Colonization by the zebra mussel, Dreissena polymorpha, was quantified for five dragonfly species that differed in size and larval habits in a Michigan lake. Both larger size and a non-burrowing habit independently increased susceptibility to colonization. In 2005, over 50% of the final instars of the sprawlers Didymops transversa and Hagenius brevistylus were colonized, as well as younger instars. Rarely colonized were Progomphus obscurus and Dromogomphus spinosus, whose larvae burrow under sand, and the sprawler Epitheca princeps, whose final instars were lightly covered with sand. Hagenius larvae that had been preyed upon carried more mussels than those dying of other causes. More generally, mussel attachment decreased the probability that sprawlers left the water to emerge, the distance that some species traveled before emerging, and the ability of an overturned sprawler to right itself. On average, final instars of Didymops and Hagenius remaining in the water carried three times as many mussels as individuals known to emerge.Compared to uncolonized individuals, Epitheca and Progomphus with mussels emerged closer to the water line. Among colonized Didymops, the distance traveled on land before emerging decreased with increasing mussel load. Of the colonized Didymops that could right themselves, righting time increased with mussel load. Because the two common species of sprawlers were disproportionately colonized, and mussel attachment decreased their chances of emerging, our results suggest that D. polymorpha has the potential to affect the community structure of this guild of aquatic and terrestrial predators.
Objective
To investigate whether a simplified inflammation-based risk scoring system comprising three readily available biomarkers (albumin, C-reactive protein, and leukocytes) may predict major adverse outcomes in patients with COVID-19.
Methods
Upon admission to the emergency room, the inflammation-based risk scoring system was applied and patients were classified as having mild, moderate, or severe inflammation. In-hospital occurrence of thrombosis, need for mechanical ventilation, and death were recorded.
Results
One-hundred patients (55 ± 13 years; 71% men) were included and classified as having mild (29%), moderate (12%), or severe (59%) inflammation. The need for mechanical ventilation differed among patients in each group (16%, 50%, and 71%, respectively;
P
< 0.0001), yielding a 4.1-fold increased risk of requiring mechanical ventilation in patients with moderate inflammation and 5.4 for those with severe inflammation. On the contrary, there were no differences for the occurrence of thrombosis (10%, 8%, and 22%, respectively;
P
= 0.142) or death (21%, 42%, and 39%, respectively;
P
= 0.106). In the multivariate analysis, only severe inflammation (hazard ratio [HR] = 4.1), D-dimer > 574 ng/mL (HR = 3.0), and troponin I ≥ 6.7 ng/mL (HR = 2.4) at hospital admission were independent predictors of the need for mechanical ventilation.
Conclusion
The inflammation-based risk scoring system predicts the need for mechanical ventilation in patients with severe COVID-19.
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