Living Away From Specialized Pollinators: The Pollination System of in the Yucatan Peninsula.

Plant-pollinator systems can exist along the gradient from extreme specialization to extreme generalization. Theoretical work predicts that high pollinator reliability may lead to specialized pollination systems, while pollinator unpredictability may promote generalized pollination systems. However, empirical tests of these predictions are constrained by the availability of accurate field observations, particularly in some groups of plants, such as trees pollinated by nocturnal animals.

A Quality Improvement Initiative to Reduce Duplicate Inflammatory Marker Use.

Introduction: Inflammatory markers (IMs) are often ordered in multiples, even though evidence suggests that this does not add any clinical benefit. The project aimed to reduce the number of duplicate IMs for patients by 10% in 12 months.

Methods: We implemented a quality improvement (QI) project at our hospital, focusing on patients admitted to the pediatric hospital medicine service.

Implementation of an Evidence-Based Treatment Protocol and Order Set for Alcohol Withdrawal Syndrome.

Background: Alcohol withdrawal syndrome (AWS) is highly prevalent in hospital inpatients. Recent evidence supports use of phenobarbital and gabapentin in certain patients, and screening tools for severe withdrawal risk can be used to guide care. Inpatients with AWS should also be considered for evidence-based treatment for alcohol use disorder (AUD).

Effect of Dural-Puncture Epidural vs Standard Epidural for Epidural Extension on Onset Time of Surgical Anesthesia in Elective Cesarean Delivery: A Randomized Clinical Trial.

Importance: Dural-puncture epidural (DPE) and standard epidural are common modes of neuraxial labor analgesia. Little is known about conversion of DPE-initiated labor analgesia to surgical anesthesia for cesarean delivery.

Objective: To determine whether DPE provides a faster onset and better-quality block compared with the standard epidural technique for cesarean delivery.

Pesticide residues in honey bee (Apis mellifera) pollen collected in two ornamental plant nurseries in Connecticut: Implications for bee health and risk assessment.

Honey bees (Apis mellifera L.) are one of the most important managed pollinators of agricultural crops. While potential effects of agricultural pesticides on honey bee health have been investigated in some settings, risks to honey bees associated with exposures occurring in the plant nursery setting have received little attention.