Prevalence and prognostic implications of myocardial injury across different waves of COVID-19.

Introduction: The prognostic ability of myocardial injury across different waves of the COVID-19 pandemic is not well established. The purpose of this study was to evaluate the prevalence and prognostic implications of myocardial injury in the first and sixth wave of COVID-19. Methods: We conducted a retrospective observational study that included patients admitted to the emergency department with COVID-19 with data on concentrations of cardiac troponin during the first and sixth wave. We compared the prevalence of myocardial injury and its predictive capacity for 30-day all-cause death in both waves. Results and discussion: A total of 346 patients were included (1st wave 199 and 6th wave 147 patients). The prevalence of myocardial injury was 21% with non-significant differences between waves. Myocardial injury was associated, in both waves, with a higher prevalence of comorbidities and with an increased risk of 30-day all-cause death [1st wave HR: 3.73 (1.84-7.55); p < 0.001 and 6th wave HR: 3.13 (1.23-7.92); p = 0.016], with non-significant differences in predictive capacity between groups after ROC curve analysis [AUC: 1st wave 0.829 (95% CI: 0.764-0.895) and 6th wave 0.794 (95% CI: 0.711-0.876)]. As limitations, this is a retrospective study with a relatively small simple size and troponin assay was performed at the discretion of the emergency physician so selection bias could be present. In conclusion, the prevalence of myocardial injury and its prognostic capacity was similar in both waves despite vaccination programs. Myocardial injury predicts short-term mortality in all COVID-19 patients, so they should be treated intensively.

Parrot Dietary Habits and Consumption of Alternate Foodstuffs.

Inappropriate diets cause many of the health problems commonly reported in parrots by psittaculturists and veterinarians. The dietary management of captive parrots would benefit from information derived from studies of dietary habits of wild parrots; however, it is unclear how complete this body of knowledge is at this time. Documentation of parrots' dietary habits appears to have grown dramatically over the past century. Reports of parrots consuming a number of foodstuffs beyond the reproductive parts of plants (alternate foodstuffs) have increased. The extent of alternate foodstuffs in parrot diets is currently unknown. We used Google search engines (ie, Scholar, Videos, Images) to determine how well psittaciform dietary habits have been studied to date and to quantify reports of alternate foodstuffs consumption among genera of Psittaciformes. We found that the dietary habits of over 43% of parrot species are poorly resolved. The dietary habits of 71.5% of parrot species classified by the International Union for Conservation of Nature as at risk of extinction are not well resolved. Parrots' consumption of alternate foodstuffs occurred at the following rates at the genus level: 91.2% foliage, 76.9% terrestrial invertebrates and fine earthen materials, 74.7% wood, 44% pure minerals, 34.1% vertebrates (9.9% dung), 29.7% sap, 19.8% roots, 17.6% charcoal, 18.7% epiphytes, 16.5% coarse earthen materials, 8.8% algae, and 6.6% aquatic invertebrates. Of these reports, 79.1% involved observations of wild parrots. Many parrot species may be more omnivorous than previously realized. Alternate foodstuffs are generally absent from current veterinary-based dietary recommendations for captive parrots. Future studies are needed to determine whether providing alternate foodstuffs to captive parrots can be used as a means to improve their diets and thus their health, welfare, and reproductive success.

Nutrition of free-living Neotropical psittacine nestlings and implications for hand-feeding formulas.

Psittacidae is one of the most endangered families of birds in the world. Knowledge of their nutrition is important for understanding their survival and productivity in the wild, as well as for their adequate husbandry under human care. Hand-rearing is a common practice for psittacines, however research on their nutrition is limited. We analysed the predicted metabolisable energy, crude protein, crude fat, minerals and the essential amino acid profiles of the crop contents from free-living nestlings of scarlet macaws (Ara macao) and red-and-green macaws (Ara chloropterus) from southeastern Peru, Cuban Amazons (Amazona leucocephala bahamensis) from the Bahamas, lilac-crowned Amazons (Amazona finschi) from northwestern Mexico and thick-billed parrots (Rhynchopsitta pachyrhyncha) from northern Mexico. The crop content of the different parrot species displayed remarkably similar nutritional profiles, considering their diversity in habitats, geographic ranges and food sources. The crude protein and crude fat concentrations in crop samples were particularly similar for the Ara and Amazona species, while the thick-billed parrot stood out for its higher crude fat and lower crude protein content. Wider variations were found among the concentrations of sodium (Na) and iron (Fe), proline and tryptophan. Compared with the requirements of 6-12 weeks leghorn chickens, all free-ranging parrot diets contained lower crude protein, calcium (Ca), potassium (P) and Na concentrations. The hand-feeding formulas contained lower crude fat, magnesium (Mg), arginine, valine and phenylalanine concentrations, as well as much higher levels of Ca and zinc (Zn), in comparison with parrot crop samples. Our data suggest that a single formulation could be used to hand-rear Ara and Amazona sp. of 3 weeks of age and older, while a different formulation would likely be more appropriated for Rhynchopsitta sp. Experimental studies should evaluate if increasing the concentration of crude fat, Mg, arginine, valine and phenylalanine enhances psittacine chick growth and health.

Managing the Health of Captive Flocks of Birds.

There are many intersecting aspects to the avicultural management of a captive flock. Extensive knowledge of the natural history of the species kept is key to fulfilling the environmental, social, nutritional, and behavioral requirements of the birds, whether in a mixed- or sole-species aviary. Species compatibility with the environment, climate, and other co-occupants plays a role as well, as does hygiene, good avicultural management, and veterinary involvement and consultation. In understanding and meeting these requirements, optimal health can be maintained through the reduction or elimination of stressors and the maintenance of normal physiologic function.

Measuring implanted patient response to tone pips.

BACKGROUND: An electrical potential not previously reported-electrical cochlear response (ECR)-observed only in implanted patients is described. Its amplitude and growth slope are a measurement of the stimulation achieved by a tone pip on the auditory nerve. The stimulation and recording system constructed for this purpose, the features of this potential obtained in a group of 43 children, and its possible clinical use are described. The ECR is obtained by averaging the EEG epochs acquired each time the cochlear implant (CI) processes a tone pip of known frequency and intensity when the patient is sleeping and using the CI in everyday mode. The ECR is sensitive to tone pip intensity level, microphone sensitivity, sound processor gain, dynamic range of electrical current, and responsiveness to electrical current of the auditory nerve portion involved with the electrode under test. It allows individual evaluation of intracochlear electrodes by choosing, one at the time, the central frequency of the electrode as the test tone pip frequency, so the ECR measurement due to a variable intensity tone pip allows to establish the suitability of the dynamic range of the electrode current. RESULTS: There is a difference in ECR measurements when patients are grouped based on their auditory behavior. The ECR slope and amplitude for the Sensitive group is 0.2 µV/dBHL and 10 µV at 50 dBHL compared with 0.04 µV/dBHL and 3 µV at 50dBHL for the Inconsistent group. The clinical cases show that adjusting the dynamic range of current based on the ECR improved the patient's auditory behavior. CONCLUSIONS: ECR can be recorded regardless of the artifact due to the electromyographic activity of the patient and the functioning of the CI. Its amplitude and growth slope versus the intensity of the stimulus differs between electrodes. The relationship between minimum ECR detection intensity level and auditory threshold suggests the possibility of estimating patient auditory thresholds this way. ECR does not depend on the subject's age, cooperation, or health status. It can be obtained at any time after implant surgery and the test procedure is the same regardless of device manufacturer.

Fatty acid profiles of crop contents of free-living psittacine nestlings and of commercial hand-feeding formulas.

Research on psittacine nutrition is limited, and nestling requirements are poorly understood. This study analysed fatty acid (FA) profiles of crop contents of free-living scarlet macaws (Ara macao, n = 18), red-and-green macaws (Ara chloropterus, n = 5), Cuban parrots (Amazona leucocephala bahamensis, n = 27), lilac-crowned Amazons (Amazona finschi, n = 33) and thick-billed parrots (Rhynchopsitta pachyrhyncha, n = 32). The same analysis was carried out on 15 commercial parrot hand-feeding formulas. The mean FA concentration of the crop samples of each species ranged from 15% to 53% DM for crop samples and ranged from 6% to 22% for hand-feeding formulas. Long-chain FA represented over 92% of all FA in the crop samples and over 81% of all FA in the commercial formulas. Parrot species shared similarities in saturation profiles of crop samples, ranging between 13%-29% saturated fatty acids (SFA), 12%-40% monounsaturated fatty acids (MUFA) and 39%-58% polyunsaturated fatty acids (PUFA). All studied psittacines, except for the red-and-green macaw, were within the range of values for hand-rearing formulas. Palmitic acid was the most common SFA in scarlet macaws, red-and-green macaws, Cuban parrot, thick-billed parrot and in all but one commercial formula. Palmitic and stearic acids dominated the SFA in the samples of the Lilac-crowned Amazon. Oleic acid was the most common MUFA in all hand-feeding formulas as well as in the crop samples, except for the lilac-crowned amazon and the thick-billed parrot where vaccenic acid dominated. Linoleic acid was by far the most common PUFA found in the crop samples as well as in the hand-feeding formulas. PUFA were largely dominated by the n6 family, both in the crop samples and the formulas. The data presented on nestling diets of free-living parrot species provide a foundation for future researchers to test whether increasing FA concentration in hand-feeding formulas improves nestling development or if species-specific formulas will be advantageous.

Measuring Primary Health Care Clinicians' Skills for Depression Management.

Introduction: Primary health care clinicians play an important role in the management of depression. Thus, it is very important to have a valid and reliable assessment of the competences needed to manage depression in primary health care, with the use of clinical simulation providing such an opportunity. Objective: The present study describes the assessment of primary health care clinicians' depression-related skills through a series of objective structured clinical examination stations. Material and Methods: Clinicians from multi-professional teams for the management of depression at two primary health care clinics in Santiago, Chile, went through seven objective structured clinical examination stations, lasting 10 to 20 min each, to assess their depression-related skills. The clinical and communicative skills measured were in accordance with clinical guidelines. Standardized patients portrayed cases usually encountered in clinical practice, while expert raters evaluated clinicians' performance with standardized checklists. Results: Psychosocial clinicians performed better than biomedical clinicians in the assessed skills. The most notable results were as follows: a high level of accomplishment in the relationship with patient, medical anamnesis, health checkup, and lab test requests; heterogeneous performance in patient management according to screening results, feedback to the patient, and registration in clinical records; and major deficiencies in the differential diagnosis of bipolar disorder. Discussion: The objective structured clinical examinations administered provided an opportunity to perform an in-depth examination of the depression-related skills of primary health care clinicians, where flaws in the screening and diagnosis procedures used by biomedical clinicians were detected. Given the significant involvement of these types of clinicians in depression management, undergraduate-level and continuing health education opportunities are needed.

A clay-based formulation of the herbicide imazaquin containing exclusively the biologically active enantiomer.

BACKGROUND: Imazaquin is a chiral herbicide which displays high mobility in soils. Like other imidazolinones, imazaquin is available for use only as racemic mixture of its enantiomers. In this work, several clay materials were assayed as adsorbents of imazaquin, and then the most suitable material was selected to prepare a clay-based slow release imazaquin nanoformulation containing exclusively the biologically active R-enantiomer. Next, laboratory experiments were conducted to illustrate the benefits of using the clay-based R-imazaquin formulation over the free (non-supported) racemic herbicide or the free pure R-imazaquin enantiomer regarding its leaching behavior and bioefficacy. RESULTS: The clay material selected as a carrier for R-imazaquin, hexadecyltrimethylammonium-saturated montmorillonite (SA-HDTMA), combined a high affinity for the herbicide and a high stability of the clay-herbicide adsorption complex. In a simulated scenario of high water input shortly after herbicide application, the clay-based R-imazaquin formulation displayed reduced leaching and increased bioefficacy compared to free racemic imazaquin and free R-imazaquin. CONCLUSION: The new clay-R-imazaquin formulation prepared, besides avoiding the environmental impact caused by the application of the less active S-enantiomer, reduced the herbicide leaching losses and prolonged the herbicidal activity, by increasing the residence time of the herbicide in the topsoil. © 2018 Society of Chemical Industry.

[Extracorporeal cytokine hemadsorption for the treatment of refractory septic shock. Report of two cases]. / Adsorción extracorpórea de citoquinas en el tratamiento del shock séptico refractario. Casos clínicos.

If Septic shock (SS) evolves to refractory SS, mortality could reach 90%, despite giving an optimal treatment. Nowadays, extracorporeal devices which adsorb inflammatory cytokines are available, reducing the systemic inflammatory response syndrome. These devices can be used with continuous renal replacement therapy or conventional hemodialysis. We report two diabetic females aged 50 and 58 years, who underwent a total colectomy and amputation of diabetic foot and who developed a SS with high requirements of vasoactive drugs (norepinephrine and adrenaline) to maintain a mean arterial pressure about 60 mmHg. Both were subjected to hemodialysis, connected to a cytokine hemadsorption device. The most important finding was the progressive reduction of vasopressor doses, effect that was observed nine hours after the beginning of the hemadsorption and lasted until its removal at 26 hours. Both patients survived.

Uso del topiramato en pacientes con síndrome de dolor lumbar crónico con síntomas ansiosos y depresivos secundarios a sensibilización central con y sin compromiso neuropático resistente a tratamiento convencional / Use of topiramato in patients with chronic lumbar pain syndrome with ansiosius symptoms and secondary depression to central sensitization with and without neuro-pathic commitment resistant to conventional treatment

INTRODUCCIÓN: El dolor lumbar crónico genera alta disfuncionalidad, su tratamiento es complejo y en algunos casos se presenta refractariedad a tratamientos convencionales. El síndrome de sensibilización central por dolor lumbar involucra presencia de síntomas ansiosos, depresivos, trastorno del sueño, fatiga, alteraciones del apetito y disfuncionalidad en actividades de la vida diaria. El manejo del dolor lumbar crónico con síndrome de sensibilización central es dificultoso, requiere de intervenciones multidimensionales y esquemas farmacológicos atípicos. OBJETIVO: Se describe el uso de topiramato como fármaco coadyuvante en el manejo de pacientes con dolor lumbar crónico resistente a tratamiento standard en 25 pacientes. MATERIALES Y MÉTODO: Seguimiento a 12 semanas y evaluación de funcionalidad, sintomatología ansiosa-depresiva, control del dolor y fatiga a través de múltiples escalas. Resultados: La dosis mediana fue de 300mg. El 72 por ciento (18 pacientes) presenta mejoría estadística en síntomas angustiosos, depresivos, sueño, EVA de dolor y fatiga y funcionalidad. Solo el 16 por ciento (4 pac) presentan reacciones adversas que obligan a suspensión del fármaco. El 12 por ciento (3 pacientes) no presentaron respuesta terapéutica. DISCUSIÓN: El topiramato podría ser una opción coadyuvante para el manejo del síndrome de dolor lumbar crónico con síndrome de sensibilización central.

INTRODUCTION: The chronic low back pain causes severe dysfunction, treatment is complex and in some cases it can be refractory to usual treatment. Central Sensitivity syndrome secondary to chronic low back pain is characterized by anxious, depressive, sleep disorders, fatigue, eating disorders and damage in daily activities life. Management of this syndrome must be integrative and multidimensional. OBJECTIVES: Describe the use of topiramate in 25 patients with chronic low back pain for pain relief in refractory patients to standard treatment, during 12 weeks. MATERIALS AND METHODS: Following during 12 weeks, multiples Assessments about anxiety, depression, functionality, sleep quality, VAS pain and fatigue. Results: Median doses 300mg. 72 percent got pain relief, and decrease in anxious depressive symptoms, improve sleep quality, daily function. 16 percent didn't get pain relief and suffered adverse effects forcing suspension of the drug. 12 percent didn't get pain relief without adverse effects. DISCUSSION: Topiramate might be a treatment option for pain relief in these patients.

Adsorción extracorpórea de citoquinas en el tratamiento del shock séptico refractario: casos clínicos / Extracorporeal cytokine hemadsorption for the treatment of refractory septic shock: report of two cases

If Septic shock (SS) evolves to refractory SS, mortality could reach 90%, despite giving an optimal treatment. Nowadays, extracorporeal devices which adsorb inflammatory cytokines are available, reducing the systemic inflammatory response syndrome. These devices can be used with continuous renal replacement therapy or conventional hemodialysis. We report two diabetic females aged 50 and 58 years, who underwent a total colectomy and amputation of diabetic foot and who developed a SS with high requirements of vasoactive drugs (norepinephrine and adrenaline) to maintain a mean arterial pressure about 60 mmHg. Both were subjected to hemodialysis, connected to a cytokine hemadsorption device. The most important finding was the progressive reduction of vasopressor doses, effect that was observed nine hours after the beginning of the hemadsorption and lasted until its removal at 26 hours. Both patients survived.

Chile: Acceptability of a Training Program for Depression Management in Primary Care.

BACKGROUND: In Chile, there are inconsistencies in the management of depression in primary care settings, and the National Depression Program, currently in effect, was implemented without a standardized training program. The objective of this study is to evaluate the acceptability of a training program on the management of depression for primary care health teams. METHODS: The study was a randomized controlled trial, and two primary centers from the Metropolitan Region of Santiago were randomly selected to carry out the intervention training program. Pre-post surveys were applied, to evaluate expectations and satisfaction with the intervention, respectively. Descriptive and content analysis was carried out. RESULT: The sample consisted of 41 health professionals, 56.1% of who reported that their expectations for the intervention were met. All of the training activities were evaluated with scores higher than 6.4 (on a 1-7 scale). The trainers, the methodology, and the learning environment were considered strengths and facilitators of the program, while the limited duration of the training, the logistical problems faced during part of the program, and the lack of educational material were viewed as weaknesses. CONCLUSION: The intervention was well accepted by primary health care teams. However, the clinical impact in patients still has to be evaluated.

Evaluation of an organo-layered double hydroxide and two organic residues as amendments to immobilize metalaxyl enantiomers in soils: A comparative study.

Many pollutants released into the environment as a result of human activities are chiral. Pollution control strategies generally consider chiral compounds as if they were achiral and rarely consider enantiomers separately. We compared the performance of three different materials, an organically-modified anionic clay (HT-ELA) and two organic agro-food residues (ALP and ALPc), as amendments to immobilize the chiral fungicide metalaxyl in two soils with different textures, addressing the effects of the amendments on the sorption, persistence, and leaching of each of the two enantiomers of metalaxyl (R-metalaxyl and S-metalaxyl) separately. The effects of the amendments were both soil- and amendment-dependent, as well as enantiomer-selective. The organo-clay (HT-ELA) was much more efficient in increasing the sorption capacity of the soils for the two enantiomers of metalaxyl than the agro-food residues (ALP and ALPc), even when applied at a reduced application rate. The enhanced sorption in HT-ELA-amended soils reduced the bioavailability of metalaxyl enantiomers and their leaching in the soils, mitigating the particularly high leaching potential of the more persistent S enantiomer. The immobilizing capacity of the agro-food residues was more variable, mainly because their addition did not greatly ameliorate the sorption capacity of the soils and had variable effects on the enantiomers degradation rates. HT-ELA showed potential to reduce the bioavailability and mobility of metalaxyl enantiomers in soil and to mitigate the contamination problems particularly associated with the higher leaching potential of the more persistent enantiomer.

Enfoque psicoterapéutico integrativo multidimensional e intervenciones mente-cuerpo en el manejo del dolor crónico: un paso más allá de la terapia cognitivo-conductual / Multidimensional integrative psychoteraphy and mind-body interventions in cronic pain manegement: forwarding to cognitive-behavioral theraphy

El dolor crónico es un síndrome presente en muchas enfermedades crónicas, se acompaña de fenómenos desensibilización central y frecuentemente de síntomas de angustia, depresión, alteraciones del sueño, fatiga, fallasen la concentración y atención, y en disminución de las actividades de la vida diaria. El tratamiento del dolor crónicodebiese ser multimodal, en donde la psicoterapia tiene un papel importante. La terapia cognitivo-conductual ha demostrado ser eficaz en el manejo del dolor, pero su efecto es limitado y no considera el trabajo en el foco corporal ni relacional sistémico familiar. El enfoque psicoterapéutico integrativo-multidimensional aborda elementos cognitivos, conductuales, relacionales, dinámicos y sistémicos en un contexto individual, familiar y social, permitiendo una visión holística del problema del paciente. Las intervenciones mente-cuerpo trabajan en el cambio de la vivencia corporal en el aquí y ahora, y entregan herramientas de autogestiónpara que el paciente desarrolle. Al unir ambos enfoques integrativo multidimensional e intervenciones mente-cuerpo, el tratamiento y manejo del dolor se hace más eficaz. El objetivo del presente trabajo es proponer, desde un punto de vista cualitativo, un modelo de enfoque psicoterapéutico integrativo multidimensional e intervención mente-cuerpo en el manejo de los pacientes con dolor crónico.

Chronic pain syndrome is present in many chronic diseases, in which the pain is accompanied by central sensitization phenomena and often symptoms of anxiety, depression, sleep disturbances, fatigue, lapses in concentration and attention and reduced activity daily life. The treatment of chronic pain ought to be multimodal, where psychotherapy has an important role. Cognitive-behavioral therapy has proven effective in pain management, but its effect is limited and does not consider the work at home body or systemic relational focus. The multidimensional-integrative psychotherapy approach addresses cognitive, behavioral, relational, dynamic and systemic elements in an individual, family and social context, allowing a holistic view of the patient’s problem. The mind-body interventions work in change of body experience in the here and now provides tools for self-management for the patient develops. By joining both multidimensional integrative and interventions body-mind pain management it becomes more effective. The aim of this study is to propose a qualitatively multidimensional model of integrative psychotherapy approach and intervention mind and body in the chronic pain management.

Characterization and selection of biochar for an efficient retention of tricyclazole in a flooded alluvial paddy soil.

Biochars, from different organic residues, are increasingly proposed as soil amendments for their agronomic and environmental benefits. A systematic detection method that correlates biochar properties to their abilities to adsorb organic compounds is still lacking. Seven biochars obtained after pyrolysis at different temperatures and from different feedstock (alperujo compost, rice hull, and woody debris), were characterized and tested to reveal potential remedial forms for pesticide capture in flooded soils. Biochar properties were determined by nuclear magnetic resonance (NMR) spectroscopy, Fourier transform infrared spectroscopy, specific surface area (SSA) assessment and scanning electron microscopy. In addition, dissolved organic matter (DOM) from these biochars was extracted and quantified in order to evaluate the effect on pesticide sorption. The biochars from alperujo compost presented very high affinity to the fungicide tricyclazole (55.9, 83.5, and 90.3% for B1, B4, and B5, respectively). This affinity was positively correlated with the pyrolysis temperature, the pH, the increased SSA of the biochars, and the enhanced aromaticity. Sorptive capacities were negatively related to DOM contents. The amendment with a mixture of compost and biochar endows the alluvial soil with high sorptive properties (from K(fads(soil)) = 9.26 to K(fads(mixture)) = 17.89) without impeding the slow release of tricyclazole.

Effect of formulation and repeated applications on the enantioselectivity of metalaxyl dissipation and leaching in soil.

BACKGROUND: Soil incubation and column leaching experiments were conducted to address the question of whether the type of formulation (unsupported versus clay supported) and repeated applications of the chiral fungicide (RS)-metalaxyl affected the enantioselectivity of its dissipation and leaching in a slightly alkaline, loamy sand agricultural soil. RESULTS: Regardless of the type of formulation and the number of fungicide applications, the R-enantiomer of metalaxyl was degraded faster than the S-enantiomer, but the individual degradation rates of R- and S-metalaxyl were highly affected by the different application regimes assayed (t1/2 = 2-104 days). Repeated applications accelerated the degradation of the biologically active R-metalaxyl enantiomer, whereas they led to slower degradation of the non-active S-metalaxyl enantiomer. The type of formulation had less influence on the dissipation rates of the enantiomers. For all formulations tested, soil column leachates became increasingly enriched in S-enantiomer as the number of fungicide applications was increased, and application of metalaxyl to soil columns as clay-based formulations reduced the leaching of both enantiomers. CONCLUSION: Pesticide application conditions can greatly influence the enantioselective dissipation of chiral pesticides in soil, and hence are expected to exert a great impact on both the biological efficacy and the environmental chiral signatures of pesticides applied as mixtures of enantiomers or racemates to agricultural soils.

Hematologic and plasma biochemical reference values of the horned guan, Oreophasis derbianus.

The horned guan (Oreophasis derbianus) is an endangered species with small and seriously fragmented wild populations. Breeding efforts during the last decade have maintained a slowly increasing captive population with the potential to play an important role in the recovery of the species. Clinical hematology and biochemistries are powerful tools to diagnose and monitor diseases in captive birds. Therefore, establishing hematologic and plasma biochemistry reference values will improve the medical management of this species. This study determines the reference values for 9 hematologic and 15 plasma biochemical variables for 27 male and 12 female, apparently healthy, captive horned guans from three institutions. Differences related to age, sex, and husbandry were identified but were usually small and clinically insignificant. These results should improve veterinary care of captive individuals of this species and provide comparative data for other species of cracids.

Is participation contagious? Evidence from a household vector control campaign in urban Peru.

OBJECTIVES: High rates of household participation are critical to the success of door-to-door vector control campaigns. We used the Health Belief Model to assess determinants of participation, including neighbour participation as a cue to action, in a Chagas disease vector control campaign in Peru. METHODS: We evaluated clustering of participation among neighbours; estimated participation as a function of household infestation status, neighbourhood type and number of participating neighbours; and described the reported reasons for refusal to participate in a district of 2911 households. RESULTS: We observed significant clustering of participation along city blocks (p<0.0001). Participation was significantly higher for households in new versus established neighbourhoods, for infested households, and for households with more participating neighbours. The effect of neighbour participation was greater in new neighbourhoods. CONCLUSIONS: Results support a 'contagion' model of participation, highlighting the possibility that one or two participating households can tip a block towards full participation. Future campaigns can leverage these findings by making participation more visible, by addressing stigma associated with spraying, and by employing group incentives to spray.

Effect of olive-mill waste addition to agricultural soil on the enantioselective behavior of the chiral fungicide metalaxyl.

Certain soil management practices can affect the enantioselective behavior of chiral pesticide enantiomers in agricultural soils. In this work, laboratory experiments were conducted to study the effects of olive-mill waste (OMW) addition to a Mediterranean agricultural soil on the enantioselectivity of sorption, degradation, and leaching processes of the chiral fungicide metalaxyl. Sorption-desorption isotherms indicated that the sorption of metalaxyl enantiomers by unamended and OMW-amended soil (2% w/w) was non-enantioselective and that OMW addition had little effect on the extent of sorption of metalaxyl enantiomers by the soil. Soil incubation experiments revealed that the degradation of metalaxyl in unamended soil was highly enantioselective, with R-metalaxyl being degraded faster (t1/2 = 12 days) than S-metalaxyl (t1/2 = 39 days). OMW addition to the soil increased the half-life of the biologically-active R-metalaxyl enantiomer from 12 to 28 days, and decreased the half-life of the non-active S-metalaxyl enantiomer from 39 to 33 days. Consequently, the enantioselectivity of metalaxyl degradation in the soil was greatly reduced upon OMW addition. Column leaching data were consistent with batch sorption and incubation results, showing similar retardation of S- and R-metalaxyl in unamended and OMW-amended soil and enantioselective leaching of the fungicide only in unamended soil. The results have important implications regarding the biological efficacy and environmental impact of the fungicide when applied as a mixture of enantiomers or racemate to OMW-treated soils.

Quantification of LLAEP interhemispheric symmetry by the intraclass correlation coefficient as a measure of cortical reorganization after cochlear implantation.

OBJECTIVE: Electrical stimulation by a cochlear implant (CI) induces maturation of the auditory system and reorganization of the auditory cortex in deaf children. Cortical reorganization produces an interhemispheric asymmetry in auditory evoked brain potentials associated with sound stimulation after unilateral implantation. To objectively determine the onset of this phenomenon and follow this process over time, the interhemispheric symmetry needs to be quantified. In this paper, the intraclass correlation coefficient (ICC) between mean global field powers (MGFPs) of each hemisphere is proposed to quantify long latency auditory evoked potential (LLAEP) interhemispheric symmetries as a measure of auditory cortex reorganization in CI recipients. DESIGN: An LLAEP, in response to a simple tone, was recorded in 5 juvenile unilateral CI recipients at less and at more than two years post-implantation and the ICC between MGFPs was calculated for both recordings. The cross correlation coefficients (CC) between MGFPs of each hemisphere were also calculated and compared with the ICC. RESULTS: The experience-related visually observed increases in amplitude and shape asymmetries of the LLAEP topographic map (around the LLAEP P(1) peak), were reflected in a considerable reduction of ICC values (on average 41.4%), at more than two years post-implantation surgery. In contrast, CC values only showed much smaller decreases (on average 20.0%), at more than two years post-implantation. CONCLUSIONS: The ICC is a better descriptor of symmetry than the CC because it reflects both shape and amplitude similarity between left and right LLAEP MGFPs instead of only shape similarity. The decrease in ICC values at more than two years post-implantation is likely associated with a lateralization of the auditory response as a result of cortical reorganization. Our results show that the ICC between the MGFPs for each hemisphere can be useful to objectively determine the auditory cortex reorganization process and also to evaluate the performance of cochlear implant users without the necessity to use expensive technologies such as high density EEG recordings and/or fMRI scans.