Fipronil and two of its transformation products in water and European eel from the river Elbe

Fipronil is an insecticide which, based on its mode of action, is intended to be predominantly toxic towards insects. Fipronil bioaccumulates and some of its transformation products were reported to be similar or even more stable in the environment and to show an enhanced toxicity against non-target organisms compared to the parent compound. The current study investigated the occurrence of Fipronil and two of its transformation products, Fipronil-desulfinyl and Fipronil-sulfone, in water as well as muscle and liver samples of eels from the river Elbe (Germany). In water samples total concentrations of FIP, FIP-d and FIP-s ranged between 0.5-1.6ngL(-1) with FIP being the main component in all water samples followed by FIP-s and FIP-d. In contrast, FIP-s was the main component in muscle and liver tissues of eels with concentrations of 4.05±3.73ngg(-1) ww and 19.91±9.96ngg(-1) ww, respectively. Using a physiologically based toxicokinetic (PBTK) model for moderately hydrophobic organic chemicals, the different distributions of FIP, FIP-d and FIP-s in water and related tissue samples could be attributed to metabolic processes of eels. The measured concentrations in water of all analytes and their fractional distribution did not reflect the assumed seasonal application of FIP and it seems that the water was constantly contaminated with FIP, FIP-d and FIP-s.

Ultrasound biomicroscopy in refractive surgery

The need for improved methods of assessing corneal topography arose from the advent of refractive surgery. Ultrasound biomicroscopy (UBM) is a high-resolution technique that uses high-frequency transducers to evaluate the cornea. We conducted a pilot study to assess the cornea after refractive surgery using UBM. Six patients who had prior epikeratophakia, radial keratotomy, or photorefractive keratectomy were examined with a 50 MHz transducer. Ultrasound biomicroscopy provided a striking image of the epigraft after epikeratophakia. Imaging after radial keratotomy and photorefractive keratectomy was less helpful. However, the corneal refractive power computed from the UBM data for the photorefractive keratectomy was close to the optical keratometry values. The study indicates UBM has some applications in analyzing the cornea after refractive surgery.

Multi-gene phylogeny of jacks and pompanos (Carangidae), including placement of monotypic vadigo Campogramma glaycos

In this study, the phylogenetic trees of jacks and pompanos (Carangidae), an ecologically and morphologically diverse, globally distributed fish family, are inferred from a complete, concatenated data set of two mitochondrial (cytochrome c oxidase I, cytochrome b) loci and one nuclear (myosin heavy chain 6) locus. Maximum likelihood and Bayesian inferences are largely congruent and show a clear separation of Carangidae into the four subfamilies: Scomberoidinae, Trachinotinae, Naucratinae and Caranginae. The inclusion of the carangid sister lineages Coryphaenidae (dolphinfishes) and Rachycentridae (cobia), however, render Carangidae paraphyletic. The phylogenetic trees also show with high statistical support that the monotypic vadigo Campogramma glaycos is the sister to all other species within the Naucratinae.

How Ponto-Caspian invaders affect local parasite communities of native fish

Invasive species are a major threat to ecosystems worldwide. Their effects are versatile and mostly well studied. However, not much is known about the impact of invasion on native parasite communities, although parasites are usually important response variables for ecosystem health. To improve the knowledge on how native fish parasite communities and their dynamics are affected by invasive species and how these processes change local host-parasite interactions over time, we studied different host-parasite systems in four German rivers. Three of these rivers (Rhine, Ems, and Elbe) are heavily invaded by different Ponto-Caspian species such as the amphipod Dikerogammarus villosus and various gobiids such as Neogobius melanostomus and Ponticola kessleri that serve as potential hosts for different local parasite species, while the fourth river (Schwentine) was free of any Ponto-Caspian invaders. Due to the lack of additional uninvaded river systems, literature data on parasite communities before invasion were compared with the post invasion status for the rivers Rhine and Elbe. The results showed differences among the parasite communities of different host species from the three invaded rivers when compared to the Schwentine River. Among the local internal parasite communities, especially the acanthocephalan Pomphorhynchus laevis and the nematode Raphidascaris acus have to be considered as key species associated with invasions from the Ponto-Caspian region. As the examined invasive Ponto-Caspian fish species serves as suitable host for both parasite species, the increases in their infection rates in native fish species are examples of parasite spill back (R. acus) and spill over (P. laevis, at least in the river Rhine). These results were further supported by the analysis of literature data on parasite communities of the past 20 years. Consequences for local parasite communities range from decreased prevalence of native parasites towards an extinction of entire parasite species.

Ultrasound Backscatter in Fresh and Thawed Animal Tissue

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Validation of the Canadian syncope risk score in a large prospective international multicenter study

Background

Management and risk stratification of patients with syncope in the emergency department (ED) is often challenging. In an effort to support ED physicians in disposition decisions, the Canadian Syncope Risk Score (CSRS) was developed to predict 30-day serious outcomes.

Methods

The CSRS was developed in a Canadian multicenter study and contains nine predictors: predisposition to vasovagal syncope, heart disease, systolic pressure <90 or >180mmHg in the ED, troponin level >99th percentile, abnormal QRS axis, QRS duration >130ms, QTc interval >480ms and an ED diagnosis of vasovagal or cardiac syncope. Patients can achieve a CSRS score between −3 and +11 points. We validated the CSRS in a large prospective international multicenter study recruiting patients 40 years or older presenting to the ED with a syncopal event within the last 12 hours. Recruitment centers contained smaller provincial hospitals, as well as big University Hospitals in eight countries on three continents. Primary outcome measure were 30-day serious arrhythmic and non-arrhythmic adverse events, as defined by the authors of the original score.

Results

1581 patients were eligible for this analysis. The population in this validation cohort was older (mean age 68 vs 54 years) and had a considerably higher rate of serious outcomes compared to the derivation cohort (n=186 (11.8%) vs n=147 (3.6%)). The area under the receiver operating characteristic curve (AUC) for the CSRS was 0.88 (95% confidence interval (CI) 0.86–0.91) and significantly higher compared to the validated OESIL score (AUC 0.75, 95% CI 0.71–0.78, p<0.001). Calibration curve analysis showed an underestimation of risk in patients with a low CSRS and an overestimation in patients with a high CSRS. The rate of observed serious outcomes within 30d increased from 0.8% in the very low risk group (CSRS equal to or below −2) to 48% in the (very) high risk group (CSRS equal to or above 4, Hazard ratio 79.4, 95% CI 11.1–570.9). A Kaplan-Meier plot was used to visualize rates of serious outcomes in three different risk groups (Figure).

Conclusion

This is the first validation of the Canadian Syncope Risk Score in a large international syncope cohort. The prognostic discrimination of the CSRS for 30-day serious outcomes was very good in our validation cohort and comparable to that of the Canadian derivation study. Despite suboptimal calibration, prognostic analysis showed a high rate of serious outcomes in the CSRS (very) high risk group and a low rate of serious outcomes in the very low risk group. Allowing the clinical judgement of the ED physician in the form of suspected syncope etiology to be a part of the score seems to largely contribute to the high performance of the CSRS. Additional validation studies might be needed to further increase the accuracy of the CSRS in different patient populations with a different incidence of outcomes in settings outside of Canada.

Figure 1

Funding Acknowledgement

Type of funding source: Public grant(s) – National budget only. Main funding source(s): Swiss National Science Foundation; Swiss Heart Foundation

Distribution of Triaenophorus crassus Parasites in Whitefish Flesh and its Significance to Automatic Detection of the Parasites with Ultrasound

The three-dimensional distribution of Triaenophorus infection in the whitefish (Coregonus clupeaformis) body and the ultrasonic echos received from the parasite cysts are studied in relation to the problem of detecting the parasites with ultrasound. It is shown that ultrasonic scanning of only 15% of the total surface area of a whitefish is required to illuminate (on the average) 70% of the total number of cysts in the body. As a result the search effort required for effective ultrasonic parasite detection can be greatly reduced. A considerably larger ratio of infection (3:2) for the right and left sides of the body is observed than has been previously reported. It is also shown that in the epaxial muscles a parasite is much more likely to be encysted near the surface than deep inside the flesh. Measurements of the ultrasonic cyst-echo durations yielded a distribution with two peaks of different amplitudes indicating a preponderance of spindle-shaped cysts as is actually observed. A negligible percentage of the echos in the distribution are less than 2 μsec in duration; the median width is 6.4 μsec. An outline is given of how these findings can be used to reduce the error rate in an automatic detection system. The paper concludes with a brief discussion of the effects of the transducer aperture on the latter distribution.

Exposure of eggs to ultrasound during incubation and its effect on hatchability and growth

An experiment was undertaken to study the effect of exposing incubating embryos to short ultrasonic pulses across the intact egg shell. Three minute exposures to 2.25 MHz. pulses, average incident intensity equals 28.6 mW./cm.2, failed to show any effect on embryonic mutation, hatchability, sex ratio, or body weight. On the average the ultrasonic absorption of the egg shells ranged from 26 dB./mm. at 0.6 MHz. to 100 dB./mm. at 2.25 MHz. The transmitted power incident on the blastodisc, consisting mainly of spectrum components below 1.0 MHz., was estimated at congruent to 1% of the incident power.

Incidence, characteristics, determinants and prognostic impact of recurrent syncope

Background

The incidence, characteristics, determinants, and prognostic impact of recurrent syncope are largely unknown, causing uncertainty for both patients and physicians.

Methods

We characterized recurrent syncope including sex-specific aspects and its impact on death and major adverse cardiovascular events (MACE) in a large prospective international multicenter study enrolling patients ≥40 years presenting with syncope to the emergency department (ED). Syncope etiology was centrally adjudicated by two independent and blinded cardiologists using all information becoming available during syncope work-up and 12-month follow-up. MACE were defined as a composite of all-cause death, acute myocardial infarction, surgical or percutaneous coronary intervention, life-threatening arrhythmia including cardiac arrest, pacemaker or implantable cardioverter defibrillator implantation, valve intervention, heart-failure, gastrointestinal bleeding or other bleeding requiring transfusion, intracranial hemorrhage, ischemic stroke or transient ischemic attack, sepsis and pulmonary embolism.

Results

Incidence of recurrent syncope among 1790 patients was 20% (95%-confidence interval (CI) 18% to 22%) within 24 months. Patients with an adjudicated final diagnosis of cardiac syncope (hazard ratio (HR) 1.50, 95%-CI 1.11 to 2.01) or syncope of unknown etiology even after central adjudication (HR 2.11, 95%-CI 1.54 to 2.89) had an increased risk for syncope recurrence (Figure). LASSO regression fit on all patient information available early in the ED identified more than three previous episodes of syncope as the only independent predictor for recurrent syncope (HR 2.13, 95%-CI 1.64 to 2.75). Recurrent syncope within the first 12 months after the index event carried an increased risk for all-cause death (HR 1.59, 95%-CI 1.06 to 2.38) and MACE (HR 2.24, 95%-CI 1.67 to 3.01), whereas recurrences after 12 months did not have a significant impact on outcome measures.

Conclusion

Recurrence rates of syncope are substantial and vary depending on syncope etiology. There seem to be no reliable patient characteristics available early on the ED that allow for the prediction of recurrent syncope with only a history of more than three previous syncope being associated with a higher risk for future recurrences. Importantly, recurrent syncope within the first 12 months carries an increased risk for death and MACE.

Figure 1

Funding Acknowledgement

Type of funding source: Public grant(s) – National budget only. Main funding source(s): Swiss National Science Foundation, Swiss Heart Foundation