No Sex Differences in Mechanical Thrombectomy Time Metrics and Outcomes in Saskatchewan.

BACKGROUND AND PURPOSE: Numerous studies have shown longer pre-hospital and in-hospital workflow times and poorer outcomes in women after acute ischemic stroke (AIS) in general and after endovascular treatment (EVT) in particular. We investigated sex differences in acute stroke care of EVT patients over 5 years in a comprehensive Canadian provincial registry. METHODS: Clinical data of all AIS patients who underwent EVT between January 2017 and December 2022 in the province of Saskatchewan were captured in the Canadian OPTIMISE registry and supplemented with patient data from administrative data sources. Patient baseline characteristics, transport time metrics, and technical EVT outcomes between female and male EVT patients were compared. RESULTS: Three-hundred-three patients underwent EVT between 2017 and 2022: 144 (47.5%) women and 159 (52.5%) men. Women were significantly older (median age 77.5 [interquartile range: 66-85] vs.71 [59-78], p < 0.001), while men had more intracranial internal carotid artery occlusions (48/159 [30.2%] vs. 26/142 [18.3%], p = 0.03). Last-known-well to comprehensive stroke center (CSC)-arrival time (median 232 min [interquartile range 90-432] in women vs. 230 min [90-352] in men), CSC-arrival-to-reperfusion time (median 108 min [88-149] in women vs. 102 min [77-141] in men), reperfusion status (successful reperfusion 106/142 [74.7%] in women vs. 117/158 [74.1%] in men) as well as modified Rankin score at 90 days did not differ significantly. This held true after adjusting for baseline variables in multivariable analyses. CONCLUSION: While women undergoing EVT in the province of Saskatchewan were on average older than men, they were treated just as fast and achieved similar technical and clinical outcomes compared to men.

Climate change, snow mold and the Bromus tectorum invasion: mixed evidence for release from cold weather pathogens.

Climate change is reducing the depth and duration of winter snowpack, leading to dramatic changes in the soil environment with potentially important ecological consequences. Previous experiments in the Intermountain West of North America indicated that loss of snowpack increases survival and population growth rates of the invasive annual grass Bromus tectorum; however, the underlying mechanism is unknown. We hypothesized that reduced snowpack might promote B. tectorum population growth by decreasing damage from snow molds, a group of subnivean fungal pathogens. To test this hypothesis, we conducted greenhouse and field experiments to investigate the interaction between early snowmelt and either fungicide addition or snow mold infection of B. tectorum. The greenhouse experiment confirmed that the snow mold Microdochium nivale can cause mortality of B. tectorum seedlings. In the field experiment, early snowmelt and fungicide application both increased B. tectorum survival, but their effects did not interact, and snow mold inoculation had no effect on survival. We did find interactive effects of snowmelt and fungal treatments on B. tectorum seed production: with ambient snowpack, M. nivale inoculation reduced seed production and fungicide increased it, whereas in the early snowmelt treatment seed production was high regardless of fungal treatment. However, treatment effects on seed production did not translate directly to overall population growth, which did not respond to the snow melt by fungal treatment interaction. Based on our mixed results, the hypothesis that reduced snowpack may increase B. tectorum fitness by limiting the effects of plant pathogens deserves further investigation.

Evolution of phenotypic integration in Brassica (Brassicaceae).

Phenotypic integration is a necessary characteristic of living organisms that results from genetic, developmental, and functional relationships among traits. The nature of these relationships can be influenced by the environment. We examined patterns of phenotypic integration of six species of rapid cycling Brassica and of Raphanus sativus within a phylogenetic context. Specifically, we tested the hypothesis that hybrid species show intermediate levels of integration in morphological and life-history characters compared to their putative parentals. We used matrix correlation tests to examine if cytogenetic relationships or ecological similarities among species partially explained the patterns of phenotypic integration. There was a significant negative relationship between the ecological and cytogenetic matrices, suggesting that more closely related species were ecologically dissimilar. However, neither ecological nor cytogenetic matrices significantly explained differences among species in the pattern of their phenotypic correlations. Set correlation analysis indicated that important traits within the modules and the strength of the correlations within modules differed across species. We also found that there were a greater number of significant correlations between modules than within modules. Hybrid species were more integrated (had greater number of significant trait correlations) than either of their parents, both within and between modules. However, univariate analyses of character means of the hybrid species were not significantly different from the combined mean of their putative parents for 5, 6, or 7 of the 11 phenotypic characters (for Brassica napus, B. juncea and B. carinata, respectively); for the remaining characters, the hybrids were more similar to one of the parents.