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Population trends are lacking for most threatened species, especially those that are cryptic and difficult to survey. Recent developments in passive acoustics and semi-automated call recognition provide a cost-effective option to systematically monitor populations of vocal species. We assessed recent trends for the koala Phascolarctos cinereus , an iconic marsupial, based on 7 years of acoustic monitoring across 224 forested sites. The study period overlapped with a severe drought and extensive megafires in 2019 followed by 2 years of extremely high rainfall...

OBJECTIVES: The sarcopenia (SI) index, defined as the serum creatinine to cystatin C ratio, is considered a predictor of poor muscle health and malnutrition, which is related to major adverse cardiovascular events. However, the effect of the SI index on cognitive function in stroke patients remains unknown. In this study, we aimed to examine the association between the SI and longitudinal cognitive impairment in patients with acute ischemic stroke or transient ischemic attack. RESEARCH DESIGN AND METHODS: Participants who met the inclusion criteria in this national, multicenter, prospective cohort study were enrolled from the Impairment of Cognition and Sleep (ICONS) study of the China National Stroke Registry-3 (CNSR-3)...

The nearshore waters of the Northern California Current support an important seasonal foraging ground for Pacific Coast Feeding Group (PCFG) gray whales. We examine gray whale distribution, habitat use, and abundance over 31 years (1992-2022) using standardized nearshore (< 5 km from shore) surveys spanning a large swath of the PCFG foraging range. Specifically, we generated density surface models, which incorporate detection probability into generalized additive models to assess environmental correlates of gray whale distribution and predict abundance over time...

Following a serious incident and inquest after the death of a patient due to choking at Sheffield Teaching Hospitals NHS Foundation Trust, the Trust put in place an action plan and implemented strategies to reduce the risk of recurrence. Four key actions were identified as essential to try to reduce the risk of a similar event: introduction of a standard operating procedure for mealtimes that included a pre-meal safety 'pause'; use of an electronic communication icon to indicate modified diet/fluid requirements, from emergency department and onward as a patient is transferred; job-specific mealtime safety training; and use of bedside posters with specific dietary requirements (in line with the International Dysphagia Diet Standards Initiative Framework)...

Soda lakes are some of the most productive aquatic ecosystems.1 Their alkaline-saline waters sustain unique phytoplankton communities2 , 3 and provide vital habitats for highly specialized biodiversity including invertebrates, endemic fish species, and Lesser Flamingos (Phoeniconaias minor).1 , 4 More than three-quarters of Lesser Flamingos inhabit the soda lakes of East Africa5 ; however, populations are in decline.6 Declines could be attributed to their highly specialized diet of cyanobacteria7 and dependence on a network of soda lake feeding habitats that are highly sensitive to climate fluctuations and catchment degradation...

BACKGROUND: Hyaluronic acid (HA) is a widely used active cosmetic ingredient. Its multiple skin care benefits are modulated by its molecular weight. Low molecular weight (LMW) HA can penetrate the skin, but high molecular weight (HMW) HA remains at the surface. Here, we assessed how vectorization of HMW HA with bentonite clay-achieved with an innovative technology-enhances its cosmetic and hydrating properties. MATERIALS AND METHODS: The two HA forms were applied to skin explants; their penetration and smoothing effects were monitored by Raman spectroscopy and scanning electron microscopy...

The iconic European stag beetle (Lucanus cervus) (Coleoptera: Lucanidae) is one of the largest terrestrial beetles in Europe. Due to decreasing population numbers, thought to be a consequence of habitat loss, this beetle has become a near-threatened species across much of Europe, and a reliable monitoring system is required to measure its future population trends. As part of a programme aimed at conserving UK populations, we have investigated the chemical ecology of the beetle, with a view to developing an efficient semiochemical-based monitoring system...

Extracorporeal membrane oxygenation (ECMO) provides temporary cardiorespiratory support for neonatal, pediatric, and adult patients when traditional management has failed. This lifesaving therapy has intrinsic risks, including the development of a robust inflammatory response, acute kidney injury (AKI), fluid overload (FO), and blood loss via consumption and coagulopathy. Continuous kidney replacement therapy (CKRT) has been proposed to reduce these side effects by mitigating the host inflammatory response and controlling FO, improving outcomes in patients requiring ECMO...

OBJECTIVE: Task shifting, an approach to address physician shortage through redistribution of clinical tasks, may help address the high burden of chronic respiratory diseases like asthma and COPD. We aimed to measure its utility and impact in the Obstructive Lung Disease program (OLD). METHODS: A retrospective, cross-sectional study was conducted at five integrated outpatient departments of Primary Care Program within Indus Hospital & Health Network, Pakistan, from January 2018 to March 2023...

The European bison was saved from the brink of extinction due to considerable conservation efforts since the early twentieth century. The current global population of > 9500 individuals is the result of successful ex situ breeding based on a stock of only 12 founders, resulting in an extremely low level of genetic variability. Due to the low allelic diversity, traditional molecular tools, such as microsatellites, fail to provide sufficient resolution for accurate genetic assessments in European bison, let alone from non-invasive samples...

Pollution by anthropogenic litter is a major threat to global ecosystems. Seabirds are frequently used as environmental monitors of litter ingestion, but similar research is rare for terrestrial birds. Here, we focused on pellet analysis from 117 nests of an iconic bird of the Western Palearctic, the white stork (Ciconia ciconia), breeding in southern and southwestern Poland in a farmland landscape, far away from large dumps and landfills. We found that most prey items in the diet of white storks were invertebrates (particularly from orders Coleoptera, Orthoptera, and Hymenoptera) but vertebrate prey comprised most of the biomass...

Periphyton assemblages from the nearshore environment of the west (California) side of Lake Tahoe, were analyzed to determine their taxonomic composition and community structure across habitats and seasons. Lake Tahoe is the second deepest lake in the US and an iconic oligotrophic subalpine lake with remarkable transparency. It has experienced offshore cultural eutrophication since the 1960s with observations of nuisance nearshore algal growth since the mid 2000s attributed to anthropogenic stressors. Samplings from November 2019-September 2020 provide useful snapshots against which older monitoring may be contextualized...

One of the outcomes of the 2021 Society of Environmental Toxicology and Chemistry Pellston Workshop on incorporating climate change predictions into ecological risk assessments (Stahl et al. forthcoming) was the key question of how to integrate ecological risk assessments that focus on contaminants with the environmental alterations from climate projections. This article summarizes the results of integrating selected direct and indirect effects of climate change into an existing Bayesian network previously used for ecological risk assessment...

Wildlife tourism is increasing worldwide and monitoring the impact of tourism on wild populations is of the utmost importance for species conservation. The Magellanic penguin Spheniscus magellanicus colony at Martillo Island, Argentina, was studied in the 2016-2020 breeding seasons. In all seasons, adults and chicks belonged to: (i) an area close to or within the tourist trail or (ii) an area far from the tourist trail and out of sight of the tourists. Blood samples were taken for carbon and nitrogen stable isotope composition, in order to estimate trophic niches, and for smears that were made in situ and were then stained in the laboratory where leucocyte counts and differentiation were made under optical microscope...

The Neptune's cup sponge is an iconic species found in marine soft sediment habitats in the Indo-West Pacific, with a history of overharvesting and extreme population declines. Access to SCUBA diving surveys has allowed for its rediscovery at Singapore, its type locality; however, with fewer than ten living individuals documented in the twenty-first century, the species is believed to be in need of conservation. Here, we share the results from surveys across the Gulf of Thailand, allowing for a documentation of 29 additional individuals, with information on their ecology and distribution...

BACKGROUND: Artificial intelligence (AI) can potentially increase the quality of telemonitoring in chronic obstructive pulmonary disease (COPD). However, the output from AI is often difficult for clinicians to understand due to the complexity. This challenge may be accommodated by visualizing the AI results, however it hasn't been studied how this could be done specifically, i.e., considering which visual elements to include. AIM: To investigate how complex results from a predictive algorithm for patients with COPD can be translated into easily understandable data for the clinicians...

AIM: The present study was conducted to validate cardiac output (CO) and cardiac index (CI) obtained from electrical cardiometry (EC) ICON ® with transthoracic echocardiography (TTE) in postoperative pediatric cardiac surgical patients. MATERIALS AND METHODS: A prospective observational study was conducted in 25 pediatric patients with age < 10 years who underwent elective cardiac surgery. DATA ANALYSIS: BlandAltman plot was constructed for interchangeability and Polar plot was constructed to know trending ability...

The snow crab is an iconic species in the Bering Sea that supports an economically important fishery and undergoes extensive monitoring and management. Since 2018, more than 10 billion snow crab have disappeared from the eastern Bering Sea, and the population collapsed to historical lows in 2021. We link this collapse to a marine heatwave in the eastern Bering Sea during 2018 and 2019. Calculated caloric requirements, reduced spatial distribution, and observed body conditions suggest that starvation played a role in the collapse...

In health care, auditory alarms are an important aspect of an informatics system that monitors patients and alerts clinicians attending to multiple concurrent tasks. However, the volume, design, and pervasiveness of existing Intensive Care Unit (ICU) alarms can make it difficult to quickly distinguish their meaning and importance. In this study, we evaluated the effectiveness of two design approaches not yet explored in a smartwatch-based alarm system designed for ICU use: (1) using audiovisual spatial colocalization and (2) adding haptic (i...

BACKGROUND AND AIMS: Coastal Alaska contains vast kelp habitat that supports diverse marine and human communities. Over the past century, the North Pacific Ocean has undergone oceanographic and ecological regime shifts which have the potential to strongly influence the structure and function of kelp ecosystems. However, the remoteness and complexity of the glacially carved region precludes regular monitoring efforts that would be necessary to detect such changes. METHODS: To begin to fill this critical knowledge gap, we drew upon historical and modern surveys to analyze change in spatial coverage and species composition of canopy kelp between two time points (1913 and the early 2000s to 2010s)...