National Health Expenditures In 2023: Faster Growth As Insurance Coverage And Utilization Increased.

Health care spending in the US reached $4.9 trillion and increased 7.5 percent in 2023, growing from a rate of 4.

Long-term changes in riparian connectivity and groundwater chemistry in an urban watershed.

Hydrologic alterations associated with urbanization can weaken connections between riparian zones, streams, and uplands, leading to negative effects on the ability of riparian zones to intercept pollutants carried by surface water runoff and groundwater flow such as nitrate (NO ) and phosphate (PO ). We analyzed the monthly water table as an indicator of riparian connectivity, along with groundwater NO and PO concentrations, at four riparian sites within and near the Gwynns Falls Watershed in Baltimore, MD, from 1998 to 2018. The sites included one forested reference site (Oregon Ridge), two suburban riparian sites (Glyndon and Gwynnbrook), and one urban riparian site (Cahill) with at least two locations and four monitoring wells, located 5 m from the center of the stream, at each site.

Surgical journal clubs: Navigating the post-pandemic landscape.

Pandemic-related distancing regulations gave medical educators at our college an opportunity to reimagine and expand our evidenced-based medicine curriculum to an asynchronous, virtual format. We share the experience of course directors, faculty, and students with our new surgical journal club format. Our goal was to support learners' critical appraisal skills of the surgical literature through active learning modalities such as visual abstract generation and audio-synopsis creation.

Identifying invertebrate indicators for streamflow duration assessments in forested headwater streams.

Streamflow-duration assessment methods (SDAMs) are rapid, indicator-based tools for classifying streamflow duration (e.g., intermittent vs perennial flow) at the reach scale.