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1.
Plants (Basel) ; 13(5)2024 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-38475451

RESUMO

Plant reproductive ecology explores aspects of the biology and ecology of plants ranging from breeding systems, plant-pollinator interactions, seed germination, floral traits, and much more [...].

2.
Cladistics ; 38(2): 204-226, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35277891

RESUMO

Pollen, the microgametophyte of seed plants, has an important role in plant reproduction and, therefore, evolution. Pollen is variable in, for example, size, shape, aperture number; these features are particularly diverse in some plant taxa and can be diagnostic. In one family, Boraginaceae, the range of pollen diversity suggests the potential utility of this family as a model for integrative studies of pollen development, evolution and molecular biology. In the present study, a comprehensive survey of the diversity and evolution of pollen from 538 species belonging to 72 genera was made using data from the literature and additional scanning electron microscopy examination. Shifts in diversification rates and the evolution of various quantitative characters were detected, and the results revealed remarkable differences in size, shape and number of apertures. The pollen of one subfamily, Boraginoideae, is larger than that in Cynoglossoideae. The diversity of pollen shapes and aperture numbers in one tribe, Lithospermeae, is greater than that in the other tribes. Ancestral pollen for the family was resolved as small, prolate grains that bear three apertures and are iso-aperturate. Of all the tribes, the greatest number of changes in pollen size and aperture number were observed in Lithospermeae and Boragineae, and the number of apertures was found to be stable throughout all tribes of Cynoglossoideae. In addition, the present study showed that diversification of Boraginaceae cannot be assigned to a single factor, such as pollen size, and the increased rate of diversification for species-rich groups (e.g. Cynoglossum) is not correlated with pollen size or shape evolution. The palynological data and patterns of character evolution presented in the study provide better resolution of the roles of geographical and ecological factors in the diversity and evolution of pollen grains of Boraginaceae, and provide suggestions for future palynological research across the family.


Assuntos
Boraginaceae , Genes de Plantas , Microscopia Eletrônica de Varredura , Pólen , Sementes
3.
Plasmid ; 114: 102562, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33497686

RESUMO

Pathogenic Yersinia bacteria, including Y. pseudotubuclosis Y. enterocolitica, and Y. pestis, contain the mosaic plasmid pYV that encodes for, among other things, a number of proteinaceous virulence factors. While the evolutionary histories of many of the biovars and strains of pathogenic Yersinia species are well documented, the origins of many of the individual virulence factors have not been comprehensively examined. Here, the evolutionary origins of the genes coding for a set of Yersinia outer protein (Yop) virulence factors were investigated through phylogenetic reconstruction and subsequence analysis. It was found that many of these genes had only a few sequenced homologs and none of the resolved phylogenies recovered the same relationships as was resolved from chromosomal analyses. Many of the evolutionary relationships differ greatly among genes on the plasmid, and variation is also found across different domains of the same gene, which provides evidence of the mosaic nature of the plasmid as well as multiple genes on the plasmid. This mosaic aspect also relates to patterns of selection, which vary among the studied domains.


Assuntos
Yersinia enterocolitica , Yersinia , Filogenia , Plasmídeos/genética , Fatores de Virulência/genética , Yersinia/genética , Yersinia enterocolitica/genética
4.
Appl Plant Sci ; 7(9): e11288, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31572629

RESUMO

PREMISE: Morphometric analysis is a common approach for comparing and categorizing botanical samples; however, completing a suite of analyses using existing tools may require a multi-stage, multi-program process. To facilitate streamlined analysis within a single program, Morphological Analysis of Size and Shape (MASS) for leaves was developed. Its utility is demonstrated using exemplar leaf samples from Acer saccharum, Malus domestica, and Lithospermum. METHODS: Exemplar samples were obtained from across a single tree (Acer saccharum), three trees in the same species (Malus domestica), and online, digitized herbarium specimens (Lithospermum). MASS was used to complete simple geometric measurements of samples, such as length and area, as well as geometric morphological analyses including elliptical Fourier and Procrustes analyses. Principal component analysis (PCA) of data was also completed within the same program. RESULTS: MASS is capable of making desired measurements and analyzing traditional morphometric data as well as landmark and outline data. DISCUSSION: Using MASS, differences were observed among leaves of the three studied taxa, but only in Malus domestica were differences statistically significant or correlated with other morphological features. In the future, MASS could be applied for analysis of other two-dimensional organs and structures. MASS is available for download at https://github.com/gillianlynnryan/MASS.

5.
Am J Bot ; 106(10): 1285-1299, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31539168

RESUMO

PREMISE: Distyly, a plant breeding system characterized by two floral morphs that have reciprocal positioning of anthers and stigmas, is known from at least 27 angiosperm families, making it an excellent example of convergent evolution. The various manners in which patterns of floral development produce the distinct anther and stigma heights in each morph remain largely unexplored from developmental and evolutionary perspectives. METHODS: In 15 species representing at least 12 origins of distyly, heights and lengths of floral organs in each morph throughout development were examined using light microscopy. Patterns of floral organ development were determined and compared among species. Family-level phylogenies of distylous species and relatives were reconstructed, and patterns of ancestral herkogamy were resolved. RESULTS: Differences in floral development between morphs resulted in 12 patterns leading to the anther and stigma positions characterizing distyly. Distylous species evolved from ancestors with different types of herkogamy, with approach herkogamy and lack of herkogamy resolved most frequently. CONCLUSIONS: Seven of the 12 patterns of floral development are known from only one species, with three other patterns described among pairs of close relatives. The most common pattern of floral development, described from at least seven genera, involves for anther heights, distinct intermorph growth rates and for stigma heights, growth rates that differ between morphs only during later development. This pattern is common among subclass Lamiidae, suggesting canalized development within the taxon. Among distylous species, the same type of ancestral herkogamy can give rise to different patterns of floral development.


Assuntos
Magnoliopsida , Cruzamento , Flores , Filogenia
6.
Head Neck ; 39(11): 2319-2328, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28837753

RESUMO

BACKGROUND: The purpose of this study was to compare long-term functional and quality of life (QOL) outcomes after total laryngectomy with primary closure and those who underwent reconstruction with noncircumferential radial free forearm tissue transfer (RFFTT). METHODS: Sixty-seven patients were identified by chart review and underwent long-term follow-up using QOL surveys and standardized interviews. RESULTS: The RFFTT group had significantly higher rates of chemotherapy, gastric tube (G-tube) at surgery, and postoperative stricture. At follow-up, most patients (88%) had a tracheoesophageal prosthesis (TEP) and were using it as their primary communication method. Diet and swallowing outcomes were comparable and no one had a G-tube. Device life and TEP complications did not differ significantly. Only voice-related QOL differed significantly between the RFFTT group and those who had undergone total laryngectomy without adjuvant treatment. CONCLUSION: Despite more extensive treatment, the reconstructed group achieved comparable outcomes to those who had undergone total laryngectomy with adjuvant treatment.


Assuntos
Retalhos de Tecido Biológico , Neoplasias Laríngeas/cirurgia , Laringectomia , Procedimentos de Cirurgia Plástica , Qualidade de Vida , Voz/fisiologia , Idoso , Estudos de Coortes , Deglutição/fisiologia , Feminino , Antebraço , Humanos , Neoplasias Laríngeas/fisiopatologia , Laringe Artificial , Masculino , Pessoa de Meia-Idade , Recuperação de Função Fisiológica , Resultado do Tratamento
7.
PLoS One ; 11(9): e0163243, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27656885

RESUMO

In China, species of Atraphaxis (Polygonaceae) primarily inhabit arid zones across temperate steppe and desert regions. The complex geologic history (e.g., expansion of deserts) and extreme climate shifts of the region appear to have played an important role in shaping the phylogeography of Atraphaxis. The present study focuses on species-level phylogeographic patterns of Atraphaxis in China, with the goal of determining the impact of past environmental changes, in northern China, on the evolutionary history of the genus. Five hundred and sixty-four individuals distributed among 71 populations of 11 species of Atraphaxis from across the geographic range of the genus were studied using sequence data from two plastid spacers, psbK-psbI and psbB-psbH. The results demonstrate that most chloroplast haplotypes are species-specific, except for some present among widespread species. The phylogeny of Atraphaxis was well structured, and molecular dating analyses suggest that the main divergence events occurred during the late Pliocene and Pleistocene (5.73-0.03 million years ago). The statistical dispersal-vicariance analysis (S-DIVA) results provide evidence that phylogeographic patterns for the genus were characterized by both vicariance events and regional dispersal. The presented data suggest that the rapid expansion of deserts and climatic changes in northern China during the late Pliocene and Pleistocene have driven the diversification and spread of Atraphaxis in the region. The expansion of the Tengger Desert provided appropriate conditions for the origin of A. bracteata. Additionally, a contact zone in the north of the Hexi Corridor was identified as having played a significant role as a migratory route for species in adjacent areas.

8.
Front Plant Sci ; 7: 1934, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-28066486

RESUMO

Genes controlling the morphological, micromorphological, and physiological components of the breeding system distyly have been hypothesized, but many of the genes have not been investigated throughout development of the two floral morphs. To this end, the present study is an examination of comparative transcriptomes from three stages of development for the floral organs of the morphs of Lithospermum multiflorum. Transcriptomes of flowers of the two morphs, from various stages of development, were sequenced using an Illumina HiSeq 2000. The floral transcriptome of L. multiflorum was assembled, and differential gene expression (DE) was identified between morphs, throughout development. Additionally, Gene Ontology (GO) terms for DE genes were determined. Fewer genes were DE early in development compared to later in development, with more genes highly expressed in the gynoecium of the SS morph and the corolla and androecium of the LS morph. A reciprocal pattern was observed later in development, and many more genes were DE during this latter stage. During early development, DE genes appear to be involved in growth and floral development, and during later development, DE genes seem to affect physiological functions. Interestingly, many genes involved in response to stress were identified as DE between morphs.

9.
Ticks Tick Borne Dis ; 6(4): 463-72, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25881916

RESUMO

We studied the natural life cycle of Amblyomma inornatum and its vector potential in South Texas. This tick is distributed throughout South Texas and most of Central America. A. inornatum represented 1.91% of the ticks collected by carbon dioxide traps during a study of free-living ticks in the Tamaulipan Biotic Province in South Texas. The life cycle of A. inornatum in South Texas showed a clear seasonal pattern consistent with one generation per year. Nymphs emerged in the spring with a peak in February through May. Adults emerged in the summer with a peak in July through September. Detection of A. inornatum larvae was negatively correlated with saturation deficit and positively correlated with rain in the previous few months. Adult activity was positively correlated with temperature and rain in the previous five weeks. Using PCR we detected the presence of species related to Candidatus Borrelia lonestari, Borrelia burgdorferi, Rickettsia species (Candidatus Rickettsia amblyommii), Ehrlichia chaffeensis, and another Ehrlichia related to Ehrlichia ewingii. Finally we sequenced the mitochondrial 16S rRNA genes and found that A. inornatum is most closely related to Amblyomma parvum. This is the first report of the life cycle, vector potential and phylogeny of A. inornatum.


Assuntos
Vetores Aracnídeos/classificação , Carrapatos/classificação , Animais , Vetores Aracnídeos/genética , Vetores Aracnídeos/crescimento & desenvolvimento , Feminino , Estágios do Ciclo de Vida , Masculino , Dados de Sequência Molecular , Filogenia , Dinâmica Populacional , Texas , Carrapatos/genética , Carrapatos/crescimento & desenvolvimento
10.
Cladistics ; 30(2): 139-169, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34784688

RESUMO

The angiosperm family Boraginaceae includes ca. 1600 species distributed among ca. 110 genera. Some floral features are constant within the family, but many vegetative, floral, pollen, and nutlet traits vary. Utilizing 224 species of Boraginaceae and related taxa, five matrices were constructed with various combinations of morphological characters, three chloroplast DNA regions, and one nuclear ribosomal DNA region. Phylogenetic analyses were conducted for these matrices, and patterns of character evolution were examined. Boraginaceae is resolved as monophyletic, with Wellstedia as its sister. Codon is sister to Boraginaceae + Wellstedia. Although most of the investigated morphological characters have a low consistency index, particular character states are synapomorphies for large clades in each of the tribes of the family. In Boraginaceae, the breeding system heterostyly evolved at least 12 times, which is the largest number of origins resolved in any family; therefore Boraginaceae can serve as a model for the evolution and development of heterostyly. Nutlet ornamentation is most diverse in Cynoglosseae and Trichodesmeae, while pollen and floral features are most variable in Boragineae and Lithospermeae. Phylogenetic relationships and patterns of character evolution identified in the present study set the stage for future work creating an updated taxonomic system of Boraginaceae.

11.
Ann Otol Rhinol Laryngol ; 122(11): 707-16, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24358632

RESUMO

OBJECTIVES: We compared the voice outcomes after cricotracheal resection (CTR) and airway dilation in adult women. METHODS: We performed long-term comprehensive voice assessments in 23 adult women treated for laryngotracheal stenosis, including acoustic and perceptual measurements of voice, videostroboscopy, the Voice Handicap Index, and an open-ended subjective questionnaire. RESULTS: Voice measures were abnormal in both groups. Objective pitch and loudness measurements were significantly more impaired after CTR than after dilation. Perceptual ratings of voice were worse after CTR than after dilation, particularly with regard to breathiness, pitch, and loudness. The CTR group was more likely to report a voice disorder, reported significantly more voice symptoms, and had higher voice handicap scores. Videostroboscopy was frequently abnormal in both groups, with more evidence of vocal hyperfunction after CTR. Self-ratings of breathing and swallowing were generally high in both groups, but voice satisfaction was rated lower after CTR. CONCLUSIONS: Voice was more significantly negatively impacted by CTR than by dilation. Surprisingly, many individuals in both groups reported improvements--a finding that possibly highlights the impact of laryngotracheal stenosis on airflow and vocal function before surgery. The importance of patient selection and preoperative counseling is emphasized, along with the potential need for voice therapy.


Assuntos
Cartilagem Cricoide/cirurgia , Laringoestenose/cirurgia , Procedimentos Cirúrgicos Otorrinolaringológicos/efeitos adversos , Traqueia/cirurgia , Estenose Traqueal/cirurgia , Distúrbios da Voz/diagnóstico , Qualidade da Voz , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Incidência , Pessoa de Meia-Idade , Oregon/epidemiologia , Estudos Retrospectivos , Inquéritos e Questionários , Distúrbios da Voz/epidemiologia , Distúrbios da Voz/etiologia , Adulto Jovem
12.
Am J Bot ; 99(5): 797-805, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22494907

RESUMO

PREMISE OF THE STUDY: The evolution and development of floral developmental patterns were investigated in three heterostylous and three homostylous species of Lithospermum to determine whether species that independently acquired the same floral form follow the same pattern of development or different patterns. METHODS: Using light and scanning electron microscopy, we observed developmental patterns in flowers at different stages of maturity. These patterns were compared within individual species, between heterostylous morphs, and among heterostylous and homostylous species. KEY RESULTS: Although heterostyly has been determined by phylogenetic analysis to have originated independently in each of the heterostylous species, flowers of the long-style morph of each species follow similar patterns of gross development, as do those of the short-style morph. In addition, the flowers of each morph develop in a manner similar to those of their respective homostylous, herkogamous relatives. However, the developmental patterns of the stylar epidermal cells differ among these species and between heterostylous and homostylous species. CONCLUSIONS: Floral developmental patterns in homostylous species provide evidence that modification of specific traits, such as patterns of stylar growth, can lead to the evolution of heterostyly. The developmental changes that affect the positions of the stigmas and anthers in each morph likely involve either temporal or spatial modifications of gene function. The floral developmental patterns described here and the occurrence of multiple types of herkogamy within some species of Lithospermum provide evidence that heterostylous species in the genus have originated via distinct evolutionary developmental pathways.


Assuntos
Evolução Biológica , Flores/anatomia & histologia , Flores/crescimento & desenvolvimento , Lithospermum/anatomia & histologia , Lithospermum/crescimento & desenvolvimento , Flores/citologia , Tamanho do Órgão , Filogenia , Epiderme Vegetal/citologia , Epiderme Vegetal/crescimento & desenvolvimento
13.
Laryngoscope ; 121(4): 769-76, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21381042

RESUMO

OBJECTIVES/HYPOTHESIS: To investigate 1) whether the Provox ActiValve results in increased device-life in individuals with below average device-life, 2) whether it is cost-effective, and 3) whether it has any impact on voice-related quality of life. STUDY DESIGN: Prospective study. METHODS: Individuals who experienced below-average tracheoesophageal prosthesis (TEP) life were studied. RESULTS: Individuals with persistent below-average TEP life were enrolled in the study and underwent periodic re-evaluation. The majority (73%) experienced significant improvement as a result of use of the device. Those who continued to wear the device were followed for an average of 30.45 months (range, 14.70-43.49 months) and wore a total of 31 devices over this time. They demonstrated an average increase in device-life of more than 500%, going from an average of 1.93 months with a traditional indwelling device to 10.30 months with the ActiValve. The majority of individuals found that voicing with the ActiValve was either the same or better than with their previous indwelling TEP. Voice-related quality of life was not significantly different from that of a group of controls. Overall satisfaction with the device was high, and the majority would have chosen the ActiValve in the future. Overall, there were estimated to be cost savings to third-party payers through use of the ActiValve in this population. CONCLUSIONS: The ActiValve is effective in increasing device-life in selected patients who have failed conservative measures. Our protocol for use of the device requires individuals to meet several usage criteria before initial placement and to return for periodic monitoring.


Assuntos
Neoplasias Laríngeas/cirurgia , Laringectomia/reabilitação , Laringe Artificial/economia , Desenho de Prótese/economia , Idoso , Redução de Custos , Análise de Falha de Equipamento , Feminino , Retalhos de Tecido Biológico , Humanos , Laringectomia/economia , Laringectomia/psicologia , Laringe Artificial/psicologia , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Faringectomia/economia , Faringectomia/psicologia , Faringectomia/reabilitação , Estudos Prospectivos , Qualidade de Vida/psicologia
14.
Cladistics ; 27(6): 559-580, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34875811

RESUMO

Lithospermum (Boraginaceae) includes ca. 60 species and exhibits a wide range of floral, palynological, and vegetative diversity. Phylogenetic analyses based on 10 chloroplast DNA regions and 22 morphological characters were conducted in order to (i) examine evolutionary relationships within Lithospermum and among related genera of Boraginaceae, and (ii) investigate patterns of morphological evolution. Several morphological features, such as long-funnelform corollas, faucal appendages, reciprocal herkogamy, and evident secondary leaf venation, have evolved multiple times within the genus. In contrast, other morphological features, including the presence of glands and the position and number of pollen pores, are less plastic and tend to characterize larger clades. Some features, including the presence of glands, are interpreted as symplesiomorphic for Lithospermum, while others, such as evident secondary leaf venation, appear to have originated repeatedly. The range of structural diversity that occurs among the species of Lithospermum suggests the potential utility of this genus as a model for integrative studies of evolution, development, and molecular biology.© The Willi Hennig Society 2011.

15.
Arch Otolaryngol Head Neck Surg ; 136(7): 692-6, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20644065

RESUMO

OBJECTIVE: To determine the risk of nodal metastases to the central compartment from differentiated papillary thyroid carcinoma (PTC) relative to known prognostic variables. DESIGN: A 7-year single-institutional retrospective review. SETTING: Tertiary academic center. PATIENTS: A total of 115 patients undergoing central neck dissection (CND) for PTC or follicular variant PTC (FVPTC). MAIN OUTCOME MEASURE: Number, location, and positivity of lymph nodes for malignant disease in the central compartment based on patient age, sex, extrathyroidal extension, and primary tumor size, histologic type, and focality. RESULTS: Eighty-seven percent of patients had PTC, and 13% had FVPTC. Bilateral (64%) or ipsilateral (36%) CND was performed in patients with PTC. Patients with FVPTC underwent only ipsilateral CND. There was no significant difference in the number of lymph nodes retrieved based on patient age or sex, histologic type of the primary tumor, size or focality, or surgeon or pathologist. Seventy-eight percent of patients with PTC had malignant lymph nodes in the ipsilateral (75%) or bilateral/contralateral (69%) central compartment. Ipsilateral nodal metastases directly correlated with tumor multifocality (r = 0.93; P = .001) and size (r = 0.89; P = .001). Bilateral nodal metastases directly correlated with tumor multifocality (r = 0.92; P = .001) but was independent of size (r = 0.56; P = .001). No malignant lymph nodes were identified in the central compartment of FVPTC. CONCLUSIONS: Malignant central nodal metastases occur with high frequency in PTC but not in FVPTC. The risk of metastases correlated with the size and multifocality of the primary tumor. Additional studies are warranted to determine the extent of CND in patients with and without known multifocal disease and to determine the role of CND in patients with FVPTC.


Assuntos
Carcinoma Papilar/patologia , Carcinoma Papilar/secundário , Excisão de Linfonodo/métodos , Linfonodos/patologia , Neoplasias da Glândula Tireoide/patologia , Centros Médicos Acadêmicos , Biópsia por Agulha , Carcinoma Papilar/mortalidade , Carcinoma Papilar/cirurgia , Carcinoma Papilar, Variante Folicular/mortalidade , Carcinoma Papilar, Variante Folicular/patologia , Carcinoma Papilar, Variante Folicular/secundário , Carcinoma Papilar, Variante Folicular/cirurgia , Estudos de Coortes , Intervalo Livre de Doença , Feminino , Humanos , Imuno-Histoquímica , Metástase Linfática , Masculino , Esvaziamento Cervical/métodos , Invasividade Neoplásica/patologia , Estadiamento de Neoplasias , Cuidados Pré-Operatórios/métodos , Probabilidade , Prognóstico , Estudos Retrospectivos , Medição de Risco , Análise de Sobrevida , Neoplasias da Glândula Tireoide/mortalidade , Neoplasias da Glândula Tireoide/cirurgia , Resultado do Tratamento
16.
Thorac Surg Clin ; 20(2): 235-43, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20451134

RESUMO

This article describes surgery using a transcervical approach with thoracoscopic visualization. The video-assisted extended approach is well suited for patients undergoing thymectomy for myasthenia gravis, thymic cysts, small thymoma, or mediastinal parathyroid adenoma. It incorporates the minimally invasive nature of the transcervical method with the extensive anterior mediastinal dissection, while allowing for complete removal of the thymus and anterior mediastinal fat and avoiding the morbidity of a sternotomy.


Assuntos
Cirurgia Torácica Vídeoassistida/métodos , Timectomia/métodos , Dissecação/métodos , Humanos , Tempo de Internação , Miastenia Gravis/cirurgia , Decúbito Dorsal , Timoma/cirurgia , Neoplasias do Timo/cirurgia
17.
Am J Bot ; 97(5): 701-16, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-21622437

RESUMO

PREMISE OF THE STUDY: Research on the subject of heterostyly is often traced back to 1877 when Charles Darwin published the landmark book The Different Forms of Flowers on Plants of the Same Species. This book synthesized heterostyly research at the time, much of which Darwin conducted, and it continues to be a major contribution to the study of the breeding system. In this book, Darwin discussed the ecology, morph-specific differences, self- and intramorph-incompatibility, evolution and origin, and floral development of heterostyly. Many of the hypotheses he proposed have been and continue to be tested. KEY RESULTS: Throughout the 20(th) and 21(st) centuries, researchers have continued to identify new and different morph-specific floral characters, discover the mechanisms that underlie heteromorphic self-incompatibility, use phylogenies to examine the evolution of heterostyly, and determine novel floral developmental patterns in heterostylous species. From all of these studies, we have learned a great deal about the function, evolution, and development of heterostyly. CONCLUSIONS: However, almost 150 years after Darwin's publications on the subject of heterostyly, we still have a great deal to learn concerning the breeding system, and new technologies and techniques are allowing for new advances in heterostyly research to occur.

18.
AJR Am J Roentgenol ; 193(2): W139-43, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19620416

RESUMO

OBJECTIVE: Minimally invasive directed parathyroidectomy has replaced conventional surgical techniques aimed at exploring all four glands in the bilateral neck. These changes have created the need for better preoperative imaging localization techniques. In this article, we describe the CT imaging characteristics of surgically confirmed adenomas and review anatomy and embryology to aid the radiologist in successfully identifying adenomas using contrast-enhanced CT. CONCLUSION: Knowledge of normal CT appearance, contrast enhancement, and expected location are critical to correct interpretation of parathyroid adenoma at CT.


Assuntos
Adenoma/diagnóstico por imagem , Coristoma/diagnóstico por imagem , Neoplasias das Paratireoides/diagnóstico por imagem , Intensificação de Imagem Radiográfica/métodos , Adenoma/complicações , Adulto , Idoso de 80 Anos ou mais , Meios de Contraste , Feminino , Humanos , Hiperparatireoidismo/etiologia , Masculino , Pescoço/diagnóstico por imagem , Neoplasias das Paratireoides/complicações , Faringe/diagnóstico por imagem , Estudos Retrospectivos , Tomografia Computadorizada por Raios X
19.
Arch Otolaryngol Head Neck Surg ; 134(9): 973-8, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18794443

RESUMO

OBJECTIVE: To characterize the ability of computed tomography (CT) to identify subclinical cervical metastatic disease in papillary thyroid carcinoma (PTC). DESIGN: Retrospective review. SETTING: Tertiary academic center. PATIENTS: Consecutive patients undergoing neck dissection for PTC between July 1, 2004, and July 1, 2006. INTERVENTION: Preoperative CT scans were reevaluated in a blinded fashion by a single head and neck radiologist. Positive criteria included node with size larger than 10 mm, round shape, calcification, cystic character, or abnormal enhancement. MAIN OUTCOME MEASURE: Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated separately for central compartment (level VI) and lateral compartment (levels III and IV) dissections. RESULTS: One hundred four patients underwent selective neck dissection for PTC during the study period. Forty-three patients had disease that involved primary lymphadenectomy at the time of thyroidectomy, and 61 had persistent or recurrent disease. There were 111 lateral compartment dissections and 145 central compartment dissections. The overall sensitivity was 59% for both the central and lateral compartments, and the specificity was 76% and 71%, respectively. The PPV and NPV were 84% and 47% for the central compartment and 73% and 57% for the lateral compartment, respectively. CONCLUSIONS: Computed tomography has a limited capability to identify subclinical metastatic cervical disease in PTC, with a sensitivity near 60% and an NPV near 50%. Sole reliance on CT findings will miss a significant portion of disease likely because of the high incidence of microscopic foci. However, using strict criteria, a positive finding on a CT scan provides useful information because it predicts with a fairly high assurance that disease will in fact be found in a specific compartment during surgical dissection.


Assuntos
Adenocarcinoma Papilar/diagnóstico por imagem , Neoplasias da Glândula Tireoide/diagnóstico por imagem , Tomografia Computadorizada por Raios X/métodos , Adenocarcinoma Papilar/patologia , Adenocarcinoma Papilar/cirurgia , Distribuição de Qui-Quadrado , Feminino , Humanos , Metástase Linfática/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Esvaziamento Cervical , Valor Preditivo dos Testes , Estudos Retrospectivos , Sensibilidade e Especificidade , Neoplasias da Glândula Tireoide/patologia , Neoplasias da Glândula Tireoide/cirurgia
20.
Oral Maxillofac Surg Clin North Am ; 20(3): 431-43, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18603201

RESUMO

Although thyroid nodules are a common clinical entity, few (5% to 10%) are malignant and require surgical treatment. Most nodules are discovered incidentally in patients undergoing surveillance for medical reasons unrelated to thyroid disorders. Therefore, a systematic approach to their evaluation is important to avoid unnecessary surgery. High-resolution ultrasonography and fine-needle aspiration have resulted in substantial improvements in diagnostic accuracy, cost reductions, and higher malignancy yield at the time of surgery. In this article, the authors present practical guidelines and a suggested management strategy for the effective diagnosis and management of incidentally discovered thyroid nodules.


Assuntos
Neoplasias da Glândula Tireoide/diagnóstico , Neoplasias da Glândula Tireoide/cirurgia , Nódulo da Glândula Tireoide/diagnóstico , Nódulo da Glândula Tireoide/cirurgia , Algoritmos , Biópsia por Agulha , Histocitoquímica , Humanos , Achados Incidentais , Imageamento por Ressonância Magnética , Cintilografia , Fatores de Risco , Neoplasias da Glândula Tireoide/sangue , Nódulo da Glândula Tireoide/sangue , Tomografia Computadorizada por Raios X , Ultrassonografia
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