Association of Opioid Use Disorder-Related Service Trajectories during Pregnancy and Postpartum Health Service Use: A Group-Based Multitrajectory Modeling Study.

Objective: The aim of the study was to examine the relationship between opioid use disorder (OUD)-related service trajectories during pregnancy and postpartum emergency department (ED) and hospitalizations.

Methods: We used the Merative MarketScan Commercial Claims and Encounters Database (2013-2021) to identify a cohort of pregnant individuals with OUD. We used group-based multitrajectory modeling to identify opioid-related treatment and service trajectories during pregnancy and examined their association with postpartum ED and hospital utilization.

Comparative Effectiveness of Buprenorphine Adherence with Telemedicine versus In-person for Rural and Urban Patients.

Background: Policy changes during the COVID-19 pandemic allowed buprenorphine to be prescribed for opioid use disorder (OUD) via telemedicine without an in-person visit. A recently proposed change will limit buprenorphine access to 30 days without an in-person visit. Given that people living in rural areas may be disproportionally impacted by this change, we sought to better understand how buprenorphine adherence may be impacted by requiring in-person visits.

Coordination of care reduces conflict and predation risk in a cooperatively breeding bird.

When two or more individuals cooperate to provision a shared brood, each carer may be able to maximize their payoffs by coordinating provisioning in relation to what others are doing. This investment "game" is not simply a matter of how much to invest but also of the relative timing of investment. Recent studies propose that temporal coordination of care in the forms of alternation (i.

Plastic Behaviour Buffers Climate Variability in the Wandering Albatross.

Climate change has marked effects on global weather patterns and oceanic systems, impacting animal behaviour and fitness in potentially profound ways. Despite this, we lack detailed information about species' responses to climatic variation. Using an 11-year tracking dataset of over 300 individual birds, we explore the consequences of variation in the southern annular mode (SAM) and southern oscillation index (SOI) for individual behaviour and fitness in wandering albatrosses breeding in the Southern Indian Ocean.