Wernicke-Korsakoff syndrome in a patient with self-neglect associated with severe depression.

Wernicke-Korsakoff syndrome is a neuropsychiatric disorder resulting from thiamine deficiency and commonly associated with chronic alcoholism, but we describe the first case report resulting from self-neglect associated with depression.

Lanternfish (Myctophidae) zoogeography off eastern Australia: a comparison with physicochemical biogeography.

In this first attempt to model the distributions of a mesopelagic fish family at this scale in the eastern Australian region (10°S to 57°S), lanternfish species occurrence data spanning a period from 1928 to 2010 were modelled against environmental covariates. This involved: (1) data collation and taxonomic quality checking, (2) classification of trawls into "horizontal" (presence-absence) and "oblique" (presence-only) types, and classification of vertical migration patterns using existing literature and the species occurrence database, (3) binomial GAMs using presence-absence data for representative temperate, subtropical and tropical species to examine depth interactions with environmental covariates and refine the selection of environmental layers for presence-only MAXENT models, (4) Presence-only MAXENT modelling using data from all trawls and the reduced environmental layers, and (5) Multivariate analysis (area-wise and species-wise) of the resulting matrix of logistic score by geographic pixel. We test the hypothesis that major fronts in the region (Tasman Front, Subtropical Convergence, Subantarctic Front) represent zoogeographic boundaries. A four-region zoogeographic scheme is hypothesised: Coral Sea region, Subtropical Lower Water region, Subtropical Convergence/South Tasman region and Subantarctic region. The Tasman Front, Subtropical Convergence and Subantarctic Front represented zoogeographic boundaries. An additional boundary at ∼25°S (coined the 'Capricorn' boundary) was adopted to delineate the Coral Sea from Subtropical Lower Water regions. Lanternfish zoogeographic regions are congruent with some aspects of two prevailing physicochemical biogeographic schema in the region, but neither of these schema alone accurately predicts lanternfish distributions. As lanternfishes integrate vertical ocean processes, the hypothesised lanternfish zoogeography may represent a useful model for a generalised pelagic biogeography that should be tested for other oceanic groups.

The coral sea: physical environment, ecosystem status and biodiversity assets.

The Coral Sea, located at the southwestern rim of the Pacific Ocean, is the only tropical marginal sea where human impacts remain relatively minor. Patterns and processes identified within the region have global relevance as a baseline for understanding impacts in more disturbed tropical locations. Despite 70 years of documented research, the Coral Sea has been relatively neglected, with a slower rate of increase in publications over the past 20 years than total marine research globally. We review current knowledge of the Coral Sea to provide an overview of regional geology, oceanography, ecology and fisheries. Interactions between physical features and biological assemblages influence ecological processes and the direction and strength of connectivity among Coral Sea ecosystems. To inform management effectively, we will need to fill some major knowledge gaps, including geographic gaps in sampling and a lack of integration of research themes, which hinder the understanding of most ecosystem processes.

Personality disorders in consultation-liaison psychiatry.

PURPOSE OF REVIEW: Liaison psychiatrists treat patients who present with self-harm, with medically unexplained symptoms (MUSs) and physical illnesses with psychological comorbidity. We sought to explore recent studies into the impact of personality disorder in liaison psychiatry. RECENT FINDINGS: One in five patients presenting to most liaison psychiatry services suffers from a personality disorder. Patients who have self-harmed have a high rate of personality disorder, but there is little research on how liaison psychiatrists can engage these patients in appropriate treatments. Most patients with MUSs or a functional somatic syndrome do not have a personality disorder, but the prevalence is probably higher than in the general population. Little is known about how a personality disorder might affect the efficacy of treatment in these conditions. Patients with personality disorders have higher rates of physical illness. Personality disorders may complicate the treatment of patients with long-term physical conditions, and talking therapies have recently been described in primary and secondary care. SUMMARY: Liaison psychiatrists have an ideal therapeutic opportunity to engage patients with a personality disorder in treatment when these patients present with self-harm. There is a need to understand and research how personality disorders might affect the prognosis and treatment of patients with MUSs or a functional somatic syndrome. Personality disorders may complicate the treatment of patients with long-term physical conditions, and talking therapies recently described in primary and secondary care may help their physical and psychological health.

Global trophic position comparison of two dominant mesopelagic fish families (Myctophidae, Stomiidae) using amino acid nitrogen isotopic analyses.

The δ(15)N values of organisms are commonly used across diverse ecosystems to estimate trophic position and infer trophic connectivity. We undertook a novel cross-basin comparison of trophic position in two ecologically well-characterized and different groups of dominant mid-water fish consumers using amino acid nitrogen isotope compositions. We found that trophic positions estimated from the δ(15)N values of individual amino acids are nearly uniform within both families of these fishes across five global regions despite great variability in bulk tissue δ(15)N values. Regional differences in the δ(15)N values of phenylalanine confirmed that bulk tissue δ(15)N values reflect region-specific water mass biogeochemistry controlling δ(15)N values at the base of the food web. Trophic positions calculated from amino acid isotopic analyses (AA-TP) for lanternfishes (family Myctophidae) (AA-TP ∼2.9) largely align with expectations from stomach content studies (TP ∼3.2), while AA-TPs for dragonfishes (family Stomiidae) (AA-TP ∼3.2) were lower than TPs derived from stomach content studies (TP∼4.1). We demonstrate that amino acid nitrogen isotope analysis can overcome shortcomings of bulk tissue isotope analysis across biogeochemically distinct systems to provide globally comparative information regarding marine food web structure.