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1.
Med Phys ; 49(12): 7404-7416, 2022 Dec.
Article in English | MEDLINE | ID: mdl-36217283

ABSTRACT

BACKGROUND: The Agility multileaf collimator (MLC) mounted in Elekta linear accelerators features some unique design characteristics, such as large leaf thickness, eccentric curvature at the leaf tip, and defocused leaf sides ('tilting'). These characteristics offer several advantages but modeling them in treatment planning systems (TPSs) is challenging. PURPOSE: The goals of this study were to investigate the challenges faced when modeling the Agility in two commercial TPSs (Monaco and RayStation) and to explore how the implemented MLC models could be improved in the future. METHODS: Four linear accelerators equipped with the Agility, located at different centers, were used for the study. Three centers use the RayStation TPS and the other one uses Monaco. For comparison purposes, data from four Varian linear accelerators with the Millennium 120 MLC were also included. Average doses measured with asynchronous sweeping gap tests were used to characterize and compare the characteristics of the Millennium and the Agility MLCs and to assess the MLC model in the TPSs. The FOURL test included in the ExpressQA package, provided by Elekta, was also used to evaluate the tongue-and-groove with radiochromic films. Finally, raytracing was used to investigate the impact of the MLC geometry and to understand the results obtained for each MLC. RESULTS: The geometry of the Agility produces dosimetric effects associated with the rounded leaf end up to a distance 20 mm away from the leaf tip end measured at the isocenter plane. This affects the tongue-and-groove shadowing, which progressively increases along the distance to the tip end. The RayStation and Monaco TPSs did not account for this effect, which made trade-offs in the MLC parameters necessary and greatly varied the final MLC parameters used by different centers. Raytracing showed that these challenging leaf tip effects were directly related to the MLC geometry and that the characteristics mainly responsible for the large leaf tip effects of the Agility were its tilting design and its small source-to-collimator distance. CONCLUSIONS: The MLC models implemented in RayStation and Monaco could not accurately reproduce the leaf tip effects for the Agility. Therefore, trade-offs are needed and the optimal MLC parameters are dependent on the specific characteristics of treatment plans. Refining the MLC models for the Agility to better approximate the measured leaf tip and tongue-and-groove effects would extend the validity of the MLC model, reduce the variability in the MLC parameters used by the community, and facilitate the standardization of the MLC configuration process.


Subject(s)
Radiotherapy Planning, Computer-Assisted , Radiotherapy, Intensity-Modulated , Radiotherapy Planning, Computer-Assisted/methods , Radiotherapy Dosage , Phantoms, Imaging , Particle Accelerators , Radiometry/methods , Radiotherapy, Intensity-Modulated/methods
2.
Sci Total Environ ; 719: 137307, 2020 Jun 01.
Article in English | MEDLINE | ID: mdl-32143094

ABSTRACT

Food insecurity affects Inuit communities. One solution is to consume locally harvested foods, named country foods. However, some country foods are not eaten as often as before, and pressures including contaminants and environmental changes threaten the health of Arctic fauna, thus its suitability for local consumption. By combining Inuit Knowledge with laboratory data, our study assessed the benefits and risks of walrus consumption by Inuit in Nunavik, Québec, Canada. It aimed to increase understanding of: 1) the hunt of healthy Atlantic walruses (Odobenus rosmarus rosmarus); 2) the safe preparation of walruses; 3) the nutritional benefits and risks of consuming walruses. To do so, we interviewed 34 hunters and Elders from Nunavik. Levels of mercury, omega-3 polyunsaturated fatty acids and selenium were evaluated from locally harvested walruses. Through the Nunavik Trichinellosis Prevention Program, a total of 755 Atlantic walrus samples, collected between 1994 and 2013, were tested for Trichinella nativa. Information on botulism was reviewed. While interviews informed on how to select healthy walruses and prepare them for consumption, laboratory analyses revealed that walruses had elevated levels of omega-3 fatty acids and selenium but low levels of mercury compared to some other wildlife. Only 3% of the 755 walruses were infected with T. nativa. Most walruses' infections were found within individuals from the South East Hudson Bay stock, where Inuit have thus decided to stop hunting since mid-2000s. Finally, although the number of outbreaks of trichinellosis related to the consumption of walruses has significantly reduced in Nunavik, botulism could continue to be an issue when igunaq (i.e. aged walrus) is not properly prepared. With the support of the Nunavik Trichinellosis Prevention Program and transmission of Inuit knowledge on igunaq preparation, the consumption of Atlantic walruses has the potential to help address issues related to food insecurity in Nunavik in the future.


Subject(s)
Walruses , Aging , Animals , Arctic Regions , Food , Quebec , Risk Assessment
3.
Environ Res ; 184: 109345, 2020 05.
Article in English | MEDLINE | ID: mdl-32172074

ABSTRACT

BACKGROUND: The body burden of metals and persistent organic pollutants (POPs) is particularly high in populations that rely on fish and other marine species for sustenance. This exposure has been associated with an increased risk of type 2 diabetes, but results remain contrasted. OBJECTIVE: We studied this association in two Indigenous populations of northern Québec (Canada) with markedly different prevalences of diabetes and levels of exposure to POPs and mercury. METHODS: As part of health surveys conducted in 2004-2009, diabetes prevalence and glucose metabolism (glucose, insulin, HOMA-IR, HOMA-B) in non-diabetic fasting adults were assessed using similar protocols in two populations: Inuit from Nunavik (n = 877) and Cree from Eeyou Istchee territory (n = 780). Blood mercury, plasma polychlorinated biphenyls (PCBs), organochlorine (OC) pesticides/metabolites and polybrominated diphenylethers (PBDEs) levels were measured in samples collected at the time of examination. Logistic and linear regressions and restricted cubic splines analyses were conducted adjusting for sex, age, waist circumference, smoking and omega-3 fatty acid content in plasma phospholipids. RESULTS: Diabetes prevalence was higher in Cree (20%) than in Inuit (7%), whereas environmental exposure was 2 to 3-fold greater in Inuit than in Cree participants. In the range of exposure common to the two populations, we observed similar linear increases in the risk of diabetes with increasing contaminant exposure. Among Cree participants, fasting glucose was positively associated with plasma PBDE level, and HOMA-B negatively associated with concentrations of ∑PCBs, dichlorodiphenyldichloroethylene, PBDEs and ∑OC pesticides. Among Inuit participants, a trend towards reduced insulin secretion was observed in association with most contaminants, but the relation was nonlinear (greater reduction at intermediate levels of exposure). A significant increase in fasting glucose levels was observed at elevated blood mercury levels (>16 µg/L). CONCLUSION: The observed association between POPs exposure and diabetes risk in the two populations studied should be confirmed using prospective design. Our results suggest the need for additional research on the physiopathological process through which POPs exposure may induce type 2 diabetes in these Indigenous populations.


Subject(s)
Diabetes Mellitus, Type 2 , Environmental Pollutants , Mercury , Polychlorinated Biphenyls , Adult , Animals , Canada , Diabetes Mellitus, Type 2/chemically induced , Diabetes Mellitus, Type 2/epidemiology , Environmental Pollutants/toxicity , Glucose , Humans , Mercury/toxicity , Prospective Studies , Quebec/epidemiology
4.
Can Fam Physician ; 65(10): 686-687, 2019 Oct.
Article in English | MEDLINE | ID: mdl-31604730

Subject(s)
Physicians, Women
5.
J Thromb Haemost ; 14(10): 1960-1970, 2016 10.
Article in English | MEDLINE | ID: mdl-27490645

ABSTRACT

Essentials Tissue factor pathway inhibitor (TFPI) regulates the blood coagulation cascade. We replicated previously reported linkage of TFPI plasma levels to the chromosome 2q region. The putative causal locus, rs62187992, was associated with TFPI plasma levels and thrombosis. rs62187992 was marginally associated with TFPI expression in human aortic endothelial cells. Click to hear Ann Gil's presentation on new insights into thrombin activatable fibrinolysis inhibitor SUMMARY: Background Tissue factor pathway inhibitor (TFPI) regulates fibrin clot formation, and low TFPI plasma levels increase the risk of arterial thromboembolism and venous thromboembolism (VTE). TFPI plasma levels are also heritable, and a previous linkage scan implicated the chromosome 2q region, but no specific genes. Objectives To replicate the finding of the linkage region in an independent sample, and to identify the causal locus. Methods We first performed a linkage analysis of microsatellite markers and TFPI plasma levels in 251 individuals from the F5L Family Study, and replicated the finding of the linkage peak on chromosome 2q (LOD = 3.06). We next defined a follow-up region that included 112 603 single nucleotide polymorphisms (SNPs) under the linkage peak, and meta-analyzed associations between these SNPs and TFPI plasma levels across the F5L Family Study and the Marseille Thrombosis Association (MARTHA) Study, a study of 1033 unrelated VTE patients. SNPs with false discovery rate q-values of < 0.10 were tested for association with TFPI plasma levels in 892 patients with coronary artery disease in the AtheroGene Study. Results and Conclusions One SNP, rs62187992, was associated with TFPI plasma levels in all three samples (ß = + 0.14 and P = 4.23 × 10-6 combined; ß = + 0.16 and P = 0.02 in the F5L Family Study; ß = + 0.13 and P = 6.3 × 10-4 in the MARTHA Study; ß = + 0.17 and P = 0.03 in the AtheroGene Study), and contributed to the linkage peak in the F5L Family Study. rs62187992 was also associated with clinical VTE (odds ratio 0.90, P = 0.03) in the INVENT Consortium of > 7000 cases and their controls, and was marginally associated with TFPI expression (ß = + 0.19, P = 0.08) in human aortic endothelial cells, a primary site of TFPI synthesis. The biological mechanisms underlying these associations remain to be elucidated.


Subject(s)
Blood Coagulation , Chromosomes, Human, Pair 2/genetics , Lipoproteins/blood , Polymorphism, Single Nucleotide , Venous Thromboembolism/blood , Adolescent , Adult , Aged , Aorta/pathology , Child , Chromosome Mapping , Coronary Artery Disease/blood , Endothelial Cells/cytology , Factor V/genetics , False Positive Reactions , Female , Genetic Linkage , Homozygote , Humans , Lipoproteins/genetics , Lod Score , Male , Microsatellite Repeats , Middle Aged , Pedigree , Risk Factors , Thrombosis/blood , Venous Thromboembolism/genetics
6.
Sci Total Environ ; 509-510: 248-59, 2015 Mar 15.
Article in English | MEDLINE | ID: mdl-25135671

ABSTRACT

Country foods are central to Inuit culture and replete in selenium (Se) and long-chain omega-3 polyunsaturated fatty acids (n-3 PUFA). However, some marine country foods bioaccumulate high concentrations of methylmercury (MeHg). Se and n-3 are associated with several health benefits in Nunavik, Northern Quebec, but, recent studies show that prenatal MeHg exposure is associated with visual, cognitive and behavioral deficit later in childhood. The study objectives are to identify contemporary country food sources of MeHg, Se and long-chain n-3 PUFA in Nunavik, particularly among childbearing-age women, taking into account regional differences in consumption profiles. The contribution of different country foods to daily MeHg, Se, long-chain n-3 PUFA intake (µg/kg body weight/day) was estimated using: (i) country food consumption and blood biomarkers data from the 2004 Nunavik Health Survey (387 women, 315 men), and (ii) data on MeHg, Se, long-chain n-3 PUFA concentrations found in Nunavik wildlife species. In the region where most traditional beluga hunting takes place in Nunavik, the prevalence of at-risk blood Hg (≥ 8 µg/L) in childbearing-age women was 78.4%. While most country foods presently consumed contain low MeHg, beluga meat, not a staple of the Inuit diet, is the most important contributor to MeHg: up to two-thirds of MeHg intake in the beluga-hunting region (0.66 of MeHg intake) and to about one-third in other regions. In contrast, seal liver and beluga mattaaq - beluga skin and blubber - only mildly contributed to MeHg (between 0.06 and 0.15 of MeHg intake), depending on the region. Beluga mattaaq also highly contributed to Se intake (0.30 of Se intake). Arctic char, beluga blubber and mattaaq, and seal blubber contributed to most long-chain n-3 PUFA intake. This study highlights the importance of considering interconnections between local ecosystems and dietary habits to develop recommendations and interventions promoting country foods' benefits, while minimizing the risk of MeHg from beluga meat, especially for childbearing-age women.


Subject(s)
Diet/statistics & numerical data , Environmental Exposure/statistics & numerical data , Fatty Acids, Omega-3/analysis , Food Contamination/statistics & numerical data , Methylmercury Compounds/analysis , Selenium/analysis , Animals , Female , Humans , Male , Quebec
7.
Ecotoxicol Environ Saf ; 97: 17-25, 2013 Nov.
Article in English | MEDLINE | ID: mdl-23921221

ABSTRACT

We evaluated the levels of selenium and mercury in five fish species commonly eaten by local populations of the Brazilian Amazon. Fish specimens were sampled in two lotic and three lentic areas at two different phases of the hydrological cycle. Analyses of Carbon and Nitrogen stable isotopes allowed us to confirm the trophic levels of the fish species (one herbivorous, two omnivorous and two piscivorous) and verify that these levels remained unchanged with the habitats and the season. The levels of selenium and mercury in fish varied from 50ng/g to 1006ng/g and from 17ng/g to 3502ng/g respectively. For both seasons, fish from lotic ecosystems presented higher selenium concentrations. An inverse pattern was observed between selenium and mercury concentrations within the trophic chain, and this in both seasons. Indeed, the highest mean concentrations of selenium and lowest mean concentrations of mercury were measured in the herbivorous species and the opposite in the piscivorous species. Our results unequivocally demonstrate that local riverside populations will maximize the selenium health benefits of eating fish while minimizing their risk of being chronically exposed to mercury by preferentially consuming herbivorous species and to some extent omnivorous species, while avoiding piscivorous species.


Subject(s)
Carnivory/physiology , Fishes/physiology , Herbivory/physiology , Mercury/analysis , Rivers , Selenium/analysis , Water Pollutants, Chemical/analysis , Animals , Brazil , Carbon Isotopes/analysis , Fishes/metabolism , Food Chain , Mercury/metabolism , Nitrogen Isotopes/analysis , Seasons , Selenium/metabolism , Water Pollutants, Chemical/metabolism
8.
Placenta ; 34(1): 85-8, 2013 Jan.
Article in English | MEDLINE | ID: mdl-23177091

ABSTRACT

The syncytiotrophoblast is formed at the placental periphery through cytotrophoblast fusion, which depends on Human Endogenous Retrovirus-encoded Envelope proteins Syncytin-1 and Syncytin-2. In the current study, the role of Major Facilitator Superfamily Domain Containing 2A (MFSD2a), the Syncytin-2 receptor, in trophoblast fusion and its expression in normal vs. pre-eclampsia placentas were studied. Forskolin-induced fusion of BeWo cells first parallelled an increase in MFSD2a expression. The MFSD2a signal localized in the cytoplasm and at the plasma membrane. Knockdown of MFSD2a expression confirmed its importance in BeWo fusion. Furthermore, reduced MFSD2a expression was noted in severe pre-eclamptic placentas. These data thus support the importance of MFSD2a in trophoblast fusion and placenta development.


Subject(s)
Trophoblasts/physiology , Tumor Suppressor Proteins/physiology , Adult , Case-Control Studies , Cell Fusion , Cell Line , Female , Gene Expression Regulation/drug effects , Humans , Placenta/metabolism , Placenta/pathology , Pre-Eclampsia/genetics , Pre-Eclampsia/metabolism , Pre-Eclampsia/pathology , Pregnancy , Pregnancy Proteins/metabolism , RNA, Small Interfering/pharmacology , Receptors, Cytoplasmic and Nuclear/genetics , Receptors, Cytoplasmic and Nuclear/metabolism , Receptors, Cytoplasmic and Nuclear/physiology , Symporters , Trophoblasts/drug effects , Trophoblasts/metabolism , Tumor Suppressor Proteins/antagonists & inhibitors , Tumor Suppressor Proteins/genetics , Tumor Suppressor Proteins/metabolism
9.
Allergy ; 64(5): 746-53, 2009 May.
Article in English | MEDLINE | ID: mdl-19254290

ABSTRACT

BACKGROUND: Serum immunoglobulin E (IgE) level is recognized to be under strong genetic control, but the causal and susceptibility genes remain to be identified. We sought to investigate the association between single nucleotide polymorphisms (SNPs) in the Toll-like receptor (TLR) signaling pathway and total serum IgE level. METHODS: A population of 206 patients with severe chronic rhinosinusitis (CRS) was used. Precise phenotyping of patients was accomplished by means of a questionnaire and clinical examination. Blood was drawn for measurement of total serum IgE, as well as DNA extraction. A maximally informative set of SNPs in the TLR1, 2, 3, 4, 6, 9, 10, CD14, MD2, MyD88, IRAK4, and TRAF6 genes were selected and genotyped. Significant findings were replicated in a second independent population of 956 subjects from 227 families with asthma. RESULTS: A total of 97 out of 104 SNPs were successfully genotyped. Three SNPs in IRAK4--rs1461567, rs4251513, and rs4251559--were associated with total serum IgE levels (P < 0.004). In the replication sample, the same SNPs as well as the same orientation of the risk allele were associated with IgE levels (P < 0.031). CONCLUSIONS: These results demonstrate a clear association between polymorphisms in the IRAK4 gene and serum IgE levels in patients with CRS and asthma. IRAK4 may be important in the regulation of IgE levels in patients with inflammatory diseases of the airways.


Subject(s)
Gene Frequency/genetics , Hypersensitivity/genetics , Immunoglobulin E/blood , Interleukin-1 Receptor-Associated Kinases/genetics , Adult , Chronic Disease , Cross-Sectional Studies , Female , Gene Frequency/immunology , Genotype , Humans , Hypersensitivity/immunology , Interleukin-1 Receptor-Associated Kinases/immunology , Linkage Disequilibrium , Male , Middle Aged , Polymorphism, Single Nucleotide , Surveys and Questionnaires
10.
Genes Immun ; 7(8): 632-9, 2006 Dec.
Article in English | MEDLINE | ID: mdl-17082760

ABSTRACT

CX3CR1, a fractalkine receptor, mediates cell-adhesive and migratory functions in inflammation. Based on CX3CR1 expression observed in bronchial tissues of asthmatic subjects, we hypothesized that genetic variation at this locus may affect susceptibility to asthma. We carried out an association study and a haplotypic analysis with selected polymorphisms of the CX3CR1 in a familial asthmatic sample from a founder population. Genetic analyses performed by FBAT software showed five CX3CR1 single nucleotide polymorphisms (rs938203, rs2669849, rs1050592, T280M and V249I) with significant associations between their common alleles and asthma (P<0.004) in a dominant model. A haplotype formed with common alleles of rs1050592, T280M and V249I is also overtransmitted in asthmatic subjects (P=0.005) under a dominant model. The associations of V249I and rs2669849 have been validated in an independent case-control sample. For V249I, odds ratios (OR) are 2.16 (common homozygous) and 2.11 (heterozygous) in dominant model (P=0.031). For rs2669849, OR are 2.75 (common homozygous) and 1.86 (heterozygous) in additive model (P=0.007) and dominant model (P=0.059). These results suggest an asthma protective effect of the minor alleles in healthy control carriers. Further functional studies of CX3CR1 are needed to document its role in the pathophysiology of asthma.


Subject(s)
Asthma/genetics , Genetic Predisposition to Disease , Genetic Variation , Receptors, Chemokine/genetics , Adolescent , Adult , CX3C Chemokine Receptor 1 , Female , Gene Components , Haplotypes/genetics , Humans , Linkage Disequilibrium , Lung/metabolism , Male , Middle Aged , Odds Ratio , Polymorphism, Single Nucleotide/genetics , Quebec , Receptors, Chemokine/metabolism
11.
Genes Immun ; 6(6): 519-27, 2005 Sep.
Article in English | MEDLINE | ID: mdl-15988535

ABSTRACT

Reduced infection by mycobacteria, including Mycobacterium tuberculosis, may be partly responsible for increased prevalence of allergic and autoimmune diseases in developed countries. In a murine model of innate resistance to mycobacteria, the Nramp1 gene has been shown to affect asthma susceptibility. From this observation, it was proposed that human NRAMP1 may be a modulator of asthma risk in human populations. To experimentally test the candidacy of NRAMP1 in asthma susceptibility, we characterized five genetic variants of NRAMP1 (5'CAn, 274C>T, 469+14G>C, D543N, and 1729+del4) in an asthma family-based cohort from northeastern Quebec. We did not observe any significant association between NRAMP1 variants (either allele or haplotype specific) with asthma, atopy, or serum immunoglobulin E levels. These results demonstrate that, in spite of direct involvement of Nramp1 in a murine asthma model, in human populations NRAMP1 is not likely to be a major contributor to the genetic etiology of asthma and asthma-related phenotypes.


Subject(s)
Asthma/genetics , Cation Transport Proteins/genetics , Genetic Predisposition to Disease , Hypersensitivity, Immediate/genetics , Polymorphism, Single Nucleotide , Canada , Genotype , Haplotypes , Humans , Immunoglobulin E/blood , White People/genetics
12.
J Math Biol ; 43(1): 1-21, 2001 Jul.
Article in English | MEDLINE | ID: mdl-12120864

ABSTRACT

We investigate the equilibrium structure for an evolutionary genetic model in discrete time involving two monoecious populations subject to intraspecific and interspecific random pairwise interactions. A characterization for local stability of an equilibrium is found, related to the proximity of this equilibrium with evolutionarily stable strategies (ESS). This extends to a multi-population framework a principle initially proposed for single populations, which states that the mean population strategy at a locally stable equilibrium is as close as possible to an ESS.


Subject(s)
Diploidy , Models, Genetic , Animals , Biological Evolution , Game Theory , Genetics, Population , Mutation , Time Factors
13.
J Heart Valve Dis ; 9(4): 536-43, 2000 Jul.
Article in English | MEDLINE | ID: mdl-10947047

ABSTRACT

BACKGROUND AND AIM OF THE STUDY: Stentless aortic bioprostheses have excellent hemodynamics, although heterogeneity in gradients has been observed. The present study was intended to determine whether high early postoperative transvalvular velocities correlate with other measures of left ventricular outflow obstruction, whether the phenomenon is transient, and whether high velocities observed early after surgery predict differences in subsequent valve performance or left ventricular remodeling. METHODS: Sixty-eight consecutive patients who underwent implantation of Freestyle stentless aortic bioprosthesis and survived to hospital discharge underwent early postoperative echocardiography. Peak transvalvular velocity was used to define a 'high-velocity' group, based on mean (+ 1 SD) for the group. Mean pressure gradient, ratio of peak to proximal velocities, and effective orifice area were assessed; change in peak velocity and evidence of left ventricular mass regression were studied at one-year follow up. RESULTS: Of 68 patients, 14 (21%) had 'high velocities' based on early postoperative peak transvalvular velocity >3.0 m/s. There was a higher prevalence of women (64% versus 33%, p = 0.04), and both body surface area (1.79+/-0.17 versus 1.95+/-0.20 m2, p = 0.01) and implanted valve size (22.9+/-2.0 versus 24.9+/-2.1 mm, p = 0.003) were smaller among the 'high-velocity' group. High velocity correlated with other measures of resistance to left ventricular outflow, including higher mean gradient (20.9+/-6.5 versus 8.3 +/-4.2 mmHg, p <0.001) and lower effective orifice area (1.15+/-0.36 versus 1.69+/-0.62 cm2, p <0.001). High early postoperative velocities persisted at one year in eight of 13 (62%) patients. Left ventricular mass regression occurred less often in the 'high-velocity' group (38% versus 77% of patients, p = 0.03) and was present in only one of eight (12%) patients in whom high velocity persisted at one year. CONCLUSION: High early postoperative transvalvular velocity suggests resistance to left ventricular outflow. High velocities are transient in some patients, although persistence of high transvalvular velocity suggests 'prosthesis-patient mismatch' with incomplete relief of left ventricular outflow obstruction.


Subject(s)
Aortic Valve Insufficiency/surgery , Aortic Valve Stenosis/surgery , Bioprosthesis , Heart Valve Prosthesis Implantation , Aged , Aortic Valve , Blood Flow Velocity , Echocardiography , Echocardiography, Doppler , Female , Heart Valve Prosthesis , Humans , Male , Prosthesis Design , Ventricular Outflow Obstruction/physiopathology
14.
J Theor Biol ; 204(2): 191-200, 2000 May 21.
Article in English | MEDLINE | ID: mdl-10887901

ABSTRACT

In this paper, a sex-dependent matrix game haploid model is investigated. For this model, since the phenotypes of female and male individuals are determined by alleles located at a single locus and are sex dependent, any given genotype corresponds to a strategy pair. Thus, a strategy pair is an ESS if and only if the allele corresponding to this strategy pair cannot be invaded by any mutant allele. We show that an ESS equilibrium must be locally asymptotically stable if it exists.


Subject(s)
Biological Evolution , Models, Genetic , Sex , Alleles , Female , Humans , Male , Phenotype
15.
Semin Thorac Cardiovasc Surg ; 11(4 Suppl 1): 88-92, 1999 Oct.
Article in English | MEDLINE | ID: mdl-10660173

ABSTRACT

Stentless aortic bioprosthesis performance may be affected by geometric distortion, and intraoperative echocardiography typically is used to assess prosthetic valve function. The impact of minimal or mild post-pump aortic regurgitation has not been previously investigated. Intraoperative post-pump transesophageal echocardiograms and follow-up transthoracic echocardiograms (up to 3 years' postoperatively) were reviewed for 96 patients who underwent implantation of Freestyle (Medtronic) stentless aortic bioprostheses. Minimal or mild aortic regurgitation was present post-pump in 50 of 96 (52%) patients. On early follow-up examination (n = 80), no patient had more than mild aortic regurgitation. Aortic regurgitation had completely resolved in 24 of 39 (62%) patients with post-pump aortic regurgitation, including 15 of 19 (79%) patients with minimal paravalvular regurgitation. The incidence of mild aortic regurgitation at 2 and 3 years did not appear different between patients with and those without post-pump aortic regurgitation. Minimal or mild aortic regurgitation is common on intraoperative post-pump transesophageal echocardiography immediately after implantation of stentless aortic bioprostheses. Resolution is common, especially of small paravalvular jets. Minimal or mild post-pump aortic regurgitation infrequently results in even mild aortic regurgitation on early follow-up evaluation and does not appear to predict clinically significant progression of aortic regurgitation on long-term follow-up evaluation.


Subject(s)
Aortic Valve Insufficiency/epidemiology , Aortic Valve Insufficiency/etiology , Bioprosthesis/adverse effects , Heart Valve Prosthesis/adverse effects , Intraoperative Complications/epidemiology , Intraoperative Complications/etiology , Adult , Aged , Aged, 80 and over , Aortic Valve , Aortic Valve Insufficiency/diagnostic imaging , Echocardiography, Transesophageal , Female , Follow-Up Studies , Humans , Incidence , Intraoperative Complications/diagnostic imaging , Male , Middle Aged , Prosthesis Design
16.
J Math Biol ; 35(6): 657-82, 1997 Jun.
Article in English | MEDLINE | ID: mdl-9225455

ABSTRACT

We show that an optimal migration rate may not exist in a population distributed over an infinite number of individual living sites if empty sites occur. This is the case when the mean number of offspring per individual mu is finite. We make the assumption of uniform migration to other sites whose rate is determined by the parent's genotype or the offspring's genotype at a single locus in a diploid hermaphrodite population undergoing random mating. In both cases, for mu small enough, any population at fixation would go to extinction. Moreover, in the latter case, for intermediate values of mu, the only fixation state that could resist the invasion of any mutant would lead the population to extinction. These are the two conditions for the non-existence of an optimal migration rate. They become less stringent as the cost for migration expressed by a coefficient of selection 1-beta becomes larger, that is closer to 1. The results are obtained assuming that the allele at fixation is either nondominant or dominant. Although the optimal migration rate is the same in both cases when it exists, the optimality properties may differ.


Subject(s)
Behavior, Animal , Genetics, Population , Models, Theoretical , Alleles , Animals , Female , Genotype , Humans , Male
17.
Aust N Z J Med ; 26(3): 386-90, 1996 Jun.
Article in English | MEDLINE | ID: mdl-8811213

ABSTRACT

BACKGROUND: There is increasing resistance to commonly used antibiotics, including third generation cephalosporins, and an increasing cost burden. AIMS: To assess the appropriateness of prescribing of third generation cephalosporin antibiotics in a tertiary teaching hospital. METHODS: Prescriptions of third generation cephalosporins (ceftriaxone, cefotaxime and ceftazidime) to inpatients were identified prospectively by the Hospital Pharmacy Department for a six week period during May-June 1994. Clinical data and indications were obtained from patient records and, when necessary, by interviewing the prescriber and by patient assessment. Criteria for appropriate prescribing were according to nationally accepted criteria outlined in the 1994-95 Antibiotic Guidelines handbook. All inpatients who were prescribed a third generation cephalosporin at Flinders Medical Centre for the duration of the audit period were eligible. This included medical, surgical, paediatric, obstetric and gynaecology inpatients. RESULTS: Sixty-five per cent of prescriptions for third generation cephalosporins were judged appropriate, 31% inappropriate and 4% doubtful. Inappropriate use was found particularly in the treatment of respiratory tract infections and abdominal sepsis, and in surgical prophylactic use. CONCLUSION: Third generation cephalosporin prescribing in a tertiary care teaching hospital is frequently inappropriate, as judged against widely available Australian guidelines.


Subject(s)
Cephalosporins/therapeutic use , Drug Utilization Review , Adult , Antibiotic Prophylaxis , Child , Female , Hospitals, Teaching , Humans , Male , Medical Audit , Respiratory Tract Infections/drug therapy , South Australia
18.
Vis Neurosci ; 12(2): 253-61, 1995.
Article in English | MEDLINE | ID: mdl-7786846

ABSTRACT

The optic nerve in two species of subterranean mole-rats (Spalacidae) has been examined at the ultrastructural level. The axial length of the eye and the diameter of the optic nerve are 1.9 mm and 52.5 microns in Spalax leucodon, and 0.7 mm and 80.8 microns in Spalax ehrenbergi, respectively. An anti-glial fibrillary acidic protein postembedding procedure was used to distinguish glial cell processes from axons. In both species, the optic nerve is composed exclusively of unmyelinated axons and a spatial distribution gradient according to the size or the density of fibers is lacking. The optic nerve of S. leucodon contains 1790 fibers ranging in diameter from 0.07-2.30 microns (mean = 0.57 microns), whereas in S. ehrenbergi, only 928 fibers, with diameters of 0.04-1.77 microns (mean = 0.53 microns) are observed. In S. ehrenbergi, a higher proportion of glial tissue is present and the fascicular organization of optic fibers is less obvious. Distribution gradients according to size frequency or density of fibers in the optic nerve are absent in both species. Comparison with other mammals suggests that although ocular regression in microphthalmic species is correlated with a significant decrease in the total number of optic fibers and the relative proportion of myelinated fibers, no difference in the absolute size range of unmyelinated axons is observed. The total absence of myelinated fibers in Spalax may be related to the subcutaneous location of the eyes.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Blindness , Optic Nerve/ultrastructure , Rodentia/anatomy & histology , Animals , Anthropometry , Axons/ultrastructure , Cell Count , Eye/anatomy & histology , Glial Fibrillary Acidic Protein/analysis , Immunohistochemistry , Microscopy, Immunoelectron , Myelin Sheath , Nerve Fibers/ultrastructure , Neuroglia/ultrastructure , Optic Nerve/anatomy & histology , Rodentia/physiology
19.
Brain Res Brain Res Rev ; 20(2): 155-70, 1995 Feb.
Article in English | MEDLINE | ID: mdl-7795654

ABSTRACT

The published descriptions of ipsilateral visual pathways in non-eutherian species are reviewed. Such pathways exist in members of all vertebrate classes; since they exist in agnathans, it is suggested that the presence of ipsilateral visual projections is the ancestral condition. None of the published attempts to explain the considerable interspecific variation of these pathways can be generalised to all vertebrate species: in particular, this variation is not generally related to the degree of overlap of the visual fields, to a particular mode of life, nor to taxonomic position within a given vertebrate category and cannot consistently be explained by variation at the albino locus. It is suggested that this variation is the result of purely random variation of unidentified elements of the genetic material or of epigenetic mechanisms and hence that ipsilateral visual projections are functionally neutral. This conclusion is supported by some extremely fragmentary behavioral data indicating that the information they provide is redundant.


Subject(s)
Central Nervous System/anatomy & histology , Vertebrates/anatomy & histology , Visual Pathways/anatomy & histology , Animals , Central Nervous System/physiology , Vertebrates/physiology , Visual Pathways/physiology
20.
J Hirnforsch ; 36(2): 171-93, 1995.
Article in English | MEDLINE | ID: mdl-7615922

ABSTRACT

The primary visual system of 21 species of turtles, distributed among nine of the existing 12 families, were studied by autoradiography. In all species, contralateral visual projections exist to 15 targets: two hypothalamic structures (nucleus suprachiasmaticus and n. periventricularis), three major thalamic visual centres (nucleus ovalis, n. geniculatus lateralis ventralis and n. geniculatus lateralis dorsalis) and two minor thalamic targets (nucleus dorsolateralis anterior and n. ventrolateralis), five pretectal sites (nucleus geniculatus pretectalis, n. opticus pretectalis ventrolateralis, n. lentiformis mesencephali, n. posterodorsalis and n. griseus tectalis), two strata of the optic tectum (stratum opticum and s. fibrosum et griseum superficiale), and a single tegmental target (nucleus opticus tegmenti). In contrast to the stability of contralateral visual projections, their ipsilateral counterparts varied considerably between species, being limited to the hypothalamus in some species, and involving the majority of the primary visual centres in others. This variation is not readily explainable in terms of taxonomic position or of differences in mode of life.


Subject(s)
Turtles/anatomy & histology , Visual Cortex/anatomy & histology , Animals , Autoradiography , Hypothalamus/anatomy & histology , Superior Colliculi/anatomy & histology , Thalamus/anatomy & histology , Visual Pathways/anatomy & histology
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