The ecological role of biodiversity in achieving successful restoration has been little explored in restoration ecology. We tested the prediction that we are more likely to create persistent, species-rich plant communities by increasing the number of species sown, and, to some degree, by varying functional group representation, in experimental prairie plantings. There were 12 treatments consisting of 1-, 2-, 3-, 4-, 8-, 12-, and 16-species mixtures of native perennials representing four functional groups (C 4 grasses, C 3 grasses, nitrogen-fixing species, and late-flowering composites) that predominate within Central Plains tallgrass prairies. In 2000, species were seeded into square plots (6 3 6 m), with five replicates per treatment, on former agricultural land. Annually, we measured total species richness and evenness, target species richness and cover, and richness and cover of resident species (i.e., those emerging from the seed bank). Both target species richness and rate of establishment of target communities were highest in the most speciesrich mixtures, but there was no additional benefit for treatments that contained more than eight species. Richness of resident species did not vary with target species richness; however, cover by resident species was lower in the higher target species treatments. Our results, indicating that establishment of species-rich prairie mimics can be enhanced by starting with larger numbers of species at the outset, have implications for grassland restoration in which community biodiversity creation and maintenance are key goals.

Background. Achalasia, a rare esophageal motility disorder that may cause malnutrition during pregnancy, can result in fetal and maternal morbidity and mortality. Many medical treatment regimens are contraindicated or not tolerated during pregnancy, and surgery is generally avoided due to potential risks to the fetus. Case Report. Severe, medically refractory achalasia in a 23-year-old pregnant woman that caused malnutrition was successfully managed by administering a botulinum toxin A injection to the lower esophageal sphincter. The injection was performed at approximately 14 weeks' gestation and the patient reported clinically significant relief from dysphagia. She gained weight and ultimately delivered a healthy baby girl at term, but her symptoms returned a few months postpartum. She underwent a second treatment of botulinum toxin A injection, but it offered only one month of relief. Roughly eight months after delivery, the patient underwent a laparoscopic extended Heller myotomy and Dor fundoplication. The patient resumed a normal diet one week postoperatively, and her baby has had no complications. Conclusion. This is only the second reported case of botulinum toxin A injection being used to treat achalasia in pregnancy. This treatment proved to be a safe temporary alternative without the risks of surgery and anesthesia during pregnancy.

The evaluation of species diversity can be performed using species richness (number of species), diversity (number and relative proportions of species) or evenness (equitability of the proportion of each species). A large number of indices related to diversity or evenness is available but their mathematical properties remain unexplained, and hence their use is somewhat unreliable. We intended to present an array of well defined methods, based on discriminant analysis, to evaluate diversity in helminth communities of ruminants. The database used concerned seven cattle farms and seven sheep farms located in temperate areas, from which at least three necropsies were undertaken in autumn. The hosts were chosen because they had experienced nearly a complete grazing period and no anthelmintic treatment was performed for a minimum of 2 months before the necropsies were undertaken, so that the helminth communities could be considered as representative of each farm at one specific moment. We used discriminant analyses to evaluate diversity, based either on proportions of species, or on proportions of species arranged in decreasing order, or on a set of six indices of diversity selected from the most commonly used. We showed that actual proportions were the most efficient in cattle but not in lambs, and that discriminant analyses based on six indices of diversity or based on actual proportions of species ranked in decreasing order yielded very similar results in both host communities. We rejected the use of one single index for evaluating diversity in all cases and proposed the following procedure: actual proportions of species provide information on interactions between species and, when there is limited or no interaction, a combination of diversity indices or single indices could be used for estimating diversity. When interactions between species have to be taken into account, the best information will be obtained either from species proportions arranged in decreasing order or a combination of biodiversity indices.

Background: One common method of pain control for total shoulder arthroplasty is long-duration delivery of local anesthetic via interscalene brachial plexus block (ISB) with a continuous catheter. Alternatively, liposomal bupivacaine has also been administered as an ISB as a means to prolong the analgesic effect. This study was completed to measure the non-inferiority of single-injection ISB with liposomal bupivacaine compared with ISB continuous catheter for total shoulder arthroplasty. Methods: We performed a retrospective chart review of patients who underwent total shoulder arthroplasty using either an ISB continuous catheter or a single injection ISB with liposomal bupivacaine for post operative analgesia. The primary goal of this study was to determine if single-injection with liposomal bupivacaine conferred non-inferior pain scores compared to the continuous catheter. Secondary outcomes evaluated oxygen saturation as a measure of hemidiaphragmatic paresis, post operative opioid requirements, and difference in cost. Results: We identified 333 patients for the study: 126 received continuous catheter and 207 received single-injection with liposomal bupivacaine. The median length of stay was 1 day. Pain scores for those treated with single-injection with liposomal bupivacaine were non-inferior to pain scores of those treated with the continuous catheter on post-op days 0, 1 and 2. Pain scores were lower for single-injection with liposomal bupivacaine patients on days 3 and 4, however they did not reach statistical significance. There was no significant difference in oxygen saturation between the two groups. Both groups had similar daily morphine milligram equivalent requirements. Liposomal bupivacaine ISB was also found to be less expensive. Conclusion: Single-injection ISB with liposomal bupivacaine provides non-inferior analgesia at a reduced cost compared with continuous catheter ISB for total shoulder arthroplasty.

Pain control after open abdominal surgery often includes multimodal analgesia with thoracic epidural or transversus abdominis plane (TAP) block. After liposomal bupivacaine was approved for TAP blocks in 2015, it became an alternative to indwelling catheters. However, the pharmacokinetics and safety of its use during the perioperative period have not been thoroughly investigated, especially in conjunction with parenteral opioids. We present a case report of an elderly patient having urgent laparoscopic converted to open abdominal surgery, who experienced postoperative respiratory depression in the recovery room after multimodal therapy with liposomal bupivacaine TAP blocks, intravenous (IV) opioids, and ketorolac.

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We present a novel adaptation of a typical science laboratory protocol, which we have termed multi-view protocols (MVPs). The purpose of MVPs is to answer and link three common questions asked by students when first learning a laboratory technique: (1) What am I supposed to do? (2) Where and how am I supposed to do it? (3) What exactly am I doing, anyway? The intent of MVPs is to facilitate parallel comprehension of both the physical “movements” of a technique and the theoretical principles behind each step of a protocol. With MVPs, we achieve this through three parallel columns that include a textual description of the protocol, photographs of the protocol being performed in the laboratory space, and an illustrative column that visually depicts the molecular details of the corresponding steps. Variations of MVPs may include having students create one or more of the parallel columns themselves. In the age of near ubiquitous high-resolution camera phones, MVPs are a practical and efficient way to simultaneously teach laboratory method and theory, adaptable to nearly any laboratory protocol.