Warmer epilimnetic water temperatures and reduced dissolved oxygen levels in deeper water are common stressors for fishes in freshwater reservoirs throughout the summer. We investigated the effects of a temperature-oxygen squeeze-a phenomenon that squeezes fish into a narrow, livable zone-on striped bass from 1995 to 2020 in Lake Texoma. This reservoir is located on the border of Texas and Oklahoma, possesses one of the largest self-sustaining populations of inland freshwater striped bass in the...

Heart failure (HF) and pneumonia are leading causes of mortality in the United States, yet limited research has examined deaths attributable to their co-occurrence. Understanding demographic and geographic disparities in these mortality trends is critical for guiding public health interventions. Using data from the CDC Wide-ranging Online Data for Epidemiologic Research database, this study analyzed mortality from 1999 to 2020 among individuals aged 25 years and older. Age-adjusted mortality...

Although effective teamwork and communication are critical to surgical safety, structured training for non-technical skills (NTS) remains limited compared with technical simulation. The ACS/APDS Phase III Team-Based Skills Curriculum calls for scalable tools that both teach and objectively assess these competencies during laparoscopic emergencies. We introduce the Virtual Operating Room Team Experience (VORTeX), a multi-user virtual reality(VR) platform that integrates immersive team simulation...

Laryngeal gout is an exceedingly rare manifestation of advanced, poorly controlled gout. It is characterized by the deposition of gouty tophi within various laryngeal structures. Similar to peripheral joints, monosodium urate crystals develop due to high concentrations of serum uric acid. When localized to the laryngeal region, tophi can induce a range of symptoms and complications, including hoarseness, dysphagia, respiratory distress, and infection. Alternatively, it may present as an...

Fertility barriers can have profound impacts on individual psychosocial outcomes, but less is known about long-term impacts on couple relationships. Logistic regression analyses examining perceived relationship stability and relationship dissolution following infertility or pregnancy loss were conducted using a nationally representative sample of 3,407 U.S. women ages 25-45 who were in a heterosexual married or cohabiting union. Results indicate experiencing infertility in addition to pregnancy...