Validation of equations to estimate glomerular filtration rate in South Africans of mixed ancestry

Background. The Modification of Diet in Renal Disease (MDRD) and Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations are two commonly used formulae to estimate glomerular filtration rate (GFR) in adults. The CKD-EPI equation is recommended in current international and local guidelines for the diagnosis and management of chronic kidney disease (CKD), unless an alternative equation has been shown to have superior accuracy. Validation and comparison of the equations in local populations are therefore required. Previous studies have reported on the accuracy of these prediction equations in black South Africans and those of Indian ancestry.Objectives. To evaluate the MDRD and CKD-EPI equations in South African (SA) adults of mixed ancestry.Methods. In all participants, GFR was measured (mGFR) from plasma clearance of 99mTc-diethylenetetraaminepenta-acetic acid (99mTc-DTPA), using a standardised technique. Serum creatinine assays were isotope dilution mass spectrometry traceable. GFR was estimated (eGFR) using the MDRD and CKD-EPI equations, with and without the black ethnicity factor. The agreement, bias, precision and accuracy of each equation was determined.Results. Eighty adults were included (30 male, median age 39 years, median GFR 59 mL/min/1.73 m2). Sixty-eight had a diagnosis of CKD, 10 were potential kidney donors, and 2 were healthy volunteers. Both equations, without the black ethnicity factor, had good agreement with measured GFR. The equations tended to overestimate GFR, with bias of 1.6 and 7.9 mL/min/1.73 m2 for the MDRD and CKD-EPI equations, respectively. The interquartile ranges of the differences were 15.9 and 20.2 mL/min/1.73 m2, and as a measure of accuracy, the percentages of estimates that fell within 30% of the mGFR (P30) were 80% and 72.5% (p=0.18). For identification of individuals with a GFR <60 mL/min/1.73 m2, the sensitivity of MDRD eGFR was 97.3% and that of CKD-EPI eGFR was 97.1%.Conclusions. The MDRD and CKD-EPI equations have shown satisfactory and comparable performance in this SA mixed-ancestry adult population, with the MDRD equation marginally less biased than the CKD-EPI.

Microstructural evolution of silicate immiscible liquids in ferrobasalts

Abstract: An experimental study of the microstructural evolution of an immiscible basaltic emulsion shows that the Fe-rich liquid forms homogeneously nucleated droplets dispersed in a continuous Si-rich liquid, together with droplets heterogeneously nucleated on plagioclase, magnetite, and pyroxene. Heterogeneous nucleation is likely promoted by localised compositional heterogeneities around growing crystals. The wetting angle of Fe-rich droplets on both plagioclase and magnetite increases with decreasing temperature. Droplet coarsening occurs by a combination of diffusion-controlled growth and Ostwald ripening, with an insignificant contribution from coalescence. Characteristic microstructures resulting from the interaction of immiscible Fe-rich liquid with crystal grains during crystal growth can potentially be used as an indicator of liquid unmixing in fully crystallised natural samples. In magma bodies < ~ 10 m in size, gravitationally driven segregation of immiscible Fe-rich droplets is unlikely to be significant

Dual energy window imaging for optimisation of P/V ratios in VP SPECT

Purpose Ventilation–perfusion single-photon emission computed tomography (VP SPECT) plays an important role in pulmonary embolism diagnosis. Rapid results may be obtained using same-day ventilation followed by perfusion imaging, but generally requires careful attention to achieving an optimal count rate ratio (P/V ratio) of ≥ 3:1. This study investigated whether the ratio of counts simultaneously acquired in adjacent primary and Compton scatter energy windows (Eratio) on V SPECT was predictive of final normalised perfusion count rate (PCRnorm) on P SPECT using [99mTc]Tc-macroaggregated albumin (MAA), thus allowing for optimisation of P/V ratios. Methods Same-day VP SPECT studies acquired using standard protocols in adult patients during a 2-year period (training dataset) were assessed. Studies were included provided they were acquired with correct imaging parameters, and injection site imaging and laboratory records were available for quality control and normalised count rate corrections. Extraction of DICOM information, and linear regression were performed using custom Python and R scripts. A predictive tool was developed in Microsoft Excel. This tool was then validated using a second (validation) dataset of same-day studies acquired over a subsequent 7-month period. Accuracy of the prediction tool was assessed by calculating the mean absolute percentage error (MAPE). Results Of 643 studies performed, the scans of 342 participants (median age 30.4 years, 318 female) were included in the training dataset, the analysis of which yielded a significant regression equation (F(1,340) = 1057.3, p < 0.0001), with an adjusted R2 of 0.756 and MSE of 0.001089. A prediction tool designed for routine clinical use was developed for predicting final P/V ratio. Of an additional 285 studies, 198 were included in the second (validation) dataset (median age 29.7 years, 188 female). The Excel-based tool was shown to be 91% accurate (MAPE: 9%) in predicting P/V ratio. Conclusion The relationship between the ratio of simultaneously acquired counts in adjacent energy windows on V SPECT and perfusion count rate after administration of a known activity of [99mTc]Tc-MAA can be linearly approximated. A predictive tool based on this work may assist in optimising the dose and timing of [99mTc]Tc-MAA administration in same-day studies to the benefit of patients and workflows

POPULATION AND BREEDING OF THE GENTOO PENGUIN PYGOSCELIS PAPUA AT MARION ISLAND, 1994/95–2002/03

The numbers of gentoo penguins Pygoscelis papua breeding at subantarctic Marion Island fell by 40&#37 from 1994/95 to 2002/03, from 1 352 pairs to 806 pairs. Apart from a slight increase in 1998/99, there was a steady decrease in numbers breeding between 1995/96 and 2000/01, when the population stabilized. There is indication that in some years not all breeders nested and that some birds relocated to another colony after disturbance. From first clutches, pairs on average fledged between 0.01 chicks in 1997/98 and 0.58 chicks in 2002/03 (mean 0.38 &#177 0.21). In 1994/95, replacement clutches increased the overall production of fledged chicks by 11&#37. Based on demographic parameters measured at other localities, the production of chicks at Marion Island was inadequate to maintain the population during the period 1995/96–2000/01. Consistency in trends in breeding success at five colonies suggests that factors operating at a mesoscale, rather than those specific to particular colonies, often influenced breeding success. Laying was later than normal in 1997/98, when there was almost total breeding failure with large losses of eggs and small chicks to returning Subantarctic skuas Catharacta antarctica. Future research on this Near Threatened species at Marion Island must take full account of its susceptibility to human disturbance.Afr. J. mar. Sci. 25: 463–47

POPULATION, BREEDING, DIET AND CONSERVATION OF THE CROZET SHAG PHALACROCORAX [ATRICEPS] MELANOGENIS AT MARION ISLAND, 1994/95–2002/03

The number of Crozet shags or cormorants Phalacrocorax [atriceps] melanogenis breeding at subantarctic Marion Island decreased by 68&#37 from 841 pairs in 1994/95 to 272 pairs in 2002/03. The mean number of pairs at colonies also decreased and was significantly related to the overall number of birds breeding in any given season. The decreases coincided with a period of warming and reduced precipitation at Marion Island and with a decrease in the number of gentoo penguins Pygoscelis papua breeding there. Both these seabird species forage inshore and there is considerable overlap in their diets. Nototheniid fish and the decapod Nauticaris marionis continued to be important in the diet of Crozet shags, but a change in dominance among nototheniid prey suggests availability of prey to shags changed after the mid 1980s. Crozet shags breed for the first time when aged three years. It is probable that about 25&#37 of the mature population did not breed in 1997/98, coincident with a strong El Niño Southern Oscillation event. In four seasons, breeding pairs on average fledged 0.30 chicks from first clutches, an amount thought inadequate to sustain the population. Crozet shags at the Prince Edward Islands should now be regarded as Endangered. Placing breeding colonies in the most highly protected zone on Marion Island, considering the establishment of an ex situ population and undertaking a genetic study of the specific status of the Crozet shag are recommended conservation measures.Afr. J. mar. Sci. 25: 537–54

Microstructural evolution of silicate immiscible liquids in ferrobasalts

An experimental study of the microstructural evolution of an immiscible basaltic emulsion shows that the Fe-rich liquid forms homogeneously nucleated droplets dispersed in a continuous Si-rich liquid, together with droplets heterogeneously nucleated on plagioclase, magnetite, and pyroxene. Heterogeneous nucleation is likely promoted by localised compositional heterogeneities around growing crystals. The wetting angle of Fe-rich droplets on both plagioclase and magnetite increases with decreasing temperature. Droplet coarsening occurs by a combination of diffusion-controlled growth and Ostwald ripening, with an insignificant contribution from coalescence. Characteristic microstructures resulting from the interaction of immiscible Fe-rich liquid with crystal grains during crystal growth can potentially be used as an indicator of liquid unmixing in fully crystallised natural samples. In magma bodies < ~ 10 m in size, gravitationally driven segregation of immiscible Fe-rich droplets is unlikely to be significant