An electronic oral health record to document, plan and educate.

The University of British Columbia (UBC) in collaboration with a software developer (Planmeca Oy, Finland) created an electronic oral health record based on the principles of cognitive ergonomics rooted in the European research and development project 'ORQUEST' to guide students through medical, dental, social histories, examinations, treatment planning and progress notes. Clinicians in each dental specialty of the Faculty of Dentistry and software engineers cooperated to define the clinical content and workflow of clinical procedures in three phases: (i) development of a radiographic module, (ii) development of medical, dental, social and family histories, intra- and extra-oral examinations, progress notes and treatment planning and (iii) development of the orthodontic section accompanied by an optimisation phase to correct technical problems and clinical content issues. From a practical perspective, this EOHR enhances the clinical performance of students and the quality assurance capacity of the institution. It facilitates audits of clinical productivity and research, and it can be modified with relative ease to suit similar educational and clinical environments in either public or private healthcare settings.

Biomass-based targets and the management of multispecies coral reef fisheries.

The failure of fisheries management among multispecies coral reef fisheries is well documented and has dire implications for the 100 million people engaged in these small-scale operations. Weak or missing management institutions, a lack of research capacity, and the complex nature of these ecosystems have heralded a call for ecosystem-based management approaches. However, ecosystem-based management of coral reef fisheries has proved challenging due to the multispecies nature of catches and the diversity of fish functional roles. We used data on fish communities collected from 233 individual sites in 9 western Indian Ocean countries to evaluate changes in the site's functional composition and associated life-history characteristics along a large range of fish biomass. As biomass increased along this range, fish were larger and grew and matured more slowly while the abundance of scraping and predatory species increased. The greatest changes in functional composition occurred below relatively low standing stock biomass (<600 kg/ha); abundances of piscivores, apex predators, and scraping herbivores were low at very light levels of fishing. This suggests potential trade-offs in ecosystem function and estimated yields for different management systems. Current fishing gear and area restrictions are not achieving conservation targets (proposed here as standing stock biomass of 1150 kg/ha) and result in losses of life history and ecological functions. Fish in reefs where destructive gears were restricted typically had very similar biomass and functions to young and low compliance closures. This indicates the potentially important role of fisheries restrictions in providing some gains in biomass and associated ecological functions when fully protected area enforcement potential is limited and likely to fail. Our results indicate that biomass alone can provide broad ecosystem-based fisheries management targets that can be easily applied even where research capacity and information is limited. Of particular value, is our finding that current management tools may be used to reach key ecosystem-based management targets, enabling ecosystem-based management in many socioeconomic contexts.

Biology of the Greenland shark Somniosus microcephalus.

Greenland shark Somniosus microcephalus is a potentially important yet poorly studied cold-water species inhabiting the North Atlantic and Arctic Oceans. Broad-scale changes in the Arctic ecosystem as a consequence of climate change have led to increased attention on trophic dynamics and the role of potential apex predators such as S. microcephalus in the structure of Arctic marine food webs. Although Nordic and Inuit populations have caught S. microcephalus for centuries, the species is of limited commercial interest among modern industrial fisheries. Here, the limited historical information available on S. microcephalus occurrence and ecology is reviewed and new catch, biological and life-history information from the Arctic and North Atlantic Ocean region is provided. Given the considerable by-catch rates in high North Atlantic Ocean latitudes it is suggested that S. microcephalus is an abundant predator that plays an important, yet unrecognized, role in Arctic marine ecosystems. Slow growth and large pup sizes, however, may make S. microcephalus vulnerable to increased fishing pressure in a warming Arctic environment.

Stable isotopes and elasmobranchs: tissue types, methods, applications and assumptions.

Stable-isotope analysis (SIA) can act as a powerful ecological tracer with which to examine diet, trophic position and movement, as well as more complex questions pertaining to community dynamics and feeding strategies or behaviour among aquatic organisms. With major advances in the understanding of the methodological approaches and assumptions of SIA through dedicated experimental work in the broader literature coupled with the inherent difficulty of studying typically large, highly mobile marine predators, SIA is increasingly being used to investigate the ecology of elasmobranchs (sharks, skates and rays). Here, the current state of SIA in elasmobranchs is reviewed, focusing on available tissues for analysis, methodological issues relating to the effects of lipid extraction and urea, the experimental dynamics of isotopic incorporation, diet-tissue discrimination factors, estimating trophic position, diet and mixing models and individual specialization and niche-width analyses. These areas are discussed in terms of assumptions made when applying SIA to the study of elasmobranch ecology and the requirement that investigators standardize analytical approaches. Recommendations are made for future SIA experimental work that would improve understanding of stable-isotope dynamics and advance their application in the study of sharks, skates and rays.

Amacrine, ganglion, and displaced amacrine cells in the rabbit retina express nicotinic acetylcholine receptors.

Acetylcholine (ACh) in the vertebrate retina affects the response properties of many ganglion cells, including those that display directional selectivity. Three beta and eight alpha subunits of neuronal nicotinic acetylcholine receptors (nAChRs) have been purified and antibodies have been raised against many of them. Here we describe biochemical and immunocytochemical studies of nAChRs in the rabbit retina. Radioimmunoassay and Western blot analysis demonstrated that many of the nAChRs recognized by a monoclonal antibody (mAb210) contain beta2 subunits, some of which are in combination with alpha3 and possibly other subunits. MAb210-immunoreactive cells in the inner nuclear layer (INL) were 7-14 microm in diameter and were restricted to the innermost one or two tiers of cells, although occasional cells were found in the middle of the INL. At least 60% of the cells in the ganglion cell layer (GCL) in the visual streak displayed mAb210 immunoreactivity; these neurons ranged from 7-18 microm in diameter. The dendrites of cells in both the INL and GCL could sometimes be followed until they entered one of two dense, poorly defined, bands of processes in the inner plexiform layer (IPL) that overlap the arbors of the cholinergic starburst cells. Parvalbumin and serotonin-positive neurons did not exhibit nAChR immunoreactivity. Although the level of receptor expression appeared to be low, mAb210 immunoreactivity was observed in some of the ChAT-positive (starburst) amacrine cells.

The shapes and numbers of amacrine cells: matching of photofilled with Golgi-stained cells in the rabbit retina and comparison with other mammalian species.

Amacrine cells of the rabbit retina were studied by "photofilling" a photochemical method in which a fluorescent product is created within an individual cell by focal irradiation of the nucleus; and by Golgi impregnation. The photofilling method is quantitative, allowing an estimate of the frequency of the cells. The Golgi method shows their morphology in better detail. The photofilled sample consisted of 261 cells that were imaged digitally in through-focus series from a previous study (MacNeil and Masland [1998] Neuron 20:971-982). The Golgi material consisted of 49 retinas that were stained as wholemounts. Eleven of these subsequently were cut in vertical section. Of the many hundreds of cells stained, digital through-focus series were recorded for 208 of the Golgi-impregnated cells. The two methods were found to confirm one another: Most cells revealed by photofilling were recognized easily by Golgi staining, and vice versa. The greater resolution of the Golgi method allowed a more precise description of the cells and several types of amacrine cell were redefined. Two new types were identified. The two methods, taken together, provide an essentially complete accounting of the populations of amacrine cells present in the rabbit retina. Many of them correspond to amacrine cells that have been described in other mammalian species, and these homologies are reviewed.

Extreme diversity among amacrine cells: implications for function.

We report a quantitative survey of the population of amacrine cells present in the retina of the rabbit. The cells' dendritic shape and level of stratification were visualized by a photochemical method in which a fluorescent product was created within an individual cell by focal irradiation of that cell's nucleus. A systematically random sample of 261 amacrine cells was examined. Four previously known amacrine cells were revealed at their correct frequencies. Our central finding is that the heterogeneous collection of other amacrine cells is broadly distributed among at least 22 types: only one type of amacrine cell makes up more than 5% of the total amacrine cell population. With these results, the program of identification and classification of retinal neurons begun by Cajal is nearing completion. The complexity encountered has implications both for the retina and for the many regions of the central nervous system where less is known.

Transgeniculate signal transmission to middle suprasylvian cortex in intact cats and following early removal of areas 17 and 18: a morphological study.

Removal of cat areas 17 and 18 early, but not late, in postnatal development results in the sparing of certain reflexive and nonreflexive visually guided behaviors. These spared behaviors are accompanied by an expansion of geniculocortical projections to middle suprasylvian (MS) cortex. However, little is known about the types of visual signals relayed along these pathways. The purpose of our study was to reveal the morphologies of the neurons participating in the rewired circuits and, by relating them to the morphologies of functionally characterized neurons described by others, infer the types of visual signals transmitted via the lateral geniculate nucleus (LGN) to MS cortex. To do this, we retrogradely labeled LGN neurons from MS cortex with fluorescent microspheres, and subsequently intracellularly filled them with Lucifer Yellow. We then classified well-filled neurons according to a battery of morphological parameters (such as soma size and shape, and dendritic field-form and specializations), and compared them with already defined structure/function relationships. By doing this, we found that the large majority of visual thalamic relay neurons to MS cortex of both normal cats and cats that incurred removal of areas 17 and 18 were types I and IV. These results indicate that visual Y and W signals, respectively, are relayed directly from LGN to MS cortex in both types of cats. Following the early lesions, some of the MS-projecting type I neurons were found in layers A and A1, where they are never found in intact cats. Thus, some layer A and A1 type I neurons redirect axons to MS cortex following early removal of areas 17 and 18. For the type IV MS-projecting neurons in early lesioned cats, the somas were hypertrophied and they had more profuse and broader dendritic arbors than equivalent neurons in intact cats. These results suggest that dynamic interactions take place between inputs and outputs of LGN neurons during development that influence final LGN neuron morphology. Moreover, they suggest that signals transferred to MS cortex by type IV neurons may be modified by early lesions of areas 17 and 18. Overall, these results contribute to our understanding of the types of behaviors that may be spared by early lesions of areas 17 and 18.

Thalamic and cortical projections to middle suprasylvian cortex of cats: constancy and variation.

We investigated the constancy and variability in the numbers of thalamic and cortical neurons projecting to cat middle suprasylvian (MS) visual cortex. Retrograde pathway tracers were injected at a single anatomically and physiologically defined locus in MS cortex. Counts of labeled neurons showed that the visual thalamic projections to MS cortex consistently arose from a fixed set of nuclei in relatively constant proportions. In contrast, counts of cortical neurons revealed that transcortical inputs to MS cortex were much more variable. This differential variability may be linked to the developmental program, which affords greater influence of experiential factors on cortical pathway development than on thalamocortical pathway development. These results have implications for the development of models of cerebral connectivity that include measures of pathway variability.

Opinions of dentists on an integrated fixed and removable prosthodontic curriculum.

Dentists in practice from 3 to 5 years who were exposed to an integrated fixed and removable prosthodontic curriculum as students at the University of British Columbia responded to a survey on the relevance of their prosthodontic education to current dental practice. The majority of the respondents reported that the integrated curriculum prepared them adequately for general dental practice, although many felt that they would have benefited from a greater emphasis on specific treatments, most notably cast metal inlays and onlays, all-ceramic restorations, and implant-supported prostheses.

Evidence for greater sight in blindsight following damage of primary visual cortex early in life.

This review compares the behavioral, physiological and anatomical repercussions of lesions of primary visual cortex incurred by developing and mature humans, monkey and cats. Comparison of the data on the repercussions following lesions incurred earlier or later in life suggests that earlier, but not later, damage unmasks a latent flexibility of the brain to compensate partially for functions normally attributed to the damaged cortex. The compensations are best documented in the cat and they can be linked to system-wide repercussions that include selected pathway expansions and neuron degenerations, and functional adjustments in neuronal activity. Even though evidence from humans and monkeys is extremely limited, it is argued on the basis of known repercussions and similarity of visual system organization and developmental sequence, that broadly equivalent repercussions most likely occur in humans and monkeys following early lesions of primary visual cortex. The extant data suggest potentially useful directions for future investigations on functional anatomical aspects of visual capacities spared in human patients and monkeys following early damage of primary visual cortex. Such research is likely to have a substantial impact on increasing our understanding of the repercussions that result from damage elsewhere in the developing cerebral cortex and it is likely to contribute to our understanding of the remarkable ability of the human brain to adapt to insults.

Rewiring of transcortical projections to middle suprasylvian cortex following early removal of cat areas 17 and 18.

Retrograde tracers were injected into middle suprasylvian (MS) cortex of two groups of experimental adult cats that had incurred removal of visual areas 17 and 18 on either the day of birth (P1), or at 1 month of age (P28). Tracers were also injected into the same region of intact and adult ablated control cats. The locations and numbers of labeled neurons in the experimental and control groups were compared. Following lesions on P1, but at no other age, increased numbers of neurons projected to MS cortex. Virtually all of the additional neurons were located in the superficial layers of the ventral posterior suprasylvian (vPS) cortex. These results demonstrated that (1) neurons with ipsilateral transcortical axons have the potential to reconfigure their projections after early, localized cortical damage elsewhere in the cortex of the same hemisphere; (2) this reconfiguration involves expansion of specific projections and is not a generalized capacity of all cortical neurons; (3) the expansion is modality specific; and finally, (4) the ability of cortical neurons to reorganize projections is limited in time. The expanded projection from vPS to MS cortex may contribute to neuronal compensations and the sparing of visually guided behaviors previously demonstrated in cats with neonatal visual cortex damage, and is a testament to the latent capacities immature cerebral cortex neurons possess to establish new projections following restricted damage to the cerebral cortex early in life.

Amplification of thalamic projections to middle suprasylvian cortex following ablation of immature primary visual cortex in the cat.

The purpose of the present study was to identify expansions in thalamic projections to middle suprasylvian (MS) cortex that could be linked to the sparing of visually guided behaviors that follow the removal of visual cortex early in postnatal life. Injections of retrograde tracers were made into the medial bank of the middle suprasylvian sulcus in intact, adult cats and in adult cats that had incurred ablations of areas 17 and 18 on the day of birth (P1), P28, or > or = 6 months of age, and the numbers of labeled neurons in the thalamus were counted. In the thalamus of the intact cat, the greatest number of labeled neurons are located in the lateral division of the lateral posterior nucleus and there are intermediate numbers in the medial division of the lateral posterior nucleus (LPm); and smaller numbers within the medial interlaminar nucleus, the C-complex of the dorsal lateral geniculate nucleus (dLGN), the geniculate wing, and the pulvinar nucleus. Following the removal of areas 17 and 18 at different ages, thalamic projections to MS cortex exhibit an age-dependent reorganization. Removals on P1, induce twice the normal number of neurons in LPm and three times the normal number of neurons in the C-complex of dLGN to project to MS cortex. Removals on P28 induce five times the normal number of neurons in the C-complex to project to MS cortex. In addition, removals at both ages resulted in projections from the A-laminae to MS cortex becoming permanently established. No changes in the pattern or number of neurons that project to MS cortex were detected when areas 17 and 18 were removed in adulthood. These results show that pathways through the C-complex of dLGN and through LPm expand substantially following ablation of immature areas 17 and 18. These expanded pathways are linked to Y- and W-functional streams of visual signals that are relayed from the retina to extrastriate cortex either directly through dLGN or indirectly via the superior colliculus and LPm. These signals may be critical for the sparing of neural operations following ablation of areas 17 and 18 early in development.

Reversible inactivation of visual processing operations in middle suprasylvian cortex of the behaving cat.

Extrastriate visual areas on the banks of the middle suprasylvian sulcus were inactivated by cooling to assess the behavioral contribution of this cortical region to the extraction of a stationary figure from a moving mask. Cooling blocked figure-ground separation when the mask was moving but had no influence when the mask was static. This difference provides strong evidence that the areas bounding the middle suprasylvian sulcus contribute to the neural separation of stationary from moving visual stimuli.