ABSTRACT-During experimental light-dark cycles, O9 in the tissue of the colonial scleractinian corals Favia sp. and Acropora sp reached >250 % of air saturation after a few minutes in light. Immediately after darkenmg, 0; was depleted rapidly, and within 5 mm the 0; concentration at the tissue surface reached < 2 % of air saturation. The pH of the tissue changed within 10 min from about 8.5 in the light to 7.3 m the dark. Oxygen and pH profiles revealed a diffusive boundary layer of flow-dependent thickness, which limited coral respiration in the dark. The light field at the tissue surface (measured as scalar irradiance, Eo) differed strongly with respect to light intensity and spectral composition from the incident collimated light (measured as downwelling irradiance, Ed) Scalar irradiance reached up to 180 % of Ed at the coral tissue surface for wavelengths subject to less absorption by the coral tissue (600 to 650 run and >680 nm). The scalar irradiance spectra exhibited bands of chlorophyll a (chl a ) (675 run), chl c (630 to 640 nm) and pendinin (540 nm) absorption and a broad absorption band due to chlorop h y l l~ and carotenoids between 400 and 550 nm. The shape of both action spectra and photosynthesis vs irradiance (Pvs I) curves depended on the choice of the light intensity parameter. Calculations of miha1 slopes and onset of light saturation, Ik, showed that P vs Eo curves exhibit a lower initial slope and a higher 4 than corresponding Pvs Ed curves. Coral respiration in light was calculated as the difference between the measured gross and net photosynthesis, and was found to be >6 times higher at a saturating irradiance of 350 pEm m 2 s 1 than the dark respiration measured under identical hydrodynamic conditions (flow rate of 5 to 6 cm ssl).

The diffusive boundary layers surrounding sessile marine organisms have been implicated in controlling an organism's metabolism and growth. We studied boundary layers surrounding hermatypic corals by monitoring oxygen concentrations on a submillimetric scale. Oxygen concentration within the boundary layers varied from supersaturation during the day to anoxia at night, although the ambient water composition remained constant. Detailed mapping and oxygen measurements revealed diel oxygen fluctuations from supersaturation (373% air saturation) in the light to complete oxygen depletion at darkness in the massive coral Favia favus. Exposure to a 5-cm/s current reduced the boundary layer thickness from 2.44 mm to 1.90 mm, allowing more rapid oxygen exchange across the diffusive boundary layer. Similar patterns were found in the branching coral Stylophora pistillata. In massive corals, the thickness of the diffusive boundary layer was negatively correlated with the size of the polyp. We suggest that the distribution of corals in areas of differential turbulence is related to the thickness of the diffusive boundary layers surrounding them.

Renal involvement as part of systemic lymphoma (LY) is quite frequent, however, primary extranodal renal non-Hodgkin's lymphoma (NHL) is extremely rare, and only about 65 cases have been reported in the world literature. In a retrospective study of renal manifestations in 700 patients with documented LY and chronic lymphocytic leukemia (CLL) seen at our hospital during 1986-95, 83 patients had signs of acute renal failure. Only five of these had proven renal infiltration, but none of them satisfied the criteria for primary renal LY. Glomerulonephritis (GN) has also rarely been reported in association with LY and CLL, and only 37 glomerular lesions in NHL and 42 in CLL have been documented, respectively. GN may precede, coexist, or follow the diagnosis of LY by several years. Of the 42 cases of CLL reported worldwide, 36 had nephrotic syndrome. Renal failure was seen in about one third. The most common glomerular lesion reported is membranoproliferative GN, followed by membranous GN. In our study, we found only five biopsy-proven cases with GN amongst the 700 patients seen. In this report we also briefly describe some rare interesting associated renal syndromes in CLL and NHL.

Nitrogen fixation, as measured by acetylene reduct~on, has been detected to be associated with various hermatypic corals. Experiments were carried out on the massive coral Favia f a v u s both in situ and in the laboratory. Nitrogen fixation activity was found to be light dependent and fully inhibited by 5 X 10-6 M DCMU [3-(3,4-dichloropheny1)-1,l-dimethylurea Addition of glucose restored nitrogen fixation activity both in the dark and in the presence of DCMU. Removal of the coral tissue prevented acetylene reduction, while addition of glucose to the coral skeleton restored this activity. Bacteria isolated from the coral skeleton were found by dot blotting to contain the nif H gene. These results suggest that nitrogen-fixing bacteria found in the skeleton of corals benefit from organic carbon excreted by the coral tissue. The interaction between the nitrogen-fixing organisms and the coral may be of major lrnportance for the nitrogen budget of the corals.

IMPORTANCE Emerging evidence suggests that postprandial glycemic responses (PPGRs) to food may be influenced by and predicted according to characteristics unique to each individual, including anthropometric and microbiome variables. Interindividual diversity in PPGRs to food requires a personalized approach for the maintenance of healthy glycemic levels. OBJECTIVES To describe and predict the glycemic responses of individuals to a diverse array of foods using a model that considers the physiology and microbiome of the individual in addition to the characteristics of the foods consumed. DESIGN, SETTING, AND PARTICIPANTS This cohort study using a personalized predictive model enrolled 327 individuals without diabetes from October 11, 2016, to December 13, 2017, in Minnesota and Florida to be part of a study lasting 6 days. The study measured anthropometric variables, described the gut microbial composition, and assessed blood glucose levels every 5 minutes using a continuous glucose monitor. Participants logged their food and activity information for the duration of the study. A predictive model of individualized PPGRs to a diverse array of foods was trained and applied. MAIN OUTCOMES AND MEASURES Glycemic responses to food consumed over 6 days for each participant. The predictive model of personalized PPGRs considered individual features, including the microbiome, in addition to the features of the foods consumed. RESULTS Postprandial response to the same foods varied across 327 individuals (mean [SD] age, 45 [12] years; 78.0% female). A model predicting each individual's responses to food that considers several individual factors in addition to food features had better overall performance (R = 0.62) than current standard-of-care approaches using nutritional content alone (R = 0.34 for calories and R = 0.40 for carbohydrates) to control postprandial glycemic levels. CONCLUSIONS AND RELEVANCE Across the cohort of adults without diabetes who were examined, a personalized predictive model that considers unique features of the individual, such as clinical characteristics, physiological variables, and the microbiome, in addition to nutrient content was more predictive than current dietary approaches that focus only on the calorie or carbohydrate content of foods. Providing individuals with tools to manage their glycemic responses to food based on personalized predictions of their PPGRs may allow them to maintain their blood glucose levels within limits associated with good health.