The Prevalence and Risk Factors of Giardia duodenalis Infection in Cats in Mexico

Aims: Giardia duodenalis is a globally distributed zoonotic protozoan. It has a variable prevalence. This study determines the prevalence of Giardia spp. in cat faecal samples from states of the Mexican Republic. Place and Duration of Study: Was carried out in 23 of the 32 states of the Mexican Republic, from June to December 2019. Methodology: Stool samples from 1591 client-owned cats were analysed for the detection of G. duodenalis (cysts or trophozoites). Faecal samples were analysed by direct smear techniques with and without staining (Lugol) and centrifugal floatation (faust), and were examined under a light microscope. Results: Of the cats sampled, 56.94% were positive for G. duodenalis. Its prevalence was associated and is a risk factor in cats that live with other animals (Chi2= 21.84, p= 0.0001; OR= 1.61, p= 0.0001), with hunting habits (Chi2= 5.53 p= 0.01, OR= 1.27 p= 0.01), with access to the outside (Chi2= 53.06, p= 0.0001; OR= 2.13, p=0.0001) and with the aqueous faeces (Chi2= 12.30, p=0.03; Chi2= 1.71, p= 0.03). Factors for not presenting Giardia spp. in faeces were, not brushing the cat (OR=0.74, p= 0.006), provenance (OR= 0.42, p=0.02), and median height (OR= 0.78, p= 0.01). Age, gender, hair type, coexistence with other cats and other stool findings were not associated as risk factors for infection. Conclusion: This study demonstrated a high overall prevalence of G. duodenalis in cats in Mexico, in addition to an association of its prevalence with risk factors such as cats living with other animals, hunting habits and access to outdoors.

Simulated trampling by cattle negatively impacts invasive Yellow-Flag Iris (Iris pseudacorus) when submerged

Yellow-Flag Iris (Iris pseudacorus L.) is a non-native, invasive wetland plant that disrupts riparian ecosystem processes and is widely distributed across the US and Canada. Due to its physiological and morphological characteristics, I. pseudacorus has the capacity to exclude native vegetation and form extensive monocultures in both lotic and lentic wetland systems. Methods commonly used to manage I. pseudacorus include manual (e.g., hand-pulling, digging) and mechanical (e.g., mowing) treatments for small populations and herbicide applications for larger populations; however, herbicide applications near water may be prohibited due to label restrictions. The objective of this research was to evaluate cattle trampling as a non-chemical method to reduce I. pseudacorus in riparian habitats. A greenhouse study was conducted to investigate the effects of inundation and two different timings of simulated trampling on I. pseudacorus density, height, and soluble sugar concentrations in the rhizomes. A complementary field demonstration was established on a ranch in northwestern Nebraska to evaluate cattle trampling effects on I. pseudacorus density and height after two consecutive years. Simulated cattle trampling in the greenhouse had no effect on I. pseudacorus density or height of non-inundated samples. However, combining trampling with inundation reduced I. pseudacorus density from a median of 10 iris per pot to 0 iris per pot and median height from 0.35 m to 0 m by the conclusion of the study. Additionally, the field demonstration resulted in reductions of both density and height of I. pseudacorus after two consecutive years (72% and 67% reduction, respectively). Soluble sugar concentrations were not impacted by any treatment.

Physical Growth of Patients with Hereditary Tyrosinaemia Type I: A Single-Centre Retrospective Study

In a retrospective review, we aimed to assess long-term growth in 17 patients (n = 11 males) with hereditary tyrosinaemia type I (HTI). Median age at assessment was 15.6 years (5.7–26.6 years) and median age at diagnosis was 1 month (range: 0–16 months), with 35% (n = 6/17) symptomatic on presentation. From the age of 8 years, there was a noticeable change in median height, weight, and body-mass-index [BMI]-z-scores. Median height-for-age z-scores were consistently ≤ −1 (IQR −1.6, −0.5) during the first 8 years of life but increased with age. Weight-for-age z-scores ranged between −1 to 0 (IQR −1.2, 0.1) in the first 8 years; then increased to > 0.5 (IQR −0.3, 1.3) by age 16 years, and BMI-for-age z-scores ranged from 0 to 1 (IQR −0.7, 1.3) up to 8 years, and >1 (IQR −0.2, 1.9) until 16 years. The percentage of overweight and obesity was lowest in children aged < 5 years, and consistently > 40% in patients aged between 7 to 16 years. The prescribed total protein intake was associated with improved height growth (p < 0.01). Impaired growth in early life improved with age achieving normal population standards. Further studies are needed to investigate factors that influence growth outcome in HTI patients.

Comparison of Coniferous Plantation Heights Using Unmanned Aerial Vehicle (UAV) Laser Scanning and Stereo Photogrammetry

Plantation forests play a critical role in forest products and ecosystems. Unmanned aerial vehicle (UAV) remote sensing has become a promising technology in forest related applications. The stand heights will reflect the growth and competition of individual trees in plantation. UAV laser scanning (ULS) and UAV stereo photogrammetry (USP) can both be used to estimate stand heights using different algorithms. Thus, this study aimed to deeply explore the variations of four kinds of stand heights including mean height, Lorey’s height, dominated height, and median height of coniferous plantations using different models based on ULS and USP data. In addition, the impacts of thinned point density of 30 pts to 10 pts, 5 pts, 1 pts, and 0.8 pts/m2 were also analyzed. Forest stand heights were estimated from ULS and USP data metrics by linear regression and the prediction accuracy was assessed by 10-fold cross validation. The results showed that the prediction accuracy of the stand heights using metrics from USP was basically as good as that of ULS. Lorey’s height had the highest prediction accuracy, followed by dominated height, mean height, and median height. The correlation between height percentiles metrics from ULS and USP increased with the increased height. Different stand heights had their corresponding best height percentiles as variables based on stand height characteristics. Furthermore, canopy height model (CHM)-based metrics performed slightly better than normalized point cloud (NPC)-based metrics. The USP was not able to extract exact terrain information in a continuous coniferous plantation for forest canopy cover (CC) over 0.49. The combination of USP and terrain from ULS can be used to estimate forest stand heights with high accuracy. In addition, the estimation accuracy of each forest stand height was slightly affected by point density, which can also be ignored.

A Comparison of the Risk for Chronic Fascioliasis between Children 3 to 5 Years and Children 6 to 12 Years of Age in the Cusco Region of Peru

School-age children bear the highest burden of fascioliasis in endemic countries. Few studies have addressed Fasciola in preschool children. We performed a secondary data analysis using two Fasciola databases from Cusco, Peru, comparing preschoolers with elementary school children. We included 2,630 children, 50% were female, the median age was 8.4 years (interquartile range [IQR] 6.1–10.5), and 15% (396/2,630) were < 5 years of age. Children < 5 years were less likely to be infected with Fasciola hepatica (P = 0.008) and Hymenolepis nana (P < 0.001) and more likely to have anemia (P < 0.001) and a lower median height for age Z (HAZ) score (P = 0.002). Fascioliasis was less common in younger children, but this group may be at higher risk for chronic complications caused by fascioliasis.

Short stature among girl child: a psychological burden or a social stigma-a review

Short stature (SS) is defined as “height below the third percentile or less than two standard deviations below the median height for that age and sex according to the population standard”. Short stature is not itself a pathology or disease but sometimes may be present as a manifestation of some underlying pathological condition. This condition is seen to impact adversely on the psychological wellbeing of the affected individuals and gives rise to the social stigma which further worsens the quality of life of short-statured persons. Hence, there is a need to acknowledge and break this stigma thereby improving the psychological wellbeing of the short-statured population.

Percutaneous catheter interventions via Glidesheath Slender in small children

Background:Catheterization in small children should be performed with the lowest diameter introducer sheaths to prevent permanent vessel damage. The objective of this study is to evaluate the clinical safety and efficacy of the Glidesheath Slender in small children.Methods and results:We present a group of 52 patients (male: n = 36) with median age 118.5 days (min. 3; max. 1302), median weight: 5.3 kg (min. 1.4; max. 14.0), median height: 60.5 cm (min. 39; max. 102), and median body surface area 0.28 m2 (min. 0.12; max. 0.63) in whom percutaneous catheter interventions (n = 55) were performed via a Glidesheath Slender. In 49 children, the intervention was performed from femoral access (artery n = 35; vein n = 14) in 2 from the axillary arterial access and in 1 from the jugular venous access. In all patients, the vessel access was obtained under ultrasound guidance. After the catheterization, the pulse on the peripheral arteries (posterior tibial artery or radial artery) was palpable in all patients, and no signs for vessel dysfunction were present.Conclusion:The Glidesheath Slender effectively reduces the outer sheath diameter for various types of interventions in small children by one French, reducing the risk of vessel complications (stenosis, occlusion). Interventions via Glidesheath Slender in small patients are safe and feasible and extend the transcatheter possibilities in small children with congenital heart diseases.

Growth Curves for Children with X-linked Hypophosphatemia

Context We characterized linear growth in infants and children with X-linked hypophosphatemia (XLH). Objective Provide linear growth curves for children with XLH from birth to early adolescence. Design Data from 4 prior studies of XLH were pooled to construct growth curves. UX023-CL002 was an observational, retrospective chart review. Pretreatment data were collected from 3 interventional trials: two phase 2 trials (UX023-CL201, UX023-CL205) and a phase 3 trial (UX023-CL301). Setting Medical centers with expertise in treating XLH. Patients Children with XLH, 1-14 years of age. Intervention None. Main Outcome Measure Height-for-age linear growth curves, including values for the 5th, 10th, 25th, 50th, 75th, 90th, and 95th percentiles for children with XLH compared to population norms. Results A total of 228 patients (132 girls, 96 boys) with 2381 height measurements were included. Nearly all subjects (&gt; 99%) reported prior management with supplementation therapy. Compared to the Center for Disease Control and Prevention growth curves, boys at age 3 months, 6 months, 9 months, 1 year, and 2 years had median height percentiles of 46%, 37%, 26%, 18%, and 5%, respectively; for girls the median height percentiles were 52%, 37%, 25%, 18%, and 7%, respectively. Annual growth in children with XLH fell below that of healthy children near 1 year of age and progressively declined during early childhood, with all median height percentiles &lt; 8% between 2 and 12 years old. Conclusion Children with XLH show decreased height gain by 1 year of age and remain below population norms thereafter. These data will help evaluate therapeutic interventions on linear growth for pediatric XLH.

The "Double Eights Mask Brace" Improves the Fit and Protection and Protection of a Basic Surgical Mask Amidst Covid-19 Pandemic

Study Objective: The COVID-19 pandemic has resulted in widespread shortages in personal protective equipment, including N95 respirators. While basic surgical facemasks are more commonly available, their efficacy is limited due primarily to their poor face seal. This pilot study examined the impact of a rubber band mask brace on a basic surgical mask, as determined by quantitative fit testing. Methods: Subjects wearing a basic surgical facemask and the rubber band mask brace underwent quantitative fit testing using machinery designed to certify N95 mask fit. Subjects were tested with the brace anchored behind their eyes, with a paperclip behind the head, and on the side knobs of their face shields. The primary outcome measure was whether the subject passed the quantitative fit test at or above the OSHA verified standard for N95 masks. Results: Subjects (n=11) were 54.5% female, with a median height of 70 inches (IQR 68-74), weight of 170 lbs (IQR 145-215) and BMI of 24.6 (IQR 22.2-27.2), and encompassing 5 distinct N95 mask fit types. We found that 45%, 100% and 100% of subjects passed the quantitative fit test when the brace was anchored behind the ears, with a paperclip and on a face shield respectively. Conclusion: Of the 11 subjects included in the analysis, across a range of body habitus and N95 mask fit types, all passed the quantitative fit test when the mask brace was anchored on either face shield or with a paperclip. This data suggests the brace would offer an improved margin of safety when worn with a basic surgical mask.

Abstract 104: Metabolic Effect of Temperature Manipulation in Healthy Individuals

Introduction: Temperature manipulation to decrease metabolism is commonly after acute brain injury. Preclinical data suggest metabolism decreases 7-8% for each degree C drop in core temperature. We hypothesized similar results would be found in healthy individuals. Methods: Following informed consent and physical screening, we administered a 1mcg/kg bolus of dexmedetomidine followed by 20cc/kg of cold (4C) saline bolus. We cooled subjects using surface pads (emcools (Austria)). Dexmedetomidine infusion was titrated to effect (max dose <1.5mcg/kg/hr). We recorded vital signs, Richmond Agitation Sedation Scale, Bedside Shivering Assessment Scale and sensation of cold every 15 minutes. We measured resting metabolism at baseline and after each 1 C decrease in temperature thereafter using indirect calorimetry and a ventilated canopy system. We analyzed data using analysis of variance. Results: Median age in the 9 enrolled subjects was 30 (SD 10) years and most (78%) were male. Median height was 173 (IQR 168, 180) cm and median weight was 77 (IQR 72, 83) kg. Baseline VO2 was 3.4 (IQR 3.0, 3.8) ml/kg/min and baseline energy expenditure was 1692 (IQR 1579, 1845) kcal/day. Both VO2 and energy expenditure decreased with core temperature (p=0.017 and p=0.027) (Table). Conclusion: Metabolic rate decreases with core temperature manipulation. The largest change occurs between 37C and 36C with smaller changes thereafter.