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Summary 1.A primary function of adult winged insects is dispersal. Limiting larval dietary intake (partial starvation) has been shown to affect the flight muscle metabolism of adult moths reared on artificial diet, but a more ecologically relevant question is whether natural variation in host plant quality can lead to differences in the flight capacity of adult insects. 2. Recent studies have shown that inbreeding compromises plant antiherbivore defences. We created inbred and outbred progeny from locally collected horsenettle (Solanum carolinense L.) and examined how host plant inbreeding affects the growth, development, and flight muscle physiology of tobacco hornworm (Manduca sexta L.), a specialist herbivore on Solanaceae. We tested the hypothesis that within population genetic variation in host plant quality, resulting from inbreeding, can create significant changes to the larval development and flight physiology of an adult insect. 3. We found that Manduca larvae reared on inbred horsenettle plants grew faster and developed into larger pupae compared to larvae reared on outbred plants. Adult flight metabolic rate was greater in adults reared on inbred plants compared to outbred plants, and this elevation was independent of body mass when we excluded one plant family that produced small, low metabolic rate moths regardless of breeding regime. Differences in mass-specific flight metabolism were associated with changes in alternative splicing of troponin t, a flight muscle protein that regulates muscle contraction. 4. These results show that host plant inbreeding can create effects that cascade through larval and pupal development to affect dispersal-related traits of the adult stage. Hence, plant inbreeding may also impact herbivore population dynamics, particularly their ability to spread away from, and possibly into, isolated patches of inbred plants creating increased herbivore pressure on these plant populations. More generally, our findings reveal that changes in population biology at one trophic level can affect the metabolic physiology and flight capacity of an animal at a higher trophic level.

A significant proportion of patients experience chronic post-surgical pain (CPSP) following inguinal hernia surgery. Psychological models are useful in predicting acute pain after surgery, and in predicting the transition from acute to chronic pain in non-surgical contexts. This is a prospective cohort study to investigate psychological (cognitive and emotional) risk factors for CPSP after inguinal hernia surgery. Participants were asked to complete questionnaires before surgery and 1 week and 4 months after surgery. Data collected before surgery and 1 week after surgery were used to predict pain at 4 months. Psychological risk factors assessed included anxiety, depression, fear-avoidance, activity avoidance, catastrophizing, worry about the operation, activity expectations, perceived pain control and optimism. The study included 135 participants; follow-up questionnaires were returned by 119 (88.1%) and 115 (85.2%) participants at 1 week and 4 months after surgery respectively. The incidence of CPSP (pain at 4 months) was 39.5%. After controlling for age, body mass index and surgical variables (e.g. anaesthetic, type of surgery and mesh type used), lower pre-operative optimism was an independent risk factor for CPSP at 4 months; lower pre-operative optimism and lower perceived control over pain at 1 week after surgery predicted higher pain intensity at 4 months. No emotional variables were independently predictive of CPSP. Further research should target these cognitive variables in pre-operative psychological preparation for surgery.

Numerous location-based diet studies have been published describing different aspects of invasive lionfish (Pterois volitans and Pterois miles) feeding ecology, but there has been no synthesis of their diet composition and feeding patterns across regional gradients. 8125 lionfish stomachs collected from 10 locations were analyzed to provide a generalized description of their feeding ecology at a regional scale and to compare their diet among locations. Our regional data indicate lionfish in the western Atlantic are opportunistic generalist carnivores that consume at least 167 vertebrate and invertebrate prey species across multiple trophic guilds, and carnivorous fish and shrimp prey that are not managed fishery species and not considered at risk of extinction by the International Union for Conservation of Nature disproportionately dominate their diet. Correlations between lionfish size and their diet composition indicate lionfish in the western Atlantic

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East Flower Garden Bank (EFGB) and West Flower Garden Bank (WFGB), part of Flower Garden Banks National Marine Sanctuary (FGBNMS) in the northwestern Gulf of Mexico, support tropical coral reefs that exhibit over 50% living coral cover. These reefs have been monitored annually since 1989, and in 2016 were exposed to higher than normal seawater temperatures leading to a severe bleaching event. Corals at EFGB and WFGB showed no signs of bleaching until September 2016, occurring later in the year compared to other reefs in the Caribbean region. Coral bleaching and subsequent recovery at each bank were documented through a time series of repetitive photographs within previously established long-term monitoring stations. Preceding the event, mean live coral cover within monitoring stations was collectively 64 ± 2%. Prior to signs of bleaching from July to September 2016, seawater temperatures on the reef were above 30°C for a total of 36 d at EFGB and 21 d at WFGB. By October 2016, 67 ± 5% of the coral cover within EFGB monitoring stations and 25 ± 3% within WFGB monitoring stations exhibited signs of bleaching or paling stress, with dissimilarities in the amount of bleaching most likely due to significant differences in thermal profiles between banks. Significantly increasing long-term trends for daily mean seawater temperature indicate that temperatures on the banks have become warmer over time, and calculated bleaching threshold curves suggest that more than 50 d above 29.5°C would initiate a bleaching year at EFGB and WFGB. Even though recovery within monitoring stations at both banks was documented with no significant declines in mean coral cover from 2016 to 2017 (64% and 62%, respectively), it is likely FGBNMS will be subject to additional and more frequent bleaching events in the future as ocean temperatures continue to rise.

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Study design: A prospective case series of patients undergoing lumbar spine surgery.Objective: Is there a correlation between patients' expectations before lumbar surgery, postoperative outcomes, and satisfaction levels?Methods: A prospective study of 145 patients undergoing primary, single-level surgery for degenerative lumbar conditions was conducted. Oswestry Disability Index, back Visual Analog Scale (VAS), and leg VAS were assessed preoperatively and at 6 weeks and 6 months after surgery. Patients' expectations were measured preoperatively by asking them to score the level of pain and disability that would be least acceptable for them to undergo surgery and be satisfied. Satisfaction was assessed 6 weeks postoperatively with a Likert scale. Differences in patient expectations between actual and expected improvements were quantified.Results: Most patients had a clinically relevant improvement, but only about half achieved their expectations. Satisfaction did not correlate with preoperative pain or disability, or with patient expectation of improvement. Instead, satisfaction correlated with positive outcomes.Conclusions: Patient expectations have little bearing on final outcome and satisfaction.Final class of evidence-treatmentStudy design RCT Cohort Case control Case series•Methods Concealed allocation (RCT) Intention to treat (RCT) Blinded/independent evaluation of primary outcome F/U ≥ 85%• Adequate sample size• Control for confoundingOverall class of evidenceIVThe definiton of the different classes of evidence is available on page 67.