Quantitative brain electrical activity in the initial screening of mild traumatic brain injuries

Introduction: The incidence of emergency department (ED) visits for Traumatic Brain Injury (TBI) in the United States exceeds 1,000,000 cases/year with the vast majority classified as mild (mTBI). Using existing computed tomography (CT) decision rules for selecting patients to be referred for CT, such as the New Orleans Criteria (NOC), approximately 70% of those scanned are found to have a negative CT. This study investigates the use of quantified brain electrical activity to assess its possible role in the initial screening of ED mTBI patients as compared to NOC.Methods: We studied 119 patients who reported to the ED with mTBI and received a CT. Using a hand-held electroencephalogram (EEG) acquisition device, we collected data from frontal leads to determine the likelihood of a positive CT. The brain electrical activity was processed off-line to generate an index (TBI-Index, biomarker). This index was previously derived using an independent population, and the value found to be sensitive for significant brain dysfunction in TBI patients. We compared this performance of the TBI-Index to the NOC for accuracy in prediction of positive CT findings.Results: Both the brain electrical activity TBI-Index and the NOC had sensitivities, at 94.7% and 92.1% respectively. The specificity of the TBI-Index was more than twice that of NOC, 49.4% and 23.5% respectively. The positive predictive value, negative predictive value and the positive likelihood ratio were better with the TBI-Index. When either the TBI-Index or the NOC are positive (combining both indices) the sensitivity to detect a positive CT increases to 97%.Conclusion: The hand-held EEG device with a limited frontal montage is applicable to the ED environment and its performance was superior to that obtained using the New Orleans criteria. This study suggests a possible role for an index of brain function based on EEG to aid in the acute assessment of mTBI patients. [West J Emerg Med. 2012;13(5):394-400.

Receptor-independent metabolism of platelet-activating factor by myelogenous cells

AbstractHuman neutrophils incorporate and metabolize platelet-activating factor (PAF). We dissociated these events from PAF binding to its receptors. Cells were pretreated with either pronase, a PAF antagonist (L652731), or excess PAF. This reduced PAF receptor numbers by 70 to almost 100% but had no comparable effect upon the neutrophil's ability to metabolize PAF. Furthermore, HL-60 cells efficiently metabolized, but did not specifically bind, PAF. Thus, PAF receptor availability did not correlate with PAF metabolic capacity and we conclude that myelogenous tissues can process this bioactive ligand by a receptor-independent pathway

Feeding ecology of redfish (Sebastes sp.) inferred from the integrated use of fatty acid profiles as complementary dietary tracers to stomach content analysis

In the northern Gulf of St. Lawrence (nGSL), redfish (Sebastes mentella and Sebastes fasciatus combined) are at record levels of abundance following the strong recruitment of three consecutive cohorts in 2011–2013 and have become by far the most abundant demersal fish in the region. Understanding redfish trophic relationships is essential for the effective management and conservation of species in the nGSL ecosystem. To date, description and quantification of redfish diet in the region have been restricted to conventional stomach content analysis (SCA). Using analysis of fatty acid (FA) profiles as complementary dietary tracers, the authors conducted multivariate analyses on 350 livers of redfish which were collected in combination with stomach contents during a bottom-trawl scientific survey in August 2017. The predator FA profiles were compared to those of eight different redfish prey types identified as dietary important with SCA. Results suggested similitude between SCA and FA results, with zooplankton prey being more related to small (<20 cm) and medium (20–30 cm) redfish (16:1n7, 20:1n?, 22:1n9 and 20:5n3) than large (≥30 cm) ones, whereas shrimp prey seemed more related to large redfish size classes (18:2n6 and 22:6n3) relative to the small and medium ones. Although the SCA offers a glimpse in the diet only based on the most recently consumed prey, analysis of FA profiles provides a mid-term view indicating pelagic zooplankton consumption on calanoid copepod and confirming high predation pressure on shrimp. This study constitutes the first attempt of combining FA with SCA to assess the diet of redfish, highlights the benefits of FA as a qualitative tool and suggests improvements for future studies. -- Keywords : diet ; Gulf of St. Lawrence ; liver tissue ; prey

Diet composition of redfish (Sebastes sp.) during periods of population collapse and massive resurgence in the Gulf of St. Lawrence

Redfish (Sebastes mentella and S. fasciatus) are back at spectacular record high levels in the Gulf of St. Lawrence (GSL) and the effects of this massive resurgence on other components of the food web remain largely unknown. To better understand the trophic implications of the surging redfish biomass within the GSL ecosystem, 3,690 stomachs containing food were collected during two periods: one characterised by low redfish abundance (1993–1999) and the other during a period of record abundance (2015–2019). Taxonomical analysis of stomach contents from individuals of different sizes from three subareas of the GSL was carried out to determine diet composition during both periods. Zooplankton represented the main prey category for small redfish (< 20 cm), which was driven by a predation on amphipods, mostly Themisto sp. in North-East Gulf, in the 1990s and on copepods of the genus Calanus in the deep channels and euphausiids in North-West Gulf in the 2010s. Themisto sp. still dominated the diet of medium (20–30 cm) redfish in the 1990s while the copepods were predominant during the 2010s. Shrimp consumption increased with redfish size and two species were particularly important in large redfish diet (≥ 30 cm) during both periods: pink glass shrimp (Pasiphaea multidentata), mostly in the Laurentian Channel and northern shrimp (Pandalus borealis), especially in North-East Gulf. Redfish predation on shrimp represents a major concern for the dynamics of the northern shrimp which supports a valuable fishery in the GSL but has been declining in abundance since several years. Piscivory was observed in large redfish diet, with capelin (Mallotus villosus) being the major fish prey in the 1990s and redfish (cannibalism) in the 2010s, suggesting density-dependent control at high density of small redfish. By presenting a detailed overview into the redfish diet composition and its temporal variability, the present study offers a first look into the possible future trophic impacts of a resurging groundfish in the GSL ecosystem

Le Forum, Vol. 40 No. 2

https://digitalcommons.library.umaine.edu/francoamericain_forum/1087/thumbnail.jp

Le Forum, Vol. 40 No. 3

https://digitalcommons.library.umaine.edu/francoamericain_forum/1088/thumbnail.jp