A risk index tool to minimize the risk of nitrogen loss from land to water.

Simple models can help reduce nitrogen (N) loss from land and protect water quality. However, the complexity of primary production systems may impair the accuracy of simple models. A tool was developed that assessed the risk of N loss as the product of N source inputs and relative transport by leaching and runoff.

Annual public health and economic burden of medically attended respiratory syncytial virus illnesses among US adults.

Background: Respiratory syncytial virus (RSV) is a common cause of lower respiratory tract disease (LRTD) among adults and can lead to serious morbidity and mortality; however, evidence on the magnitude of the public health and economic burden of adult RSV-LRTD is limited. This study was undertaken to project annual clinical outcomes and economic costs of medically attended RSV-LRTD among US adults, and to identify subgroups responsible for a disproportionate share of disease burden.

Methods: Clinical outcomes of RSV-LRTD were projected for subgroups of US adults defined by age and comorbidity profile (with vs.

A method to derive nitrogen transport factors for New Zealand's agricultural lands.

Risk index tools have the potential to assist farmers in making strategic decisions regarding their farm design to manage losses of nutrients. Such tools require a vulnerability framework, and these are often based on scores or rankings. These frameworks struggle to take account of interactions between elements of the physical environment.

Cost-effectiveness and impact on infections and associated antimicrobial resistance of 20-valent pneumococcal conjugate vaccine in US children previously immunized with PCV13.

Aim: The US Food and Drug Administration approved the 20-valent pneumococcal conjugate vaccine (PCV20) to prevent pneumococcal disease. In the context of routine PCV20 vaccination, we evaluated the cost-effectiveness and public health and economic impact of a PCV20 catch-up program and estimated the number of antibiotic prescriptions and antibiotic-resistant infections averted.

Materials And Methods: A population-based, multi-cohort, decision-analytic Markov model was developed using parameters consistent with previous PCV20 cost-effectiveness analyses.

Cost-Effectiveness of 20-Valent Pneumococcal Conjugate Vaccine Among US Children with Underlying Medical Conditions.

Introduction: A 20-valent pneumococcal conjugate vaccine (PCV20) was recently recommended for use among US children. We evaluated the cost-effectiveness of PCV20 among children aged 6 years with chronic medical conditions (CMC+) and children aged 6 years with immunocompromising conditions (IC) versus one and two doses of 23-valent pneumococcal polysaccharide vaccine (PPSV23), respectively.

Methods: A probabilistic model was employed to depict 10-year risk of clinical outcomes and economic costs of pneumococcal disease, reduction in life years from premature death, and expected impact of vaccination among one cohort of children with CMC+ and IC aged 6 years.

Cost-effectiveness of 20-valent pneumococcal conjugate vaccine in US infants.

Background: As of June 2023, two pneumococcal conjugate vaccines, 20- (PCV20) and 15- (PCV15) valent formulations, are recommended for US infants under a 3 + 1 schedule. This study evaluated the health and economic impact of vaccinating US infants with a new expanded valency PCV20 formulation.

Methods: A population-based, multi cohort, decision-analytic Markov model was developed to estimate the public health impact and cost-effectiveness of PCV20 from both societal and healthcare system perspectives over 10 years.

Ambulatory chest drainage with advanced nurse practitioner-led follow-up facilitates early discharge after thoracic surgery.

Objectives: To demonstrate the safety and feasibility of advanced nurse practitioner-led (ANP-led) outpatient follow-up after discharge with ambulatory chest drains for prolonged air leak and excessive fluid drainage.

Methods: Patients discharged with ambulatory chest drains between January 2017 and December 2019 were retrospectively reviewed. Discharge criteria included air leak < 200 ml/min or fluid drainage > 100 ml/24 h on a digital drain.

How Modelers Model: the Overlooked Social and Human Dimensions in Model Intercomparison Studies.

There is a growing realization that the complexity of model ensemble studies depends not only on the models used but also on the experience and approach used by modelers to calibrate and validate results, which remain a source of uncertainty. Here, we applied a multi-criteria decision-making method to investigate the rationale applied by modelers in a model ensemble study where 12 process-based different biogeochemical model types were compared across five successive calibration stages. The modelers shared a common level of agreement about the importance of the variables used to initialize their models for calibration.

Burden of pneumococcal disease due to serotypes covered by the 13-valent and new higher-valent pneumococcal conjugate vaccines in the United States.

The addition of pneumococcal conjugate vaccines (PCVs) to the United States (US) national immunization program led to significant reductions in incidence, mortality, and associated sequelae caused by pneumococcal disease (PD) in children and adults through direct and indirect protection. However, there remains clinical and economic burden due to PD caused by serotypes not included in the current 13-valent PCV (PCV13) formulation. To address this unmet need, 15-valent PCV (PCV15) and 20-valent PCV (PCV20), containing additional serotypes to PCV13, were recently approved in the US for adults and are anticipated for pediatrics in the near future.

The immediate impact of the first waves of the global COVID-19 pandemic on agricultural systems worldwide: Reflections on the COVID-19 special issue for agricultural systems.

Context: In May 2020, approximately four months into the COVID-19 pandemic, the journal's editorial team realized there was an opportunity to collect information from a diverse range of agricultural systems on how the pandemic was playing out and affecting the functioning of agricultural systems worldwide.

Objective: The objective of the special issue was to rapidly collect information, analysis and perspectives from as many regions as possible on the initial impacts of the pandemic on global agricultural systems, The overall goal for the special issue was to develop a useful repository for this information as well as to use the journal's international reach to share this information with the agricultural systems research community and journal readership.

Methods: The editorial team put out a call for a special issue to capture the initial effects of the pandemic on the agricultural sector.

S-map parameters for APSIM.

Agroecosystem models have become an important tool for impact assessment studies, and their results are often used for management and policy decisions. Soil information is a key input for these models, yet site-specific soil property data are often not available, and soil databases are increasingly being used to provide input parameters. For New Zealand, the digital spatial soil information system S-map provides geospatial data on a range of soil characteristics, including estimates of soil water properties.

A protocol to build soil descriptions for APSIM simulations.

Soil processes have a major impact on agroecosystems, controlling water and nutrient cycling, regulating plant growth and losses to the wider environment. Process-based agroecosystem simulation models generally encompass detailed descriptions of the soil, including a wide number of parameters that can be daunting to users with a limited soil science background. In this work we review and present an abridged description of the models used to simulate soil processes in the APSIM (Agricultural Production Systems sIMulator) framework.

Twenty-Year Public Health Impact of 7- and 13-Valent Pneumococcal Conjugate Vaccines in US Children.

Pneumococcal conjugate vaccines (PCVs) have been used in the United States since 2000. To assess the cumulative 20-year effect of PCVs on invasive pneumococcal disease (IPD) incidence among children <5 years of age, we analyzed Active Bacterial Core Surveillance data, conducted a literature review, and modeled expected and observed disease. We found that PCVs have averted >282,000 cases of IPD, including ≈16,000 meningitis, ≈172,000 bacteremia, and ≈55,000 bacteremic pneumonia cases.

Modeling Water Quality in Watersheds: From Here to the Next Generation.

In this synthesis, we assess present research and anticipate future development needs in modeling water quality in watersheds. We first discuss areas of potential improvement in the representation of freshwater systems pertaining to water quality, including representation of environmental interfaces, in-stream water quality and process interactions, soil health and land management, and (peri-)urban areas. In addition, we provide insights into the contemporary challenges in the practices of watershed water quality modeling, including quality control of monitoring data, model parameterization and calibration, uncertainty management, scale mismatches, and provisioning of modeling tools.

The rationale for use of clinically defined outcomes in assessing the impact of pneumococcal conjugate vaccines against pneumonia.

: When evaluating the public health value of adult pneumococcal conjugate vaccine (PCV) for pneumonia, regulatory agencies and vaccine technical committees (VTCs) emphasize vaccine serotype (VT), radiologically confirmed community-acquired pneumonia (CAP) to the exclusion of clinically defined pneumonia and thus may underestimate PCV's public health value.: We review the critiques that have been raised to using clinically defined pneumonia as a complement to VT-CAP in evaluating the public health value of adult PCVs.: PCV13 efficacies for preventing hospitalized CAP ranged from 6% to 11% and for a combination of primary and secondary care from 4% to 12%, with relatively high associated rate reductions.

Characterisation of soil micro-topography using a depth camera.

Soil surface roughness controls how water ponds on and flows over soil surfaces. It is a crucial parameter for erosion and runoff studies. Surface roughness has traditionally been measured using manual techniques that are simple but laborious.

Global Research Alliance N O chamber methodology guidelines: Summary of modeling approaches.

Measurements of nitrous oxide (N O) emissions from agriculture are essential for understanding the complex soil-crop-climate processes, but there are practical and economic limits to the spatial and temporal extent over which measurements can be made. Therefore, N O models have an important role to play. As models are comparatively cheap to run, they can be used to extrapolate field measurements to regional or national scales, to simulate emissions over long time periods, or to run scenarios to compare mitigation practices.

A review of the immunogenicity, safety and current recommendations for the meningococcal serogroup B vaccine, MenB-FHbp.

What Is Known And Objective: This review describes invasive meningococcal disease (IMD) epidemiology in the United States, provides a brief overview of available meningococcal vaccines and discusses meningococcal serogroup B (MenB) vaccine development. Particular focus is given to the recombinant protein MenB vaccine, MenB-FHbp (Trumenba , bivalent rLP2086) in light of recent publication of phase 3 data; the other MenB vaccine (Bexsero , MenB-4C) has been recently reviewed. Current recommendations of the US Advisory Committee on Immunization Practices (ACIP) for MenB vaccination and potential barriers to immunization are also discussed.

Preferences for Adult Pneumococcal Vaccine Recommendations Among United States Health Care Providers.

Introduction: In 2014, the Advisory Committee on Immunization Practices (ACIP) of the US Centers for Disease Control and Prevention (CDC) recommended 13-valent pneumococcal conjugate vaccine (PCV13) followed by 23-valent pneumococcal polysaccharide vaccine (PPSV23) for all adults aged ≥ 65 years, with a commitment to revisit the recommendation for PCV13 because of declining vaccine-type disease. The Evidence-to-Recommendation framework used by the ACIP includes review of evidence regarding feasibility and stakeholder acceptability, but no surveys of vaccinator preferences have been published in the literature.

Methods: Physicians (N = 700), physician assistants (N = 100), pharmacists (N = 100), and nurse practitioners (N = 100) who recently prescribed, administered, or recommended adult pneumococcal vaccine were surveyed in March 2018.

Modeling Pollen-Mediated Virus Spread in Bee Colonies as a Classroom Activity.

Using a hands-on approach, this activity introduces students to the concept of viral spread and honey bee pathogenesis by illustrating pathogen transmission throughout the hive. This viral transmission activity, designed for introductory biology, virology, or microbiology classes, can be used in laboratory or lecture settings. Students are provided with information on viral transmission and hive structure.

Disparities in uptake of 13-valent pneumococcal conjugate vaccine among older adults in the United States.

Background: In September 2014, 13-valent pneumococcal conjugate vaccine (PCV13) was universally recommended for all US adults aged ≥65 years. Adult PCV13 coverage, including whether disparities in uptake exist, however, is not well-described.

Methods: We used a monthly series of cross-sectional analyses of administrative medical and prescription claims data collected by IQVIA and linked to sociodemographic data collected by Experian to estimate overall and subpopulation-level uptake of PCV13 among US adults aged ≥65 years.

Talk CPR - a technology project to improve communication in do not attempt cardiopulmonary resuscitation decisions in palliative illness.

Background: A national Do Not Attempt Cardiopulmonary Resuscitation policy was rolled out for the National Health Service in Wales in 2015. A national steering group led on producing information videos and a website for patients, carers and healthcare professionals, forming part of a quality improvement program. Videos were planned, scripted and produced with healthcare professionals and patient/carer representatives, and were completed with both English and Welsh language versions.

The use of biogeochemical models to evaluate mitigation of greenhouse gas emissions from managed grasslands.

Simulation models quantify the impacts on carbon (C) and nitrogen (N) cycling in grassland systems caused by changes in management practices. To support agricultural policies, it is however important to contrast the responses of alternative models, which can differ greatly in their treatment of key processes and in their response to management. We applied eight biogeochemical models at five grassland sites (in France, New Zealand, Switzerland, United Kingdom and United States) to compare the sensitivity of modelled C and N fluxes to changes in the density of grazing animals (from 100% to 50% of the original livestock densities), also in combination with decreasing N fertilization levels (reduced to zero from the initial levels).

Lateral spread affects nitrogen leaching from urine patches.

Nitrate leaching from urine deposited by grazing animals is a critical constraint for sustainable dairy farming in New Zealand. While considerable progress has been made to understand the fate of nitrogen (N) under urine patches, little consideration has been given to the spread of urinary N beyond the wetted area. In this study, we modelled the lateral spread of nitrogen from the wetted area of a urine patch to the soil outside the patch using a combination of two process-based models (HYDRUS and APSIM).