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1.
Ann Bot ; 125(4): 565-579, 2020 03 29.
Artigo em Inglês | MEDLINE | ID: mdl-31872857

RESUMO

BACKGROUND AND AIMS: The mosses Homalothecium lutescens and H. sericeum are genetically, morphologically and ecologically differentiated; mixed populations sometimes occur. In sympatric populations, intermediate character states among gametophytes and sporophytes have been observed, suggesting hybridization and introgression in such populations. METHODS: We determined genotypes using bi-allelic co-dominant single nucleotide polymorphism (SNP) markers, specific to either H. lutescens or H. sericeum, to estimate the degree of genetic mixing in 449 moss samples collected from seven sympatric and five allopatric populations on the island of Öland, south Sweden. The samples represented three generations: haploid maternal gametophytes; diploid sporophytes; and haploid sporelings. KEY RESULTS: Admixture analyses of SNP genotypes identified a majority as pure H. lutescens or H. sericeum, but 76 samples were identified as mildly admixed (17 %) and 17 samples (3.8 %) as strongly admixed. Admixed samples were represented in all three generations in several populations. Hybridization and introgression were bidirectional. CONCLUSIONS: Our results demonstrate that admixed genomes are transferred between the generations, so that the populations behave as true hybrid zones. Earlier studies of sympatric bryophyte populations with admixed individuals have not been able to show that admixed alleles are transferred beyond the first generation. The presence of true hybrid zones has strong evolutionary implications because genetic material transferred across species boundaries can be directly exposed to selection in the long-lived haploid generation of the bryophyte life cycle, and contribute to local adaptation, long-term survival and speciation.


Assuntos
Briófitas , Bryopsida , Genética Populacional , Hibridização Genética , Suécia , Simpatria
2.
Heredity (Edinb) ; 122(4): 468-484, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30258107

RESUMO

The major histocompatibility complex (MHC) has long served as a model for the evolution of adaptive genetic diversity in wild populations. Pathogen-mediated selection is thought to be a main driver of MHC diversity, but it remains elusive to what degree selection shapes MHC diversity in complex biogeographical scenarios where other evolutionary processes (e.g. genetic drift and introgression) may also be acting. Here we focus on two closely related green lizard species, Lacerta trilineata and L. viridis, to address the evolutionary forces acting on MHC diversity in populations with different biogeographic structure. We characterized MHC class I exon 2 and exon 3, and neutral diversity (microsatellites), to study the relative importance of selection, drift, and introgression in shaping MHC diversity. As expected, positive selection was a significant force shaping the high diversity of MHC genes in both species. Moreover, introgression significantly increased MHC diversity in mainland populations, with a primary direction of gene flow from L. viridis to L. trilineata. Finally, we found significantly fewer MHC alleles in island populations, but maintained MHC sequence and functional diversity, suggesting that positive selection counteracted the effect of drift. Overall, our data support that different evolutionary processes govern MHC diversity in different biogeographical scenarios: positive selection occurs broadly while introgression acts in sympatry and drift when the population sizes decrease.


Assuntos
Lagartos/genética , Complexo Principal de Histocompatibilidade/genética , Animais , Fluxo Gênico , Deriva Genética , Introgressão Genética , Variação Genética , Genética Populacional , Lagartos/imunologia , Densidade Demográfica , Seleção Genética , Simpatria
3.
J Evol Biol ; 30(4): 728-737, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28058767

RESUMO

Species exhibiting colour polymorphism are thought to have an ecological advantage at the landscape scale, because spatial segregation of alternatively adapted ecotypes into diverse habitats can increase the species' niche breadth and thus confer greater geographic range size. However, morph frequencies are also influenced by intrapopulational processes such as frequency- or density-dependent social interactions. To identify how social feedback may affect clinal variation in morph frequencies, we investigated reciprocal interactions between morph-specific thermal tolerance, local climatic conditions and social environments, in the context of a colour-morph frequency cline associated with a recent range expansion in blue-tailed damselflies (Ischnura elegans) in Sweden. Cold tolerances of gynochromes (female-like female morph) were positively correlated with local gynochrome frequencies, suggesting a positive frequency-dependent fitness benefit. In contrast, androchrome (male-mimic female morph) cold tolerances were improved following recent exposure to cold weather, suggesting a beneficial environmental acclimation effect. Thus, according to an environment-matching hypothesis for clinal variation, androchrome frequencies should therefore increase towards the (cooler) range limit. In contrast to this prediction, gynochrome frequencies increased at the expanding range limit, consistent with a positive frequency-dependent social feedback that is beneficial when invading novel climates. Our results suggest that when phenotypes or fitnesses are affected by interactions with conspecifics, beneficial social effects on environmental tolerances may (i) facilitate range shifts, and (ii) reverse or counteract typical patterns of intraspecific interactions and environment-matching clines observed in stable populations observed over broader geographic scales.


Assuntos
Cor , Odonatos/anatomia & histologia , Fenótipo , Polimorfismo Genético , Animais , Feminino , Masculino , Dinâmica Populacional , Suécia
4.
Heredity (Edinb) ; 116(1): 107-13, 2016 01.
Artigo em Inglês | MEDLINE | ID: mdl-26328759

RESUMO

Epiphytic dwarf males on the females present a possible solution to the problem of short fertilization distances in mosses. However, leptokurtic spore dispersal makes dwarf males likely to be closely related to their host shoot, with an accompanying risk of inbreeding. The capacity of a female to harbour a high number of different dwarf males suggests that there may be mechanisms in place that counteract inbreeding, such as polyandry and post-fertilization selection. We have genotyped sporophytes, female host shoots and dwarf males in four populations of the moss Homalothecium lutescens. We found no evidence of selective sporophyte abortion based on level of heterozygosity. The occurrence of entirely homozygous sporophytes together with significantly positive inbreeding coefficients in three of the populations (mean FIS between 0.48 and 0.64) suggest frequent mother-son mating events. However, 23% of all sampled sporophytes had a higher level of heterozygosity compared with the mean expected heterozygosity at the population level. Polyandry was frequent, on average 59% of the sporophytes on a female shoot were sired by distinct fathers. In conclusion, sporadic fertilizations by dwarf males originating from nonhost female shoots appear to counteract strong inbreeding.


Assuntos
Briófitas/genética , Variação Genética , Genética Populacional , Endogamia , DNA de Plantas/genética , Genótipo , Células Germinativas Vegetais , Haplótipos , Heterozigoto , Homozigoto , Polimorfismo de Nucleotídeo Único , Análise de Sequência de DNA , Suécia
5.
J Evol Biol ; 28(5): 1024-38, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25847825

RESUMO

The timing of annual life-history events affects survival and reproduction of all organisms. A changing environment can perturb phenological adaptations and an important question is if populations can evolve fast enough to track the environmental changes. Yet, little is known about selection and evolutionary potential of traits determining the timing of crucial annual events. Migratory species, which travel between different climatic regions, are particularly affected by global environmental changes. To increase our understanding of evolutionary potential and selection of timing traits, we investigated the quantitative genetics of arrival date at the breeding ground using a multigenerational pedigree of a natural great reed warbler (Acrocephalus arundinaceus) population. We found significant heritability of 16.4% for arrival date and directional selection for earlier arrival in both sexes acting through reproductive success, but not through lifespan. Mean arrival date advanced with 6 days over 20 years, which is in exact accordance with our predicted evolutionary response based on the breeder's equation. However, this phenotypic change is unlikely to be caused by microevolution, because selection seems mainly to act on the nongenetic component of the trait. Furthermore, demographical changes could also not account for the advancing arrival date. Instead, a strong correlation between spring temperatures and population mean arrival date suggests that phenotypic plasticity best explains the advancement of arrival date in our study population. Our study dissects the evolutionary and environmental forces that shape timing traits and thereby increases knowledge of how populations cope with rapidly changing environments.


Assuntos
Migração Animal , Seleção Genética , Aves Canoras/genética , Animais , Evolução Biológica , Feminino , Humanos , Masculino
6.
Radiography (Lond) ; 30(3): 889-895, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38603992

RESUMO

INTRODUCTION: Acoustic noise from magnetic resonance imaging (MRI) can cause hearing loss and needs to be mitigated to ensure the safety of patients and personnel. Capturing MR personnel's insights is crucial for guiding the development and future applications of noise-reduction technology. This study aimed to explore how MR radiographers manage acoustic noise in clinical MR settings. METHODS: Using a qualitative design, we conducted semi-structured individual interviews with fifteen MR radiographers from fifteen hospitals around Sweden. We focused on the clinical implications of participants' noise management, using an interpretive description approach. We also identified sociotechnical interactions between People, Environment, Tools, and Tasks (PETT) by adopting a Human Factors/Ergonomics framework. Interview data were analyzed inductively with thematic analysis (Braun and Clarke). RESULTS: The analysis generated three main themes regarding MR radiographers' noise management: (I) Navigating Occupational Noise: Risk Management and Adaptation; (II) Protecting the Patient and Serving the Exam, and (III) Establishing a Safe Healthcare Environment with Organizational Support. CONCLUSION: This study offers insights into radiographers' experiences of managing acoustic noise within MRI, and the associated challenges. Radiographers have adopted multiple strategies to protect patients and themselves from adverse noise-related effects. However, they require tools and support to manage this effectively, suggesting a need for organizations to adopt more proactive, holistic approaches to safety initiatives. IMPLICATIONS FOR PRACTICE: The radiographers stressed the importance of a soundproofed work environment to minimize occupational adverse health effects and preserve work performance. They acknowledge noise as a common contributor to patient distress and discomfort. Providing options like earplugs, headphones, mold putty, software-optimized "quiet" sequences, and patient information were important tools. Fostering a safety culture requires proactive safety efforts and support from colleagues and management.


Assuntos
Entrevistas como Assunto , Imageamento por Ressonância Magnética , Ruído Ocupacional , Pesquisa Qualitativa , Humanos , Suécia , Feminino , Masculino , Adulto , Pessoa de Meia-Idade , Perda Auditiva Provocada por Ruído/prevenção & controle , Exposição Ocupacional/prevenção & controle , Gestão de Riscos
7.
Radiography (Lond) ; 30(1): 95-99, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37879122

RESUMO

INTRODUCTION: Ultra-high field MRI (UHF MRI) is rapidly becoming an essential part of our toolbox within health care and research studies; therefore, we need to get a deeper understanding of the physiological effects of ultra-high field. This study aims to investigate the cognitive performance of healthy participants in a 7 T (T) MRI environment in connection with subjectively experienced effects. METHODS: We measured cognitive performance before and after a 1-h 7T MRI scanning session using a Digit Symbol Substitution Test (DSST) in 42 subjects. Furthermore, a computer-based survey regarding the subjectively experienced effects in connection with the MRI examination was distributed. Similarly, two DSSTs were also performed by a control group of 40 participants. RESULTS: Even though dizziness was the strongest sensory perception in connection to the MRI scanning, we did not find any correlation between dizziness and cognitive performance. Whilst the control group improved (p=<0.001) on their second DSST the MRI group showed no significant difference (p=0.741) in the DSST before and after MRI scanning. CONCLUSION: Transient effect on cognition after undergoing MRI scanning can't be ruled out as the expected learning effect on the DSST was not observed. IMPLICATIONS FOR PRACTICE: Increasing understanding of the possible adverse effects may guide operators in performing UHF MRI in a safe way and with person-centered care. Furthermore, it can guide researchers in setting up research protocols to minimize confounding factors in their fMRI studies due to the transient adverse effects of the UHF environment.


Assuntos
Cognição , Tontura , Humanos , Tontura/etiologia , Voluntários Saudáveis , Cognição/fisiologia , Imageamento por Ressonância Magnética/métodos , Inquéritos e Questionários
8.
Surg Endosc ; 27(2): 494-500, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23052490

RESUMO

BACKGROUND: Parastomal hernia is a frequent complication of intestinal stomata. Mesh repair gives the best results, with the mesh inserted via laparotomy or laparoscopically. It was the aim of this retrospective multicenter study to determine the early and late results of the laparoscopically performed, modified Sugarbaker technique with ePTFE mesh. METHODS: From 2005 to 2010, a total of 61 consecutive patients (mean age = 61 years), with a symptomatic parastomal hernia, underwent laparoscopic repair using the modified Sugarbaker technique with ePTFE mesh. Fifty-five patients had a colostomy, 4 patients an ileostomy, and 2 a urostomy according to Bricker. The records of the patients were reviewed with respect to patient characteristics, postoperative morbidity, and mortality. All patients underwent physical examination after a follow-up of at least 1 year to detect a recurrent hernia. Morbidity rate was 19 % and included wound infection (n = 1), ileus (n = 2), trocar site bleeding (n = 2), reintervention (n = 2), and pneumonia (n = 1). One patient died in the postoperative period due to metastasis of lung carcinoma that caused bowel obstruction. Concomitant incisional hernias were detected in 25 of 61 patients (41 %) and could be repaired at the same time in all cases. A recurrent hernia was found in three patients at physical examination, and in one patient an asymptomatic recurrence was found on a CT scan. The overall recurrence rate was 6.6 % after a mean follow-up of 26 months. CONCLUSION: The laparoscopic Sugarbaker technique is a safe procedure for repairing parastomal hernias. In our study, the overall morbidity was 19 % and the recurrence rate was 6.6 % after a mean follow-up of 26 months. Moreover, the laparoscopic approach revealed concomitant hernias in 41 % of the patients, which could be repaired successfully at the same time.


Assuntos
Hérnia Ventral/cirurgia , Herniorrafia/métodos , Laparoscopia/métodos , Telas Cirúrgicas , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Enterostomia/efeitos adversos , Feminino , Hérnia Ventral/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva , Estudos Retrospectivos
9.
Heredity (Edinb) ; 108(3): 264-72, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21897438

RESUMO

Neo-sex chromosomes often originate from sex chromosome-autosome fusions and constitute an important basis for the study of gene degeneration and expression in a sex chromosomal context. Neo-sex chromosomes are known from many animal and plant lineages, but have not been reported in birds, a group in which genome organization seems particularly stable. Following indications of sex linkage and unexpected sex-biased gene expression in warblers (Sylvioidea; Passeriformes), we have conducted an extensive marker analysis targeting 31 orthologues of loci on zebra finch chromosome 4a in five species, representative of independent branches of Passerida. We identified a region of sex linkage covering approximately the first half (10 Mb) of chromosome 4a, and associated to both Z and W chromosomes, in three Sylvioidea passerine species. Linkage analysis in an extended pedigree of one species additionally confirmed the association between this part of chromosome 4a and the Z chromosome. Markers located between 10 and 21 Mb of chromosome 4a showed no signs of sex linkage, suggesting that only half of the chromosome was involved in this transition. No sex linkage was observed in non-Sylvioidea passerines, indicating that the neo-sex chromosome arose at the base of the Sylvioidea branch of the avian phylogeny, at 47.4-37.6 millions years ago (MYA), substantially later than the ancestral sex chromosomes (150 MYA). We hypothesize that the gene content of chromosome 4a might be relevant in its transition to a sex chromosome, based on the presence of genes (for example, the androgen receptor) that could offer a selective advantage when associated to Z-linked sex determination loci.


Assuntos
Aves/genética , Cromossomos Sexuais , Alelos , Animais , Aves/classificação , Cromossomos , Feminino , Ordem dos Genes , Ligação Genética , Loci Gênicos , Masculino , Dados de Sequência Molecular , Filogenia , Aves Canoras/genética
10.
Radiography (Lond) ; 28(2): 454-459, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-34973869

RESUMO

INTRODUCTION: MR facilities must implement and maintain adequate screening and safety procedures to ensure safety during MR examinations. The aim of this study was to evaluate a multi-step MR safety screening process used at a 7T facility regarding incidence of different types of safety risks detected during the safety procedure. METHODS: Subjects scheduled for an MR examination and having entered the 7T facility during 2016-2019 underwent a pre-defined multi-step MR safety screening process. Screening documentation of 1819 included subjects was reviewed, and risks identified during the different screening steps were compiled. These data were also related to documented decisions made by a 7T MR safety committee and reported MR safety incidents. RESULTS: Passive or active implants (n = 315) were identified in a screening form and/or an additional documented interview in 305 subjects. Additional information not previously self-reported by the subject, regarding implants necessitating safety decisions performed by the staff was revealed in the documented interview in 102 subjects (106 items). In total, the 7T MR safety committee documented a decision in 36 (2%) of the included subjects. All of these subjects were finally cleared for scanning. CONCLUSION: A multi-step screening process allows a thorough MR screening of subjects, avoiding safety incidents. Different steps in the process allow awareness to rise and items to be detected that were missed in earlier steps. IMPLICATIONS FOR PRACTICE: Safety questions posed at a single timepoint during an MR screening process might not reveal all safety risks. Repetition and rephrasing of screening questions leads to increased detection of safety risks. This could be effectively mitigated by a multi-step screening process. A multi-disciplinary safety committee is efficient at short notice responding to unexpected safety issues.


Assuntos
Imageamento por Ressonância Magnética , Humanos , Imageamento por Ressonância Magnética/métodos
11.
Heredity (Edinb) ; 107(6): 513-22, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21587304

RESUMO

Disentangling the relative importance and potential interactions of selection and genetic drift in driving phenotypic divergence of species is a classical research topic in population genetics and evolutionary biology. Here, we evaluate the role of stochastic and selective forces on population divergence of a colour polymorphism in seven damselfly species of the genus Ischnura, with a particular focus on I. elegans and I. graellsii. Colour-morph frequencies in Spanish I. elegans populations varied greatly, even at a local scale, whereas more similar frequencies were found among populations in eastern Europe. In contrast, I. graellsii and the other five Ischnura species showed little variation in colour-morph frequencies between populations. F(ST)-outlier analyses revealed that the colour locus deviated strongly from neutral expectations in Spanish populations of I. elegans, contrasting the pattern found in eastern European populations, and in I. graellsii, where no such discrepancy between morph divergence and neutral divergence could be detected. This suggests that divergent selection has been operating on the colour locus in Spanish populations of I. elegans, whereas processes such as genetic drift, possibly in combination with other forms of selection (such as negative frequency-dependent selection), appear to have been present in other regions, such as eastern Europe. Overall, the results indicate that both selective and stochastic processes operate on these colour polymorphisms, and suggest that the relative importance of factors varies between geographical regions.


Assuntos
Insetos/genética , Polimorfismo Genético , Seleção Genética , Animais , Evolução Biológica , Feminino , Deriva Genética , Insetos/anatomia & histologia , Insetos/classificação , Pigmentação
13.
Heredity (Edinb) ; 104(1): 67-78, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19707235

RESUMO

We provide a first-generation linkage map of the blue tit (Cyanistes caeruleus), a passerine within the previously genetically uncharacterized family Paridae, which includes 91 orthologous loci with a single anchored position in the chicken (Gallus gallus) sequence assembly. The map consists of 18 linkage groups and covers 935 cM. There was highly conserved synteny between blue tit and chicken with the exception of a split on chromosome 1, potential splits on chromosome 4 and the translocation of two markers from chromosome 2 and 3, respectively, to chromosome 5. Gene order was very well conserved for the majority of chromosomes, an exception being chromosome 1 where multiple rearrangements were detected. Similar results were obtained in a comparison to the zebra finch (Taeniopygia guttata) genome assembly. The recombination rate in females was slightly higher than in males, implying a moderate degree of heterochiasmy in the blue tit. The map distance of the blue tit was approximately 78% of that of the Wageningen chicken broiler population, and very similar to the Uppsala chicken mapping population, over homologous genome regions. Apart from providing insights into avian recombination and genome evolution, our blue tit linkage map forms a valuable genetic resource for ecological and evolutionary research in Paridae.


Assuntos
Mapeamento Cromossômico/métodos , Evolução Molecular , Genoma/genética , Passeriformes/genética , Animais , Galinhas/genética , Cromossomos/genética , Feminino , Tentilhões/genética , Ordem dos Genes , Masculino , Recombinação Genética , Sintenia
14.
Ergonomics ; 53(1): 130-7, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20069488

RESUMO

This paper addresses a number of issues for work environment intervention (WEI) researchers in light of the mixed results reported in the literature. If researchers emphasise study quality over intervention quality, reviews that exclude case studies with high quality and multifactorial interventions may be vulnerable to 'quality criteria selection bias'. Learning from 'failed' interventions is inhibited by both publication bias and reporting lengths that limit information on relevant contextual and implementation factors. The authors argue for the need to develop evaluation approaches consistent with the complexity of multifactorial WEIs that: a) are owned by and aimed at the whole organisation; and b) include intervention in early design stages where potential impact is highest. Context variety, complexity and instability in and around organisations suggest that attention might usefully shift from generalisable 'proof of effectiveness' to a more nuanced identification of intervention elements and the situations in which they are more likely to work as intended. STATEMENT OF RELEVANCE: This paper considers ergonomics interventions from perspectives of what constitutes quality and 'proof". It points to limitations of traditional experimental intervention designs and argues that the complexity of organisational change, and the need for multifactorial interventions that reach deep into work processes for greater impact, should be recognised.


Assuntos
Sistemas Homem-Máquina , Doenças Musculoesqueléticas/prevenção & controle , Doenças Profissionais/prevenção & controle , Saúde Ocupacional , Viés , Humanos , Local de Trabalho
15.
Radiography (Lond) ; 26(2): 147-153, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32052744

RESUMO

INTRODUCTION: MR-safety remains a concern among MR professionals. We aimed to evaluate the extent of MR-related incidents using a national database and a questionnaire among MR professionals and to identify possible predictors for MR-related incidents. METHODS: MR-related incidents reported to a national database from 2015 to 2017 were scrutinized. A national online survey focussing on MR safety and education was performed. Quantitative analyses, descriptive statistics and regression analyses were used. RESULTS: The database included 196, 97 and 100 direct MR-related incidents in 2015, 2016 and 2017, respectively. Regarding the questionnaire, 208 MR professionals responded. Within the last year, 33% had been involved in an MR-related incident that was reported in the national database. At some time in their working life, 53% had been involved in an MR-related incident that was reported, but 25% had been involved in an incident that was not reported. The responses to the questionnaire reflected far more incidents than those reported to the database for all categories. Sixty-one percent of respondents indicated that external personnel in the MR environment are a safety risk. External personnel in the MR environment were found to be a predictor for reported and unreported MR-related incidents with odds ratio (OR) = 2.07; p = 0.033 and OR = 5.17; p = 0.0005 respectively. CONCLUSION: There seems to be severe underreporting of MR-related incidents. External personnel in the MR-environment and scanning patients in anaesthesia were found to be predictors for both reported and unreported MR-related incidents. Regulations regarding the minimum required MR safety education of different groups of MR professionals and external personnel are recommended. IMPLICATIONS FOR PRACTICE: Enforcing MR safety education and highlighting the importance of MR safety within hospital organisations would contribute to better patient and personnel safety.


Assuntos
Imageamento por Ressonância Magnética , Segurança do Paciente , Gestão de Riscos/estatística & dados numéricos , Adulto , Dinamarca , Feminino , Humanos , Erros Médicos/prevenção & controle , Fatores de Risco , Inquéritos e Questionários
16.
Science ; 256(5061): 1313-5, 1992 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-1598574

RESUMO

The specific function of the glomerular structures present in the antennal lobes or olfactory bulbs of organisms ranging from insects to humans has been obscure because of limitations in neuronal marking methods. By tracing individual neurons in the moth Agrotis segetum, it was determined that physiologically distinct types of pheromone receptor neurons project axons to different regions of the macroglomerular complex (MGC). Each glomerulus making up the MGC has a specific functional identity, initially processing information about one specific pheromone component. This indicates that, at least through the first stage of synapses, olfactory information moves through labeled lines.


Assuntos
Células Quimiorreceptoras/fisiologia , Mariposas/fisiologia , Fenômenos Fisiológicos do Sistema Nervoso , Neurônios/fisiologia , Animais , Axônios/fisiologia , Estimulação Elétrica , Bulbo Olfatório/fisiologia , Olfato
17.
Phys Med Biol ; 54(13): 4243-56, 2009 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-19531847

RESUMO

In this paper, a procedure is proposed for generating simple and practical compliance boundaries for mobile communication base station antennas. The procedure is based on a set of formulae for estimating the specific absorption rate (SAR) in certain directions around a class of common base station antennas. The formulae, given for both whole-body and localized SAR, require as input the frequency, the transmitted power and knowledge of antenna-related parameters such as dimensions, directivity and half-power beamwidths. With knowledge of the SAR in three key directions it is demonstrated how simple and practical compliance boundaries can be generated outside of which the exposure levels do not exceed certain limit values. The conservativeness of the proposed procedure is discussed based on results from numerical radio frequency (RF) exposure simulations with human body phantoms from the recently developed Virtual Family.


Assuntos
Algoritmos , Desenho Assistido por Computador , Modelos Biológicos , Telecomunicações/instrumentação , Contagem Corporal Total/métodos , Simulação por Computador , Fidelidade a Diretrizes , Guias como Assunto , Humanos , Suécia , Telecomunicações/normas , Contagem Corporal Total/normas
18.
Surg Endosc ; 23(7): 1456-9, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19118435

RESUMO

INTRODUCTION: Parastomal herniation is a common complication of stoma formation, and its operative treatment is notoriously difficult. Recently we have reported the promising short-term results of a keyhole technique in which a Gore-Tex Dual Mesh with a central keyhole is laparoscopically fashioned around the bowel to close the hernia. In the long-term, recurrence is one of the major issues in hernia repair, therefore, this aspect was prospectively investigated. METHODS: Since 2002, a total of 55 consecutive patients (27 men; median age, 63 years) with a symptomatic primary (n = 45) or recurrent parastomal hernia (n = 10) were electively operated using this technique. Patients were invited to the outpatient clinic on a regular basis and were examined for the occurrence of a recurrent hernia. At the last visit, all patients were asked to complete a short questionnaire. RESULTS: Median follow-up (98%) was 36 (range, 12-72) months. During follow-up a recurrent parastomal hernia was diagnosed in 20 patients (37%). Three recurrences were asymptomatic and were treated conservatively. The other 17 patients (85%) developed mild-to-severe symptoms necessitating redo-surgery in 9 (45%) patients. Surprisingly, satisfaction with the procedure was high among patients (89%), even in the presence of a recurrence. Patients who reported unsatisfactory results belonged mainly to the group in whom the initial laparoscopic approach had to be converted to an open procedure. CONCLUSIONS: Based on the results from the present study, which represents one of the largest patient series with the longest follow up available to date, it is concluded that laparoscopic parastomal hernia repair using a keyhole technique has an intolerably high recurrence rate with the currently available meshes. A new mesh with a less pliable central part and without the tendency to shrink is awaited.


Assuntos
Hérnia Ventral/cirurgia , Laparoscopia/métodos , Telas Cirúrgicas/efeitos adversos , Estomas Cirúrgicos/efeitos adversos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Falha de Equipamento , Feminino , Seguimentos , Hérnia Ventral/etiologia , Hérnia Ventral/psicologia , Humanos , Laparoscopia/psicologia , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente/estatística & dados numéricos , Politetrafluoretileno , Recidiva , Reoperação/estatística & dados numéricos , Adulto Jovem
19.
Dan Med Bull ; 56(2): 89-91, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19486621

RESUMO

INTRODUCTION: Laparoscopic resection of rectal cancer has been proven efficacious but morbidity and oncological outcome need to be investigated in a randomized clinical trial. TRIAL DESIGN: Non-inferiority randomized clinical trial. METHODS: The COLOR II trial is an ongoing international randomized clinical trial. Currently 27 hospitals from Europe, South Korea and Canada are including patients. The primary endpoint is loco-regional recurrence rate three years post-operatively. Secondary endpoints cover quality of life, overall and disease free survival, post-operative morbidity and health economy analysis. RESULTS: By July 2008, 27 hospitals from the Netherlands, Belgium, Germany, Sweden, Spain, Denmark, South Korea and Canada had included 739 patients. The intra-operative conversion rate in the laparoscopic group was 17%. Distribution of age, location of the tumor and radiotherapy were equal in both treatment groups. Most tumors are located in the mid-rectum (41%). CONCLUSION: Laparoscopic surgery in the treatment of rectal cancer is feasible. The results and safety of laparoscopic surgery in the treatment of rectal cancer remain unknown, but are subject of interim analysis within the COLOR II trial. Completion of inclusion is expected by the end of 2009. TRIAL REGISTRATION: Clinicaltrials.gov, identifier: NCT00297791 (www.clinicaltrials.gov).


Assuntos
Procedimentos Cirúrgicos do Sistema Digestório/métodos , Laparoscopia , Neoplasias Retais/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/cirurgia , Seleção de Pacientes , Projetos de Pesquisa
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