Vertebral morphology in extant porpoises: Radiation and functional implications

Vertebral morphology has profound biomechanical implications and plays an important role in adaptation to different habitats and foraging strategies for cetaceans. Extant porpoise species (Phocoenidae) display analogous evolutionary patterns in both hemispheres associated with convergent evolution to coastal versus oceanic environments. We employed 3D geometric morphometrics to study vertebral morphology in five porpoise species with contrasting habitats: the coastal Indo-Pacific finless porpoise (Neophocaena phocaenoides); the mostly coastal harbor porpoise (Phocoena phocoena) and Burmeister's porpoise (Phocoena spinipinnis); and the oceanic spectacled porpoise (Phocoena dioptrica) and Dall's porpoise (Phocoenoides dalli). We evaluated the radiation of vertebral morphology, both in size and shape, using multivariate statistics. We supplemented data with samples of an early-radiating delphinoid species, the narwhal (Monodon monoceros); and an early-radiating delphinid species, the white-beaked dolphin (Lagenorhynchus albirostris). Principal component analyses were used to map shape variation onto phylogenies, and phylogenetic constraints were investigated through permutation tests. We established links between vertebral morphology and movement patterns through biomechanical inferences from morphological presentations. We evidenced divergence in size between species with contrasting habitats, with coastal species tending to decrease in size from their estimated ancestral state, and oceanic species tending to increase in size. Regarding vertebral shape, coastal species had longer centra and shorter neural processes, but longer transverse processes, while oceanic species tended to have disk-shaped vertebrae with longer neural processes. Within Phocoenidae, the absence of phylogenetic constraints in vertebral morphology suggests a high level of evolutionary lability. Overall, our results are in accordance with the hypothesis of speciation within the family from a coastal ancestor, through adaptation to particular habitats. Variation in vertebral morphology in this group of small odontocetes highlights the importance of environmental complexity and particular selective pressures for the speciation process through the development of adaptations that minimize energetic costs during locomotion and prey capture.Fil: Marchesi, María Constanza. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; ArgentinaFil: Galatius, Anders. University Aarhus; DinamarcaFil: Zaffino, Martina. Universidad Nacional de la Patagonia "San Juan Bosco"; ArgentinaFil: Coscarella, Mariano Alberto. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; Argentina. Universidad Nacional de la Patagonia "San Juan Bosco"; ArgentinaFil: Gonzalez-Jose, Rolando. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Instituto Patagónico de Ciencias Sociales y Humanas; Argentin

Vertebral Morphology in Partially Sympatric Dolphins: A 3D Approach

In cetaceans, increased body flexibility is associated with increased maneuverability, this affects the animal’s swimming speed and foraging behavior. A more stable body form is associated with fast swimming and wide turns. One factor that affects the flexibility of a cetacean’s body is the structure and interaction of its vertebrae. Differences in vertebral morphology confer different muscular insertion sites and affect mechanical properties of swimming muscles. We studied vertebral morphology in four closely related and partially sympatric dolphin species from the Southern Hemisphere: Commerson’s dolphin (Cephalorhynchus commersonii), Peale’s dolphin (Lagenorhynchus australis), the dusky dolphin (Lagenorhynchus obscurus) and the hourglass dolphin (Lagenorhynchus cruciger). The former two species are usually considered coastal, associated with complex habitats where foraging strategies require greater maneuverability; they also show plasticity in their prey preferences. The latter two species are considered fastswimming cooperative feeders, with long distance movements reflecting prey availability in pelagic habitats. We employed three-dimensional (3D) geometric morphometric techniques and multivariate analyses to evaluate differences in vertebral morphology. Our analyses tested whether particular morphologies that limit or enhance flexibility were associated with preferred habitats and feeding strategies. We established links between morphology and behavioral patterns based on the biomechanical significance of specific vertebral morphological features. Principal component analyses (PCA) showed great differentiation between species in all the studied regions along the vertebral column. This was especially evident in the middle area, except in the case of dusky and hourglass dolphins which showed no discernible morphological difference in their mid-column vertebrae. PCA results were supported by statistically significant Mahalanobis distances (MD) between species. Species associated with complex habitats and behaviors possessed morphological features associated with greater flexibility of the column (i.e., spool-shaped vertebrae with short erect processes), whereas cooperative-feeder species possessed features associated with greater stability (i.e., disk-shaped vertebrae with long strongly bent processes). In these closely related and partially sympatric dolphins, vertebral morphology is distinctive and varies with the differential foraging strategies and habitat of each species. These findings reveal morphological plasticity among these dolphin species, highlighting the importance of behavioral complexity and of habitat use in the evolutionary development of morphological adaptations.Fil: Marchesi, María Constanza. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; ArgentinaFil: Mora, Matias Sebastian. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; ArgentinaFil: Dans, Silvana Laura. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; ArgentinaFil: Coscarella, Mariano Alberto. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; ArgentinaFil: Gonzalez-Jose, Rolando. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Instituto Patagónico de Ciencias Sociales y Humanas; Argentin

Study protocol: The DOse REsponse Multicentre International collaborative initiative (DO-RE-MI)

INTRODUCTION: Current practices for renal replacement therapy in intensive care units (ICUs) remain poorly defined. The DOse REsponse Multicentre International collaborative initiative (DO-RE-MI) will address the issue of how the different modes of renal replacement therapy are currently chosen and performed. Here, we describe the study protocol, which was approved by the Scientific and Steering Committees. METHODS: DO-RE-MI is an observational, multicentre study conducted in ICUs. The primary end-point will be the delivered dose of dialysis, which will be compared with ICU mortality, 28-day mortality, hospital mortality, ICU length of stay and number of days of mechanical ventilation. The secondary end-point will be the haemodynamic response to renal replacement therapy, expressed as percentage reduction in noradrenaline (norepinephrine) requirement. Based on the the sample analysis calculation, at least 162 patients must be recruited. Anonymized patient data will be entered online in electronic case report forms and uploaded to an internet website. Each participating centre will have 2 months to become acquainted with the electronic case report forms. After this period official recruitment will begin. Patient data belong to the respective centre, which may use the database for its own needs. However, all centres have agreed to participate in a joint effort to achieve the sample size needed for statistical analysis. CONCLUSION: The study will hopefully help to collect useful information on the current practice of renal replacement therapy in ICUs. It will also provide a centre-based collection of data that will be useful for monitoring all aspects of extracorporeal support, such as incidence, frequency, and duration

Bowel preparation for elective colorectal resection: multi-treatment machine learning analysis on 6241 cases from a prospective Italian cohort

background current evidence concerning bowel preparation before elective colorectal surgery is still controversial. this study aimed to compare the incidence of anastomotic leakage (AL), surgical site infections (SSIs), and overall morbidity (any adverse event, OM) after elective colorectal surgery using four different types of bowel preparation. methods a prospective database gathered among 78 Italian surgical centers in two prospective studies, including 6241 patients who underwent elective colorectal resection with anastomosis for malignant or benign disease, was re-analyzed through a multi-treatment machine-learning model considering no bowel preparation (NBP; No. = 3742; 60.0%) as the reference treatment arm, compared to oral antibiotics alone (oA; No. = 406; 6.5%), mechanical bowel preparation alone (MBP; No. = 1486; 23.8%), or in combination with oAB (MoABP; No. = 607; 9.7%). twenty covariates related to biometric data, surgical procedures, perioperative management, and hospital/center data potentially affecting outcomes were included and balanced into the model. the primary endpoints were AL, SSIs, and OM. all the results were reported as odds ratio (OR) with 95% confidence intervals (95% CI). results compared to NBP, MBP showed significantly higher AL risk (OR 1.82; 95% CI 1.23-2.71; p = .003) and OM risk (OR 1.38; 95% CI 1.10-1.72; p = .005), no significant differences for all the endpoints were recorded in the oA group, whereas MoABP showed a significantly reduced SSI risk (OR 0.45; 95% CI 0.25-0.79; p = .008). conclusions MoABP significantly reduced the SSI risk after elective colorectal surgery, therefore representing a valid alternative to NBP

Abdominal drainage after elective colorectal surgery: propensity score-matched retrospective analysis of an Italian cohort

background: In italy, surgeons continue to drain the abdominal cavity in more than 50 per cent of patients after colorectal resection. the aim of this study was to evaluate the impact of abdominal drain placement on early adverse events in patients undergoing elective colorectal surgery. methods: a database was retrospectively analysed through a 1:1 propensity score-matching model including 21 covariates. the primary endpoint was the postoperative duration of stay, and the secondary endpoints were surgical site infections, infectious morbidity rate defined as surgical site infections plus pulmonary infections plus urinary infections, anastomotic leakage, overall morbidity rate, major morbidity rate, reoperation and mortality rates. the results of multiple logistic regression analyses were presented as odds ratios (OR) and 95 per cent c.i. results: a total of 6157 patients were analysed to produce two well-balanced groups of 1802 patients: group (A), no abdominal drain(s) and group (B), abdominal drain(s). group a versus group B showed a significantly lower risk of postoperative duration of stay >6 days (OR 0.60; 95 per cent c.i. 0.51-0.70; P < 0.001). a mean postoperative duration of stay difference of 0.86 days was detected between groups. no difference was recorded between the two groups for all the other endpoints. conclusion: this study confirms that placement of abdominal drain(s) after elective colorectal surgery is associated with a non-clinically significant longer (0.86 days) postoperative duration of stay but has no impact on any other secondary outcomes, confirming that abdominal drains should not be used routinely in colorectal surgery

3D analysis of vertebral morphology in Dall's porpoise (Phocoenoides dalli): An example of habitat driven morphology-functional adaptation

Particular vertebral morphologies have been reported for coastal and oceanic cetaceans. Dall's porpoise (Phocoenoides dalli ) vertebral column is considered one of the most derived among cetaceans. Total vertebral count exceeds greatly that of any other porpoise species, having strongly compressed vertebrae with exceptionally long processes. We employed 3D geometric morphometrics techniques and multivariate statistics to analyze particular vertebral morphology of Dall's porpoise when compared to other four porpoise species (N. phocoenoides, P. phocoena, P. dioptrica, P. spinippinnis), and a pelagic dolphin (Lagenorhynchus cruciger) known to show vertebral morphologies associated with fast swimming in an oceanic environment. Principal component analyses (PCA) showed great di erentiation of Dall's porpoise with regards to the other species studied here, except when comparing the mid-torso with the oceanic dolphin. PCA results were supported by statistically signi cant Mahalanobis distances calculated between species. In these small odontocetes, vertebral morphology is distinctive and varies with the di erential foraging strategies and habitat of each species. In the oceanic Dall's porpoise, an extremely high vertebral count in conjuntion with vertebrae morphological features (i.e., disk-shaped centra and long strongly bent processes) reveal a vertebral column structure that would be associated with greater stability, particularly adapted for fast swimming in pelagic waters. These ndings reveal morphological plasticity among porpoise species and a possible convergence between Dall's porpoise and an oceanic dolphin in the mid-colum, one of the main areas for force production by swimming muscles. Our resulst highlight the importance of habitat use and behavioral coplexity in the evolutionary development of morphological adaptations.Fil: Marchesi, María Constanza. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; ArgentinaFil: Zaffino, Martina. Universidad Nacional de la Patagonia. Facultad de Ciencias Naturales. Sede Puerto Madryn; ArgentinaFil: Coscarella, Mariano Alberto. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; ArgentinaFil: Gonzalez-Jose, Rolando. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Instituto Patagónico de Ciencias Sociales y Humanas; Argentina11th Symposium on Morphometrics and Evolution of ShapeMontpellier - VirtualFranciaInstitute of Evolutionary Science of Montpellie

Morfología vertebral de marsopas: Radiación y adaptación

La caracterización morfológica de la columna vertebral permite analizar las diferencias en la locomoción entre las especies de cetáceos que ocupan diferentes ambientes. En marsopas (Odontoceti, Phocoenidae), la hipótesis de evolución adaptativa a ambientes contrastantes ha sido propuesta en base a morfología craneana. Mediante morfometría geométrica 3D, evaluamos la relación entre la morfología vertebral, la flexibilidad de la columna, el ambiente y la filogenia en cinco especies de marsopas: tres especies costeras, Neophocaena phocaenoides (n= 2) Phocoena phocoena (n= 8) y Phocoena spinipinnis (n= 8); y dos especies oceánicas, Phocoena dioptrica (n= 15), y Phocoenoides dalli (n= 6). Se analizaron cinco vértebras de cada especimen, representando distintas regiones funcionales. Luego de corregir el efecto alométrico, se realizó un Análisis de Componentes Principales (ACP) que fue contrastado con una filogenia conocida, y se obtuvieron valores de significancia para la presencia de señal filogenética. A su vez, se calcularon Distancias de Mahalanobis entre especies. N. phocaenoides mostró la mayor flexibilidad potencial (centros vertebrales largos con caras pequeñas y procesos neurales cortos), en contraste con la alta estabilidad inferida para P. dalli (centros vertebrales cortos de caras grandes y procesos neurales largos y fuertemente inclinados). Las restantes especies mostraron morfologías intermedias. Se evidenció una ausencia de señal filogenética. En la mayoría de las regiones, se observaron marcadas diferencias entre especies hermanas. Las especies costeras se ubicaron en regiones similares del morfoespacio. Las especies oceánicas difirieron de las demás especies y entre sí. Las distancias de Mahalanobis entre especies apoyaron estos resultados. En estas especies de marsopas existiría una relación entre la morfología vertebral y el ambiente. Las diferencias entre especies en la morfología vertebral estarían en concordancia con la hipótesis de una adaptación a ambientes contrastantes. Este trabajo es un ejemplo de la relevancia del hábitat y la complejidad comportamental en el desarrollo evolutivo de adaptaciones morfológicas.Fil: Zaffino, Martina. Universidad Nacional de la Patagonia. Facultad de Ciencias Naturales. Sede Puerto Madryn; ArgentinaFil: Coscarella, Mariano Alberto. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; ArgentinaFil: Gonzalez-Jose, Rolando. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Instituto Patagónico de Ciencias Sociales y Humanas; ArgentinaFil: Marchesi, María Constanza. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; ArgentinaJornadas Argentinas de Mastozoología: eJAM .21La PlataArgentinaSociedad Argentina para el Estudio de los Mamífero

Surface electromyography for risk assessment in work activities designed using the “revised NIOSH lifting equation”

The aims of this study were: to identify surface electromyography (sEMG)-based indices of trunk muscles acquired during the execution of lifting tasks designed using the revised NIOSH lifting equation and featuring a progressively increasing lifting index (LI); to study changes of these indices in relation to the LI; to evaluate the relationship between the identified indices and forces (FL5−S1) and moments (ML5−S1) at the L5-S1 joint. sEMG, kinematic and kinetic data of 20 male workers were recorded in three conditions. We computed the average rectified value (ARV), root mean square (RMS) and maximum value (Max) of twelve trunk muscles and the muscle co-activation. We also estimated FL5−S1and ML5−S1. One-way repeated-measures ANOVA and post-hoc analysis showed that sEMG-based indices values increased with LI increment of 1 (LI = l, 2 and 3). sEMG and kinetic parameters were linearly correlated. Findings suggest a promising use of wearable sEMG sensors in developing instrumental-based risk assessment tools in either the laboratory or workplace. In fact, some indices discriminate the investigated risk levels and correlate with the variables that generate the damage

Delivered dose of renal replacement therapy and mortality in critically ill patients with acute kidney injury

Introduction The optimal dialysis dose for the treatment of acute kidney injury (AKI) is controversial. We sought to evaluate the relationship between renal replacement therapy (RRT) dose and outcome. Methods We performed a prospective multicentre observational study in 30 intensive care units (ICUs) in eight countries from June 2005 to December 2007. Delivered RRT dose was calculated in patients treated exclusively with either continuous RRT (CRRT) or intermittent RRT (IRRT) during their ICU stay. Dose was categorised into more-intensive (CRRT = 35 ml/kg/hour, IRRT = 6 sessions/week) or less-intensive (CRRT < 35 ml/kg/hour, IRRT < 6 sessions/week). The main outcome measures were ICU mortality, ICU length of stay and duration of mechanical ventilation. Results Of 15,200 critically ill patients admitted during the study period, 553 AKI patients were treated with RRT, including 338 who received CRRT only and 87 who received IRRT only. For CRRT, the median delivered dose was 27.1 ml/kg/hour (interquartile range (IQR) = 22.1 to 33.9). For IRRT, the median dose was 7 sessions/week (IQR = 5 to 7). Only 22% of CRRT patients and 64% of IRRT patients received a more-intensive dose. Crude ICU mortality among CRRT patients were 60.8% vs. 52.5% (more-intensive vs. less-intensive groups, respectively). In IRRT, this was 23.6 vs. 19.4%, respectively. On multivariable analysis, there was no significant association between RRT dose and ICU mortality (Odds ratio (OR) more-intensive vs. less-intensive: CRRT OR = 1.21, 95% confidence interval (CI) = 0.66 to 2.21; IRRT OR = 1.50, 95% CI = 0.48 to 4.67). Among survivors, shorter ICU stay and duration of mechanical ventilation were observed in the more-intensive RRT groups (more-intensive vs. less-intensive for all: CRRT (median): 15 (IQR = 8 to 26) vs. 19.5 (IQR = 12 to 33.5) ICU days, P = 0.063; 7 (IQR = 4 to 17) vs. 14 (IQR = 5 to 24) ventilation days, P = 0.031; IRRT: 8 (IQR = 5.5 to 14) vs. 18 (IQR = 13 to 35) ICU days, P = 0.008; 2.5 (IQR = 0 to 10) vs. 12 (IQR = 3 to 24) ventilation days, P = 0.026). Conclusions After adjustment for multiple variables, these data provide no evidence for a survival benefit afforded by higher dose RRT. However, more-intensive RRT was associated with a favourable effect on ICU stay and duration of mechanical ventilation among survivors. This result warrants further exploration