The American Academy of Pediatrics recommends pre-discharge Car Seat Tolerance Screening (CSTS) for all neonates born <37 weeks estimated gestational age (EGA), or otherwise at risk for cardiorespiratory compromise. Screening is burdensome and there remains tremendous variation in testing criteria and methodology.
 
  We conducted a retrospective chart review of 1,072 infants who underwent CSTS between 11/2013 and 7/2016 at a single academic health center. CSTS outcomes (failure and, separately, significant cardiorespiratory instability (CRI)), including those not meeting failure thresholds) were analyzed for all infants screened, and for preterm infants by screening location (Neonatal Intensive Care Unit (NICU) and Mother/Baby Unit (MBU)). Logistic regression was used to estimate associations between infant characteristics and CSTS outcomes.
 
  Overall incidence of CSTS failure was 9.2%. Among all infants, hemodynamically significant congenital heart disease, apnea, chronic lung disease, and being small for EGA were associated with failure. Additionally, those born ≤28 weeks EGA had 2.4 times greater likelihood of failure than those 34-36 weeks EGA. Among preterm infants in the NICU and MBU, those of earlier EGA were also more likely to fail.  https://www.selleckchem.com/products/bms-927711.html  Almost half (47.5%) of all preterm infants demonstrated CRI during CSTS.
 
  We found high CSTS failure rates, and identified key infant characteristics that were associated with increased likelihood of failure. Significant CRI events were remarkably common. Larger, prospective studies are needed to elucidate risk factors for instability and failure and define practical criteria for CSTS recommendations.
 We found high CSTS failure rates, and identified key infant characteristics that were associated with increased likelihood of failure. Significant CRI events were remarkably common. Larger, prospective studies are needed to elucidate risk factors for instability and failure and define practical criteria for CSTS recommendations.Coastal upwelling in the south eastern Arabian Sea (SEAS) leads to oxygen depletion over the continental shelf during the summer monsoon season (June-September), with latitudinal gradients in intensity. Based on two surveys in the onset (June) and peak (August) phases of the summer monsoon, the present study evaluates the response of macrozoobenthic communities (size >500 μm) to upwelling and consequent hypoxia (dissolved oxygen less then 0.2 ml/l) in the central sector of the SEAS shelf (10-12°N, 30-200 m). From the onset to the peak monsoon, macrozoobenthic density increased five-fold in the mid-shelf (50 m water depth), and nearly doubled in the outer shelf (100 m water depth) and shelf edge (200 m water depth). This was found to be a direct consequence of recruitment and proliferation of opportunistic polychaetes, particularly the spionid Paraprionospio pinnata, which was the single dominant species (52-78%) at all depths during the peak monsoon. With the establishment of the monsoon, the shelf communities (particularly 50-100 m depth sites) are thus transformed from relatively diverse assemblages to dense, single-species dominated ones. The shelf-edge communities (150-200 m depths), which are impacted with the perennial Arabian Sea oxygen minimum zone, and therefore harbour opportunist-dominated communities year-round. It is postulated that larvae of hypoxia-tolerant taxa are transported from the shelf edge by the process of upwelling onto the shelf. The settlement and survival of these larvae are regulated by the nature of shelf sediments and by the prevailing hypoxia. Thus, substantial recruitment of opportunists occurred in the outer and mid-shelf (50-100 m), but not in the inner shelf (30 m), where sedimentation from river discharge hindered settlement and survival of juveniles.Invasive seaweeds threaten biodiversity and socio-economics values of worldwide marine ecosystems. Understanding to what extent invasive seaweeds can modify local biodiversity is one of the main priorities in conservation ecology. We compared the molluscan assemblage of the invasive Asparagopsis taxiformis with that of the native Ericaria brachycarpa and explore if variation in the molluscan assemblage diversity was related to the substrate attributes (biomass, and thallus, canopy, and interstitial volumes) of the algae. Results showed that A. taxiformis harboured lower diversity and trophic structure of the molluscan assemblage compared to E. brachycarpa. Biomass was the variable that better explained the variation of abundance and number of species as well as the multivariate structure of the molluscan assemblage. Overall, our results suggest that a complete habitat shift from native to invasive species can potentially trigger bottom-up effects in rocky shores habitats, reducing the biodiversity and the services provided by the invaded habitat.
  Weight regain is common following behavioral obesity treatment and attenuates many of the benefits of initial weight loss. This paper describes a randomized controlled trial that will evaluate the efficacy of two low-contact weight loss maintenance interventions based on Acceptance and Commitment Therapy (ACT) and self-regulation (SR). Potential mechanisms of action and moderators of treatment effects will also be evaluated.
 
  Adults (anticipated N=480) with overweight or obesity will complete an initial 3-month online weight loss program (Phase 1). Participants who achieve ≥4kg weight loss (anticipated N=288) will then be randomized to an ACT or SR weight loss maintenance intervention. Both interventions will entail four 2.5h, face-to-face, group-based workshop sessions and 6months of email contact. Assessments will be conducted at phase 1 baseline, phase 1 completion/pre-randomization, and 6, 12, 18, 24, and 30months post-randomization. The primary outcome will be weight change for the period from randomization to 30months. Potential process measures including ACT-based constructs (e.g., psychological acceptance, values-consistent behavior), self-weighing frequency, and motivation will be also be assessed, as will potential moderators (e.g., initial weight loss).
 
  This study will compare the efficacy of two intervention approaches (ACT and SR) delivered in a scalable workshop format for long-term weight loss maintenance. Future research could examine efficacy and cost-effectiveness of these approaches in real world settings.
 This study will compare the efficacy of two intervention approaches (ACT and SR) delivered in a scalable workshop format for long-term weight loss maintenance. Future research could examine efficacy and cost-effectiveness of these approaches in real world settings.