QuickBird high spatial resolution imagery to detect red attack damage due to mountain pine beetle infestation. Remote Sensing of

Although COVID-19 mRNA vaccines demonstrated high efficacy in clinical trials (1), they were not 100% efficacious. Thus, some infections postvaccination are expected. Limited data are available on effectiveness in skilled nursing facilities (SNFs) and against emerging variants. The Kentucky Department for Public Health (KDPH) and a local health department investigated a COVID-19 outbreak in a SNF that occurred after all residents and health care personnel (HCP) had been offered vaccination. Among 83 residents and 116 HCP, 75 (90.4%) and 61 (52.6%), respectively, received 2 vaccine doses. Twenty-six residents and 20 HCP received positive test results for SARS-CoV-2, the virus that causes COVID-19, including 18 residents and four HCP who had received their second vaccine dose >14 days before the outbreak began. An R.1 lineage variant was detected with whole genome sequencing (WGS). Although the R.1 variant has multiple spike protein mutations, vaccinated residents and HCP were 87% less likely to have symptomatic COVID-19 compared with those who were unvaccinated. Vaccination of SNF populations, including HCP, is critical to reduce the risk for SARS-CoV-2 introduction, transmission, and severe outcomes in SNFs. An ongoing focus on infection prevention and control practices is also essential.

ACTRN12615000607572.

The Mayo Clinic Palliative Care Homebound Program reduced annual Medicare expenditures by $18,251 per program participant compared with matched control patients. This supports the role of home-based palliative medicine in delivering high-value care to high-risk older adults.

This article evaluates representation of transgender people and experiences in Library of Congress Subject Headings (LCSH). It compares LCSH treatment of transgender topics to that of controlled vocabularies developed to describe lesbian, gay, bisexual, transgender (LGBT) collections, as well as their treatment by scholarly LGBT encyclopedias. The appraisal of these knowledge domains demonstrates the continued relevance of subject descriptors as a mode of knowledge production both for information professionals and for those we serve. It also suggests strategies available to librarians to render transgender people more visible and accessible in library catalogs, including incorporating new technologies as well as modifying established cataloging instruments.The "hidden histories" ascribed to transgender people take on an added significance in library and information science, where the origins of current professional standards and practices are customarily veiled to information seekers and often obscure to professionals as well. This article evaluates representation of transgender people and experiences in Library of Congress Subject Headings (LCSH). It compares LCSH treatment of transgender topics to that of controlled vocabularies developed to describe lesbian, gay, bisexual, transgender (LGBT) collections, as well as their treatment by scholarly LGBT encyclopedias. Through these alternative sources, I attempt to show the evolution of "transgender" and an array of related concepts over time-an evolution necessarily masked by LCSH. The appraisal of these knowledge