Recruitment Of Populations Research Articles

A cross-sectional survey of clinical trials knowledge, participation, and perspectives in an underserved community of Washington, DC.

The inclusion of participants from underrepresented and underserved groups is lagging in dermatology clinical trials. Through dissemination of a pilot survey at a community skin health fair, knowledge, participation, and perspectives of clinical trials were evaluated in an urban, medically underserved community in Washington, DC. Clinical trial-related questions were derived from the Health Information National Trends Survey 5 Cycle 4. This cross-sectional survey analyzed responses from 39/55 attendees (71% response rate). Most respondents were female (23/37 [62.2%]), between the ages of 25 and 54 (19/38, [50.0%]), and self-identified as non-white (35/39 [89.7%]) with a majority self-identifying as Black (16/31 [41%]). Most respondents self-reported knowing "little" to "nothing" about clinical trials (26/35 [74.3%]), and even more were unaware of the federal resource clinicaltrials.gov (30/37 [81.1%]). Few respondents discussed clinical trials as a treatment option with their healthcare provider (8/35 [22.9%]), yet having a discussion was significantly correlated with clinical trial participation (p = 0.0302). Self-reported level of knowledge was not significantly associated with participation in a clinical trial (p = 0.3035). Healthcare providers were the preferred first source of clinical trial information, followed by an internet search. Respondents rarely cited mistrust or skepticism as a barrier to participation (2/34 [5.9%]). Subjective positive healthcare experiences were significantly correlated to positive expectations with clinical trial participation (p = 0.0242). The findings of this study suggest the essential role healthcare providers, including dermatologists, play in clinical trial education and recruitment of underrepresented populations, and that patient mistrust may be present but is a rarely cited barrier to clinical trial participation.

Cellular resolution contributions to ictal population signals.

The increased amplitude of ictal activity is a common feature of epileptic seizures, but the determinants of this amplitude have not been identified. Clinically, ictal amplitudes are measured electrographically (using, e.g., electroencephalography, electrocorticography, and depth electrodes), but these methods do not enable the assessment of the activity of individual neurons. Population signal may increase from three potential sources: (1) increased synchrony (i.e., more coactive neurons); (2) altered active state, from bursts of action potentials and/or paroxysmal depolarizing shifts in membrane potential; and (3) altered subthreshold state, which includes all lower levels of activity. Here, we quantify the fraction of ictal signal from each source. To identify the cellular determinants of the ictal signal, we measured single cell and population electrical activity and neuronal calcium levels via optical imaging of the genetically encoded calcium indicator (GECI) GCaMP. Spontaneous seizure activity was assessed with microendoscopy in an APP/PS1 mouse with focal cortical injury and via widefield imaging in the organotypic hippocampal slice cultures (OHSCs) model of posttraumatic epilepsy. Single cell calcium signals were linked to a range of electrical activities by performing simultaneous GECI-based calcium imaging and whole-cell patch-clamp recordings in spontaneously seizing OHSCs. Neuronal resolution calcium imaging of spontaneous seizures was then used to quantify the cellular contributions to population-level ictal signal. The seizure onset signal was primarily driven by increased subthreshold activity, consistent with either barrages of excitatory postsynaptic potentials or sustained membrane depolarization. Unsurprisingly, more neurons entered the active state as seizure activity progressed. However, the increasing fraction of active cells was primarily driven by synchronous reactivation and not from continued recruitment of new populations of neurons into the seizure. This work provides a critical link between single neuron activity and population measures of seizure activity.

Testing the applicability of the Modelling-Ongrowing Fish farms-Monitoring B (MOM-B) investigation system for assessing benthic habitat quality in the manila clam Ruditapes philippinarum aquaculture areas

The coastal aquaculture areas have been subject to a variety of anthropogenic pressures in recent studies, and reasonable environmental quality assessment is essential for both ecological conservation and production practices. However, there are significant differences between the results produced from various environmental quality assessment regarding the focus of the evaluation and the fundamental methodology. Furthermore, many of these methods are very specific and difficult to adapt to general applications. Here, we utilized the Modelling-Ongrowing fish farms-Monitoring B investigation system (MOM-B), we assessed the benthic habitat quality of benthic bivalve aquaculture areas in the Xiaoqing River estuary located in Laizhou Bay, China. The aim was to validate the accuracy and practicality of this system. The biological, chemical, and sensory parameters of the MOM-B system, temperature, chlorophyll a (Chl-a), food availability, and planktonic larvae were evaluated throughout the investigation area during the summer of 2021. The MOM-B results indicated that the benthic habitat quality in the survey area was good and lightly disturbed, but the quality in the middle tide area began to deteriorate in August, the hottest month of the summer. Environmental factors indicated that the combined effects of high temperatures and fine sedimentation had led to increased environmental stress in the middle tide area. Food availability and population recruitment also suggested that the benthic habitat quality was better in the high tide and low tide areas than in the middle tide area, and more favorable for the survival of Manila clams. The accuracy, sensitivity, and discriminatory ability of the MOM-B system were demonstrated by environmental and biological indicators. This work showed that the MOM-B system is a practical, simple, and sensitive environmental assessment tool that is easy to implement in estuarine and benthic bivalve aquaculture areas. It can be used for long-term continuous monitoring and as an early warning tool for benthic habitat quality.

Effect of Rurality in Head and Neck Cancer: A Scoping Review.

This scoping review sought to evaluate the current literature regarding the following outcomes in relation to rurality: stage at diagnosis, clinical characteristics, treatment characteristics, and survival outcomes of head and neck cancer (HNC). A literature search was performed using PubMed (MEDLINE), Science Direct, EMBASE, SCOPUS, and Web of Science databases. A 20-year study cutoff from the initial search was used to increase the comparability of the studies regarding population and standards of clinical care. These searches were designed to capture all primary studies reporting HNC incidence, presenting characteristics, treatments, and treatment outcomes. Two reviewers independently screened abstracts, selected articles for exclusion, extracted data, and appraised studies. Critical appraisal was done according to the Joanna Briggs Institute Quality Assessment Tool for Cohort Studies. Twenty eligible original articles were included. Stage at diagnosis, clinical characteristics, treatment characteristics, and survival outcomes were measured. Our review indicates that although this relationship is unclear, there may be variations in treatment choice for laryngeal cancer based on geographic location and rural residency status. The studies assessing HNC outcomes related to stage at diagnosis, clinical characteristics, treatment characteristics, and overall survival demonstrated conflicting findings, indicating a need for further research examining HNC outcomes with a focus on rurality as the main exposure. The relationship between HNC and rural-urban status remains unclear. More studies are needed, along with a consistent metric for measuring rurality and recruitment of comparable populations from both rural and urban areas. Laryngoscope, 134:4441-4457, 2024.

Duckling survival increased with availability of flooded wetland habitat and decreased with salinity concentrations in a brackish marsh

Abstract Waterfowl population recruitment is sensitive to duckling survival. We quantified predator types and survival rates for Anas platyrhynchos (Mallard) and Mareca strepera (Gadwall) ducklings in one of the largest brackish water marshes in western North America (Suisun Marsh, California) using 556 radio-tagged ducklings from 284 broods tracked during the 2016 to 2019 breeding seasons. Overall, 78% of ducklings died and 84% of mortalities occurred < 7 days after hatch. After hatching in upland fields, survival was greater for broods that hatched closer to flooded wetlands; broods had a ≥ 75% chance of surviving the move from the nest to water when nests were located ≤ 140 m from the nearest wetland and ≤ 50% chance of surviving when nests were located ≥ 970 m from the nearest wetland. Predation accounted for 91% of mortalities and was attributed to mammals (27.6%), birds (22.0%), snakes (4.4%), and unknown predators (46.0%). Anas platyrhynchos survival to fledging (54 days) was only 3.2% and 0.9% during 2 drier years and 11.7% and 16.7% during 2 wetter years. Mareca strepera survival to fledging was 9.4% to 11.2% among years. Daily survival rates for ducklings generally increased with the amount of flooded wetlands within 0.5 km (A. platyrhynchos) and 1.0 km (M. strepera) of the nest at hatch. Additionally, survival rates increased with duckling age and body mass at hatch for both species and decreased with hatch date for A. platyrhynchos but not M. strepera, which may be partially due to the earlier onset of A. platyrhynchos nesting. For ducklings that survived the initial move to water, survival rates were negatively correlated with salinity and this effect was more pronounced for younger ducklings. Anas platyrhynchos survival to 7 days post hatch decreased by 9.1% (wetter year) to 31.4% (drier year) when ducklings were in 12 ppt water (99th quantile of cumulative salinity concentrations experienced by ducklings) versus 0.5 ppt water. Mareca strepera survival to 7 days decreased by 7.4% when ducklings were in 12 ppt vs. 0.5 ppt water. Our results suggest that maintaining a network of low salinity wetlands within 1 km of upland nesting sites would likely improve duckling survival rates, especially during the critical 7-day period after hatch.

Anthropogenic land-use change decreases pollination and male and female fitness in terrestrial flowering plants

Abstract Background and Aims The majority of the earth's land area is currently occupied by humans. Measuring how terrestrial plants reproduce in these pervasive environments is essential for understanding their long-term viability and their ability to adapt to changing environments. Methods We conducted hierarchical and phylogenetically-independent meta-analyses to assess the overall effects of anthropogenic land-use changes on pollination, and male and female fitness in terrestrial plants. Key Results We found negative global effects of land use change (i.e., mainly habitat loss and fragmentation) on pollination and on female and male fitness of terrestrial flowering plants. Negative effects were stronger in plants with self-incompatibility (SI) systems and pollinated by invertebrates, regardless of life form and sexual expression. Pollination and female fitness of pollination generalist and specialist plants were similarly negatively affected by land-use change, whereas male fitness of specialist plants showed no effects. Conclusions Our findings indicate that angiosperm populations remaining in fragmented habitats negatively affect pollination, and female and male fitness, which will likely decrease the recruitment, survival, and long-term viability of plant populations remaining in fragmented landscapes. We underline the main current gaps of knowledge for future research agendas and call out not only for a decrease in the current rates of land-use changes across the world but also to embark on active restoration efforts to increase the area and connectivity of remaining natural habitats.

Research protocol and recruitment redesign of a study of pregnant women and their infants during the COVID-19 pandemic: Childhood Allergy and the NeOnatal Environment (CANOE)

BackgroundRecruitment for research studies is a challenging endeavor that was further complicated by the COVID-19 pandemic. We launched a new NIH-supported multi-center birth cohort, “Childhood Allergy and the NeOnatal Environment” (CANOE) in January 2020 across four sites. While the pandemic temporarily halted clinical research, we restructured the study and instituted novel recruitment methods that we hypothesized would enable brisk enrollment when research activities resumed. ObjectiveDevelop protocol modifications and recruitment methods that promote successful recruitment of diverse populations in clinical research despite a global pandemic. MethodsWhile study activities were suspended, we modified recruitment strategies to limit in-person contact, shifting toward alternative HIPAA-compliant methods like clinician referrals, institutional social media, and telemedicine screening and consent procedures. Protocol changes included reducing the frequency of in-person visits, leveraging clinical care visits to collect biospecimens, expanded self-collection of samples at home, and making study materials available online. ResultsRemote methods, including targeted social media posts, mailed letters, and email, combined with in-clinic recruitment with modifications for social distancing led to successful recruitment at all sites. Rates of consent have been similar across recruitment sites, with the highest rates of enrollment of mother-infant dyads realized by sites that implemented multiple recruitment strategies. ConclusionsStudy procedures that prioritize health and safety measures such as social distancing, study participant convenience, and diverse recruitment strategies enable successful enrollment of pregnant women and their newborns into clinical research while adhering to public health restrictions during a global pandemic.

Larval dynamics suggest phenological strategies and positive effect of marine protected areas controlling indigenous and non-indigenous crab populations

The early life of most decapod crustaceans takes place in the water column as larvae before they settle in benthic habitats. The spatial and temporal variability in the settling of larval stages offers valuable insights into the potential recruitment of natural populations. To explore this, we studied megalopa assemblages at various segments of coastline on El Hierro and Lanzarote islands, both within and outside the Marine Protected Areas (MPAs) of each island. The study spanned four consecutive oceanographic periods in the Canary Islands (NW Africa), employing light traps for sample collection. The low number of recorded species suggested that light traps exhibit selectivity, particularly for megalopae belonging to Portunidae and Grapsidae. El Hierro, which experienced warmer sea surface temperatures, displayed higher megalopa abundance values than Lanzarote and distinct larval assemblages was observed between these two islands. Similarly, we identified significant variations in abundance and species composition between stratified and mixing seasons. These seasonal differences were influenced by the dominance of Achelous hastatus, Percnon gibessi, and Cronius ruber during the stratified season. In Lanzarote, C. ruber was not recorded during the mixing season, suggesting that the colder conditions there may constrain its reproduction. Interestingly, we observed that species traditionally harvested from the intertidal zone for human consumption (Plagusia depressa) or used as bait for recreational fishing (Pachygrapsus spp. and P. gibessi) exhibited higher megalopa abundances within the MPAs. In contrast, we noted lower megalopa densities of the non-indigenous species C. ruber within the protected areas. These results indicate a positive effect of MPAs controlling indigenous and non-indigenous crab populations. Moreover, the study provides novel data, showing that light traps are suitable for monitoring the temporal occurrence, abundance, and spatial distribution of non-indigenous and commercially exploited species. This is key for adopting an ecosystem-based approach to manage marine resources.

Network connectivity contributes to native small‐bodied fish assemblages in the upper Mississippi River system

Abstract Effective management and conservation of fishes requires understanding habitat use across multiple life stages while ensuring necessary habitats are both available and accessible. Tributary habitats may play an important role in recruitment and dispersal of fishes in anthropogenically modified rivers such as the Mississippi and Illinois Rivers of the Midwest U.S.A. Identifying source locations that contribute to recruitment of fish populations can determine the importance of connectivity within river networks and pinpoint critical habitats that sustain fish populations. In the Upper Mississippi River System (UMRS), the environments that fish use in early life stages (i.e., natal origin) can be identified using otolith trace element analysis due to stability and distinctness in water chemistry (strontium: calcium [Sr:Ca]) among water bodies that is reflected in otoliths. Here, we used trace element analysis to determine natal origin of six small‐bodied fishes including bullhead minnow (Pimephales vigilax), emerald shiner (Notropis atherinoides), gizzard shad (Dorosoma cepedianum), bluegill (Lepomis macrochirus), orangespotted sunfish (Lepomis humilis), and yellow perch (Perca flavescens) across six reaches of the UMRS (Pools 4, 8, 13, 26, the Open River of the Middle Mississippi River, and the La Grange Pool of the Illinois River). Otolith core Sr:Ca for fishes was quantified using laser ablation inductively coupled plasma mass spectrometry. Using the resulting Sr:Ca chemical signatures of otolith cores, natal origin (tributary, immigrant, or potential resident) was determined for individual fish based on family‐specific relationships between otolith and water chemistries. We found that all species originated from tributaries and other reaches (i.e., were immigrants) to varying extents, which acted as evidence for network connectivity. Specifically, tributaries contributed up to 48% of individuals at a given reach. In certain reaches, Pool 26 and the Open River reach, up to 80% of individuals in a species immigrated from another mainstem river reach. Network connectivity was also important in both upstream and downstream directions. Contributions from network connectivity varied among species: bullhead minnow used less whereas orangespotted sunfish used more network connectivity than when all species were combined. Further, the use of network connectivity varied spatially where individuals captured in Pool 8 and the La Grange Pool less often and those from Pool 26 and the Open River more often originated from network connectivity compared to the whole assemblage across reaches. These results indicate that species' life history traits probably interacted with the physical environment, which differs spatially, to yield observed recruitment source patterns. Our results show that network connectivity contributes to established assemblages of native small‐bodied fishes throughout the UMRS and underscore the role of interjurisdictional management in maintaining network connectivity to sustain fish populations.

In situ administration of STING-activating hyaluronic acid conjugate primes anti-glioblastoma immune response

Glioblastoma (GBM) is an aggressive brain tumor, with a highly immunosuppressive tumor immune microenvironment (TIME). In this work, we investigated the use of the STimulator of INterferon Genes (STING) pathway as an effective means to remodel the GBM TIME through the recruitment of both innate and adaptive immune cell populations. Using hyaluronic acid (HA), we developed a novel polymer-drug conjugate of a non-nucleotide STING agonist (MSA2), called HA-MSA2 for the in situ treatment of GBM. In JAWSII cells, HA-MSA2 exerted a greater increase of STING signaling and upregulation of STING-related downstream cyto-/chemokines in immune cells than the free drug. HA-MSA2 also elicited cancer cell-intrinsic immunostimulatory gene expression and promoted immunogenic cell death of GBM cells. In the SB28 GBM model, local delivery of HA-MSA2 induced a delay in tumor growth and a significant extension of survival. The analysis of the TIME showed a profound shift in the GBM immune landscape after HA-MSA2 treatment, with higher infiltration by innate and adaptive immune cells including dendritic, natural killer (NK) and CD8 T cell populations. The therapeutic potential of this novel polymer conjugate warrants further investigation, particularly with other chemo-immunotherapeutics or cancer vaccines as a promising combinatorial therapeutic approach.

Access to and interest in human milk research opportunities among Black pregnant and postpartum people.

Concerns exist regarding biomedical research participation in marginalized and historically disadvantaged communities. The purpose of this study was to understand critical barriers to participation in human milk research from the perspective of Black pregnant and postpartum people. A national sample of Black pregnant and postpartum people (n = 104) was recruited to complete a cross-sectional online survey informed by the Life Course Perspective. Survey questions assessed research experiences and preferences, particularly related to human milk research, knowledge of historical events/policies targeting Black communities, and demographic characteristics. A socio-economic composite score was calculated as an indicator of socio-economic advantage. Survey data were summarized descriptively and potential correlates of research engagement were evaluated. Most (69%, n = 71) respondents reported previous participation in a research study, yet only 8 (8%) reported ever being asked to participate in a breastfeeding/chestfeeding or human milk study, and one respondent was unsure. Despite so few having been asked, 59% (n = 61) of respondents indicated they would donate breast/human milk to research if asked. Respondent characteristics associated with prior research participation included having greater socio-economic advantage (p = 0.027) and greater knowledge of discriminatory historical events/policies (p < 0.001). In contrast, the only respondent characteristic associated with willingness to donate human milk to research was younger age (p = 0.002). Our findings suggest that Black pregnant and postpartum people are interested in biomedical research, specifically human milk and lactation research. However, greater intentionality and targeted recruitment of this underrepresented population is needed to increase diversity among human milk and lactation study samples. Structural and community-based interventions, informed by community members, are needed to address concerns and improve participant engagement.

Accrual Quality Improvement Program for clinical trials.

The Early Phase Cancer Prevention Clinical Trials Program (Consortia), led by the Division of Cancer Prevention, National Cancer Institute, supports and conducts trials assessing safety, tolerability, and cancer preventive potential of a variety of interventions. Accrual to cancer prevention trials includes the recruitment of unaffected populations, posing unique challenges related to minimizing participant burden and risk, given the less evident or measurable benefits to individual participants. The Accrual Quality Improvement Program was developed to address these challenges and better understand the multiple determinants of accrual activity throughout the life of the trial. Through continuous monitoring of accrual data, Accrual Quality Improvement Program identifies positive and negative factors in real-time to optimize enrollment rates for ongoing and future trials. The Accrual Quality Improvement Program provides a web-based centralized infrastructure for collecting, analyzing, visualizing, and storing qualitative and quantitative participant-, site-, and study-level data. The Accrual Quality Improvement Program approaches cancer prevention clinical trial accrual as multi-factorial, recognizing protocol design, potential participants' characteristics, and individual site as well as study-wide implementation issues. The Accrual Quality Improvement Program was used across 39 Consortia trials from 2014 to 2022 to collect comprehensive trial information. The Accrual Quality Improvement Program captures data at the participant level, including number of charts reviewed, potential participants contacted and reasons why participants were not eligible for contact or did not consent to the trial or start intervention. The Accrual Quality Improvement Program also captures site-level (e.g. staffing issues) and study-level (e.g. when protocol amendments are made) data at each step of the recruitment/enrollment process, from potential participant identification to contact, consent, intervention, and study completion using a Recruitment Journal. Accrual Quality Improvement Program's functionality also includes tracking and visualization of a trial's cumulative accrual rate compared to the projected accrual rate, including a zone-based performance rating with corresponding quality improvement intervention recommendations. The challenges associated with recruitment and timely completion of early phase cancer prevention clinical trials necessitate a data collection program capable of continuous collection and quality improvement. The Accrual Quality Improvement Program collects cumulative data across National Cancer Institute, Division of Cancer Prevention early phase clinical trials, providing the opportunity for real-time review of participant-, site-, and study-level data and thereby enables responsive recruitment strategy and protocol modifications for improved recruitment rates to ongoing trials. Of note, Accrual Quality Improvement Program data collected from ongoing trials will inform future trials to optimize protocol design and maximize accrual efficiency.

Allelopathic potentials of surrounding vegetation on seedling establishment of alpine cushion Arenaria polytrichoides Edgew.

Abstract When facilitating other species and sustaining plant community structures and biodiversity, alpine cushion plants simultaneously experience negative feedback effects from surrounding vegetation. However, the impact of surrounding vegetation on cushion dynamics remains poorly understood, particularly in terms of allelopathic potentials. To investigate the allelopathic potentials of surrounding vegetation on seedling establishment of the typical cushion plant Arenaria polytrichoides Edgew. along an elevational gradient, we extracted potential allelopathic compounds and tested their impacts on seed germination and seedling growth of A. polytrichoides. In addition, exclusion experiments using activated carbon were conducted to further elucidate these effects. Our results demonstrate that surrounding vegetation exhibits certain allelopathic potentials on A. polytrichoides seedling establishment, with variations observed based on elevation, source and concentration of allelopathy compounds, as well as growing season. Specifically, low-elevation vegetation exerts pronounced suppression on seedling establishment. Conversely, higher-elevation vegetation generally shows no effect on seed germination but stimulates seedling growth through allelopathy mechanisms. Moreover, aboveground vegetation predominantly inhibits both seed germination and seedling growth in low-elevation communities; however, the effects of belowground vegetation depend on elevation and extract concentration levels. The identified allelopathic potentials of surrounding vegetation significantly influence the population dynamics of cushion A. polytrichoides by potentially accelerating population degeneration in lower-elevation communities while ensuring consistent population recruitment and expansion in higher-elevation communities.

Stock Assessment of the Commercial Small Pelagic Fishes in the Beibu Gulf, the South China Sea, 2006-2020.

Long-term variations in population structure, growth, mortality, exploitation rate, and recruitment pattern of two major commercial small pelagic fishes (CSPFs) (Decapterus maruadsi and Trachurus japonicus) are reported based on bottom trawl survey data collected during 2006-2020 in the Beibu Gulf, South China Sea. All individuals collected during each sampling quarter over a period of 15 years were subjected to laboratory-based analysis. In this study, the stock of D. maruadsi and T. japonicus inhabiting the Beibu Gulf was assessed using length-based methods (bootstrapped electronic length frequency analysis (ELEFAN)) to complete stock assessment in different fishery management periods (the division of fisheries management periods was based on China's input and output in the South China Sea offshore fisheries over 15 years, specifically divided into period I (2006-2010), period II (2011-2015), and period III (2016-2020)). The results showed that the mean body length, dominant body size, and estimated asymptotic length of two CSPFs decreased, whereas their growth coefficient decreased, indicating miniaturization and slower growth, respectively. Estimated exploitation rates and catching body length for two CSPFs indicated that both stocks in the Beibu Gulf were overexploited in period I and moderately exploited after 2011. These stocks were taking a good turn in status in period III, with the exploitation rate much lower than the initial period and reversing the downward trend in catching body length. Furthermore, the variations in the spawning season of the two CSPF stocks and their barely satisfactory expected yield indicated the complexity of the current fishery management in the Beibu Gulf. These results suggest that management measures to reduce fishing pressure may have a positive influence on the biological characteristics of those CSPFs in the Beibu Gulf; however, the stock structure already affected by overfishing will be a huge challenge for the conservation and restoration of fisheries resources in the future. Given that the current stocks of D. maruadsi and T. japonicus in the Beibu Gulf still have low first-capture body length (Lc) and high fishing mortality (F) (compared to F0.1), we identify a need to refine population structure by controlling fishing efforts and increasing catchable size, and more consideration should be given to the local fishery resource status in fisheries management.

Abstract 2160: Utilizing geospatial analytics to identify neighborhood cancer hot spots for recruitment of underserved populations in clinical prevention research

Abstract Background: The term “precision public health” has increasingly been used in literature to describe public health practices that utilize new technologies and big data to precisely target the most vulnerable populations for disease control. Following the principles of precision public health, we used geospatial technologies and population-based health data to identify the locations and socioeconomic status of neighborhoods with high cancer incidences for recruitment of participants in prevention research. Methods: Using Florida cancer registry data, geospatial hot spot analyses were carried out to identify statistically significant clusters of census tracts with high incidences of prostate, gastric, and oral cancers within the catchment area of the Sylvester Comprehensive Cancer Center in South Florida. The locations, social determinants of health (US Census’ American Community Survey), and behavioral risk factor data (CDC’s Behavioral Risk Factor Surveillance System) of these hot spots were analyzed to identify the locations of underserved communities facing high risk for these three cancers. Results: Hot spots with high incidences for each of these three cancers overlap in many neighborhoods with high proportions of Hispanic and Non-Hispanic Black populations and high levels of socioeconomic disparities, such as low income, low education level, rental housing, no vehicles, and no access to health insurance. These neighborhoods also have high rates for behavioral risk factors in smoking, lack of physical activity, obesity, and high incidence of cervical cancer (high risk areas for HPV-associated oral cancers). Mobile screening units called the Game Changer Vehicles have been deployed to the locations to recruit participants who were tested on-site for prostate specific antigen (prostate cancer), H. pylori (gastric cancer), or solCD44 (a soluble tumor marker for squamous cell carcinoma) and total protein levels in oral rinse specimens, which can distinguish individuals with molecular features at risk for oral cancers due to tobacco, alcohol use, and human HPV infection. Conclusions: Geospatial analyses of population health data can be used to produce metrics that precisely target neighborhoods with high cancer risk and health disparities to recruit research participants. The same precision approach can also be applied for cancer screening purposes, such as offering cervical self-sample and fecal blood test kits in disadvantaged communities facing heightened risk for cervical and colorectal cancers. Citation Format: Ming S. Lee, Rebecca Kaiser, Ridhi Vyas, Amando Vera, Daniela Flores Quetant, Nancy Elliott, Valerie Bethel, Amanda Rivera, Shria Kumar, Brandon Mahal, Elizabeth Franzmann, Erin Kobetz. Utilizing geospatial analytics to identify neighborhood cancer hot spots for recruitment of underserved populations in clinical prevention research [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 2160.

Ascaridoid Nematodes Infection in Anadromous Fish Coilia nasus from Yangtze River

The longjaw tapertail anchovy Coilia nasus, which migrates from ocean to freshwater for spawning in spring, is an important anadromous fish with ecological and cultural significance. To determine parasite infection in anadromous C. nasus, a total of 103 fish from the Yangtze River were collected and examined in 2021 and 2022. The overall infection prevalence of nematodes in C. nasus was 100%, with a mean intensity of 13.81 ± 16.45. The mean intensity of nematode infections in 2022 was significantly higher than that observed in 2021 across all sampling sites (p &lt; 0.05). Nematodes were widely detected in the mesentery, pyloric cecum, stomach, and liver, among which the mesentery accounted for the highest proportion, reaching up to 53.52%. A total of eight ascaridoid nematodes belonging to the family Anisakidae and Raphidascarididae were identified by using morphological characters and molecular biological techniques, including two species of Anisakis, five species of Hysterothylacium, and one species of Raphidascaris. A. pegreffii was found as the predominant species, accounting for 48.65% of all identified parasitic nematodes in liver, while Raphidascaris sp. was the most common nematode in the mesentery, pyloric cecum, and stomach, reaching up to 39.81%, 36.21%, and 74.36%, respectively. The present study systematically investigated the parasitic status and community structure of the nematode in C. nasus during its migration in the Yangtze River. This research provides a foundation for studying the impact of nematode parasitism on the reproductive migration and population recruitment of C. nasus, and offers valuable insights for biomarker screening and nematode identification in C. nasus.

Effectiveness of an ecological flow regime to assure successful recruitment of anadromous Coregoninae populations in the Rupert River (northern Quebec, Canada)

AbstractObjectiveAs part of a large‐scale hydroelectric project, the mean annual flow of the Rupert River (northern Quebec, Canada) was reduced by 52% at its mouth in 2009. To protect fish habitat, an ecological flow regime that was modulated according to the biological seasons was implemented downstream from the diversion point. An 8‐year monitoring program, including 2 years before partial diversion, was carried out to verify the effectiveness of this mitigation measure on the total annual abundance of anadromous Coregoninae (Cisco Coregonus artedi and Lake Whitefish C. clupeaformis) larvae, which was used as biological indicator of recruitment success. The monitoring also aimed to determine the effects of flow modification on the timing of the larval drift and the spatial distribution of larvae in a river cross section.MethodsEach year, sampling consisted of installing drift nets during the entire downstream larval migration in a river cross section of the lower Rupert River. Drift nets were systematically placed to ensure representative sampling of the river section.ResultPrior to flow reduction, the estimated total number of larvae varied between 1.8 and 8.6 million. Over the following 6 years, the estimated larval population has remained steady at 3–4 million. Otherwise, larval drift characteristics have not changed since the flow reduction, as (1) the duration of the larval drift is the same as before, about 1 month in May and early June, with a peak period of about 8 days; (2) rise in water temperature in spring is a determining factor in the timing of larval drift; and (3) the larvae drift mainly near the surface of the water.ConclusionThe monitoring results indicate that the ecological flow regime implemented in the Rupert River was adequate to maintain anadromous coregonine populations.

Access to Care and Health Care Utilization Among Patients With Nephrolithiasis

ObjectiveTo characterize the impact of nephrolithiasis diagnosis and treatment on healthcare utilization and identify predictors of barriers to care in the patient population. MethodsWe conducted a retrospective cohort study using the All of Us Database, an NIH database targeting recruitment of underrepresented populations. Patients with a diagnosis of kidney stones were included and matched to a control group. Primary outcomes were patients’ self-reported healthcare access and utilization. Univariable and multivariable regression analyses were performed. Results9,173 patients with a diagnosis of nephrolithiasis were included and matched to 9,173 controls without a diagnosis of nephrolithiasis. Patients with kidney stones were less likely to have had >1 year since last provider visit (1.7% vs. 3.8%, p<.001), but did not report increased delays obtaining care (31%), inability to afford care (11.4%), or higher likelihood of skipping medications (12.9%). Among patients with stones, 1,208 (13.2%) had been treated surgically. On multivariable analysis, younger age, female sex, lower income, lower education, non-insured status, and lower physical and mental health were all associated with delays obtaining care, difficulty affording care, skipping medications, and/or prolonged time since seeing a provider. ConclusionA diagnosis of nephrolithiasis and subsequent surgical intervention were not associated with an increase in patient-reported barriers to care. However, among patients with nephrolithiasis, younger, comorbid, female patients from lower socioeconomic status are at significant risk of being unable to access and utilize treatment.

Re-assessment of a blackfoot abalone (Haliotis iris) population in Peraki Bay, New Zealand, after 45 years

ABSTRACT Marine species are facing an increasing number of stressors and some species once thought to be resilient to change are now threatened. It is important to understand how species populations have changed through time so that management can be adjusted accordingly, and so that achievable restoration goals can be set. However, many species lack population data at multidecadal or longer time scales. Using historical data from the 1970s, this study investigates how the dynamics of a New Zealand abalone (Haliotis iris), or pāua, population at Peraki Bay changed over a 45-year period. No commercial fishing of the population occurred prior to the initial survey and limited commercial catch has been reported between surveys. Repeat monitoring of the H. iris population at a 45-year interval indicates that a large change in population size and structure had occurred. Since 1976, there has been an 84% decrease in estimated population size. The remaining population is restricted to where juveniles were found in the original survey. These findings are consistent with conclusions, made from modelling in the 1970s, that the population seen in the 1970s was not stable and that a possible cause was temporal variability in population recruitment.

Three Lessons Learned About Power and Improving Recruitment of Underrepresented Populations in Clinical Trials.

This Open Forum is relevant for investigators who conduct research with historically understudied and marginalized populations. The authors introduce a U.S. Department of Veterans Affairs clinical trial that experienced challenges with recruitment of African American or Black veterans and was terminated for not achieving its recruitment goals. The role of power dynamics in clinical research is discussed, specifically how unequal distributions of power may create recruitment challenges. The authors summarize three lessons learned and offer recommendations for sharing power equitably between investigators and potential participants. By recounting these experiences, the authors seek to promote culturally sensitive, veteran-centered approaches to recruitment in future clinical trials.