Elaboration and diversification of rhinoceros beetle horns

Sexual selection is a potent driver in the evolution of male morphology and has given rise to bright, flashy ornaments that attract females, and big, bulky weapons that aid in male-male combat. Although previous studies have focused extensively on how female choice can drive the evolution and diversification of male ornaments, surprisingly little work has been done on the evolution of male weapons. Thus, we simply cannot convincingly explain why sexually-selected weapons are so diverse

Conjoint analysis of researchers' hidden preferences for bibliometrics, altmetrics, and usage metrics

The amount of annually published scholarly articles is growing steadily, as is the number of indicators through which impact of publications is measured. Little is known about how the increasing variety of available metrics affects researchers' processes of selecting literature to read. We conducted ranking experiments embedded into an online survey with 247 participating researchers, most from social sciences. Participants completed series of tasks in which they were asked to rank fictitious publications regarding their expected relevance, based on their scores regarding six prototypical metrics. Through applying logistic regression, cluster analysis, and manual coding of survey answers, we obtained detailed data on how prominent metrics for research impact influence our participants in decisions about which scientific articles to read. Survey answers revealed a combination of qualitative and quantitative characteristics that researchers consult when selecting literature, while regression analysis showed that among quantitative metrics, citation counts tend to be of highest concern, followed by Journal Impact Factors. Our results suggest a comparatively favorable view of many researchers on bibliometrics and widespread skepticism toward altmetrics. The findings underline the importance of equipping researchers with solid knowledge about specific metrics' limitations, as they seem to play significant roles in researchers' everyday relevance assessments

Applying Memory Science to the Classroom: Effects of Reading Questions and Answer Keys on Test Scores

Instructors and students are constantly searching for effective ways to increase reading comprehension. Cognitive science would suggest that both additional assessment as described by the testing effect and timely feedback would increase comprehension. Our study investigated the effect of assigning reading questions on the quiz scores of undergraduate students. We also examined the effect of giving students an answer key versus verbal feedback on final quiz scores. Prior to the intervention, students completed a reading and then were given a pre-test group activity and post-test during class. Researchers selected certain class sections to complete ungraded questions prior to class as well as selecting sections to receive answer keys during the group activity. We found that students who completed reading questions had significantly higher initial quiz scores than those who did not complete reading questions. Results also showed that students who had an answer key during their class activity scored significantly higher on their final quiz than those who reviewed the answers with an instructor. This research provides insight into maximizing student tests scores and improving reading comprehension. This technique can be applied to fields outside of an educational setting to increase initial understanding of material

Sustainable Aging: Building An Age-Friendly Rural Community

The practice of successful and sustainable aging recognizes that communities must be intentional in efforts to positively affect the lives of older people. The primary aim of this article is to present one approach to sustainability in aging: the concept of age-friendly communities, which focuses on optimizing opportunities for health, participation and security in order to enhance quality of life as people age. Features of age-friendly communities include accessible transportation, affordable appropriate housing options, inviting outdoor spaces, quality community and health services, employment and volunteer opportunities, and access to social activities and public events. This article reviews several principles of the age-friendly framework and discusses how this global initiative can be translated into rural communities. Examples of ongoing efforts in Watauga County, North Carolina that seek to leverage resources from community-based organizations and agencies and a university to build sustainable support for people as they age are provided. Building age-friendly practices in rural communities has the potential to sustain the health and well-being of older adults as well as the communities in which they live

An Acoustic Survey of Beaked Whales and Kogia spp. in the Mariana Archipelago Using Drifting Recorders

The distribution, abundance, and habitat of cryptic cetacean species such as beaked whales and dwarf/pygmy sperm whales (Kogia spp.) are challenging to study due to their long dive times and/or very limited surface behavior. Even less is known in minimally studied and remote regions, including the Mariana Archipelago and parts of the broader western Pacific. In 2018, we deployed a network of eight Drifting Acoustic Spar Buoy Recorders (DASBRs) on the west side of the Mariana Archipelago with the goal of examining the distribution and habitat of beaked whales and Kogia spp. in this region using passive acoustic monitoring. Concurrently, conductivity-temperature-depth (CTD) data were collected within the drift area and combined with satellite oceanographic data to build Ensemble Random Forest Models to identify specific oceanographic features that determine the distribution of these species. DASBRs deployed at locations ranging from 13°N to 18°N generally drifted from east to west between the Mariana Archipelago and the West Mariana Ridge. Spectral and temporal characteristics of echolocation signals were used to identify the presence of beaked whales and Kogia spp. species. This dataset contained frequency modulated (FM) pulses characteristic of Longman’s (Indopacetus pacificus), Cuvier’s (Ziphius cavirostris), and Blainville’s (Mesoplodon densirostris) beaked whales, as well as the unidentified beaked whale FM pulse known as the “BWC,” along with narrow-band high frequency clicks from Kogia spp. The detection rate was substantially higher for all species on the five tracks in the region north of 15.5°N than for those drifts occurring farther south. Species distribution models suggest that differences in the oceanographic characteristics between the northern and southern regions may impact foraging opportunities, possibly explaining the specific ecological niche for these species within this water mass. This is the first study of the distribution of cryptic cetacean species within the wider Mariana Archipelago region. We demonstrate that autonomous drifting acoustic recorders, combined with environmental sampling and remote satellite data are a powerful tool for studying the habitat dependent distribution of cryptic cetacean species

Editorial

Editorial for the June 2022 issue

Risk Factors for SARS-CoV-2 Infection Among US Healthcare Personnel, May-December 2020

To determine risk factors for coronavirus disease (COVID-19) among US healthcare personnel (HCP), we conducted a case-control analysis. We collected data about activities outside the workplace and COVID-19 patient care activities from HCP with positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) test results (cases) and from HCP with negative test results (controls) in healthcare facilities in 5 US states. We used conditional logistic regression to calculate adjusted matched odds ratios and 95% CIs for exposures. Among 345 cases and 622 controls, factors associated with risk were having close contact with persons with COVID-19 outside the workplace, having close contact with COVID-19 patients in the workplace, and assisting COVID-19 patients with activities of daily living. Protecting HCP from COVID-19 may require interventions that reduce their exposures outside the workplace and improve their ability to more safely assist COVID-19 patients with activities of daily living

Procalcitonin Is Not a Reliable Biomarker of Bacterial Coinfection in People With Coronavirus Disease 2019 Undergoing Microbiological Investigation at the Time of Hospital Admission

Abstract Admission procalcitonin measurements and microbiology results were available for 1040 hospitalized adults with coronavirus disease 2019 (from 48 902 included in the International Severe Acute Respiratory and Emerging Infections Consortium World Health Organization Clinical Characterisation Protocol UK study). Although procalcitonin was higher in bacterial coinfection, this was neither clinically significant (median [IQR], 0.33 [0.11–1.70] ng/mL vs 0.24 [0.10–0.90] ng/mL) nor diagnostically useful (area under the receiver operating characteristic curve, 0.56 [95% confidence interval, .51–.60]).</jats:p

Implementation of corticosteroids in treating COVID-19 in the ISARIC WHO Clinical Characterisation Protocol UK:prospective observational cohort study

BACKGROUND: Dexamethasone was the first intervention proven to reduce mortality in patients with COVID-19 being treated in hospital. We aimed to evaluate the adoption of corticosteroids in the treatment of COVID-19 in the UK after the RECOVERY trial publication on June 16, 2020, and to identify discrepancies in care. METHODS: We did an audit of clinical implementation of corticosteroids in a prospective, observational, cohort study in 237 UK acute care hospitals between March 16, 2020, and April 14, 2021, restricted to patients aged 18 years or older with proven or high likelihood of COVID-19, who received supplementary oxygen. The primary outcome was administration of dexamethasone, prednisolone, hydrocortisone, or methylprednisolone. This study is registered with ISRCTN, ISRCTN66726260. FINDINGS: Between June 17, 2020, and April 14, 2021, 47 795 (75·2%) of 63 525 of patients on supplementary oxygen received corticosteroids, higher among patients requiring critical care than in those who received ward care (11 185 [86·6%] of 12 909 vs 36 415 [72·4%] of 50 278). Patients 50 years or older were significantly less likely to receive corticosteroids than those younger than 50 years (adjusted odds ratio 0·79 [95% CI 0·70–0·89], p=0·0001, for 70–79 years; 0·52 [0·46–0·58], p80 years), independent of patient demographics and illness severity. 84 (54·2%) of 155 pregnant women received corticosteroids. Rates of corticosteroid administration increased from 27·5% in the week before June 16, 2020, to 75–80% in January, 2021. INTERPRETATION: Implementation of corticosteroids into clinical practice in the UK for patients with COVID-19 has been successful, but not universal. Patients older than 70 years, independent of illness severity, chronic neurological disease, and dementia, were less likely to receive corticosteroids than those who were younger, as were pregnant women. This could reflect appropriate clinical decision making, but the possibility of inequitable access to life-saving care should be considered. FUNDING: UK National Institute for Health Research and UK Medical Research Council

Effect of Hydrocortisone on Mortality and Organ Support in Patients With Severe COVID-19: The REMAP-CAP COVID-19 Corticosteroid Domain Randomized Clinical Trial.

Importance: Evidence regarding corticosteroid use for severe coronavirus disease 2019 (COVID-19) is limited. Objective: To determine whether hydrocortisone improves outcome for patients with severe COVID-19. Design, Setting, and Participants: An ongoing adaptive platform trial testing multiple interventions within multiple therapeutic domains, for example, antiviral agents, corticosteroids, or immunoglobulin. Between March 9 and June 17, 2020, 614 adult patients with suspected or confirmed COVID-19 were enrolled and randomized within at least 1 domain following admission to an intensive care unit (ICU) for respiratory or cardiovascular organ support at 121 sites in 8 countries. Of these, 403 were randomized to open-label interventions within the corticosteroid domain. The domain was halted after results from another trial were released. Follow-up ended August 12, 2020. Interventions: The corticosteroid domain randomized participants to a fixed 7-day course of intravenous hydrocortisone (50 mg or 100 mg every 6 hours) (n = 143), a shock-dependent course (50 mg every 6 hours when shock was clinically evident) (n = 152), or no hydrocortisone (n = 108). Main Outcomes and Measures: The primary end point was organ support-free days (days alive and free of ICU-based respiratory or cardiovascular support) within 21 days, where patients who died were assigned -1 day. The primary analysis was a bayesian cumulative logistic model that included all patients enrolled with severe COVID-19, adjusting for age, sex, site, region, time, assignment to interventions within other domains, and domain and intervention eligibility. Superiority was defined as the posterior probability of an odds ratio greater than 1 (threshold for trial conclusion of superiority >99%). Results: After excluding 19 participants who withdrew consent, there were 384 patients (mean age, 60 years; 29% female) randomized to the fixed-dose (n = 137), shock-dependent (n = 146), and no (n = 101) hydrocortisone groups; 379 (99%) completed the study and were included in the analysis. The mean age for the 3 groups ranged between 59.5 and 60.4 years; most patients were male (range, 70.6%-71.5%); mean body mass index ranged between 29.7 and 30.9; and patients receiving mechanical ventilation ranged between 50.0% and 63.5%. For the fixed-dose, shock-dependent, and no hydrocortisone groups, respectively, the median organ support-free days were 0 (IQR, -1 to 15), 0 (IQR, -1 to 13), and 0 (-1 to 11) days (composed of 30%, 26%, and 33% mortality rates and 11.5, 9.5, and 6 median organ support-free days among survivors). The median adjusted odds ratio and bayesian probability of superiority were 1.43 (95% credible interval, 0.91-2.27) and 93% for fixed-dose hydrocortisone, respectively, and were 1.22 (95% credible interval, 0.76-1.94) and 80% for shock-dependent hydrocortisone compared with no hydrocortisone. Serious adverse events were reported in 4 (3%), 5 (3%), and 1 (1%) patients in the fixed-dose, shock-dependent, and no hydrocortisone groups, respectively. Conclusions and Relevance: Among patients with severe COVID-19, treatment with a 7-day fixed-dose course of hydrocortisone or shock-dependent dosing of hydrocortisone, compared with no hydrocortisone, resulted in 93% and 80% probabilities of superiority with regard to the odds of improvement in organ support-free days within 21 days. However, the trial was stopped early and no treatment strategy met prespecified criteria for statistical superiority, precluding definitive conclusions. Trial Registration: ClinicalTrials.gov Identifier: NCT02735707