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1.
Eur J Clin Pharmacol ; 75(10): 1451-1458, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31317216

RESUMO

PURPOSE: To determine medical students' perspectives on the provision for the teaching and learning of processes that lead to and include the writing of a clear, safe and legal prescription (practical prescribing) in UK medical schools. METHODS: We designed a cross-sectional survey of UK medical students in years three, four and five. Students were asked about their experiences and views of practical prescribing teaching and learning they had encountered on their medical course. RESULTS: A total of 1023 medical students responded (7% response rate), from 25 UK medical schools: 22%, 37% and 41% in the third, fourth and final years, respectively. Teaching of practical prescribing was widespread, with 94.3% of final year (n = 396, 95% confidence interval [CI] = 92-97%), 86.8% of fourth year (n = 328, CI = 83-90%) and 73.8% of third year (n = 166, CI = 67-80%) students reporting they had received it. Availability of this teaching appeared to vary by medical school. Self-directed learning was the most frequently reported mode of delivery (90.9%, n = 809). Validated pre-prescribing and simulation were perceived by students in each year group as the most effective methods. Clinical pharmacologists, clinical pharmacists and junior doctors were perceived by the students as being the most effective professional groups at teaching practical prescribing. CONCLUSIONS: UK medical students reported a variety of methods utilised in the teaching and learning of practical prescribing. However, methods they perceived to be very effective (simulation and pre-prescribing) do not appear to be widely available or are only reserved for the final year of study. Combining such methods with involvement of professional groups perceived to be most effective should be explored.


Assuntos
Prescrições de Medicamentos , Educação de Graduação em Medicina , Educação em Farmácia , Estudantes de Medicina , Competência Clínica , Humanos , Farmacologia Clínica , Médicos , Inquéritos e Questionários , Reino Unido
2.
Proc Natl Acad Sci U S A ; 106 Suppl 2: 19737-41, 2009 Nov 17.
Artigo em Inglês | MEDLINE | ID: mdl-19897718

RESUMO

Species with narrow environmental niches typically have small geographic ranges. Small range size is, in turn, often associated with low local abundance. Together, these factors should mean that ecological specialists have very small total populations, putting them at high risk of extinction. But some specialized and geographically restricted species are ancient, and some ecological communities have high proportions of rare and specialized endemics. We studied niche characteristics and patterns of distribution and abundance of terrestrial vertebrates in the rainforests of the Australian Wet Tropics (AWT) to identify mechanisms by which rare species might resist extinction. We show that species with narrow environmental niches and small geographic ranges tend to have high and uniform local abundances. The compensation of geographic rarity by local abundance is exact, such that total population size in the rainforest vertebrates of the AWT is independent of environmental specialization. This effect would tend to help equalize extinction risk for specialists and generalists. Phylogenetic analysis suggests that environmental specialists have been gradually accumulating in this fauna, indicating that small range size/environmental specialization can be a successful trait as long as it is compensated for by demographic commonness. These results provide an explanation of how range-restricted specialists can persist for long periods, so that they now form a major component of high-diversity assemblages such as the AWT.


Assuntos
Biodiversidade , Filogenia , Árvores , Vertebrados/fisiologia , Animais , Austrália
3.
Nat Med ; 3(11): 1242-9, 1997 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9359699

RESUMO

Human immunodeficiency virus (HIV)-1 infection is associated with the development of aggressive extranodal B-cell non-Hodgkin's lymphomas. Using microvascular endothelial cell (MVEC)-enriched bone marrow stromal cultures, HIV infection of stromal MVECs from lymphoma patients induced the outgrowth of malignant B cells. MVECs were the only HIV-infected cells in the stroma, and purified brain MVECs also induced a phenotype supportive of neoplastic B-cell attachment and proliferation. HIV infection of MVECs stimulated surface expression of CD40 and allowed preferential induction of the vascular cell adhesion molecule VCAM-1 after CD40 triggering. B-lymphoma cells expressed the CD40 ligand (CD40L), and blocking of CD40-CD40L interactions between HIV-infected MVECs and B-lymphoma cells inhibited B-cell attachment and proliferation. These observations suggest that HIV promotes B-lymphoma cell growth through facilitating attachment of lymphoma cells to HIV-infected MVECs and represent a novel mechanism through which viruses may induce malignancies.


Assuntos
Antígenos CD40/biossíntese , Endotélio Vascular/imunologia , HIV-1/imunologia , Linfoma Relacionado a AIDS/imunologia , Antígenos CD40/metabolismo , Ligante de CD40 , Células Cultivadas , Circulação Cerebrovascular , Citometria de Fluxo , Humanos , Linfoma Relacionado a AIDS/patologia , Linfoma Relacionado a AIDS/virologia , Glicoproteínas de Membrana/metabolismo , Microcirculação , Microscopia de Fluorescência , Regulação para Cima , Molécula 1 de Adesão de Célula Vascular/biossíntese
4.
Proc Biol Sci ; 276(1660): 1235-44, 2009 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-19203915

RESUMO

Suture zones, shared regions of secondary contact between long-isolated lineages, are natural laboratories for studying divergence and speciation. For tropical rainforest, the existence of suture zones and their significance for speciation has been controversial. Using comparative phylogeographic evidence, we locate a morphologically cryptic suture zone in the Australian Wet Tropics rainforest. Fourteen out of 18 contacts involve morphologically cryptic phylogeographic lineages, with mtDNA sequence divergences ranging from 2 to 15 per cent. Contact zones are significantly clustered in a suture zone located between two major Quaternary refugia. Within this area, there is a trend for secondary contacts to occur in regions with low environmental suitability relative to both adjacent refugia and, by inference, the parental lineages. The extent and form of reproductive isolation among interacting lineages varies across species, ranging from random admixture to speciation, in one case via reinforcement. Comparative phylogeographic studies, combined with environmental analysis at a fine-scale and across varying climates, can generate new insights into suture zone formation and to diversification processes in species-rich tropical rainforests. As arenas for evolutionary experimentation, suture zones merit special attention for conservation.


Assuntos
Evolução Biológica , Árvores , Clima Tropical , Anfíbios/genética , Animais , Austrália , DNA Mitocondrial/genética , Demografia , Répteis/genética
5.
Science ; 218(4577): 1120-2, 1982 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-17752873

RESUMO

The rapid closure of leaves in the Venus flytrap (Dionaea muscipula) involves irreversible cell enlargement, which can be initiated by acidifying the cell walls to pH 4.50 and below. Leaves infiltrated with neutral buffers that keep the pH above 4.50 to 4.75 will not close in response to stimulation of their trigger hairs even though the action potentials that ordinarily cause closure are produced. During the 1 to 3 seconds required for closure about 29 percent of the cellular adenosine triphosphate is lost. It is likely that this adenosine triphosphate is used in very rapid transport of hydrogen ions from the motor cells and that the movement is due to a mechanism of "acid growth."

6.
Science ; 257(5076): 1491-5, 1992 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-1523408

RESUMO

The carnivorous habit in flowering plants represents a grade of structural organization. Different morphological features associated with the attraction, trapping, and digestion of prey characterize a diversity of specialized forms, including the familiar pitcher and flypaper traps. Phylogenetic analysis of nucleotide sequence data from the plastic rbcL gene indicates that both carnivory and stereotyped trap forms have arisen independently in different lineages of angiosperms. Furthermore, these results demonstrate that flypaper traps share close common ancestry with all other trap forms. Recognition of these patterns of diversification may provide ideal, naturally occurring systems for studies of developmental processes underlying macromorphological evolution in angiosperms.


Assuntos
Evolução Biológica , Filogenia , Fenômenos Fisiológicos Vegetais , Plantas/classificação , Sequência de Bases , Dados de Sequência Molecular , Plantas/genética , Reação em Cadeia da Polimerase , Mapeamento por Restrição
7.
Oncogene ; 26(8): 1213-21, 2007 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-16964291

RESUMO

Parafibromin is a nuclear protein with a tumour suppressor role in the development of non-hereditary and hereditary parathyroid carcinomas, and the hyperparathyroidism-jaw tumour (HPT-JT) syndrome, which is associated with renal and uterine tumours. Nuclear localization signal(s), (NLS(s)), of the 61 kDa parafibromin remain to be defined. Utilization of computer-prediction programmes, identified five NLSs (three bipartite (BP) and two monopartite (MP)). To investigate their functionality, wild-type (WT) and mutant parafibromin constructs tagged with enhanced green fluorescent protein or cMyc were transiently expressed in COS-7 cells, or human embryonic kidney 293 (HEK293) cells, and their subcellular locations determined by confocal fluorescence microscopy. Western blot analyses of nuclear and cytoplasmic fractions from the transfected cells were also performed. WT parafibromin localized to the nucleus and deletions or mutations of the three predicted BP and one of the predicted MP NLSs did not affect this localization. In contrast, deletions or mutations of a MP NLS, at residues 136-139, resulted in loss of nuclear localization. Furthermore, the critical basic residues, KKXR, of this MP NLS were found to be evolutionarily conserved, and over 60% of all parafibromin mutations lead to a loss of this NLS. Thus, an important functional domain of parafibromin, consisting of an evolutionarily conserved MP NLS, has been identified.


Assuntos
Sinais de Localização Nuclear , Proteínas Nucleares/química , Proteínas Supressoras de Tumor/química , Sequência de Aminoácidos , Animais , Western Blotting , Células COS , Núcleo Celular/química , Chlorocebus aethiops , Sequência Conservada , Evolução Molecular , Proteínas de Fluorescência Verde/análise , Proteínas de Fluorescência Verde/genética , Humanos , Dados de Sequência Molecular , Mutação , Proteínas Nucleares/análise , Proteínas Nucleares/genética , Estrutura Terciária de Proteína , Alinhamento de Sequência , Proteínas Supressoras de Tumor/análise , Proteínas Supressoras de Tumor/genética
8.
J Wildl Dis ; 43(3): 475-84, 2007 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17699085

RESUMO

Regional extirpations of pikas (Ochatona princeps) within the last few decades have been attributed to global warming. Other recent global alterations such as increased nitrogen (N) deposition and associated selenium (Se) deficiency may further stress pika populations. In 2003 and 2004, we live-trapped pikas from three populations in Wyoming and measured Se values in their hair. We also sampled hair and liver from museum specimens collected throughout the Northern Rocky Mountains in 1987 and 1988. Our results suggest that liver and hair values were related, and that pika hair reflected the Se concentrations of the geologic parent materials. We determined that animals residing in several remote areas in the Rocky Mountain region could be Se deficient and that increase in N deposition correlated with an increase rather than a decrease in Se values in pika hair. In addition, we found no relation between Se contents in hair and body condition index, suggesting that low Se levels may not have negative effects on individual pikas. Whether Se levels influence reproductive success of pikas is unknown and should be the focus of future studies.


Assuntos
Sedimentos Geológicos/química , Cabelo/química , Lagomorpha , Selênio/deficiência , Animais , Sedimentos Geológicos/análise , Lagomorpha/metabolismo , Lagomorpha/fisiologia , Fígado/química , Necessidades Nutricionais , Selênio/fisiologia , Especificidade da Espécie , Oligoelementos/deficiência , Wyoming
9.
J Dent Res ; 96(11): 1210-1220, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28817360

RESUMO

Secondary palatogenesis occurs when the bilateral palatal shelves (PS), arising from maxillary prominences, fuse at the midline, forming the hard and soft palate. This embryonic phenomenon involves a complex array of morphogenetic events that require coordinated proliferation, apoptosis, migration, and adhesion in the PS epithelia and underlying mesenchyme. When the delicate process of craniofacial morphogenesis is disrupted, the result is orofacial clefting, including cleft lip and cleft palate (CL/P). Through human genetic and animal studies, there are now hundreds of known genetic alternations associated with orofacial clefts; so, it is not surprising that CL/P is among the most common of all birth defects. In recent years, in vitro cell-based assays, ex vivo palate cultures, and genetically engineered animal models have advanced our understanding of the developmental and cell biological pathways that contribute to palate closure. This is particularly true for the areas of PS patterning and growth as well as medial epithelial seam dissolution during palatal fusion. Here, we focus on epithelial cell-cell adhesion, a critical but understudied process in secondary palatogenesis, and provide a review of the available tools and mouse models to better understand this phenomenon.


Assuntos
Fenda Labial/embriologia , Fissura Palatina/embriologia , Modelos Animais de Doenças , Morfogênese , Palato/embriologia , Animais , Apoptose , Adesão Celular , Movimento Celular , Proliferação de Células , Fenda Labial/genética , Fissura Palatina/genética , Regulação da Expressão Gênica no Desenvolvimento , Camundongos , Transdução de Sinais
10.
Physiol Behav ; 164(Pt A): 214-9, 2016 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-27267950

RESUMO

Sleep deprivation may lead to increased impulsivity, however, previous literature has focused on examining effects of total sleep deprivation (TSD) rather than the more common condition, partial sleep deprivation (PSD) or 'short sleep'. Moreover, it has been unclear whether PSD impacts impulse-related cognitive processes, and specifically if it differentially affects impulsive action versus impulsive decision-making. We sought to determine if short compared to long sleep (6 vs. 9h/night) impacts impulsive action via behavioral inhibition (Go/No-Go), and/or impulsive decision-making processes of risk taking (Balloon Analogue Risk Task [BART]) and preferences for immediate over delayed rewards (Delay Discounting). In a within-subject design, 34 participants (71% female, mean age=37.0years, SD=10.54) were assigned to four consecutive nights of 6h/night (short sleep) and 9h/night (long sleep) in their own home in random counterbalanced order. Sleep was measured via wrist-worn actigraphs to confirm adherence to the sleep schedules (mean short sleep=5.9h, SD=0.3; mean long sleep=8.6h, SD=0.3, p<0.001). The Go/No-Go, BART, and Delay Discounting tasks were completed following both sleep conditions. Participants had more inhibition errors on the Go/No-Go task after short (mean false alarms=19.79%, SD=14.51) versus long sleep (mean=15.97%, SD=9.51, p=0.039). This effect was strongest in participants reporting longer habitual time in bed (p=0.04). There were no differences in performance following long- versus short-sleep for either delay discounting or the BART (p's>0.4). Overall, these results indicate that four days of PSD diminishes behavioral inhibition abilities, but may not alter impulsive decision-making. These findings contribute to the emerging understanding of how partial sleep deprivation, currently an epidemic, impacts cognitive ability. Future research should continue to explore the connection between PSD and cognitive functions, and ways to minimize the occurrence and negative consequences of short sleep.


Assuntos
Desvalorização pelo Atraso , Comportamento Impulsivo , Destreza Motora , Privação do Sono/psicologia , Actigrafia , Adulto , Função Executiva , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes Psicológicos , Recompensa , Fatores de Tempo , Adulto Jovem
11.
J Neurosci ; 20(13): 4975-82, 2000 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-10864955

RESUMO

The ventral midline of the nervous system is an important choice point at which growing axons decide whether to cross and project contralaterally or remain on the same side of the brain. In Drosophila, the decision to cross or avoid the CNS midline is controlled, at least in part, by the Roundabout (Robo) receptor on the axons and its ligand, Slit, an inhibitory extracellular matrix molecule secreted by the midline glia. Vertebrate homologs of these molecules have been cloned and have also been implicated in regulating axon guidance. Using in situ hybridization, we have determined the expression patterns of robo1,2 and slit1,2,3 in the mouse retina and in the region of the developing optic chiasm, a ventral midline structure in which retinal ganglion cell (RGC) axons diverge to either side of the brain. The receptors and ligands are expressed at the appropriate time and place, in both the retina and the ventral diencephalon, to be able to influence RGC axon guidance. In vitro, slit2 is inhibitory to RGC axons, with outgrowth of both ipsilaterally and contralaterally projecting axons being strongly affected. Overall, these results indicate that Robos and Slits alone do not directly control RGC axon divergence at the optic chiasm and may additionally function as a general inhibitory guidance system involved in determining the relative position of the optic chiasm at the ventral midline of the developing hypothalamus.


Assuntos
Axônios/fisiologia , Diencéfalo/embriologia , Regulação da Expressão Gênica no Desenvolvimento , Proteínas do Tecido Nervoso/genética , Quiasma Óptico/embriologia , Receptores Imunológicos/genética , Retina/embriologia , Células Ganglionares da Retina/fisiologia , Animais , Desenvolvimento Embrionário e Fetal , Peptídeos e Proteínas de Sinalização Intercelular , Camundongos , Camundongos Endogâmicos C57BL , Técnicas de Cultura de Órgãos , Proteínas Roundabout
12.
J Am Coll Cardiol ; 26(2): 351-7, 1995 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-7608434

RESUMO

OBJECTIVES: We sought to analyze the disease-free intervals and calculate the freedom from atherosclerosis events in the Program on the Surgical Control of the Hyperlipidemias (POSCH). BACKGROUND: The POSCH study was a randomized, secondary lipid/atherosclerosis intervention trial that provided strong evidence for reduction in atherosclerosis progression as demonstrated by clinical and arteriographic end points. The 417 control group patients received American Heart Association phase II diet instruction, and the 421 intervention group patients received identical dietary instruction and underwent a partial ileal bypass operation. METHODS: Four outcome measures were determined: 1) overall mortality, 2) coronary heart disease mortality, 3) coronary heart disease mortality and confirmed nonfatal myocardial infarction, and 4) coronary/cardiac interventions. RESULTS: An overall mortality rate of 10% occurred at 6.7 years in the control group and 9.4 years in the intervention group, for a gain in disease-free interval of 2.7 years in the intervention group (p = 0.032). A coronary heart disease mortality rate of 8% occurred at 7.2 years in the control group and 11 years in the intervention group, for a gain of 3.8 years (p = 0.046). Twenty percent of patients demonstrated the combined end point of coronary heart disease mortality and confirmed nonfatal myocardial infarction at 5.9 years in the control group and 11.4 years in the intervention group, for a gain of 5.5 years (p < 0.001). Twenty-five percent of patients underwent either coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty or heart transplantation at 5.4 years in the control group and 12.4 years in the intervention group, for a gain of 7 years (p < 0.001). CONCLUSIONS: The marked lipid modification achieved by partial ileal bypass in the POSCH trial led to demonstrable increases in the disease-free intervals for overall mortality, coronary heart disease mortality, coronary heart disease mortality and confirmed nonfatal myocardial infarction, and coronary intervention procedures. For the clinician and the patient, estimation of disease-free intervals may be more relevant than assessment of differences in incidence rates and risk ratios.


Assuntos
Arteriosclerose/cirurgia , Doença das Coronárias/mortalidade , Hipercolesterolemia/cirurgia , Derivação Jejunoileal , Adulto , Arteriosclerose/dietoterapia , Arteriosclerose/etiologia , Terapia Combinada , Doença das Coronárias/etiologia , Interpretação Estatística de Dados , Intervalo Livre de Doença , Feminino , Humanos , Hipercolesterolemia/complicações , Hipercolesterolemia/dietoterapia , Tábuas de Vida , Masculino , Pessoa de Meia-Idade
13.
Arch Intern Med ; 158(11): 1253-61, 1998 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-9625405

RESUMO

BACKGROUND: In 1990, when the Program on the Surgical Control of the Hyperlipidemias (POSCH) reported its in-trial results strongly supporting the conclusion that effective lipid modification reduces progression of atherosclerosis, the differences for the end points of overall mortality and mortality from atherosclerotic coronary heart disease (ACHD) did not reach statistical significance. METHODS: The Program on the Surgical Control of the Hyperlipidemias recruited men and women with a single documented myocardial infarction between the ages of 30 and 64 years who had a plasma cholesterol level higher than 5.69 mmol/L (220 mg/dL) or higher than 5.17 mmol/L (200 mg/dL) if the low-density lipoprotein cholesterol level was in excess of 3.62 mmol/L (140 mg/dL). Between 1975 and 1983, 838 patients were randomized: 417 to the diet control group and 421 to the diet plus partial ileal bypass intervention group. Mean patient follow-up for this 5-year posttrial report was 14.7 years (range, 12.2-20 years). RESULTS: At 5 years after the trial, statistical significance was obtained for differences in overall mortality (P = .049) and mortality from ACHD (P = .03). Other POSCH end points included overall mortality (left ventricular ejection fraction > or =50%) (P = .01), mortality from ACHD (left ventricular ejection fraction > or =50%) (P = .05), mortality from ACHD and confirmed nonfatal myocardial infarction (P<.001), confirmed nonfatal myocardial infarction (P<.001), mortality from ACHD, confirmed and suspected myocardial infarction and unstable angina (P<.001), incidence of coronary artery bypass grafting or percutaneous transluminal coronary angioplasty (P<.001), and onset of clinical peripheral vascular disease (P = .02). There were no statistically significant differences between groups for cerebrovascular events, mortality from non-ACHD, and cancer. All POSCH patients have been available for follow-up. CONCLUSION: At 5 years after the trial, all POSCH mortality and atherosclerosis end points, including overall mortality and mortality from ACHD, demonstrated statistically significant differences between the study groups.


Assuntos
Doença da Artéria Coronariana/mortalidade , Derivação Jejunoileal , LDL-Colesterol/sangue , Doença da Artéria Coronariana/sangue , Doença da Artéria Coronariana/complicações , Doença da Artéria Coronariana/prevenção & controle , Feminino , Seguimentos , Humanos , Lipídeos/sangue , Masculino , Pessoa de Meia-Idade , Morbidade , Estudos Multicêntricos como Assunto , Ensaios Clínicos Controlados Aleatórios como Assunto
14.
Neuropsychologia ; 29(11): 1083-93, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1723180

RESUMO

This study investigated the types of verbal errors produced by aphasic patients following phonemic and semantic cueing. Twenty-eight aphasic patients--10 Broca's, 10 Wernicke's and 8 conduction aphasics--served as subjects. Semantic and phonemic cues were administered on object and action confrontation-naming tasks. When subjects did not respond correctly to phonemic cueing, a significantly greater number of phonemic errors were produced, with a concurrent decline in related words and extended circumlocutions. When subjects failed to respond to semantic cueing on the action task, there was an increase in a number of error categories.


Assuntos
Anomia/diagnóstico , Afasia/diagnóstico , Sinais (Psicologia) , Rememoração Mental , Fonética , Semântica , Anomia/psicologia , Afasia/psicologia , Afasia de Broca/diagnóstico , Afasia de Broca/psicologia , Afasia de Wernicke/diagnóstico , Afasia de Wernicke/psicologia , Humanos , Testes Neuropsicológicos , Aprendizagem Verbal
15.
Atherosclerosis ; 154(1): 221-7, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11137103

RESUMO

Quantifying the relationship between changes in lipid variables and clinical endpoints has been difficult. We studied the predictive value of various lipid variables on three endpoints in the Program on the Surgical Control of the Hyperlipidemias (POSCH): overall mortality, coronary heart disease (CHD) mortality, and CHD mortality and confirmed nonfatal myocardial infarction (MI) combined. We measured lipid variables for the annual visits from baseline to 5 years for actual follow-up values, actual and percentage differences between baseline and follow-up values, as well as the parameters comparing baseline only to 5 years for actual differences, percentage differences, and the ratio of baseline to 5 years. The lipid variables included were total cholesterol, low density lipoprotein (LDL) cholesterol, high density lipoprotein (HDL) cholesterol, very low density lipoprotein (VLDL) cholesterol, triglycerides, and the LDL cholesterol/HDL cholesterol ratio. The analytic method used was that of Cox regression, with age and sex as secondary covariates, and each lipid or ratio of lipids as the primary (univariate) covariate. As a result, 108 univariate Cox regressions were conducted. The combined findings for the control and the intervention groups are presented. The number of events for the combined group were: overall mortality, 190; CHD mortality, 119; and CHD mortality and confirmed nonfatal MI, 262. The highest hazard ratios were found for the lipid variable of the LDL cholesterol/HDL cholesterol ratio (e.g. 1.196 for a 1-unit increase). Only for the combined endpoint of CHD mortality and confirmed nonfatal MI was there a substantial number of statistically significant relationships (P<0.01) of lipid variables and parameters of assessment.


Assuntos
Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/mortalidade , Lipídeos/sangue , Doenças Cardiovasculares/sangue , Doença das Coronárias/etiologia , Doença das Coronárias/mortalidade , Seguimentos , Humanos , Estudos Multicêntricos como Assunto , Infarto do Miocárdio/etiologia , Infarto do Miocárdio/mortalidade , Modelos de Riscos Proporcionais , Estudos Prospectivos , Ensaios Clínicos Controlados Aleatórios como Assunto , Fatores de Risco
16.
Atherosclerosis ; 138(2): 391-401, 1998 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9690924

RESUMO

The objective of this study was to assess the percent stenosis of the culprit lesion responsible for subsequent myocardial infarction in the Program on the Surgical Control of the Hyperlipidemias (POSCH). It is unknown if the susceptible coronary artery culprit lesion responsible for an acute myocardial infarction is relatively large ( > or = 50% arteriographic stenosis) and hemodynamically significant ( > or = 70% stenosis), or small ( < 50%, stenosis) and asymptomatic. Certain necropsy and arteriography studies support the large progenitor lesion concept, and other arteriography studies support the small lesion hypothesis. We analyzed the coronary arteriogram immediately preceding a Q wave (transmural) myocardial infarction for the degree of stenosis of the suspected culprit lesion, which was selected by visual inspection of the coronary circulation supplying the electrocardiogram-defined area of myocardial infarction. There was no perceptible difference with respect to vessel segment distribution of culprit lesions or time to infarction between the 52 control-group patients and the 27 intervention-group patients. For the two groups combined (n=79), the predominantly involved segments were the middle right coronary artery and the proximal left anterior descending coronary artery. The time interval from the preceding coronary arteriogram closest to the index myocardial infarction ranged from 0 days to 10 years; however, 64.6% of the arteriograms were performed 2 years or less prior to the myocardial infarction. Only 5.1% of the patients in both groups combined had a culprit lesion stenosis < 50%, while 88.6% of the patients in both groups combined had a culprit lesion stenosis > or = 70%. The results strongly favor the large lesion hypothesis of causation for myocardial infarction. It is premature, however, to state that the relative size of the culprit lesion has been indisputably determined. The resolution of this problem has exceedingly important practical implications for the management of patients with known atherosclerotic coronary heart disease and for those asymptomatic individuals with silent atherosclerotic coronary heart disease.


Assuntos
Doença das Coronárias , Infarto do Miocárdio/etiologia , Adulto , Angiografia Coronária , Doença das Coronárias/complicações , Doença das Coronárias/diagnóstico por imagem , Doença das Coronárias/patologia , Doença das Coronárias/fisiopatologia , Humanos , Pessoa de Meia-Idade , Fatores de Risco
17.
Proc Biol Sci ; 264(1382): 709-16, 1997 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-9178542

RESUMO

The spatial patterns in the distributions of vertebrates in the rainforests of the wet tropics biogeographic region of north-eastern Australia were examined to form hypotheses on the processes that have shaped vertebrate assemblages and patterns of species richness and regional endemism. These rainforests occur in a relatively narrow and discontinuous strip along the coast of north-eastern Australia. We found that the number of regionally endemic species and the proportion of regional endemics present in each subregion are both strongly related to the geographic shape of subregional patches of rainforest, independent of rainforest area, within Australian tropical rainforests. Shape has a more significant influence on regional endemism than area, and area has a stronger influence on species richness. These patterns were congruent for all terrestrial vertebrate classes manuals, birds, reptiles and frogst, and for the four groups combined. Our results suggest that the combination of current rainforest area and shape are an index of the relative susceptibility of each area of rainforest to historical contractions, with the implication that historical habitat fluctuations, coupled with subsequent localized extinctions species sifting; have been extremely important processes in determining current patterns of endemism in Australia's wet tropical rainforests. This hypothesis is supported by the highly nested structure of the subregional distribution patterns.


Assuntos
Ecossistema , Clima Tropical , Vertebrados , Animais , Austrália , Aves , Geografia , Mamíferos , Dinâmica Populacional , Chuva , Ranidae , Análise de Regressão , Répteis
18.
Proc Biol Sci ; 265(1396): 597-602, 1998 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-9881468

RESUMO

Rainforest frogs are classified into nine ecological guilds based on features of reproduction, habitat use, temporal activity, microhabitat and body size. The largest ecological differences are between the microhylid frogs and the rest of the frog species. Within the non-microhylids, there are two primary groups consisting of (i) regionally endemic rainforest specialists, and (ii) a more ecologically diverse group of species that are less specialized in their habitat requirements. Most of the regionally endemic rainforest specialists, which includes species in three ecological guilds, have declined or gone missing in recent years. Multivariate analyses of the ecological characteristics of these species show that it is not a single characteristic that isolates those species that have declined from those which have not. The guilds that have undergone significant population declines in the Wet Tropics are all characterized by the combination of low fecundity, a high degree of habitat specialization and reproduction in flowing streams. These results have important implications for the determination of the causal factors in the unexplained global decline of many amphibian species.


Assuntos
Anuros/classificação , Ecossistema , Animais , Fertilidade , Comportamento Sexual Animal
19.
Proc Biol Sci ; 268(1479): 1875-81, 2001 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-11564342

RESUMO

Prioritizing areas for conservation requires the use of surrogates for assessing overall patterns of biodiversity. Effective surrogates will reflect general biogeographical patterns and the evolutionary processes that have given rise to these and their efficiency is likely to be influenced by several factors, including the spatial scale of species turnover and the overall congruence of the biogeographical history. We examine patterns of surrogacy for insects, snails, one family of plants and vertebrates from rainforests of northeast Queensland, an area characterized by high endemicity and an underlying history of climate-induced vicariance. Nearly all taxa provided some level of prediction of the conservation values for others. However, despite an overall correlation of the patterns of species richness and complementarity, the efficiency of surrogacy was highly asymmetric; snails and insects were strong predictors of conservation priorities for vertebrates, but not vice versa. These results confirm predictions that taxon surrogates can be effective in highly diverse tropical systems where there is a strong history of vicariant biogeography, but also indicate that correlated patterns for species richness and/or complementarity do not guarantee that one taxon will be efficient as a surrogate for another. In our case, the highly diverse and narrowly distributed invertebrates were more efficient as predictors than the less diverse and more broadly distributed vertebrates.


Assuntos
Evolução Biológica , Ecossistema , Animais , Insetos , Chuva , Caramujos , Árvores , Vertebrados
20.
New Phytol ; 106(4): 735-744, 1987 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33874074

RESUMO

Development of vesicular-arbuscular mycorrhizas and proliferation of roots of western wheat-grass (Agropyron smithii Rydb.) were investigated in a revegetated mine soil in southeastern Wyoming, USA. Total rooting density (root length per volume of soil) and spore frequency increased as a function of age of the reclamation (time elapsed since reseeding). Topsoil replaced during reclamation was apparently the primary source of mycorrhizal inoculum in the most recently reclaimed site. Seedlings growing on spoil material without topsoil were generally non-mycorrhizal, but mycorrhizal rooting density was not significantly correlated with the residual content of soil organic matter (an indicator of the proportion of topsoil in the growth media). Mycorrhizal colonization in sites up to three years old was minimal in spite of rapid increases in overall rooting density. Mean rooting density, mean degree of infection, and mean spore frequencies in older sites (five to seven years) were comparable to those of an adjacent undisturbed rangeland, but were highly variable. Mature, non-mycorrhizal specimens were observed, suggesting that A. smithii is not highly dependent on mycorrhizal infection for survival on this disturbed site.

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