Joseph Franz Barwirsch levele Lukács Györgynek

_Background:_ Acute kidney injury (AKI) is a frequently encountered complication of imported Plasmodium falciparum infection. Markers of structural kidney damage have been found to detect AKI earlier than serum creatinine-based prediction models but have not yet been evaluated in imported malaria. This pilot study aims to explore the predictive performance of neutrophil gelatinase-associated lipocalin (NGAL) and kidney injury molecule-1 (KIM-1) for AKI in travellers with imported P. falciparum infection. _Methods:_ Thirty-nine patients with imported falciparum malaria from the Rotterdam Malaria Cohort with available serum and urine samples at presentation were included. Ten of these patients met the criteria for severe malaria. The predictive performance of NGAL and KIM-1 as markers for AKI was compared with that of serum creatinine. _Results:_ Six of the 39 patients (15 %) developed AKI. Serum and urine NGAL and urine KIM-1 were all found to have large areas under the receiver operating characteristics curves (AUROC) for predicting AKI. Urine NGAL was found to have an excellent performance with positive predictive value (PPV) of 1.00 (95 % CI 0.54-1.00), a negative predictive value (NPV) of 1.00 (95 % CI 0.89-1.00) and an AUROC of 1.00 (95 % CI 1.00-1.00). _Conclusion:_ A good diagnostic performance of NGAL and KIM-1 for AKI was found. Particularly, urine NGAL was found to have an excellent predictive performance. Larger studies are needed to demonstrate whether these biomarkers are superior to serum creatinine as predictors for AKI in P. falciparum malaria

Colonisation and bioerosion of experimental substrates by benthic foraminifers from euphotic to aphotic depths (Kosterfjord, SW Sweden)

In the cold-temperate setting of the Swedish Kosterfjord area, experimental carbonate and PVC substrates were deployed for a 6, 12 and 24-month duration along a transect from euphotic to aphotic depths in order to study bioerosion and carbonate accretion patterns. Among the organisms that contribute to the latter by secreting calcareous skeletons, epibenthic foraminiferans represent a major component, both in terms of diversity (a dozen species) as well as in the number of individuals (exceeding 50,000 individuals per m2 at certain depths). The by far dominating species were found to be Cibicides lobatulus and the agglutinating Lituotuba lituiformis, along with smaller numbers of Planorbulina mediterranensis, Tholosina vesicularis and Nubecularia lucifuga. The foraminiferal distribution exhibits a pronounced abundance maximum in shallow waters at 7 and especially 15 m and a maximum in diversity at 15-50 m water depth. Some of the foraminiferans encountered, such as Cibicides lobatulus and the rare Gypsina vesicularis, were found to contribute also to the bioerosion of the calcareous substrates by etching shallow attachment scars. These prominent traces witness the former presence of benthic foraminiferans on fossil to Recent hardgrounds, inferring a potential applicability as an in situ proxy where tests are not preserved. Estimated minimum carbonate production rates for the dominant Cibicides lobatulus reach a maximum of 0.326 g/m2/year with the highest rates occurring at 7 to 30 m water depth. Carbonate production rates are up to two magnitudes higher on the PVC (0-0.326 g/m2/year) than on the carbonate substrates (0-0.010 g/m2/year) and are considerably higher than estimates previously reported from the western Baltic