Persistent COVID-19 symptoms 1 year after hospital discharge: A prospective multicenter study.

OBJECTIVE: To determine the health status and exercise capacity of COVID-19 survivors one year after hospital discharge. METHODS: This multicenter prospective study included COVID-19 survivors 12 months after hospital discharge. Participants were randomly selected from a large cohort of COVID-19 patients who had been hospitalized until 15th April 2020. They were interviewed about persistent symptoms, underwent a physical examination, chest X-ray, and a 6-minute walk test (6MWT). A multivariate analysis was performed to determine the risk factors for persistent dyspnea. RESULTS: Of the 150 patients included, 58% were male and the median age was 63 (IQR 54-72) years. About 82% reported ≥1 symptoms and 45% had not recovered their physical health. The multivariate regression analysis revealed that the female sex, chronic obstructive pulmonary disease, and smoking were independent risk factors for persistent dyspnea. Approximately 50% completed less than 80% of the theoretical distance on the 6MWT. Only 14% had an abnormal X-ray, showing mainly interstitial infiltrates. A third of them had been followed up in outpatient clinics and 6% had undergone physical rehabilitation. CONCLUSION: Despite the high rate of survivors of the first wave of the COVID-19 pandemic with persistent symptomatology at 12 months, the follow-up and rehabilitation of these patients has been really poor. Studies focusing on the role of smoking in the persistence of COVID-19 symptoms are lacking.

Combined effects of agrochemical contamination and forest loss on anuran diversity in agroecosystems of east-central Argentina.

Agricultural expansion and intensification has led globally to a rapid landscape structure change and high agrochemical use resulting in habitat loss and degraded environmental quality. Co-occurrence of landscape change and agrochemical contamination threatens biodiversity and might have interactive effects especially for organisms with complex life-cycles such as amphibians. We evaluated effects of landscape structure and agrochemical contamination at different spatial scales on anurans in Entre Rios, Argentina. We selected 35 independent stream headwaters along an agricultural expansion and intensification gradient. We conducted anuran call surveys from spring 2012 to summer 2013 and obtained detection-non detection data to estimate mean richness and focal species occupancy. We quantified forest area and riparian forest width at two spatial scales (sub-basin and local reach scale). We measured nutrients and pesticides in water and sediment. We evaluated anuran response to landscape and contamination variables using GLMs for richness and single season single-species occupancy models for focal species. Anuran diversity increased with forest area and riparian forest width, and decreased at sites with herbicide and nutrient contamination, particularly glyphosate; 2,4-D and nitrates. Also, most focal frog species responded mainly to basin forest and 2,4-D. Negative effects of agrochemical contamination on anuran diversity was mitigated in areas with larger basin forest cover. Agricultural management should ensure the reduction of herbicide and fertilizer use, the sparing of adequate forested habitat within drainage areas, and preservation of riparian forests around anuran breeding habitat to reduce and mitigate the negative effects of agrochemical contamination on anurans diversity in agroecosystems.

Reduced body condition and enzymatic alterations in frogs inhabiting intensive crop production areas.

Parameters indicative of general condition and health were compared amongst adult frogs inhabiting uncultivated lands and fields subjected to agricultural practices typical of the humid pampas of Argentina. Whereas no significant differences existed in the parasite load and external malformations prevalence rate of adult frogs from either environments, a reduced condition factor was clearly demonstrated in frogs from agricultural lands. This conclusion was reached for four frog species of different life habits: the terrestrial fossorial Rhinella fernandezae, the terrestrial Leptodactylus latinasus, the semi-aquatic Leptodactylus ocellatus, and the arborescent Hypsiboas pulchellus. A distinct pattern of enzymatic modifications was furthermore observed in L. ocellatus and H. pulchellus from agricultural lands, including elevated hepatic activities of catalase and cholinesterase, and an inhibition of liver GST activity. Further studies should investigate the causes and consequences of the systematically low condition factor observed in frogs from agricultural fields of the humid pampas of Argentina.

Avian influenza virus isolated in wild waterfowl in Argentina: evidence of a potentially unique phylogenetic lineage in South America.

Avian influenza (AI) viruses have been sporadically isolated in South America. The most recent reports are from an outbreak in commercial poultry in Chile in 2002 and its putative ancestor from a wild bird in Bolivia in 2001. Extensive surveillance in wild birds was carried out in Argentina during 2006-2007. Using RRT-PCR, 12 AI positive detections were made from cloacal swabs. One of those positive samples yielded an AI virus isolated from a wild kelp gull (Larus dominicanus) captured in the South Atlantic coastline of Argentina. Further characterization by nucleotide sequencing reveals that it belongs to the H13N9 subtype. Phylogenetic analysis of the 8 viral genes suggests that the 6 internal genes are related to the isolates from Chile and Bolivia. The analysis also indicates that a cluster of phylogenetically related AI viruses from South America may have evolved independently, with minimal gene exchange, from influenza viruses in other latitudes. The data produced from our investigations are valuable contributions to the study of AI viruses in South America.