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Three separate experiments were conducted to investigate the utilization of dietary free amino acids by white sturgeon,Acipenser transmontanus. In the first experiment, sturgeon were fed for 8 weeks with isoenergetic and isonitrogenous diets containing either intact protein, an amino acid mixture, or a neutralized amino acid mixture of similar composition. Sturgeon fed the two amino acid diets grew significantly (p<0.05) less, mainly because of reduced feed intake. In the second experiment, postprandial changes in plasma free amino acids of sturgeon force-fed the above diets were monitored at 2, 4, 6, 8, 12, and 24 h Total plasma amino acids in sturgeon force-fed the intact protein diet showed a gradual increase and reached peak levels at 8 h. In contrast, plasma amino acids of fish force-fed the amino acid diets showed a rapid increase and reached maximal levels at 2 h. In the third experiment, free amino acid diets showed a urine of sturgeon force-fed the three diets was monitored at 4, 8, 12, 16, 20, and 24 h. In all dietary groups, peak excretion of indispensable amino acids was detected at 8 h after feeding but with significantly higher levels from fish force-fed the amino acid diets. Sturgeon force-fed the neutralized amino acid diet excreted 35% less amino acids compared to fish force-fed the non-neutralized diet. Sturgeon force-fed the intact protein diet excreted significantly higher amounts of ammonia. Under amino acid feeding conditions, sturgeon excreted more amino acids in its urine, but the urinary excretion of amino acids was not a major route in dealing with the rapid absorption of dietary free amino acids.

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States of severely impaired consciousness (SIC) are characterized by cognitive and motor limitations. This case report describes a 45-year-old female with impaired consciousness who began to 'walk'. She initially presented to the hospital unresponsive and was subsequently diagnosed with metabolic encephalopathy due to severe hypoglycaemia. Traditional indices of consciousness indicated a low level of responsiveness; however, during physical therapy, she displayed reciprocal walking movements when lifted to a standing position by two therapists. Despite her ability to walk increased distances during and after neurorehabilitation, she was unable to consistently demonstrate responses indicative of higher levels of consciousness. This case illustrates the challenge of rating patients with limited behavioural repertoire using established measures of impaired consciousness.