Could blackbird mortality from avicide DRC-1339 contribute to avian botulism outbreaks in North Dakota?

Blackbird (family Icteridae) depredation on sunflower (Helianthus annuus) crops in the prairie states of the United States has motivated the proposed use of an avicide, DRC-1339 (3-chloro-4-methylaniline), to decrease their numbers. The resulting mortality of blackbirds at wetland roosts could increase the potential of avian botulism occurring in affected marshes. To assess this possibility, we seeded (artificially placed) blackbird carcasses in selected wetlands in Stutsman County, North Dakota, during August–September 2000 and July–September 2001 to evaluate their rate of decomposition and role in initiating avian botulism outbreaks. We monitored carcasses to determine their persistence, the frequency and amount of maggots produced, and the presence of type C. botulinum toxin. In 10 of our 12 study wetlands, blackbird carcasses were not rapidly removed by scavengers, thus providing substrate for maggot growth and potential production of Clostridium botulinum toxin. Decomposition of carcasses occurred rapidly, and maggot production averaged 4–5 g per carcass within 9 days. We were unable to detect C. botulinum type C toxin in any of the 377 blackbird carcasses or the 112 samples of maggots we collected in 2000 or 2001. None of the 25 blackbird carcasses we tested contained botulinum spores, the most probable explanation for the absence of botulinum toxin production. Our results indicate that the likelihood of DRC-1339-poisoned blackbirds causing botulism outbreaks would be minimal in North Dakota wetlands during late summer and early autumn

Trends in the Frequency, Patient Characteristics, Management, and in-Hospital Outcomes of Diabetic Patients Presenting with Acute Myocardial Infarction

Background: Diabetic patients have more complications and higher hospital mortality rates after an acute myocardial infarction (AMI) than patients without diabetes (DM). Increased morbidity and mortality among diabetic patients suffering an AMI is especially concerning given the increasing prevalence of obesity and diabetes in the U.S. and worldwide. The objectives of this study were to describe recent trends in the frequency, patient characteristics, treatment practices, and in-hospital outcomes associated with STEMI and NSTEMI in diabetic compared with non-diabetic patients hospitalized with AMI. Methods: We reviewed the medical records of 6,903 persons, known to be either diabetic (n =2,329) or non-diabetic (n=4,574 ) who were hospitalized for STEMI or NSTEMI between 1997 and 2009 at all 11 greater Worcester medical centers. Results: Diabetic patients presenting with both STEMI and NSTEMI were more likely to be older, female, and obese, and to have a higher prevalence of comorbidities compared with non-diabetics. Diabetic patients were more likely to develop important in-hospital complications including heart failure (39% vs.27%),and atrial fibrillation (18% vs.16%), and had a longer hospital stay (6.3 days vs.5.4 days) compared to non-diabetics. Diabetic patients were significantly more likely to be treated with an angiotensin converting enzyme inhibitor or angiotensin receptor blocker and a diuretic. The proportion of patients undergoing cardiac catheterization during their index hospitalization for AMI approximately doubled during the period under study, while the proportion treated with PCI increased by 3 to 4-fold. The proportion of diabetic and non-diabetic patients undergoing cardiac catheterization was similar, though diabetics were less likely to be treated with PCI and more likely to receive CABG than non-diabetics. In-hospital mortality was significantly higher among diabetics than non-diabetics for both STEMI (13% vs. 10%) and NSTEMI (11% vs. 9%) Conclusions: During the period 1997 to 2009, the use of effective therapies for all patients presenting with AMI has improved, with a concomitant decrease in in-hospital complications and mortality . Nonetheless, diabetic patients experienced , more complications, and worse in-hospital outcomes compared to non-diabetics

Canonical General Relativity on a Null Surface with Coordinate and Gauge Fixing

We use the canonical formalism developed together with David Robinson to st= udy the Einstein equations on a null surface. Coordinate and gauge conditions = are introduced to fix the triad and the coordinates on the null surface. Toget= her with the previously found constraints, these form a sufficient number of second class constraints so that the phase space is reduced to one pair of canonically conjugate variables: \Ac_2\and\Sc^2. The formalism is related to both the Bondi-Sachs and the Newman-Penrose methods of studying the gravitational field at null infinity. Asymptotic solutions in the vicinity of null infinity which exclude logarithmic behavior require the connection to fall off like $1/r^3$ after the Minkowski limit. This, of course, gives the previous results of Bondi-Sachs and Newman-Penrose. Introducing terms which fall off more slowly leads to logarithmic behavior which leaves null infinity intact, allows for meaningful gravitational radiation, but the peeling theorem does not extend to $\Psi_1$ in the terminology of Newman-Penrose. The conclusions are in agreement with those of Chrusciel, MacCallum, and Singleton. This work was begun as a preliminary study of a reduced phase space for quantization of general relativity.Comment: magnification set; pagination improved; 20 pages, plain te

Trends in the medical management of patients with heart failure

BACKGROUND: Despite the availability of effective therapies, heart failure (HF) remains a highly prevalent disease and the leading cause of hospitalizations in the U.S. Few data are available, however, describing changing trends in the use of various cardiac medications to treat patients with HF and factors associated with treatment. The objectives of this population-based study were to examine decade-long trends (1995 - 2004) in the use of several cardiac medications in patients hospitalized with acute decompensated heart failure (ADHF) and factors associated with evidence-based treatment. METHODS: We reviewed the medical records of 9,748 residents of the Worcester, MA, metropolitan area who were hospitalized with ADHF at all 11 central Massachusetts medical centers in 1995, 2000, 2002, and 2004. RESULTS: Between 1995 and 2004, respectively, the prescription upon hospital discharge of beta-blockers (23%; 67%), angiotensin pathway inhibitors (47%; 55%), statins (5%; 43%), and aspirin (35%; 51%) increased markedly, while the use of digoxin (51%; 29%), nitrates (46%; 24%), and calcium channel blockers (33%; 22%) declined significantly; nearly all patients received diuretics. Patients in the earliest study year, those with a history of obstructive pulmonary disease or anemia, incident HF, non-specific symptoms, and women were less likely to receive beta blockers and angiotensin pathway inhibitors than respective comparison groups. In 2004, 82% of patients were discharged on at least one of these recommended agents; however, only 41% were discharged on medications from both recommended classes. CONCLUSIONS: Our data suggest that opportunities exist to further improve the use of HF therapeutics

Structural Allele-Specific Patterns Adopted by Epitopes in the MHC-I Cleft and Reconstruction of MHC:peptide Complexes to Cross-Reactivity Assessment

The immune system is engaged in a constant antigenic surveillance through the Major Histocompatibility Complex (MHC) class I antigen presentation pathway. This is an efficient mechanism for detection of intracellular infections, especially viral ones. In this work we describe conformational patterns shared by epitopes presented by a given MHC allele and use these features to develop a docking approach that simulates the peptide loading into the MHC cleft. Our strategy, to construct in silico MHC:peptide complexes, was successfully tested by reproducing four different crystal structures of MHC-I molecules available at the Protein Data Bank (PDB). An in silico study of cross-reactivity potential was also performed between the wild-type complex HLA-A2-NS31073 and nine MHC:peptide complexes presenting alanine exchange peptides. This indicates that structural similarities among the complexes can give us important clues about cross reactivity. The approach used in this work allows the selection of epitopes with potential to induce cross-reactive immune responses, providing useful tools for studies in autoimmunity and to the development of more comprehensive vaccines

A high-resolution record of early Paleozoic climate

The spatial coverage and temporal resolution of the Early Paleozoic paleoclimate record are limited, primarily due to the paucity of well-preserved skeletal material commonly used for oxygen-isotope paleothermometry. Bulk-rock δ¹⁸O datasets can provide broader coverage and higher resolution, but are prone to burial alteration. We assess the diagenetic character of two thick Cambro–Ordovician carbonate platforms with minimal to moderate burial by pairing clumped and bulk isotope analyses of micritic carbonates. Despite resetting of the clumped-isotope thermometer at both sites, our samples indicate relatively little change to their bulk δ¹⁸O due to low fluid exchange. Consequently, both sequences preserve temporal trends in δ¹⁸O. Motivated by this result, we compile a global suite of bulk rock δ¹⁸O data, stacking overlapping regional records to minimize diagenetic influences on overall trends. We find good agreement of bulk rock δ¹⁸O with brachiopod and conodont δ¹⁸O trends through time. Given evidence that the δ¹⁸O value of seawater has not evolved substantially through the Phanerozoic, we interpret this record as primarily reflecting changes in tropical, nearshore seawater temperatures and only moderately modified by diagenesis. Focusing on the samples with the most enriched, and thus likely least-altered, δ¹⁸O values, we reconstruct Late Cambrian warming, Early Ordovician extreme warmth, and cooling around the Early–Middle Ordovician boundary. Our record is consistent with models linking the Great Ordovician Biodiversification Event to cooling of previously very warm tropical oceans. In addition, our high-temporal-resolution record suggests previously unresolved transient warming and climate instability potentially associated with Late Ordovician tectonic events

Spacetime Covariant Form of Ashtekar's Constraints

The Lagrangian formulation of classical field theories and in particular general relativity leads to a coordinate-free, fully covariant analysis of these constrained systems. This paper applies multisymplectic techniques to obtain the analysis of Palatini and self-dual gravity theories as constrained systems, which have been studied so far in the Hamiltonian formalism. The constraint equations are derived while paying attention to boundary terms, and the Hamiltonian constraint turns out to be linear in the multimomenta. The equivalence with Ashtekar's formalism is also established. The whole constraint analysis, however, remains covariant in that the multimomentum map is evaluated on {\it any} spacelike hypersurface. This study is motivated by the non-perturbative quantization program of general relativity.Comment: 22 pages, plain Tex, no figures, accepted for publication in Nuovo Cimento