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Human activities can increase sediment delivery to streams, changing the composition, distribution, and abundance of stream aquatic life. Few U.S. states have numeric water quality standards for streambed sediment under the Clean Water Act, so managers often need to develop local application-specific benchmarks. This study developed stream surface fine sediment <2 mm (sand and fines, SF) and macroinvertebrate fine sediment biotic index (FSBI) benchmarks and an application framework to test for sediment-induced macroinvertebrate community composition changes in 1-4 order Idaho streams. FSBI reference benchmarks were calculated as the 25 percentile FSBI value among reference sites within three ecoregion-based site classes. Two approaches were used to develop SF benchmarks. Quantile regression was used to define reach-specific SF benchmarks representing an upper bound value expected under reference conditions. In addition, logistic regression was used to predict SF values with 50% and 75% probability that FSBI is worse than reference within each stream order and site class. The strength of association between SF benchmarks and macroinvertebrate community condition was evaluated by calculating relative risk using multiple datasets and examining responses of multiple macroinvertebrate indicators to SF benchmark status. SF reference benchmarks generally had stronger associations with poor macroinvertebrate condition than SF stressor-response benchmarks. Across datasets and macroinvertebrate indicators, poor macroinvertebrate condition was 1.8-3 times more likely when SF reference benchmarks were exceeded than when achieved. We propose rating the strength of evidence for a surface fine sediment-induced macroinvertebrate community composition change at the sample event scale as 'unlikely' if both SF and FSBI reference benchmarks are achieved, having 'mixed evidence' if only one reference benchmark is achieved, and 'likely' if both reference benchmarks are not achieved. We recommend combining ratings with other relevant data in a weight-of-evidence approach to assess if sediment impairs aquatic life.
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http://dx.doi.org/10.7717/peerj.18060 | DOI Listing |
J Adv Nurs
September 2025
Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Aims: To assess self-reported practices and knowledge of nurses and prescribers (i.e., physicians and nurse practitioners) on intravenous fluid therapy, and to evaluate how this is documented through a clinical documentation review.
View Article and Find Full Text PDFAdv Sci (Weinh)
September 2025
School of Materials Science and Engineering, Tianjin Key Laboratory of Composite and Functional Materials, State Key Laboratory of Advanced Materials for Intelligent Sensing, Tianjin University, Tianjin, 300072, China.
Organic electrode materials have garnered great attention in recent years, owing to their resource sustainability, structural diversity, and superior compatibility with various ionic species. Among them, quinone-based compounds have attracted particular interest. Notably, compared with para-quinone analogs (e.
View Article and Find Full Text PDFArthritis Rheumatol
September 2025
Washington DC Veterans Affairs Medical Center; Georgetown University, Washington, DC, USA.
Objective: To evaluate the clinical characteristics, social deprivation, insurance coverage, and medication use across regional subsets of patients with psoriatic arthritis (PsA) in the US.
Methods: A cross-sectional study of PsA patients in the Rheumatology Informatics System for Effectiveness (RISE) registry between January 2020 and March2023 was conducted. Distribution of high disease activity (HDA - RAPID3>12), high comorbidity (RxRisk ≥90 percentile), high Area Deprivation Index (ADI ≥80), insurance coverage, prednisone ≥10mg daily, and all DMARD therapies across geographic regions were evaluated.
Ann Otol Rhinol Laryngol
September 2025
Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic Rochester, MN, USA.
Objective: To develop, implement, and evaluate a novel process used for residency application review that deemphasizes metrics known to create bias with the goal of interviewing and matching a more diverse resident cohort.
Methods: Between 2020 and 2023, a novel standardized rubric and application review process were developed and implemented at the authors' academic training program. The rubric deemphasized USMLE scores, honor society membership, and number of publications while utilizing an AI-driven pre-sort of applications, facilitating holistic review.
Drug Alcohol Rev
September 2025
The Prescription Drug Misuse Education and Research (PREMIER) Center, University of Houston, Houston, Texas, USA.
Introduction: Buprenorphine is effective for opioid use disorder (OUD), yet adherence remains suboptimal. This study aimed to identify adherence trajectories, explore their predictors, and assess their association with opioid overdose risk and healthcare costs.
Methods: A retrospective cohort study was conducted using the Merative MarketScan Commercial Database, which includes a nationally representative sample of individuals with private, employer-sponsored health insurance in the United States.