Understanding large‐scale migratory behaviours, local movement patterns and population connectivity are critical to determining the natural processes and anthropogenic stressors that influence population dynamics and for developing effective conservation plans. Atlantic tarpon occur over a broad geographic range in the Atlantic Ocean where they support valuable subsistence, commercial and recreational fisheries. From 2001 through 2018, we deployed 292 satellite telemetry tags on Atlantic tarpon in coastal waters off three continents to document: (a) seasonal migrations and regional population connectivity; (b) freshwater and estuarine habitat utilization; (c) spawning locations; and (d) shark predation across the south‐eastern United States, Gulf of Mexico and northern Caribbean Sea. These results showed that some mature tarpon make long seasonal migrations over thousands of kilometres crossing state and national jurisdictional borders. Others showed more local movements and habitat use. The tag data also revealed potential spawning locations consistent with those inferred in other studies from observations of early life stage tarpon leptocephalus larvae. Our analyses indicated that shark predation mortality on released tarpon is higher than previously estimated, especially at ocean passes, river mouths and inlets to bays. To date, there has been no formal stock assessment of Atlantic tarpon, and regional fishery management plans do not exist. Our findings will provide critical input to these important efforts and assist the multinational community in the development of a stock‐wide management information system to support informed decision‐making for sustaining Atlantic tarpon fisheries.

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IMPORTANCE Alterations in the IKZF1 gene drive B-cell acute lymphoblastic leukemia (B-ALL) but are not routinely used to stratify patients by risk because of inconsistent associations with outcomes. We describe a novel deletion in 22q11.22 that was consistently associated with very poor outcomes in patients with B-ALL with IKZF1 alterations. OBJECTIVE To determine whether focal deletions within the λ variable chain region in chromosome 22q11.22 were associated with patients with B-ALL with IKZF1 alterations with the highest risk of relapse and/or death. DESIGN, SETTING, AND PARTICIPANTSThis cohort study included 1310 primarily high-risk pediatric patients with B-ALL who were taken from 6 independent clinical cohorts, consisting of 3 multicenter cohorts (AALL0232 [2004(AALL0232 [ -2011, P9906 [2000][2001][2002][2003], and patients with Down syndrome who were pooled from national and international studies) and 3 single-institution cohorts (

SPs demonstrated lower removal rates and greater patient satisfaction than EVCs. These data should be considered when choosing a central line for pediatric cancer patients.

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Approximately 25% of B-cell acute lymphoblastic leukemia (B-ALL) cases are defined by hyperdiploidy, with RAS mutations occurring in 30% of hyperdiploid B-ALL patients.It is believed that hyperdiploidy is an in utero event with RAS mutations occurring postnatally, but clinical evidence of this is based on relatively few patients. We present a case of monozygotic, monochorionic twins who developed concordant hyperdiploid B-ALL with identical chromosomal gains but different RAS mutations, adding further evidence that hyperdiploidy is occurring prenatally, with RAS mutations developing postnatally. Environmental exposures were reviewed with the family without identification of a clear association.