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1.
Syst Biol ; 70(1): 49-66, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-32359157

RESUMO

Molecular phylogenies have yielded strong support for many parts of the amphibian Tree of Life, but poor support for the resolution of deeper nodes, including relationships among families and orders. To clarify these relationships, we provide a phylogenomic perspective on amphibian relationships by developing a taxon-specific Anchored Hybrid Enrichment protocol targeting hundreds of conserved exons which are effective across the class. After obtaining data from 220 loci for 286 species (representing 94% of the families and 44% of the genera), we estimate a phylogeny for extant amphibians and identify gene tree-species tree conflict across the deepest branches of the amphibian phylogeny. We perform locus-by-locus genealogical interrogation of alternative topological hypotheses for amphibian monophyly, focusing on interordinal relationships. We find that phylogenetic signal deep in the amphibian phylogeny varies greatly across loci in a manner that is consistent with incomplete lineage sorting in the ancestral lineage of extant amphibians. Our results overwhelmingly support amphibian monophyly and a sister relationship between frogs and salamanders, consistent with the Batrachia hypothesis. Species tree analyses converge on a small set of topological hypotheses for the relationships among extant amphibian families. These results clarify several contentious portions of the amphibian Tree of Life, which in conjunction with a set of vetted fossil calibrations, support a surprisingly younger timescale for crown and ordinal amphibian diversification than previously reported. More broadly, our study provides insight into the sources, magnitudes, and heterogeneity of support across loci in phylogenomic data sets.[AIC; Amphibia; Batrachia; Phylogeny; gene tree-species tree discordance; genomics; information theory.].


Assuntos
Fósseis , Genômica , Animais , Anuros , Humanos , Filogenia
2.
J Arthroplasty ; 36(5): 1478-1483, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33546951

RESUMO

BACKGROUND: Total joint arthroplasty is the most common elective orthopedic procedure in the Veterans Affairs hospital system. In 2019, physical medicine and rehabilitation began screening patients before surgery to select candidates for direct transfer to acute rehab after surgery. The primary outcome of this study was to demonstrate that the accelerated program was successful in decreasing inpatient costs and length of stay (LOS). The secondary outcome was to show that there was no increase in complication, reoperation, and readmission rates. METHODS: A retrospective review of total joint arthroplasty patients was conducted with three cohorts: 1) control (n = 193), 2) transfer to rehab orders on postop day #1 (n = 178), and 3) direct transfers to rehab (n = 173). To assess for demographic disparities between cohorts, multiple analysis of variance tests followed by a Bonferroni P-value correction were used. Differences between test groups regarding primary outcomes were assessed with analysis of variance tests followed by pairwise t-tests with Bonferroni P-value corrections. RESULTS: There were no significant differences between the cohort demographics or comorbidities. The mean total LOS decreased from 7.0 days in the first cohort, to 6.9 in the second, and 6.0 in the third (P = .00034). The mean decrease in cost per patient was $14,006 between cohorts 1 and 3, equating to over $5.6 million in savings annually. There was no significant change in preintervention and postintervention short-term complications (P = .295). CONCLUSIONS: Significant cost savings and decrease in total LOS was observed. In the current health care climate focused on value-based care, a similar intervention could be applied nationwide to improve Veterans Affair services.


Assuntos
Artroplastia de Quadril , Artroplastia do Joelho , Veteranos , Redução de Custos , Hospitais , Humanos , Tempo de Internação , Alta do Paciente , Readmissão do Paciente , Estudos Retrospectivos
3.
J Therm Biol ; 99: 102956, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34420612

RESUMO

As ectotherms with moist, permeable skins, amphibians continually seek a physiological balance between maintaining hydration and optimizing body temperature. Laboratory studies have suggested that dehydrated and starved amphibians should select cooler temperatures to slow the rate of water loss and reduce metabolism. However, much less is known about amphibian thermoregulatory behaviour in the wild, where environmental conditions and constraints may be more variable. In seasonally cold environments, where animals must maximize growth, gamete production and/or fat storage for winter dormancy over a short active season, maintaining a high metabolic rate may be primary. We investigated the thermoregulatory behaviour of the Fowler's Toads, Anaxyrus fowleri, in the wild at their northern range limit at Long Point, Ontario. We outfitted adult toads with small temperature loggers and radio-tracked them for periods of 24 hours. Simultaneously, we also recorded air and subsurface temperatures to a depth of 18.6 cm. When active at night, toads rapidly equilibrated with ambient air temperatures. However, during the day, resting toads selected and maintained body temperatures around 30 °C during the heat of the day by adjusting the depth to which they were buried. This strongly suggests that they behaviourally thermoregulate during their resting hours to maintain a high metabolic rate without regard to the dryness of their immediate surroundings.


Assuntos
Comportamento Animal , Regulação da Temperatura Corporal , Bufonidae/fisiologia , Microclima , Animais , Feminino , Masculino , Telemetria
4.
J Acoust Soc Am ; 148(1): 222, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32752757

RESUMO

A lifetime ago, as an undergraduate, I joined a team that developed a new way of thinking about the sensitivity of sensory systems. My teammates were Wilson (Spike) Tanner and John Swets, both now deceased, and we were working at the University of Michigan. I also wish to thank J.C.R. Licklider, J. P. Egan, and Lloyd Jeffress who aided and encouraged that development. I am gratified that what came to be called signal-detection theory (SDT) was so widely accepted and its methods so widely adopted. However, I am somewhat disappointed about how SDT commonly is portrayed, and taught. My reasons are presented here.


Assuntos
Detecção de Sinal Psicológico
5.
J Arthroplasty ; 35(6S): S119-S123, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-31924489

RESUMO

BACKGROUND: This study describes the experience of patients who initially failed total joint arthroplasty preoperative screening criteria but were subsequently optimized and underwent surgery. METHODS: Time to optimization from the patients' initial clinic visit was recorded. Following surgery, patients' body mass index and lab work were tracked to determine whether they "relapsed" to their preoptimized state. Descriptive statistics determined (1) the length of time to meet screening criteria and (2) which screening criteria took the longest to optimize. RESULTS: Only 11 of 84 patients (13%) required greater than 1 year to meet criteria. Most patients (76%) "relapsed" to their previous nonqualifying status after surgery; however, this reversion did not contribute significantly to an increased rate of complication in short-term follow-up (P = .4298). CONCLUSION: Patients in this study were able to achieve preoperative screening criteria for total joint arthroplasty in less than 1 year. Relapsing after surgery does not appear to adversely affect clinical outcomes.


Assuntos
Artroplastia de Quadril , Artroplastia do Joelho , Veteranos , Artroplastia de Quadril/efeitos adversos , Artroplastia do Joelho/efeitos adversos , Índice de Massa Corporal , Humanos , Programas de Rastreamento
6.
Am Nat ; 193(2): 279-295, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30720359

RESUMO

Assortative mating in animals can have substantial evolutionary impact. Numerous reports also make it appear to be pervasive in occurrence. In assortative mating, defined here in behavioral terms, animals select their mates according to a particular shared trait such that mated individuals phenotypically resemble each other more than expected by chance. Body size is a widely studied assortment trait. This is especially relevant for anuran amphibians (frogs and toads), among whom reproductive advantages may accrue to large individuals of both sexes. Anurans also exhibit discrete forms of male mating behavior. Sedentary calling behavior of "sitters" allows for female choice, whereas fighting for possession of mates by "scramblers" precludes female choice. Size-assortative mating in anurans should therefore be a property of sitters, not scramblers. I used meta-analysis to assess the occurrence of true size-assortative mating in relation to mating behavior and other variables in 282 studies of 68 species of anurans. I found publication bias against reporting nonsignificant results and analytical bias resulting from pooling of samples collected at different times or places (Simpson's paradox). Pooled samples significantly inflated the apparent occurrence and strength of size-assortative mating. Controlling for such biases left little credible evidence for size-assortative mating behavior in any anurans. Instead, large-male advantage among scramblers was associated with a secondary pattern of concomitant nonrandom mating. In this disproportionate mating, neither sex behaves according to mate choice rules that could lead to consistently strong assortment. It should thus have relatively little evolutionary impact compared to true assortative mating.


Assuntos
Anuros/fisiologia , Tamanho Corporal , Preferência de Acasalamento Animal , Animais , Feminino , Masculino
7.
J Arthroplasty ; 33(1): 10-13, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-28838614

RESUMO

BACKGROUND: Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are common procedures with a risk of complications. Attempting to minimize complications, our institution implemented preoperative screening criteria for patients undergoing elective total joint replacement. Our study aimed to determine if screening criteria lowered total complications and/or surgical site infections (SSI). METHODS: Two groups of consecutive patients undergoing TKA and THA at a single Veterans Affairs facility were evaluated prior to and after implementation of screening criteria, 520 and 475 respectively. Screening criteria included hemoglobin A1c ≤7, hemoglobin ≥11, body mass index ≤35, and albumin ≥3.5. Groups were analyzed for demographics, preoperative comorbidities, and postoperative complications. Rates of total complications and SSI were compared. Average follow-up was at least 2 years with minimum of 1 year. RESULTS: Demographics and comorbidities outside the screening criteria were similar. Total complication rate was reduced from 35.4% to 14.8% (P < .01) after implementation of screening criteria. For TKA, total complications were reduced from 33.1% to 15.0% (P < .01) and for THA they were reduced from 42.4% to 14.2% (P < .01). SSI rates for combined TKA and THA were reduced from 4.4% to 1.3% (P < .01). For knees, SSI was reduced from 4.6% to 1.3% (P = .01) and was statistically significant. For THA, SSI decreased from 3.8% to 1.2% (P < .05). CONCLUSION: Our institution saw a statistically significant decrease in both SSI and total complications following implementation of preoperative screening criteria for elective TKA and THA.


Assuntos
Artroplastia de Quadril/efeitos adversos , Artroplastia do Joelho/efeitos adversos , Programas de Rastreamento/estatística & dados numéricos , Infecção da Ferida Cirúrgica/prevenção & controle , Índice de Massa Corporal , Procedimentos Cirúrgicos Eletivos/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Seleção de Pacientes , Estudos Retrospectivos , Infecção da Ferida Cirúrgica/epidemiologia , Infecção da Ferida Cirúrgica/etiologia , Texas/epidemiologia , Veteranos/estatística & dados numéricos
8.
Glob Chang Biol ; 23(2): 646-656, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27273300

RESUMO

Global climate warming is predicted to hasten the onset of spring breeding by anuran amphibians in seasonal environments. Previous data had indicated that the breeding phenology of a population of Fowler's Toads (Anaxyrus fowleri) at their northern range limit had been progressively later in spring, contrary to generally observed trends in other species. Although these animals are known to respond to environmental temperature and the lunar cycle to commence breeding, the timing of breeding should also be influenced by the onset of overwintering animals' prior upward movement through the soil column from beneath the frost line as winter becomes spring. I used recorded weather data to identify four factors of temperature, rainfall and snowfall in late winter and early spring that correlated with the toads' eventual date of emergence aboveground. Estimated dates of spring emergence of the toads calculated using a predictive model based on these factors, as well as the illumination of the moon, were highly correlated with observed dates of emergence over 24 consecutive years. Using the model to estimate of past dates of spring breeding (i.e. retrodiction) indicated that even three decades of data were insufficient to discern any appreciable phenological trend in these toads. However, by employing weather data dating back to 1876, I detected a significant trend over 140 years towards earlier spring emergence by the toads by less than half a day/decade, while, over the same period of time, average annual air temperature and annual precipitation had both increased. Changes in the springtime breeding phenology for late-breeding species, such as Fowler's Toads, therefore may conform to expectations of earlier breeding under global warming. Improved understanding of the environmental cues that bring organisms out of winter dormancy will enable better interpretation of long-term phenological trends.


Assuntos
Cruzamento , Bufonidae , Mudança Climática , Animais , Clima , Feminino , Masculino , Estações do Ano , Temperatura
9.
Cytogenet Genome Res ; 148(4): 305-13, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27351721

RESUMO

A major goal of genomic and reproductive biology is to understand the evolution of sex determination and sex chromosomes. Species of the 2 genera of the Salamander family Proteidae - Necturus of eastern North America, and Proteus of Southern Europe - have similar-looking karyotypes with the same chromosome number (2n = 38), which differentiates them from all other salamanders. However, Necturus possesses strongly heteromorphic X and Y sex chromosomes that Proteus lacks. Since the heteromorphic sex chromosomes of Necturus were detectable only with C-banding, we hypothesized that we could use C-banding to find sex chromosomes in Proteus. We examined mitotic material from colchicine-treated intestinal epithelium, and meiotic material from testes in specimens of Proteus, representing 3 genetically distinct populations in Slovenia. We compared these results with those from Necturus. We performed FISH to visualize telomeric sequences in meiotic bivalents. Our results provide evidence that Proteus represents an example of sex chromosome turnover in which a Necturus-like Y-chromosome has become permanently translocated to another chromosome converting heteromorphic sex chromosomes to homomorphic sex chromosomes. These results may be key to understanding some unusual aspects of demographics and reproductive biology of Proteus, and are discussed in the context of models of the evolution of sex chromosomes in amphibians.


Assuntos
Evolução Molecular , Cromossomos Sexuais/genética , Urodelos/genética , Animais , Bandeamento Cromossômico , Feminino , Hibridização in Situ Fluorescente , Cariótipo , Masculino , Meiose , Urodelos/classificação
10.
Mov Ecol ; 12(1): 39, 2024 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-38773669

RESUMO

The relationship between animal dispersal and conspecific density has been explored in various study systems but results in terms of both the magnitude and the direction of density dependence are inconsistent. We conducted a thorough review of the literature (2000-2023) and found k = 97 empirical studies of birds, fishes, herpetofauna (amphibians and reptiles), invertebrates, or mammals that had tested for a correlation between conspecific density and animal dispersal. We extracted categorical variables for taxonomic group, sex, age, migratory behavior, study design, dispersal metric, density metric and variable type, as well as temporal and spatial scale, to test each of their correlation with the effect of density on dispersal (Pearson's r) using linear regressions and multilevel mixed-effect modelling. We found certain biases in the published literature, highlighting that the impact of conspecific density on dispersal is not as widespread as it is thought to be. We also found no predominant trend for density-dependent dispersal across taxonomic groups. Instead, results show that the scale and metrics of empirical observations significantly affected analytical results, and heterogeneity measures were high within taxonomic groups. Therefore, the direction and magnitude of the interaction between density and dispersal in empirical studies could partially be attributed to the data collection method involved. We suggest that the contradictory observations for density-dependent dispersal could be explained by dispersal-dependent density, where density is driven by movement instead, and urge researchers to either test this interaction when applicable or consider this perspective when reporting results.

11.
Conserv Biol ; 27(5): 1049-57, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23692126

RESUMO

When populations decline in response to unfavorable environmental change, the dynamics of their population growth shift. In populations that normally exhibit high levels of variation in recruitment and abundance, as do many amphibians, declines may be difficult to identify from natural fluctuations in abundance. However, the onset of declines may be evident from changes in population growth rate in sufficiently long time series of population data. With data from 23 years of study of a population of Fowler's toad (Anaxyrus [ = Bufo] fowleri) at Long Point, Ontario (1989-2011), we sought to identify such a shift in dynamics. We tested for trends in abundance to detect a change point in population dynamics and then tested among competing population models to identify associated intrinsic and extrinsic factors. The most informative models of population growth included terms for toad abundance and the extent of an invasive marsh plant, the common reed (Phragmites australis), throughout the toads' marshland breeding areas. Our results showed density-dependent growth in the toad population from 1989 through 2002. After 2002, however, we found progressive population decline in the toads associated with the spread of common reeds and consequent loss of toad breeding habitat. This resulted in reduced recruitment and population growth despite the lack of significant loss of adult habitat. Our results underscore the value of using long-term time series to identify shifts in population dynamics coincident with the advent of population decline.


Assuntos
Bufonidae/fisiologia , Espécies Introduzidas , Animais , Cruzamento , Conservação dos Recursos Naturais , Ecossistema , Masculino , Modelos Teóricos , Ontário , Poaceae/crescimento & desenvolvimento , Poaceae/fisiologia , Densidade Demográfica , Dinâmica Populacional
12.
Ecol Evol ; 13(7): e10221, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37408624

RESUMO

The outcomes of species interactions can vary by life stage, year, and surrounding environmental conditions. Amphibian species are expected to compete most strongly during their tadpole stage when they exist in the highest densities. Changes in arrival timing, surrounding aquatic communities, and yearly conditions could all affect the outcome of larval competition. In Long Point, Ontario, the Fowler's toad (Anaxyrus fowleri) is at the northern edge of its range and overlaps with the more common American toad (Anaxyrus americanus). Both species breed in ponds that encounter high inter-annual variation. To determine whether these species compete strongly, and if this effect was replicated across multiple years, we raised both species as tadpoles together and, apart, in mesocosms in 2018 and 2021. We measured survivorship to, weight at, and time to metamorphosis for both species in both years. We determined that the presence of American toad tadpoles consistently had a detrimental effect on Fowler's toad tadpoles, even though this effect presented itself differently across years. Our study suggests that competitive exclusion by American toads could be occurring at the edge of the Fowler's toad's range. This study further demonstrates the importance of studying communities across multiple years to understand the full scope of species interactions.

13.
Ecol Evol ; 12(10): e9368, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36203625

RESUMO

Dispersive movements are often thought to be multicausal and driven by individual body size, sex, conspecific density, environmental variation, personality, and/or other variables. Yet such variables often do not account for most of the variation among dispersive movements in nature, leaving open the possibility that dispersion may be indeterministic. We assessed the amount of variation in 24 h movement distances that could be accounted for by potential drivers of displacement with a large empirical dataset of movement distances performed by Fowler's Toads (Anaxyrus fowleri) on the northern shore of Lake Erie at Long Point, Ontario (2002-2021, incl.). These toads are easy to sample repeatedly, can be identified individually and move parallel to the shoreline as they forage at night, potentially dispersing to new refuge sites. Using a linear mixed-effect model that incorporated random effect terms to account for sampling variance and inter-annual variation, we found that all potential intrinsic and extrinsic drivers of movement accounted for virtually none of the variation observed among 24 h distances moved by these animals, whether over short or large spatial scales. We examined the idea of movement personality by testing variance per individual toad and found no evidence of individuality in movement distances. We conclude that deterministic variables, whether intrinsic or extrinsic, neither can be shown to nor are necessary to drive movements in this population over all spatial scales. Stochastic, short time-scale movements, such as daily foraging movements, can instead accumulate over time to produce large spatial-scale movements that are dispersive in nature.

14.
Science ; 376(6600): 1459-1466, 2022 06 24.
Artigo em Inglês | MEDLINE | ID: mdl-35737773

RESUMO

Comparative studies of mortality in the wild are necessary to understand the evolution of aging; yet, ectothermic tetrapods are underrepresented in this comparative landscape, despite their suitability for testing evolutionary hypotheses. We present a study of aging rates and longevity across wild tetrapod ectotherms, using data from 107 populations (77 species) of nonavian reptiles and amphibians. We test hypotheses of how thermoregulatory mode, environmental temperature, protective phenotypes, and pace of life history contribute to demographic aging. Controlling for phylogeny and body size, ectotherms display a higher diversity of aging rates compared with endotherms and include phylogenetically widespread evidence of negligible aging. Protective phenotypes and life-history strategies further explain macroevolutionary patterns of aging. Analyzing ectothermic tetrapods in a comparative context enhances our understanding of the evolution of aging.


Assuntos
Envelhecimento , Anfíbios , Evolução Biológica , Répteis , Anfíbios/classificação , Anfíbios/fisiologia , Animais , Longevidade , Filogenia , Répteis/classificação , Répteis/fisiologia
15.
Evolution ; 76(2): 346-356, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34878663

RESUMO

Sex-related differences in mortality are widespread in the animal kingdom. Although studies have shown that sex determination systems might drive lifespan evolution, sex chromosome influence on aging rates have not been investigated so far, likely due to an apparent lack of demographic data from clades including both XY (with heterogametic males) and ZW (heterogametic females) systems. Taking advantage of a unique collection of capture-recapture datasets in amphibians, a vertebrate group where XY and ZW systems have repeatedly evolved over the past 200 million years, we examined whether sex heterogamy can predict sex differences in aging rates and lifespans. We showed that the strength and direction of sex differences in aging rates (and not lifespan) differ between XY and ZW systems. Sex-specific variation in aging rates was moderate within each system, but aging rates tended to be consistently higher in the heterogametic sex. This led to small but detectable effects of sex chromosome system on sex differences in aging rates in our models. Although preliminary, our results suggest that exposed recessive deleterious mutations on the X/Z chromosome (the "unguarded X/Z effect") or repeat-rich Y/W chromosome (the "toxic Y/W effect") could accelerate aging in the heterogametic sex in some vertebrate clades.


Assuntos
Caracteres Sexuais , Cromossomos Sexuais , Envelhecimento/genética , Anfíbios/genética , Animais , Feminino , Masculino , Processos de Determinação Sexual , Cromossomo Y
16.
Dis Aquat Organ ; 97(2): 127-34, 2011 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-22303629

RESUMO

Chytridiomycosis, the disease caused by Batrachochytrium dendrobatidis, is considered to be a disease exclusively of amphibians. However, B. dendrobatidis may also be capable of persisting in the environment, and non-amphibian vectors or hosts may contribute to disease transmission. Reptiles living in close proximity to amphibians and sharing similar ecological traits could serve as vectors or reservoir hosts for B. dendrobatidis, harbouring the organism on their skin without succumbing to disease. We surveyed for the presence of B. dendrobatidis DNA among 211 lizards and 8 snakes at 8 sites at varying elevations in Panama where the syntopic amphibians were at pre-epizootic, epizootic or post-epizootic stages of chytridiomycosis. Detection of B. dendrobatidis DNA was done using qPCR analysis. Evidence of the amphibian pathogen was present at varying intensities in 29 of 79 examined Anolis humilis lizards (32%) and 9 of 101 A. lionotus lizards (9%), and in one individual each of the snakes Pliocercus euryzonus, Imantodes cenchoa, and Nothopsis rugosus. In general, B. dendrobatidis DNA prevalence among reptiles was positively correlated with the infection prevalence among co-occurring anuran amphibians at any particular site (r = 0.88, p = 0.004). These reptiles, therefore, may likely be vectors or reservoir hosts for B. dendrobatidis and could serve as disease transmission agents. Although there is no evidence of B. dendrobatidis disease-induced declines in reptiles, cases of coincidence of reptile and amphibian declines suggest this potentiality. Our study is the first to provide evidence of non-amphibian carriers for B. dendrobatidis in a natural Neotropical environment.


Assuntos
Anfíbios/microbiologia , Quitridiomicetos/fisiologia , Reservatórios de Doenças/veterinária , Micoses/veterinária , Répteis/microbiologia , Animais , Vetores de Doenças , Micoses/epidemiologia , Micoses/microbiologia , Micoses/transmissão , Panamá/epidemiologia
17.
J Psychosom Res ; 138: 110250, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32961500

RESUMO

OBJECTIVE: Persistent post-surgical pain is common among patients undergoing surgery, is detrimental to patients' quality of life, and can precipitate long-term opioid use. The purpose of this randomized controlled trial is to assess the effects of a behavioral intervention offered prior to surgery for patients at risk for poor post-surgical outcomes, including persistent pain and impaired functioning. METHODS: Described herein is an ongoing randomized, patient- and assessor-blind, attention-controlled multisite clinical trial. Four hundred and thirty Veterans indicated for total knee arthroplasty (TKA) with distress and/or pain will be recruited for this study. Participants will be randomly assigned to a one-day (~5 h) Acceptance and Commitment Therapy workshop or one-day education and attention control workshop. Approximately two weeks following their TKA surgery, patients receive an individualized booster session via phone. Following their TKA, patients complete assessments at 1 week, 6 weeks, 3 months, and 6 months. RESULTS: The primary outcomes are pain intensity and knee-specific functioning; secondary outcomes are symptoms of distress and coping skills. Mediation analyses will examine whether changes in symptoms of distress and coping skills have an impact on pain and functioning at 6 months in Veterans receiving ACT. This study is conducted mostly with older Veterans; therefore, results may not generalize to women and younger adults who are underrepresented in this veteran population. CONCLUSIONS: The results of this study will provide the first evidence from a large-scale, patient- and assessor-blind controlled trial on the effectiveness of a brief behavioral intervention for the prevention of persistent post-surgical pain and dysfunction.


Assuntos
Terapia de Aceitação e Compromisso/métodos , Dor Pós-Operatória/prevenção & controle , Qualidade de Vida/psicologia , Feminino , Humanos , Masculino , Medição da Dor/métodos , Resultado do Tratamento , Veteranos
18.
Mol Ecol ; 18(9): 1863-74, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19302465

RESUMO

Understanding factors that influence population connectivity and the spatial distribution of genetic variation is a major goal in molecular ecology. Improvements in the availability of high-resolution geographic data have made it increasingly possible to quantify the effects of landscape features on dispersal and genetic structure. However, most studies examining such landscape effects have been conducted at very fine (e.g. landscape genetics) or broad (e.g. phylogeography) spatial scales. Thus, the extent to which processes operating at fine spatial scales are linked to patterns at larger scales remains unclear. Here, we test whether factors impacting wood frog dispersal at fine spatial scales are correlated with genetic structure at regional scales. Using recently developed methods borrowed from electrical circuit theory, we generated landscape resistance matrices among wood frog populations in eastern North America based on slope, a wetness index, land cover and absolute barriers to wood frog dispersal. We then determined whether these matrices are correlated with genetic structure based on six microsatellite markers and whether such correlations outperform a landscape-free model of isolation by resistance. We observed significant genetic structure at regional spatial scales. However, topography and landscape variables associated with the intervening habitat between sites provide little explanation for patterns of genetic structure. Instead, absolute dispersal barriers appear to be the best predictor of regional genetic structure in this species. Our results suggest that landscape variables that influence dispersal, microhabitat selection and population structure at fine spatial scales do not necessarily explain patterns of genetic structure at broader scales.


Assuntos
Ecossistema , Genética Populacional , Modelos Genéticos , Filogenia , Ranidae/genética , Animais , Fluxo Gênico , Variação Genética , Geografia , Repetições de Microssatélites , América do Norte , Dinâmica Populacional , Análise de Sequência de DNA
19.
Mol Ecol ; 17(3): 867-84, 2008 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18179428

RESUMO

Although the range dynamics of North American amphibians during the last glacial cycle are increasingly better understood, the recolonization history of the most northern regions and the impact of southern refugia on patterns of intraspecific genetic diversity and phenotypic variation in these regions are not well reconstructed. Here we present the phylogeographic history of a widespread and primarily northern frog, Rana sylvatica. We surveyed 551 individuals from 116 localities across the species' range for a 650-bp region of the NADH dehydrogenase subunit 2 and tRNA(TRP) mitochondrial genes. Our phylogenetic analyses revealed two distinct clades corresponding to eastern and western populations, as well as a Maritime subclade within the eastern lineage. Patterns of genetic diversity support multiple refugia. However, high-latitude refugia in the Appalachian highlands and modern-day Wisconsin appear to have had the biggest impact on northern populations. Clustering analyses based on morphology further support a distinction between eastern and western wood frogs and suggest that postglacial migration has played an important role in generating broad-scale patterns of phenotypic variation in this species.


Assuntos
Migração Animal , Ecossistema , Ranidae/genética , Animais , Sequência de Bases , Clima , Análise por Conglomerados , DNA Mitocondrial/química , DNA Mitocondrial/genética , Análise Discriminante , Variação Genética , Haplótipos/genética , Camada de Gelo , Dados de Sequência Molecular , NADH Desidrogenase/química , NADH Desidrogenase/genética , América do Norte , Filogenia , Reação em Cadeia da Polimerase , RNA de Transferência de Triptofano/química , RNA de Transferência de Triptofano/genética , Ranidae/anatomia & histologia
20.
Front Microbiol ; 9: 298, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29520260

RESUMO

Research on the amphibian skin microbiota has focused on identifying bacterial taxa that deter a pathogenic chytrid fungus, and on describing patterns of microbiota variation. However, it remains unclear how environmental variation affects amphibian skin bacterial communities, and whether the overall functional diversity of the amphibian skin microbiota is associated to such variation. We sampled skin microbial communities from one dendrobatoid frog species across an environmental gradient along the Panama Canal, and from three dendrobatoid frog species before and after the onset of the wet season in one site. We found frog skin microbial alpha diversity to be highest in frogs from sites with low soil pH, but no clear effect of the onset of the wet season. However, we found frog skin microbial community structure to be affected by soil pH and the onset of the wet season, which also resulted in a decrease in between-sample variation. Across the sampled frog species, bacterial functional groups changed with the onset of the wet season, with certain bacterial functional groups entirely disappearing and others differing in their relative abundances. In particular, we found the proportion of Bd-inhibitory bacteria to correlate with mean soil pH, and to increase in two of the frog species with the onset of the wet season. Taken together, our results suggest that structure and predicted function of amphibian bacterial skin communities may be influenced by environmental variables such as pH and precipitation, site effects, and host effects.

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