Anthropogenic food is often concentrated in cities where it can attract wildlife, promote conflict with people, and potentially spread disease. Although these associations are well-documented for conventional garbage, they are unexplored for many seemingly innocuous and even environmentally friendly attractants such as piles of compost. In this study, we tested the hypothesis that municipal piles of compost are underappreciated and potentially important contributors to a recent rise in encounters with urban-adapted wildlife by attracting wildlife and promoting the spread of wildlife disease. We used remote cameras to compare visitation rates to compost piles and urban natural areas by coyotes (Canis latrans). For each site type, we assessed photographs for evidence of ectoparasites, screened scats for endoparasites, and sampled compost for harmful mycotoxins. At compost piles, visitation rates were eight times more frequent, coyotes with visible parasitic infections were 4.5 times more common, scats were 10 times more likely to contain tapeworm eggs, and mycotoxins were detected in 86% of piles and often at concentrations higher than legal limits for animal feed. Greater securement of compost waste in cities may reduce encounters with animals, susceptibility to and spread of disease, and rates of human-wildlife conflict for coyotes and other urban-adapted species.
A case is presented, in which asymptomatic but persistent right ventricular outflow tract (RVOT) ectopics resulted in left ventricular (LV) dilatation and systolic dysfunction. The patient underwent extensive investigation with no other cause for the cardiomyopathy being found. Successful ablation of the RVOT ectopic focus resulted in normalization of LV size and function. This case suggests that frequent ventricular ectopy should be considered as a potentially remediable cause of LV dysfunction.
Factors such as patient demographics (e.g., female sex, older age), patient vital signs/severity, and history are associated with admission following ED presentation for acute asthma. These can be employed by ED clinicians to effectively discern patients at high risk for admission and lead to more evidence-based decision-making.
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