Abstract Background The reproducibility and reliability of the modified Rodnan's Skin Score (mRSS) are debated due to investigator-related subjectivity. Here, we evaluate if durometry correlates with mRSS in patients with diffuse systemic sclerosis (SSc). Methods This cross-sectional study was conducted from December 2018 to June 2019, including 58 diffuse SSc patients. Two certified researchers, blind to each other's scores, performed the mRSS, followed by durometry at 17 predefined skin sites. For durometry and mRSS, individual scores per skin site were registered. Durometry and mRSS results measured by each researcher, as well as scores from different researchers, were compared. Skin thickness measurements from forearm skin biopsies were available in a subset of the patients, for comparisons. Statistical analyses included Cohen's Kappa Coefficient, Intraclass Correlation Coefficient, Kendall's Coefficient and Spearman's test. Results Mean (standard deviation, SD) patient age was 44.8 (12.9) years, and 88% were female. Inter-rater agreement varied from 0.88 to 0.99 (Intraclass correlation coefficient) for durometry, and 0.54 to 0.79 (Cohen's Kappa coefficient) for mRSS, according to the specific evaluated sites. When data were compared with skin thickness assessed in forearm biopsies, durometry correlated better with skin thickness than mRSS. Conclusion Durometry may be considered as an alternative method to quantify skin involvement in patients with diffuse SSc. The strong inter-rater agreement suggests that the method may be useful for the assessment of patients by multiple researchers, as in clinical trials.

A comunicação vocal entre pais-filhotes, tal como os chamados de isolamento, é uma das adaptações essenciais nos mamíferos para o ajuste da resposta parental. Assim, nosso objetivo foi testar a hipótese de que a função do chamado de assobio em filhotes de capivara é para atrair co-especificos. Delineamos um experimento via playback para investigar a reação de 20 capivaras adultas (sete machos e 13 fêmeas) ao chamado de assobio de filhotes não aparentados e como controle usamos o chamado de um pássaro. As capivaras adultas prontamente responderam ao playback de assobios de filhotes não aparentados, enquanto ignoraram as vocalizações de pássaro. As capivaras levaram, em media 2,6 ± 2,5 segundos (s) para mostrar a resposta para os assobios, não havendo diferença entre machos e fêmeas. No entanto, fêmeas permanecem mais tempo (17,0 ± 12,9 s) do que os machos (3,0 ± 7,2 s) para retornar da fonte sonora após o playback de assobio iniciar. As fêmeas também tendem a aproximar-se da fonte sonora, enquanto os machos fazem uma breve interrupção do comportamento que estão engajados (comendo). Os resultados sugerem que a função do chamado de assobio de filhotes de capivaras é um chamado de isolamento na espécie e que o gênero influencia a intensidade da resposta.

Parent-offspring vocal communication, such as the isolation call, is one of the essential adaptations in mammals that adjust parental responsiveness. Thus, our aim was to test the hypothesis that the function of the capybara infants' whistle is to attract conspecifics. We designed a playback experiment to investigate the reaction of 20 adult capybaras (seven males and 13 females) to pups' whistle calls – recorded from unrelated offspring – or to bird song, as control. The adult capybaras promptly responded to playback of unrelated pup whistles, while ignoring the bird vocalisation. The adult capybaras took, on average, 2.6 ± 2.5 seconds (s) to show a response to the whistles, with no differences between males and females. However, females look longer (17.0 ± 12.9 s) than males (3.0 ± 7.2 s) toward the sound source when playing the pups' whistle playback. The females also tended to approach the playback source, while males showed just a momentary interruption of ongoing behaviour (feeding). Our results suggest that capybara pups' whistles function as the isolation call in this species, but gender influences the intensity of the response.