Long-term, medium-term and acute stress response of urban populations of Eurasian red squirrels affected by different levels of human disturbance.

Animals in urban areas often encounter novel and potentially stressful conditions. It is important to understand how wildlife cope with anthropogenic disturbance. To investigate this specific adaptation we live-trapped squirrels in two study sites in Warsaw: a forest reserve and an urban park and we estimated stress responses at three levels: long-term and medium-term stress (the level of stress hormones, i.e. cortisol and cortisone concentrations, in hair and feces) and acute reaction to human-induced stress (measured during handling with the aid of the three indices: breath rate, struggle rate, and vocalization). According to GLMM models no difference in the stress hormones level was found between the two populations. The only differences in cortisol concentrations clearly depended on the season, i.e. being higher in autumn and winter comparying to other seasons. There was no influence of sex, or reproductive status on stress hormones. Forest squirrels had significantly higher breath rates, suggesting they were more stressed by handling. There was no difference in the struggle rate between study areas, this index was mostly affected by season (i.e. being highest in winter). First-trapped squirrels vocalized less than during the subsequent trappings. Assumingly, during the first, and more stressful trapping, squirrels used 'freezing' and/or little vocalization, while during next captures they used alarm calls to warn conspecifics. Overall, we showed that the two squirrel populations differed only in terms of their breath rate. This suggests that they did not differ in medium-term and long-term stress in general, but they can differ in acute response to handling. This also suggests that both populations were similarly affected by environmental factors. The lack of clear effects may also be due to population heterogeneity. Thus, in order to assess the effects of anthropogenic stressors a broader range of indicators and diverse analytical methods, including behavioral analyses, should be employed.

Body Condition and Breeding of Urban Red Squirrels: Comparison of Two Populations Affected by Different Levels of Urbanization.

The red squirrel is among the mammals that have adjusted well to urban habitats. Here, we focused on the two populations inhabiting Warsaw: in a park (with year-round supplemental feeding) and in an urban forest. We hypothesised that park squirrels would have higher body mass (and better body condition), being more stable over the year, and would have a higher breeding rate (i.e., the share of breeding females). Contrary to our hypothesis, forest squirrels were heavier and had better body condition than park squirrels. The body masses of squirrels from both areas were quite stable (with the highest values obtained in spring). Females in better body conditions were more likely to breed. More breeding females and sub-adults were trapped in the park. Regardless of the study site, the highest share of breeding females was in spring, but they also bred in winter and in the remaining seasons. The lower body mass/condition of park squirrels may be possibly explained by high intraspecific competition, or by stable food (and thermal as typical for the city) conditions, in which accumulating fat was not crucial. Mild winter conditions may have also enabled squirrels to breed early. This study showed the high plasticity of red squirrels living in human-transformed habitats.

Characteristics and Outcomes of Patients Consulted by a Multidisciplinary Pulmonary Embolism Response Team: 5-Year Experience.

(1) Background: Pulmonary embolism (PE) is the third most frequent acute cardiovascular condition worldwide. PE response teams (PERTs) have been created to facilitate treatment implementation in PE patients. Here, we report on the 5-year experience of PERT operating in Warsaw, Poland, with regard to the characteristics and outcomes of the consulted patients. (2) Methods: Patients diagnosed with PE between September 2017 and December 2021 were included in the study. Clinical and treatment data were obtained from medical records. Patient outcomes were assessed in-hospital, at a 1- and 12-month follow-up. (3) Results: There were 235 PERT activations. The risk of early mortality was low in 51 patients (21.8%), intermediate-low in 83 (35.3%), intermediate-high in 80 (34.0%) and high in 21 (8.9%) patients. Anticoagulation alone was the most frequently administered treatment in all patient subgroups (altogether 84.7%). Systemic thrombolysis (47.6%) and interventional therapy (52%) were the prevailing treatment options in high-risk patients. The in-hospital mortality was 6.4%. The adverse events during 1-year follow-up included five deaths, two recurrent VTE and two minor bleeding events. (4) Conclusions: Our initial 5-year experience showed that the activity of the local PERT facilitated patient-tailored decision making and the access to advanced therapies, with subsequent low overall mortality and treatment complication rates, confirming the benefits of PERT implementation.

Colonization of Warsaw by the red fox Vulpes vulpes in the years 1976-2019.

The red fox is one of the most adaptable carnivores inhabiting cities. The aim of our study was to describe the process of Warsaw colonization by the red fox. We focused on: (1) the fox distribution in Warsaw on the basis of presence-absence data (2005-2012) over a grid of 1 × 1 km2, (2) the process of settlement in 29 green areas (study periods 1976-1978, 2004-2012, and 2016-2019) in relation to habitat type, and (3) temporal and spatial patterns of the red fox incidents (1998-2015) reported by Warsaw citizens. We found out that: (1) the red fox penetrated the whole city (i.e. its presence was confirmed in all squares of the grid), (2) 21% of the green areas were colonized in 1976-1978 but 93% in 2016-2019. Forests and riparian habitats were occupied more frequently than parks and cemeteries in 1976-1978 with no difference in the further years; (3) the probability of the fox incidents increased over years, was higher in June-October, on working days, and around noon, and with the share of discontinuous urban fabric in the buffers around incident locations. Nevertheless, the incidents only partially reflect population abundance trends and activity patterns of the species, so should be treated cautiously.

Symmetric Dimethylarginine is Altered in Patients After Myocardial Infarction and Predicts Adverse Outcomes.

PURPOSE: Acute myocardial infarction (AMI) is the leading cause of morbidity and mortality worldwide. Damage to the endothelium is the earliest event in atherothrombosis, including AMI. Nitric oxide (NO), an endothelium-derived compound, protects the vasculature from damage. This study evaluated whether an association exists between plasma concentration of endogenous NO-related pathway metabolites linked to AMI and major adverse cardiovascular events (MACE) after AMI. METHODS: We compared plasma concentrations of NO-related pathway metabolites in patients after AMI (n=60) and healthy controls (n=27) and investigated the prognostic value of these metabolites for post-AMI MACE development over a median of 3.5-years. In search of biomarkers, we compared plasma concentrations of dimethylarginines (ADMA, SDMA), citrulline, arginine and ornithine using ultra performance liquid chromatograph coupled with a mass spectrometer. RESULTS: Patients after AMI had higher concentrations of dimethylarginines, compared to controls (p=0.0068, p<0.0001, respectively). Conversely, the concentration of citrulline was lower in the AMI group (p=0.0006). The concentration of SDMA was higher in patients who developed MACE than in those who did not (p=0.015). SDMA was the only independent predictor of MACE in multivariate analysis (p=0.023). There was an intermediate, negative correlation between plasma SDMA level and platelet reactivity (r=-0.33, p=0.02). CONCLUSION: Plasma concentration of dimethylarginines differs between patients with AMI and healthy volunteers. The study's novel finding is that SDMA is an independent predictor of MACE during a 3.5 year follow-up period after AMI.