CONCLUSION: Employers want industry-tailored information during a public health emergency; providing that remains a challenge.

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CONCLUSIONS: LFA-REAL showed comparable performance relative to SLEDAI and BILAG in detecting clinician-rated change. There was a statistically significant advantage over SLEDAI for detection of improvement. These findings support its utility as a metric for disease activity in clinical practice and research.

Understanding the spatial spread of viruses within wildlife populations is often a key component of disease management efforts. Viral spread is likely constrained by host ecology, but inter-virus differences in infection strategy might allow some viruses to overcome these constraints, leading to divergent population structures within a common host environment. We studied the phylogeographic structure of six virus taxa (dependoparvovirus, deltavirus, mastadenovirus, betaherpesvirus and two...

Smoke inhalation from closed-space fire can result in hydrogen cyanide (HCN) exposure, an underrecognized contributor to morbidity and mortality in burn and smoke inhalation victims. Hydroxocobalamin, a vitamin B12 precursor, is recommended by the American Heart Association for suspected HCN poisoning; however, evidence regarding its real-world use, particularly in the prehospital setting, remains fragmented. This scoping review aims to identify the existing literature on hydroxocobalamin...