitals within a large tertiary health system from Jan 2013-Aug 2018. We undertook descriptive analysis of the data and created a generalized linear mixed model with a binary logistic identity link to model restraint use and determine odds ratios for various clinically significant demographic factors. These include gender, race, ethnicity, insurance status, alcohol use, illicit drug use, and homelessness. Our model accounted for patients nested across the three EDs and also accounted for multiple patient visits. RESULTS/ANTICIPATED RESULTS: In 726,417 total ED visits, 7,090 (1%) had associated restraint orders. Restrained patients had an average age of 45, with 64% male, 54% Caucasian and 29% African American. 17% had private insurance, 36% endorsed illicit substances, 51.4% endorsed alcohol use and 2.3% were homeless. African Americans had statistically significant odds of being restrained compared to Caucasians with adjusted odds ratio (AOR) of 1.14 (1.08,1.21). Females (AOR 0.75 [0.71, 0.79] had lower odds of being restrained compared to males while patients with Medicaid (AOR 1.57 [1.46, 1.68]) and Medicare (AOR 1.70 [1.57, 1.85]) had increased odds compared to the privately insured. Illicit substance use (AOR 1.55 [1.46, 1.64]), alcohol use (AOR 1.13 [1.07, 1.20] and homelessness (AOR 1.35 [1.14, 1.16]) had increased odds of restraint use. DISCUSSION/SIGNIFICANCE OF FINDINGS: We showed statistically significant effects of patient demographics on odds of restraint use in the ED. The increased odds based on race, insurance status, and substance use highlight the potential effects of implicit bias on the decision to physically restrain patients and underscores the importance of objective assessments of these patients.

Liquid phase (or liquid cell) transmission electron microscopy (LP-TEM) has been established as a powerful tool for observing dynamic processes in liquids at nanometer to atomic length scales. However, the simple act of observation using electrons irreversibly alters the nature of the sample. A clear understanding of electron-beam-driven processes during LP-TEM is required to interpret in situ observations and utilize the electron beam as a stimulus to drive nanoscale dynamic processes. In this article, we discuss recent advances toward understanding, quantifying, mitigating, and harnessing electron-beam-driven chemical processes occurring during LP-TEM. We highlight progress in several research areas, including modeling electron-beam-induced radiolysis near interfaces, electron-beam-induced nanocrystal formation, and radiation damage of soft materials and biomolecules.

A national need is to prepare for and respond to accidental or intentional disasters categorized as chemical, biological, radiological, nuclear, or explosive (CBRNE). These incidents require specific subject-matter expertise, yet have commonalities. We identify 7 core elements comprising CBRNE science that require integration for effective preparedness planning and public health and medical response and recovery. These core elements are (1) basic and clinical sciences, (2) modeling and systems management, (3) planning, (4) response and incident management, (5) recovery and resilience, (6) lessons learned, and (7) continuous improvement. A key feature is the ability of relevant subject matter experts to integrate information into response operations. We propose the CBRNE medical operations science support expert as a professional who (1) understands that CBRNE incidents require an integrated systems approach, (2) understands the key functions and contributions of CBRNE science practitioners, (3) helps direct strategic and tactical CBRNE planning and responses through first-hand experience, and (4) provides advice to senior decision-makers managing response activities. Recognition of both CBRNE science as a distinct competency and the establishment of the CBRNE medical operations science support expert informs the public of the enormous progress made, broadcasts opportunities for new talent, and enhances the sophistication and analytic expertise of senior managers planning for and responding to CBRNE incidents.

A study was conducted to evaluate effects of application timing and sulfometuron rate on weed control and bermudagrass tolerance. Sulfometuron was applied at rates from 13 to 105 g ai/ha and compared to 1120 g ae/ha 2,4-D amine. Control of Italian ryegrass and common vetch was not affected by October, November, December, or March application dates and 39 to 105 g/ha sulfometuron provided equivalent control of both species 6 mo after the initial treatment. Percent green cover of bermudagrass at 6 mo after the initial treatment was 22% or less following March applications compared to 36% or greater when applied in October, November, or December. More bermudagrass injury occurred following March treatments of 52 g/ha or greater sulfometuron where green cover was 14% and less compared to 22 and 30% green cover following 13 g/ha sulfometuron or 1120 g/ha 2,4-D amine, respectively.

Two sulfometuron-resistant biotypes of Italian ryegrass were identified from rights-of-way of U.S. Highway 49E in Holmes County, MS, and State Highway 14 in Humphreys County, MS. Sulfometuron at 5.2 g ai/ha applied PRE or POST reduced shoot fresh weight of these selections 20% or less at 4 wk after treatment. A susceptible ‘Gulf’ Italian ryegrass was reduced 52% or more in shoot fresh weight by 0.5 g/ha sulfometuron applied PRE or POST The biotype from Highway 49E was reduced 47% or less in shoot fresh weight by 520 g/ha sulfometuron applied PRE or POST.

Research trials conducted at two locations in the spring of 2004 evaluated the effect of soil temperature as an indicator for application timings of certain sulfonylurea herbicides for perennial ryegrass control while maintaining acceptable turfgrass quality during bermudagrass spring transition. Herbicide application timings began when soil temperatures reached 17 C (April 14, 2004). Greater perennial ryegrass control 4 wk after initial treatment (WAIT) was achieved when sulfonylurea herbicides were applied at 26 C soil temperature compared to 17 or 21 C. Bermudagrass density 6 WAIT increased with treatments applied at 26 C soil temperature compared to cooler soil temperatures. There was a decrease in overall turfgrass quality 2 WAIT when treatments were applied at 17 C. However, by 4 WAIT all application timings provided overall turfgrass quality comparable to the untreated control. Acceptable turfgrass quality and maximum perennial ryegrass control was achieved by delaying transition-aid herbicide applications until soil temperatures reached 26 C and growing conditions were more conducive to bermudagrass growth.

Discoloration of bermudagrass often results from application of MSMA herbicide used to control southern crabgrass and other weeds. However, when products containing iron sulfate (FeSO4) are tank-mixed with MSMA, this discoloration is reduced. Experiments investigated the effect of tank-mixing organic arsenical herbicides with FeSO4 or a chelated iron source (Sprint 330) in terms of southern crabgrass control and injury to bermudagrass. Tank-mixing MSMA with FeSO4 reduced bermudagrass injury. However, southern crabgrass control was also reduced by at least 50% with the addition of ≥0.38 kg Fe2+ ha−1. Neither antagonism nor safening of bermudagrass was observed when the chelated Fe2+ source was used. Applying FeSO4 as a separate treatment 1 to 4 d before or after MSMA application did not reduce visual burmudagrass injury 1 wk after treatment. Solution pH and FeSO4 concentration controlled the extent of complexation and level of antagonism observed in the field; inorganic Fe2+ reacted with MSMA to form a complex having reduced herbicidal activity. Potentiometric and spectrophotometric investigations found that methylarsonate, the parent acid of MSMA and other organic arsenical herbicides, reacts with inorganic Fe2+ to form a stable 1:1 Fe2+-methylarsonic acid chelate having two points of metal coordination and a stability constant log10 (β) = 2.77 ± 0.04. Tank-mixing MSMA with FeSO4 to protect against bermudagrass injury negates the benefit of applying the herbicide for weed control, and therefore is not a recommendable practice for turf managers.

Path rush can become problematic on golf course fairways, especially on roughs where continuous golf cart or maintenance equipment traffic occurs. Research trials conducted in 2003 and 2004 compared the efficacy of 2,4-D and mixtures containing 2,4-D in single or sequential applications to herbicides without 2,4-D for path rush control in bermudagrass roughs. Sequential applications of 1.1 kg ae/ha 2,4-D or 0.8 + 0.2 + 0.1 kg ae/ha 2,4-D + MCPP + dicamba provided 95% path rush control with no injury to bermudagrass, 15 wk after initial treatment (WAIT). Single applications of 1.1 + 0.3 + 0.1 kg/ha 2,4-D + MCPP + dicamba or 1.1 kg/ha 2,4-D provided at least 81% path rush control, 15 WAIT. Treatments without 2,4-D did not provide acceptable levels of control (34% or less, 15 WAIT). 2,4-D applied alone or in preformulated mixtures provided excellent path rush control compared to treatments without 2,4-D. Sequential applications of these treatments provided greater path rush control than single applications. However, only the sequential application of 0.8 + 0.2 + 0.1 kg/ha 2,4-D + MCPP + dicamba provided greater path rush control than the single application. Results from these studies suggest that 2,4-D is a key herbicide for path rush control.

Proglacial lakes, formed during retreat of the Laurentide ice sheet, evolved quickly as outlets became ice-free and the earth deformed through glacial isostatic adjustment. With high-resolution digital elevation models (DEMs) and GIS methods, it is possible to reconstruct the evolution of surface hydrology. When a DEM deforms through time as predicted by our model of viscoelastic earth relaxation, the entire surface hydrologic system with its lakes, outlets, shorelines and rivers also evolves without requiring assumptions of outlet position. The method is applied to proglacial Lake Oshkosh in Wisconsin (13,600 to 12,900 cal yr BP). Comparison of predicted to observed shoreline tilt indicates the ice sheet was about 400 m thick over the Great Lakes region. During ice sheet recession, each of the five outlets are predicted to uplift more than 100 m and then subside approximately 30 m. At its maximum extent, Lake Oshkosh covered 6600 km2 with a volume of 111 km3. Using the Hydrologic Engineering Center-River Analysis System model, flow velocities during glacial outburst floods up to 9 m/s and peak discharge of 140,000 m3/s are predicted, which could drain 33.5 km3 of lake water in 10 days and transport boulders up to 3 m in diameter.

Medically unexplained symptoms (MUS) are not only common and distressing, but are also typically poorly managed in general medical settings. Those suffering from these problems tend to incur significantly higher health costs than the general population. There are many effective treatments for different MUS; these are almost entirely based on cognitive-behavioural approaches. However, the wide range of treatment protocols tend to be ‘syndrome specific’. As such, they do not generalise well in terms of training and application, making them expensive and difficult to disseminate, suggesting the desirability of developing a transdiagnostic approach. The general basis of such a CBT grounded transdiagnostic approach is considered, and the particular need to incorporate cognitive elements of both anxiety or health anxiety (threat) and depression (loss) is highlighted. Key empirically grounded and evidence-based processes (both specific and general) previously identified as underpinning the maintenance of MUS are delineated. The way in which these can be combined in a transdiagnostic model that accounts for most MUS presentations is presented and linked to a formulation-driven transdiagnostic treatment strategy, which is described. However, the need to take more syndrome-specific issues into account in treatment is identified, suggesting that the optimum treatment may be a hybrid transdiagnostic/specific approach with formulation, shared understanding, belief change strategies, and behavioural experiments at its heart. The generalisation of such approaches to psychological problems occurring in the context of ‘long-term conditions’ is identified as a further important development that is now within reach.

Variation in human cognitive ability is of consequence to a large number of health and social outcomes and is substantially heritable. Genetic linkage, genome-wide association, and copy number variant studies have investigated the contribution of genetic variation to individual differences in normal cognitive ability, but little research has considered the role of rare genetic variants. Exome sequencing studies have already met with success in discovering novel trait-gene associations for other complex traits. Here, we use exome sequencing to investigate the effects of rare variants on general cognitive ability. Unrelated Scottish individuals were selected for high scores on a general component of intelligence (g). The frequency of rare genetic variants (in n = 146) was compared with those from Scottish controls (total n = 486) who scored in the lower to middle range of the g distribution or on a proxy measure of g. Biological pathway analysis highlighted enrichment of the mitochondrial inner membrane component and apical part of cell gene ontology terms. Global burden analysis showed a greater total number of rare variants carried by high g cases versus controls, which is inconsistent with a mutation load hypothesis whereby mutations negatively affect g. The general finding of greater non-synonymous (vs. synonymous) variant effects is in line with evolutionary hypotheses for g. Given that this first sequencing study of high g was small, promising results were found, suggesting that the study of rare variants in larger samples would be worthwhile.