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Downhill esophageal varices often develop because of venous hypertension caused by either superior vena cava obstruction or compression. We herein present a case of downhill esophageal varices caused by a giant goiter in a patient with postoperative Graves' disease. A 66-year-old man presented with an enlarged goiter. Gastrointestinal endoscopy revealed upper esophageal varices. This patient was successfully treated with repeated segmental embolization of the thyroid arteries that fed the goiter, followed by embolization of the inflow vein for downhill esophageal varices. Three years later, no re-enlargement of either the goiter or the appearance of downhill varices was observed. Segmental embolization therapy is thus considered to be a safe alternative for the treatment of downhill esophageal varices caused by giant goiter.
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Growth differentiation factor-15 (GDF15) is a stress-activated cytokine that regulates cell growth and inflammatory and stress responses. We previously reported the role and regulation of GDF15 in pituitary corticotrophs. Dexamethasone increases Gdf15 gene expression levels and production. GDF15 suppresses adrenocorticotropic hormone synthesis in pituitary corticotrophs and subsequently mediates the negative feedback effect of glucocorticoids. Here, we analyzed corticotropin-releasing factor (Crf) promoter activity in hypothalamic 4B cells transfected with promoter-driven luciferase reporter constructs. The effects of time and GDF15 concentration on Crf mRNA levels were analyzed using quantitative real-time polymerase chain reaction. Glial cell-derived neurotrophic factor family receptor α-like (GFRAL) protein is expressed in 4B cells. GDF15 increased Crf promoter activity and Crf mRNA levels in 4B cells. The protein kinase A and C pathways also contributed to the GDF15-induced increase in Crf gene expression. GDF15 stimulates GFRAL, subsequently increasing the phosphorylation of AKT, an extracellular signal-related kinase, and the cAMP response element-binding protein. Therefore, GDF15-dependent pathways may be involved in regulating Crf expression under stressful conditions in hypothalamic cells.
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Hormona Liberadora de Corticotropina , Factor 15 de Diferenciación de Crecimiento , Hipotálamo , Hormona Liberadora de Corticotropina/genética , Hormona Liberadora de Corticotropina/metabolismo , Factores de Diferenciación de Crecimiento/genética , Factores de Diferenciación de Crecimiento/metabolismo , Factores de Diferenciación de Crecimiento/farmacología , Hipotálamo/efectos de los fármacos , Hipotálamo/metabolismo , Regiones Promotoras Genéticas , Receptores de Hormona Liberadora de Corticotropina/genética , Receptores de Hormona Liberadora de Corticotropina/metabolismo , ARN Mensajero/metabolismo , Animales , Ratas , Factor 15 de Diferenciación de Crecimiento/metabolismo , Factor 15 de Diferenciación de Crecimiento/farmacología , HumanosRESUMEN
Primary aldosteronism (PA) is the most common cause of endocrine hypertension. Unilateral PA can be cured using unilateral adrenalectomy (Adx). PA surgery outcome (PASO) criteria, which include clinical and biochemical outcomes, have been proposed to evaluate PA cure after Adx. However, clinical outcomes are often inconsistent with biochemical outcomes. In addition, although confirmatory tests are included as endpoints of biochemical outcomes in the PASO criteria, their clinical usefulness has not yet been established. We evaluated clinical parameters and confirmatory test results before and after Adx in 16 patients with PA and assessed the usefulness of the confirmatory tests. The following were the clinical outcomes after Adx: 37.5% complete success, 62.5% partial success, and 0% absent success. The ratio of biochemical complete success was as follows: 69% aldosterone/renin ratio and basal plasma aldosterone concentration, 19% as assessed by the captopril challenge test, 47% as assessed by the saline infusion test, 30% as assessed by the furosemide upright test, and 100% urine aldosterone. Of these, biochemical complete success was judged in four cases by aldosterone/renin ratio and basal plasma aldosterone concentration, one case by captopril challenge test, five cases by saline infusion test, and one case by furosemide upright test. Although clinical outcomes and urine aldosterone levels improved after Adx, confirmatory tests failed to improve in some cases. The current criteria are not considered useful for biochemical evaluation after Adx. To determine whether additional treatment with mineralocorticoid receptor antagonists is required, more accurate biochemical criteria should be established after Adx.
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Hiperaldosteronismo , Hipertensión , Humanos , Adrenalectomía/métodos , Aldosterona , Hiperaldosteronismo/diagnóstico , Hiperaldosteronismo/cirugía , Captopril , Furosemida , Renina , Solución Salina , Estudios RetrospectivosRESUMEN
During feeding trips, central-place foragers make decisions on whether to feed at a single site, move to other sites and/or exploit different habitats. However, for many marine species, the lack of fine-resolution data on foraging behaviour and success has hampered our ability to test whether individuals follow predictions of the optimal foraging hypothesis. Here, we tested how benthic foraging habitat usage, time spent at feeding sites and probability of change of feeding sites affected feeding rates in European shags (Gulosus aristotelis) using time-depth-acceleration data loggers in 24 chick-rearing males. Foraging habitat (rocky or sandy) was identified from characteristic differences in dive patterns and body angle. Increase in body mass was estimated from changes in wing stroke frequency during flights. Bout feeding rate (increase in body mass per unit time of dive bout) did not differ between rocky and sandy habitats, or in relation to the order of dive bouts during trips. Bout feeding rates did not affect the duration of flight to the next feeding site or whether the bird switched habitat. However, the likelihood of a change in habitat increased with the number of dive bouts within a trip. Our findings that shags did not actively move further or switch habitats after they fed at sites of lower quality are in contrast to the predictions of optimal foraging theory. Instead, it would appear that birds feed probabilistically in habitats where prey capture rates vary as a result of differences in prey density and conspecific competition or facilitation.
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Buceo , Conducta Alimentaria , Humanos , Masculino , Animales , Ecosistema , Pollos , ProbabilidadRESUMEN
Growth differentiation factor-15 (GDF15) is a stress-responsive cytokine that plays important roles in regulation of inflammatory responses, cell growth, and cell differentiation. However, the nature of these roles remains unclear. Here, we aimed to examine the regulatory effects of dexamethasone on Gdf15 expression in murine AtT-20 corticotroph cells. Human Gdf15 promoter-driven luciferase reporter constructs were transfected into corticotroph cells to analyze their promoter activity. The effects of time and concentration of dexamethasone on Gdf15 and proopiomelanocortin (Pomc) mRNA levels were assessed using quantitative real-time polymerase chain reaction. Dexamethasone induced Gdf15 transcription and mRNA levels as well as GDF15 production in transfected cells, whereas reduced the Pomc mRNA levels. GDF15 modulated adrenocorticotropic hormone (ACTH) synthesis, and the dexamethasone-mediated reduction in Pomc mRNA levels were partially relieved upon Gdf15 knockdown. We concluded that GDF15 modulated ACTH production in pituitary corticotrophs in an autocrine manner by suppressing Pomc expression and subsequently mediating the negative feedback effect of glucocorticoids, thereby contributing to pituitary stress response and homeostasis.
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Hormona Adrenocorticotrópica , Corticotrofos , Factor 15 de Diferenciación de Crecimiento , Hormona Adrenocorticotrópica/metabolismo , Animales , Corticotrofos/química , Corticotrofos/metabolismo , Hormona Liberadora de Corticotropina/metabolismo , Dexametasona/farmacología , Expresión Génica , Factor 15 de Diferenciación de Crecimiento/metabolismo , Humanos , Ratones , Proopiomelanocortina/genética , Proopiomelanocortina/metabolismo , ARN Mensajero/genética , ARN Mensajero/metabolismoRESUMEN
At-sea habitat use of breeding seabirds is strongly influenced by marine environmental features that vary over space and time. The use of bio-loggers allows researchers to track fine-scale movements of seabirds and provides opportunities to identify the primary factors affecting their area use for foraging. Using GPS loggers, we tracked chick-rearing rhinoceros auklets (Cerorhinca monocerata), which are wing-propelled divers, at Daikoku Island, eastern Hokkaido, Japan. The central phase for foraging activity on birds' trips was determined using a multiple change points model. To examine environmental factors explaining the distribution of the foraging phase, a generalized additive model was used where sea surface temperature, chlorophyll a concentration, bathymetry, and distance from the colony were explanatory variables. To obtain information supporting the behavioral tracking, prey items in the bill-loads of adult auklets were collected. We found that auklets foraged over the continental shelf shallower than the 200-m isobath and that distance from the colony was related to the area use. Adult auklets predominately brought back age-0 chum salmon (Oncorhynchus keta), which was abundant in coastal waters along southeast Hokkaido during the study period. Our findings indicate that rhinoceros auklets rearing chicks, hence visiting nests frequently, on Daikoku Island can find suitable feeding grounds nearby.
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Charadriiformes , Ecosistema , Animales , Aves , Clorofila A , PerisodáctilosRESUMEN
Promoting the use of renewable energy and conserving biodiversity are conflicting issues that need addressing. While the development of offshore wind facilities/turbines is accelerating, many seabirds have been exposed to collisions with wind turbines. We must identify high collision areas and avoid the construction of wind turbines in these spaces to reduce these conflicts. One solution is to develop useful finer scale sensitivity maps. In this study, we created a fine-scale map of collision risk by spatial modelling using information from bird flights at sea and explored the relative importance of each geographic variable relevant to the risk. Between 2016 and 2019, we collected 3D-location data from 117 black-tailed gulls (Larus crassirostris) of three colonies in two areas and 21 slaty-backed gulls (L. schistisagus) of four colonies in one area of northern Hokkaido, Japan. The spatial models that explain the occurrence of M-zone flight, which is the flight within the heights of high collision risk (20-140 m height), were constructed at a 1 km mesh using a random forest algorithm, a machine-learning tool. The model satisfactory predicted the spatial distribution of M-zone flights using geographic variables and species (correlation coefficient: 0.57-0.94), although data had some degrees of variation between species, years, colonies, and areas. Our model can be applied to other regions, as long as we have general topological information and the locations of colonies and harbors. The distance to the breeding colony and the nearest harbors were important, and the collision risk was 6-7 times higher within 15 km from the colonies and 5 km from harbors. Black-tailed gulls used different sites for foraging and commuting between years, whereas slaty-backed gulls used relatively consistent sites. These variations between species and among years suggest that collecting bird data over multiple years is necessary and effective for creating a generally applicable sensitivity map.
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Charadriiformes , Animales , Biodiversidad , Japón , Energía RenovableRESUMEN
Immune checkpoint inhibitors (ICIs) treatment can result in endocrine immune-related adverse events (irAEs), including pituitary dysfunction. Quick diagnosis of secondary adrenal insufficiency (AI) is challenging because no universal definition of ICI-induced secondary AI has been agreed. The aim of this study was to clarify the clinical features of ICI-induced secondary AI that can be used for screening in standard clinical practice. This retrospective study was performed using the medical records of patients who received ICIs at Hirosaki University Hospital between 1 September 2014 and 31 January 2021. Longitudinal clinical data of patients who developed AI were analyzed and compared with the data of thyroid irAEs. Regression analysis showed a significant correlation between ICI-induced secondary AI and absolute or relative eosinophil counts at pre-onset of AI, as well as differences or rate of increase in eosinophil counts at baseline and at pre-onset. Absolute eosinophil counts > 198.36/µL or relative eosinophil counts > 5.6% at pre-onset, and a difference of 65.25/µL or a rate of eosinophil count increase of 1.97 between the baseline and at pre-onset showed the best sensitivity and specificity. This is the first report to demonstrate that eosinophil counts can be a predictor of ICI-induced secondary AI.
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Insuficiencia Suprarrenal/inducido químicamente , Insuficiencia Suprarrenal/inmunología , Eosinófilos/inmunología , Inhibidores de Puntos de Control Inmunológico/efectos adversos , Neoplasias/tratamiento farmacológico , Insuficiencia Suprarrenal/sangre , Anciano , Biomarcadores , Proteína C-Reactiva/análisis , Femenino , Humanos , Recuento de Leucocitos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Pronóstico , Estudios Retrospectivos , Sodio/sangreRESUMEN
The hypothalamic-pituitary-adrenal axis is stimulated in response to stress. When activated, it is suppressed by the negative feedback effect of glucocorticoids. Glucocorticoids directly inhibit proopiomelanocortin (Pomc) gene expression in the pituitary. Glucocorticoid signaling is mediated via glucocorticoid receptors, 11ß-hydroxysteroid dehydrogenases, and the FK506-binding immunophilins, Fkbp4 and Fkbp5. Fkbp4 and Fkbp5 differentially regulate dynein interaction and nuclear translocation of the glucocorticoid receptor, resulting in modulation of the glucocorticoid action. Here, we explored the regulation of Fkbp4 and Fkbp5 genes and their proteins with dexamethasone, a major synthetic glucocorticoid drug, in murine AtT-20 corticotroph cells. To elucidate further roles of Fkbp4 and Fkbp5, we examined their effects on Pomc mRNA levels in corticotroph cells. Dexamethasone decreased Pomc mRNA levels as well as Fkpb4 mRNA levels in mouse corticotroph cells. Dexamethasone tended to decrease Fkbp4 protein levels, while it increased Fkpb5 mRNA and its protein levels. The dexamethasone-induced decreases in Pomc mRNA levels were partially canceled by Fkbp4 knockdown. Alternatively, Pomc mRNA levels were further decreased by Fkbp5 knockdown. Thus, Fkbp4 contributes to the negative feedback of glucocorticoids, and Fkbp5 reduces the efficiency of the glucocorticoid effect on Pomc gene expression in pituitary corticotroph cells.
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Corticotrofos/metabolismo , Regulación de la Expresión Génica , Proopiomelanocortina/genética , Proteínas de Unión a Tacrolimus/metabolismo , Animales , Biomarcadores , Corticotrofos/citología , Dexametasona/farmacología , Regulación de la Expresión Génica/efectos de los fármacos , Técnicas de Silenciamiento del Gen , Glucocorticoides/metabolismo , Ratones , Modelos Biológicos , Unión Proteica , ARN Mensajero/genética , Receptores de Glucocorticoides/metabolismo , Transducción de Señal/efectos de los fármacos , Proteínas de Unión a Tacrolimus/genéticaRESUMEN
Anthropogenic marine debris is a threat to marine organisms. Understanding how this debris spatially distributes at sea and may become associated with marine wildlife are key steps to tackle this current issue. Using bird-borne GPS- and video-loggers on 13 black-footed albatrosses Phoebastria nigripes breeding in Torishima, Japan, we examined the distribution of large floating debris in the Kuroshio Current area, western North Pacific. A total of 16 floating debris, including styrofoam (n = 4), plastic pieces (n = 3), plastic sheet (n = 1), fishery-related items (rope or netting, n = 4), and unidentified debris (n = 4), were recorded across the 9003 km covered by nine birds. The debris was concentrated in the southern area of the Kuroshio Current, where the surface current was weak, and the albatrosses were foraging. The albatrosses displayed changes in flight direction towards the debris when at a mean distance of 4.9 km, similarly to when approaching prey, and one bird was observed pecking at a plastic sheet; indicating that albatrosses actively interacted with the debris. This paper shows the usefulness of studying wide-ranging marine predators through the use of combined biologging tools, and highlights areas with increased risk of debris exposure and behavioral responses to debris items.
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Seabirds are widely used as indicators of marine pollution, including mercury (Hg), because they track contaminant levels across space and time. However, many seabirds are migratory, and it is difficult to understand the timing and location of their Hg accumulation. Seabirds may obtain Hg thousands of kilometers away, during their non-breeding period, and deposit that Hg into their terrestrial breeding colonies. We predicted that Hg concentration in rectrices reflects exposure during the previous breeding season, in body feathers reflects non-breeding exposure, and in blood collected during breeding reflects exposure during current breeding. To test this hypothesis, we measured total Hg concentration in these three tissues, which reflect different timepoints during the annual cycle of rhinoceros auklets (Cerorhinca monocerata) breeding on both sides of the North Pacific (Middleton Island in Alaska and Teuri Island in Hokkaido), and tracked their wintering movement patterns with biologging devices. We (i) identify the wintering patterns of both populations, (ii) examine Hg levels in different tissues representing exposure at different time periods, (iii) test how environmental Hg exposure during the non-breeding season affects bird contamination, and (iv) assess whether variation in Hg levels during the non-breeding season influences levels accumulated in terrestrial plants. Individuals from both populations followed a figure-eight looping migration pattern. We confirm the existence of a pathway from environmental Hg to plant roots via avian tissues, as Hg concentrations were higher in plants within the auklet colonies than at control sites. Hg concentrations of breast feathers were higher in Alaskan than in Japanese auklets, but Hg concentrations in rectrices and blood were similar. Moreover, we found evidence that tissues with different turnover rates could record local anthropogenic Hg emission rates of areas visited during winter. In conclusion, Hg was transported across thousands of kilometers by seabirds and transferred to local plants.
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Mercurio , Alaska , Animales , Aves , Ecosistema , Monitoreo del Ambiente , Plumas/química , Mercurio/análisis , FitomejoramientoRESUMEN
We tested the hypothesis that segregation in wintering areas is associated with population differentiation in a sentinel North Pacific seabird, the rhinoceros auklet (Cerorhinca monocerata). We collected tissue samples for genetic analyses on five breeding colonies in the western Pacific Ocean (Japan) and on 13 colonies in the eastern Pacific Ocean (California to Alaska), and deployed light-level geolocator tags on 12 eastern Pacific colonies to delineate wintering areas. Geolocator tags were deployed previously on one colony in Japan. There was strong genetic differentiation between populations in the eastern vs. western Pacific Ocean, likely due to two factors. First, glaciation over the North Pacific in the late Pleistocene might have forced a southward range shift that historically isolated the eastern and western populations. And second, deep-ocean habitat along the northern continental shelf appears to act as a barrier to movement; abundant on both sides of the North Pacific, the rhinoceros auklet is virtually absent as a breeder in the Aleutian Islands and Bering Sea, and no tagged birds crossed the North Pacific in the non-breeding season. While genetic differentiation was strongest between the eastern vs. western Pacific, there was also extensive differentiation within both regional groups. In pairwise comparisons among the eastern Pacific colonies, the standardized measure of genetic differentiation (FêST) was negatively correlated with the extent of spatial overlap in wintering areas. That result supports the hypothesis that segregation in the non-breeding season is linked to genetic structure. Philopatry and a neritic foraging habit probably also contribute to the structuring. Widely distributed, vulnerable to anthropogenic stressors, and exhibiting extensive genetic structure, the rhinoceros auklet is fully indicative of the scope of the conservation challenges posed by seabirds.
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Migración Animal/fisiología , Charadriiformes/genética , Conservación de los Recursos Naturales , Variación Genética/genética , Aislamiento Social , Animales , Aves , Cruzamiento , Charadriiformes/fisiología , Ecosistema , Genética de Población , Geografía , Océano Pacífico , Dinámica PoblacionalRESUMEN
AIM: A new method has recently been developed for diagnosing hepatic steatosis based on attenuation measurement using ultrasound. We investigated the ability of attenuation imaging (ATI) to detect steatosis that was identified by proton density fat fraction (PDFF) on magnetic resonance imaging (MRI) in patients with chronic liver disease. METHODS: A total of 119 patients with chronic liver disease (non-B, non-C) were analyzed. The relationship between ATI values and steatosis grades determined by PDFF was evaluated. Additionally, the diagnostic ability of ATI was evaluated using receiver operating characteristic curve analysis, and the correlation between ATI values and PDFF values was determined. RESULTS: The ATI values of steatosis grades 0, 1, 2, and 3 were 0.55, 0.61, 0.74, and 0.84 dB/cm/MHz, respectively (P < 0.001). There was a statistically significant trend of higher ATI values with higher steatosis grades (P < 0.001). The correlation coefficient (r) between PDFF values and ATI values was 0.70 (95% confidence interval [CI] 0.59-0.78; P < 0.001), corresponding to a strong relationship. The diagnostic ability of ATI for steatosis grades ≥1, ≥2, and 3, as determined by PDFF, were 0.81 (95% CI 0.73-0.89), 0.87 (95% CI 0.79-0.96), and 0.94 (95% CI 0.89-0.98), respectively. The r between PDFF values and ATI values was 0.49 (95% CI 0.31-0.63; P < 0.001) for patients with mild or no steatosis (grade ≤1), and 0.75 (95% CI 0.57-0.86; P < 0.001) for obese patients (body mass index ≥25 kg/m2 ). CONCLUSION: ATI values had an excellent diagnostic ability to detect hepatic steatosis.
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BACKGROUND: Xylitol is an approved food additive that is widely used as a sweetener in many manufactured products. It is also used in pharmaceuticals. Secondary oxalosis resulting from high dietary oxalate has been reported. However, reported cases of oxalosis following xylitol infusion are rare. CASE PRESENTATION: A 39-year-old man with a 16-year history of organic psychiatric disorder was hospitalized for a laparoscopic cholecystectomy because of cholecystolithiasis. He had been treated with several antipsychotics and mood stabilizers, including lithium. The patient had polyuria (> 4000 mL/day) and his serum sodium levels ranged from 150 to 160 mmol/L. Urine osmolality was 141 mOsm/L, while serum arginine vasopressin level was 6.4 pg/mL. The patient was diagnosed with nephrogenic diabetes insipidus (NDI), and lithium was gradually discontinued. Postoperative urine volumes increased further to a maximum of 10,000 mL/day, and up to 10,000 mL/day of 5% xylitol was administered. The patient's consciousness level declined and serum creatinine increased to 4.74 mg/dL. This was followed by coma and metabolic acidosis. After continuous venous hemodiafiltration, serum sodium improved to the upper 140 mmol/L range and serum creatinine decreased to 1.25 mg/dL at discharge. However, polyuria and polydipsia of approximately 4000 mL/day persisted. Renal biopsy showed oxalate crystals and decreased expression of aquaporin-2 (AQP2) in the renal tubules. Urinary AQP2 was undetected. The patient was discharged on day 82 after admission. CONCLUSIONS: Our patient was diagnosed with lithium-induced NDI and secondary oxalosis induced by excess xylitol infusion. NDI became apparent perioperatively because of fasting, and an overdose of xylitol infusion led to cerebrorenal oxalosis. Our patient received a maximum xylitol dose of 500 g/day and a total dose of 2925 g. Patients receiving lithium therapy must be closely monitored during the perioperative period, and rehydration therapy using xylitol infusion should be avoided in such cases.
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Diabetes Insípida Nefrogénica/inducido químicamente , Hiperoxaluria/inducido químicamente , Compuestos de Litio/efectos adversos , Xilitol/efectos adversos , Adulto , Colecistolitiasis/cirugía , Diabetes Insípida Nefrogénica/complicaciones , Humanos , Hiperoxaluria/complicaciones , Masculino , Trastornos Mentales/tratamiento farmacológico , Atención Perioperativa , Polidipsia/etiología , Poliuria/etiologíaRESUMEN
Plastic debris is ubiquitous and increasing in the marine environment [1]. A wide range of marine organisms ingest plastic, and its impacts are of growing concern [2]. Seabirds are particularly susceptible to plastic pollution because of high rates of ingestion [3]. Because marine plastics contain an array of hazardous compounds, the chemical impacts of ingestion are concerning. Several studies on wild seabirds suggested accumulation of plastic-derived chemicals in seabird tissues [4-7]. However, to date, the evidence has all been indirect [4-7], and it is unclear whether plastic debris is the source of these pollutants. To obtain direct evidence for the transfer and accumulation of plastic additives in the tissues of seabirds, we conducted an in vivo plastic feeding experiment. Environmentally relevant exposure of plastics compounded with one flame retardant and four ultraviolet stabilizers to streaked shearwater (Calonectris leucomelas) chicks in semi-field conditions resulted in the accumulation of the additives in liver and adipose fat of 91 to 120,000 times the rate from the natural diet. Additional monitoring of six seabird species detected these chemical additives only in those species with high plastic ingestion rates, suggesting that plastic debris can be a major pathway of chemical pollutants into seabirds. These findings provide direct evidence of seabird exposure to plastic additives and emphasize the role of marine debris ingestion as a source of chemical pollution in marine organisms.
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Aves/metabolismo , Plásticos/metabolismo , Contaminantes Químicos del Agua/metabolismo , Animales , Organismos Acuáticos/metabolismo , Exposición a Riesgos Ambientales , Monitoreo del AmbienteRESUMEN
Situated at high positions on marine food webs, seabirds accumulate high concentrations of persistent organic pollutants (POPs), such as polychlorinated biphenyls (PCBs), dichlorodiphenyltrichloroethane and its metabolites (DDTs), and hexachlorocyclohexanes (HCHs). Our previous studies proposed the usefulness of seabirds preen gland oil as a nondestructive biomonitoring tool. The present study applied this approach to 154 adult birds of 24 species collected from 11 locations during 2005-2016 to demonstrate the utility of preen gland oil as a tool for global monitoring POPs, i.e., PCBs, DDTs, and HCHs. Concentrations of the POPs were higher in the Northern Hemisphere than in the Southern Hemisphere. In particular, ∑20PCBs and∑DDTs were highly concentrated in European shags (Phalacrocorax aristotelis) and Japanese cormorants (Phalacrocorax capillatus), explainable by a diet of benthic fishes. Higher concentrations of γ-HCH were detected in species from the polar regions, possibly reflecting the recent exposure and global distillation of ∑HCHs. We examined the relationship between age and POP concentrations in preen gland oil from 20 male European shags, aged 3-16 years old. Concentrations and compositions of POPs were not related to age. We also examined sex differences in the POP concentrations from 24 streaked shearwaters (Calonectris leucomelas) and did not detect a sex bias. These results underline the importance of the geographic concentration patterns and the dietary behavior as determinants species-specific POPs concentrations in preen gland oil.
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Aves , Monitoreo del Ambiente/métodos , Contaminantes Ambientales/análisis , Aceites/análisis , Compuestos Orgánicos/análisis , Factores de Edad , Animales , DDT/análisis , Femenino , Peces , Cadena Alimentaria , Hexaclorociclohexano/análisis , Hidrocarburos Clorados/análisis , Masculino , Aceites/química , Bifenilos Policlorados/análisis , Glándulas Sebáceas/química , Factores SexualesRESUMEN
SUMMARY: Patients with Cushing's syndrome and excess exogenous glucocorticoids have an increased risk for venous thromboembolism, as well as arterial thrombi. The patients are at high risk of thromboembolic events, especially during active disease and even in cases of remission and after surgery in Cushing's syndrome and withdrawal state in glucocorticoid users. We present a case of Cushing's syndrome caused by adrenocorticotropic hormone-secreting lung carcinoid tumor. Our patient developed acute mesenteric ischemia after video-assisted thoracoscopic surgery despite administration of sufficient glucocorticoid and thromboprophylaxis in the perioperative period. In addition, our patient developed hepatic infarction after surgical resection of the intestine. Then, the patient was supported by total parenteral nutrition. Our case report highlights the risk of microthrombi, which occurred in our patient after treatment of ectopic Cushing's syndrome. Guidelines on thromboprophylaxis and/or antiplatelet therapy for Cushing's syndrome are acutely needed. LEARNING POINTS: The present case showed acute mesenteric thromboembolism and hepatic infarction after treatment of ectopic Cushing's syndrome.Patients with Cushing's syndrome are at increased risk for thromboembolic events and increased morbidity and mortality.An increase in thromboembolic risk has been observed during active disease, even in cases of remission and postoperatively in Cushing's syndrome.Thromboprophylaxis and antiplatelet therapy should be considered in treatment of glucocorticoid excess or glucocorticoid withdrawal.
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Seabirds are marine top predators and accumulate high levels of metals and metalloids in their tissues. Contamination by metals in the highly productive offshore region has become a matter of public concern. It is home to 80% of the seabird population in the U.S.A., 95% of northern fur seals (Callorhinus ursinus), and major populations of Steller sea lions (Eumetopias jubatus), walruses (Odobenus rosmarus) and whales. Here, the concentrations of eight heavy metals (Hg, Cd, Cr, Co, Ni, Cu, Zn and Pb) and a metalloid (As) in the liver and kidneys of the northern fulmar (Fulmarus glacialis), thick-billed murre (Uria lomvia), short-tailed shearwater (Puffinus tenuirostris), tufted puffin (Fratercula cirrhata) and horned puffin (Fratercula corniculata) collected in the Bering Sea were measured. As proxies of trophic level and habitat, nitrogen (δ15N) and carbon (δ13C) stable isotope ratios of breast muscles were also measured. Hepatic Hg concentration was high in northern fulmar, whereas Cd level was high in tufted puffin and northern fulmar. The Hg concentration and δ15N value were positively correlated across individual birds, suggesting that Hg uptake was linked to the trophic status of consumed prey. Furthermore, Hg concentration in our study was higher than those of the same species of seabirds collected in 1990.
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Arsénico/análisis , Charadriiformes , Metales Pesados/análisis , Contaminantes Químicos del Agua/análisis , Animales , Monitoreo del Ambiente , Femenino , Riñón/química , Hígado/química , Masculino , Océano PacíficoRESUMEN
Ocean surface winds are an essential factor in understanding the physical interactions between the atmosphere and the ocean. Surface winds measured by satellite scatterometers and buoys cover most of the global ocean; however, there are still spatial and temporal gaps and finer-scale variations of wind that may be overlooked, particularly in coastal areas. Here, we show that flight paths of soaring seabirds can be used to estimate fine-scale (every 5 min, â¼5 km) ocean surface winds. Fine-scale global positioning system (GPS) positional data revealed that soaring seabirds flew tortuously and ground speed fluctuated presumably due to tail winds and head winds. Taking advantage of the ground speed difference in relation to flight direction, we reliably estimated wind speed and direction experienced by the birds. These bird-based wind velocities were significantly correlated with wind velocities estimated by satellite-borne scatterometers. Furthermore, extensive travel distances and flight duration of the seabirds enabled a wide range of high-resolution wind observations, especially in coastal areas. Our study suggests that seabirds provide a platform from which to measure ocean surface winds, potentially complementing conventional wind measurements by covering spatial and temporal measurement gaps.
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Aves/fisiología , Vuelo Animal , Viento , Animales , Sistemas de Información Geográfica , Océanos y MaresRESUMEN
Aerodynamics results in two characteristic speeds of flying birds: the minimum power speed and the maximum range speed. The minimum power speed requires the lowest rate of energy expenditure per unit time to stay airborne and the maximum range speed maximizes air distance traveled per unit of energy consumed. Therefore, if birds aim to minimize the cost of transport under a range of wind conditions, they are predicted to fly at the maximum range speed. Furthermore, take-off is predicted to be strongly affected by wind speed and direction. To investigate the effect of wind conditions on take-off and cruising flight behavior, we equipped 14 European shags Phalacrocorax aristotelis with a back-mounted GPS logger to measure position and hence ground speed, and a neck-mounted accelerometer to record wing beat frequency and strength. Local wind conditions were recorded during the deployment period. Shags always took off into the wind regardless of their intended destination and take-off duration was correlated negatively with wind speed. We combined ground speed and direction during the cruising phase with wind speed and direction to estimate air speed and direction. Whilst ground speed was highly variable, air speed was comparatively stable, although it increased significantly during strong head winds, because of stronger wing beats. The increased air speeds in head winds suggest that birds fly at the maximum range speed, not at the minimum power speed. Our study demonstrates that European shags actively adjust their flight behavior to utilize wind power to minimize the costs of take-off and cruising flight.