Nature-based coastal restoration: Development of an early-rearing production protocol of sugar kelp (Saccharina latissima Linnaeus) for bottom planting activities in the Gulf of St-Lawrence (Québec, Canada)

Successful bottom planting of indigenous macroalgae Saccharina latissima aimed at coastal restoration purposes require the mass production in controlled conditions of strongly fixed, healthy sporophytes followed by optimal transfer techniques in order to ensure viability and vigor of the young seedlings about to be directly introduced in the coastal environment. Early development of S. latissima submitted to different combinations of substrate type (natural vs artificial brick-shaped substrate), gametophyte spraying method (water-based vs binder-based) and water velocity (0.1 vs 0.2 m s-1) was evaluated during a growth trial that lasted 42 days. Overall, all experimental groups (8 in triplicate) reached the targeted length of 15 mm between 35-42 days post-seeding. No strong indications that the proposed 2×2×2 factorial design generated long lasting effects on growth and development indicators were observed (thallus length, SGR and % coverage). The observation of no persistent difference in the growth response of S. latissima under all experimental conditions, demonstrates that it is well suited for mass production of seedlings. Our results and evidenced-based practices led us to conclude that the use of an artificial substrate in combination with a binder-based gametophyte pulverization and the application of a velocity 0.2 m s-1 during early-growth could be adopted in a standardized protocol. We argue that 1) artificial substrates (uniform shape, stackable and rough surface) will most likely allow better use of a vessel’s open deck space and adherence of the developing holdfast; 2) the use of a binder may slow down the dehydration of the propagules and promote adhesiveness to the substrate during rearing, handling and transfer operations and under varying flow rates or wave actions respectively and 3) highest velocity should promote the selection of propagules with strongest attachment and thus possibly limit post-transfer dislodgement. We suggest further studies should 1) focus on identifying optimal gametophyte concentration at the spraying step, in order to reduce production costs and maximise productivity of seedling operations and 2) include biomass determination (g of tissue per cm2) in combination to the semi-quantitative density evaluation (% coverage) based on image-analysis, in order to improve our global assessment of growth

Lithium side effects and toxicity: prevalence and management strategies

Despite its virtually universal acceptance as the gold standard in treating bipolar disorder, prescription rates for lithium have been decreasing recently. Although this observation is multifactorial, one obvious potential contributor is the side effect and toxicity burden associated with lithium. Additionally, side effect concerns assuredly play some role in lithium nonadherence. This paper summarizes the knowledge base on side effects and toxicity and suggests optimal management of these problems. Thirst and excessive urination, nausea and diarrhea and tremor are rather common side effects that are typically no more than annoying even though they are rather prevalent. A simple set of management strategies that involve the timing of the lithium dose, minimizing lithium levels within the therapeutic range and, in some situations, the prescription of side effect antidotes will minimize the side effect burden for patients. In contrast, weight gain and cognitive impairment from lithium tend to be more distressing to patients, more difficult to manage and more likely to be associated with lithium nonadherence. Lithium has adverse effects on the kidneys, thyroid gland and parathyroid glands, necessitating monitoring of these organ functions through periodic blood tests. In most cases, lithium-associated renal effects are relatively mild. A small but measurable percentage of lithium-treated patients will show progressive renal impairment. Infrequently, lithium will need to be discontinued because of the progressive renal insufficiency. Lithium-induced hypothyroidism is relatively common but easily diagnosed and treated. Hyperparathyroidism from lithium is a relatively more recently recognized phenomenon

TRAITEMENT DU PURPURA RHUMATOIDE (ETUDE RETROSPECTIVE ET REVUE DE LA LITTERATURE)

AMIENS-BU Santé (800212102) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

[Progressive renal failure caused by lithium nephropathy]

OBJECTIVES: Study the renal consequences of lithium therapy and find out whether lithium-induced chronic renal toxicity can provoke a progressive nephropathy, leading to advanced renal failure, requiring periodical dialysis. METHODS: Fifty-three patients treated with long-term lithium salts were included in the study. They had developed chronic renal failure (creatinine clearance inferior to 80 ml/min) not due to any other cause. RESULTS: These patients had received lithium salts for a mean period of 17.7 years. The mean reduction in creatinine clearance was of 2.23 ml/min/year. Final clearance correlated negatively with the duration of lithium administration. In 7 patients treated a mean of 22 years, progression towards terminal kidney failure required periodical dialysis. Around 30% of patients exhibited mild hypercalcemia. CONCLUSION: Lithium nephropathy inducing progressive renal failure is a reality. Its prevalence in patients treated long-term with lithium should be assessed