Retrieval of Additional Epinephrine from Adrenaclick-Style Epinephrine Autoinjectors.

Anaphylaxis is a life-threatening allergic reaction involving multiple organ systems that can result in significant morbidity and mortality if left untreated. Epinephrine is the mainstay of treatment. Most episodes of anaphylaxis resolve after a single dose of epinephrine, but biphasic and protracted courses of anaphylaxis are well described. The need for additional doses of epinephrine poses a significant challenge in the wilderness setting, because patients and providers may only carry a single autoinjector. Prior work has demonstrated successful disassembly of various brands of epinephrine autoinjectors to retrieve additional drug product for repeat dosing. We describe 2 techniques to retrieve additional doses of epinephrine from Adrenaclick-style epinephrine autoinjectors. The techniques described are off-label and are not approved by the manufacturer or the Food and Drug Administration. Wilderness providers should familiarize themselves with techniques for retrieval of additional epinephrine from various autoinjectors in light of significant differences in product design.

Avian community characteristics and demographics reveal how conservation value of regenerating tropical dry forest changes with forest age.

Expansion of secondary forests following the abandonment of agriculture may have important implications for bird conservation, but few studies have examined the dynamics of this process. We studied bird use of a chronosequence of differently-aged abandoned pastures regenerating to dry forest to better understand how the value of these habitats to birds changes over time. In a five year study on Hispaniola, we recorded 7,315 net captures of 60 species of landbirds in sites that began the study at two, five, 10, and 20 years post-abandonment, and in mature native dry forest. Twenty-five species made up 97% of all net captures. Highest capture rates were in the two youngest sites. These early-successional habitats had many over-wintering Neotropical migrants; among residents, granivores and frugivores predominated. In contrast, both the twenty-year-old and mature forest sites had few migrants, more resident insectivores and omnivorous species, and a greater proportion of endemics. Age and sex ratios, body condition and site persistence suggest early successional sites were sub-optimal for most over-wintering migrants, but habitat improved with age for three migratory species; results for permanent residents varied among species. Remnant trees and understory shrubs in the agroecological matrix likely contributed to avian diversity in regenerating dry forest sites, and proximity to mature forest also likely affected the diversity and abundance of birds in regenerating habitat. Our study shows that regenerating forests do not fully compensate for loss of mature dry forest habitat, even after 24 years of regeneration; natural restoration of complex microhabitats in dry forest sites converted to agriculture may take decades or longer. The highest value of regenerating forests may be as habitat for some over-wintering Neotropical migrants, and in creating a buffer zone that enhances biodiversity conservation by re-integrating these lands into the protected tracts of mature forest needed by the islands more unique and endemic bird species.

Stream acidification and reduced aquatic prey availability are associated with dietary shifts in an obligate riparian Neotropical migratory songbird.

Streams and their surrounding riparian habitats are linked by reciprocal exchanges of insect prey essential to both aquatic and terrestrial consumers. Aquatic insects comprise a large proportion of total prey in riparian habitats and are opportunistically exploited by terrestrial insectivores; however, several species of songbirds are known to preferentially target aquatic prey via specialized foraging strategies. For these songbirds, reduced availability of aquatic insects via stream acidification may result in compensatory changes in provisioning during the nesting period, thereby influencing both adult and nestling diet composition. In this study, we used DNA metabarcoding to test the hypothesis that an obligate riparian Neotropical migratory songbird, the Louisiana Waterthrush (Parkesia motacilla), expands its diet to compensate for the loss of preferred aquatic prey taxa (primarily pollution-sensitive Ephemeroptera, Plecoptera, and Trichoptera) as a result of stream acidification. Our results revealed that both adult and nestling waterthrush exhibited an increase in dietary richness and niche breadth resulting from the consumption of terrestrial prey taxa in acidified riparian habitats. In contrast, compensatory dietary shifts were not observed in syntopic Neotropical migrant species known to primarily provision terrestrial prey taxa. In addition to providing support for our hypothesis that waterthrush compensate for stream acidification and aquatic prey limitations by expanding their diet, our findings highlight the vulnerability of Louisiana Waterthrush to anthropogenic disturbances that compromise stream quality or reduce the availability of pollution-sensitive aquatic insects.

DNA metabarcoding of nestling feces reveals provisioning of aquatic prey and resource partitioning among Neotropical migratory songbirds in a riparian habitat.

Riparian habitats are characterized by substantial flows of emergent aquatic insects that cross the stream-forest interface and provide an important source of prey for insectivorous birds. The increased availability of prey arising from aquatic subsidies attracts high densities of Neotropical migratory songbirds that are thought to exploit emergent aquatic insects as a nestling food resource; however, the prey preferences and diets of birds in these communities are only broadly understood. In this study, we utilized DNA metabarcoding to investigate the extent to which three syntopic species of migratory songbirds-Acadian Flycatcher, Louisiana Waterthrush, and Wood Thrush-breeding in Appalachian riparian habitats (Pennsylvania, USA) exploit and partition aquatic prey subsidies as a nestling food resource. Despite substantial differences in adult foraging strategies, nearly every nestling in this study consumed aquatic taxa, suggesting that aquatic subsidies are an important prey resource for Neotropical migrants nesting in riparian habitats. While our results revealed significant interspecific dietary niche divergence, the diets of Acadian Flycatcher and Wood Thrush nestlings were strikingly similar and exhibited significantly more overlap than expected. These results suggest that the dietary niches of Neotropical migrants with divergent foraging strategies may converge due to the opportunistic provisioning of non-limiting prey resources in riparian habitats. In addition to providing the first application of DNA metabarcoding to investigate diet in a community of Neotropical migrants, this study emphasizes the importance of aquatic subsidies in supporting breeding songbirds and improves our understanding of how anthropogenic disturbances to riparian habitats may negatively impact long-term avian conservation.

Long-term monitoring reveals an avian species credit in secondary forest patches of Costa Rica.

Degraded and secondary forests comprise approximately 50% of remaining tropical forest. Bird community characteristics and population trends in secondary forests are infrequently studied, but secondary forest may serve as a "safety net" for tropical biodiversity. Less understood is the occurrence of time-delayed, community-level dynamics such as an extinction debt of specialist species or a species credit resulting from the recolonization of forest patches by extirpated species. We sought to elucidate patterns and magnitudes of temporal change in avian communities in secondary forest patches in Southern Costa Rica biannually over a 10 year period during the late breeding season and mid-winter. We classified birds caught in mist nets or recorded in point counts by residency status, and further grouped them based on preferred habitat, sensitivity to disturbance, conservation priority, foraging guild, and foraging strata. Using hierarchical, mixed-effects models we tested for trends among species that share traits. We found that permanent-resident species increased over time relative to migrants. In both seasons, primary forest species generally increased while species typical of secondary forest, scrub, or edge declined. Species relatively sensitive to habitat disturbance increased significantly over time, whereas birds less sensitive to disturbance decreased. Similarly, generalists with higher habitat breadth scores declined. Because, we found very few changes in vegetation characteristics in secondary forest patches, shifts in the avian community toward primary forest species represent a species credit and are likely related to vegetation changes in the broader landscape. We suggest that natural regeneration and maturation of secondary forests should be recognized as a positive conservation development of potential benefit even to species typical of primary forest.

Effects of deer on the photosynthetic performance of invasive and native forest herbs.

Overabundant generalist herbivores can facilitate non-native plant invasions, presumably through direct and indirect modifications to the environment that affect plant performance. However, ecophysiological mechanisms behind ungulate-mediated plant invasions have not been well-studied. At a long-term Odocoileus virginianus (white-tailed deer) exclusion site in a temperate deciduous forest, we quantified deer-mediated ecophysiological impacts on an invasive biennial Alliaria petiolata (garlic mustard) and two palatable native herbaceous perennials, Maianthemum racemosum and Trillium grandiflorum. In mid-summer, we found that leaf-level light availability was higher in unfenced areas compared with areas fenced to exclude deer. Alliaria in unfenced areas exhibited 50 % higher mean maximum photosynthetic rates compared with fenced areas. Further, specific leaf area decreased by 48 % on average in unfenced areas, suggesting leaf structural responses to higher light levels. Similarly, Maianthemum had 42 % higher mean photosynthetic rates and 33 % decreased mean specific leaf area in unfenced areas, but these functional advantages were likely countered by high rates of deer herbivory. By contrast, Trillium exhibited significantly lower (26 %) maximum photosynthetic rates in unfenced areas, but SLA did not differ. Deer-mediated differences in light saturated photosynthetic rates for all three species were only significant during months with overstory tree canopy cover, when light availability in the herb layer was significantly lower in fenced areas. Alliaria's enhanced photosynthetic rates implicate overabundant deer, a situation that is nearly ubiquitous across its invaded range. Collectively, our results provide empirical evidence that generalist herbivores can alter non-native plant physiology to facilitate invasion.

Mutualism-disrupting allelopathic invader drives carbon stress and vital rate decline in a forest perennial herb.

Invasive plants can negatively affect belowground processes and alter soil microbial communities. For native plants that depend on soil resources from root fungal symbionts (RFS), invasion could compromise their resource status and subsequent ability to manufacture and store carbohydrates. Herbaceous perennials that depend on RFS-derived resources dominate eastern North American forest understories. Therefore, we predict that forest invasion by Alliaria petiolata, an allelopathic species that produces chemicals that are toxic to RFS, will diminish plant carbon storage and fitness. Over a single growing season, the loss of RFS could reduce a plant's photosynthetic physiology and carbon storage. If maintained over multiple growing seasons, this could create a condition of carbon stress and declines in plant vital rates. Here we characterize the signals of carbon stress over a short timeframe and explore the long-term consequence of Alliaria invasion using Maianthemum racemosum, an RFS-dependent forest understory perennial. First, in a greenhouse experiment, we treated the soil of potted Maianthemum with fresh leaf tissue from either Alliaria or Hesperis matronalis (control) for a single growing season. Alliaria-treated plants exhibit significant overall reductions in total non-structural carbohydrates and have 17 % less storage carbohydrates relative to controls. Second, we monitored Maianthemum vital rates in paired experimental plots where we either removed emerging Alliaria seedlings each spring or left Alliaria at ambient levels for 7 years. Where Alliaria is removed, Maianthemum size and vital rates improve significantly: flowering probability increases, while the probability of plants regressing to non-flowering stages or entering prolonged dormancy are reduced. Together, our results are consistent with the hypothesis that disruption of a ubiquitous mutualism following species invasion creates symptoms of carbon stress for species dependent on RFS. Disruption of plant-fungal mutualisms may generally contribute to the common, large-scale declines in forest biodiversity observed in the wake of allelopathic invaders.

Defining the interaction of the Treponema pallidum adhesin Tp0751 with laminin.

Various invasive pathogens attach to host tissues via the extracellular matrix component laminin, the major glycoprotein found within basement membranes. Previous investigations identified the laminin-binding adhesin Tp0751 within the spirochete bacterium Treponema pallidum. In the current study, Tp0751 was shown to attach to a variety of laminin isoforms that are widely distributed throughout the host, including laminins 1, 2, 4, 8, and 10. Such universal attachment is conducive for an adhesin present within a highly invasive pathogen that encounters a variety of tissue sites during the course of infection. Additional studies systematically identified the amino acid residues within Tp0751 that contribute to laminin binding using synthetic peptides designed from the mature protein sequence. The minimum laminin-binding region of the adhesin was localized to 10 amino acids; peptides containing these residues inhibited attachment of Tp0751 and T. pallidum to laminin. Further, Tp0751-specific antibodies inhibited attachment of T. pallidum to laminin. This study furthers our knowledge of the interaction of T. pallidum with laminin, an association that is proposed to facilitate bacterial traversal of basement membranes and subsequent entry into the circulation and tissue invasion. As such, these investigations will reveal new targets for possible prevention of bacterial dissemination and establishment of chronic infection.

Treponema pallidum fibronectin-binding proteins.

Putative adhesins were predicted by computer analysis of the Treponema pallidum genome. Two treponemal proteins, Tp0155 and Tp0483, demonstrated specific attachment to fibronectin, blocked bacterial adherence to fibronectin-coated slides, and supported attachment of fibronectin-producing mammalian cells. These results suggest Tp0155 and Tp0483 are fibronectin-binding proteins mediating T. pallidum-host interactions.