Multi-strain carriage and intrahost diversity of among Indigenous adults in the USA.

(SA) is an opportunistic pathogen and human commensal that is frequently present in the upper respiratory tract, gastrointestinal tract and skin. While SA can cause diseases ranging from minor skin infections to life-threatening bacteraemia, it can also be carried asymptomatically. Indigenous individuals in the Southwest USA experience high rates of invasive SA disease.

Best Practices for Imaging of Transcatheter Valve Failure: An Update From the Heart Valve Collaboratory.

This updated Heart Valve Collaboratory framework addresses the growing concern for transcatheter valve failure (TVF) following transcatheter aortic valve replacement (TAVR). With the increasing volume of redo-TAV and surgical TAV explantation, there is a critical need for standardized pathways and protocols for evaluating TVF using echocardiography and cardiac computed tomography (CT) angiography. This document clarifies prior definitions of bioprosthetic valve deterioration and bioprosthetic valve failure in a practical, imaging directed context for TAVR.

Right heart failure and mortality in patients undergoing transcatheter tricuspid valve interventions.

Aims: To assess the association between right heart failure (RHF) and mortality in patients with severe tricuspid regurgitation (TR) undergoing transcatheter tricuspid valve intervention (TTVI), and to determine whether clinical RHF status reduces the survival benefit of successful versus failed TTVI.

Methods And Results: The TriValve International Registry (Transcatheter Tricuspid Valve Therapies) is a multicenter registry collecting data of patients with symptomatic, severe or greater TR undergoing TTVI. The population was stratified according to RHF status defined by the following clinical criteria: history of previous hospitalization for RHF (<1 year) OR presence of signs of RHF (jugular venous distension, ascites, peripheral oedema) OR high dose diuretic (≥125 mg/day of furosemide or equivalent).

The Importance of Ditches and Canals in Global Inland Water CO and NO Budgets.

Ditches and canals are omitted from global budgets of inland water emissions, despite research showing them to be emitters of greenhouse gases (GHGs). Here, we synthesize data across climate zones and land use types to show, for the first time, that global ditches emit notable amounts of carbon dioxide (CO) and nitrous oxide (NO). Ditches had higher per-area emissions of CO and NO than ponds, lakes, and reservoirs, likely due to high nutrient inputs.

Novel programs to improve patient access and understanding of Medications: Nashville General Hospital Pharmacy Services.

Background: Nashville General Hospital (NGH) is a public safety-net hospital serving Nashville, Tennessee and surrounding areas. Surveys sent after hospital discharge showed patients were dissatisfied with their understanding of their medications. Patients also often had difficulty obtaining and paying for medications post discharge.