Genome sequence and annotation of Arthrobacter globiformis phage Ruchi (AS1) isolated from soil in Lumpkin County, Georgia.

Ruchi, a temperate, AS1 subcluster bacteriophage isolated in Lumpkin County, Georgia using host Arthrobacter globiformis, possesses a genome of 38,571 bp and 67.7% GC. Annotation of this virus revealed 64 predicted reading frames, no predicted tRNA genes, and a close evolutionary relationship to AS1 phage Basilisk.

Genome sequence and annotation of Arthrobacter globiformis phage Vulpecula (AS1) isolated from soil in Dahlonega, Georgia.

Vulpecula, a temperate bacteriophage collected from soil in Dahlonega, Georgia using host Arthrobacter globiformis, is an AS1 subcluster virus of 37,766 bp (67.7% GC). Genome annotation suggests 64 open reading frames, no predicted tRNA genes, and ~98% sequence similarity to AS1 phages Ruchi (from GA) and Jamun (New Hampshire).

Lessons Learned from OpenNotes Learning Mode and Subsequent Implementation across a Pediatric Health System.

BACKGROUND: The 21st Century Cures Act has accelerated adoption of OpenNotes, providing new opportunities for patient and family engagement in their care. However, these regulations present new challenges, particularly for pediatric health systems aiming to improve information sharing while minimizing risks associated with adolescent confidentiality and safety. OBJECTIVE: Describe lessons learned preparing for OpenNotes across a pediatric health system during a 4-month trial period (referred to as "Learning Mode") in which clinical notes were not shared by default but decision support was present describing the upcoming change and physicians could request feedback on complex cases from a multidisciplinary team. METHODS: During Learning Mode (December 3, 2020-March 9, 2021), implementation included (1) educational text at the top of commonly used note types indicating that notes would soon be shared and providing guidance, (2) a new confidential note type, and (3) a mechanism for physicians to elicit feedback from a multidisciplinary OpenNotes working group for complex cases with questions related to OpenNotes. The working group reviewed lessons learned from this period, as well as implementation of OpenNotes from March 10, 2021 to June 30, 2021. RESULTS: During Learning Mode, 779 confidential notes were written across the system. The working group provided feedback on 14 complex cases and also reviewed 7 randomly selected confidential notes. The proportion of physician notes shared with patients increased from 1.3% to 88.4% after default sharing of notes to the patient portal. Key lessons learned included (1) sensitive information was often present in autopopulated elements, differential diagnoses, and supervising physician note attestations; and (2) incorrect reasons were often selected by clinicians for withholding notes but this accuracy improved with new designs. CONCLUSION: While OpenNotes provides an unprecedented opportunity to engage pediatric patients and their families, targeted education and electronic health record designs are needed to mitigate potential harms of inappropriate disclosures.

Molecular phylogeny of the livebearing Goodeidae (Cyprinodontiformes).

The Goodeinae is a speciose group of viviparous freshwater fishes endemic to the Mesa Central of Mexico. The current taxonomy of the group is based on morphology associated with viviparity and several of the groupings are questionable. We sequenced part of the mitochondrial cytochrome c oxidase subunit I (COI) gene (627bp) and control region (approximately 430bp aligned) of representatives of 36 species (all genera) of goodeid fishes in order to establish phylogenetic relationships among the taxa. Findings support the monophyly of the Goodeidae, the sister-group relationship of the Empetrichthyinae and Goodeinae, and the relationship of Profundulus to the Goodeidae. All goodeine genera but Xenotoca were recovered as monophyletic. Many of the higher-level relationships within the group contradict the findings of previous studies based upon morphology. The rate of molecular change in COI (0.9% per Myr), calibrated with the fossil record and geological data, suggests an approximate age for the Goodeidae of 16.5Myr. The majority of divergence within the Goodeinae appears to have occurred during the Miocene, with subsequent cladogenesis in the Pliocene and Pleistocene. Most recent speciation appears allopatric. River piracy, particularly involving the Rio Ameca basin, has played a significant role in the diversification of the Goodeinae.