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1.
Global Biogeochem Cycles ; 36(2): e2021GB007101, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35866103

RESUMO

The biological carbon pump is a key component of the marine carbon cycle. This surface-to-deep flux of carbon is usually assumed to follow a simple power law function, which imposes that the surface export flux is attenuated throughout subsurface waters at a rate dictated by the parameterization exponent. This flux attenuation exponent is widely assumed as constant. However, there is increasing evidence that the flux attenuation varies both spatially and seasonally. While the former has received some attention, the consequences of the latter have not been explored. Here we aim to fill the gap with a theoretical study of how seasonal changes in both flux attenuation and sinking speed affect nutrient distributions and carbon fluxes. Using a global ocean-biogeochemical model that represents detritus explicitly, we look at different scenarios for how these varies seasonally, particularly the relative "phase" with respect to solar radiation and the "strength" of seasonality. We show that the sole presence of seasonality in the model-imposed flux attenuation and sinking speed leads to a greater transfer efficiency compared to the non-seasonal flux attenuation scenario, resulting in an increase of over 140% in some cases when the amplitude of the seasonality imposed is 60% of the non-seasonal base value. This work highlights the importance of the feedback taking place between the seasonally varying flux attenuation, sinking speed and other processes, suggesting that the assumption of constant-in-time flux attenuation and sinking speed might underestimate how much carbon is sequestered by the biological carbon pump.

2.
Glob Chang Biol ; 24(1): e101-e111, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-28871605

RESUMO

The timing of the annual phytoplankton spring bloom is likely to be altered in response to climate change. Quantifying that response has, however, been limited by the typically coarse temporal resolution (monthly) of global climate models. Here, we use higher resolution model output (maximum 5 days) to investigate how phytoplankton bloom timing changes in response to projected 21st century climate change, and how the temporal resolution of data influences the detection of long-term trends. We find that bloom timing generally shifts later at mid-latitudes and earlier at high and low latitudes by ~5 days per decade to 2100. The spatial patterns of bloom timing are similar in both low (monthly) and high (5 day) resolution data, although initiation dates are later at low resolution. The magnitude of the trends in bloom timing from 2006 to 2100 is very similar at high and low resolution, with the result that the number of years of data needed to detect a trend in phytoplankton phenology is relatively insensitive to data temporal resolution. We also investigate the influence of spatial scales on bloom timing and find that trends are generally more rapidly detectable after spatial averaging of data. Our results suggest that, if pinpointing the start date of the spring bloom is the priority, the highest possible temporal resolution data should be used. However, if the priority is detecting long-term trends in bloom timing, data at a temporal resolution of 20 days are likely to be sufficient. Furthermore, our results suggest that data sources which allow for spatial averaging will promote more rapid trend detection.


Assuntos
Mudança Climática , Fitoplâncton/fisiologia , Dinâmica Populacional , Estações do Ano , Temperatura , Fatores de Tempo
3.
Glob Chang Biol ; 23(9): 3554-3566, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28317324

RESUMO

Deep-water benthic communities in the ocean are almost wholly dependent on near-surface pelagic ecosystems for their supply of energy and material resources. Primary production in sunlit surface waters is channelled through complex food webs that extensively recycle organic material, but lose a fraction as particulate organic carbon (POC) that sinks into the ocean interior. This exported production is further rarefied by microbial breakdown in the abyssal ocean, but a residual ultimately drives diverse assemblages of seafloor heterotrophs. Advances have led to an understanding of the importance of size (body mass) in structuring these communities. Here we force a size-resolved benthic biomass model, BORIS, using seafloor POC flux from a coupled ocean-biogeochemistry model, NEMO-MEDUSA, to investigate global patterns in benthic biomass. BORIS resolves 16 size classes of metazoans, successively doubling in mass from approximately 1 µg to 28 mg. Simulations find a wide range of seasonal responses to differing patterns of POC forcing, with both a decline in seasonal variability, and an increase in peak lag times with increasing body size. However, the dominant factor for modelled benthic communities is the integrated magnitude of POC reaching the seafloor rather than its seasonal pattern. Scenarios of POC forcing under climate change and ocean acidification are then applied to investigate how benthic communities may change under different future conditions. Against a backdrop of falling surface primary production (-6.1%), and driven by changes in pelagic remineralization with depth, results show that while benthic communities in shallow seas generally show higher biomass in a warmed world (+3.2%), deep-sea communities experience a substantial decline (-32%) under a high greenhouse gas emissions scenario. Our results underscore the importance for benthic ecology of reducing uncertainty in the magnitude and seasonality of seafloor POC fluxes, as well as the importance of studying a broader range of seafloor environments for future model development.


Assuntos
Organismos Aquáticos , Biomassa , Tamanho Corporal , Mudança Climática , Ecossistema , Oceanos e Mares
4.
Environ Sci Technol ; 49(19): 11612-21, 2015 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-26301371

RESUMO

An autonomous underwater vehicle (Seaglider) has been used to estimate marine primary production (PP) using a combination of irradiance and fluorescence vertical profiles. This method provides estimates for depth-resolved and temporally evolving PP on fine spatial scales in the absence of ship-based calibrations. We describe techniques to correct for known issues associated with long autonomous deployments such as sensor calibration drift and fluorescence quenching. Comparisons were made between the Seaglider, stable isotope ((13)C), and satellite estimates of PP. The Seaglider-based PP estimates were comparable to both satellite estimates and stable isotope measurements.


Assuntos
Clorofila/análise , Clorofila/metabolismo , Monitoramento Ambiental/métodos , Água do Mar/análise , Oceano Atlântico , Monitoramento Ambiental/instrumentação , Fluorescência
5.
Nat Commun ; 6: 7878, 2015 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-26198420

RESUMO

The ubiquitous SAR11 and Prochlorococcus bacteria manage to maintain a sufficient supply of phosphate in phosphate-poor surface waters of the North Atlantic subtropical gyre. Furthermore, it seems that their phosphate uptake may counter-intuitively be lower in more productive tropical waters, as if their cellular demand for phosphate decreases there. By flow sorting (33)P-phosphate-pulsed (32)P-phosphate-chased cells, we demonstrate that both Prochlorococcus and SAR11 cells exploit an extracellular buffer of labile phosphate up to 5-40 times larger than the amount of phosphate required to replicate their chromosomes. Mathematical modelling is shown to support this conclusion. The fuller the buffer the slower the cellular uptake of phosphate, to the point that in phosphate-replete tropical waters, cells can saturate their buffer and their phosphate uptake becomes marginal. Hence, buffer stocking is a generic, growth-securing adaptation for SAR11 and Prochlorococcus bacteria, which lack internal reserves to reduce their dependency on bioavailable ambient phosphate.


Assuntos
Alphaproteobacteria/metabolismo , Fosfatos/metabolismo , Prochlorococcus/metabolismo , Trifosfato de Adenosina/metabolismo , Aminoácidos/metabolismo , Oceano Atlântico , Soluções Tampão , Dióxido de Carbono/metabolismo , Isótopos de Fósforo , Fitoplâncton
6.
Environ Microbiol ; 15(11): 3054-64, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23663455

RESUMO

Intracellular carbon (C), nitrogen (N) and phosphorus (P) content of marine phytoplankton and bacterioplankton can vary according to cell requirements or physiological acclimation to growth under nutrient limited conditions. Although such variation in macronutrient content is well known for cultured organisms, there is a dearth of data from natural populations that reside under a range of environmental conditions. Here, we compare C, N and P content of Synechococcus, Prochlorococcus, low nucleic acid (LNA) content bacterioplankton and small plastidic protists inhabiting surface waters of the North and South subtropical gyres and the Equatorial Region of the Atlantic Ocean. While intracellular C:N ratios ranged between 3.5 and 6, i.e. below the Redfield ratio of 6.6, all the C:P and N:P ratios were up to 10 times higher than the corresponding Redfield ratio of 106 and 16, respectively, reaching and in some cases exceeding maximum values reported in the literature. Similar C:P or N:P ratios in areas with different concentrations of inorganic phosphorus suggests that this is not just a response to the prevailing environmental conditions but an indication of the extremely low P content of these oceanic microbes.


Assuntos
Eucariotos/metabolismo , Fitoplâncton/metabolismo , Prochlorococcus/metabolismo , Água do Mar/microbiologia , Synechococcus/metabolismo , Organismos Aquáticos/metabolismo , Oceano Atlântico , Carbono/metabolismo , Nitrogênio/metabolismo , Fósforo/metabolismo , Água/metabolismo
7.
ISME J ; 7(3): 603-14, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23096403

RESUMO

Subtropical oceanic gyres are the most extensive biomes on Earth where SAR11 and Prochlorococcus bacterioplankton numerically dominate the surface waters depleted in inorganic macronutrients as well as in dissolved organic matter. In such nutrient poor conditions bacterioplankton could become photoheterotrophic, that is, potentially enhance uptake of scarce organic molecules using the available solar radiation to energise appropriate transport systems. Here, we assessed the photoheterotrophy of the key microbial taxa in the North Atlantic oligotrophic gyre and adjacent regions using (33)P-ATP, (3)H-ATP and (35)S-methionine tracers. Light-stimulated uptake of these substrates was assessed in two dominant bacterioplankton groups discriminated by flow cytometric sorting of tracer-labelled cells and identified using catalysed reporter deposition fluorescence in situ hybridisation. One group of cells, encompassing 48% of all bacterioplankton, were identified as members of the SAR11 clade, whereas the other group (24% of all bacterioplankton) was Prochlorococcus. When exposed to light, SAR11 cells took 31% more ATP and 32% more methionine, whereas the Prochlorococcus cells took 33% more ATP and 34% more methionine. Other bacterioplankton did not demonstrate light stimulation. Thus, the SAR11 and Prochlorococcus groups, with distinctly different light-harvesting mechanisms, used light equally to enhance, by approximately one-third, the uptake of different types of organic molecules. Our findings indicate the significance of light-driven uptake of essential organic nutrients by the dominant bacterioplankton groups in the surface waters of one of the less productive, vast regions of the world's oceans-the oligotrophic North Atlantic subtropical gyre.


Assuntos
Bactérias/metabolismo , Bactérias/efeitos da radiação , Luz , Prochlorococcus/metabolismo , Prochlorococcus/efeitos da radiação , Água do Mar/microbiologia , Adenosina/metabolismo , Trifosfato de Adenosina/metabolismo , Oceano Atlântico , Técnicas de Tipagem Bacteriana , Citometria de Fluxo , Hibridização in Situ Fluorescente , Isótopos/análise , Metionina/metabolismo , Fósforo/metabolismo , Estações do Ano , Movimentos da Água
8.
Proc Natl Acad Sci U S A ; 109(15): 5756-60, 2012 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-22451938

RESUMO

Oligotrophic subtropical gyres are the largest oceanic ecosystems, covering >40% of the Earth's surface. Unicellular cyanobacteria and the smallest algae (plastidic protists) dominate CO(2) fixation in these ecosystems, competing for dissolved inorganic nutrients. Here we present direct evidence from the surface mixed layer of the subtropical gyres and adjacent equatorial and temperate regions of the Atlantic Ocean, collected on three Atlantic Meridional Transect cruises on consecutive years, that bacterioplankton are fed on by plastidic and aplastidic protists at comparable rates. Rates of bacterivory were similar in the light and dark. Furthermore, because of their higher abundance, it is the plastidic protists, rather than the aplastidic forms, that control bacterivory in these waters. These findings change our basic understanding of food web function in the open ocean, because plastidic protists should now be considered as the main bacterivores as well as the main CO(2) fixers in the oligotrophic gyres.


Assuntos
Ecossistema , Água do Mar/microbiologia , Oceano Atlântico , Biomassa , Cianobactérias/metabolismo , Citometria de Fluxo , Plâncton/citologia , Plâncton/metabolismo , Plastídeos/metabolismo , Clima Tropical
9.
FEMS Microbiol Ecol ; 78(2): 327-35, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21696408

RESUMO

The smallest phototrophic protists (<3 µm) are important primary producers in oligotrophic subtropical gyres - the Earth's largest ecosystems. In order to elucidate how these protists meet their inorganic nutrient requirements, we compared the phosphate uptake rates of plastidic and aplastidic protists in the phosphate-depleted subtropical and tropical North Atlantic (4-29°N) using a combination of radiotracers and flow cytometric sorting on two Atlantic Meridional Transect cruises. Plastidic protists were divided into two groups according to their size (<2 and 2-3 µm). Both groups of plastidic protists showed higher phosphate uptake rates per cell than the aplastidic protists. Although the phosphate uptake rates of protist cells were on average seven times (P<0.001) higher than those of bacterioplankton, the biomass-specific phosphate uptake rates of protists were one fourth to one twentieth of an average bacterioplankton cell. The unsustainably low biomass-specific phosphate uptake by both plastidic and aplastidic protists suggests the existence of a common alternative means of phosphorus acquisition - predation on phosphorus-rich bacterioplankton cells.


Assuntos
Fenômenos Ecológicos e Ambientais , Eucariotos/metabolismo , Fosfatos/metabolismo , Poluentes Químicos da Água/metabolismo , Oceano Atlântico , Biomassa , Ecossistema , Eucariotos/classificação , Eucariotos/genética , Citometria de Fluxo , Fosfatos/análise , Água do Mar/química , Poluentes Químicos da Água/análise
10.
Int J Surg ; 7(4): 324-9, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19643691

RESUMO

Hepatocellular carcinoma is one of the most frequently encountered malignancies worldwide. Its association with cirrhosis increases the difficulty of diagnosis and therapy. Different approaches, ranging from medical treatment to highly complex ablative and surgical therapies, including liver resection and transplantation have significantly improved the outcome of this disease. This article reviews the current diagnostic challenges and the available surveillance and classification protocols. Available therapeutic approaches, indications, contraindications and outcome of liver resection, liver transplantation, living donor liver transplantation, are outlined in detail. Ablative procedures and their role and efficiency as "bridging" methods to liver transplantation are included in the review.


Assuntos
Carcinoma Hepatocelular/diagnóstico , Carcinoma Hepatocelular/terapia , Hepatectomia/métodos , Neoplasias Hepáticas/diagnóstico , Neoplasias Hepáticas/terapia , Transplante de Fígado/métodos , Biópsia por Agulha , Carcinoma Hepatocelular/mortalidade , Ablação por Cateter/efeitos adversos , Ablação por Cateter/métodos , Quimioembolização Terapêutica/métodos , Feminino , Rejeição de Enxerto , Sobrevivência de Enxerto , Hepatectomia/efeitos adversos , Humanos , Imuno-Histoquímica , Testes de Função Hepática , Neoplasias Hepáticas/mortalidade , Transplante de Fígado/efeitos adversos , Doadores Vivos , Masculino , Estadiamento de Neoplasias , Prognóstico , Análise de Sobrevida , Resultado do Tratamento , Estados Unidos
11.
FEMS Microbiol Lett ; 298(2): 166-73, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19624745

RESUMO

Biologically available concentrations of individual dissolved amino acids in the open ocean are generally <1 nM. Despite this, the microbial turnover of amino acids is usually measured in hours indicating high demand. It is thought that the majority of uptake is due to bacterioplankton, although protists, particularly phototrophic protists, are also expected to take up amino acids. In order to assess the ability of protists to compete with prokaryotes for amino acids at subnanomolar concentrations, we examined the direct uptake of (3)H-leucine by phototrophic nanoflagellates (prasinophytes, pelagophytes and trebouxiophytes) and by associated bacteria using flow cytometric cell sorting. In contrast to (3)H-leucine-assimilating bacterial copopulations, none of the six studied nanoflagellates showed measurable direct uptake of (3)H-leucine, suggesting that the studied phototrophic protists were unable to utilize dissolved (3)H-leucine at natural oceanic concentrations. More practically, the flow-sorting technique allowed rapid and unequivocal differentiation of organic nitrogen uptake between prokaryotic cells and eukaryotic cells in mixed microbial populations, reducing the need to establish and maintain axenic algal cultures.


Assuntos
Clorófitas/metabolismo , Citometria de Fluxo/métodos , Leucina/metabolismo , Bactérias/metabolismo , Radioisótopos de Carbono/metabolismo , Coloração e Rotulagem , Trítio/metabolismo
12.
J Theor Biol ; 253(3): 405-23, 2008 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-18485372

RESUMO

Ocean plankton models are useful tools for understanding and predicting the behaviour of planktonic ecosystems. However, when the regions represented by the model grid cells are not well mixed, the population dynamics of grid cell averages may differ from those of smaller scales (such as the laboratory scale). Here, the 'mean field approximation' fails due to 'biological Reynolds fluxes' arising from nonlinearity in the fine-scale biological interactions and unresolved spatial variability. We investigate the domain-scale behaviour of two-component, 2D reaction-diffusion plankton models producing transient dynamics, with spatial variability resulting only from the initial conditions. Failure of the mean field approximation can be quite significant for sub grid-scale mixing rates applicable to practical ocean models. To improve the approximation of domain-scale dynamics, we investigate implicit spatial resolution methods such as spatial moment closure. For weak and moderate strengths of biological nonlinearity, spatial moment closure models generally yield significant improvements on the mean field approximation, especially at low mixing rates. However, they are less accurate given weaker transience and stronger nonlinearity. In the latter case, an alternative 'two-spike' approximation is accurate at low mixing rates. We argue that, after suitable extension, these methods may be useful for understanding and skillfully predicting the large-scale behaviour of marine ecosystems.


Assuntos
Biologia Marinha/métodos , Modelos Biológicos , Plâncton/crescimento & desenvolvimento , Animais , Difusão , Ecossistema , Oceanos e Mares , Dinâmica Populacional
13.
Clin Transplant ; 22(2): 216-21, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18339142

RESUMO

Wilson's disease is an inherited disorder of copper metabolism, presenting with prominent hepatic and neurologic manifestations. There is an established place for liver transplantation in the presence of liver disease, while the indication for neurologic manifestations is debated. Between 1993 and 2005, 11 patients were liver transplanted for Wilson's disease at our institution. We retrospectively reviewed the medical records of the patients. The pathology of the explanted livers was analyzed. The patients were divided into three groups based on the evolution of the disease. Postoperative data gathered included patient and graft outcome, complications, neurologic status, and copper metabolism. Six males and five females were transplanted at a mean age of 29.7 yr (range 15-48 yr). Three patients had a fulminant presentation, two patients had decompensation of established disease, and six patients had chronic disease. Neurologic features were prominent in five patients. The pathologic analysis of the explanted graft showed cirrhosis in all patients. The five patients with fulminant and acute on chronic presentations also showed necrosis in the explant. The mean postoperative follow-up was 56.8 months (range 10-129 months). Two patients were re-transplanted. One patient died because of severe sepsis. Two patients with severe neurologic dysfunction showed significant remission of symptoms. Liver transplantation is a safe and effective treatment for both acute and chronic presentations of Wilson's disease. Acute presentation correlates with the presence of necrosis in the explanted liver. In our series, there was a relevant improvement of the neurologic features after transplantation.


Assuntos
Degeneração Hepatolenticular/cirurgia , Falência Hepática Aguda/cirurgia , Transplante de Fígado , Adolescente , Adulto , Estudos de Coortes , Feminino , Degeneração Hepatolenticular/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Reoperação , Estudos Retrospectivos
14.
Transpl Int ; 21(3): 263-7, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18167152

RESUMO

The aim of the study is to evaluate the changes in kidney function after pre-emptive kidney transplantation in patients with polycystic liver and kidney disease (PLKD) and to establish whether pre-emptive kidney transplantation is warranted. Between 1998 and 2006, five patients with severe anatomical changes in both native kidneys but only mild alteration of the clearance function received combined liver and kidney transplantation. Preoperatively, Technetium-99m mercaptoacetyltriglycine (Tc99m MAG3) scintigraphy was used to evaluate separately the function of each native kidney. This examination was repeated six months after transplantation, additionally measuring the function of the transplanted kidney. Pretransplant creatinine levels were 77-115 mumol/l and Tc99m MAG3 clearance was 141-163 ml/min/1.73 sqm (74 +/- 8% of minimum-for-age values). Six months after transplant, creatinine values were not significantly different. Minimum-for-age clearance decreased by 12.5 +/- 11.5% in four patients, and increased by 26% in one patient. In four patients, the transplanted and the native kidneys assumed each about one third of total tracer clearance. In one patient, the transplanted kidney assumed 92% of the clearance function. Kidney function decreases despite pre-emptive kidney transplantation. Native kidneys are not functionally excluded and the clearance seems to be divided between native and transplanted organs. Kidney transplantation in nonuremic PLKD patients does not improve the overall kidney function and should be performed only in exceptional cases.


Assuntos
Transplante de Rim/efeitos adversos , Hepatopatias/epidemiologia , Transplante de Fígado/efeitos adversos , Doenças Renais Policísticas/epidemiologia , Cadáver , Creatinina/sangue , Humanos , Testes de Função Renal , Transplante de Rim/fisiologia , Transplante de Fígado/fisiologia , Complicações Pós-Operatórias/epidemiologia , Estudos Retrospectivos , Doadores de Tecidos , Resultado do Tratamento
15.
Biol Lett ; 3(5): 529-32, 2007 Oct 22.
Artigo em Inglês | MEDLINE | ID: mdl-17650478

RESUMO

Global climate change is driving rapid distribution shifts in marine ecosystems; these are well established for lower trophic levels, but are harder to quantify for migratory top predators. By analysing a 25-year sightings-based dataset, we found evidence for rapid northwards range expansion of the critically endangered Balearic shearwater Puffinus mauretanicus in northeast Atlantic waters. A 0.6 degrees C sea surface temperature increase in the mid-1990s is interpreted as an underlying controlling factor, while simultaneous northward shifts of plankton and prey fish species suggests a strong bottom-up control. Our results have important conservation implications and provide new evidence for climate-driven regime shift in Atlantic ecosystems.


Assuntos
Aves/fisiologia , Clima , Animais , Oceano Atlântico , Dinâmica Populacional , Comportamento Predatório , Fatores de Tempo
16.
Nature ; 447(7147): 999-1002, 2007 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-17581584

RESUMO

The flux of organic material sinking to depth is a major control on the inventory of carbon in the ocean. To first order, the oceanic system is at equilibrium such that what goes down must come up. Because the export flux is difficult to measure directly, it is routinely estimated indirectly by quantifying the amount of phytoplankton growth, or primary production, fuelled by the upward flux of nitrate. To do so it is necessary to take into account other sources of biologically available nitrogen. However, the generation of nitrate by nitrification in surface waters has only recently received attention. Here we perform the first synthesis of open-ocean measurements of the specific rate of surface nitrification and use these to configure a global biogeochemical model to quantify the global role of nitrification. We show that for much of the world ocean a substantial fraction of the nitrate taken up is generated through recent nitrification near the surface. At the global scale, nitrification accounts for about half of the nitrate consumed by growing phytoplankton. A consequence is that many previous attempts to quantify marine carbon export, particularly those based on inappropriate use of the f-ratio (a measure of the efficiency of the 'biological pump'), are significant overestimates.


Assuntos
Nitritos/metabolismo , Água do Mar/química , Carbono/metabolismo , Ecossistema , Nitritos/análise , Nitrogênio/metabolismo , Oceanos e Mares , Plâncton/metabolismo , Água do Mar/análise
17.
Clin Transplant ; 20(6): 695-705, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17100718

RESUMO

BACKGROUND: Radiofrequency ablation (RFA) of hepatocellular carcinoma (HCC) is an optional treatment for patients awaiting liver transplantation (LTX). The study evaluates the efficacy of RFA in the explanted liver and its effect on patient outcome. MATERIAL AND METHOD: Forty-seven patients underwent RFA and were listed for transplant between January 1998 and May 2003. The patients were divided into two groups: transplanted and non-transplanted. Both groups were evaluated in terms of tumor characteristics, recurrence, mortality rate, and time on the waiting list. The ablation sites in the explanted livers were examined for percentage of necrosis by Hematoxylin & Eosin (H&E) stain and by TUNEL stain. RESULTS: Transplantation was carried out in 35 patients (74.5%). Ten patients (21.3%) died before transplant or were removed from the wait list, while two patients (4.2%) are still listed. Mortality and tumor-related mortality were significantly higher in the non-transplanted group. The time spent on the waiting list was longer in the non-transplanted patients (350 vs. 186 d average, p = 0.0345). Thirty-eight ablation sites were examined in the explanted livers. The percentage of tumor necrosis by TUNEL staining was 19.6% higher than that reported by H&E staining. After TUNEL staining, 28 sites (73.7%) had more than 90% necrosis, eight sites (21.0%) had 50-90%, and two sites (5.3%) had less than 50% necrosis. CONCLUSIONS: RFA and LTX can be used successfully in HCC patients, and in most cases, tumor necrosis can be achieved with ultrasound-guided RFA. H&E stain tends to under-represent the amount of tumor necrosis on the ablation sites. Survival of RFA patients after LTX is excellent.


Assuntos
Ablação por Cateter/métodos , Neoplasias Hepáticas/cirurgia , Transplante de Fígado/métodos , Biópsia , Carcinoma Hepatocelular/mortalidade , Carcinoma Hepatocelular/patologia , Carcinoma Hepatocelular/cirurgia , Feminino , Seguimentos , Sobrevivência de Enxerto , Humanos , Incidência , Neoplasias Hepáticas/mortalidade , Neoplasias Hepáticas/patologia , Transplante de Fígado/mortalidade , Imageamento por Ressonância Magnética , Masculino , Recidiva Local de Neoplasia/epidemiologia , Recidiva Local de Neoplasia/patologia , Cuidados Pré-Operatórios/métodos , Estudos Prospectivos , Taxa de Sobrevida/tendências , Resultado do Tratamento
18.
Transpl Int ; 19(4): 282-7, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16573543

RESUMO

Survival after liver retransplantation (RLTX) is worse than after primary liver transplantation (LTX). We studied retrospectively the 2-year outcome in 44 patients who received RLTX more than 30 days after the primary transplant and in 669 after LTX performed between December 1993 and October 1999, focusing on the relation between the model for end-stage liver disease (MELD) score immediately pretransplant and post-transplant survival. A 2-year survival for RLTX was inferior to LTX (65.9% vs. 82.9%, P < or = 0.01). This difference was greatest with MELD scores < 25; survival within 2 years remained 11.3-18.2% less for RLTX than for LTX (6 months, P = 0.002; 12 months, P = 0.029, 24 months, P = 0.123). Mortality was mainly related to early vascular complications and sepsis. Two-year survival after RLTX was 81.8% if RLTX occurred < 2 years after LTX and 50% if the interval between LTX and RLTX was > 2 years (P < 0.05). MELD scores were similar in 2-year survivors and nonsurvivors after late RLTX (P = 0.82). Late RLTX is marked by poor survival regardless of the pretransplant MELD score. The MELD-based allocation system may not benefit patients who undergo retransplantation.


Assuntos
Falência Hepática/mortalidade , Falência Hepática/cirurgia , Transplante de Fígado/mortalidade , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Biológicos , Avaliação de Resultados em Cuidados de Saúde , Reoperação , Taxa de Sobrevida
19.
Biol Lett ; 1(3): 366-9, 2005 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-17148208

RESUMO

A high-resolution mesoscale spatial survey of picoplankton in the Celtic Sea, using flow cytometry, reveals cell concentrations of Synechococcus spp. cyanobacteria and heterotrophic bacteria that vary up to 50-fold over distances as short as 12 km. Furthermore, the range of abundances is comparable to that typically found on seasonal scales at a single location. Advection of such spatial variability through a time-series site would therefore constitute a major source of 'error'. Consequently, attempts to model and to investigate the ecology of these globally important organisms in situ must take into account and quantify the hitherto ignored local spatial variability as a matter of necessity.


Assuntos
Biodiversidade , Ecossistema , Monitoramento Ambiental , Peixes/fisiologia , Plâncton/crescimento & desenvolvimento , Microbiologia da Água , Animais , Cianobactérias/genética , Cianobactérias/crescimento & desenvolvimento , Citometria de Fluxo , Modelos Biológicos , Oceanos e Mares , Dinâmica Populacional , Synechococcus/genética , Synechococcus/crescimento & desenvolvimento , Fatores de Tempo
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