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Previously published as Emergency Medicine Oral Board Review Illustrated, this fully revised third edition is a trusted, case-based resource for emergency medicine residents. Updated with the latest clinical practices and AHA guidelines, the book features 128 cases derived from the Model of Clinical Practice of Emergency Medicine. It offers a highly interactive approach to preparing for the American Board of Emergency Medicine (ABEM) Certifying Exam, while also serving as an excellent introduction to the specialty. This edition incorporates new content on resuscitation, medical decision-making, therapeutics, diagnostics, and emerging technologies. Special emphasis is placed on interpretation of EKGs, X-rays, CT scans, and ultrasounds to build visual diagnostic skills essential for modern EM practice. Reflecting the evolving ABEM exam structure, including case-based and structured interview formats, this edition is an indispensable tool for residents seeking to reinforce core clinical reasoning, master critical actions, and succeed on board exams.
A new encapsulated saflufenacil formulation has been developed and premixed as a single product with pyroxasulfone to provide control of small-seeded annual grass and broadleaf weeds and to extend the application window to early postemergence when applied to field corn. Pyroxasulfone + encapsulated saflufenacil applied preemergence alone and in mixtures with other herbicides were examined for crop response and weed control efficacy. We hypothesized that applying pyroxasulfone + encapsulated saflufenacil with a tank-mix partner would expand the spectrum of weed species that can be controlled and improve overall weed control efficacy compared to pyroxasulfone + encapsulated saflufenacil applied alone. Six field experiments were completed at three locations in southwestern Ontario in 2022 and 2023. Pyroxasulfone + encapsulated saflufenacil was applied alone, at 146 g ai ha−1 (pyroxasulfone 90 g ai ha−1, saflufenacil 56 g ai ha−1) or 245 g ai ha−1 (pyroxasulfone 150, saflufenacil 95 g ai ha−1), and with the following herbicide partners: atrazine, dicamba, or mesotrione + atrazine. All herbicide treatments were applied prior to corn and weed emergence. Weed control, density and biomass, and corn injury and yield were assessed. All pyroxasulfone + encapsulated saflufenacil treatments caused no injury to corn. At 8 wk after emergence (WAE) pyroxasulfone + encapsulated saflufenacil (245 g ai ha−1) controlled common lambsquarters, redroot pigweed, and foxtail species by 42%, 59%, and 41%, respectively. Applications of pyroxasulfone + encapsulated saflufenacil (146 or 245 g ai ha−1) with dicamba or mesotrione + atrazine improved common lambsquarters and redroot pigweed control at 8 WAE compared with pyroxasulfone + encapsulated saflufenacil applied alone. Pyroxasulfone + encapsulated saflufenacil (146 or 245 g ai ha−1) applied with dicamba or mesotrione + atrazine provided similar control of common lambsquarters, redroot pigweed, and foxtail species to that of S-metolachlor/atrazine/mesotrione/bicyclopyrone, which is a standard herbicide used to control these weeds. Corn yield for all pyroxasulfone + encapsulated saflufenacil herbicide mixtures was similar to that of the weed-free control and the standard herbicide.
The case discusses how Black, Indigenous, Latine and Youth of Color (BILYC) and LGBTQQIA2S+ youth are at significantly greater risk for dating violence exposure and subsequent adverse health and social outcomes. The grand challenge of eliminating racism and intersecting oppression cannot be achieved without centering the voices of BILYC, LGBTQQIA2S+ Youth, and Communities of Color as experts in their experiences with racism and oppression and innovators in strategies for ending structural and institutional inequities. By advancing the voices of those who are marginalized, social workers promote a sense of mattering through validation, authentic care for the dignity and worth of those they are serving, and an expressed commitment to the advancement of Communities of Color and communities that are marginalized.
Over 15 million children in the United States have been infected with COVID-19; nearly 2,000 have died. Approval of COVID-19 vaccines for children enabled reductions in disease severity and mortality. Disparities in vaccine adoption exist along racial, ethnic, and rural–urban lines, with lower uptake among medically underserved populations (e.g. Black, non-Hispanic White rural populations) compared to urban White populations. This study examined efforts to recruit and engage a diverse cohort as part of a vaccine communication randomized trial conducted across 15 states and compared demographic characteristics of the enrolled cohort to the broader US population. To enhance recruitment of diverse populations, eligible clinics had to serve a significant proportion of medically underserved individuals based on race, ethnicity, or geographic location. Coordinators used both traditional (in-person daily clinic schedule review) and retrospective (EHR and billing data review) recruitment methods adapted to enrich engagement with focus populations. Demographic characteristics were compared to national statistics obtained from the CDC’s Household Pulse Survey. In total, 2999 parents/caregivers were screened; 725 were randomized (24.1%). Comparing enrolled subjects to the demographics of participating states, 17.3% vs 9.8% self-identified as Hispanic, 39.6% vs 13.0% as Black. Additionally, 34.3% self-described as living in a rural area. Of the 725 randomized, 512 (70.6%) completed the baseline survey. Of these 512, 422 (82.4%) also completed the final survey of the 24-week study. This analysis demonstrates the Institutional Development Award States Pediatric Clinical Trials Network can successfully recruit and engage populations from diverse and underrepresented populations in research.
The premixture of pyroxasulfone and encapsulated saflufenacil is a new herbicide from BASF. There is limited research conducted on the biologically effective dose of pyroxasulfone and encapsulated saflufenacil premixture for the control of common lambsquarters, redroot pigweed, and green foxtail. A total of six field experiments were conducted over two years (2022 and 2023) at three locations in southwestern Ontario to determine the ED50 of pyroxasulfone plus encapsulated saflufenacil for the control of common lambsquarters, redroot pigweed, and green foxtail. Assessment of visual weed control 8 WAE established the ED50 for redroot pigweed, common lambsquarters, and green foxtail control were 170, 219, and 240 g ai ha-1, respectively. The results of this study conclude that a higher dose of pyroxasulfone and encapsulated saflufenacil is necessary for agronomically acceptable control (>80%) of redroot pigweed, common lambsquarters, and green foxtail than the proposed label rate (146 to 245 g ai ha-1).
Research exploring delusions among individuals with psychosis often focuses on form, rather than content, and on prevalence, rather than change in a cohort over time. While delusional forms are mostly consistent across cultures and historical periods, the content of delusions is shaped by sociopolitical factors.
Aims
We explored the form and content of delusions in a modern sample of individuals with psychosis, examining the extent to which the internet and new technologies become incorporated into delusional frameworks. We investigated whether there was a change in the prevalence of technology delusions over time and how gender, age and education level impacted the probability that a subject would experience technology delusions.
Method
We reviewed the medical records of 228 adults with psychosis who were seeking treatment at a large academic medical centre between 2016 and 2024 and extracted any description of delusional thought content. We characterised delusions into subtypes and explored the ways these delusions feature the internet and new technologies. To examine temporal trends in the content of delusions, we conducted a binary logistic regression analysis with year as the predictor variable and the presence of technology-related content in delusions as the outcome variable.
Results
Most subjects (88.2%) reported delusional thought content, with over half (51.7%) describing technology delusions. Logistic regression between the year and technology-related delusion outcome revealed statistically significant (β = 0.139, p = 0.038, 95% CI (0.008, 0.270)) correlation. For each 1-year increase, the odds of a subject presenting with technology delusions increased by approximately 15% (odds ratio 1.15).
Conclusions
Among individuals with psychotic disorders, the internet and new technologies are increasingly salient in delusional frameworks. Clinicians should be aware of these themes while eliciting symptoms from patients and also while educating trainees.
Biological soil crusts (biocrusts) are key components of dryland ecosystems worldwide, contributing to soil stabilization, nutrient cycling and enhancing ecosystem resilience. Despite their ecological importance, biocrusts in the Arabian Peninsula are largely underexplored, with much of the region’s biocrust diversity and functionality remaining undocumented. This review synthesizes current knowledge on biocrusts across the Arabian Peninsula, focusing on their major taxonomic groups (cyanobacteria, fungi, lichens, mosses and algae), their ecological roles and distribution patterns. It also discusses the potential for biocrust restoration through strategies such as cyanobacterial inoculation and passive protection, which could contribute to land degradation and desertification control in the Arabian Peninsula. Our work identifies significant research gaps in biocrust biodiversity, ecophysiology and their role in ecosystem functioning within this region, and calls for more focused research to integrate biocrusts into land management strategies for the Arabian Peninsula.
We define the category of polynomial functors by introducing its morphisms, called dependent lenses or lenses for short, and we show how they model interaction protocols. We introduce several methods for working with these lenses, including visual tools such as corolla forests and polybox pictures. We explain how these lenses represent bidirectional communication between polynomials and describe how they compose. By the end of the chapter, readers will have a comprehensive understanding of how polynomial functors and their morphisms can be used to model complex interactive behaviors.
We review relevant concepts from and properties of the categories of sets and of endofunctors on the category of sets relevant to our work. We discuss representable functors on the category of sets, introducing our exponential notation for them, and we state and prove the Yoneda lemma for these with the help of an exercise. We then examine sums (or coproducts) and products of sets and functions through the language of indexed families of sets. In particular, we characterize products of sets in terms of dependent functions, generalizing functions by allowing their codomains to vary depending on their inputs. We study nested sums and products of sets, explaining how distributivity allows us to expand products of sums of sets. By lifting all of this material to endofunctors on the category of sets, and using the fact that its limits and colimits are computed pointwise, we set ourselves up to introduce polynomial functors as sums of representable functors in the next chapter. Throughout the chapter, we emphasize key categorical principles and provide detailed explanations to ensure solid comprehension of these fundamental ideas.
We examine a monoidal structure on the category of polynomial functors, defined through the operation of substituting one polynomial into another. We explain how this composition product transforms polynomials into a richer algebraic structure, enabling the modeling of more complex interactions and processes. The chapter explores the properties of this monoidal structure, how it relates to existing constructions in category theory, and its implications for understanding time evolution and dynamical behavior. We also provide examples and visual representations to clarify how substitution works in practice.
We study the structure and utility of the category formed by small categories and retrofunctors. We analyze key properties of this category, such as limits, colimits, and factorizations, and explain how these structures support various forms of composition and interaction. The chapter delves into the cofree comonoid construction, exploring how it connects to familiar concepts in category theory, and extends our understanding of state-based systems. We also discuss applications of retrofunctors and demonstrate how they can be used to model complex processes in a structured way.
We formally define polynomial endofunctors on the category of sets, referring to them as polynomial functors or simply polynomials. These are constructed as sums of representable functors on the category of sets. We provide concrete examples of polynomials and highlight that the set of representable summands of a polynomial is isomorphic to the set obtained by evaluating the functor at the singleton set, which we term the positions of the polynomial. For each position, the elements of the representing set of the corresponding representable summand are called the directions. Beyond representables, we define three additional special classes of polynomials: constants, linear polynomials, and monomials. We close the chapter by offering three intuitive interpretations of positions and directions: as menus and options available to a decision-making agent, as roots and leaves of specific directed graphs called corolla forests, and as entries in two-cell spreadsheets we refer to as polyboxes.