Differences In Timing Research Articles

Current advances in multimodal imaging in geographic atrophy secondary to age-related macular degeneration: A review

Abstract: As we move toward an era in which there will be treatment options for geographic atrophy (GA) secondary to age-related macular degeneration, the need to accurately understand and interpret multimodal imaging (MMI) for the condition is paramount. This review discusses the evolution of MMI in GA and how it has led to a greater understanding of different phenotypes and risk factors for progression. These advancements have allowed novel imaging biomarkers to be used as end points in large interventional studies exploring new therapies for GA treatment. Due to differences in drug approval timing, ophthalmologists in some jurisdictions are already treating patients with complement inhibiting intravitreal therapies and using MMI to guide management. Cementing knowledge of how GA appears on MMI and evolves over time will be vital for best practice as these interventions become more widely available.

Holocene Floodplain Transformation Through Catchment‐Scale Human‐Environment Interactions: An Interdisciplinary Case Study of the Gete Catchment (Belgium)

ABSTRACTFloodplains across the European loess region transformed from nature‐ to human‐dominated environments during the Holocene. A general framework of this evolution is well established, but it is less clear how differences in timing—observed within and between catchments—can be explained. Although human impact is an important driver, little attention has thus far been paid to the actual human activities involved, their intensities, and spatiotemporal patterns. By adopting an interdisciplinary approach, this study provides insight into the evolution of both environmental (e.g., local floodplain geoecohydrology and regional land cover) and human dynamics (e.g., demography and land use) in the Belgian Gete catchment. Results show that the observed changes in land cover and floodplain geoecology can indeed be attributed to spatiotemporal variations in human impact. Human‐induced vegetation change, driven by population growth and associated agrarian production, resulted in hydrological changes and localized colluviation. Catchment‐scale improvement of hillslope‐channel connectivity initiated alluviation in the valleys and completed the transformation from forested marsh to open floodplain with overbank sedimentation. In turn, this allowed people to settle in the floodplains in the Early Medieval period, laying the foundations for our present‐day landscape.

Estimating biases during detection of leads and lags between climate elements across Dansgaard–Oeschger events

Abstract. Dansgaard–Oeschger (DO) events occurred throughout the last glacial period. Greenland ice cores show a rapid warming during each stadial to interstadial transition, alongside an abrupt loss of sea ice and a major reorganisation of the atmospheric circulation. Other records also indicate simultaneous abrupt changes to the oceanic circulation. Recently, an advanced Bayesian ramp-fitting method has been developed and used to investigate time lags between transitions in these different climate elements with a view to determining the relative order of these changes. Here, we critically review this method in both its original implementation and a new, extended implementation. Using ice core data, climate model output, and carefully synthesised data representing DO events, we demonstrate that both implementations of the method suffer from biases of up to 15 years. These biases mean that the method will tend to yield transition onsets that are too early. Further investigation of DO warming event records in climate models and ice core data reveals that the biases are on the same order of magnitude as potential timing differences between the abrupt transitions of different climate elements. Additionally, we find that higher-resolution records would not reduce these biases. We conclude that decadal-scale leads and lags between climate elements across DO events cannot be reliably detected, as we cannot exclude the possibility that they result solely from the biases we present here.

Comparison of forced and voluntary exercise types on male rat brain monoamine levels, anxiety-like behaviour, and physiological indexes under light and dark phases

PurposePhysical exercise improves physical and mental health; however, the differences between voluntary and forced exercise protocols are unclear. In addition, knowledge regarding the consequences of differences in testing timing, such as light and dark phases, in response to exercise type is limited. We investigated the effects of chronic forced and voluntary wheel running on the changes in brain monoamine levels (5-HT: serotonin, DA: dopamine, NA: noradrenaline), anxiety-like behaviours, and physiological stress responses in the light and dark phases. MethodsAdult male Wistar rats were equally and randomly assigned to four groups: sedentary control, voluntary exercise (free running on a wheel, V-EX), voluntary limited exercise (wheel available only 1h/day, VL-EX), and forced exercise (running on a motorised wheel, F-EX). Each group was further divided into dark- or light-experimental condition groups. After 4 weeks, the rats underwent an open-field test. The monoamines and their metabolite levels were measured in the major neural cell bodies and the projection areas related to behaviour, cognition, anxiety, and stress in the brain. ResultsAdrenal hypertrophy and elevated body temperature, except during the exercise period, were observed in the F-EX rats that exhibited anxiety-like behaviour. The levels of monoamines and their metabolites, particularly the 5-HTergic and DAergic systems, in specific areas, were significantly altered in the rats in the V-EX group compared to those in the VL-EX and other groups. These differences were observed only in the dark phase. ConclusionThe results suggest that V-EX mainly stimulates the 5-HTergic and DAergic systems, while F-EX induces physiological stress and increases anxiety-like behaviour during the dark phase. This study highlights the importance of accounting for exercise types and light/dark phases in behavioural neuroscience experiments.

How Does Our Voice Reflect Who We Are? Connecting the Voice and the Self Using Implicit Association Tests

PurposeThis study examined the contribution of voice to the self via implicit associations. MethodAn implicit association test (IAT) of the voice and the self was created and presented to vocal performers and community controls. One-hundred eleven participants completed this voice-self IAT, the Vocal Congruence Scale (VCS), and the Voice Handicap Index (VHI) via an in-person, monitored, and timed Qualtrics survey. Student t tests comparing timing differences between congruent and incongruent conditions revealed the presence of an implicit relationship. ResultsThe findings demonstrated an implicit relationship between the voice and the self as measured using the IAT. Strength of implicit relationships between self and voice was significantly greater for community controls than vocal performers. Additionally, this IAT revealed divergent validity with the VCS, and the VHI using Spearman’s correlation. ConclusionImplications suggest that even if overt declarations are absent, individuals with an implicit voice-self relationship rely on their voice to contribute to their sense of self. This implicit relationship is greater for community members than vocal performers.

Revealing Physiological Basis for Floret Opening Difference Between Indica and Japonica Rice: Based on Floral Structure, Transcriptome, and Endogenous Floret Opening Regulator

Background: The differing floret opening times between subsp. indica and subsp. japonica in rice limit the potential for increased hybrid seed production. Objectives: To elucidate the physiological basis underlying the differences in floret opening time between indica and japonica rice. Materials: A comparative analysis involved nine indica and ten japonica rice varieties. Methods: Using paraffin sectioning, transcriptome sequencing, RT-PCR, and endogenous substance quantification, we investigated the structural variations in floral organs, the differences in the initiation timing of floret opening regulatory pathways, and endogenous regulators. Results: The results indicated insignificant differences in lemma thickness, lodicule thickness, lodicule area, and the coupling-lodicule length between indica and japonica rice. However, japonica rice exhibited larger lodicule-lemma gaps and more vascular bundles compared to indica rice. Within the 9:00 a.m. to 10:00 a.m. interval, the expression of OsAOS1 in α-linolenic acid metabolism and OsISA3 in starch and sucrose metabolism notably increased in indica rice, with no significant change in japonica rice. Additionally, the endogenous JA and α-amylase surged more significantly in indica rice than in japonica rice. The increase in soluble carbohydrate in indica rice is greater than in japonica rice, but the difference is not significant. Conclusions: These findings suggest that in the process of the floret opening, the α-linolenic acid metabolism and starch and sucrose metabolism are initiated earlier in indica rice, accompanied by a more pronounced elevation in endogenous JA and α-amylase. Furthermore, the smaller lodicule-lemma gap in indica rice contributes to earlier floret opening compared to japonica rice.

Different migration patterns of Wahlberg's eagles Hieraaetus wahlbergi across Africa

Intra‐Africa movements of most African migratory birds remain an enigma. We describe the migrations of Wahlberg's eagle Hieraaetus wahlbergi using GPS‐GSM transmitters on adult eagles in their South African (n = 3) and Kenyan (n = 7) breeding areas between 2018 and 2022. The dataset included 57 migratory tracks, 29 post‐breeding and 28 pre‐breeding. We found long‐distance migrants (LDMs; from South Africa) and short‐distance migrants (SDMs; from Kenya) using common non‐breeding areas centered in the Sudans and Central African Republic. The timing of annual phases was similar, but LDMs departed on their pre‐breeding migration on average later than SDMs (13 August versus 31 July) and arrived later on their breeding grounds (13 September versus 10 August). Conversely, the average departure date on the post‐breeding migration was 4 April for SDM and 23 March for LDMs. LDMs spent significantly less time of the year than SDMs on breeding grounds (44 versus 57%), and slightly but not significantly more time (40 versus 38%) on non‐breeding areas. The post‐breeding migration distance was on average 3413.9 ± 170.9 km for LDMs and 491.9 ± 158.5 km for SDMs. At non‐breeding areas, LDMs reached more northerly latitudes than SDMs, increasing the pre‐breeding migration distance to 4495.9 ± 372.5 km for LDMs versus 1701.9 ± 167.3 for SDMs. Daily flight distances back to the breeding areas averaged 153.4 ± 130.3 km for LDMs and 167.4 ± 122.3 km for SDMs and to non‐breeding areas were shorter for SDMs (124.8 ± 113.0 km) than LDMs (178.0 ± 134.4 km). Migration speed was similar across populations and for pre‐ and post‐breeding migrations. LDMs used more stopover days than SDMs. We conclude that Wahlberg's eagles from different parts of Africa have adapted their migration to differences in timing of the breeding season, distance of travel, and resources in the landscapes encountered during migration.

Determination of Polyphenols, Flavonoids and Anthocyanins in Mavrud Wine from the Harmanli Region. Comparison with Other Investigated Mavrud Wines

Native red wine of the Mavrud variety (Harmanli region) was assayed for its phenolic, flavonoid and anthocyanin contents. Total phenolics, flavonoids and anthocyanins of the wine samples were determined by the Folin–Ciocalteu method, the aluminium complexation assay, and the modified method of Ribéreau-Gayon and Stonestreet, respectively. Total phenolic content was determined to be 2990 mg GAE/L, total flavonoid content was 1020 mg CE/L, and the anthocyanin content – 122 mg ME/L. The comparison of the results with those found for other investigated Mavrud wines revealed up to three and two times differences in the phenolic and anthocyanin contents, respectively, while the amount of flavonoids was almost equal.

Eating jetlag and risk of cardiovascular disease: prospective study of the NutriNet-Santé cohort

Abstract Background Social jetlag corresponds to the misalignment between biological circadian rhythms and the social rhythm imposed by society, resulting in discrepant activity/sleep schedules during work and free days. It has been associated with worsened biological parameters such as BMI or glycemic control. Eating jetlag is a related yet emerging concept defined as the difference of meal timing between free and work days. However, it has been little explored. This study aims to evaluate the association between eating jetlag and the risk of cardiovascular disease (CVD). Methods Dietary, anthropometric, socio-demographic and health data of 104,837 participants (79% women, mean age=42.7 years (14.6 SD)) were collected from the NutriNet-Santé cohort. Eating jetlag was calculated using time of first and last meals on weekdays and weekends, from repeated 24 dietary records, averaged during the 2 first years. It was assessed as a continuous variable or as 3 categories: ‘Advance’, ‘Maintenance’, ‘Delay’, compared to work days. CVD was self-reported and validated against medical records. The associations between eating jetlag and CVD risk were assessed through adjusted Cox models. Results During a median follow-up time of 8.1 years, 2,368 CVD cases were diagnosed. Eating jetlag showed a U-shaped association with CVD risk (HR Advance vs. Maintenance=1.05(95% CI: 0.87-1.26); HR Delay vs. Maintenance=1.08(0.96-1.21)). When the absolute value of eating jetlag was considered, there was a linear association with CVD risk (HR per 1-hour increase=1.05(1.00-1.12)). These linear trends were confirmed in categorial models (Low: ≤1h; Moderate: 1h< to ≤ 2h; High: >2h): HR Moderate vs. Low=1.05(0.94-1.18), and HR High vs. Low=1.13(0.94-1.37); however, statistical significance was not reached. Conclusions Our results suggest a potential role for meal timing regularity between free and work days in CVD etiology. They need to be replicated in other studies and mechanisms are yet to be fully understood. Key messages • Adopting regular meal timing schemes on work and free days could be associated with a lower risk of cardiovascular diseases. • Meal regularity between work and free days could play a role in cardiovascular health and should be further investigated.

Exploring reported population differences in Norway lobster (Nephrops norvegicus) in the Pomo Pits region of the Adriatic Sea using genome-wide markers.

The Norway lobster (Nephrops norvegicus) is one of the most important decapod crustacean seafood species in the Adriatic Sea. Previous research has identified significant differences in growth rates and maturation timing of Nephrops in the Pomo/Jabuka Pits area compared to other subpopulations in Adriatic fishing grounds. Here, we use 1,623 genome-wide single nucleotide polymorphisms (SNPs) to investigate whether the Pomo Pits subpopulation is genetically different from other sites in the Adriatic and neighbouring seas. We found no genetic differentiation among all sampled Adriatic sites, suggesting high gene flow between Pomo Pits Nephrops and those of surrounding areas. We also found genetic homogeneity between the Adriatic sites and single-site samples from the Aegean and Tyrrhenian Seas. However, we detected distinct genetic differentiation between all Mediterranean sites and an Atlantic site in western Scotland, which provides evidence for a phylogenetic break between the Atlantic and the Mediterranean. Our results indicate that Pomo Pits Nephrops are not genetically different from others sampled in the Adriatic and that key biological parameters in Pomo Pits Nephrops could be driven by spatial variation in fishing pressure and/or environmental factors rather than geographic isolation.

The value relevance of deferred tax assets: An empirical analysis of German HDAX-listed companies

Deferred taxes emerge from timing differences in recognizing income and expenses between commercial and tax financial statements. However, the capitalization of deferred tax assets remains contentious, with questions raised about their value relevance to investors. This study aims to investigate the informational value and economic significance of deferred tax assets in financial statements prepared in accordance with both German commercial law (HGB) and International Financial Reporting Standards (IFRS). The analysis is based on financial data from 1,066 firm-year observations of HDAX-listed companies from 2000 to 2022. Using an Ordinary Least Squares (OLS) regression model, the study examines the relationship between deferred tax assets and the market value of equity. Key financial variables, including research and development expenses, deferred tax liabilities, net income, and the market-to-book ratio, are incorporated to provide a comprehensive assessment of deferred tax asset relevance in capital markets. The results demonstrate that deferred tax assets have a negligible impact on the market value of companies, with no statistically significant effect detected. Conversely, research and development costs, as well as net income, exhibit a strong positive influence on firm valuation. These findings suggest that deferred tax assets serve largely as an accounting mechanism, lacking informational value for investors.

Natural menopause timing and menopause symptoms among lesbian, bisexual, and heterosexual women in the Nurses' Health Study II

Abstract Objective This study aimed to examine sexual orientation differences in natural menopause timing and symptoms between lesbian and bisexual women compared with heterosexual women. Methods We used longitudinal questionnaire data (1989-2015) from 92,314 women (858 lesbian, 375 bisexual) in the Nurses' Health Study II cohort. Women were 24-44 yr old at baseline and biennially reported their menopause status, including reasons for cessation of menstrual periods. In 2009 and 2013, women reported on their experience of hot flashes and night sweats. Covariates included age, age at menarche, body mass index, smoking, and parity. Sexual orientation was reported in 1995 and 2009. Results Age-adjusted Cox models and logistic regression models suggest that there were no statistically significant differences in menopause timing between lesbian or bisexual women when compared with heterosexual women. When examining menopause symptoms, lesbian women consistently had a statistically significantly (P < 0.05) higher odds of experiencing hot flashes or night sweats (odds ratio range: 1.17 to 1.72) and moderate/severe symptoms (OR range: 1.26 to 1.77) than heterosexual women, even after adjusting for covariates such as smoking and obesity. There were no statistically significant differences in menopause symptoms between bisexual and heterosexual women. Conclusions Our findings suggest no meaningful difference in menopause timing between sexual minority and heterosexual women. Additionally, menopause symptoms were more likely among lesbian women and warrants additional study.

Migratory strategies across an ecological barrier: is the answer blowing in the wind?

BackgroundEcological barriers can shape the movement strategies of migratory animals that navigate around or across them, creating migratory divides. Wind plays a large role in facilitating aerial migrations and can temporally or spatially change the challenge posed by an ecological barrier, with beneficial winds potentially converting a barrier into a corridor. Here, we explore the role wind plays in shaping initial southbound migration strategy among individuals breeding at two sites along an ecological barrier.MethodsUsing GPS satellite transmitters, we tracked the southbound migrations of Short-billed Dowitchers (Limnodromus griseus caurinus) from two breeding sites in Alaska to nonbreeding sites in coastal Mexico. The breeding sites were positioned in distinct regions along an ecological barrier – the Gulf of Alaska. We investigated potential differences in migratory timing, wind availability, and tailwind support en route across the Gulf of Alaska between individuals breeding at the two sites.ResultsRoute choice and arrival timing to wintering sites differed markedly between the two breeding sites: individuals departing from the more westerly site left at the same time as those from further east but crossed the Gulf of Alaska farther west and arrived along the Pacific coast of Mexico an average of 19 days earlier than their counterparts. Dowitchers from both sites departed with slight tailwinds, but once aloft over the Gulf of Alaska, birds from the more westerly site had up to twelve times more tailwind assistance than birds from the more easterly one.ConclusionsThe distinct migration strategies and degree of wind assistance experienced by birds at these two breeding sites demonstrates how differences in wind availability along migratory routes can form the basis for intraspecific variation in migration strategies with potential carryover effects. Future changes in wind regimes may therefore interact with changes in habitat availability to influence migration patterns and migratory bird conservation.

Hatch timing of largemouth bass: implications for recruitment at the Northern edge of their native range

Climate-related shifts in hatch timing could mean that age-0 largemouth bass Micropterus salmoides in north temperate lakes reach larger sizes and experience higher survival, which may contribute to increased prevalence of this species in many lakes. However, information on age-0 largemouth bass life history is lacking for these lakes. We estimated hatch dates, daily growth rates (DGR), and length-based probability of piscivory of age-0 largemouth bass in Wisconsin lakes to: (1) provide baseline data on early life history; (2) compare hatch timing between years with different spring temperature regimes, and (3) project how shifts in hatch timing might influence total length (TL) distributions of age-0 bass if mean DGR remained constant. Most age-0 largemouth bass (>90%) collected from ten Wisconsin lakes (N = 746) hatched between 23 May and 24 June during 2012 and 2013 and did not switch to piscivory during their first summer. Prevalence of positive correlations (16 of 24 lake-year pairings) between TL in and age indicates hatch timing may influence TLs attained by age-0 largemouth bass in August in some lake-years. Mean daily water temperatures in May 2012 were 3.1 °C warmer than in May 2013 for the five of the six lakes where hatch dates were estimated in both years. On average, earliest and median hatch dates for age-0 largemouth bass in these six lakes were 10–11 d earlier in 2012 than in 2013 and hatch duration was approximately 8 d longer in 2012. Despite differences in hatch timing, mean DGR was relatively consistent (range = 0.61–0.74 mm/d) between lakes and years. Simple simulations suggest that earlier hatch dates could result in more age-0 largemouth bass reaching TLs associated with piscivory and overwinter survival by the end of their first summer if growth rates did not change, which could translate to higher recruitment.

Application of Different Image Processing Methods for Measuring Rock Fracture Structures under Various Confining Stresses

Fractures within granite may become channels for fluid flow and have a significant impact on the safety of waste storage. However, internal aperture variation under coupled conditions are usually difficult to grasp, and the inevitable differences between the measured data and the real fracture structure will lead to erroneous permeability predictions. In this study, two different CT (Computed Tomography) image processing methods are adopted to grasp internal fractures. Several CT images are extracted from different positions of a rock sample under different confining stresses. Two critical factors, i.e., aperture and the contact area ratio value within a single granite fracture sample, are investigated. Results show that aperture difference occurs under these two image processing methods. The contact area ratio value under two image processing methods has less than 1% difference without confining stress. However, there is larger than ten times difference when the confining stress increases to 3.0 MPa. Moreover, the edge detection method has the capability to obtain a relatively accurate internal fracture structure when confining pressure is applied to the rock sample. The analysis results provide a better approach to understanding practical rock fracture variations under various conditions.

Correlation between Human Embryo Morphokinetics Observed through Time-Lapse Incubator and Life Birth Rate.

(1) Background: Does the variation in sequential development times of embryos, observed through time-lapse monitoring, between the two study groups play a role in predicting pregnancy success? (2) Methods: The prospective double-arm study was to identify the morphokinetic parameters specific to embryos that were capable of implanting and were conducted on 89 embryos cultured in the Esco Miri time-lapse incubator, divided into two groups: Lot A, consisting of 57 embryos that successfully implanted and resulted in life birth rate (LBR), and Lot B (NLB), comprising 32 embryos that did not implant, leading to a negative beta-hCG outcome. (3) Results: Baseline characteristics, including female age, were not found to be statistically significant (p > 0.01). In contrast, there is a highly statistically significant difference concerning oocytes (p = 0.0029). Morphokinetic variables represented by sequential culture times were not statistically significant (p > 0.01) when comparing the two groups. However, the negative mean differences between these parameters suggest that the times for Lot A are better (shorter) than those for Lot B. While not statistically significant, these differences may still have practical significance. In the case of grading, the difference is considered to be extremely statistically significant (p < 0.01). (4) Conclusions: Although there are no statistically significant differences in sequential timings (p > 0.01) between the two groups, there are parameters indicating predictive potential for exploring pregnancy in embryo morphokinetics.

The temporal specificity of BOLD fMRI is systematically related to anatomical and vascular features of the human brain.

The ability to detect fast responses with functional MRI depends on the speed of hemodynamic responses to neural activity, because hemodynamic responses act as a temporal low-pass filter which blurs rapid changes. However, the shape and timing of hemodynamic responses are highly variable across the brain and across stimuli. This heterogeneity of responses implies that the temporal specificity of fMRI signals, or the ability of fMRI to preserve fast information, could also vary substantially across the cortex. In this work we investigated how local differences in hemodynamic response timing affect the temporal specificity of fMRI. We used ultra-high field (7T) fMRI at high spatiotemporal resolution, studying the primary visual cortex (V1) as a model area for investigation. We used visual stimuli oscillating at slow and fast frequencies to probe the temporal specificity of individual voxels. As expected, we identified substantial variability in temporal specificity, with some voxels preserving their responses to fast neural activity more effectively than others. We investigated which voxels had the highest temporal specificity, and tested whether voxel timing was related to anatomical and vascular features. We found that low temporal specificity is only weakly explained by the presence of large veins or cerebral cortical depth. Notably, however, temporal specificity depended strongly on a voxel's position along the anterior-posterior anatomical axis of V1, with voxels within the calcarine sulcus being capable of preserving close to 25% of their amplitude as the frequency of stimulation increased from 0.05Hz to 0.20Hz, and voxels nearest to the occipital pole preserving less than 18%. These results indicate that detection biases in high-resolution fMRI will depend on the anatomical and vascular features of the area being imaged, and that these biases will differ depending on the timing of the underlying neuronal activity. While we attribute this variance primarily to hemodynamic effects, neuronal nonlinearities may also influence response timing. Importantly, this spatial heterogeneity of temporal specificity suggests that it could be exploited to achieve higher specificity in some locations, and that tailored data analysis strategies may help improve the detection and interpretation of fast fMRI responses.

Characterization of the reproductive strategy of invasive Round Goby (Neogobius melanostomus) in the Upper DanubeRiver.

Originating from the Black and Caspian seas, the Round Goby (Neogobius melanostomus) has become one of the most successful invaders of freshwater ecosystems. In this study, we provide a characterization of the reproductive strategy of an established population of Round Gobies in the Upper Danube river including sex ratio, fluctuations of gonadosomatic index (GSI), analysis of timing of spawning as well as of clutch and egg size. We compare these results to other studies from the native and invaded range. In the Danube, the Round Goby population was found to be female dominated, however fluctuations in magnitude of female bias were observed between months. Monitoring of the population across 1.5 years revealed that GSI was highest from April to June, while lowest values were observed in August and September. Using time-series analysis, a delayed effect of temperature on GSI was found for females and males, while a quicker response of GSI levels to photoperiod and discharge was observed for females. GSI increased with body size for females and eggs were found to be significantly larger in May, however clutch sizes did not differ between months. Results of a literature review revealed great differences in timing and length of spawning season as well as sex ratio between populations throughout the distribution range, which can probably be explained by climatic and photoperiodic conditions together with the time since invasion and the high plasticity of Round Gobies.

How Climate Change May Impact Plant Reproduction and Fitness by Altering the Temporal Separation of Male and Female Flowering.

The temporal separation of male and female flowering-known as dichogamy-is a widespread adaptation across the plant kingdom that increases reproductive success and enhances plant fitness. Differences in timing between male and female flowering can be highly sensitive to environmental variation-and with widespread evidence of shifts in seasonal timing of flowering (i.e., phenology) due to anthropogenic warming-climate change may alter the sequences of male and female flowering for a diversity of taxa around the globe. However, we currently lack a broad understanding of both the extent to which climate change may alter patterns of dichogamy and the potential implications of these shifts for plant reproduction. Here I present evidence that links variation in dichogamy to variation in temperature for a variety of plant taxa. I synthesize the limited number of studies that have investigated shifts in dichogamy specifically in the context of climate change, and detail the physiological, genetic, and developmental factors that control the relative timing of male and female flowering. The literature indicates that dichogamy is highly plastic and sensitive to temperature variation. Plasticity in dichogamy is observed across species with different sexual systems and growth habits, and in both female-first and male-first flowering taxa, but at present, no clear patterns of dichogamy shifts related to these associated traits are discernible. Together, these lines of evidence suggest that sequences of male and female flowering are likely to shift with climate change. However, more research is needed to better understand and predict the ecological consequences of shifting patterns of dichogamy in the context of global change.

Patient factors associated with early vs late referral to supportive oncology.

202 Background: ASCO guidelines recommend early palliative care (PC) for patients with advanced cancer, defined as referral within 8 weeks of diagnosis. Early referral has been associated with improved quality of life, survival and a reduction in healthcare utilization at the end of life. We sought to determine the role of sociodemographic and clinical patient factors on timing of referral to an embedded supportive oncology (SO) practice and impact on utilization. Methods: Patients ≥18 years with advanced cancer who first received a SO visit between 01/01/2021-06/30/2023 were included. Data on patient demographics, cancer treatment and mortality were extracted from the electronic health record. Early referral to SO was defined as a visit &lt;3 months after diagnosis of advanced cancer. We used descriptive statistics to summarize patients’ sociodemographics, clinical characteristics, and healthcare utilization, and multivariable linear regression analysis to identify factors associated with the timing of referrals. Results: Of the 782 patients, 39.1% were referred early. Poorer functional status (p&lt;0.001) and certain cancer types (p&lt;0.01) were associated with earlier referrals. There were significant differences in timing of referral by cancer type with highest early rates among Head and Neck (53%,) GI (48%), Lung (46%) and GYN (43%) and lowest among GU (29%) and Breast (11%; p &lt; 0.001). Those with Medicare as the primary insurance had an increase in referral time (138 days) compared to Medicaid patients (p&lt;0.001). Patients whose primary symptom was pain were referred earlier than patients with other non-pain symptoms although this did not reach statistical significance (p=0.084). Patients with an earlier referral had more ED visits and hospitalizations both before (p=0.001 and p&lt; 0.001, respectively) and after (p=0.186 and p=0.007, respectively) referral compared to those referred later. Overall, there was no difference in mean referral times between 2021 (483d) and 2023 (533d). Conclusions: There remains significant disparities in the timing of referrals to SO based on sociodemographic and clinical factors. While early SO referral is associated with several benefits, the variability in referral timing underscores the need for targeted strategies to promote timely access to PC. Moving forward, efforts should focus on developing standardized referral protocols and addressing barriers to early PC access to ensure equitable and optimal patient outcomes. Patient demographics and characteristics. Category Overall N=782 Early N=306 Late N=476 p-value Age (mean] 63.3 63.6 63.1 0.689 Race (%) 0.736 Asian 88 (11) 39 (13) 49 (10) Black or African-American 194 (25) 72 (24) 122 (26) Hispanic 192 (25) 80 (26) 112 (24) White 260 (33) 95 (31) 165 (35) Other/Patient Declined 48 (6) 20 (7) 28 (6) Insurance (%) 0.080 Commercial 197 (28) 73 (26) 124 (29) Medicaid 175 (25) 83 (27) 92 (19) Medicare 330 (47) 123 (40) 207 (44) Other 6 (0) 1 (0) 5 (1)