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Microplastics (MPs) and artificial fibers (AFs) have been detected suspended tens of meters above ground level in the atmosphere, yet empirical data on them remain scarce. This study aimed to investigate the presence of MPs and AFs in the digestive and respiratory systems of two abundant bird species, the Common House Martin (Delichon urbicum) and the Common Swift (Apus apus), within the Community of Madrid, Spain. Given that these birds spend the majority of their lives airborne, engaging in activities such as mating and sleeping during flight, the research sought to assess the potential of using these bird species as bioindicators for suspended atmospheric MPs and AFs. Samples were obtained from necropsies of birds (N = 24) collected primarily between spring and summer from 2021 to 2023. Only individuals that died within the initial 24-hour period and had not been fed were selected for examination to avoid contamination. MPs and AFS were identified by micro-FTIR, characterized and quantified. Results revealed that 75 % of the sampled birds exhibited at least one MPs in their respiratory and/or digestive system. All identified MPs were fibers, with polyester (PES) being the most predominant (48 %), followed by acrylic fibers (ACR; 28 %), and polyethylene (PE; 18 %). The average concentrations in the respiratory system were 1.12 ± 0.45 MPs/specimen and 2.78 ± 1.04 AFs/specimen for Common Swift and 0.75 ± 0.30 MPs/specimen and 0.75 ± 0.36 AFs/specimen for House Martin. In the digestive system, these were 1.92 ± 0.72 MPs/specimen and 3.42 ± 0.69 AFs/specimen for Common Swift, and 1.34 ± 0.50 MPs/specimen and 1.39 ± 0.47 AFs/specimen for House Martin. Birds collected areas with high population density located in the direction of the prevailing winds showed a concentration of MPs significantly higher in the digestive system. Taken together, these findings confirmed the potential use of these birds as bioindicators for monitoring of suspended atmospheric MPs and AFs., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)

West Nile virus (WNV) is a re-emerging flavivirus, primarily circulating among avian hosts and mosquito vectors, causing periodic outbreaks in humans and horses, often leading to neuroinvasive disease and mortality. Spain has reported several outbreaks, most notably in 2020 with seventy-seven human cases and eight fatalities. WNV has been serologically detected in horses in the Community of Madrid, but to our knowledge, it has never been reported from wild birds in this region. To estimate the seroprevalence of WNV in wild birds and horses in the Community of Madrid, 159 wild birds at a wildlife rescue center and 25 privately owned equines were sampled. Serum from thirteen birds (8.2%) and one equine (4.0%) tested positive with a WNV competitive enzyme-linked immunosorbent assay (cELISA) designed for WNV antibody detection but sensitive to cross-reacting antibodies to other flaviviruses. Virus-neutralization test (VNT) confirmed WNV antibodies in four bird samples (2.5%), and antibodies to undetermined flavivirus in four additional samples. One equine sample (4.0%) tested positive for WNV by VNT, although this horse previously resided in a WN-endemic area. ELISA-positive birds included both migratory and resident species, juveniles and adults. Two seropositive juvenile birds suggest local flavivirus transmission within the Community of Madrid, while WNV seropositive adult birds may have been infected outside Madrid. The potential circulation of flaviviruses, including WNV, in birds in the Madrid Community raises concerns, although further surveillance of mosquitoes, wild birds, and horses in Madrid is necessary to establish the extent of transmission and the principal species involved.

The pollution due to plastic and other anthropogenic particles has steadily increased over the last few decades, presenting a significant threat to the environment and organisms, including avian species. This research aimed to investigate the occurrence of anthropogenic pollutants in the digestive and respiratory systems of four birds of prey: Common Buzzard (Buteo buteo), Black Kite (Milvus migrans), Eurasian Sparrowhawk (Accipiter nisus), and Northern Goshawk (Accipiter gentilis). The results revealed widespread contamination in all species with microplastics (MPs) and cellulosic anthropogenic fibers (AFs), with an average of 7.9 MPs and 9.2 AFs per specimen. Every digestive system contained at least one MP, while 65 % of specimens exhibited MPs in their respiratory systems. This is the work reporting a high incidence of MPs in the respiratory system of birds, clearly indicating inhalation as a pathway for exposure to plastic pollution. The content of MPs and AFs varied significantly when comparing specimens collected from central Madrid with those recovered from other parts of the region, including rural environments, suburban areas, or less populated cities. This result aligns with the assumption that anthropogenic particles disperse from urban centers to surrounding areas. Additionally, the dominant particle shape consisted of small-sized fibers (> 98 %), primarily composed of polyester, polyethylene, acrylic materials, and cellulose fibers exhibiting indicators of industrial treatment. These findings emphasize the necessity for further research on the impact of plastic and other anthropogenic material contamination in avian species, calling for effective strategies to mitigate plastic pollution., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)

A juvenile Cinereous Vulture ( Aegypius monachus) fledgling was found disorientated on the roof of a building in Madrid City, Spain, in October 2016. A veterinary examination revealed multiple plaques distributed throughout the oropharyngeal cavity. Lesions were located under the tongue and at the choanal slit, hard palate, and esophagus opening and ranged from 2 to 7 mm, coalescing in areas up to 2 cm, with a yellowish color of the surface. Motile trichomonad trophozoites were detected in fresh wet mount smears from the lesions. Sequence analysis of the internal transcribed spacer (ITS)1/5.8S/ITS2 and small subunit ribosomal RNA confirmed that Trichomonas gypaetinii was the etiologic agent. Microbiologic cultures did not reveal any pathogenic bacteria or fungi. The animal recovered successfully after treatment with metronidazole and trimethoprim-sulfamethoxazole and was later released in a suitable habitat. Avian trichomonosis lesions caused by T. gypaetinii have not been reported.

Background: Research has provided evidence for the safety, feasibility, and efficacy of exercise training in patients with COPD. However, little is known about the impact of exercise training in patients with chronic respiratory failure due to kyphoscoliosis. We evaluated the effect of an exercise training program on exercise capacity, muscle strength, dyspnea, and quality-of-life indices in subjects with chronic respiratory failure due to kyphoscoliosis., Methods: The 34 subjects were clinically stable, had been receiving nighttime home mechanical ventilation for ≥ 6 months, and were randomly assigned to the exercise group (n = 17) or the control group (n = 17). The exercise group conducted cycle and strength training on 3 non-consecutive days per week for 12 weeks. We measured pulmonary function, exercise capacity, peripheral muscle strength, dyspnea scores, and quality of life., Results: Statistical analysis was carried out on the data from 16 subjects in the exercise group and in 11 subjects in the control group. Three of the lung-function parameters in the exercise group significantly changed: PaCO2 (P = .04), inspiratory pressure (P = .03), and expiratory pressure (P = .04); and endurance time (P = .002) and shuttle walk distance (P = .001) increased significantly. The exercise group had significantly greater improvements in peripheral muscle strength, dyspnea, and quality of life., Conclusions: In patients with chronic respiratory failure due to kyphoscoliosis, exercise training improved exercise capacity, peripheral muscle strength, dyspnea, and quality of life. (Deutschen Register Klinischer Studien DRKS00000443).

Objectives: Patients with chronic respiratory failure due to kyphoscoliosis (CHRF-KS) constitute a specific population with impaired health-related quality of life (HRQL). Thus far, no studies have examined factors related to HRQL. The objective of the present study was to identify clinical, functional and exertion-related factors associated with HRQL., Methods: We investigated 27 patients (12 males). Respiratory function tests, dyspnea ratings, peripheral and respiratory muscle function and exercise testing were performed. The Chronic Respiratory Disease Questionnaire (CRDQ) was used to assess HRQL. Bivariate correlations were used to investigate the relationships between CRDQ dimensions and the clinical, functional and exertion-related characteristics of the study participants., Results: The general characteristics of the study sample were as follows: age: 61 (IQR: 12) years, FVC: 32.6% (IQR: 10.2) and pCO2: 48 mmHg (IQR: 8.7). Peripheral muscle strength, dyspnea and exercise capacity were identified as significant factors associated with poorer HRQL. The CRDQ dimensions of fatigue and emotional function showed greater correlations with the patients' general characteristics. Dyspnea CRDQ scores did not correlate with dyspnea in any of the scales used., Conclusion: Of the various factors examined, dyspnea, exercise capacity and peripheral muscle strength have been identified as significant factors associated with HRQL in CHRF-KS patients.

A cross-sectional prospective design was used to compare the effectiveness of the shuttle walking test (SWT) and the maximal cycle ergometry test (CET) to assess the functional capacity of patients with chronic hypercapnic respiratory failure due to severe kyphoscoliosis. Twenty-four patients completed both the SWT and CET. Heart rate, blood pressure, leg fatigue, chest pain and dyspnea (Borg's scale) were measured immediately after each test. Correlation coefficients and Bland-Altman analysis were used to compare the two methods. Borg's dyspnea, leg and chest pain after exercise were not significantly different between tests. Only heart rate (SWT 130[20.7] versus CET 116[28.75]; p = 0.048) and diastolic blood pressure (SWT: 85.5[13.75] versus CET 95[17.5]; p = 0.021) were slightly but significantly different between the two protocols. There was a good positive correlation between the distance walked in SWT and maximal oxygen consumption (r = 0.675; p < 0.001). SWT and CET testing elicited similar clinical and hemodynamic responses. SWT is a feasible measure of functional capacity in this patient group.