Establishment of invasive Black Carp (\u3ci\u3eMylopharyngodon piceus\u3c/i\u3e) in the Mississippi River basin: identifying sources and year classes contributing to recruitment

Black Carp (Mylopharyngodon piceus) was imported to the USA to control aquaculture pond snails. This species has escaped captivity and occurs in parts of the Mississippi River, several tributaries, and floodplain lakes, which is concerning due to potential competition with native fishes and predation on native mussels, many of which are imperiled. However, Black Carp captures have primarily been incidental by commercial fishers, and evidence of reproduction in the wild is limited. The objectives of this study were to assess relative abundance of aquaculture- origin and wild Black Carp using ploidy and otolith stable isotope analysis, identify spatial extent of natural reproduction using otolith microchemistry, assess age distributions of wild and aquaculturesource Black Carp to infer years in which natural reproduction occurred and timing of aquaculture escapement or introductions, and estimate size and age at maturation to assess whether recruitment to adulthood has occurred. Results revealed that Black Carp are established in parts of the Mississippi River basin based on findings that: (1) non-captive Black Carp primarily consist of fertile, naturally-reproduced fish, (2) reproduction has occurred in several rivers, (3) multiple year classes of wild fish are present, and (4) wild fish have recruited to adulthood. Multiple introductions or escapements of aquaculture-source fish into the wild, including both fertile and functionally sterile individuals, were also inferred. Individual growth appears to be rapid, although considerable variation was observed among fish. Additional study is suggested to refine understanding of where and when Black Carp reproduction is occurring in the Mississippi River basin

Correlates and Prevalence of Benzodiazepine Use in Community-Dwelling Elderly

OBJECTIVE: To describe the prevalence of benzodiazepine use, sociodemographic and physical health factors associated with use, dosages taken, and directions for use among individuals aged 65 years and older. DESIGN: Cross-sectional analysis of baseline data from the community-based, prospective observational Cardiovascular Health Study. PATIENTS/PARTICIPANTS: Medicare eligibility lists from four U.S. communities were used to recruit a representative sample of 5,201 community-dwelling elderly, of which 5,181 participants met all study criteria. MEASUREMENTS AND MAIN RESULTS: Among participants, 511 (9.9%) were taking at least one benzodiazepine, primarily anxiolytics (73%). Benzodiazepines were often prescribed to be taken pro re nata (PRN “as needed”), and 36.5% of prescriptions with instructions to be taken regularly were taken at a dose lower than prescribed. Reported over-the-counter (OTC) sleep aid medication use was 39.2% in benzodiazepine users and 3.3% in nonusers. In a multivariate logistic model, the significant independent correlates of benzodiazepine use were being white (odds ratio [OR] 1.9; 95% confidence interval [CI] 1.0, 3.4), female (OR 1.7; CI 1.4, 2.2), and living in Forsyth County, North Carolina, or Washington County, Maryland, compared with living in Sacramento County, California, or Allegheny County, Pennsylvania (OR 2.3; CI 1.4, 2.2); having coronary heart disease (OR 1.6; CI 1.2, 2.1), health status reported as poor or fair (OR 1.8; CI 1.4, 2.3), self-reported diagnosis of nervous or emotional disorder (OR 6.7; CI 5.1, 8.7), and reporting use of an OTC sleep aid medication (OR 18.7; CI 14.1, 24.7). CONCLUSIONS: One in 10 participants reported taking a benzodiazepine, most frequently an anxiolytic, often at a lower dose than prescribed and usually PRN. The high prevalence of OTC sleep aid medication and benzodiazepine use may place the patient at increased risk of psychomotor impairment. Physicians should assess OTC sleep aid medication use when prescribing benzodiazepines