Flexible prey handling, preference and a novel capture technique in invasive, sub-adult Chinese mitten crabs

This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The attached file is the published version of the article

Discordant identification of pediatric severe sepsis by research and clinical definitions in the SPROUT international point prevalence study

Introduction: Consensus criteria for pediatric severe sepsis have standardized enrollment for research studies. However, the extent to which critically ill children identified by consensus criteria reflect physician diagnosis of severe sepsis, which underlies external validity for pediatric sepsis research, is not known. We sought to determine the agreement between physician diagnosis and consensus criteria to identify pediatric patients with severe sepsis across a network of international pediatric intensive care units (PICUs). Methods: We conducted a point prevalence study involving 128 PICUs in 26 countries across 6 continents. Over the course of 5 study days, 6925 PICU patients <18 years of age were screened, and 706 with severe sepsis defined either by physician diagnosis or on the basis of 2005 International Pediatric Sepsis Consensus Conference consensus criteria were enrolled. The primary endpoint was agreement of pediatric severe sepsis between physician diagnosis and consensus criteria as measured using Cohen's ?. Secondary endpoints included characteristics and clinical outcomes for patients identified using physician diagnosis versus consensus criteria. Results: Of the 706 patients, 301 (42.6 %) met both definitions. The inter-rater agreement (? ± SE) between physician diagnosis and consensus criteria was 0.57 ± 0.02. Of the 438 patients with a physician's diagnosis of severe sepsis, only 69 % (301 of 438) would have been eligible to participate in a clinical trial of pediatric severe sepsis that enrolled patients based on consensus criteria. Patients with physician-diagnosed severe sepsis who did not meet consensus criteria were younger and had lower severity of illness and lower PICU mortality than those meeting consensus criteria or both definitions. After controlling for age, severity of illness, number of comorbid conditions, and treatment in developed versus resource-limited regions, patients identified with severe sepsis by physician diagnosis alone or by consensus criteria alone did not have PICU mortality significantly different from that of patients identified by both physician diagnosis and consensus criteria. Conclusions: Physician diagnosis of pediatric severe sepsis achieved only moderate agreement with consensus criteria, with physicians diagnosing severe sepsis more broadly. Consequently, the results of a research study based on consensus criteria may have limited generalizability to nearly one-third of PICU patients diagnosed with severe sepsis

Prevalence and seasonality of Hematodinium (Alveolata: Syndinea) in a Scottish crustacean community

Protist parasites of the genus Hematodinium were detected in seven crustacean species (Cancer pagurus, Carcinus maenas, Liocarcinus depurator, Munida rugosa, Necora puber, Pagurus bernhardus, and Pagurus prideaux) from the Clyde Sea in Scotland. Seasonal screen-ing of different tissues with sensitive molecular probes showed average infection of 3–23%, with prevalence reaching almost 60 % in hermit crabs (P. bernhardus) and brachyuran hosts in spring and.30 % in C. pagurus and N. puber in autumn. During summer, Hematodinium infections were rare. Hematodinium seemed to be present in all host sizes sampled. The infection was equally distrib-uted between males and females in most host species, except C. maenas, where males seemed to be more susceptible to infection. PCR amplification of the Hematodinium ribosomal RNA gene in crustacean tissue detected the parasite most frequently in muscle, gills, and heart throughout the 2-year sampling period