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The remaining 41% QFT-positive cases were LTBI. Of the QFT-GIT negative cases, 22% had active TB. Co-morbid conditions were present in 37% of QFT-GIT positive and 60% of QFT-GIT negative cases. Conclusions Our study shows that IGRA is being used as an adjunct test for active TB in this population. It highlights the complexity of interpreting QFT-GIT results particularly for QFT-GIT negative cases when ruling out MTB infection. © The Author(s). 2020.Intoxication syndromes may be travel acquired, and are related to intentional or accidental inhalational or percutaneous exposures or ingestions. Due to their myriad clinical presentations, initial differential diagnosis of such intoxications in returned travelers is broad, and typically requires detailed history and laboratory investigations to disentangle. We herein use a case-based clinical problem solving approach to illumination of a mercury intoxication syndrome, which presented in a 48-year-old VFR traveler to Guyana. Common clinical presentations, differential diagnoses, laboratory investigations, and therapeutic interventions are discussed. © The Author(s). 2020.Background To evaluate if it is safe and effective to transfer poor quality embryos. Methods It was a retrospective analysis using individual patient data with positive controls. All patients undergoing embryo transfers of poor quality embryos on day 3 or on day 5 as part of fresh In Vitro Fertilization (IVF) cycles performed between 2012 and 2016. This study assessed a total of 738 poor quality embryos from 488 IVF programs. Selleck Iclepertin 261 embryo transfers were performed on day 3 (402 embryos were transferred) and 227 on day 5 (336 embryos were transferred). Control group consisted of 9893 fair and good quality embryos from 5994 IVF programs. Outcome rates were compared with two-tailed Fisher exact test using fisher.test function in R software. 95% confidence intervals for proportions were calculated using the Clopper-Pearson method with binom.test function in R. The groups of patients with poor vs. good and fair quality embryos were compared by age, body mass index(BMI), number of oocytes, female and male main diagnosregnancies and live births in both groups were not observed (72% vs 78.2 and 55.8% vs 62.0% respectively). Conclusion Transfer of poor quality embryos at either day 3 or day 5 have a low potential for implantation, though those embryos which successfully implanted have the same potential for live birth as the embryos of fair and good quality. This study supports that it is safe to transfer poor quality embryos when they are the only option for fresh embryo transfer (ET). © The Author(s) 2020.Animal movement comes in a variety of 'types' including small foraging movements, larger one-way dispersive movements, seasonally-predictable round-trip migratory movements, and erratic nomadic movements. Although most individuals move at some point throughout their lives, movement patterns can vary widely across individuals within the same species differing within an individual over time (intra-individual), among individuals in the same population (inter-individual), or among populations (inter-population). Yet, studies of movement (theoretical and empirical alike) more often focus on understanding 'typical' movement patterns than understanding variation in movement. Here, I synthesize current knowledge of movement variation (drawing parallels across species and movement types), describing the causes (what factors contribute to individual variation), patterns (what movement variation looks like), consequences (why variation matters), maintenance (why variation persists), implications (for management and conservation), and finally gaps (what pieces we are currently missing). By synthesizing across scales of variation, I span across work on plasticity, personality, and geographic variation. Individual movement can be driven by factors that act at the individual, population, community and ecosystem level and have ramifications at each of these levels. Generally the consequences of movement are less well understood than the causes, in part because the effects of movement variation are often nested, with variation manifesting at the population level, which in turn affects communities and ecosystems. Understanding both cause and consequence is particularly important for predicting when variation begets variation in a positive feedback loop, versus when a negative feedback causes variation to be dampened successively. Finally, maintaining standing variation in movement may be important for facilitating species' ability to respond to future environmental change. © The Author(s). 2020.Increasingly, cold-water pollution (CWP) is being recognised as a significant threat to aquatic communities downstream of large, bottom-release dams. Cold water releases typically occur during summer when storage dams release unseasonably cold and anoxic hypolimnetic waters, which can decrease the temperature of downstream waters by up to 16°C. Depending on the release duration, these hypothermic conditions can persist for many months. The capacity of ectothermic species to tolerate or rapidly adjust to acute temperature changes may determine the nature and magnitude of the impact of CWP on affected species. This study assessed the impacts of an acute reduction in water temperature on the physiological function and locomotor performance of juvenile silver perch (Bidyanus bidyanus) and examined their capacity to thermally compensate for the depressive effects of low temperatures via phenotypic plasticity. Locomotor performance (Ucrit and Usprint) and energetic costs (routine and maximum metabolic rate) were meby Oxford University Press and the Society for Experimental Biology.Lay Summary Competition often occurs among diverse parasites within a single host, but control efforts could change its strength. We examined how the interplay between competition and control could shape the evolution of parasite traits like drug resistance and disease severity. © The Author(s) 2020. Published by Oxford University Press on behalf of the Foundation for Evolution, Medicine, and Public Health.