Preliminary Evaluation of the Sural Nerve Using 22-MHz Ultrasound: A New Approach for Evaluation of Diabetic Cutaneous Neuropathy

Background: The application of 22-MHz high-frequency ultrasound allows for visualization of the inner part of the sural nerve. The aim of this study was to evaluate the morphological changes of sural nerves in patients with type 2 diabetes mellitus using ultrasound. Materials and Methods: The thickness/width (T/W) ratio, the cross-sectional area (CSA) of the sural nerves and the maximum thickness (MT) of the nerve fascicles were measured in 100 patients with type 2 diabetes mellitus and 50 healthy volunteers using 22-MHz ultrasound. Receiver operating characteristic (ROC) curves were plotted to determine the optimal cut-off values as well as the sensitivities and specificities. All parameters were significantly different between the subject and control groups. The ROC curves demonstrated that the MT was the most predictive of diabetic cutaneous neuropathy, with an optimal cut-off value of 0.365 mm that yielded a sensitivity of 90.3 % and a specificity of 87.7%. Conclusions: The results of this study suggest that 22-MHz ultrasound may be a valuable tool for evaluating diabeti

Life-Cycle Switching and Coexistence of Species with No Niche Differentiation

The increasing evidence of coexistence of cryptic species with no recognized niche differentiation has called attention to mechanisms reducing competition that are not based on niche-differentiation. Only sex-based mechanisms have been shown to create the negative feedback needed for stable coexistence of competitors with completely overlapping niches. Here we show that density-dependent sexual and diapause investment can mediate coexistence of facultative sexual species having identical niches. We modelled the dynamics of two competing cyclical parthenogens with species-specific density-dependent sexual and diapause investment and either equal or different competitive abilities. We show that investment in sexual reproduction creates an opportunity for other species to invade and become established. This may happen even if the invading species is an inferior competitor. Our results suggests a previously unnoticed mechanism for species coexistence and can be extended to other facultative sexual species and species investing in diapause where similar density-dependent life-history switches could act to promote coexistence

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

The Influence of Diet on Mercury Intake by Little Tern Chicks

We assessed mercury levels in the feathers of little tern (Sternula albifrons) chicks from hatching to fledging and in their prey captured by adults in three main foraging habitats: lagoon, salinas, and adjacent sea. These data were used to model mercury concentration in chick feathers through food ingestion, in order to explore the effects that changes in diet would have on the mercury burden of chicks as they aged. The mercury concentration in feathers of chicks raised in sandy beaches was higher than in those raised in salinas. Lagoon prey had a significantly higher mercury concentration (0.18 ± 0.09 µg g-1 dry weight [d.w.]) than prey from salinas and the adjacent sea (both 0.06 ± 0.03 µg g-1 d.w.). In relation to prey species group, mercury content was significantly higher for bottom fish (0.17 ± 0.10 µg g-1 d.w.) than for pelagic (0.08 ± 0.06 µg g-1 d.w.), euryhaline fish (0.04 ± 0.02 µg g-1 d.w.), and crustacea (0.08 ± 0.03 µg g-1 d.w.). To understand the importance of mercury content of each prey group, we ran several theoretical scenarios assuming that chicks were fed on only one species at a time. Considering a diet restricted to lagoon (mostly benthic) prey, A- and B-chicks may encounter health problems with an excess of mercury. On the contrary, a diet restricted to marine (mostly pelagic) prey would decrease the mercury concentration in chick feathers; the fast growth rate and the related mercury dilution effect in little tern chicks seem to decrease mercury levels in their feathers. Our study supports the fact that marine pelagic prey are important for estuarine seabirds because they provide a food resource with lower contamination levels. This model may have a wider application in similar seabird species and coastal environments