Objectives/Goals: To explore the caregivers’ lived experiences related to facilitators of and barriers to effective primary care or neurology follow-up for children discharged from the pediatric emergency department (PED) with headaches. Methods/Study Population: We used the descriptive phenomenology qualitative study design to ascertain caregivers’ lived experiences with making follow-up appointments after their child’s PED visit. We conducted semi-structured interviews with caregivers of children with headaches from 4 large urban PEDs over HIPAA-compliant Zoom conferencing platform. A facilitator/co-facilitator team (JH and SL) guided all interviews, and the audio of which was transcribed using the TRINT software. Conventional content analysis was performed by two coders (JH and AS) to generate new themes, and coding disputes were resolved by team members using Atlas TI (version 24). Results/Anticipated Results: We interviewed a total of 11 caregivers (9 mothers, 1 grandmother, and 1 father). Among interviewees, 45% identified as White non-Hispanic, 45% Hispanic, 9% as African-American, and 37% were publicly insured. Participants described similar experiences in obtaining follow-up care that included long waits to obtain neurology appointments. Participants also described opportunities to overcome wait times that included offering alternative healthcare provider types as well as telehealth options. Last, participants described desired action while awaiting neurology appointments such as obtaining testing and setting treatment plans. Discussion/Significance of Impact: Caregivers perceived time to appointment as too long and identified practical solutions to ease frustrations while waiting. Future research should explore sharing caregiver experiences with primary care providers, PED physicians, and neurologists while developing plans to implement caregiver-informed interventions.

There are few evidence-based interventions to support caregiver mental health developed for low- and middle-income countries. Nae Umeed is a community-based group intervention developed with collaboratively with local community health workers in Uttarakhand, India primarily to promote mental wellbeing for caregivers and others. This pre–post study aimed to evaluate whether Nae Umeed improved mental health and social participation for people with mental distress, including caregivers. The intervention consisted of 14 structured group sessions facilitated by community health workers. Among 115 adult participants, 20% were caregivers and 80% were people with disability and other vulnerable community members; 62% had no formal education and 92% were female. Substantial and statistically significant improvements occurred in validated psychometric measures for mental health (12-Item General Health Questionnaire, Patient Health Questionnaire-9) and social participation (Participation Scale). Improvements occurred regardless of caregiver status. This intervention addressed mental health and social participation for marginalised groups that are typically without access to formal mental health care and findings suggest Nae Umeed improved mental health and social participation; however, a controlled community trial would be required to prove causation. Community-based group interventions are a promising approach to improving the mental health of vulnerable groups in South Asia.

Information about population sizes, trends, and habitat use is key for species conservation and management. The Buff-breasted Sandpiper Calidris subruficollis (BBSA) is a long-distance migratory shorebird that breeds in the Arctic and migrates to south-eastern South America, wintering in the grasslands of southern Brazil, Uruguay, and Argentina. Most studies of Nearctic migratory species occur in the Northern Hemisphere, but monitoring these species at non-breeding areas is crucial for conservation during this phase of the annual cycle. Our first objective was to estimate trends of BBSA at four key areas in southern Brazil during the non-breeding season. We surveyed for BBSA and measured vegetation height in most years from 2008/09 to 2019/20. We used hierarchical distance sampling models in which BBSA abundance and density were modelled as a function of vegetation height and corrected for detectability. Next, we used on-the-ground surveys combined with satellite imagery and habitat classification models to estimate BBSA population size in 2019/20 at two major non-breeding areas. We found that abundance and density were negatively affected by increasing vegetation height. Abundance fluctuated five- to eight-fold over the study period, with peaks in the middle of the study (2014/15). We estimated the BBSA wintering population size as 1,201 (95% credible interval [CI]: 637–1,946) birds in Torotama Island and 2,232 (95% CI: 1,199–3,584) in Lagoa do Peixe National Park during the 2019/20 austral summer. Although no pronounced trend was detected, BBSA abundance fluctuated greatly from year to year. Our results demonstrate that only two of the four key areas hold high densities of BBSA and highlight the positive effect of short grass on BBSA numbers. Short-grass coastal habitats used by BBSA are strongly influenced by livestock grazing and climate, and are expected to shrink in size with future development and climatic changes.

Gravitational waves from coalescing neutron stars encode information about nuclear matter at extreme densities, inaccessible by laboratory experiments. The late inspiral is influenced by the presence of tides, which depend on the neutron star equation of state. Neutron star mergers are expected to often produce rapidly rotating remnant neutron stars that emit gravitational waves. These will provide clues to the extremely hot post-merger environment. This signature of nuclear matter in gravitational waves contains most information in the 2–4 kHz frequency band, which is outside of the most sensitive band of current detectors. We present the design concept and science case for a Neutron Star Extreme Matter Observatory (NEMO): a gravitational-wave interferometer optimised to study nuclear physics with merging neutron stars. The concept uses high-circulating laser power, quantum squeezing, and a detector topology specifically designed to achieve the high-frequency sensitivity necessary to probe nuclear matter using gravitational waves. Above 1 kHz, the proposed strain sensitivity is comparable to full third-generation detectors at a fraction of the cost. Such sensitivity changes expected event rates for detection of post-merger remnants from approximately one per few decades with two A+ detectors to a few per year and potentially allow for the first gravitational-wave observations of supernovae, isolated neutron stars, and other exotica.

We investigate experimentally the turbulent flow through a two-dimensional contraction. Using a water tunnel with an active grid we generate turbulence at Taylor microscale Reynolds number $Re_{\unicode[STIX]{x1D706}}\sim 250$ which is advected through a 2.5 : 1 contraction. Volumetric and time-resolved tomographic particle image velocimetry and shake-the-box velocity measurements are used to characterize the evolution of coherent vortical structures at three streamwise locations upstream of and within the contraction. We confirm the conceptual picture of coherent large-scale vortices being stretched and aligned with the mean rate of strain. This alignment of the vortices with the tunnel centreline is stronger compared to the alignment of vorticity with the large-scale strain observed in numerical simulations of homogeneous turbulence. We judge this by the peak probability magnitudes of these alignments. This result is robust and independent of the grid-rotation protocols. On the other hand, while the pointwise vorticity vector also, to a lesser extent, aligns with the mean strain, it principally remains aligned with the intermediate eigenvector of the local instantaneous strain-rate tensor, as is known in other turbulent flows. These results persist when the distance from the grid to the entrance of the contraction is doubled, showing that modest transverse inhomogeneities do not significantly affect these vortical-orientation results.

Early behaviors that differentiate later biomarkers for psychopathology can guide preventive efforts while also facilitating pathophysiological research. We tested whether error-related negativity (ERN) moderates the link between early behavior and later psychopathology in two early childhood phenotypes: behavioral inhibition and irritability. From ages 2 to 7 years, children (n = 291) were assessed longitudinally for behavioral inhibition (BI) and irritability. Behavioral inhibition was assessed via maternal report and behavioral responses to novelty. Childhood irritability was assessed using the Child Behavior Checklist. At age 12, an electroencephalogram (EEG) was recorded while children performed a flanker task to measure ERN, a neural indicator of error monitoring. Clinical assessments of anxiety and irritability were conducted using questionnaires (i.e., Screen for Child Anxiety Related Disorders and Affective Reactivity Index) and clinical interviews. Error monitoring interacted with early BI and early irritability to predict later psychopathology. Among children with high BI, an enhanced ERN predicted greater social anxiety at age 12. In contrast, children with high childhood irritability and blunted ERN predicted greater irritability at age 12. This converges with previous work and provides novel insight into the specificity of pathways associated with psychopathology.

The Numeniini is a tribe of 13 wader species (Scolopacidae, Charadriiformes) of which seven are Near Threatened or globally threatened, including two Critically Endangered. To help inform conservation management and policy responses, we present the results of an expert assessment of the threats that members of this taxonomic group face across migratory flyways. Most threats are increasing in intensity, particularly in non-breeding areas, where habitat loss resulting from residential and commercial development, aquaculture, mining, transport, disturbance, problematic invasive species, pollution and climate change were regarded as having the greatest detrimental impact. Fewer threats (mining, disturbance, problematic native species and climate change) were identified as widely affecting breeding areas. Numeniini populations face the greatest number of non-breeding threats in the East Asian-Australasian Flyway, especially those associated with coastal reclamation; related threats were also identified across the Central and Atlantic Americas, and East Atlantic flyways. Threats on the breeding grounds were greatest in Central and Atlantic Americas, East Atlantic and West Asian flyways. Three priority actions were associated with monitoring and research: to monitor breeding population trends (which for species breeding in remote areas may best be achieved through surveys at key non-breeding sites), to deploy tracking technologies to identify migratory connectivity, and to monitor land-cover change across breeding and non-breeding areas. Two priority actions were focused on conservation and policy responses: to identify and effectively protect key non-breeding sites across all flyways (particularly in the East Asian- Australasian Flyway), and to implement successful conservation interventions at a sufficient scale across human-dominated landscapes for species’ recovery to be achieved. If implemented urgently, these measures in combination have the potential to alter the current population declines of many Numeniini species and provide a template for the conservation of other groups of threatened species.

Few records in the alpine landscape of western North America document the geomorphic and glaciologic response to climate change during the Pleistocene–Holocene transition. While moraines can provide snapshots of glacier extent, high-resolution records of environmental response to the end of the Last Glacial Maximum, Younger Dryas cooling, and subsequent warming into the stable Holocene are rare. We describe the transition from the late Pleistocene to the Holocene using a ~ 17,000-yr sediment record from Swiftcurrent Lake in eastern Glacier National Park, MT, with a focus on the period from ~ 17 to 11 ka. Total organic and inorganic carbon, grain size, and carbon/nitrogen data provide evidence for glacial retreat from the late Pleistocene into the Holocene, with the exception of a well-constrained advance during the Younger Dryas from 12.75 to 11.5 ka. Increased detrital carbonate concentration in Swiftcurrent Lake sediment reflects enhanced glacial erosion and sediment transport, likely a result of a more proximal ice terminus position and a reduction in the number of alpine lakes acting as sediment sinks in the valley.

An experiment was conducted in 1998 and 1999 in southeastern Pennsylvania to examine the effect of tillage and soybean row spacing on burcucumber emergence and growth. A second experiment evaluated postemergence (POST) soybean herbicides on burcucumber control. In the tillage and row spacing study, a glyphosate-resistant soybean variety was planted in no-till and reduced-tillage systems in 38- and 76-cm row spacings. In the POST herbicide experiment, chlorimuron, glyphosate, CGA-277476, thifensulfuron, and several combinations of these herbicides were applied at two different POST application timings in 38-cm row soybean planted in a reduced-tillage system. In the tillage and row spacing study, burcucumber emergence was greatest starting in late May through mid-June and mostly ceased by early July, regardless of tillage system or row spacing. Although there was no difference in germination period in either tillage system, preplant tillage increased the number of emerged plants by 110% in 1997 and 70% in 1998 compared to the no-till system. Row spacing had no effect on burcucumber emergence or biomass production. In general, most POST herbicide programs controlled burcucumber, and there was no difference between early POST and mid-POST application timings. Chlorimuron at 13 g ai/ha, chlorimuron plus thifensulfuron, glyphosate, glyphosate plus chlorimuron, and glyphosate plus CGA-277476 provided 87% or greater control of burcucumber 12 wk after planting. These herbicides reduced burcucumber density and biomass by more than 56% in 1997 and 96% in 1998.

Field experiments were conducted in grain sorghum at five locations in Kansas in 2009 and 2010, to evaluate the efficacy and crop safety of early- to mid-POST (EMPOST) and late-POST (LPOST) applications of premixed pyrasulfotole and bromoxynil (PYRA&BROM) in tank mix combinations with atrazine or atrazine plus 2,4-D ester or dicamba compared to bromoxynil plus atrazine. PYRA&BROM at 244 or 300 g ai ha−1 plus atrazine at 560 g ai ha−1 applied EMPOST controlled pigweed species (Palmer amaranth, tumble pigweed, and redroot pigweed), kochia, velvetleaf, common sunflower, ivyleaf morningglory, and common lambsquarters 93% or greater. Puncturevine control among three locations ranged from 85 to 99%. Control of most weed species was not improved by increasing PYRA&BROM rate from 244 to 300 g ha−1 or by tank mixing 2,4-D or dicamba with PYRA&BROM plus atrazine. However, ivyleaf morningglory control was improved at the LPOST timing by adding 2,4-D or dicamba at 140 g ae ha−1. In no instance did any PYRA&BROM treatment provide greater weed control than bromoxynil plus atrazine at 281 + 560 g ha−1 when applied EMPOST, but in most instances PYRA&BROM treatments were more effective than bromoxynil plus atrazine when applied LPOST. Generally, PYRA&BROM treatments were more effective when applied EMPOST than LPOST, especially when 2,4-D or dicamba was added. PYRA&BROM plus atrazine treatments caused foliar bleaching in sorghum within 7 ± 3 d after treatment, but recovery was complete within 3 to 4 wk and grain yields were not reduced. Tank mixing dicamba with PYRA&BROM and atrazine occasionally reduced visible crop response compared to PYRA&BROM plus atrazine. Our results indicate that PYRA&BROM plus atrazine with or without 2,4-D or dicamba selectively controls several troublesome broadleaf weeds in grain sorghum. Foliar bleaching of sorghum leaves can occur but the symptoms are transient, and grain yields are not likely to be reduced.

Volunteer horseradish plants that emerged from root segments remaining after harvest can reduce yields of rotational crops as well as provide a host for pathogens and insects, thus reducing the benefits of crop rotation. POST applications of halosulfuron in corn can be an effective component to improve management of volunteer horseradish, but the replant interval from application to safe planting of commercial horseradish has not been determined. Fall herbicide applications are another possible volunteer horseradish management strategy than can be implemented once crops are harvested. Therefore, field experiments were conducted to evaluate the safe replant interval of horseradish following halosulfuron applications and to determine the efficacy of fall herbicide applications for volunteer horseradish control. Visual estimates of horseradish injury were greatest (85%) in plantings made zero months after halosulfuron applied at two times the approved rate; moreover, for all rates, injury decreased as the time after halosulfuron application increased. No herbicide injury or root biomass reduction occurred on horseradish at any halosulfuron rate from replanting beyond 4 mo after halosulfuron application. Control of volunteer horseradish was 91% or greater for all fall herbicide applications that included 2,4-D. Furthermore, volunteer horseradish shoot density was the lowest following combinations of 2,4-D tank-mixed with halosulfuron or rimsulfuron : thifensulfuron (0.2 and 0.4 shoots m−2, respectively) compared with the nontreated control (5.1 shoots m−2). This research demonstrates the effectiveness of both halosulfuron and 2,4-D as components of an integrated management strategy for volunteer horseradish control and the potential for halosulfuron applications without soil persistence beyond 4 mo affecting subsequent commercial horseradish production.

Experiments examining burcucumber management in glufosinate-resistant (GR) and imidazolinone-resistant (IMI) corn were conducted in 1997 and 1998 in southeastern Pennsylvania. GR corn was planted in 38- and 76-cm rows, and postemergence (POST) treatments of glufosinate and glufosinate plus atrazine were applied to corn at the V4 or V5 growth stage. In a second study, IMI corn was planted in 76-cm rows, and 15 preemergence (PRE) and POST herbicide programs were evaluated. Herbicide treatments included RPA-201772, CGA 152005, simazine, imazethapyr plus imazapyr, imazamox, chlorimuron plus thifensulfuron, nicosulfuron plus rimsulfuron plus atrazine, CGA 152005 plus primisulfuron, and combinations with atrazine. Burcucumber germinated throughout the growing season, with greatest emergence occurring in early June, gradually decreasing to minimal emergence by mid-July. Glufosinate alone controlled burcucumber 79 to 90% 7 weeks after planting (WAP) regardless of application timing or row spacing. By 10 to 13 WAP, control was 82% or less due to lack of residual control and new burcucumber emergence. Row spacing had little effect on burcucumber emergence or control and appears to have little impact on burcucumber management in corn. In general, PRE herbicide programs were less effective than POST programs, although PRE treatments containing atrazine equaled some POST herbicides. POST-applied chlorimuron plus thifensulfuron, nicosulfuron plus rimsulfuron plus atrazine, and CGA 152005 plus primisulfuron controlled burcucumber greater than 80 and 90% in 1997 and 1998, respectively. Imazethapyr plus imazapyr and imazamox applied POST controlled burcucumber 66% 10 WAP. Adding atrazine to POST herbicide programs did not increase control, with the exception of imazethapyr plus imazapyr.