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1.
Integr Comp Biol ; 59(5): 1303-1311, 2019 11 01.
Artículo en Inglés | MEDLINE | ID: mdl-31120517

RESUMEN

The canines of saber-toothed cats are a classic example of an extreme morphology, yet important questions pertaining to their evolution remain unanswered. Recent analyses suggest these structures functioned as tools of intrasexual combat where trait size acts as both a weapon of battle and signal of competitive ability. However, classic skeletal reconstructions suggest saber-tooth canines evolved as specialized hunting tools. Either scenario could have led to the evolution of extreme canine size and distinguishing between these hypotheses is therefore difficult. This is made more challenging by the fact that natural observation of saber-toothed cats is impossible, and biologists must rely on measures of static morphology to study the patterns of selection that favored extreme canine size. Here I analyze the static intraspecific scaling relationship between canine size and body size in the saber-toothed cat, Smilodon fatalis, to determine whether or not extreme canine size functioned as a sexually selected signal. I review the literature surrounding the evolution of sexually selected signals and the methods recently established by O'Brien et al. (2018), show how static scaling relationships can be useful, reliable tools for inferring patterns of selection, especially in fossil organisms, and provide evidence that extreme canine size in saber-toothed cats was not the product of selection for effective sexual signals, but instead evolved as either a pure intrasexually selected weapon or a hunting tool.


Asunto(s)
Tamaño Corporal , Diente Canino/anatomía & histología , Felidae/anatomía & histología , Fósiles/anatomía & histología , Preferencia en el Apareamiento Animal , Selección Genética , Animales , Evolución Biológica
2.
Oecologia ; 184(2): 385-398, 2017 06.
Artículo en Inglés | MEDLINE | ID: mdl-28550467

RESUMEN

Climate-mediated changes in the phenology of Arctic sea ice and primary production may alter benthic food webs that sustain populations of Pacific walruses (Odobenus rosmarus divergens) and bearded seals (Erignathus barbatus). Interspecific resource competition could place an additional strain on ice-associated marine mammals already facing loss of sea ice habitat. Using fatty acid (FA) profiles, FA trophic markers, and FA stable carbon isotope analyses, we found that walruses and bearded seals partitioned food resources in 2009-2011. Interspecific differences in FA profiles were largely driven by variation in non-methylene FAs, which are markers of benthic invertebrate prey taxa, indicating varying consumption of specific benthic prey. We used Bayesian multi-source FA stable isotope mixing models to estimate the proportional contributions of particulate organic matter (POM) from sympagic (ice algal), pelagic, and benthic sources to these apex predators. Proportional contributions of FAs to walruses and bearded seals from benthic POM sources were high [44 (17-67)% and 62 (38-83)%, respectively] relative to other sources of POM. Walruses also obtained considerable contributions of FAs from pelagic POM sources [51 (32-73)%]. Comparison of δ13C values of algal FAs from walruses and bearded seals to those from benthic prey from different feeding groups from the Chukchi and Bering seas revealed that different trophic pathways sustained walruses and bearded seals. Our findings suggest that (1) resource partitioning may mitigate interspecific competition, and (2) climate change impacts on Arctic food webs may elicit species-specific responses in these high trophic level consumers.


Asunto(s)
Cambio Climático , Cadena Alimentaria , Morsas , Alaska , Animales , Regiones Árticas , Teorema de Bayes , Océanos y Mares , Dinámica Poblacional
3.
Eur J Clin Nutr ; 68(1): 91-6, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24219893

RESUMEN

BACKGROUND/OBJECTIVES: Sugar intake may be causally associated with chronic disease risk, either directly or by contributing to obesity. However, evidence from observational studies is mixed, in part due to the error and bias inherent in self-reported measures of sugar intake. Objective biomarkers may clarify the relationship between sugar intake and chronic disease risk. We have recently validated a biomarker of sugar intake in an Alaska Native (Yup'ik) study population that incorporates red blood cell carbon and nitrogen isotope ratios in a predictive model. This study tested associations of isotopic estimates of sugar intake with body mass index (BMI), waist circumference (WC) and a broad array of other physiological and biochemical measures of chronic disease risk in Yup'ik people. SUBJECTS/METHODS: In a cross-sectional sample of 1076 Yup'ik people, multiple linear regression was used to examine associations of sugar intake with BMI, WC and other chronic disease risk factors. RESULTS: Isotopic estimates of sugar intake were not associated with BMI (P=0.50) or WC (P=0.85). They were positively associated with blood pressure, triglycerides (TG) and leptin, and are inversely associated with total-, high-density lipoprotein- and low-density lipoprotein-cholesterol and adiponectin. CONCLUSIONS: Isotopic estimates of sugar intake were not associated with obesity, but were adversely associated with other chronic disease risk factors in this Yup'ik study population. This first use of stable isotope markers of sugar intake may influence recommendations for sugar intake by Yup'ik people; however, longitudinal studies are required to understand associations with chronic disease incidence.


Asunto(s)
Isótopos de Carbono/sangre , Enfermedad Crónica/etnología , Carbohidratos de la Dieta/administración & dosificación , Carbohidratos de la Dieta/efectos adversos , Isótopos de Nitrógeno/sangre , Adiponectina/sangre , Adulto , Anciano , Anciano de 80 o más Años , Alaska/epidemiología , Biomarcadores/sangre , Presión Sanguínea , Índice de Masa Corporal , Estudios Transversales , Femenino , Humanos , Indígenas Norteamericanos , Leptina/sangre , Modelos Lineales , Masculino , Persona de Mediana Edad , Obesidad/etnología , Factores de Riesgo , Triglicéridos , Circunferencia de la Cintura , Adulto Joven
4.
Oecologia ; 160(2): 225-33, 2009 May.
Artículo en Inglés | MEDLINE | ID: mdl-19238449

RESUMEN

Stable oxygen and hydrogen isotope analyses of fossil aquatic organisms, such as the chitinous head capsules of chironomid larvae (Chironomidae: Diptera), are promising proxies for inferring paleoecological conditions. In order for analyses of stable oxygen (delta(18)O) and hydrogen isotope ratios (delta(2)H) of fossil chironomid head capsules to be used effectively in paleoecological research, it is necessary to understand the factors controlling their stable oxygen and hydrogen composition. We cultured chironomid larvae in two isotopically distinct waters under controlled, replicated laboratory conditions. Chironomid larvae were fed on identical diets, to examine the degree to which water and diet influence the delta(18)O and delta(2)H of these organisms. We used a two-end member mixing model to determine the proportional contributions of oxygen and hydrogen from water to the oxygen and hydrogen of chironomid larvae. Our experiment demonstrated that 69.0 +/- 0.4% of oxygen and 30.8 +/- 2.6% of hydrogen in chironomid larvae are derived from habitat water. Our results show that oxygen isotopes from chironomid remains can better constrain past habitat water isotopic changes compared to hydrogen, due to 69% of the chironomid oxygen being influenced by habitat water. Our data add to a small but growing suite of comparative data on the sources of oxygen and hydrogen in animal tissues, and provide the first such analyses from aquatic insects.


Asunto(s)
Fenómenos Fisiológicos Nutricionales de los Animales , Chironomidae/fisiología , Dieta , Ecología/métodos , Agua/metabolismo , Análisis de Varianza , Animales , Hidrógeno/metabolismo , Larva/fisiología , Isótopos de Oxígeno/metabolismo , Paleontología
5.
AIHAJ ; 62(3): 342-8, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11434440

RESUMEN

In a study of 23 small machining shops using metalworking fluids (MWFs), real-time air monitoring using an aerosol photometer was performed to investigate the temporal nature of the exposure and to examine the relationship between the instrumental measurements and traditional sampling methods. Time-weighted averages were calculated from the aerosol photometer data and the results were compared to collocated thoracic and 37-mm closed face cassette samplers. The filter samples were analyzed for total mass and the solvent extractable fraction. Depending on the averaging period used, short-term MWF concentrations exceeded 2.0 mg/m3 in 13 to 39% of the plants studied. High short-term exposures were as likely to be found in plants with average concentrations below 0.4 mg/m3 (thoracic-gravimetric) as those above. Regression analyses indicated that the aerosol photometer most closely matched the data obtained from the thoracic fraction of the total mass. In general, the aerosol photometer overestimated the levels determined using the thoracic cyclone and filter, especially when measuring concentrations of water-based fluids. Use of a calibration factor of 0.7 for straight oils or 0.5 for water-based fluids may assist in the interpretation of aerosol photometer measurements if field calibration data are not readily available. Several approaches to determining the calibration factor from field data were evaluated; more complex calibration techniques improved the accuracy of the measurements.


Asunto(s)
Monitoreo del Ambiente/métodos , Sustancias Peligrosas/análisis , Aceites Industriales/análisis , Metalurgia , Exposición Profesional/análisis , Aerosoles , Sustancias Peligrosas/efectos adversos , Exposición Profesional/efectos adversos , Tamaño de la Partícula , Análisis de Regresión , Factores de Tiempo
6.
AIHAJ ; 62(3): 356-70, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11434442

RESUMEN

Sampling was conducted in 79 small machine shops to assess airborne exposures to metalworking fluids (MWFs). Measured exposures were compared with data from the literature and exposure criteria currently recommended by the National Institute for Occupational Safety and Health and the Occupational Safety and Health Administration MWF Standards Advisory Committee. Sixty-two percent of 942 personal samples collected were less than the recommended exposure limit (REL) of 0.50 mg/m3 for total particulate. However, at least 1 sample exceeded the REL in 61 of the 79 facilities studied; 100% of the samples collected in 10 shops were greater than the REL. Similar trends were found for thoracic particulate exposures where 75% of 238 samples were below the thoracic particulate REL of 0.40 mg/m3. The ratio between thoracic and total particulate for 238 paired samples was 0.55 (r2=0.73). Workers exposed to straight fluids had the highest exposures (GM=0.67 mg/m3) when compared with workers exposed to other classes of MWFs. The highest exposures were measured for grinding and hobbing (GM=0.67 and 0.60 mg/m3, respectively). Measurements using personal impactors indicated that particle size distributions of MWF aerosols had an average mass median aerodynamic diameter of 5.3 microm. Straight oils and soluble fluids tended to be associated with larger particles than were other fluid types; grinding and turning produced the largest particles, whereas hobbing resulted in the smallest. In general, exposures were similar in magnitude and particle size to those previously reported in large automotive plants. Therefore, workers in these small shops may have risks of adverse health effects similar to those demonstrated in the automotive industry.


Asunto(s)
Monitoreo del Ambiente/métodos , Sustancias Peligrosas/análisis , Metalurgia , Exposición Profesional/análisis , Lugar de Trabajo , Aerosoles , Sustancias Peligrosas/efectos adversos , Humanos , Exposición Profesional/efectos adversos , Tamaño de la Partícula
7.
J Exp Zool ; 290(2): 108-14, 2001 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-11471140

RESUMEN

The fuels used by the hawkmoth Amphion floridensis to power flight are determined by nectar-feeding, with fed moths using primarily carbohydrate and unfed moths using primarily fat. To investigate the metabolic pathways underlying fuel-use flexibility in this species, we measured the maximal activities of several key metabolic enzymes in the flight muscle of fed and unfed individuals, for which metabolic rates and fuel utilization had been previously determined. Hexokinase (HK) and phosphofructokinase (PFK) occur at high activities and, during carbohydrate-fueled flight, are estimated to operate at fractional velocities comparable to those of exclusively carbohydrate-utilizing insects. Females exhibited higher glycolytic enzyme activities than did males, and males regulated PFK activity according to nectar feeding. Although beta-hydroxyacyl-CoA dehydrogenase (HOAD) was found at high activities, carnitine palmitoyl transferase (CPT) was not detectable, suggesting that fatty acids may be utilized via a carnitine-independent pathway during flight. Principal component analysis revealed a tendency for the activities of citrate synthase, HK, PFK, and HOAD to be positively correlated among individuals, as well as a lesser tendency for the activities of glycolytic vs. mitochondrial enzymes to be negatively correlated with each other. However, the principal components did not correlate with variation in either oxygen consumption rate or fuel use in vivo, suggesting that variation in enzyme concentration did not determine differences among individuals in metabolic performance during flight. J. Exp. Zool. 290:108-114, 2001.


Asunto(s)
Mariposas Nocturnas/fisiología , Animales , Peso Corporal , Carnitina O-Palmitoiltransferasa/metabolismo , Metabolismo Energético , Conducta Alimentaria , Femenino , Vuelo Animal , Masculino , Mariposas Nocturnas/enzimología , Mariposas Nocturnas/crecimiento & desarrollo , Mariposas Nocturnas/metabolismo , Músculos/enzimología , Músculos/fisiología , Consumo de Oxígeno , Pupa , Caracteres Sexuales
8.
Br J Pharmacol ; 132(1): 5-9, 2001 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-11156554

RESUMEN

The effects of the recently identified human peptide urotensin-II (hU-II) were investigated on human cardiac muscle contractility and coronary artery tone. In right atrial trabeculae from non-failing hearts, hU-II caused a concentration-dependent increase in contractile force (pEC(50)=9.5+/-0.1; E(max)=31.3+/-4.8% compared to 9.25 mM Ca(2+); n=9) with no change in contraction duration. In right ventricular trabeculae from explanted hearts, 20 nM hU-II caused a small increase in contractile force (7.8+/-1.4% compared to 9.25 mM Ca(2+); n=3/6 tissues from 2 out of 4 patients). The peptide caused arrhythmic contractions in 3/26 right atrial trabeculae from 3/9 patients in an experimental model of arrhythmia and therefore has less potential to cause arrhythmias than ET-1. hU-II (20 nM) increased tone (17.9% of the response to 90 mM KCI) in 7/7 tissues from 1 patient, with no response detected in 8/8 tissues from 2 patients. hU-II is a potent cardiac stimulant with low efficacy.


Asunto(s)
Cardiotónicos/farmacología , Corazón/efectos de los fármacos , Urotensinas/farmacología , Arritmias Cardíacas/inducido químicamente , Arritmias Cardíacas/fisiopatología , Vasos Coronarios/efectos de los fármacos , Atrios Cardíacos/efectos de los fármacos , Ventrículos Cardíacos/efectos de los fármacos , Humanos , Técnicas In Vitro , Tono Muscular/efectos de los fármacos , Músculo Liso Vascular/efectos de los fármacos , Contracción Miocárdica/efectos de los fármacos
10.
Am Ind Hyg Assoc J ; 58(11): 787-91, 1997 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-9373924

RESUMEN

This study modeled the time required for a gasoline-powered, 5 horsepower (hp), 4-cycle engine to generate carbon monoxide (CO) concentrations exceeding the National Institute for Occupational Safety and Health 200-ppm ceiling and 1200-ppm immediately dangerous to life and health concentration for various room sizes and ventilation rates. The model permitted the ambiguous term "well-ventilated area" to be defined. The model was compared with field data collected at a site where two workers were poisoned while operating a 5-hp concrete saw in a bathroom having open doors and an operating ventilation system. There is agreement between both the modeled and field-generated data, indicating that hazardous CO concentrations can develop within minutes. Comparison of field and modeling data showed the measured CO generation rate at approximately one-half of the value used in the model, which may be partially because the engine used in the field was not under load during data collection. The generation rate and room size from the actual poisoning was then used in the model. The model determined that ventilation rates of nearly 5000 ft3/min (120 air changes per hour) would be required to prevent the CO concentration from exceeding the 200-ppm ceiling for short periods. Results suggest that small gasoline-powered engines should not be operated inside of buildings or in semienclosed spaces and that manufacturers of such tools should improve their warnings and develop engineering control options for better user protection.


Asunto(s)
Contaminación del Aire Interior/prevención & control , Intoxicación por Monóxido de Carbono/prevención & control , Monóxido de Carbono/análisis , Exposición Profesional/análisis , Ventilación , Contaminación del Aire Interior/efectos adversos , Intoxicación por Monóxido de Carbono/etiología , Humanos , Modelos Teóricos , Exposición Profesional/prevención & control
12.
Am Ind Hyg Assoc J ; 54(12): 742-8, 1993 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-8304278

RESUMEN

A study of worker exposure to airborne fungi was undertaken in a sugar beet refinery to evaluate the level of exposure and to determine if controls could be implemented that would lower these exposures. A previous study at this refinery identified one worker who reacted on challenge testing to the moldy but not the fresh sugar beet pulp, had specific Immunoglobulin G to Aspergillus niger, and specific Immunoglobulin E to Aspergillus. Also, two employees were diagnosed with occupational asthma. In the study reported here, two field surveys were conducted, the first during the sugar production campaign (January) and the second during postproduction cleanup and maintenance (June). Approximately 65 personal and area air samples were collected on polycarbonate filters and the culturable fungal spores were identified and enumerated. This study showed high exposure of pellet loaders and pellet silo workers to various species of Aspergillus. Other fungal species that might pose a health hazard were detected. Exposures to fungi during the postproduction cleanup and maintenance phase were much higher than those measured during the production campaign. Engineering controls that would reduce employee exposure are discussed.


Asunto(s)
Microbiología del Aire , Industria de Procesamiento de Alimentos , Exposición Profesional/análisis , Esporas Fúngicas/aislamiento & purificación , Verduras/microbiología , Aspergillus/aislamiento & purificación , Cladosporium/aislamiento & purificación , Diseño de Equipo , Humanos , Exposición Profesional/prevención & control , Penicillium/aislamiento & purificación
13.
Am Ind Hyg Assoc J ; 54(5): 260-6, 1993 May.
Artículo en Inglés | MEDLINE | ID: mdl-8498361

RESUMEN

The focus of this exposure assessment and control technology study was a brass foundry and the lead exposures of workers involved in the transportation and pouring of metal. Controls in place at the foundry included ventilation systems at the furnace and along the continuous and stationary pouring lines. Real-time measurements were made to determine which tasks were the primary exposure sources, and a hand-held aerosol monitor was used to measure real-time aerosol exposures (as a surrogate for lead) in the workers' breathing zones. Data were collected over two 30-min sampling periods while worker activities were monitored using a video camera. Analysis of the data showed that the greatest aerosol exposures occurred during the transportation of an unventilated, full ladle, resulting in an average concentration of at least twice that of the other tasks. The study concluded that the addition of exhaust ventilation such as a moveable hood and duct system during the ladle transport and pouring tasks, and the implementation of a side draft hood at the pigging area, could result in a reduction of worker exposure to aerosols during the continuous pouring operation by up to 40%. The controls and techniques suggested in this study could be applied to pouring operations throughout the industry to reduce worker exposure to metal fumes.


Asunto(s)
Plomo , Metalurgia , Exposición Profesional , Humanos , Análisis de Sistemas
14.
Am J Physiol ; 262(4 Pt 2): H980-6, 1992 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-1373575

RESUMEN

Chronic increases in myocardial blood flow have been shown to stimulate capillary proliferation in normal growing hearts. It is unknown, however, if elevated myocardial blood flow stimulates precapillary and/or capillary growth in hearts undergoing hypertrophy. Accordingly, renal hypertension was produced in rabbits (Page, 1-kidney, 1-wrap model) in which one group of Page (n = 9) and one group of normotensive sham (n = 10) rabbits were given dipyridamole (4.0 mg/kg sc) twice daily for 2 mo. Another group of Page (n = 7) and sham (n = 12) rabbits received vehicle injections. In separate acute studies performed on conscious rabbits, this does of dipyridamole increased myocardial blood flow 35-60% over time without altering transmural distribution of flow or systemic blood pressure. Two months later, minimal coronary vascular resistance (MCVR/100 g) was calculated from perfusion during maximal coronary vasodilation in conscious animals. Histomorphometric methods were then utilized to evaluate various indexes of capillarity in perfuse-fixed hearts. Systolic pressure and left ventricle weight-to-body weight ratios were significantly higher in Page vs. sham rabbits; dipyridamole treatment did not alter these parameters within either group. Similarly, dipyridamole treatment did not significantly alter MCVR/100 g values in either normotensive or hypertensive rabbits. In contrast, dipyridamole treatment increased endomyocardial capillary length density by 33% in the hypertensive group (P less than 0.05) and 11% in the sham group (P not significant) compared with the respective vehicle-treated rabbits. In addition, intercapillary distance was significantly reduced in the endomyocardial region of both groups receiving dipyridamole injections.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Cardiomegalia/fisiopatología , Circulación Coronaria/efectos de los fármacos , Dipiridamol/farmacología , Animales , Capilares/crecimiento & desarrollo , Hipertensión Renal/fisiopatología , Masculino , Neovascularización Patológica/inducido químicamente , Neovascularización Patológica/patología , Neovascularización Patológica/fisiopatología , Conejos , Valores de Referencia , Factores de Tiempo
15.
Am J Physiol ; 260(5 Pt 2): H1515-21, 1991 May.
Artículo en Inglés | MEDLINE | ID: mdl-1827957

RESUMEN

Sympathetic nerves are known to influence vascular growth, but their role in coronary vascular adaptations to pressure-overload left ventricular (LV) hypertrophy is unknown. Accordingly, regional sympathectomy (SYMX) was produced by painting a ring of phenol on the posterior third of the LV in seven renal hypertensive (Page: 1 kidney, 1 wrap) and seven normotensive (sham: 1 kidney, no wrap) rabbits. Two months later, maximal myocardial blood flow (MBF) following dipyridamole-induced coronary vasodilation was determined with microspheres in the intact anterior and the sympathectomized posterior regions of conscious rabbits. Histomorphometric methods were then utilized to evaluate capillary density (CD), intercapillary distance (ICD), and volume density (VD) of subepicardial and endocardial samples of each region of perfused-fixed hearts. The Page procedure significantly increased systolic blood pressure (+29%) and LV wt/body wt (+20%) above sham rabbits. In both sham and Page groups, MBF was not significantly different between intact and sympathectomized regions within either group. SYMX did not significantly alter CD, ICD, or VD between regions in the sham animals. In contrast, SYMX significantly increased CD (+30%) and VD (+26%) and decreased ICD (-21%) in the subendocardial region of Page animals. Regional SYMX did not alter myocyte cross-sectional area in Page animals. We conclude that SYMX neither 1) significantly increases resistance vessel cross-sectional lumen area in either normal or hypertrophic hearts, nor 2) significantly influences capillary growth in normal hearts, but SYMX does 3) promote capillary growth in hearts undergoing hypertrophy in response to hypertension.


Asunto(s)
Capilares/crecimiento & desarrollo , Cardiomegalia/fisiopatología , Simpatectomía , Animales , Capilares/patología , Cardiomegalia/metabolismo , Cardiomegalia/patología , Circulación Coronaria , Hemodinámica/efectos de los fármacos , Masculino , Miocardio/metabolismo , Miocardio/patología , Norepinefrina/metabolismo , Tamaño de los Órganos , Conejos
16.
Am Ind Hyg Assoc J ; 51(4): 217-23, 1990 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-2327332

RESUMEN

Laboratory bench tests, known as dustiness tests, have been used to evaluate and compare the potential of various powders to cause occupational dust exposure. Dustiness tests are used to develop products with reduced dust emissions. The correlation between dustiness test results and dust exposures was evaluated at two bag dumping and bag filling operations. At one bag dumping and one bag filling operation, there was evidence of a relationship between dustiness test results and dust exposures. In one case, regression analysis showed that dust exposures could be predicted to within nearly one order of magnitude. The variability in this prediction was caused by the inherent variability in the occupational dust exposures. In the other case, there was evidence of a correlation after the data had been adjusted for the effect of varying drop height. At the remaining two operations, no correlation between dust exposures and dustiness test results were observed. These results indicate that the relevance of dustiness tests to occupational dust exposure needs to be evaluated at each site. Because a better option does not exist, manufacturers should continue to use empirical dustiness tests to develop better products in the laboratory. The conclusions reached in the laboratory need to be validated by dust exposure measurements in the field, however.


Asunto(s)
Contaminantes Ocupacionales del Aire/análisis , Polvo/análisis , Monitoreo del Ambiente/instrumentación , Humanos , Polvos
17.
Healthc Exec ; 5(1): 34-7, 1990.
Artículo en Inglés | MEDLINE | ID: mdl-10106414

RESUMEN

In April of 1988, the Accrediting Commission on Education for Health Services Administration began reviewing its criteria, policies, and procedures for accreditation. The goal was to update the criteria and revise the policies and procedures to reflect advances in knowledge and practice and to ensure that accreditation judgments are objective and consistent. Since input from those most affected by the new criteria--faculty and practitioners--is essential, the commission sought assistance from the field. Through this collaboration, it is ACEHSA's intention to continue to encourage the dynamic collaboration of the field of education and the field of practice in health services administration that's characteristic of ACEHSA's 20-year history.


Asunto(s)
Educación de Postgrado/normas , Administración Hospitalaria/educación , Acreditación , Estados Unidos
19.
Retina ; 9(4): 281-6, 1989.
Artículo en Inglés | MEDLINE | ID: mdl-2629043

RESUMEN

Three young women developed acute macular neuroretinopathy with persistent paracentral scotomas following acute hypertension caused by intravenous sympathomimetics. The temporal relationship of the acute onset of symptoms suggests either acute hypertension or a direct retinal effect of sympathomimetics as the cause of the retinal changes.


Asunto(s)
Mácula Lútea/efectos de los fármacos , Enfermedades de la Retina/inducido químicamente , Simpatomiméticos/efectos adversos , Enfermedad Aguda , Adulto , Presión Sanguínea/efectos de los fármacos , Efedrina/administración & dosificación , Efedrina/efectos adversos , Epinefrina/administración & dosificación , Epinefrina/efectos adversos , Femenino , Angiografía con Fluoresceína , Fondo de Ojo , Humanos , Inyecciones Intravenosas , Escotoma/inducido químicamente , Simpatomiméticos/administración & dosificación
20.
Am J Obstet Gynecol ; 158(2): 250-4, 1988 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-3341402

RESUMEN

Possible prognostic factors in early stage cervical cancer include patient age, tumor size, cell type, differentiation, and channel invasion. In this study each of these factors was evaluated based only on the findings available before surgery, and the observations are compared with patient survival and incidence of node metastases. One hundred consecutive patients with stage IB or IIA cervical cancer treated by primary radical surgery and followed at least 2 years are reported. Disease-free survival was 90% at 2 years and 85% at 5 years; 19% had node metastases. Of the factors studied, only age greater than 50 years was associated with poor prognosis (p less than 0.02 versus age less than 50 years). Only large tumor size was associated with increased node metastases (p less than 0.001 versus medium and small size). Tumor cell type, differentiation, and channel involvement had no bearing on survival or node metastases. Because older age and large tumors appear to be factors of poor prognosis for surgery, and yet it is not clear that these patients fare better with radiotherapy, we suggest a prospective trial of radiotherapy versus surgery for this group.


Asunto(s)
Adenocarcinoma/mortalidad , Carcinoma de Células Escamosas/mortalidad , Neoplasias del Cuello Uterino/mortalidad , Adenocarcinoma/patología , Factores de Edad , Carcinoma de Células Escamosas/patología , Femenino , Estudios de Seguimiento , Humanos , Persona de Mediana Edad , Estadificación de Neoplasias , Cuidados Preoperatorios , Pronóstico , Neoplasias del Cuello Uterino/patología
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