Cooperative breeding, which is commonly characterized by non-breeding individuals that assist others with reproduction, is common in avian species. However, few accounts have been reported in Charadriiformes, particularly island-nesting species. We present observations of cooperative breeding behaviors in Hawaiian Stilts during the 2012-2020 nesting seasons on the Hawaiian islands of O‘ahu and Moloka‘i. We describe three different behaviors that indicate cooperative breeding: (1) nest sharing; (2) helper at the nest; (3) cooperative chick rearing. Our observations suggest an ideal opportunity to examine the evolution of cooperative breeding behaviors in the order Charadriiformes.

The relative contributions of adaptation and drift to morphological diversification of the crania of echolocating mammals was investigated using two horseshoe bat species, Rhinolophus simulator and R. cf. simulator as test cases. We used 3D geometric morphometrics to compare the shapes of skulls of the two lineages collected at various localities in southern Africa. Shape variation was predominantly attributed to selective forces; the between population variance (B) was not proportional to the within population variance (W). Modularity was evident in the crania of R. simulator but absent in the crania of R. cf. simulator and the mandibles of both species. The skulls of the two lineages thus appeared to be under different selection pressures, despite the overlap in their distributions. Selection acted mainly on the nasal dome region of R. cf. simulator whereas selection acted more on the cranium and mandibles than on the nasal domes of R. simulator. Probably the relatively higher echolocation frequencies used by R. cf. simulator, the shape of the nasal dome, which acts as a frequency dependent acoustic horn, is more crucial than in R. simulator, allowing maximization of the intensity of the emitted calls and resulting in comparable detection distances. In contrast, selection pressure is probably more pronounced on the mandibles and cranium of R. simulator to compensate for the loss in bite force because of its elongated rostrum. The predominance of selection probably reflects the stringent association between environment and the optimal functioning of phenotypic characters associated with echolocation and feeding in bats.

This paper reported a case of devastating iatrogenic ICA rupture in endoscopic endonasal surgery (EES) rescued by a covered stent. We also discussed the therapeutic strategies of iatrogenic ICA rupture in EES, which is of help in the management of this devastating complication.

An uncommon complication after a fibula graft for a mandibular reconstruction is a fracture of the tibia. This report describes a case and the treatment of a fracture of the tibia after a partial mandibulectomy and neck dissection, followed by a mandibular reconstruction with a vascularized left fibula graft.

Objective: It was aimed to compare the breastfeeding status and healthy life style changes, eating behaviors, attitudes, and orthorectic tendencies of mothers. Materials and Methods: All volunteered mothers who have a child between the ages of 0 and 2 were included in this cross-sectional study. 514 individuals were included. Five parted questionnaire and “ORTO-11” test and “Eating Attitude Test” was used. Results: A statistically significant relationship was found between breastfeeding status and working status and professions of mothers. Mothers who did not breastfeed, skipped main meal more frequently, and smoking and occasional alcohol consumption was higher. The mean score of the participants on the ORTO-11 scale was 25.09 ± 4.80, EAT-40 scale mean score was 18.80 ± 10.42. High risk in eating attitudes was found in 12.0% of all participants. It was observed that mothers who did not breastfeed were mostly in high risk group in terms of eating attitude. Conclusion: Mothers who did not breastfeed were mostly in high risk group in terms of eating attitude compared to breastfeeding mothers. It is of great importance that healthcare professionals organize trainings for increasing the general level of knowledge of mothers and provide healthy living and breastfeeding counseling.

Capture-mark-recapture (CMR) studies have been used extensively in ecology and evolution. While it is feasible to apply CMR in some animals, it is considerably more challenging in small fast-moving species such as insects. In these groups, low recapture rates can bias estimates of demographic parameters, thereby, handicapping effective management of wild populations. Here we use high-speed videos (HSV) of the adults of two large dragonfly species that rarely land and, thus, are particularly challenging for CMR studies. We specifically test whether HSV, compared to conventional eye observations, increases the “resighting” rates and improves the certainty of the estimates of survival rate, and the effects of demographic covariates on survival rates. We show that the use of HSV increases the number of resights substantially. HSV improved our estimates of resighting and survival probability which were either under- or overestimated with the conventional observations. HSV increased the accuracy of the estimates of effect sizes of important covariates (age and body size). Integrating HSV in CMR of highly mobile animals is valuable because it is easy, non-invasive, and has the potential to improve demographic estimates. Hence, it opens the door for a wide range of research possibilities on species that are traditionally difficult to monitor, including within insects, birds, and mammals.

Pulmonary embolism and concomitant floating aortic thrombus are a rare and potentially life-threatening association. Several therapeutic options are available and best management can be controversial when these conditions coexist. We describe a case of a 79-year-old woman presented with massive pulmonary embolism and simultaneous floating thrombus in the ascending aorta. She underwent concomitant ascending aortic replacement and surgical pulmonary embolectomy with an uneventful postoperative recovery. Open surgical repair is a one stage repair approach that may offer the most efficient treatment to allow survival.

Aim: Efavirenz is still widely used as the preferred first-line antiretroviral agent in the middle- and low- income countries, including Malaysia. The efavirenz population pharmacokinetic profile among HIV-positive smokers is still unknown. We aimed to assess the association of smoking with efavirenz and the differences in HIV clinical outcomes. Methods: A total of 154 stable HIV-positive patients on efavirenz in northern Malaysia were recruited with a sparse sampling for this multicentre prospective cohort study. The association between smoking and efavirenz pharmacokinetic parameters was determined using the non-linear mixed-effect model (NONMEM). A mixture model of clearance was adopted to describe the metaboliser status because genetic data is unavailable. The effect of smoking on HIV clinical markers (CD4, CD4 / CD8 ratio and viral blips) for at least two years after the antiretroviral initiation was also investigated. Results: Our data were best fitted with a one-compartment mixture model with first-order absorption without lag time. Smoking significantly associated with higher clearance (CL/F) (β = 1.39; 95% confidence interval (CI): 1.07 to 1.91), while weight affected both CL/F and volume (V/F). From the mixture model, 20% of patients were in the slow clearance group, which mimic the genotype distribution of slow metaboliser. An efavirenz dose reduction is not recommended for smokers ≥60kg with normal metabolism rate. Smoking significantly associated with slower normalisation of CD4 and CD4 / CD8 ratio. Conclusion: HIV-positive smokers presented with significantly higher efavirenz clearance and unfavourable clinical outcomes. Close monitoring of adherence and clinical response among smokers is warranted.

Sea Lettuce (Ulva spp.; Ulvophyceae, Ulvales, Ulvaceae) is an important ecological and economical entity, with a worldwide distribution and is a well-known source of near-shore blooms blighting many coastlines. Species of Ulva are frequently misidentified in public repositories, including herbaria and gene banks, making species identification based on traditional barcoding hazardous. We investigated the species distribution of 295 individual distromatic foliose strains from the North East Atlantic by traditional barcoding or next generation sequencing. We found seven distinct species, and compared our results with all worldwide Ulva spp sequences present in the NCBI database for the three barcodes rbcL, tufA and the ITS1. Our results demonstrate a large degree of species misidentification in the NCBI database. We estimate that 21% of the entries pertaining to foliose species are misannotated. In the extreme case of U. lactuca, 65% of the entries are erroneously labelled specimens of another Ulva species, typically U. fenestrata. In addition, 30% of U. rigida entries are misannotated, U. rigida being relatively rare and often misannotated U. laetevirens. Furthermore, U. armoricana and U. scandinavica present as being synonymous to U. laetevirens. An analysis of the global distribution of registered samples from foliose species also indicates possible geographical isolation for some species, and the absence of U. lactuca from Northern Europe. Altogether, exhaustive taxonomic clarification by aggregation of a library of barcode sequences highlights misannotations, and delivers an improved representation of Ulva species diversity and distribution. This approach could be easily adapted to other taxa.

Nutcracker syndrome (NCS) is known as a status of compression of the left renal vein (LRV) between the abdominal aorta and superior mesenteric artery (SMA). We here report a case of NCS in Marfan patients with type B aortic dissection who presented with sudden gross hematuria. Computed tomography revealed the compression of the LRV sandwiched between the SMA and the dilated dissecting abdominal aorta. The compression was released after surgical intervention and the hematuria was promptly recovered. This report highlights that NCS should be considered as a differential diagnosis of unexplained hematuria in patients with the chronic dissecting aorta.

All organisms are susceptible to the environment and changing environmental conditions can infer structural modifications in predator-prey communities. A change in the environment can influence, for example, the mortality rate of both the prey and the predator, or determine how long the interaction between both partners is. This may have a substantial impact on ecological, but also evolutionary dynamics. Experimental studies, in which microbial populations are maintained by a repeated dilution into fresh conditions after a certain period of time, are able to dissipate underlying mechanisms in a controlled way. By design, dilution rate (modifying mortality) and transfer interval (determining the time of interaction) are crucial factors, but they often receive little attention in experimental design. We study data from a live predator-prey (bacteria and ciliates) system used to gain insight into eco-evolutionary principles and apply a mathematical model to predict how various dilution rates and transfer intervals would affect such an experiment. We find the ecological dynamics to be surprisingly robust for both factors. However, the evolutionary rates are expected to be affected. Our work predicts that the evolution of the anti-predator defence in the bacteria, and the evolution of the predation efficiency in the ciliates, both decrease with higher dilution rate, but increase with longer transfer intervals. Our results provide testable hypotheses for future studies of predator-prey systems and we hope this work will help improving our understanding how ecological and evolutionary processes together shape composition of microbial communities.

Deranged liver enzymes due to hyperthyroidism rather than intrinsic liver pathology are not uncommon. We present two cases that highlight the impact of hyperthyroidism on liver biochemistry tests and good response to treatment. A high index of suspicion is paramount in patients presenting with unexplained deranged liver enzymes or jaundice.

In this paper, we introduce the notions of equiaffine arclength and curvature with fractional order for a plane curve and compare them with the standard ones. In terms of the equiaffine curvature with fractional order we obtain an equiaffine Frenet formula and then construct an analogue of the Fundamental Theorem. The plane curves of constant equiaffine curvature with fractional-order are classified. Several examples are also illustrated.

An obstetric ultrasound of a multi-gravid mother at 37-week of gestation showed a female fetus with alobar holoprosencephaly, polydactyly, short ribs, narrow chest and short upper and lower extremity bones, consistent with Holoprosencephaly-polydactyly syndrome and Asphyxiating thoracic dystrophy overlap. Apgar score was 0 in the first and fifth minutes.

This case report deals with a clinical case of a patient who underwent inpatient treatment of the underlying disease acute leukemia. In the selection of treatment for complications, medications of various groups were prescribed. This therapy led to the clinical death of the patient, caused by drug-induced QT/QTc prolongation.

Extreme precipitation can have profound consequences for communities, resulting in natural hazards such as rainfall-triggered landslides that cause casualties and extensive property damage. A key challenge to understanding and predicting rainfall-triggered landslides comes from observational uncertainties in the depth and intensity of precipitation preceding the event. Practitioners and researchers must select among a wide range of precipitation products, often with little guidance. Here we evaluate the degree of precipitation uncertainty across multiple precipitation products for a large set of landslide-triggering storm events and investigate the impact of these uncertainties on predicted landslide probability using published intensity-duration thresholds. The average intensity, peak intensity, duration, and NOAA-Atlas return periods are compared ahead of 228 reported landslides across the continental US and Canada. Precipitation data are taken from four products that cover disparate measurement methods: near real-time and post-processed satellite (IMERG), radar (MRMS), and gauge-based (NLDAS-2). Landslide-triggering precipitation was found to vary widely across precipitation products with the depth of individual storm events diverging by as much as 296 mm with an average range of 51 mm. Peak intensity measurements, which are typically influential in triggering landslides, were also highly variable with an average range of 7.8 mm/hr and as much as 57 mm/hr. The two products more reliant upon ground-based observations (MRMS and NLDAS-2) performed better at identifying landslides according to published intensity-duration storm thresholds, but all products exhibited hit-ratios of greater than 0.56. A greater proportion of landslides were predicted when including only manually-verified landslide locations. We recommend practitioners consider low-latency products like MRMS for investigating landslides, given their near-real time data availability and good performance in detecting landslides. Practitioners would be well-served considering more than one product as a way to confirm intense storm signals and minimize the influence of noise and false alarms.

Modelling results in the small (1.78 km2) experimental catchment Uhlířská located in the northern part of the Czech Republic at the average elevation of 822 m a.s.l. are presented. While the basic hydrological and meteorological monitoring has started already in 1982, investigation of the subsurface flow adjoined in 1995. A detailed survey of water and isotope (18O, 2H, 3H, 3H/3He) fluxes across the catchment storage compartments has been in operation since 2006. The combined vadose/saturated zones modeling with support of partial extrapolation of 18O content in precipitation yielded the following mean balance for the period 1961-2014: 456 out of 1220 mm annual precipitation depth are percolating through the soil matrix domain and 534 mm through the preferential domain in the hillslope soil profile. The saturated zone is recharged annually by 416 mm, consisting of the entire matrix flow and 12,5 % of the preferential flow from the permeable hillslopes covered by Cambisols and Podzols, as well as by the contribution of 22 mm from the less permeable riparian wetland Histosols. The aquifer geometry was determined by means of electrical resistivity tomography (ERT) including inverse modelling (RES2DINV). Water and isotope fluxes were computed using a sequence of models. They include S1D software for the vadose zone modeling including 18O transport and Modflow, Modpath and MT3DS determining residence time and flow trajectories in the saturated zone. Isotopes 3H and 3H/3He improved the model confidence. The water residence time on the hillslopes does not exceed 1 year, while the saturated zone indicates about 10 years, with a 20% portion of water older than 100 years in the deepest part of the aquifer. The combination of numerical modelling approaches with computation of water balance and isotope-supported calibration is considered innovative, particularly the 3H/3He method to determine water residence times of young groundwater in the saturated zone.

A document by Mehreen Zaigham. Click on the document to view its contents.