Cardiovascular autonomic neuropathy associated with carotid atherosclerosis in Type 2 diabetic patients.

AimsTo clarify if cardiovascular autonomic neuropathy is associated with carotid artery atherosclerotic plaques in Type 2 diabetic patients. MethodsCardiovascular autonomic nerve function was related to carotid artery ultrasound in 61 Type 2 diabetic patients 5-6 years after diagnosis of diabetes. ResultsCardiovascular autonomic neuropathy [abnormal age corrected expiration/inspiration (E/I) ratio or acceleration index (AI)] was found in 13/61 (21%) patients. Patients with cardiovascular autonomic neuropathy showed increased degree of stenosis in the common carotid artery (24.6 ± 13.2% vs. 14.7 ± 9.2%; P = 0.014) and a tendency towards a higher plaque score (4.0 ± 1.7 vs. 3.2 ± 1.6; P = 0.064). Controlled for age, AI correlated inversely with degree of stenosis (r = -0.39; P = 0.005), plaque score (r = -0.39; P = 0.005), and mean (r = -0.33; P = 0.018) and maximum (r = -0.39; P = 0.004) intima-media thickness in the common carotid artery. In contrast, E/I ratio correlated only slightly with mean intima-media thickness in the common carotid artery (r = -0.28; P = 0.049). ConclusionsCardiovascular autonomic neuropathy was associated with carotid atherosclerosis in Type 2 diabetic patients. Abnormal E/I ratios reflect efferent structural damage to parasympathetic nerves whereas abnormal AI reflects afferent autonomic dysfunction possibly due to impaired baroreceptor sensitivity secondary to carotid atherosclerosis

Species and abundance of ectoparasitic flies (Diptera) in pied flycatcher nests in Fennoscandia

Peer reviewe

The effect of aquatic and terrestrial prey availability on metal accumulation in pied flycatcher (Ficedula hypoleuca) nestlings

Ingestion of contaminated prey is a major route for metal exposure in terrestrial insectivores. In terrestrial ecosystems adjacent to lakes and streams, emerging aquatic insects can transport metals, accumulated during their larval stage, from aquatic to terrestrial ecosystems. However, contaminant exposure via aquatic insects has often been ignored in terrestrial environments, despite such insects representing a substantial part of the diet for terrestrial insectivores living close to lakes and streams. In this study, we investigated how dietary lead (Pb) and calcium (Ca) exposure from different aquatic and terrestrial prey types affects Pb accumulation in pied flycatcher (Ficedula hypoleuca) nestlings living close to a former Pb/zinc (Zn) mine in northern Sweden, which closed in 2001. Stable isotope analysis (δ 13C and δ15N) of nestling blood and different prey types was used to estimate nestlings' diet. Ants, Lepidoptera larvae and Trichoptera were the most common prey types in the nestlings’ diet, in which aquatic prey types (Trichoptera included) accounted for 2.0–96.4%. Ingestion of specific prey groups, such as aquatic insects and ants, were important for Pb accumulation in nestlings, and when access to aquatic prey was low, ants were the predominant source of Pb. The influence of dietary Ca on Pb accumulation was less consistent, but Ca availability was relatively high and often co-occurred with high Pb concentrations in invertebrates. The study shows that both the proportion of different prey and their individual metal concentrations need to be considered when estimating exposure risks for insectivores. Further, it highlights the need to account for metal exposure from emerging aquatic insects for terrestrial insectivores living close to lakes and streams.Originally included in thesis in manuscript form.</p

Effect of past century mining activities on sediment properties and toxicity to freshwater organisms in northern Sweden

The release of toxic metals from local mining activities often represents a severe environmental hazard for nearby lake ecosystems. Previous studies on the impact of mining have primarily focused on single lakes, with less emphasis on spatial and temporal recovery patterns of multiple lakes within the same catchment, but with different hydrological connection and distance to the pollutant source. This knowledge gap prevents us from assessing the real environmental risk of abandoned mines and understanding ecosystem recovery. This study explores the intensity and spatial patterns of sediment contamination and the potential for ecosystem recovery in three lakes in close vicinity of a lead (Pb) and zinc (Zn) mine in Sweden that has been inoperative for &gt;20 years. Dated (210Pb and 137Cs) sediment cores from each lake were used to reconstruct temporal patterns in trace element deposition and relate those with past mining activities. Results show that all lakes were affected by mining, indicated by increasing Pb and Zn concentrations and decreasing organic matter content, at the onset of mining. However, the extent and timing of mining impact differed between lakes, which was partly ascribed to differences in the historical use of tailings and settling ponds. Assessment of toxicity levels in sediments, based on normalized Probable Effect Concentration Quotient (PEC-Q) to organic matter content, provided more consistent results with the historical mining than conventional methods, showing a decreasing impact in lakes once the operations ceased. Still, sediment Pb concentrations were &gt; 10 times higher than pre-mining values, evidencing the urgent need for remediation actions in the study lakes. This study highlights the importance of considering spatial heterogeneity in metal deposition, sediment organic matter content, and hydrological connectivity with tailings when risk assessments are performed in mining-impacted lakes. The use of normalized PEC-Q in toxic assessments is also recommended

Temporal trends in metal pollution: using bird excrement as indicator.

Past mining and smelting activities have resulted in metal polluted environments all over the world, but long-term monitoring data is often scarce, especially in higher trophic levels. In this study we used bird (Parus major and Ficedula hypoleuca) excrement to monitor metal pollution in the terrestrial environment following 16 years of continuously reduced emissions from a copper/nickel smelter in Finland. In the early 1990s, lead and cadmium concentrations dropped significantly in excrement, but the reduction did not directly reflect the changes in atmospheric emission from the smelter. This is likely due to a continuous contribution of metals also from the soil pool. We conclude that bird excrement can be used to assess changes in the environment as a whole but not specifically changes in atmospheric emission. Inter-annual variation in excrement concentration of especially copper and nickel demonstrates the importance of long-term monitoring to discern significant trends

Kendall tau rank correlation coefficients (τ), p-value and sample size (N) for correlations between metal content (cadmium [Cd], copper [Cu], nickel [Ni] and lead [Pb]) of atmospheric emission (t y^-1) and concentrations in pied flycatcher (<i>F</i>. <i>hyp</i>) and great tit (<i>P</i>. <i>maj</i>) excrements (μg g^-1; dw) and dust collectors (ng m^-3).

<p>Significant correlations are shown in bold.</p><p>Kendall tau rank correlation coefficients (τ), p-value and sample size (N) for correlations between metal content (cadmium [Cd], copper [Cu], nickel [Ni] and lead [Pb]) of atmospheric emission (t y^-1) and concentrations in pied flycatcher (<i>F</i>. <i>hyp</i>) and great tit (<i>P</i>. <i>maj</i>) excrements (μg g^-1; dw) and dust collectors (ng m^-3).</p

Metal concentration (μg g^-1 dw, geometric mean ± 95% confidence limit) in excrement of pied flycatcher (<i>Ficedula hypoleuca</i>) nestlings

<p>sampled between 1992 and 2008 from polluted (black dots, ≤ 2 km from the smelter) and reference areas (open dots, > 4 km from the smelter). Numbers denote sample size.</p

Metal concentration (μg g^-1 dw, geometric mean ± 95% confidence limit) in excrement of great tit (<i>Parus major</i>) nestlings

<p>sampled between 1992 and 2008 from polluted (black dots, ≤ 2 km from the smelter) and reference areas (open dots, > 4 km from the smelter). Numbers denote sample size.</p