Previous Season Research Articles

Optimizing Use of DMI Fungicides for Management of Apple Powdery Mildew Caused by Podosphaera leucotricha in New York State.

Powdery mildew, caused by the ascomycete Podosphaera leucotricha, is an endemic disease found wherever apples are grown that reduces both tree vigor and fresh market yield. In the absence of durable host resistance, chemical management is the primary means of disease control. Demethylation inhibitor (DMI) fungicides are widely used to manage apple powdery mildew, but members within this fungicide class have been observed to differ in efficacy with respect to disease control. Moreover, debate exists as to the optimal timing of DMI fungicide applications for management of apple powdery mildew. In this regard, the goal of this study was to determine the best-use practices for DMI fungicides to manage apple powdery mildew in New York State. Multiyear trials were conducted to evaluate the potential differential efficacy performance of four common DMI fungicides, and additional trials were conducted to assess optimal application timing. In all years, we observed that treatments of flutriafol and myclobutanil consistently had the lowest incidences of powdery mildew compared with difenoconazole and fenbuconazole. In the 2018 and 2021 trials, the newly registered mefentrifluconazole was more comparable to the difenoconazole program with respect to powdery mildew disease incidence. We hypothesize that differences in DMI efficacy may result from each fungicide's water solubility and lipophilicity characteristics and thus their ability to move systemically in the host or more easily penetrate the surface of germinating conidia. Applications timed between petal fall and first cover resulted in the lowest incidence of powdery mildew on terminal leaves of apple shoots compared with applications timed before petal fall. These observations are contrary to previous studies conducted in regions with differing climates. We also found that the incidence of secondary powdery mildew observed 2 weeks after petal fall was influenced by applications of DMI fungicides during the previous season. For example, management programs consisting of applications of flutriafol or myclobutanil in the previous season tended to have lower incidence of apple powdery in the next spring, presumably because of reductions in overwintering inoculum. Despite reports of DMI resistance in other apple pathosystems, the DMI fungicide class is still relevant for the successful management of apple powdery mildew in New York State.

Variation in the seasonality of the respiratory syncytial virus during the COVID-19 pandemic

BackgroundThe COVID-19 pandemic has caused a variation in the circulation of common respiratory viruses. Our objective was to analyse the epidemiology of respiratory syncytial virus (RSV) bronchiolitis admissions during the COVID-19 pandemic in comparison with previous epidemic seasons.MethodsWe conducted an observational study involving infants with RSV bronchiolitis admitted to a tertiary hospital during two periods: pandemic COVID-19 (15 March 2020–30 September 2021) and pre-pandemic (1 October 2014–14 March 2020). Demographic and clinical characteristics were collected.ResultsA total of 270 patients were admitted for RSV bronchiolitis: 253 in the pre-pandemic period with an average of 42 admissions per season vs 17 in the pandemic. During the pandemic, the RSV outbreak started late in June 2021 with a higher percentage of prematurity and PICU admissions.ConclusionA change in RSV seasonality was observed during the COVID-19 pandemic, with an unusual outbreak in summer 2021 of lower magnitude than previous seasons.

Wolf monitoring in Scandinavia: evaluating counts of packs and reproduction events

AbstractLarge carnivores are elusive and use large areas, which causes monitoring to be challenging and costly. Moreover, management to reduce conflicts and simultaneously ensure long‐term population viability require precise population estimates. In Scandinavia, the monitoring of wolves (Canis lupus) is primarily based on counting packs, identifying reproduction, and genetically identifying territorial wolves from noninvasive DNA samples. We assessed the reliability of wolf monitoring in Scandinavia by estimating the detectability of territorial pairs, packs, and reproduction. Our data, comprising snow‐tracking data and DNA‐identified individuals from 2005–2016, covered 11 consecutive winter monitoring seasons (Oct–Mar). Among 343 cases where we identified a wolf pack, territorial wolves were also detected in the same area during the previous season in 323 (94.2%) cases. In only 6 of the remaining 20 cases, there was no prior knowledge of territorial wolves in the area. Among the 328 detected reproduction events (litter born to a pack), we detected 97% during the monitoring period and identified the rest ≥1 year later from kinship assessments of all DNA‐detected individuals. These results suggest that we failed to detect only few packs with reproduction events during the monitoring season that followed breeding. Yearly monitoring of territorial individuals and continuous updates of the pedigree allowed us to retrospectively identify reproduction events and packs that were not identified earlier.

Flu Vaccination Coverage and Predictors of Non-Vaccination in Military Health Corps Personnel 2016-2017 and 2019-2021.

(1) Background: Vaccination is the most effective intervention to control seasonal influenza morbidity and mortality. The present study aimed to determine the influenza vaccination coverage in the Military Health Corps personnel in the 2020–2021 season, as well as the time trend and the possible influence of the pandemic on coverage, in order to study the reasons that led to the non-vaccination of health professionals and to analyze adverse drug reactions (ADRs). (2) Methods: A descriptive, cross-sectional study was conducted from February to May 2021. All FAS CMS personnel were included. A self-administered questionnaire was sent by e-mail to the selected personnel. (3) Results: Vaccination coverage in the 2016–2017 season was 15.8% (n = 276), in the 2019–2020 season it was 17.41% (n = 424), and in the 2020–2021 season it was 24.22% (n = 590). The percentage of vaccinated men was higher than the percentage of women. In 2019 and 2020 the most vaccinated group was 31–40 years old. Lieutenants had the highest vaccination uptake in 2019 and 2020. The personnel with the highest uptake of vaccines were those in the specialty of nursing in each of 2016, 2019 and 2020, with >30 years of time worked in 2016. In terms of factors leading to refusal of vaccination, the most reported was “not considered a risk group” (23.0%), and the least reported was “avoidance of vaccine administration” (2.2%). Eighty individuals presented adverse reactions after vaccine administration (9.6%). (4) Conclusions: The rate of influenza vaccination among healthcare professionals was lower during the 2020 season compared to the previous season, but was expected to increase in the upcoming 2021 season.

NESTING RECORDS OF THE TINY HAWK (ACCIPITER SUPERCILIOSUS) IN EASTERN PERU

Knowledge about the breeding biology of the Tiny Hawk (Accipiter superciliosus) is scarce. Here we describe the discovery of two nests in the rainforest of eastern Peru. The first nest was detected during the incubation period (September 2018) at a height of 14 m above the ground on a branch bifurcation in a 20 m tall unidentified tree, at 525 m a. s. l. The second nest was detected during the fledging period (October 2020) and was located 16 m from the ground on the bifurcation of branches of a 20 m tall and 0.89 m DBH Flame tree (Erythrina velutina), at 1.070 m a. s. l. That nest had been built and occupied during the previous season by a pair of Plumbeous Kite (Ictinia plumbea). Both nests were located within remnants of secondary forest surrounded by currently or previously cultivated land. Observations are presented on the feeding behavior and nest defense.

Early initiation of the respiratory syncytial virus season in 2021-2022, Greece.

Respiratory syncytial virus (RSV) is the most common viral pathogen causing respiratory disease in the pediatric population. An unexpected sudden upsurge of RSV infections among children was observed in September 2021 in Greece. Forty-one rhinopharyngeal samples from children under the age of 2 years with confirmed RSV bronchiolitis were tested to identify the genotype(s) of the RSV strain(s). The children were hospitalized during September-November 2021 in three tertiary hospitals in northern Greece. A one-step RT-PCR which amplifies a fragment of the second hypervariable region of the G protein gene was applied. PCR products were sequenced, and phylogenetic analysis was performed. Most (80.5%) RSV cases were typed as RSV-A, with RSV-B accounting for 19.5% of cases. RSV-A and RSV-B sequences clustered within the ON1 and BA genotypes, respectively. Asthe same genotypes were detected in cases observed during 2016-2018 in northern Greece, it was suggested that the early upsurge of infections was not related to the emergence of novel strain(s), but it was the result of the absence of immunity among children and their mothers due to the restriction measures taken during the COVID-19 pandemic in the previous RSV season. Awareness is needed to diagnose even the out-of-season RSV infections, while molecular epidemiology plays a key role in monitoring the efficacy of currently available therapeutics and for those under development.

Biomarkers of Animal Nutrition: From Seasonal to Lifetime Indicators of Environmental Conditions.

Nutrition underpins survival and reproduction in animal populations; reliable nutritional biomarkers are therefore requisites to understanding environmental drivers of population dynamics. Biomarkers vary in scope of inference and sensitivity, making it important to know what and when to measure to properly quantify biological responses. We evaluated the repeatability of three nutritional biomarkers in a large, iteroparous mammal to evaluate the level of intrinsic and extrinsic contributions to those traits. During a long-term, individual-based study in a highly variable environment, we measured body fat, body mass, and lean mass of mule deer (Odocoileus hemionus) each autumn and spring. Lean mass was the most repeatable biomarker (0.72 autumn; 0.61 spring), followed by body mass (0.64 autumn; 0.53 spring), and then body fat (0.22 autumn; 0.01 spring). High repeatability in body and lean mass likely reflects primary structural composition, which is conserved across seasons. Low repeatability of body fat supports that it is the primary labile source of energy that is largely a product of environmental contributions of the previous season. Based on the disparate levels in repeatability among nutritional biomarkers, we contend that body and lean mass are better indicators of nutritional legacies (e.g., maternal effects), whereas body fat is a direct and sensitive reflection of recent nutritional gains and losses.

Effects of the COVID-19 pandemic on SCUBA diving experience in marine protected areas.

Faced with the need for isolation of most people to reduce the transmission of COVID-19, a great concern for the well-being of the population has resurfaced. Considering the numerous benefits of outdoor activities to human health and well-being, we assessed whether the quality of the experience of recreational divers in a marine protected area (MPA) was impacted during the pandemic. We applied a semi-structured questionnaire to divers, collected their socioeconomic profile, preferences, motivations, experiences, and compared the results with those obtained in the previous season. We found that the quality of the recreational diver's experience remained high even during one of the world's biggest health crises. This suggests that the combination of contact with a preserved environment and the adaptation of regulations in favor of visitor safety was enough to stimulate positive experiences. Therefore, we highlight the importance of investing in adaptive management so that MPAs continue to promote ecosystem services such as human health and subjective well-being.Management implications•Quality of experience for recreational divers remained high and was unaffected after the first major wave of COVID-19 cases.•Through adaptive tourism management, MPAs can promote positive experiences even in challenging contexts.•High impact of environmental attributes on the quality of divers' experience reinforces that threats to ecosystems are social impacts.•Socially unequal access to benefits generated by MPAs may negatively influence population's support for these areas.•Efforts are needed to strengthen the equity of distribution of positive social impacts in MPAs.•Potential to provide positive experiences for users must be seen beyond economic value, but as an investment in the population's subjective well-being.

Dissolved Nitrogen Speciation and Concentration During Spring Thaw in the Greenland Ice Sheet Dark Zone: Evidence for Microbial Activity

This study provides the first contemporaneous measurements of the concentration and speciation of dissolved nitrogen (N) in snow, meltwater and ice during the onset of the ablation season at a site within the Dark Zone of the Greenland Ice Sheet. The decaying, partially leached snow pack near S6 in south-west Greenland produced meltwater with relatively constant nitrate (NO3−) concentrations, approximating the snow pack average (1.1 µM). By contrast, ammonium (NH4+) (0–∼ 4 µM) and dissolved organic nitrogen (DON) (0–∼ 3 µM) concentrations were more variable, and sometimes higher than the average snow pack concentrations of 1.0 and 0.4 µM, respectively. This variability could be the result of microbial uptake and production within the melting snow pack. We observed pooled meltwater at the snow-ice interface that appeared to scavenge DON (∼1–8 µM) and possibly NO3− (∼1–2 µM) from the underlying ice, whose initial surface was a continuum of superimposed ice and weathering crust from the previous season. The shallow meteoric ice (∼10 cm–1 m) beneath the snow pack had high concentrations of DON and NH4+(6.5 and 2.6 µM, respectively), while NO3− concentrations were similar to the snow pack (1.1 µM). The absence of NH4+ in the snowmelt traversing the snow-ice interface may also point to microbial activity occurring at this boundary layer. Melt modelling indicated the presence of liquid meltwater at the snow-ice interface and that at least 10 cm of the surface ice below the snow pack was at 0°C. Solar radiation transmitted through the thin snow pack to the ice surface is absorbed by pigmented glacier algae causing melt of the surrounding ice, allowing the possibly of photosynthesis to begin under the thinning snowpack in these micro-melt environments. Hence, we conjecture that glacier algal blooms can commence before the snow pack has completely melted, occuring at a time when meltwaters are enhanced in nutrients scavenged from the snowpack, superimposed ice and the remnants of the weathering crust from the previous year.

Biological, Psychological, and Physical Performance Variations in Football Players during the COVID-19 Lockdown: A Prospective Cohort Study.

This prospective cohort study aimed to evaluate whether COVID-19 lockdown caused biological, psychological, and/or physical performance variations in footballers. We compared the 2018/2019 and 2019/2020 seasons evaluating the plasma volume, hematological parameters, iron/ferritin, creatine kinase, vitamin D, cortisol, testosterone, and physiological state of players of the Italian football major league (Serie A). Measurements were performed before the preparatory period (T0), at the beginning (T1) and in the middle (T2) of the championship, and in March (T3) and at the end of season (T4). The results showed that in the 2019/2020 season affected by the lockdown, the weight, BMI, and fat mass percentage were higher than in the previous season. Hematocrit, hemoglobin, red blood cells, and ferritin decreased during both seasons, more significantly than in the regular season. During both seasons, creatine kinase increased from T2 whilst iron concentrations decreased in T3. Testosterone increased in both seasons from T0 to T3 and returned to initial levels at T4; cortisol increased in T2 and T3 during the 2018/2019 season but not during the COVID-19 season. Physical performance tests revealed differences associated with lockdown. Thus, although from a medical point of view, none of the evaluated changes between the two seasons were clinically relevant, training at home during lockdown did not allow the players to maintain the jumping power levels typical of a competitive period.

Changes in Training Patterns and Confidence to Return to Sport in United States Collegiate Athletes During the COVID-19 Pandemic

Objective To describe the training patterns, return to sport (RTS) confidence and perceived fitness during the COVID-19 pandemic summer 2020, and to compare training patterns and RTS readiness during COVID-19 versus during the 2019 summer in a cohort of Division III collegiate athletes. Methods An electronic survey of varsity athletes ≥18 years at 3 United States Division III colleges querying athlete demographics, Modified Athletic Identity Scale (mAIMS), changes in training regimen summer 2020 vs. 2019, RTS confidence, and perceived physical fitness. Results 192 surveys were completed (19% response). Total reported summer 2020 training decreased by 4 hours/week, with increased aerobic (56% vs. 53%, p=0.03) and decreased sport-specific training (48% vs 70%, p<0.001). Median RTS confidence score for formal training and competition was 3 (“neither more or less confident”) in men’s versus 2 (“less confident”) in women’s athletes. Median fitness self-assessment for men’s athletes was 3 (“neither more nor less physically fit”) compared to previous season versus median score of 2 (“less physically fit”) among women’s athletes (p=0.004). For each mAIMS unit, training increased by 11 minutes/week (95% CI: 2-19 minutes; p=0.01) and sport-specific training increased by 1.3% (95% CI: 0.5-2.2%; p=0.003), controlling for age, sport, grade and school. mAIMS was not associated with confidence or fitness rating. Conclusion Collegiate athletes decreased overall training hours, particularly sport-specific training time during the COVID-19 summer compared to the prior summer. Athletic identity was related to overall and sport-specific training hours, but not confidence to RTS or fitness.

Hip and groin pain prevalence and prediction in Elite Gaelic Games: 2703 male athletes across two seasons.

Hip and groin pain is highly prevalent in sub-elite Gaelic Athletic Association (GAA) athletes, but its prevalence at the elite level is unknown. The aims of this study were to report hip and groin pain prevalence in elite male athletes, to report changes in Copenhagen Hip and Groin Outcome Score (HAGOS) across two seasons and to assess if previous hip and groin pain or pre-season HAGOS could predict future hip and groin pain. During the 2017 and 2018 pre-season male Gaelic Players Association (GPA) playing members were invited to complete two questionnaires. The first questionnaire collected demographic information including age, GAA code played (Gaelic football or Hurling) and prevalence of hip and groin pain in the previous season. The second questionnaire was the HAGOS. Step-wise logistic regression models were fitted to HAGOS subscales, to examine if pre-season HAGOS subscale scores could predict future hip and groin pain. The prevalence of hip and groin pain across the elite GAA cohort was 38%. Hip and groin pain in the previous season was the strongest predictor of future hip and groin pain (r2 =0.19, AUC=0.73, 95% CI 1.76-2.27) whereas pre-season HAGOS subscale scores had limited and no additional predictive ability (AUC 0.05-0.18). Hip and groin pain prevalence is high in elite male GAA, with one in three athletes reporting pain. Previous season hip and groin pain is the strongest predictor of future hip and groin pain, while pre-season HAGOS scores have limited ability to predict future hip and groin pain.

Altered precipitation has asymmetric impacts on annual plant communities in warm and cool growing seasons

While altered precipitation regimes can greatly impact biodiversity and ecosystem functioning, we lack a comprehensive view of how these impacts are mediated by changes to the seasonality of precipitation (i.e., whether it rains more/less in one season relative to another). Over 2 years, we examined how altered seasonal precipitation influenced annual plant biomass and species richness, Simpson’s diversity, and community composition of annual plant communities in a dryland ecosystem that receives both winter and summer rainfall and has distinct annual plant communities in each season. Using a rainfall exclusion, collection, and distribution system, we excluded precipitation and added water during each season individually and compared responses to control plots which received ambient summer and winter precipitation. In control plots, we found five times greater annual plant biomass, twice as many species, and higher diversity in winter relative to summer. Adding water increased annual plant biomass in summer only, did not change richness or diversity in either summer or winter, and modestly shifted community composition. Excluding precipitation in either season reduced annual plant biomass, richness, and Simpson’s diversity. However, in the second winter season, biomass was higher in the plots where precipitation was excluded in the previous summer seasons suggesting that reduced productivity in the summer may facilitate biomass in the winter. Our results suggest that increased precipitation in summer may have stronger short-term impacts on annual plant biodiversity and ecosystem function relative to increased winter precipitation. In contrast, decreasing precipitation may have ubiquitous negative effects on annual plants across both summer and winter but may lead to increased biomass in the following off-seasons. These patterns suggest that annual plant communities exhibit asymmetries in their community and ecosystem responses to altered seasonal precipitation and that considering the seasonality of precipitation is important for predicting the effects of altered precipitation regimes.

Effects of Ownership Text Message Wording and Reminders on Receipt of an Influenza Vaccination

Despite the availability of safe and effective vaccines, many people fail to get vaccinated. Messages using behavioral science principles may increase vaccination rates. To determine the effect on influenza vaccination rates of a text message telling patients that an influenza vaccine had been reserved for them. As part of a larger influenza vaccine messaging megastudy, in this randomized clinical trial, 11 188 patients in 2 large health systems were assigned to receive a text message that stated "a flu shot has been reserved for you," a text message that stated "flu shots will be available," or no text message. Both messages included the option to reply yes (Y) or no (N) to indicate that the patient wanted to get vaccinated. Patients 18 years or older were included if they had new or routine (nonsick) primary care appointments scheduled from September 20, 2020, through March 31, 2021. The evening before the scheduled appointment, patients in the 2 message conditions were sent 3 back-to-back SMS messages containing the study wording. Patients in the usual care control group did not receive any study messages. Receipt of an influenza vaccine on the date of the patient's scheduled appointment. A total of 11 188 patients were randomized to the reserved or the available message conditions or to usual care. The 10 158 patients analyzed in the study had a mean (SD) age of 50.61 (16.28) years; 5631 (55.43%) were women; and 7025 (69.16%) were White. According to health records, 4113 (40.49%) had been vaccinated in the previous influenza season, and 5420 (53.36%) were patients at Penn Medicine. In an intent-to-treat analysis, changes in vaccination rates in response to the reserved message did not reach statistical significance (increase of 1.4 percentage points, or 4% [P = .31]) compared with the message conveying that influenza vaccines were available. Relative to the usual care control, the reserved message increased vaccination rates by 3.3 percentage points, or 11% (P = .004). Patients in the reserved message condition were more likely to text back Y (1063 of 3375 [31.50%]) compared with those in the available message condition (887 of 3351 [26.47%]; χ2 = 20.64; P < .001), and those who replied Y were more likely to get vaccinated (1532 of 1950 [78.56%]) compared with those who did not (749 of 4776 [15.68%]; χ2 = 2400; P < .001). This study found that patients who received text messages regarding flu vaccination had greater vaccine uptake than those who received no message. Messages that increase the likelihood that patients will indicate their intention to be vaccinated may also increase vaccination behavior. ClincalTrials.gov Identifier: NCT04565353.

Acidic amelioration of soil amendments improves soil health by impacting rhizosphere microbial assemblies

Intensive cultivation with accompanying nitrogen fertilization leads to soil acidification in croplands of southern China, which in turn, imperils soil health, restricting the sustainability of agricultural production. Application of soil amendments is considered as a potential method for maintaining soil health; however, the underlying soil-health-promoting mechanisms are poorly understood. In the present study, we used lime, organic manure, and straw biochar, or their combinations, to treat severely acidified field plots (5 previous seasons of peanut monocropping). We analyzed the rhizosphere microbial communities, soil physicochemical properties, plant disease resistance, and plant physiological parameters at pod-bearing and pod-maturing stages of peanut. The effect of soil pH, regulated by the amendments, on the root-associated microbiome was more pronounced than the effects of other physicochemical properties. Specifically, Actinobacteria and Proteobacteria became more abundant in the rhizosphere upon the application of organic materials with lime. In vitro co-cultures of rhizosphere bacterial suspensions with a fungal pathogen revealed their enhanced disease suppression ability following treatment. Physiologically, application of organic amendments with lime promoted disease-resistance of plant roots, as determined by phenylalanine ammonia lyase and superoxide dismutase activities. The optimization of bacterial community composition in the rhizosphere played a key role in enhancing plant disease resistance, as inferred by structural equation model and network analyses. These findings suggest that the application of soil amendments reinforces disease suppression and plant physiological parameters in acidified soils by impacting microbial community assembly in the rhizosphere.

Mind the Gap: The Impact of Maternal Immunization on Pertussis in Young Infants.

Mind the Gap: The Impact of Maternal Immunization on Pertussis in Young Infants.

Longer summer seasons after fire induce permanent drought legacy effects on Mediterranean plant communities dominated by obligate seeders

The ecological stability of Mediterranean ecosystems is being threatened by climate change. One of the impacts that is expected to be aggravated is the effect of summer drought prolongation toward previous or subsequent seasons by becoming more frequent. This, along with wildfires, could trigger synergistic negative effects on ecosystem regeneration capacity. Here we assessed how extending summer drought in two different ways (to autumn, AutExcl treatment, or bringing it forward to the following spring, SprExcl treatment) would affect plant recovery after an experimental fire carried out in summer in a Mediterranean seeder community. By installing rainout shelters, we assessed differences in seedling emergence, survival and establishment in the main families (Cistaceae, Labiatae, Leguminosae), and the effect on species richness and community composition. We observed that these post-fire dry season extensions reduced the total number of established seedlings and species richness. The most impacting drought treatment was AutExcl. However, the regeneration response was variable depending on the studied family. SprExcl was also determinant for Labiate survival rates. These results suggest that drought events which prolong the usual summer season may have a permanent drought legacy effect on seeder communities as practically all the seeder species populations were established in the first post-fire year. This fact is relevant for Mediterranean ecosystems dominated by seeder species as severer and longer droughts are increasingly recorded and are expected to become more frequent in forthcoming decades.

Effect of point-of-care influenza tests on antibiotic prescriptions by emergency physicians in a French hospital

Influenza is a public health issue worldwide. Although antibiotics should not be used to treat viral infections, they are often prescribed to patients with influenza-like illness (ILI). Such misuse promotes antibiotic resistance. The role of rapid point-of-care tests (POCTs) in preventing antibiotic misuse in adults with ILI symptoms remains relatively unexplored. To evaluate whether POCT implemented in 2018-2019 to detect influenza viruses led to a decrease in antibiotic prescriptions compared with laboratory-based influenza tests. Adult patients with ILI in one emergency department (ED) were retrospectively enrolled over three epidemic seasons (from 2016-2017 to 2018-2019). The primary outcome was the rate of antibiotic prescriptions, which was compared between the three seasons in bivariate and multivariate analyses. Prescriptions for ancillary laboratory tests, chest X-rays and oseltamivir were also compared, along with hospitalizations and length of stay (LOS) at the ED. Overall, 1849 patients were included. Median age was over 70 years throughout all three seasons. The number of antibiotic prescriptions was significantly different between the three periods in bivariate analysis (48.3% in 2016/2017, 44% in 2017/2018 and 31.1% in 2018/2019; P<0,0001) and in multivariate analysis (adjusted odds ratio (aOR)= 0.48, 95% confidence interval (CI)= 0.30-0.76 for 2018/2019 and aOR= 0.99, 95%CI= 0.67-1.46 for 2017/2018, compared with 2016/2017). There were significantly fewer prescriptions of ancillary laboratory tests, X-rays, hospitalizations and more oseltamivir prescriptions in 2018/2019, compared with the previous seasons. LOS was significantly lower in 2018/2019 only for influenza-positive patients. ED influenza POCT decreased antibiotic use and led to less ancillary testing, X-rays and hospitalizations among patients with ILI. However, medico-economic studies are necessary before formulating definite recommendations.

The influence of chronic medial epicondylar apophysitis on medial ulnar collateral ligament insufficiency-: a retrospective cohort study.

BackgroundThis study aimed to investigate the effect of chronic traction apophysitis of the medial epicondyle (MEC) on medial ulnar collateral ligament (MUCL) insufficiency in high school baseball players.MethodsIn this retrospective cohort study, 3034 of 6069 high school baseball players were enrolled. A self-reported questionnaire was distributed to investigate past history of elbow pain and elbow pain during the previous season. Physical examinations to assess tenderness on the MUCL and the elbow valgus stress test (EVST) were performed. Ultrasonography was performed to determine the presence of morphological abnormalities of the anteroinferior aspect of the MEC (MEC lesions).ResultsParticipants with MEC lesions had a significantly higher prevalence of past history of elbow pain, elbow pain during the previous season, MUCL tenderness, and positive EVST than those without MEC lesions (P < .05). Multivariate logistic regression analysis revealed that the participants with the fragmented type had the highest risk of past history of elbow pain (odds ratio [OR] = 3.94), elbow pain during the previous season (OR = 2.27), positive EVST (OR = 3.49), and the second highest risk of MUCL tenderness (OR = 2.01) followed by the irregular type (OR = 2.31). Participants with the hypertrophic type had the lowest risk of past history of elbow pain (OR = 2.08), elbow pain during the previous season (OR = 1.42), MUCL tenderness (OR = 1.09), and positive EVST (OR = 1.47).ConclusionThe presence of chronic non-healed traction apophysitis of the MEC in high school baseball players presented a significantly high risk of elbow pain and MUCL insufficiency.

Disproving the Sophomore Slump Using Data Envelopment Analysis

The “sophomore slump” is a widely accepted phenomenon in modern sport culture, commonly conceptualized as a decline in performance during a player’s second year of competition following an outstanding first season. This study empirically verified the absence of sophomore slump through a two-stage network data envelopment analysis and Malmquist productivity index analysis of 616 English Premier League players from the 2014–2015 to 2018–2019 seasons. The relative rankings of individual second-year players were compared with their rankings in the previous season, and second-year and non-second-year player groups were also compared. No evidence was found to indicate the existence of a sophomore slump. In addition, Tobit regression analysis was conducted to analyze the effects of environmental variables such as yellow cards, red cards, and fouls. This study is meaningful because it analyzes “efficiency,” which has a strategic and financial impact not only on individual players but also on team managers and scouts.