32 research outputs found

    Ecosystem effects of thermal manipulation of a whole lake, Lake Breisjøen, southern Norway (THERMOS project)

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    International audienceWe conducted a 3-year artificial deepening of the thermocline in the dimictic Lake Breisjøen, southern Norway, by means of a large submerged propeller. An adjacent lake served as untreated reference. The manipulation increased thermocline depth from 6 to 20 m, caused a significant increase in the heat content, and delayed ice-on by about 20 days. There were only minor changes in water chemistry. Concentrations of sulphate declined, perhaps due to greater reduction of sulphate at the sediment-water interface. Concentrations of particulate carbon and nitrogen decreased, perhaps due to increased sedimentation velocity. Water transparency increased. There was no significant change in concentration of phosphorus, the growth-limiting nutrient. There were few significant changes in principal biological components. Phytoplankton biomass and productivity did not change, although the chlorophyll-a concentration showed a small decrease. Phytoplankton species richness increased, and the species composition shifted. Growth of periphyton increased. There was no change in the macrophyte community. The manipulation did not affect the zooplankton biodiversity, but caused a significant shift in the relative abundance (measured as biomass) in the two major copepod species. The manipulation did not affect the individual density, but appeared to have changed the vertical distribution of zoobenthos. Fish populations were not affected. The lake is oligotrophic and clearwater and the manipulation did not change the supply of phosphorus, and thus there were only minor changes in lake chemistry and biology. Effects might be larger in eutrophic and dystrophic lakes in which internal processes are stronger

    Microalbuminuria associated with indicators of inflammatory activity in an HIV-positive population

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    Background. The survival of human immunodeficiency virus (HIV)-infected patients has increased significantly since the introduction of combination antiretroviral therapy, leading to the development of important long-term complications including cardiovascular disease (CVD) and renal disease. Microalbuminuria, an indicator of glomerular injury, is associated with an increased risk of progressive renal deterioration, CVD and mortality. However, the prevalence of microalbuminuria has barely been investigated in HIV-infected individuals

    Increased Prevalence of Albuminuria in HIV-Infected Adults with Diabetes

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    HIV and type 2 diabetes are known risk factors for albuminuria, but no previous reports have characterized albuminuria in HIV-infected patients with diabetes.We performed a cross-sectional study including 73 HIV-infected adults with type 2 diabetes, 82 HIV-infected non-diabetics, and 61 diabetic control subjects without HIV. Serum creatinine >1.5 mg/dL was exclusionary. Albuminuria was defined as urinary albumin/creatinine ratio >30 mg/g.The prevalence of albuminuria was significantly increased among HIV-infected diabetics (34% vs. 13% of HIV non-diabetic vs. 16% diabetic control, p = 0.005). HIV status and diabetes remained significant predictors of albuminuria after adjusting for age, race, BMI, and blood pressure. Albumin/creatinine ratio correlated significantly with HIV viral load (r = 0.28, p = 0.0005) and HIV-infected subjects with albuminuria had significantly greater cumulative exposure to abacavir (p = 0.01). In an adjusted multivariate regression analysis of HIV-infected subjects, the diagnosis of diabetes (p = 0.003), higher HIV viral load (p = 0.03) and cumulative exposure to abacavir (p = 0.0009) were significant independent predictors of albuminuria.HIV and diabetes appear to have additive effects on albuminuria which is also independently associated with increased exposure to abacavir and HIV viral load. Future research on the persistence, progression and management of albuminuria in this unique at-risk population is needed

    Management of Hypertension in Chronic Kidney Disease

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