Sweating the small stuff: microclimatic exposure and species habitat associations inform climate vulnerability in a grassland songbird community.

Assessment of species' vulnerability to climate change has been limited by mismatch between coarse macroclimate data and the fine scales at which species select habitat. Habitat mediates climate conditions, and fine-scale habitat features may permit species to exploit favourable microclimates, but habitat preferences can also constrain their ability to do so. We leveraged fine-resolution models of near-surface temperature and humidity in grasslands to understand how microclimates affect climatic exposure and demographics in a grassland bird community.

Canadian Highly Sensitized Patient Program Report: A 1000 Kidney Transplants Story.

Purpose: Highly sensitized patients (HSPs) with kidney failure have limited access to kidney transplantation and poorer post-transplant outcomes. Prioritizing HSPs in kidney allocation systems and expanding the pool of deceased donors available to them has helped to reduce their wait times for transplant and enhanced post-transplant outcomes. The Canadian HSP Program was established by Canadian Blood Services in collaboration with provincial organ donation and transplantation programs throughout the country to increase transplant opportunities for transplant candidates needing very specific matches from deceased kidney donors.

Implementation of a One-Day Living Kidney Donor Assessment Clinic to Improve the Efficiency of the Living Kidney Donor Evaluation: Program Report.

Purpose Of Program: A key barrier to becoming a living kidney donor is an inefficient evaluation process, requiring more than 30 tests (eg, laboratory and diagnostic tests), questionnaires, and specialist consultations. Donor candidates make several trips to hospitals and clinics, and often spend months waiting for appointments and test results. The median evaluation time for a donor candidate in Ontario, Canada, is nearly 1 year.

Point-of-care-ultrasound for the assessment of post-renal transplant recipients.

Introduction: Postoperative imaging for deceased donor renal transplants is often delayed, as these surgeries occur after-hours. These delays can be critical in identifying immediate complications. To our knowledge, there are no formal training programs for point-of-care ultrasound (POCUS) in this setting; therefore, we aimed to develop and evaluate a feasible and practical POCUS curriculum for the assessment of a renal transplant graft.

Sensitivity of North American grassland birds to weather and climate variability.

Grassland birds in North America have declined sharply over the last 60 years, driven by the widespread loss and degradation of grassland habitats. Climate change is occurring more rapidly in grasslands relative to some other ecosystems, and exposure to extreme and novel climate conditions may affect grassland bird ecology and demographics. To determine the potential effects of weather and climate variability on grassland birds, we conducted a systematic review of relationships between temperature and precipitation and demographic responses in grassland bird species of North America.

Identifying mismatches between conservation area networks and vulnerable populations using spatial randomization.

Grassland birds are among the most globally threatened bird groups due to substantial degradation of native grassland habitats. However, the current network of grassland conservation areas may not be adequate for halting population declines and biodiversity loss. Here, we evaluate a network of grassland conservation areas within Wisconsin, U.

Diel patterns of predation and fledging at nests of four species of grassland songbirds.

Although it is common for nestlings to exhibit a strong bias for fledging in the morning, the mechanisms underlying this behavior are not well understood. Avoiding predation risk has been proposed as a likely mechanism by a number of researchers. We used video surveillance records from studies of grassland birds nesting in North Dakota, Minnesota, and Wisconsin to determine the diel pattern of nest predation and fledging patterns of four ground-nesting obligate grassland passerines (Grasshopper Sparrow (), Savannah Sparrow (), Bobolink (), and Eastern Meadowlark ()).

A new approach to the study of relationship quality in dolphins: Framework and preliminary results.

Proximity and synchronous behaviours from surface observations have been used to measure association patterns within and between dolphin dyads. To facilitate an investigation of relationship quality in dolphins, we applied a method used for primates and ravens that examined three main components to describe relationships: value, security, and compatibility. Using pilot data from long-term research of two study populations for this preliminary assessment, these three components were extracted from PCA of eight behavioural variables with more than 80 % variance accounted for in both study groups.

Incidence of Direct Oral Anticoagulant Prescriptions in Kidney Transplant Recipients in Ontario, Canada.

Background: Kidney transplant recipients (KTRs) are routinely excluded from direct oral anticoagulant (DOAC) trials. Given the lack of safety and efficacy data in this population, we examined real-world prescribing practices of DOACs in KTRs.

Methods: We conducted a retrospective cohort study using linked administrative data sets in Ontario, Canada.

Correction to: Comparison of the clinical effectiveness and safety between the use of denosumab vs bisphosphonates in renal transplant patients.

The original version of this article, published on 03 January 2020 contained a mistake. An author's name was misspelled.

Clinical Characteristics and Outcome of Canadian Patients Diagnosed With Atypical Hemolytic Uremic Syndrome.

Background: Atypical hemolytic uremic syndrome (aHUS) is an extremely rare, heterogeneous disease of uncontrolled activation of the alternative complement pathway that is difficult to diagnose. We have evaluated the Canadian patients enrolled in the Global aHUS Registry to provide a Canadian perspective regarding the diagnosis and management of aHUS and the specific challenges faced.

Objective: To evaluate Canadian patients enrolled in the Global aHUS Registry to provide a Canadian perspective regarding the diagnosis and management of aHUS and the specific challenges faced.

Comparison of the clinical effectiveness and safety between the use of denosumab vs bisphosphonates in renal transplant patients.

Unlabelled: A retrospective chart review was conducted on 85 renal transplant patients aged 19-88 years, treated with denosumab or bisphosphonate therapy. Bone densitometry measures were compared between treatment groups at baseline; at years 1, 2, and 3; and at final follow-up (average of 3.4 years).

Using bioimpedance analysis to assess intensive care unit patients with sepsis in the post-resuscitation period: a prospective multicentre observational study.

Purpose: Clinicians lack well-validated, non-invasive, objective tools to guide volume management in the post-resuscitative period. Bioimpedance analysis (BIA) represents a novel method for guiding fluid management. We studied the relationship of BIA vector length (VL), an indicator of volume status, to the need for mechanical ventilation in patients with sepsis.

Efficacy and safety of non-vitamin K antagonist oral anticoagulants post-kidney transplantation.

Background: Novel oral anticoagulants (NOACs) were developed as alternatives to vitamin K antagonists, primarily warfarin, as they do not require routine monitoring and have limited drug-drug and drug-food interactions. However, the efficacy and safety of these agents in kidney transplantation are not well studied.

Aim: To assess the profile and safety of NOACs for patients who had kidney transplantation, and to provide recommendations and guidelines on therapeutic strategies in these patients.

Influence of climate change and postdelisting management on long-term population viability of the conservation-reliant Kirtland's Warbler.

Rapid global climate change is resulting in novel abiotic and biotic conditions and interactions. Identifying management strategies that maximize probability of long-term persistence requires an understanding of the vulnerability of species to environmental changes. We sought to quantify the vulnerability of Kirtland's Warbler (), a rare Neotropical migratory songbird that breeds almost exclusively in the Lower Peninsula of Michigan and winters in the Bahamian Archipelago, to projected environmental changes on the breeding and wintering grounds.

Risk Factors for 1-Year Graft Loss After Kidney Transplantation: Systematic Review and Meta-Analysis.

Background And Objectives: With expansion of the pool of kidney grafts, through the use of higher-risk donors, and increased attention to donor management strategies, the 1-year graft survival rate is subject to change. It is, therefore, useful to elucidate 1-year graft survival rates by dissecting the characteristics of the low-risk and high-risk kidney transplant cases. The objective of our study was to evaluate factors purported to influence the risk of 1-year graft loss in kidney transplant recipients.

Circulating microvesicle protein is associated with renal transplant outcome.

Renal transplantation is an effective therapy with improved long-term outcomes compared with other therapies for end stage renal disease. Present methods for evaluating kidney allograft function, such as serum creatinine or allograft biopsy, are not sensitive and identify pathological changes only after any potential intervention would be effective. Thus, there is a necessity for biomarkers that would provide early prognostic information about kidney transplant outcomes.

Crusted scabies in a renal transplant recipient treated with daily ivermectin: A case report and literature review.

Crusted scabies is a rare disease variant associated with T-cell dysregulation. Transplant patients are at risk of developing crusted scabies as a consequence of their immunosuppressive regimens. We report a case of crusted scabies presenting with recurrent septicemia in a 65-year-old renal transplant recipient, treated with daily ivermectin for 7 days after initial failure of weekly ivermectin dosing.

Message in a bottle - The story of floating plastic in the eastern Mediterranean sea.

The Mediterranean Sea is a closed basin with limited water exchange through the Strait of Gibraltar, and sites along its shores show the greatest densities of marine debris in the world. Plastic bottles, which are a growing concern due to high consumption of soft drinks and bottled water, constitute most of the floating marine debris. In this paper we present the transport mechanisms of floating marine debris to and from the Israeli coast using an experimental offshore release and recovery of plastic bottles, with the participation of citizens.

Hamilton-DONATE: a city-wide pilot observational study of the ICU management of deceased organ donors.

Purpose: Improving the medical care of deceased organ donors to increase transplant rates and improve allograft function requires an understanding of the current epidemiology and clinical practices of deceased donation within intensive care units (ICUs). Herein, we report the results of our investigation into the feasibility of a multicentre prospective cohort study addressing the afformentioned issues.

Methods: We conducted a 12-month prospective observational cohort study in six ICUs and one coronary care unit in Hamilton, Canada.

Transfusion Management of Incident Dialysis Patients in Canada: A Prospective Observational Study.

Background: Several studies have demonstrated harm associated with using erythropoiesis-stimulating agents (ESA) to achieve higher hemoglobin (Hb) levels. Subsequently, more conservative use of ESAs has changed anemia therapy in patients with chronic renal failure.

Objective: The objectives were to identify transfusion rates in hemodialysis (HD) patients during the first year of therapy, to identify factors associated with the probability of transfusion, describe reasons for the transfusions, and identify the Hb values associated with each transfusion.

Effects of temperature and precipitation on grassland bird nesting success as mediated by patch size.

Grassland birds are declining faster than any other bird guild across North America. Shrinking ranges and population declines are attributed to widespread habitat loss and increasingly fragmented landscapes of agriculture and other land uses that are misaligned with grassland bird conservation. Concurrent with habitat loss and degradation, temperate grasslands have been disproportionally affected by climate change relative to most other terrestrial biomes.

Canada-DONATE study protocol: a prospective national observational study of the medical management of deceased organ donors.

Introduction: Research on the management of deceased organ donors aims to improve the number and quality of transplants and recipient outcomes. In Canada, this research is challenged by regionalisation of donation services within provinces and the geographical, clinical and administrative separation of donation from transplantation services. This study aims to build a national platform for future clinical trials in donor management.