The Significance of an Increased Beta-Hydroxybutyrate at Presentation to the Emergency Department in Patients with Diabetes in the Absence of a Hyperglycemic Emergency

© 2019 Barbara Depczynski et al. The significance of hyperketonemia in adults with diabetes presenting to the emergency department with acute illness, not due to a diabetic hyperglycemic emergency, has not been well characterized. Adult patients with diabetes presenting to the emergency department who had venous blood gas and beta-hydroxybutyrate levels measured whilst in the emergency department were retrospectively evaluated for the relationship between BHB and clinical outcomes. Over 6 months, 404 patients with diabetes had at least one beta-hydroxybutyrate level measured in the emergency department. There were 23 admissions for diabetic ketoacidosis (DKA) or hyperosmolar state. Of the remainder, 58 patients had a beta-hydroxybutyrate≥1 mmol/L; this group had a higher glucose at presentation (19.0 (8.8) versus 10.4 (9.9) mmol/L), higher HbA1c (8.8 (5.4) versus 8.0 (3.3)%), lower bicarbonate (22.6 (6.2) versus 24.8 (4.7) mmol/L), and higher anion gap (14.8 (6.1) versus 12.6 (4.2)) than had those with BHB<1 mmol/L. There was no association between the presence of ketosis and the length of stay (4.2 (7.3) versus (3.0) (7.2) days). Acute illness in those with diabetes associated with ketosis in the absence of DKA is associated with worse glycaemic control than in those without ketosis. Ketosis may represent an intermediate state of metabolic dysregulation rather than being associated with a more severe acute illness, as suggested by no relationship between BHB and length of stay

Macroalgae removal on coral reefs: realised ecosystem functions transcend biogeographic locations

Coral reef ecosystems are at the forefront of biodiversity loss and climate change-mediated transformations. This is expected to have profound consequences for the functioning of these ecosystems. However, assessments of ecosystem function on reefs are often spatially limited, within biogeographic realms, or rely on presumed proxies such as traits. To address these shortcomings and assess the effects of biogeography and fish presence on the critical ecosystem function of macroalgal removal, we used assays of six algal genera across three reef habitats in two biogeographically distinct locations: Little Cayman in the Caribbean and Lizard Island on the Great Barrier Reef (GBR). Patterns of fish feeding and realised ecosystem function were strikingly similar between the two geographic locations, despite a threefold difference in the local diversity of nominally herbivorous fishes, a 2.4-fold difference in the diversity of fishes feeding and differences in the biogeographic history of the two locations. In both regions, a single species dominated the function: a surgeonfish, Naso unicornis, at the GBR location and, surprisingly, a triggerfish, Melichthys niger, at the Caribbean location. Both species, especially M. niger, were relatively rare, compared to other nominally herbivorous fishes, in censuses covering more than 14,000 m(2) at each location. Our study provides novel insights into the critical function of macroalgal removal in hyperdiverse coral reef ecosystems, highlighting: (a) that function can transcend biogeographic, taxonomic and historical constraints; and (b) shortcomings in our assumptions regarding fish presence and realised ecosystem function on coral reefs

Climate-driven regime shift of a temperate marine ecosystem.

Ecosystem reconfigurations arising from climate-driven changes in species distributions are expected to have profound ecological, social, and economic implications. Here we reveal a rapid climate-driven regime shift of Australian temperate reef communities, which lost their defining kelp forests and became dominated by persistent seaweed turfs. After decades of ocean warming, extreme marine heat waves forced a 100-kilometer range contraction of extensive kelp forests and saw temperate species replaced by seaweeds, invertebrates, corals, and fishes characteristic of subtropical and tropical waters. This community-wide tropicalization fundamentally altered key ecological processes, suppressing the recovery of kelp forests

A review of applying second-generation wavelets for noise removal from remote sensing data.

The processing of remotely sensed data includes compression, noise reduction, classification, feature extraction, change detection and any improvement associated with the problems at hand. In the literature, wavelet methods have been widely used for analysing remote sensing images and signals. The second-generation of wavelets, which is designed based on a method called the lifting scheme, is almost a new version of wavelets, and its application in the remote sensing field is fresh. Although first-generation wavelets have been proven to offer effective techniques for processing remotely sensed data, second-generation wavelets are more efficient in some respects, as will be discussed later. The aim of this review paper is to examine all existing studies in the literature related to applying second-generation wavelets for denoising remote sensing data. However, to make a better understanding of the application of wavelet-based denoising methods for remote sensing data, some studies that apply first-generation wavelets are also presented. In the part of hyperspectral data, there is a focus on noise removal from vegetation spectrum

Pelagic larval duration of 10 temperate cryptobenthic fishes

The pelagic larval duration (DPL) for 10 temperate cryptobenthic species belonging to three families: Gobiidae, Gobiesocidae and Blenniidae was investigated. Overall, the Gobiesocidae presented short DPLs varying between 11 and 18 days, the Gobiidae’s DPL ranged between 14 and 39 days, and Parablennius pilicornis (Blenniidae) had an average of 33 days (range 31–37 days). Two subtypes of settlement marks were found among individuals of the same species

Disentangling the response of fishes to recreational fishing over 30 years within a fringing coral reef reserve network

Few studies assess the effects of recreational fishing in isolation from commercial fishing. We used meta-analysis to synthesise 4444 samples from 30 years (1987–2017) of fish surveys inside and outside a large network of highly protected reserves in the Ningaloo Marine Park, Western Australia, where the major fishing activity is recreational. Data were collected by different agencies, using varied survey designs and sampling methods. We contrasted the relative abundance and biomass of target and non-target fish groups between fished and reserve locations. We considered the influence of, and possible interactions between, seven additional variables: age and size of reserve, one of two reserve network configurations, reef habitat type, recreational fishing activity, shore-based fishing regulations and survey method. Taxa responded differently: the abundance and biomass inside reserves relative to outside was higher for targeted lethrinids, while other targeted (and non-targeted) fish groups were indistinguishable. Reef habitat was important for explaining lethrinid response to protection, and this factor interacted with reserve size, such that larger reserves were demonstrably more effective in the back reef and lagoon habitats. There was little evidence of changes in relative abundance and biomass of fishes with reserve age, or after rezoning and expansion of the reserve network. Our study demonstrates the complexities in quantifying fishing effects, highlighting some of the key factors and interactions that likely underlie the varied results in reserve assessments that should be considered in future reserve design and assessment

Macroalgae exhibit diverse responses to human disturbances on coral reefs

Scientists and managers rely on indicator taxa such as coral and macroalgal cover to evaluate the effects of human disturbance on coral reefs, often assuming a universally positive relationship between local human disturbance and macroalgae. Despite evidence that macroalgae respond to local stressors in diverse ways, there have been few efforts to evaluate relationships between specific macroalgae taxa and local human-driven disturbance. Using genus-level monitoring data from 1205 sites in the Indian and Pacific Oceans, we assess whether macroalgae percent cover correlates with local human disturbance while accounting for factors that could obscure or confound relationships. Assessing macroalgae at genus level revealed that no genera were positively correlated with all human disturbance metrics. Instead, we found relationships between the division or genera of algae and specific human disturbances that were not detectable when pooling taxa into a single functional category, which is common to many analyses. The convention to use percent cover of macroalgae as an indication of local human disturbance therefore likely obscures signatures of local anthropogenic threats to reefs. Our limited understanding of relationships between human disturbance, macroalgae taxa, and their responses to human disturbances impedes the ability to diagnose and respond appropriately to these threats