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Occurrence of cryptosporidiosis has been associated with weather conditions in many settings internationally. We explored statistical clusters of human cryptosporidiosis and their relationship with severe weather events in New Zealand (NZ). Notified cases of cryptosporidiosis from 1997 to 2015 were obtained from the national surveillance system. Retrospective space–time permutation was used to identify statistical clusters. Cluster data were compared to severe weather events in a national database. SaTScan analysis detected 38 statistically significant cryptosporidiosis clusters. Around a third (34.2%, 13/38) of these clusters showed temporal and spatial alignment with severe weather events. Of these, nearly half (46.2%, 6/13) occurred in the spring. Only five (38%, 5/13) of these clusters corresponded to a previously reported cryptosporidiosis outbreak. This study provides additional evidence that severe weather events may contribute to the development of some cryptosporidiosis clusters. Further research on this association is needed as rainfall intensity is projected to rise in NZ due to climate change. The findings also provide further arguments for upgrading the quality of drinking water sources to minimize contamination with pathogens from runoff from livestock agriculture.
Clinical outcomes of repetitive transcranial magnetic stimulation (rTMS) for treatment of treatment-resistant depression (TRD) vary widely and there is no mood rating scale that is standard for assessing rTMS outcome. It remains unclear whether TMS is as efficacious in older adults with late-life depression (LLD) compared to younger adults with major depressive disorder (MDD). This study examined the effect of age on outcomes of rTMS treatment of adults with TRD. Self-report and observer mood ratings were measured weekly in 687 subjects ages 16–100 years undergoing rTMS treatment using the Inventory of Depressive Symptomatology 30-item Self-Report (IDS-SR), Patient Health Questionnaire 9-item (PHQ), Profile of Mood States 30-item, and Hamilton Depression Rating Scale 17-item (HDRS). All rating scales detected significant improvement with treatment; response and remission rates varied by scale but not by age (response/remission ≥ 60: 38%–57%/25%–33%; <60: 32%–49%/18%–25%). Proportional hazards models showed early improvement predicted later improvement across ages, though early improvements in PHQ and HDRS were more predictive of remission in those < 60 years (relative to those ≥ 60) and greater baseline IDS burden was more predictive of non-remission in those ≥ 60 years (relative to those < 60). These results indicate there is no significant effect of age on treatment outcomes in rTMS for TRD, though rating instruments may differ in assessment of symptom burden between younger and older adults during treatment.
Hippocampal hyperperfusion has been observed in people at Clinical High Risk for Psychosis (CHR), is associated with adverse longitudinal outcomes and represents a potential treatment target for novel pharmacotherapies. Whether cannabidiol (CBD) has ameliorative effects on hippocampal blood flow (rCBF) in CHR patients remains unknown.
Methods
Using a double-blind, parallel-group design, 33 CHR patients were randomized to a single oral 600 mg dose of CBD or placebo; 19 healthy controls did not receive any drug. Hippocampal rCBF was measured using Arterial Spin Labeling. We examined differences relating to CHR status (controls v. placebo), effects of CBD in CHR (placebo v. CBD) and linear between-group relationships, such that placebo > CBD > controls or controls > CBD > placebo, using a combination of hypothesis-driven and exploratory wholebrain analyses.
Results
Placebo-treated patients had significantly higher hippocampal rCBF bilaterally (all pFWE<0.01) compared to healthy controls. There were no suprathreshold effects in the CBD v. placebo contrast. However, we found a significant linear relationship in the right hippocampus (pFWE = 0.035) such that rCBF was highest in the placebo group, lowest in controls and intermediate in the CBD group. Exploratory wholebrain results replicated previous findings of hyperperfusion in the hippocampus, striatum and midbrain in CHR patients, and provided novel evidence of increased rCBF in inferior-temporal and lateral-occipital regions in patients under CBD compared to placebo.
Conclusions
These findings suggest that hippocampal blood flow is elevated in the CHR state and may be partially normalized by a single dose of CBD. CBD therefore merits further investigation as a potential novel treatment for this population.
Precision Medicine is an emerging approach for disease treatment and prevention that takes into account individual variability in genes, environment, and lifestyle. Autoimmune diseases are those in which the body’s natural defense system loses discriminating power between its own cells and foreign cells, causing the body to mistakenly attack healthy tissues. These conditions are very heterogeneous in their presentation and therefore difficult to diagnose and treat. Achieving precision medicine in autoimmune diseases has been challenging due to the complex etiologies of these conditions, involving an interplay between genetic, epigenetic, and environmental factors. However, recent technological and computational advances in molecular profiling have helped identify patient subtypes and molecular pathways which can be used to improve diagnostics and therapeutics. This review discusses the current understanding of the disease mechanisms, heterogeneity, and pathogenic autoantigens in autoimmune diseases gained from genomic and transcriptomic studies and highlights how these findings can be applied to better understand disease heterogeneity in the context of disease diagnostics and therapeutics.
The Hierarchical Taxonomy of Psychopathology (HiTOP) has emerged out of the quantitative approach to psychiatric nosology. This approach identifies psychopathology constructs based on patterns of co-variation among signs and symptoms. The initial HiTOP model, which was published in 2017, is based on a large literature that spans decades of research. HiTOP is a living model that undergoes revision as new data become available. Here we discuss advantages and practical considerations of using this system in psychiatric practice and research. We especially highlight limitations of HiTOP and ongoing efforts to address them. We describe differences and similarities between HiTOP and existing diagnostic systems. Next, we review the types of evidence that informed development of HiTOP, including populations in which it has been studied and data on its validity. The paper also describes how HiTOP can facilitate research on genetic and environmental causes of psychopathology as well as the search for neurobiologic mechanisms and novel treatments. Furthermore, we consider implications for public health programs and prevention of mental disorders. We also review data on clinical utility and illustrate clinical application of HiTOP. Importantly, the model is based on measures and practices that are already used widely in clinical settings. HiTOP offers a way to organize and formalize these techniques. This model already can contribute to progress in psychiatry and complement traditional nosologies. Moreover, HiTOP seeks to facilitate research on linkages between phenotypes and biological processes, which may enable construction of a system that encompasses both biomarkers and precise clinical description.
Early in the COVID-19 pandemic, the World Health Organization stressed the importance of daily clinical assessments of infected patients, yet current approaches frequently consider cross-sectional timepoints, cumulative summary measures, or time-to-event analyses. Statistical methods are available that make use of the rich information content of longitudinal assessments. We demonstrate the use of a multistate transition model to assess the dynamic nature of COVID-19-associated critical illness using daily evaluations of COVID-19 patients from 9 academic hospitals. We describe the accessibility and utility of methods that consider the clinical trajectory of critically ill COVID-19 patients.
Two introduced carnivores, the European red fox Vulpes vulpes and domestic cat Felis catus, have had extensive impacts on Australian biodiversity. In this study, we collate information on consumption of Australian birds by the fox, paralleling a recent study reporting on birds consumed by cats. We found records of consumption by foxes on 128 native bird species (18% of the non-vagrant bird fauna and 25% of those species within the fox’s range), a smaller tally than for cats (343 species, including 297 within the fox’s Australian range, a subset of that of the cat). Most (81%) bird species eaten by foxes are also eaten by cats, suggesting that predation impacts are compounded. As with consumption by cats, birds that nest or forage on the ground are most likely to be consumed by foxes. However, there is also some partitioning, with records of consumption by foxes but not cats for 25 bird species, indicating that impacts of the two predators may also be complementary. Bird species ≥3.4 kg were more likely to be eaten by foxes, and those <3.4 kg by cats. Our compilation provides an inventory and describes characteristics of Australian bird species known to be consumed by foxes, but we acknowledge that records of predation do not imply population-level impacts. Nonetheless, there is sufficient information from other studies to demonstrate that fox predation has significant impacts on the population viability of some Australian birds, especially larger birds, and those that nest or forage on the ground.
Kochia is one of the most problematic weeds in the United States. Field studies were conducted in five states (Wyoming, Colorado, Kansas, Nebraska, and South Dakota) over 2 yr (2010 and 2011) to evaluate kochia control with selected herbicides registered in five common crop scenarios: winter wheat, fallow, corn, soybean, and sugar beet to provide insight for diversifying kochia management in crop rotations. Kochia control varied by experimental site such that more variation in kochia control and biomass production was explained by experimental site than herbicide choice within a crop. Kochia control with herbicides currently labeled for use in sugar beet averaged 32% across locations. Kochia control was greatest and most consistent from corn herbicide programs (99%), followed by soybean (96%) and fallow (97%) herbicide programs. Kochia control from wheat herbicide programs was 93%. With respect to the availability of effective herbicide options, glyphosate-resistant kochia control was easiest in corn, soybean, and fallow, followed by wheat; and difficult to manage with herbicides in sugar beet.
The need for assistive technologies in Canada is increasing, but access is inconsistent and fragmented which can result in unmet needs. We aimed to identify citizens’ values and preferences for how to enhance equitable access to assistive technologies and to engage policymakers, stakeholders, and researchers in deliberations to spark action. In spring 2017, we convened three citizen panels and a stakeholder dialogue. Key panel findings were included in an evidence brief that informed dialogue participants. Thirty-seven citizens participated in panels and emphasized the need for access to reliable information, equitable access to assistive technologies regardless of ability to pay, and the need for collaboration. Twenty-two dialogue participants focused on the need for a guiding framework that supports fundamental change across the country. The proposed policy framework can enhance access to assistive technologies through enabling simplified policies and programs, along with fostering robust data collection and evaluation to support countrywide innovation and accountability.
Timing of weed emergence and seed persistence in the soil influence the ability to implement timely and effective control practices. Emergence patterns and seed persistence of kochia populations were monitored in 2010 and 2011 at sites in Kansas, Colorado, Wyoming, Nebraska, and South Dakota. Weekly observations of emergence were initiated in March and continued until no new emergence occurred. Seed was harvested from each site, placed into 100-seed mesh packets, and buried at depths of 0, 2.5, and 10 cm in fall of 2010 and 2011. Packets were exhumed at 6-mo intervals over 2 yr. Viability of exhumed seeds was evaluated. Nonlinear mixed-effects Weibull models were fit to cumulative emergence (%) across growing degree days (GDD) and to viable seed (%) across burial time to describe their fixed and random effects across site-years. Final emergence densities varied among site-years and ranged from as few as 4 to almost 380,000 seedlings m−2. Across 11 site-years in Kansas, cumulative GDD needed for 10% emergence were 168, while across 6 site-years in Wyoming and Nebraska, only 90 GDD were needed; on the calendar, this date shifted from early to late March. The majority (>95%) of kochia seed did not persist for more than 2 yr. Remaining seed viability was generally >80% when seeds were exhumed within 6 mo after burial in March, and declined to <5% by October of the first year after burial. Burial did not appear to increase or decrease seed viability over time but placed seed in a position from which seedling emergence would not be possible. High seedling emergence that occurs very early in the spring emphasizes the need for fall or early spring PRE weed control such as tillage, herbicides, and cover crops, while continued emergence into midsummer emphasizes the need for extended periods of kochia management.
Field trials were conducted in 2004 and 2005 to identify sulfonylurea (SU) herbicides that would provide improved weed control, minimal soil residual, and crop safety to SU-resistant chicory. SU-resistant chicory had previously been selected in vitro for resistance to chlorsulfuron. Our research evaluated three commercial, nonresistant and three breeding lines of SU-resistant chicory. Each of the cultivars was treated POST at the two true-leaf growth stage with either foramsulfuron, rimsulfuron, rimsulfuron plus thifensulfuron, tribenuron, thifensulfuron, thifensulfuron plus tribenuron, triflusulfuron, flumetsulam, or imazamox at normal use rates. Established plant densities and root yields of SU-resistant chicory breeding lines were greater than or equal to the densities and root yields of commercial cultivars. The plant density of commercial chicory cultivars was reduced by rimsulfuron, rimsulfuron plus thifensulfuron, tribenuron, and thifensulfuron plus tribenuron, but SU-herbicides did not reduce the density of SU-resistant breeding lines. SU-resistant chicory differed in cross-resistance to SU-herbicides, with tribenuron causing the most crop injury and thifensulfuron, the least. Weed control varied between the SU-herbicides. The greatest reduction in weed biomass occurred with tribenuron, thifensulfuron plus tribenuron, and rimsulfuron plus thifensulfuron; the least reduction occurred with triflusulfuron, foramsulfuron, and rimsulfuron. Chicory root yields comparable to the hand-weeded treatment were achieved with rimsulfuron plus thifensulfuron and thifensulfuron plus tribenuron treatments. The SU herbicides that met the initial project objectives of crop tolerance and improved weed control were combinations of rimsulfuron plus thifensulfuron and thifensulfuron plus tribenuron.
Canada thistle is a serious weed of many crop, rangeland, pasture, and natural areas throughout North America. Aminopyralid is a new pyridine carboxylic acid herbicide that has activity on Canada thistle at lower use rates than current standard treatments. The objectives of this study were to compare aminopyralid efficacy, rates, and application timing with several commercial standards for Canada thistle control. Studies were conducted across the Great Plains at ten locations, which encompassed a wide range of environments. Aminopyralid provided Canada thistle control comparable to picloram, picloram + 2,4-D amine, and clopyralid and better control than clopyralid + 2,4-D amine, dicamba, dicamba + 2,4-D amine and dicamba + diflufenzopyr. Canada thistle control was similar when aminopyralid was applied between 0.08 and 0.11 kg ai/ha and application timing (spring bolting vs. fall rosette/regrowth) did not strongly influence control 1 yr after treatment (YAT). Aminopyralid provided effective Canada thistle control at lower use rates than current commercial standards and might be useful in areas where herbicides such as picloram and clopyralid are not recommended for use.
Several herbicide-based weed management programs for glyphosate-tolerant cotton were compared in eight field studies across Alabama during 1996 and 1997. Weed management programs ranged from traditional, soil-applied residual herbicide programs to more recently developed total postemergence (POST) herbicide programs. Pitted morningglory and sicklepod control was best achieved with fluometuron applied preemergence (PRE) followed by (fb) a single POST over-the-top (POT) application of glyphosate fb a POST-directed application of glyphosate. Annual grass control was better with the preplant incorporated (PPI) programs at two of three locations in both years. Treatments that included at least one glyphosate POT application gave increased grass control over no glyphosate or pyrithiobac POT. Velvetleaf control was improved with the addition of glyphosate POT. A herbicide program using no POST herbicides yielded significantly less seed cotton than any program using POST herbicides at one location. PRE- and POST-only weed management programs at another location produced more seed cotton and gave greater net returns than PPI programs. Similarly, net returns at that same location were equivalent for both PRE- and POST-only programs, and less for PPI programs. POST-only programs yielded highest amounts of seed cotton and netted greater returns.
Doveweed is becoming more common in agronomic crops in North Carolina. Laboratory and greenhouse experiments were conducted to determine the effect of temperature and seed burial depth on doveweed germination and emergence. Germination of lightly scarified seed at constant temperature was well described by a Gaussian model, which estimated peak germination at 28 C. Similar maximum percentage of germination was observed for optimal treatments under both constant and alternating temperatures. Among alternating temperatures, a 35/25 C regime gave greatest germination (77%). In spite of similar average daily temperatures, germination was greater with alternating temperature regimes of 40/30 and 40/35 C (65 and 30%, respectively) than constant temperatures of 36 and 38 C (4 and 0%, respectively). No germination was observed at 38 C constant temperature or for alternating temperature regimes of 20/10 and 25/15 C. Light did not enhance germination. Greatest emergence occurred from 0 to 1 cm, with a reduction in emergence as depth increased to 4 cm. No emergence occurred from 6 cm or greater depth. This information on seedbank dynamics may aid in developing tools and strategies for management.
Field studies were conducted to assess two sulfur-containing additives for use with glyphosate applied postemergence to glyphosate-resistant cotton for the control of sicklepod and yellow nutsedge. Neither diammonium sulfate (AMS) nor ammonium thiosulfate (ATS), both applied at 2.24 kg/ha, increased control of either species. Effective control of both species was dependent on glyphosate (isopropylamine salt) rate alone, with optimum control at 1.26 kg ae/ha. Plant-mapping data further indicated that sulfur-containing additives generally had no effect on either cotton fruiting patterns or yield. However, applying glyphosate at any rate did increase seed cotton yield in 2 of 3 yr vs. no glyphosate. In addition, applying glyphosate at any rate resulted in an increase in the number of bolls vs. no glyphosate in the following plant-mapping responses: total number of bolls per plant, number of abcised bolls per plant, bolls at the top five sympodial nodes, and bolls at positions 1 and 2 on the sympodia. Glyphosate absorption and subsequent translocation, as influenced by the addition of the sulfur-containing additives, was evaluated using radiotracer techniques. Glyphosate absorption after 48 h was 86, 63, and 37% of amount applied in cotton, sicklepod, and yellow nutsedge, respectively. Absorption by sicklepod and yellow nutsedge was not affected by the addition of either of the additives. Absorption by cotton was reduced by ATS but was not affected by AMS. In yellow nutsedge and cotton, glyphosate concentration in the treated area and adjacent tissue was not affected by either additive. A greater portion of glyphosate was translocated away from the treated area in sicklepod with glyphosate plus AMS (32%) than with glyphosate plus ATS (21%). AMS and ATS may be used in glyphosate-resistant cotton without the risk of either crop injury or yield reduction. However, their use for increased control of annual weed species, such as sicklepod and yellow nutsedge, may not be warranted.
Six weed control programs with and without irrigation were investigated in a newly established pecan orchard. Irrigation increased crown diameter growth in only one of seven growing seasons but increased nut yield an average of 35% in the first two bearing years. Weed control program significantly influenced crown diameter beginning in the fourth growing season and continued through season six while also impacting final crown diameter. The use of postemergence (POST) herbicides increased crown diameter a minimum 4 mm vs. preemergence (PRE) herbicides. Mowing neither increased nor decreased crown diameter when used with herbicides; however, when used solely, crown diameter was 29% less. Highest growth rates were obtained with a combination PRE plus POST weed management system. Nut yields were closely linked to growth data. No differences in nut yield were observed between PRE- or POST-herbicide programs alone or in combination with mowing. Mowing alone decreased nut yield 57% vs. herbicide-based approaches. A combination PRE- plus POST-weed control program increased yield 38% vs. all other treatments.
Nine sites of cogongrass were included in a study of genotypic diversity and spread dynamics at the point of introduction and its adjacent areas in the southern United States. Clones evaluated with two primer pairs yielded a total of 137 amplified fragment length polymorphism (AFLP) loci of which 102 (74.4%) were polymorphic. Genetic diversity was measured as the percentage of polymorphic, Shannon's information index, Nei's gene diversity, and panmictic heterozygosity. Nei's gene diversity (HS) across all nine sites was estimated to be 0.11 and within site gene diversity ranged from 0.06 to 0.16. Bayesian estimate of gene diversity and Shannon's information index were higher (0.17 and 0.17, respectively). The samples from the point of introduction (Pi) had the lowest genetic diversity for all types of estimates. Within site variance accounted for 56% of the total variation and among site variance 44% (P < 0.05). Differentiation among sites was assessed using FST. The greatest difference was found between the Pi and the others. No relationship was found between genetic and geographic distances. Principal component analysis as well as cluster analysis separated individuals into three main clusters. The Pi formed a separate subcluster. Gene flow (Nm), inferred from Φ-statistics describing the genetic differentiation between pairs of sites ranged from 0.6 to 5.55. The lack of significant relationship between gene flow and geographic distance as well as genetic and geographic distances suggests that the invasion dynamics of cogongrass into the southern United States is primarily through anthropogenic activities and to the lesser extent through natural forces.
Field experiments were conducted in Alabama during 1999 and 2000 to test the hypothesis that any glyphosate-induced yield suppression in glyphosate-resistant cotton would be less with irrigation than without irrigation. Yield compensation was monitored by observing alterations in plant growth and fruiting patterns. Glyphosate treatments included a nontreated control, 1.12 kg ai/ha applied POST at the 4-leaf stage, 1.12 kg/ha applied DIR at the prebloom stage, and 1.12 kg/ha applied POST at 4-leaf and postemergence directed (DIR) at the prebloom cotton stages. The second variable, irrigation treatment, was established by irrigating plots individually with overhead sprinklers or maintaining them under dryland, nonirrigated conditions. Cotton yield and all measured parameters including lint quality were positively affected by irrigation. Irrigation increased yield 52% compared to nonirrigated cotton. Yield and fiber quality effects were independent of glyphosate treatments. Neither yield nor any of the measured variables that reflected whole plant response were influenced by glyphosate treatment or by a glyphosate by irrigation interaction.