87 research outputs found

    Effect of a freshwater pulse on mesoscale circulation and phytoplankton distribution in the lower St. Lawrence Estuary

    Get PDF
    As part of a multidisciplinary program to study the physical-biological interactions regulating carbon flows in the lower St. Lawrence Estuary (LSLE), three cruises were conducted in June–July 1990 during a neap-spring tidal cycle when biological production was expected to be maximal. Nutrient (nitrates and silicates), phytoplankton biomass (chlorophyll), oxygen, temperature, salinity, and current fields were used to elucidate the effect of a freshwater pulse produced by the discharge of the St. Lawrence and Saguenay rivers on the current fields and the biological variability and productivity of the LSLE. A simple Rossby adjustment model is presented to explain the temporal (3–5 days) and spatial (40–50 km) scales of motion in our study region (impact of the freshwater pulse on the circulation). Prior to the passage of the pulse during the neap tide, the circulation was dominated by a downstream outflow and phytoplankton blooms were limited to areas of weak baroclinic currents downstream and along the south shore. The arrival of the pulse during the tidal transition led to the intensification of a transverse current that most likely reduced flushing and allowed phytoplankton biomass to develop further upstream and toward the north shore. During the spring tide, lower salinity waters and the bloom spread along the north shore as the transverse current weakened. Based on these observations, a new conceptual model of mesoscale physical-biological interactions in the LSLE is presented that emphasizes the importance of transverse motions in regulating mesoscale patterns in phytoplankton blooms

    Campylobacter Colitis as a Trigger for Atypical Hemolytic Uremic Syndrome: About One Case

    Get PDF
    We present the case of a 17-year-old Caucasian male whose condition featured acute renal failure, anemia, and deep thrombocytopenia after five consecutive days of diarrhea. Campylobacter coli was identified in stool cultures and, although the direct role of this germ in the pathogenesis of hemolytic uremic syndrome (HUS) remains uncertain to this day, initial presentation was considered broadly consistent with typical HUS. However, the patient showed no signs of spontaneous recovery over time. While secondary investigations showed no abnormalities in ADAMTS13 activity or in the alternate pathway of complement, patient’s condition deteriorated. Worsening kidney failure required emergency renal replacement therapy and was followed by cardiac involvement in the form of acute heart failure. Given this unfavorable development, blood samples were drawn to look for mutations in the alternate complement pathway, and eculizumab therapy was initiated without further delay, allowing prompt improvement of cardiac function and recovery of diuresis. Upon discharge, the patient still had to undergo intermittent dialysis, which would later be withdrawn. Genetic analysis ultimately confirmed the presence of a complement factor H mutation associated with a high risk of disease recurrence, indicating long-term continuation of eculizumab therapy

    Circulation and oxygen cycling in the Mediterranean Sea: Sensitivity to future climate change

    Get PDF
    Climate change is expected to increase temperatures and decrease precipitation in the Mediterranean Sea (MS) basin, causing substantial changes in the thermohaline circulation (THC) of both the Western Mediterranean Sea (WMS) and Eastern Mediterranean Sea (EMS). The exact nature of future circulation changes remains highly uncertain, however, with forecasts varying from a weakening to a strengthening of the THC. Here we assess the sensitivity of dissolved oxygen (O2) distributions in the WMS and EMS to THC changes using a mass balance model, which represents the exchanges of O2 between surface, intermediate, and deep water reservoirs, and through the Straits of Sicily and Gibraltar. Perturbations spanning the ranges in O2 solubility, aerobic respiration kinetics, and THC changes projected for the year 2100 are imposed to the O2 model. In all scenarios tested, the entire MS remains fully oxygenated after 100 years; depending on the THC regime, average deep water O2 concentrations fall in the ranges 151–205 and 160–219 ”M in the WMS and EMS, respectively. On longer timescales (>1000 years), the scenario with the largest (>74%) decline in deep water formation rate leads to deep water hypoxia in the EMS but, even then, the WMS deep water remains oxygenated. In addition, a weakening of THC may result in a negative feedback on O2 consumption as supply of labile dissolved organic carbon to deep water decreases. Thus, it appears unlikely that climate-driven changes in THC will cause severe O2 depletion of the deep water masses of the MS in the foreseeable future

    The role of experiments in understanding fishery-induced evolution

    Get PDF
    Evidence of fishery-induced evolution has been accumulating rapidly from various avenues of investigation. Here we review the knowledge gained from experimental approaches. The strength of experiments is in their ability to disentangle genetic from environmental differences. Common garden experiments have provided direct evidence of adaptive divergence in the wild and therefore the evolvability of various traits that influence production in numerous species. Most of these cases involve countergradient variation in physiological, life history, and behavioral traits. Selection experiments have provided examples of rapid life history evolution and, more importantly, that fishery-induced selection pressures cause simultaneous divergence of not one but a cluster of genetically and phenotypically correlated traits that include physiology, behavior, reproduction, and other life history characters. The drawbacks of experiments are uncertainties in the scale-up from small, simple environments to larger and more complex systems; the concern that taxons with short life cycles used for experimental research are atypical of those of harvested species; and the difficulty of adequately simulating selection due to fishing. Despite these limitations, experiments have contributed greatly to our understanding of fishery-induced evolution on both empirical and theoretical levels. Future advances will depend on integrating knowledge from experiments with those from modeling, field studies, and molecular genetic approaches

    Population-level consequences of seismic surveys on fishes : an interdisciplinary challenge

    Get PDF
    Offshore activities elevate ambient sound levels at sea, which may affect marine fauna. We reviewed the literature about impact of airgun acoustic exposure on fish in terms of damage, disturbance and detection and explored the nature of impact assessment at population level. We provided a conceptual framework for how to address this interdisciplinary challenge, and we listed potential tools for investigation. We focused on limitations in data currently available, and we stressed the potential benefits from cross‐species comparisons. Well‐replicated and controlled studies do not exist for hearing thresholds and dose–response curves for airgun acoustic exposure. We especially lack insight into behavioural changes for free‐ranging fish to actual seismic surveys and on lasting effects of behavioural changes in terms of time and energy budgets, missed feeding or mating opportunities, decreased performance in predator‐prey interactions, and chronic stress effects on growth, development and reproduction. We also lack insight into whether any of these effects could have population‐level consequences. General “population consequences of acoustic disturbance” (PCAD) models have been developed for marine mammals, but there has been little progress so far in other taxa. The acoustic world of fishes is quite different from human perception and imagination as fish perceive particle motion and sound pressure. Progress is therefore also required in understanding the nature and extent to which fishes extract acoustic information from their environment. We addressed the challenges and opportunities for upscaling individual impact to the population, community and ecosystem level and provided a guide to critical gaps in our knowledge.Publisher PDFPeer reviewe

    Low incidence of SARS-CoV-2, risk factors of mortality and the course of illness in the French national cohort of dialysis patients

    Get PDF

    Icodextrine : quels arguments pour et contre son utilisation comme agent osmotique en dialyse péritonéale ?

    No full text
    L’icodextrine est un polymĂšre de glucose dĂ©rivĂ© de l’amidon qui est utilisĂ© comme agent osmotique en dialyse pĂ©ritonĂ©ale. Son grand poids molĂ©culaire limite fortement son absorption sanguine et permet donc de l’utiliser dans des stases longues, puisqu’il y a trĂšs peu de dissipation du gradient osmotique. Ses bĂ©nĂ©fices sont nombreux : optimisation de l’ultrafiltration et donc du contrĂŽle de la surcharge hydro-sodĂ©e, notamment chez des patients anuriques, hyperpermĂ©ables ou en cas de pĂ©ritonite infectieuse, Ă©pargne glucidique avec moins de complications mĂ©taboliques et meilleure prĂ©servation de la membrane pĂ©ritonĂ©ale, meilleure biocompatibilitĂ©. Toutefois, il possĂšde Ă©galement des effets secondaires qu’il ne faut pas mĂ©connaĂźtre : allergies, cas de pĂ©ritonite aseptique, dĂ©plĂ©tion hydro-sodĂ©e trop intense, passage sanguin d’icodextrine et de ses dĂ©rivĂ©s (notamment le maltose), avec risque d’erreurs de dosage de la glycĂ©mie capillaire et augmentation modĂ©rĂ©e de l’osmolalitĂ© plasmatique. C’est pourquoi son utilisation est actuellement limitĂ©e Ă  une stase longue quotidienne au maximum. MalgrĂ© cela, plusieurs centres l’utilisent dans plus d’une stase quotidienne, notamment chez des patients en grande perte d’ultrafiltration ou chez qui l’épargne glucidique est essentielle. Ces patients semblent tirer des bĂ©nĂ©fices de cette utilisation intensifiĂ©e d’icodextrine sans prĂ©senter plus d’effets indĂ©sirables. Une grande Ă©tude multicentrique (DIDo) est actuellement en cours pour tester l’efficacitĂ© et la sĂ©curitĂ© de l’utilisation d’icodextrine dans deux Ă©changes quotidiens chez des patients ĂągĂ©s et incidents en dialyse pĂ©ritonĂ©ale. Par ailleurs, l’icodextrine est aussi utilisĂ© combinĂ© Ă  du glucose en stase longue (ultrafiltration bimodale) avec des rĂ©sultats trĂšs prometteurs en termes d’ultrafiltration et d’épargne glucidique.[Icodextrin: What arguments for and against its use as an osmotic agent in peritoneal dialysis] Icodextrin is a glucose polymer derived from starch that is used as an osmotic agent in peritoneal dialysis. Its high molecular weight limits blood absorption and is useful for long dwell since there is few osmotic gradient dispersal. Its benefits are numerous: ltrafiltration optimization and better salt and water control especially in anuric patients with a high peritoneal permeability and also in case of infectious peritonitis, glucose sparing with less metabolic complications and a better preservation of peritoneal membrane, better biocompatibility. However it should not be forgotten that icodextrin has also side effects that must be known: allergies, cases of aseptic peritonitis, overintense water and salt depletion, lymphatic absorption of icodextrin and its metabolites (including maltose) with a risk of false capillary glucose rate estimation and a moderate increase in plasma osmolality. That is why it is not recommended now to use more than one daily icodextrin dwell. Nevertheless, several dialysis units use icodextrin in more than one daily dwell, especially in patients with an important ultrafiltration loss or in those in whom glucose sparing is essential. It seems to profit them with no more side effects. A large multicenter trial is in progress to test the efficacy and safety of icodextrin dwell twice a day in elder incident patients in peritoneal dialysis (DIDo). Moreover, icodextrin is also used combined with glucose in a long dwell (bimodal ultrafiltration) with encouraging results in terms of ultrafiltration and glucose sparing
    • 

    corecore