Changing practice patterns caused by the pandemic have created an urgent need for guidance in prescribing stimulants using telepsychiatry for attention-deficit hyperactivity disorder (ADHD). A notable spike in the prescribing of stimulants accompanied the suspension of the Ryan Haight Act, allowing the prescribing of stimulants without a face-to-face meeting. Competing forces both for and against prescribing ADHD stimulants by telepsychiatry have emerged, requiring guidelines to balance these factors. On the one hand, factors weighing in favor of increasing the availability of treatment for ADHD via telepsychiatry include enhanced access to care, reduction in the large number of untreated cases, and prevention of the known adverse outcomes of untreated ADHD. On the other hand, factors in favor of limiting telepsychiatry for ADHD include mitigating the possibility of exploiting telepsychiatry for profit or for misuse, abuse, and diversion of stimulants. This Expert Consensus Group has developed numerous specific guidelines and advocates for some flexibility in allowing telepsychiatry evaluations and treatment without an in-person evaluation to continue. These guidelines also recognize the need to give greater scrutiny to certain subpopulations, such as young adults without a prior diagnosis or treatment of ADHD who request immediate-release stimulants, which should increase the suspicion of possible medication diversion, misuse, or abuse. In such cases, nonstimulants, controlled-release stimulants, or psychosocial interventions should be prioritized. We encourage the use of outside informants to support the history, the use of rating scales, and having access to a hybrid model of both in-person and remote treatment.

The Randolph Glacier Inventory (RGI) is a globally complete collection of digital outlines of glaciers, excluding the ice sheets, developed to meet the needs of the Fifth Assessment of the Intergovernmental Panel on Climate Change for estimates of past and future mass balance. The RGI was created with limited resources in a short period. Priority was given to completeness of coverage, but a limited, uniform set of attributes is attached to each of the ~198 000 glaciers in its latest version, 3.2. Satellite imagery from 1999–2010 provided most of the outlines. Their total extent is estimated as 726 800 ± 34 000 km2. The uncertainty, about ±5%, is derived from careful single-glacier and basin-scale uncertainty estimates and comparisons with inventories that were not sources for the RGI. The main contributors to uncertainty are probably misinterpretation of seasonal snow cover and debris cover. These errors appear not to be normally distributed, and quantifying them reliably is an unsolved problem. Combined with digital elevation models, the RGI glacier outlines yield hypsometries that can be combined with atmospheric data or model outputs for analysis of the impacts of climatic change on glaciers. The RGI has already proved its value in the generation of significantly improved aggregate estimates of glacier mass changes and total volume, and thus actual and potential contributions to sea-level rise.

Field experiments were conducted in 1997 and 1998 to evaluate the effect of mowing followed by hexazinone for West Indian dropseed/giant smutgrass (Sporobolus indicus var. pyramidalis) (hereafter referred to as dropseed) control. The experimental design was a split plot, with mowing (nonmowed [mature] and 35-cm regrowth) as the whole plot and hexazinone rate (0.0 [control], 0.56, 0.84, 1.12, 1.40, and 1.68 kg ai/ha) as the subplot treatments. The application of 0.84 kg/ha hexazinone provided 94 and 81% dropseed control, 365 d after treatment (DAT) during 1997 and 1998, respectively. Increasing application rate to 1.12 kg/ha hexazinone provided 87 and 88% dropseed control, 365 DAT during 1997 and 1998, respectively. Both the 0.84 and 1.12 kg/ha rates provided the same average control (87.5%); however, the 1.12 kg/ha rate provided consistent control over years. Mowing dropseed, followed by hexazinone application at 35-cm regrowth, provided no additional control when compared with no mowing treatments. Rates of hexazinone at 1.40 and 1.68 kg/ha caused phytotoxicity to bahiagrass and increased bare soil surface area, especially 90 and 120 DAT. Phytotoxic effect on bahiagrass and on bare soil decreased 365 DAT, resulting in 75 to 80% total forage cover. Concentration and yield of total nonstructural carbohydrates were significantly lower for the mowed 35-cm regrowth treatment than for the nonmowed plants; however, even in its weakened condition this reduction had no effect on dropseed control.

In a series of articles in this journal, Wes Morriston has launched what can only be considered a full-scale assault on the divine command theory (DCT) of morality. According to Morriston, proponents of this theory are committed to an alarming counterpossible: that if God did command an annual human sacrifice, it would be morally obligatory. Since only a ‘terrible’ deity would do such a ‘terrible’ thing, we should reject DCT. Indeed, if there were such a deity, the world would be a terrible place – certainly far worse than it is. We argue that Morriston's non-standard method for assessing counterpossibles of this sort is flawed. Not only is the savvy DCT-ist at liberty to reject it, but Morriston's method badly misfires in the face of theistic activism – a metaphysical platform available to DCT-ists, according to which if God didn't exist, neither would anything else.

Studies have suggested that moderate alcohol consumption is associated with a reduced risk of CVD and premature mortality in individuals with diabetes mellitus. However, history of alcohol consumption has hardly been taken into account. We investigated the association between current alcohol consumption and mortality in men and women with diabetes mellitus accounting for past alcohol consumption. Within the European Prospective Investigation into Cancer and Nutrition (EPIC), a cohort was defined of 4797 participants with a confirmed diagnosis of diabetes mellitus. Men and women were assigned to categories of baseline and past alcohol consumption. Hazard ratios (HR) and 95 % CI for total mortality were estimated with multivariable Cox regression models, using light alcohol consumption (>0–6 g/d) as the reference category. Compared with light alcohol consumption, no relationship was observed between consumption of 6 g/d or more and total mortality. HR for >6–12 g/d was 0·89 (95 % CI 0·61, 1·30) in men and 0·86 (95 % CI 0·46, 1·60) in women. Adjustment for past alcohol consumption did not change the estimates substantially. In individuals who at baseline reported abstaining from alcohol, mortality rates were increased relative to light consumers: HR was 1·52 (95 % CI 0·99, 2·35) in men and 1·81 (95 % CI 1·04, 3·17) in women. The present study in diabetic individuals showed no association between current alcohol consumption >6 g/d and mortality risk compared with light consumption. The increased mortality risk among non-consumers appeared to be affected by their past alcohol consumption rather than their current abstinence.