VA SHIELD: A Biorepository for Veterans and the Nation.

Background: To address the COVID-19 pandemic and future threats, VA leadership assembled research and clinical teams to coordinate a unified response, which included creating the VA Science and Health Initiative to Combat Infectious and Emerging Life-Threatening Diseases (VA SHIELD).

Observations: VA SHIELD is a comprehensive specimen and data repository. It links specific types of biospecimens with data regarding genetics, exposure, and disease risk by connecting data sources and the collections of biospecimens across clinical and research environments.

Nationwide Genomic Surveillance and Response to COVID-19: The VA SeqFORCE and SeqCURE Consortiums.

Background: The US Department of Veterans Affairs (VA) has dedicated significant resources toward countering the COVID-19 pandemic. Sequencing for Research Clinical and Epidemiology (SeqFORCE) and Sequencing Collaborations United for Research and Epidemiology (SeqCURE) were developed as clinical and research consortiums, respectively, focused on the genetic COVID-19 surveillance.

Observations: Through genetic sequencing, VA SeqFORCE and SeqCURE collaborations contributed to the COVID-19 pandemic response and scientific understanding.

Forest restoration and fuels reduction work: Different pathways for achieving success in the Sierra Nevada.

Fire suppression and past selective logging of large trees have fundamentally changed frequent-fire-adapted forests in California. The culmination of these changes produced forests that are vulnerable to catastrophic change by wildfire, drought, and bark beetles, with climate change exacerbating this vulnerability. Management options available to address this problem include mechanical treatments (Mech), prescribed fire (Fire), or combinations of these treatments (Mech + Fire).

The US Department of Veterans Affairs Science and Health Initiative to Combat Infectious and Emerging Life-Threatening Diseases (VA SHIELD): A Biorepository Addressing National Health Threats.

Background: The coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has demonstrated the need to share data and biospecimens broadly to optimize clinical outcomes for US military Veterans.

Methods: In response, the Veterans Health Administration established VA SHIELD (Science and Health Initiative to Combat Infectious and Emerging Life-threatening Diseases), a comprehensive biorepository of specimens and clinical data from affected Veterans to advance research and public health surveillance and to improve diagnostic and therapeutic capabilities.

Results: VA SHIELD now comprises 12 sites collecting de-identified biospecimens from US Veterans affected by SARS-CoV-2.

Effects of Lag Time on Performance on ARRT's Primary Certification and Registration Exams.

Purpose: To investigate how lag time between graduation from an education program and exam date influenced candidates' performance on the American Registry of Radiologic Technologists (ARRT) certification and registration exams for radiography, nuclear medicine technology, radiation therapy, and magnetic resonance imaging.

Methods: Data for this quasi-experimental study were obtained for 39 898 candidates taking the 4 certification and registration exams from January 1, 2017, to December 31, 2019. Comparisons were made between candidates who took their certification exam within 8 weeks of graduation and candidates who waited 9 to 16 weeks after program completion.

Tallo: A global tree allometry and crown architecture database.

Data capturing multiple axes of tree size and shape, such as a tree's stem diameter, height and crown size, underpin a wide range of ecological research-from developing and testing theory on forest structure and dynamics, to estimating forest carbon stocks and their uncertainties, and integrating remote sensing imagery into forest monitoring programmes. However, these data can be surprisingly hard to come by, particularly for certain regions of the world and for specific taxonomic groups, posing a real barrier to progress in these fields. To overcome this challenge, we developed the Tallo database, a collection of 498,838 georeferenced and taxonomically standardized records of individual trees for which stem diameter, height and/or crown radius have been measured.

Accurate tracking of forest activity key to multi-jurisdictional management goals: A case study in California.

An essential component of sustainable forest management is accurate monitoring of forest activities. Although monitoring efforts have generally increased for many forests throughout the world, in practice, effective monitoring is complex. Determining the magnitude and location of progress towards sustainability targets can be challenging due to diverse forest operations across multiple jurisdictions, the lack of data standardization, and discrepancies between field inspections and remotely-sensed records.

Low-Level Speech Recognition of Children with Hearing Aids.

Background: For children with hearing loss, the primary goal of hearing aids is to provide improved access to the auditory environment within the limits of hearing aid technology and the child's auditory abilities. However, there are limited data examining aided speech recognition at very low (40 decibels A [dBA]) and low (50 dBA) presentation levels.

Purpose: Due to the paucity of studies exploring aided speech recognition at low presentation levels for children with hearing loss, the present study aimed to (1) compare aided speech recognition at different presentation levels between groups of children with "normal" hearing and hearing loss, (2) explore the effects of aided pure tone average and aided Speech Intelligibility Index (SII) on aided speech recognition at low presentation levels for children with hearing loss ranging in degree from mild to severe, and (3) evaluate the effect of increasing low-level gain on aided speech recognition of children with hearing loss.

Nonlinear shifts in infectious rust disease due to climate change.

Range shifts of infectious plant disease are expected under climate change. As plant diseases move, emergent abiotic-biotic interactions are predicted to modify their distributions, leading to unexpected changes in disease risk. Evidence of these complex range shifts due to climate change, however, remains largely speculative.

Simulation of the effects of forest harvesting under changing climate to inform long-term sustainable forest management using a biogeochemical model.

Process ecosystem models are useful tools to provide insight on complex, dynamic ecological systems, and their response to disturbances. The biogeochemical model PnET-BGC was modified and tested using field observations from an experimentally whole-tree harvested northern hardwood watershed (W5) at the Hubbard Brook Experimental Forest (HBEF), New Hampshire, USA. In this study, the confirmed model was used as a heuristic tool to investigate long-term changes in hydrology, biomass accumulation, and soil solution and stream water chemistry for three different watershed cutting intensities (40%, 60%, 80%) and three rotation lengths (30, 60, 90 years) under both constant (current climate) and changing (MIROC5-RCP4.

Characterization of the woody biomass feedstock potential resulting from California's drought.

Regional tree die-off events generate large quantities of standing dead wood, raising concern over catastrophic wildfire and other hazards. Governmental responses to tree die-off have often focused on incentivizing biomass energy production that utilizes standing dead trees removed for safety concerns. However, the full distribution of potential woody bioenergy feedstock after tree die-off has not been evaluated due to the complexities of surveying and precisely measuring large forested areas.

Evaluation of a Remote Microphone System with Tri-Microphone Beamformer.

Background: Children with hearing loss often experience difficulty understanding speech in noisy and reverberant classrooms. Traditional remote microphone use, in which the teacher wears a remote microphone that captures her speech and wirelessly delivers it to radio receivers coupled to a child's hearing aids, is often ineffective for small-group listening and learning activities. A potential solution is to place a remote microphone in the middle of the desk used for small-group learning situations to capture the speech of the peers around the desk and wirelessly deliver the speech to the child's hearing aids.

Navigating Novelty and Risk in Resilience Management.

Resilience theory is increasingly applied to the management of global change impacts. There is growing concern, however, that misapplications of resilience-based management (RBM) can sometimes lead to undesirable outcomes. We address here an inescapable conundrum in the application of resilience theory: systems will need to track environmental change, but management that aims to support adaptive capacity can introduce undesirable levels of change.

The application of an integrated biogeochemical model to simulate dynamics of vegetation, hydrology and nutrients in soil and streamwater following a whole-tree harvest of a northern hardwood forest.

Understanding the impacts of clear-cutting is critical to inform sustainable forest management associated with net primary productivity and nutrient availability over the long-term. Few studies have rigorously tested model simulations against field measurements which would provide more confidence in efforts to quantify logging impacts over the long-term. The biogeochemical model, PnET-BGC has been used to simulate forest production and stream chemistry at the Hubbard Brook Experimental Forest (HBEF), New Hampshire, USA.

Centennial-scale reductions in nitrogen availability in temperate forests of the United States.

Forests cover 30% of the terrestrial Earth surface and are a major component of the global carbon (C) cycle. Humans have doubled the amount of global reactive nitrogen (N), increasing deposition of N onto forests worldwide. However, other global changes-especially climate change and elevated atmospheric carbon dioxide concentrations-are increasing demand for N, the element limiting primary productivity in temperate forests, which could be reducing N availability.

A National Implementation Project to Prevent Catheter-Associated Urinary Tract Infection in Nursing Home Residents.

Importance: Catheter-associated urinary tract infection (UTI) in nursing home residents is a common cause of sepsis, hospital admission, and antimicrobial use leading to colonization with multidrug-resistant organisms.

Objective: To develop, implement, and evaluate an intervention to reduce catheter-associated UTI.

Design, Setting, And Participants: A large-scale prospective implementation project was conducted in community-based nursing homes participating in the Agency for Healthcare Research and Quality Safety Program for Long-Term Care.

Evaluating a new method for reconstructing forest conditions from General Land Office survey records.

Historical forest conditions are often used to inform contemporary management goals because historical forests are considered to be resilient to ecological disturbances. The General Land Office (GLO) surveys of the late 19th and early 20th centuries provide regionally quasi-contiguous data sets of historical forests across much of the Western United States. Multiple methods exist for estimating tree density from point-based sampling such as the GLO surveys, including distance-based and area-based approaches.

A Word to the Wise: Advice for Scientists Engaged in Collaborative Adaptive Management.

Collaborative adaptive management is a process for making decisions about the environment in the face of uncertainty and conflict. Scientists have a central role to play in these decisions. However, while scientists are well trained to reduce uncertainty by discovering new knowledge, most lack experience with the means to mitigate conflict in contested situations.

Silica uptake and release in live and decaying biomass in a northern hardwood forest.

In terrestrial ecosystems, a large portion (20-80%) of the dissolved Si (DSi) in soil solution has passed through vegetation. While the importance of this "terrestrial Si filter" is generally accepted, few data exist on the pools and fluxes of Si in forest vegetation and the rate of release of Si from decomposing plant tissues. We quantified the pools and fluxes of Si through vegetation and coarse woody debris (CWD) in a northern hardwood forest ecosystem (Watershed 6, W6) at the Hubbard Brook Experimental Forest (HBEF) in New Hampshire, USA.

Measuring Patient Safety: The Medicare Patient Safety Monitoring System (Past, Present, and Future).

The explicit declaration in the landmark 1999 Institute of Medicine report "To Err Is Human" that, in the United States, 44,000 to 98,000 patients die each year as a consequence of "medical errors" gave widespread validation to the magnitude of the patient safety problem and catalyzed a number of U.S. federal government programs to measure and improve the safety of the national healthcare system.