Youth screen use in the ABCD® study.

Adolescent screen usage is ubiquitous and influences development and behavior. Longitudinal screen usage data coupled with psychometrically valid constructs of problematic behaviors can provide insights into these relationships. We describe methods by which the screen usage questionnaire was developed in the Adolescent Brain Cognitive Development (ABCD) Study, demonstrate longitudinal changes in screen usage via child report and describe data harmonization baseline-year 2. We further include psychometric analyses of adapted social media and video game addiction scales completed by youth. Nearly 12,000 children ages 9-10 years at baseline and their parents were included in the analyses. The social media addiction questionnaire (SMAQ) showed similar factor structure and item loadings across sex and race/ethnicities, but that item intercepts varied across both sex and race/ethnicity. The videogame addiction questionnaire (VGAQ) demonstrated the same configural, metric and scalar invariance across racial and ethnic groups, however differed across sex. Video gaming and online social activity increased over ages 9/10-11/12 (p's < 0.001). Compared with boys, girls engaged in greater social media use (p < .001) and demonstrated higher ratings on the SMAQ (p < .001). Compared with girls, boys played more video games (p < .001) and demonstrated higher ratings on the VGAQ (p < .001). Time spent playing video games increased more steeply for boys than girls from age 9/10-11/12 years (p < .001). Black youth demonstrated significantly higher SMAQ and VGAQ scores compared to all other racial/ethnic groups. These data show the importance of considering different screen modalities beyond total screen use and point towards clear demographic differences in use patterns. With these comprehensive data, ABCD is poised to address critical questions about screen usage changes across adolescence.

Enhancing venetoclax activity in acute myeloid leukemia by co-targeting MCL1.

Targeted therapies are frequently combined with standard cytotoxic drugs to enhance clinical response. Targeting the B-cell lymphoma 2 (BCL-2) family of proteins is an attractive option to combat chemoresistance in leukemia. Preclinical and clinical studies indicate modest single-agent activity with selective BCL-2 inhibitors (for example, venetoclax). We show that venetoclax synergizes with cytarabine and idarubicin to increase antileukemic efficacy in a TP53-dependent manner. Although TP53 deficiency impaired sensitivity to combined venetoclax and chemotherapy, higher-dose idarubicin was able to suppress MCL1 and induce cell death independently of TP53. Consistent with an MCL1-specific effect, cell death from high-dose idarubicin was dependent on pro-apoptotic Bak. Combining higher-dose idarubicin with venetoclax was able to partially overcome resistance in Bak-deficient cells. Using inducible vectors and venetoclax to differentially target anti-apoptotic BCL-2 family members, BCL-2 and MCL1 emerged as critical and complementary proteins regulating cell survival in acute myeloid leukemia. Dual targeting of BCL-2 and MCL1, but not either alone, prolonged survival of leukemia-bearing mice. In conclusion, our findings support the further investigation of venetoclax in combination with standard chemotherapy, including intensified doses of idarubicin. Venetoclax should also be investigated in combination with direct inhibitors of MCL1 as a chemotherapy-free approach in the future.

What weight loss treatment options do geriatric patients with overweight and obesity want to consider?

INTRODUCTION: Since the 1990s, a number of weight loss medications have been removed from the USA and or European market because of adverse events associated with these medications. These medications include fenfluramine (heart valve thickening), sibutramine (cardiovascular risk) and rimonabant (depression). This history may affect a patient's desire to consider weight loss medications as an option for weight management. OBJECTIVE: This descriptive study was designed to observe what treatment options the geriatric patient (age 65 or higher) seeking weight loss would like to consider, as well as the reasons they felt they struggled with overweight or obesity. METHODS: A questionnaire was given to 102 geriatric patients with overweight or obesity before starting a weight loss programme at a weight management centre. The questionnaire asked the patient why they felt they were overweight or obese and what treatment options they wished to consider. The geriatric patients were matched with younger patients in body mass index and sex. RESULTS: The three most common perceptions that geriatric patients felt were causes of their increased weight were 'lack of exercise' (76.2%), 'poor food choices' (59.4%) and 'cravings' (47.5%). When geriatric patients were asked what treatment options they would like to discuss, the four most common options requested were 'diet and healthy eating' (67.3%), weight loss medications (57.4%), a request for a 'metabolic work up' (55.4%) and 'exercise' (53.5%). These responses were no different from their younger cohorts. When geriatric patients with a body mass index of 35 or higher were given bariatric surgery as a treatment option, 21.9% marked it as a treatment option they would like to consider. CONCLUSIONS: Over half of geriatric patients desired to discuss weight loss medications as a treatment option. Diet and exercise were also of strong interest, which is in line with current weight management guidelines.

Structural, compositional and electrochemical characterization of Pt-Co oxygen-reduction catalysts.

Pt-Co thin-film electrocatalysts have been characterized using low-energy ion-scattering spectroscopy (LEISS), X-ray photoelectron spectroscopy (XPS), low-energy electron diffraction (LEED), temperature-programmed desorption (TPD) and electrochemistry (EC). For comparative purposes, LEISS and EC were also carried out on a bulk Pt(3)Co(111) single crystal. The extensive experimental work resulted in the establishment of the surface phase diagram of the alloy film marked by a substantial divergence between the composition at the interface and that in the interior. When a dual-layer deposit of Pt and Co was annealed at high temperatures, alloy formation transpired in which the outermost layer became single-crystalline and enriched in Pt. The preferential surface segregation of Pt, however, was not sufficient to generate a platinum-only overlayer or "skin". Invariably, Co was found to co-exist with Pt, independent of the substrate [Mo(110) or Ru(0001)] employed; Pt(3)Co was the most favored composition. The same result, the absence of a Pt skin, was likewise indicated at the post-thermally-annealed surface of the bulk Pt(3)Co(111) monocrystal. For alloy-film surfaces more enriched in Pt than Pt(3)Co, the topmost layer was constituted primarily, but not exclusively, of Pt(111) domains. The proclivities of the alloys towards enhanced catalysis of the oxygen-reduction reaction were assessed in terms of their voltage efficiencies, as manifested by the open-circuit potential (OCP) in O(2)-saturated sulfuric acid electrolyte. The Pt(3)Co surface, whether from the thin film or the bulk single crystal, exhibited the highest OCP, a significant improvement over pure Pt but still appreciably lower than the thermodynamic limit. The degradation of the Pt(3)Co thin-film surface was predominantly due to Co corrosion. A minimal amount was spontaneously dissolved upon simple immersion in solution; slightly higher dissolution occurred at potentials above the OCP. The fraction that was not immediately corroded proved to be stable even after prolonged periods at potentials more positive than the OCP.

Changes in free amino acid profile of red snapper Lutjanus campechanus, eggs, and developing larvae.

The free amino acids (FAA) profile was determined for newly fertilized eggs and resultant larvae from wild-caught red snapper Lutjanus campechanus induced to spawn with hCG. Yolk sac and oil globule volumes of eggs and larvae were monitored over time from digital photographs. FAA profiles of the eggs and larvae were measured in picomoles (pmol) of FAA/mg of eggs by HPLC. Newly fertilized eggs had a mean total FAA content of 21.72 +/- 3.55 nmoles/egg (92.81 +/- 9.71 nmoles/mg eggs). Leucine, valine, lysine, and isoleucine were the most abundant essential FAA comprising 35.9% of the total FAA. Alanine, serine, asparagine, and glycine were the most abundant non-essential FAA comprising 34.2% of the total FAA. At 24 h post-hatch (hph) the mean total FAA had decreased by 81% since egg fertilization. The bulk of the FAA decrease was between the time of hatch and 12 hph. Only 8.5 +/- 1.5% of the initial concentration in fertilized eggs of isoleucine, 9.7 +/- 2.5% of arginine, and 9.9 +/- 2.0% of threonine remained at 12 hph. Among the non-essential FAA, alanine dropped the most by 12 hph with 4.6% of the concentration found in a recently fertilized egg remaining, while cysteine had increased 254.7 +/- 26.2%. The yolk sac volume decreased rapidly in the first 12 hph and was further reduced 77.0 +/- 2.5% from 12 to 24 hph. The oil globule depletion rate was a more linear decline from fertilized egg to 36 hph.

Amino acid supplementation of hydrolyzed feather meal diets for finisher pigs.

The objective of this study was to determine the possibility of replacing soybean meal (SBM) in finisher pig diets completely with hydrolyzed feather meal (FM). Forty-five gilts and 45 castrated males (57.8+/-0.8 kg of BW; 3 gilts or 3 castrated males/pen) were randomly assigned to 5 finisher-1 diets with 6 pens per diet. At an average pen BW of 81.0+/-1.4 kg, pigs were offered finisher-2 diets. Corn-SBM, finisher-1 and finisher-2 positive control (PC) diets were formulated to contain 6.1 and 4.7 g of apparent ileal digestible (AID) Lys/kg, respectively. Corn-FM negative control (NC) diets were formulated to be iso-N to the PC diets. The NC diets were supplemented with Lys and Trp (NRC; NC + Lys and Trp) to alleviate apparent deficiencies based on AID AA in FM reported by the 1998 NRC. In addition, the NC diets were supplemented further with the third limiting AA, Thr (40+3AA; NC + Lys, Trp, and Thr), and fourth and fifth limiting AA, His and Ile (40+5AA; NC + Lys, Trp, Thr, His, and Ile), based on the assumption that the apparent ileal digestibility of all indispensable AA in FM is 40%. Pigs had ad libitum access to feed and water. At the end of the study (112.1+/-1.8 kg), blood samples were collected from all pigs before slaughter. As expected, overall ADFI, AID Lys (representing indispensable AA) intake (LysI), ADG, and G:F were greater and BW gain:LysI (G:LysI) was less in pigs fed the PC diet than those fed the NC diet (P<0.001). Pigs fed the NRC diet grew slower than those fed the PC diet (P=0.004), and their G:LysI tended to be less than those fed the PC (P=0.083) or the 40+3AA and 40+5AA diets (P=0.094). Greater fat-free lean percentage (P=0.005), fat-free lean gain (LG; P<0.001), and LG:F (P<0.001) were observed in pigs fed the PC diet compared with those fed the NC diet, but their LG:F or LG:LysI was similar to those fed the NRC diet. However, LG:F (P=0.030) and LG:LysI (P=0.028) were greater in pigs fed the 40+3AA and the 40+5AA diets than those fed the NRC diet. Pigs fed the 40+5AA diet tended to utilize AID Lys more efficiently for LG than those fed the 40+3AA diet (P=0.068). Subjective meat color (P<0.001), firmness (P=0.004), and marbling (P<0.001) scores were greater in pigs fed the 40+5AA diet than those fed the 40+3AA diet. Diets seemed to have no clear effect on the weight of liver, kidney, and heart or serum urea N and triacylglycerides. Pigs fed the PC diet had more serum albumin and total protein (P<0.001), but less glucose (P=0.031) and cholesterol (P<0.001) than those fed the NC diet. Serum total protein was greater (P=0.031) in pigs fed the 40+5AA diet than those fed the 40+3AA diet. The results indicated that the corn-FM diets were not as effective as the corn-SBM diet in supporting BW gain of finisher pigs. However, the results seemed to indicate that pigs fed the corn-FM diet supplemented with the necessary AA can utilize feed and AA for BW gain and lean gain as efficiently as those fed the corn-SBM diet. Further research is needed to explore fully the optimal AA supplementation strategy to effectively utilize FM for pig production.

The effect of dietary copper supplementation on fatty acid profile and oxidative stability of adipose depots in Boer x Spanish goats.

A feeding trial was designed to examine the effects of copper sulfate pentahydrate (CuSO(4).5H(2)O) on the fatty acid composition and oxidative stability in muscle and adipose tissues of Boer x Spanish goat kids. Fifteen (n = 5 per treatment) goats were fed 0, 100, or 200 mg of supplemental Cu per day as copper sulfate for 98 d. The animals were slaughtered, and LM, s.c. adipose from the sternal region, and mesenteric adipose tissues were collected. Total lipids were extracted with chloroform:methanol (2:1), methylated and isolated via GLC from all tissues. The subsequent peaks were then positively identified by mass spectrometry. Thiobarbituric acid-reactive substances were measured also. In s.c. adipose, dietary Cu significantly decreased C14:0 (P = 0.03) and C16:0 (P = 0.01). In muscle, C15:0 (P = 0.03) was linearly increased by Cu. Dietary Cu supplementation did not influence oxidative stability in goat muscle or s.c. adipose. Copper supplementation at 200 mg/d resulted in a significant increase in malondialdehyde in mesenteric adipose (P = 0.01) compared with the 0 or 100 mg/d groups. These results indicate that lipid composition may differ from depot to depot and that depending on the depot, dietary Cu seems to elicit a variable response on the fatty acid composition.

A simple and general change-point identifier.

In a not-necessarily-stationary time-series, a Moving F statistic can identify points of change in the nature of the series model (the estimate of the underlying data-generating process), in its parameters, in residual variability, or in any combination of these. In addition, it can uncover changes masked by a reduction in residual variability. Patterns in the forces giving rise to the data may often be perceived. To form the Moving F, a theory of the process or a regression method on a baseline sample estimates the series model and the residual mean square about it is calculated. This series model is extended past the baseline with residuals assumed to be normally distributed. The Moving F is calculated as the moving average of squared deviations about the series model in ratio to the baseline mean square. The Moving F crossing the critical F identifies a change in the series model, i.e. signals its presence and location. In our experience, this Moving F method is easier to use than other commonly employed change-point identifiers (CUSUM, EWMA, data-based bandwidth selection, MCMC) and has been found to work in several situations where some other identifiers fail. (MCMC is more general, but requires advanced statistical ability.) Examples given are monitored prostate specific antigen in a post-treatment prostate cancer patient and detection of Harold Shipman's medical murders. Moving F is 'simple and general' in the sense of both simultaneously; we have not found another relatively simple method to be as general.

Short commuunication: Effect of dietary protein depletion and repletion on skeletal muscle calpastatin during early lactation.

Sixteen multiparous Jersey cows were assigned at calving to one of 4 dietary treatments. An 18% crude protein (CP) diet was fed as a total mixed ration through 30 d in milk (DIM), and beginning at 31 DIM a 9, 12, 15, or 18% CP diet was fed through 58 DIM (depletion). All cows were then fed the 18% CP diet until 84 DIM (repletion). Muscle biopsies were taken under local anesthesia at 49 and 84 DIM from the semitendinosus muscle. Milk production, DMI, and milk component contents were measured. Calpain and calpastatin contents of muscle taken at biopsy were evaluated using Western blotting techniques. Milk production and milk protein content were reduced during the depletion period by decreasing dietary protein. Diet had no effect on milk fat content or DMI. During repletion, DMI was affected by dietary treatment. Western blots of muscle extracts indicated no differences in calpain content at any stage of the experiment or in calpastatin content of muscle at 49 DIM. However, at 84 DIM, calpastatin (135 kDa) was lower or undetectable in cows fed either the 9 or 12% CP diets from 31 to 59 DIM. Bands for a 110-kDa degradation product of calpastatin were present in some cows fed the 9, 12, and 15% CP diets during the depletion period. Results indicate a change in skeletal muscle calpain/calpastatin proteolytic system during protein repletion following depletion with diets of less than 15% CP during early to peak lactation in dairy cows.

Adaptations in body muscle and fat in transition dairy cattle fed differing amounts of protein and methionine hydroxy analog.

The objectives were to determine effects of prepartum protein intake and dietary amino acid balance on production, adaptations in body fat and protein, amino acid concentrations, and, indirectly, body protein breakdown in early lactation. Multiparous Holstein cows (n = 42) were fed diets containing 11 or 14% crude protein with or without 20 g/d of methionine hydroxy analog for 21 d prepartum and then fed a common diet of 17% crude protein for 120 d postpartum, with or without 50 g/d of methionine hydroxy analog. Dry matter intake postpartum averaged 25.4 kg and milk production 41.6 kg. Cows fed the 14% CP diet ate 0.7 kg more dry matter and gave 1.7 kg more milk than those fed the 11% diet postpartum, but this difference was not significant. Cows fed methionine hydroxy analog prepartum lost less body protein from -14 to 60 d in milk. From d 60 to 120, body fat increased 8.5 and 11.5 kg for low and high protein groups and body protein increased 0.5 and 1.0 kg. Serum concentrations of branched chain amino acids fell 17% in the first few weeks postpartum, lysine fell 15%, histidine fell 16%, methionine increased 20%, and cysteine increased 30%. The ratio of serum 3-methylhistidine to creatinine was determined to indicate muscle protein degradation. An increase in this ratio at 7 d postpartum indicated increased body protein breakdown, there was no effect of prepartum ration. Increased protein intake prepartum may allow more feed intake and milk production postpartum, and supplementing a methionine analog on a ration already balanced in methionine by contemporary models may spare body protein.

Effect of dietary ascorbyl-2-phosphate on immune function after transport to a feeding facility.

Effects of dietary ascorbyl-2-phosphate on immune function after a 210-km trip were measured in 18 Holstein heifers. After transport on d 0, 10 g of ascorbyl-2-phosphate each were added to the diets of 10 heifers, whereas eight heifers were fed a control diet. Plasma cortisol concentrations increased by an average of 25.6 microgram/ml on d 0 following transport, but by d 7 after transport had decreased to pretransport levels. Average daily gain was lower in heifers fed ascorbyl-2-phosphate from d 28 to 49 d after transport, but did not differ over the entire study. Feeding ascorbyl-2-phosphate maintained plasma ascorbate concentrations on d 7 post-transport, which decreased in control heifers. Plasma keyhole limpet hemocyanin antibody titers were significantly higher in control heifers from d 7 to 49. Mononuclear leukocyte proliferation responses were decreased on d 0 in lymphocytes stimulated by mitogens, with pokeweed mitogen-stimulated cells showing less of a response than cells stimulated by the other mitogens. In the absence of mitogens, dietary ascorbyl-2-phosphate increased basal 3H-methyl thymidine incorporation by cultured lymphocytes. Across diets and mitogens, lymphocytes treated with cortisol showed decreased 3H-methyl thymidine incorporation. Transportation acted as a stressor, as evidenced by the increased plasma cortisol levels at d 0 immediately after transport, but immunological effects were not apparent by d 7. Feeding ascorbyl-2-phosphate maintained plasma ascorbate concentrations on d 7, but had negative effects on immune responses posttransport.

Effect of rainbow trout growth hormone complementary DNA on body shape, carcass yield, and carcass composition of F1 and F2 transgenic common carp (Cyprinus carpio).

The effect of rainbow trout growth hormone complementary DNA on body shape, dress-out yield, and body composition were assessed in the F1 and F2 generations of transgenic common carp (Cyprinus carpio). All measurements were compared with those for nontransgenic full-sibling common carp in their respective families, and the fish were communally evaluated in earthen ponds. The body weight and length were highly correlated (P <0.01) in both genotypes in all the families. Head morphometrics were negatively correlated (P <0.05) to weight and length of the fish. Various head, body, and caudal traits grew disproportionately faster in transgenic fish in both generations. The altered body shape of transgenic fish resulted in improved dressing percentage in the F2 generation. The carcass composition of transgenic muscle had a lower percentage of (P <0.01) moisture and lipids and higher (P <0.01) percentage of protein in both generations. Six of the 18 amino acids analyzed in F1 transgenic common carp muscle were higher F1 (P <0.05) than the control genotype; however, amino acid ratios were minimally changed. Also, the fatty acid profiles of both genotypes were minimally altered. Higher histidine and lysine ratios in the diet are recommended for maximum growth and health of transgenic common carp in intensive culture systems on the basis of essential amino acid ratios.

Effects of dietary protein on whole-body protein turnover and endocrine function in young-adult and aging dogs.

Thirty-six adult female Beagles averaging 2 (young-adult) or 8 (geriatric) yr of age were used to assess the effects of graded levels of dietary protein (16, 24, or 32%) on endocrine-controlled regulation of whole-body protein turnover. Rates of whole-body protein synthesis (WBPS) and whole-body protein degradation (WBPD) were estimated using orally administered 15N-glycine and total excreta collection. Although N balance was similar for all dogs, N flux through the metabolic pool increased linearly (P < 0.05) as protein intake increased. Rates of WBPS, WBPD, or the difference between them were not influenced by age (P > 0.10). A quadratic increase (P < 0.05) in WBPS and WBPD was observed in response to dietary protein. Serum insulin-like growth factor-I (IGF-I), IGF-I-binding protein 3, and total IGF-I-binding proteins were higher (P < 0.05) in geriatric dogs than in young-adult dogs regardless of protein intake. These results indicate that dietary protein in excess of 16% may not be required to maintain N balance in young-adult and aging dogs despite the linear increase in N flux through the metabolic pool. Furthermore, age-induced changes in endocrine functionality may differ between dogs and other species.

Effects of prepartum somatotropin and monensin on metabolism and production of periparturient Holstein dairy cows.

Fifty-five multiparous Holstein dairy cows were used to evaluate the singular and combined effects of somatotropin and monensin treatments during the late dry period on postpartum metabolism and production. Treatments were 1) control (C); 2) injection of exogenous bovine somatotropin (bST); 3) TMR top dressed with 300 mg of monensin/day (M); and 4) monensin and somatotropin in combination (bST+M) during the last 28 days before expected parturition. A 500-mg subcutaneous injection of sustained release somatotropin was administered adjacent to the tail head at d -28 and -14 relative to expected calving. Diet and management were the same for all cows after parturition. Production and intake were measured daily until 63 d in milk. Milk composition, blood metabolites, and body weight and condition score were measured weekly. Prepartum glucose, nonesterified fatty acid, and blood urea nitrogen concentrations were not different among treatments. Cows on the M treatment tended to have greater dry matter intake postpartum than those on the C treatment and 30% lower plasma nonesterified fatty acid concentrations during wk 1 postpartum than all other treatments. Milk yield and milk fat yield were not different among treatments, but milk fat percent tended to be lower for the bST+M treatment than the C treatment. Changes in plasma amino acid concentrations were consistent with mobilization of skeletal muscle protein, possibly for use in gluconeogenesis. Results from this study provide evidence that prepartum feeding of monensin reduced plasma nonesterified fatty acid concentrations and may improve glucose metabolism of the periparturient dairy cow.

Growth performance and carcass traits of pigs subjected to marginal dietary restrictions during the grower phase.

Sixty-four individually housed pigs were used to investigate the effect of amino acid content of finisher diets on growth performance of pigs subjected to marginal dietary amino acid restrictions (80% of the 1988 NRC lysine recommendation) during the grower phase. In each of the two trials, low- and high-amino-acid grower diets (.421 and .765 g lysine/MJ DE, respectively) and four finisher diets (.421, .516, .612, and .707 g lysine/MJ DE) were randomly assigned within sex to 16 gilts and 16 castrated males weighing 23.0 +/- 2.0 kg in a 2 x 4 factorial arrangement of treatments. The average weight of pigs after a completion of diet change was 50.4 +/- 2.1 kg. All pigs were slaughtered at an average weight of 105.2 +/- 4.1 kg. Ultrasound backfat thickness was measured at the time of diet change and before slaughter. Pigs were allowed ad libitum access to feed and water. During the grower phase, pigs fed the high-amino-acid diet grew faster (P < .001) and more efficiently (P < .001) and had less ultrasound backfat (P < .001) than those fed the low-amino-acid diet. The grower diet had no effect on weight gain during the finisher phase. Consequently, pigs fed the high-amino-acid grower diet had better overall weight gain (P < .01) than those fed the low-amino-acid diet. The rate of lean accretion was, however, similar between the two groups of pigs. Furthermore, pigs fed the low-amino-acid grower diet seemed to have better carcass quality, as indicated by less ultrasound backfat (P < .01) and larger carcass longissimus muscle area (P < .05). Average and 10th rib carcass backfat decreased linearly (P < or = .05) and lean accretion rate improved linearly (P < .05) as the amino acid content of finisher diets increased, but there was no grower x finisher diet interaction in these and other response criteria. Although no evidence of compensatory weight gain was observed, it is possible that compensatory lean tissue growth may have occurred in pigs subjected to early amino acid restrictions at the expense of fatty tissue growth.

Potassium flux in juvenile striped bass (Morone saxatilis): influence of external concentrations of sodium chloride and calcium.

Whole-body influx and efflux of K(+) were determined for 25-day-old striped bass,Morone saxatilis, in conditions that simulated harvesting fish from ponds. During the first 5h in fresh water with combined high NaCl (80 mM) and low Ca(2+) (0.12 mM) concentrations, a combination that is acutely lethal to this age of striped bass, K(+) influx for fish in 0.07 mM K(+) was 21±1.7 (SEM) compared to 3.4±0.33 nmol g(-1) h(-1) for fish in water with low Na(+) (0.25 mM) or high Ca(2+) (2.5 mM) concentrations. Influx of K(+) was inhibited during the first few hours after fish were placed in flux chambers. Potassium efflux as percentage of(42)K lost per hour was two-fold higher from fish in the high Na-low Ca treatment compared to fish in low concentrations of Na(+) or high concentrations of Ca(2+). Potassium efflux was probably much greater than influx, but exact values for efflux could not be calculated from the data available. Survival of fish in water with high Na-low Ca was not increased by addition of KCl to the water, indicating that the net loss of K(+) was probably not the cause of death.