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1.
Transfusion ; 64(1): 104-115, 2024 01.
Artigo em Inglês | MEDLINE | ID: mdl-38098310

RESUMO

BACKGROUND AND OBJECTIVES: We evaluated the operational and safety impact of implementing anaerobic culture screening of apheresis and pooled platelets at the American Red Cross on the already established use of the aerobic culture screening of each donation performed no sooner than 24 h following collection. MATERIALS AND METHODS: Platelets were screened for bacterial contamination with the BACT/ALERT 3D® (bioMérieux, Durham, NC) microbial detection testing system. The addition of anaerobic culture to the already existing aerobic culture resulted in sampling an additional 8-10 mL from each donation. RESULTS: Implementation of anaerobic testing resulted in an approximate 3.5-fold increased rate of False Positive BACT/ALERT alarms. There was a modest increase in the rate of True Positive alarms of 1.4-fold with increased detection of Klebsiella and Propionibacterium species, including Cutibacterium acnes. In addition, there was an approximate 3.5-fold increase rate of False Positives and a 13.5-fold increase rate of Indeterminates, the majority (~57%) were due to Cutibacterium acnes. The combined costs and lost revenue associated with adding anaerobic screening increased by ~$1,000,000/year due to testing cost and product discards. CONCLUSION: The addition of anaerobic culture to aerobic culture to the original donation (without the introduction of sampling delay) resulted in a significant increase in the rate of alerts. The 40% increased rate of True Positive alarms may have modestly improved platelet safety. However, there was a disproportionate increase in the rate of False Positive and Indeterminate bacterial culture alarms, which added substantial cost and overall loss of platelet products.


Assuntos
Remoção de Componentes Sanguíneos , Plaquetas , Humanos , Anaerobiose , Plaquetas/microbiologia , Bactérias , Contaminação de Medicamentos , Técnicas Bacteriológicas
2.
Opt Express ; 31(21): 35131-35142, 2023 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-37859251

RESUMO

Hyper-entanglement between two or more photonic degrees of freedom (DOF) can enhance and enable new quantum protocols by allowing each DOF to perform the task it is optimally suited for. Here we demonstrate the generation of photon pairs hyper-entangled between pulse modes and frequency bins. The pulse modes are generated via parametric downconversion in a domain-engineered crystal and subsequently entangled to two frequency bins via a spectral mapping technique. The resulting hyper-entangled state is characterized and verified via measurement of its joint spectral intensity and non-classical two-photon interference patterns from which we infer its spectral phase. The protocol combines the robustness to loss, intrinsic high dimensionality and compatibility with standard fiber-optic networks of the energy-time DOF with the ability of hyper-entanglement to increase the capacity and efficiency of the quantum channel, already exploited in recent experimental applications in both quantum information and quantum computation.

3.
Conserv Biol ; 35(4): 1245-1255, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33502048

RESUMO

Cultural adaptation is one means by which conservationists may help populations adapt to threats. A learned behavior may protect an individual from a threat, and the behavior can be transmitted horizontally (within generations) and vertically (between generations), rapidly conferring population-level protection. Although possible in theory, it remains unclear whether such manipulations work in a conservation setting; what conditions are required for them to work; and how they might affect the evolutionary process. We examined models in which a population can adapt through both genetic and cultural mechanisms. Our work was motivated by the invasion of highly toxic cane toads (Rhinella marina) across northern Australia and the resultant declines of endangered northern quolls (Dasyurus hallucatus), which attack and are fatally poisoned by the toxic toads. We examined whether a novel management strategy in which wild quolls are trained to avoid toads can reduce extinction probability. We used a simulation model tailored to quoll life history. Within simulations, individuals were trained and a continuous evolving trait determined innate tendency to attack toads. We applied this model in a population viability setting. The strategy reduced extinction probability only when heritability of innate aversion was low (<20%) and when trained mothers trained >70% of their young to avoid toads. When these conditions were met, genetic adaptation was slower, but rapid cultural adaptation kept the population extant while genetic adaptation was completed. To gain insight into the evolutionary dynamics (in which we saw a transitory peak in cultural adaptation over time), we also developed a simple analytical model of evolutionary dynamics. This model showed that the strength of natural selection declined as the cultural transmission rate increased and that adaptation proceeded only when the rate of cultural transmission was below a critical value determined by the relative levels of protection conferred by genetic versus cultural mechanisms. Together, our models showed that cultural adaptation can play a powerful role in preventing extinction, but that rates of cultural transmission need to be high for this to occur.


La adaptación cultural es un medio mediante el cual los conservacionistas pueden ayudar a las poblaciones a adaptarse a las amenazas. Un comportamiento aprendido puede proteger a un individuo de las amenazas y este comportamiento puede transmitirse horizontalmente (dentro de las generaciones) y verticalmente (entre generaciones), lo que otorga rápidamente una protección a nivel poblacional. Aunque esto es posible en teoría, aún no está claro si dichas manipulaciones funcionan dentro de un escenario de conservación; cuáles son las condiciones requeridas para que funcionen las manipulaciones; y cómo pueden afectar el proceso evolutivo. Examinamos modelos en los cuales una población puede adaptarse tanto con mecanismos genéticos como culturales. Nuestro trabajo estuvo motivado por la invasión de sapos altamente tóxicos (Rhinella marina) en todo el norte de Australia y las declinaciones resultantes de cuoles norteños (Dasyurus hallucatus), los cuales atacan y mueren envenenados por los sapos tóxicos. Analizamos si una estrategia de manejo novedoso en la cual los cuoles silvestres son entrenados para evitar a los sapos puede reducir la probabilidad de extinción. Usamos un modelo de simulación diseñado alrededor de la historia de vida de los cuoles. Dentro de las simulaciones, se entrenó a cuoles individuales y una característica en continua evolución determinó la tendencia innata para atacar a los sapos. Aplicamos este modelo en un escenario de viabilidad poblacional. La estrategia redujo la probabilidad de extinción sólo cuando la heredabilidad de la aversión innata fue baja (<20%) y cuando las madres entrenadas entrenaron a más del 70% de sus crías para evitar a los sapos. Cuando ambas condiciones fueron cumplidas, la adaptación genética fue más lenta pero la adaptación cultural rápida mantuvo a la población vigente mientras se completaba la adaptación genética. Para ganar conocimiento sobre las dinámicas evolutivas (en las cuales vimos un pico transitorio en la adaptación cultural a lo largo del tiempo) también desarrollamos un modelo analítico simple de las dinámicas evolutivas. Este modelo mostró que la fuerza de la selección natural declinó conforme incrementó la tasa de transmisión cultural y que la adaptación procedió solamente cuando la tasa de transmisión cultural estuvo por debajo de un valor crítico determinado por los niveles relativos de protección otorgados por los mecanismos genéticos contra los mecanismos evolutivos. En conjunto, nuestros modelos mostraron que la adaptación cultural puede jugar un papel importante en la prevención de la extinción, pero las tasas de transmisión cultural necesitan ser altas para que esto ocurra.


Assuntos
Conservação dos Recursos Naturais , Marsupiais , Animais , Evolução Biológica , Bufo marinus , Humanos , Fenótipo
4.
J Therm Biol ; 102: 103121, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34863484

RESUMO

In many oviparous reptiles, thermal conditions inside nests influence phenotypic traits of hatchlings that are linked to survival. Maternal nest-site selection can therefore have long-term implications for offspring and maternal fitness. We studied nest-site selection in a nocturnal lizard (Amalosia lesueurii) from south eastern Australia. Females of this species lay their eggs communally inside rock crevices, and previous studies have shown that maximum daily nest temperatures are positively correlated with maximum daily air temperatures. The incubation period extends for up to 100 d, so during hot summers, embryos may be exposed to stressful thermal conditions. Potentially, mothers could buffer their eggs from thermal extremes via careful selection of nest sites. To evaluate this, we studied nest site selection in a southern population (Morton) and a northern population (Yengo) that experience mild and hot summers respectively. In the field, we measured the physical characteristics, orientation, canopy cover and incident radiation load, and thermal regimes of nest sites and randomly available crevices during one of the hottest Australian summers on record (2018-2019). We found strong inter population differences in the degree of canopy cover and solar radiation loads above nest sites. Nest sites from Morton were more open, and received higher radiation loads, than nest sites from Yengo. Mean nest temperatures were similar in Morton and Yengo, but nests from Yengo experienced higher daily temperatures than those from Morton. During heatwaves, temperatures in some nests exceeded the species critical thermal maximum (39.9 °C) for several hours each day. Our results show that females can adjust nest-site choice to match local environments, but future research is necessary to clarify whether exposure to high temperatures influences hatching success or offspring phenotypes in this species.


Assuntos
Ecossistema , Temperatura Alta , Lagartos , Comportamento de Nidação , Animais , Feminino , New South Wales
5.
Glob Chang Biol ; 26(5): 2829-2840, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32034982

RESUMO

Invasive vertebrates are frequently reported to have catastrophic effects on the populations of species which they directly impact. It follows then, that if invaders exert strong suppressive effects on some species then other species will indirectly benefit due to ecological release from interactions with directly impacted species. However, evidence that invasive vertebrates trigger such trophic cascades and alter community structure in terrestrial ecosystems remains rare. Here, we ask how the cane toad, a vertebrate invader that is toxic to many of Australia's vertebrate predators, influences lizard assemblages in a semi-arid rangeland. In our study area, the density of cane toads is influenced by the availability of water accessible to toads. We compared an index of the abundance of sand goannas, a large predatory lizard that is susceptible to poisoning by cane toads and the abundances of four lizard families preyed upon by goannas (skinks, pygopods, agamid lizards and geckos) in areas where cane toads were common or rare. Consistent with the idea that suppression of sand goannas by cane toads initiates a trophic cascade, goanna activity was lower and small lizards were more abundant where toads were common. The hypothesis that suppression of sand goannas by cane toads triggers a trophic cascade was further supported by our findings that small terrestrial lizards that are frequently preyed upon by goannas were more affected by toad abundance than arboreal geckos, which are rarely consumed by goannas. Furthermore, the abundance of at least one genus of terrestrial skinks benefitted from allogenic ecosystem engineering by goannas where toads were rare. Overall, our study provides evidence that the invasion of ecosystems by non-native species can have important effects on the structure and integrity of native communities extending beyond their often most obvious and frequently documented direct ecological effects.


Assuntos
Ecossistema , Lagartos , Animais , Austrália , Bufo marinus , Espécies Introduzidas
6.
Anim Cogn ; 23(4): 613-620, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32130559

RESUMO

Stressful environments in utero can have a profound influence on cognitive functions and learning ability. In lizards, thermal environments experienced by embryos can shape a range of traits, including sex, body size, and locomotor performance, which may influence fitness. Recent studies suggest that incubation temperatures may also influence brain development and learning ability of some lizard species. Therefore, predicted increases in nest temperatures of lizards may not only affect hatchling morphology and performance, but could also affect their learning ability. To investigate how incubation temperatures influence cognitive abilities of hatchlings, we incubated eggs of the velvet gecko, Amalosia lesueurii, under two fluctuating temperature regimes. The warm treatment mimicked the thermal profiles of currently used partly shaded communal nests (mean = 24.3 °C, range 18.4-31.1 °C), and the hot treatment simulated thermal profiles that could be experienced in sun-exposed nests in 2050 (mean = 28.9 °C, range 19.1-38.1 °C). At age three to four weeks, we measured the ability of hatchlings to locate an open shelter in a Y-maze choice test. Both hot and warm-incubated hatchlings successfully learned the task, but hatchlings from the warm-temperature treatment learned the task faster, and made fewer mistakes in the first five trials than hot-incubated hatchlings. These patterns were consistent for hatchlings from two geographic locations, suggesting that thermally stressful conditions in utero may alter the learning abilities of hatchling lizards. Because learning ability can affect the survival of hatchling velvet geckos, future increase in nest temperatures may have wide reaching impacts on populations.


Assuntos
Lagartos , Animais , Fenótipo , Temperatura
7.
J Therm Biol ; 91: 102625, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32716874

RESUMO

Despite its tropical origin, the Asian house gecko (Hemidactylus frenatus) is currently invading higher latitudes around the world. In this study, we investigated whether the introduced geckos in the subtropical/temperate region of southeastern Australia have shifted their thermal biology to cope with colder temperatures. In the lab, we measured the body temperatures of geckos from Thailand and Australia in a cost-free thermal gradient. Native H. frenatus from Thailand displayed a diel pattern of thermoregulation. Geckos maintained higher body temperatures during mid-afternoon and at dusk but selected cooler temperatures during the night. Introduced geckos showed a similar pattern of thermoregulation, but selected lower body temperatures in summer (mean = 28.9 °C) and winter (mean = 25.5 °C) than native geckos (mean = 31.5 °C). While the Asian house geckos from Thailand did not alter their body temperatures after feeding, their conspecifics from southeastern Australia selected body temperatures that were 1.6-3.1 °C higher after feeding. In conclusion, our study shows that invasive house geckos in Australia have shifted their preferred body temperatures downwards relative to their native conspecifics in Thailand, presumably as a result of plasticity or natural selection. Our findings suggest that these tropical geckos have adapted to colder regions, and thus, they may spread much further than expected for a tropical ectotherm.


Assuntos
Aclimatação , Temperatura Corporal , Espécies Introduzidas , Lagartos/fisiologia , Distribuição Animal , Animais
8.
J Therm Biol ; 93: 102728, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33077139

RESUMO

The locomotor performance of reptiles is profoundly influenced by temperature, but little is known about how the time of day when the animal is usually active may influence performance. Time of day may be particularly relevant for studies on nocturnal reptiles that thermoregulate by day, but are active at night when ambient temperatures are cooler. If selection favours individuals that match their performance to activity times, then nocturnal species should perform better during the night, when they are normally active, than during the day. To test this hypothesis, we investigated how the time of day and body temperature affected the locomotor performance of adult females of the velvet gecko (Amalosia lesueurii). We measured the sprint speeds, running speeds and number of stops of 43 adult females at four different body temperatures (20, 25, 30 and 35 °C) during the day and at night. At night, sprint speeds were higher at 20 and 35 °C but sprint speeds were similar at 25 and 30 °C. By day, sprint speed increased with body temperature, peaking at 30 °C, before declining at 35 °C. However, gecko speeds over 1 m was higher at night at all four test temperatures than by day. Number of stops showed broadly similar patterns and females stopped almost twice as often on the racetrack during the day than they did at night. Furthermore, the thermal breadth of performance differed depending on when geckos were tested. Our results demonstrate that both body temperature and the time of day affects the behaviour and locomotor performance of female velvet geckos, with geckos running faster at night, the time of day when they are usually active. This study adds to evidence that both body temperature and the time of day are crucial for estimating the performance of ectotherms and evaluations and predictions of their vulnerability to climate warming should consider the context of laboratory experimental design.


Assuntos
Ciclos de Atividade , Lagartos/fisiologia , Fotoperíodo , Temperatura Cutânea , Animais , Movimento
9.
J Exp Biol ; 221(Pt 24)2018 12 12.
Artigo em Inglês | MEDLINE | ID: mdl-30352824

RESUMO

Animals use irruptive movement to avoid exposure to stochastic and pervasive environmental stressors that impact fitness. Beneficial irruptive movements transfer individuals from high-stress areas (conferring low fitness) to alternative localities that may improve survival or reproduction. However, being stochastic, environmental stressors can limit an animal's preparatory capacity to enhance irruptive movement performance. Thus individuals must rely on pre-existing, or rapidly induced, physiological and behavioural responses. Rapid elevation of glucocorticoid hormones in response to environmental stressors are widely implicated in adjusting physiological and behaviour processes that could influence irruptive movement capacity. However, there remains little direct evidence demonstrating that corticosterone-regulated movement performance or interaction with pervasiveness of environmental stress, confers adaptive movement outcomes. Here, we compared how movement-related survival of cane toads (Rhinella marina) varied with three different experimental corticosterone phenotypes across four increments of increasing environmental stressor pervasiveness (i.e. distance from water in a semi-arid landscape). Our results indicated that toads with phenotypically increased corticosterone levels attained higher movement-related survival compared with individuals with control or lowered corticosterone phenotypes. However, the effects of corticosterone phenotypes on movement-related survival to some extent co-varied with stressor pervasiveness. Thus, our study demonstrates how the interplay between an individual's corticosterone phenotype and movement capacity alongside the arising costs of movement and the pervasiveness of the environmental stressor can affect survival outcomes.


Assuntos
Migração Animal/fisiologia , Bufo marinus/fisiologia , Corticosterona/metabolismo , Longevidade/fisiologia , Estresse Fisiológico , Distribuição Animal/fisiologia , Animais , Northern Territory , Fenótipo
10.
Biol Lett ; 14(6)2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29875211

RESUMO

When imperilled by a threatening process, the choice is often made to conserve threatened species on offshore islands that typically lack the full suite of mainland predators. While keeping the species extant, this releases the conserved population from predator-driven natural selection. Antipredator traits are no longer maintained by natural selection and may be lost. It is implicitly assumed that such trait loss will happen slowly, but there are few empirical tests. In Australia, northern quolls (Dasyurus hallucatus) were moved onto a predator-free offshore island in 2003 to protect the species from the arrival of invasive cane toads on the mainland. We compared the antipredator behaviours of wild-caught quolls from the predator-rich mainland with those from this predator-free island. We compared the responses of both wild-caught animals and their captive-born offspring, to olfactory cues of two of their major predators (feral cats and dingoes). Wild-caught, mainland quolls recognized and avoided predator scents, as did their captive-born offspring. Island quolls, isolated from these predators for only 13 generations, showed no recognition or aversion to these predators. This study suggests that predator aversion behaviours can be lost very rapidly, and that this may make a population unsuitable for reintroduction to a predator-rich mainland.


Assuntos
Aprendizagem da Esquiva/fisiologia , Marsupiais/fisiologia , Odorantes , Animais , Austrália , Canidae , Gatos , Conservação dos Recursos Naturais/métodos , Espécies em Perigo de Extinção , Ilhas , Seleção Genética
11.
Knee Surg Sports Traumatol Arthrosc ; 26(11): 3219-3229, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29372284

RESUMO

PURPOSE: The purpose of the present study is to compare newer designs of various symmetric and asymmetric tibial components and measure tibial bone coverage using the rotational safe zone defined by two commonly utilized anatomic rotational landmarks. METHODS: Computed tomography scans (CT scans) of one hundred consecutive patients scheduled for total knee arthroplasty were obtained pre-operatively. A virtual proximal tibial cut was performed and two commonly used rotational axes were added for each image: the medio-lateral axis (ML-axis) and the medial 1/3 tibial tubercle axis (med-1/3-axis). Different symmetric and asymmetric implant designs were then superimposed in various rotational positions for best cancellous and cortical coverage. The images were imported to a public domain imaging software, and cancellous and cortical bone coverage was computed for each image, with each implant design in various rotational positions. RESULTS: One single implant type could not be identified that provided the best cortical and cancellous coverage of the tibia, irrespective of using the med-1/3-axis or the ML-axis for rotational alignment. However, it could be confirmed that the best bone coverage was dependent on the selected rotational landmark. Furthermore, improved bone coverage was observed when tibial implant positions were optimized between the two rotational axes. CONCLUSIONS: Tibial coverage is similar for symmetric and asymmetric designs, but depends on the rotational landmark for which the implant is designed. The surgeon has the option to improve tibial coverage by optimizing placement between the two anatomic rotational alignment landmarks, the medial 1/3 and the ML-axis. Surgeons should be careful assessing intraoperative rotational tibial placement using the described anatomic rotational landmarks to optimize tibial bony coverage without compromising patella tracking. LEVEL OF EVIDENCE: III.


Assuntos
Artroplastia do Joelho/métodos , Artropatias/cirurgia , Articulação do Joelho/diagnóstico por imagem , Prótese do Joelho , Tíbia/diagnóstico por imagem , Idoso , Idoso de 80 Anos ou mais , Pontos de Referência Anatômicos/diagnóstico por imagem , Pontos de Referência Anatômicos/cirurgia , Simulação por Computador , Feminino , Humanos , Artropatias/diagnóstico por imagem , Articulação do Joelho/cirurgia , Masculino , Pessoa de Meia-Idade , Desenho de Prótese , Estudos Retrospectivos , Rotação , Tíbia/cirurgia , Tomografia Computadorizada por Raios X
12.
J Exp Biol ; 220(Pt 12): 2159-2165, 2017 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-28615488

RESUMO

In many regions, the frequency and duration of summer heatwaves is predicted to increase in future. Hotter summers could result in higher temperatures inside lizard nests, potentially exposing embryos to thermally stressful conditions during development. Potentially, developmentally plastic shifts in thermal tolerance could allow lizards to adapt to climate warming. To determine how higher nest temperatures affect the thermal tolerance of hatchling geckos, we incubated eggs of the rock-dwelling velvet gecko, Amalosia lesueurii, at two fluctuating temperature regimes to mimic current nest temperatures (mean 23.2°C, range 10-33°C, 'cold') and future nest temperatures (mean 27.0°C, range 14-37°C, 'hot'). Hatchlings from the hot incubation group hatched 27 days earlier and had a lower critical thermal maximum (CTmax 38.7°C) and a higher critical thermal minimum (CTmin 6.2°C) than hatchlings from cold incubation group (40.2 and 5.7°C, respectively). In the field, hatchlings typically settle under rocks near communal nests. During the hatching period, rock temperatures ranged from 13 to 59°C, and regularly exceeded the CTmax of both hot- and cold-incubated hatchlings. Because rock temperatures were so high, the heat tolerance of lizards had little effect on their ability to exploit rocks as retreat sites. Instead, the timing of hatching dictated whether lizards could exploit rocks as retreat sites; that is, cold-incubated lizards that hatched later encountered less thermally stressful environments than earlier hatching hot-incubated lizards. In conclusion, we found no evidence that CTmax can shift upwards in response to higher incubation temperatures, suggesting that hotter summers may increase the vulnerability of lizards to climate warming.


Assuntos
Mudança Climática , Temperatura Alta , Lagartos/fisiologia , Óvulo/fisiologia , Termotolerância , Animais , Ecossistema , Feminino , Comportamento de Nidação , New South Wales
13.
Biol Lett ; 13(3)2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28298595

RESUMO

Despite compelling evidence for substantial individual differences in cognitive performance, it is unclear whether cognitive ability influences fitness of wild animals. In many animals, environmental stressors experienced in utero can produce substantial variation in the cognitive abilities of offspring. In reptiles, incubation temperatures experienced by embryos can influence hatchling brain function and learning ability. Under climate warming, the eggs of some lizard species may experience higher temperatures, which could affect the cognitive abilities of hatchlings. Whether such changes in cognitive abilities influence the survival of hatchlings is unknown. To determine whether incubation-induced changes in spatial learning ability affect hatchling survival, we incubated velvet gecko, Amalosia lesueurii, eggs using two fluctuating temperature regimes to mimic current (cold) versus future (hot) nest temperatures. We measured the spatial learning ability of hatchlings from each treatment, and released individually marked animals at two field sites in southeastern Australia. Hatchlings from hot-incubated eggs were slower learners than hatchlings from cold-incubated eggs. Survival analyses revealed that hatchlings with higher learning scores had higher survival than hatchlings with poor learning scores. Our results show that incubation temperature affects spatial learning ability in hatchling lizards, and that such changes can influence the survival of hatchlings in the wild.


Assuntos
Comportamento Animal/fisiologia , Lagartos/fisiologia , Aprendizagem Espacial/fisiologia , Animais , Animais Recém-Nascidos , Mudança Climática , Embrião não Mamífero/fisiologia , Reação de Fuga , Feminino , Lagartos/embriologia , New South Wales , Óvulo/fisiologia , Temperatura
14.
J Arthroplasty ; 32(9S): S225-S231, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28529110

RESUMO

BACKGROUND: Treatment of massive acetabular bone loss in revision total hip arthroplasty is complex, and various treatment strategies have been described. We describe a novel technique of using a Trabecular Metal Revision Shell as a buttress augment creating a "double-cup" construct rather than the use of custom triflanges or cup-cage constructs for Paprosky types IIIA and IIIB acetabular defects. METHODS: We retrospectively reviewed 20 double-cup cases at a mean of 2.4 years follow-up at a single institution between 2005 and 2014. We evaluated postoperative radiographic evidence of acetabular loosening and complication rates, restoration of hip center of rotation, preoperative and postoperative modified Harris Hip Score, and Merle d'Aubigne-Postel pain and walking scores. RESULTS: There were no revisions for acetabular loosening and no cases of aseptic loosening. We observed a 25% dislocation rate, which was the most common complication. Most dislocations occurred within the first year after surgery and most were acetabulum only revisions. Hip center of rotation was restored to an average of 22.5 mm within the interteardrop line. Average Harris Hip Score improved from 28.2 to 68.7 (P < .001) and Merle d'Aubigne-Postel pain and walking scores improved from 2.7 to 5.1 and 2.4 to 4, respectively (P < .001). CONCLUSION: The double-cup construct is a reliable option for reconstruction of Paprosky type IIIA and IIIB acetabular defects with no cases of acetabular loosening both clinically and radiographically at a mean of 2 years follow-up. The most common complication was dislocation in the acetabulum-only revisions, and clinical outcome measures were reliably improved in surviving cases.


Assuntos
Acetábulo/cirurgia , Artroplastia de Quadril/métodos , Desenho de Prótese , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Luxações Articulares/cirurgia , Masculino , Metais , Pessoa de Meia-Idade , Falha de Prótese , Reoperação , Estudos Retrospectivos , Rotação , Resultado do Tratamento
15.
J Arthroplasty ; 32(5): 1505-1509, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28089467

RESUMO

BACKGROUND: Appropriate balancing of the patellofemoral joint (PFJ) using a lateral release can help to prevent patellar instability in total knee arthroplasty (TKA). Contemporary total knee implant designs are characterized by enhanced trochlear geometry more similar to native knee anatomy to minimize instability and reduce utilization of a lateral release. METHODS: We retrospectively reviewed consecutive TKA cases from a single senior surgeon's practice with 3 successive total knee designs: the Press-Fit Condylar (PFC), the Sigma, and the ATTUNE (DePuy, Warsaw, IN). We evaluated the use of lateral release with each implant type to determine if design changes have improved patellar stability, reducing the need for lateral release. We used multivariate analysis to determine the association between implant type and lateral release, adjusting for age, sex, preoperative alignment, and bearing type. RESULTS: We evaluated 1991 records of primary TKAs performed from 1980-2015. As compared with the ATTUNE, the adjusted odds of lateral release were greater for patients receiving PFC implants (Odds ratio [OR] 6.35, 95% confidence interval [CI] 3.85,10.49) and Sigma implants (OR 2.02, 95% CI 1.26, 3.23). In addition, fixed bearing implants were associated with greater adjusted odds of lateral release (OR 1.80, 95% CI 1.24, 2.62). CONCLUSION: We found that older knee implants were associated with higher use of lateral release, with successive designs the need for lateral release to balance the PFJ decreased. Continued design improvements to match the native knee anatomy may further improve the stability of the PFJ in future designs.


Assuntos
Artroplastia do Joelho/instrumentação , Artroplastia do Joelho/métodos , Articulação do Joelho/cirurgia , Prótese do Joelho , Patela/cirurgia , Desenho de Prótese , Adulto , Idoso , Feminino , Humanos , Incidência , Instabilidade Articular/cirurgia , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Razão de Chances , Articulação Patelofemoral/cirurgia , Amplitude de Movimento Articular , Estudos Retrospectivos , Resultado do Tratamento , Adulto Jovem
16.
J Therm Biol ; 65: 64-68, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28343577

RESUMO

Pregnancy is a challenging period for egg laying squamates. Carrying eggs can encumber females and decrease their locomotor performance, potentially increasing their risk of predation. Pregnant females can potentially reduce this handicap by selecting higher temperatures to increase their sprint speed and ability to escape from predators, or to speed up embryonic development and reduce the period during which they are burdened with eggs ('selfish mother' hypothesis). Alternatively, females might select more stable body temperatures during pregnancy to enhance offspring fitness ('maternal manipulation hypothesis'), even if the maintenance of such temperatures compromises a female's locomotor performance. We investigated whether pregnancy affects the preferred body temperatures and locomotor performance of female velvet geckos Amalosia lesueurii. We measured running speed of females during late pregnancy, and one week after they laid eggs at four temperatures (20°, 25°, 30° and 35°C). Preferred body temperatures of females were measured in a cost-free thermal gradient during late pregnancy and one week after egg-laying. Females selected higher and more stable set-point temperatures when they were pregnant (mean =29.0°C, Tset =27.8-30.5°C) than when they were non-pregnant (mean =26.2°C, Tset =23.7-28.7°C). Pregnancy was also associated with impaired performance; females sprinted more slowly at all four test temperatures when burdened with eggs. Although females selected higher body temperatures during late pregnancy, this increase in temperature did not compensate for their impaired running performance. Hence, our results suggest that females select higher temperatures during pregnancy to speed up embryogenesis and reduce the period during which they have reduced performance. This strategy may decrease a female's probability of encountering predatory snakes that use the same microhabitats for thermoregulation. Selection of stable temperatures by pregnant females may also benefit embryos, but manipulative experiments are necessary to test this hypothesis.


Assuntos
Lagartos/fisiologia , Animais , Temperatura Corporal , Regulação da Temperatura Corporal , Feminino , Lagartos/embriologia , Locomoção , Oviparidade , Reprodução
17.
Glob Chang Biol ; 22(7): 2405-14, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-26940852

RESUMO

Communal nesting lizards may be vulnerable to climate warming, particularly if air temperatures regulate nest temperatures. In southeastern Australia, velvet geckos Oedura lesueurii lay eggs communally inside rock crevices. We investigated whether increases in air temperatures could elevate nest temperatures, and if so, how this could influence hatching phenotypes, survival, and population dynamics. In natural nests, maximum daily air temperature influenced mean and maximum daily nest temperatures, implying that nest temperatures will increase under climate warming. To determine whether hotter nests influence hatchling phenotypes, we incubated eggs under two fluctuating temperature regimes to mimic current 'cold' nests (mean = 23.2 °C, range 10-33 °C) and future 'hot' nests (27.0 °C, 14-37 °C). 'Hot' incubation temperatures produced smaller hatchlings than did cold temperature incubation. We released individually marked hatchlings into the wild in 2014 and 2015, and monitored their survival over 10 months. In 2014 and 2015, hot-incubated hatchlings had higher annual mortality (99%, 97%) than cold-incubated (11%, 58%) or wild-born hatchlings (78%, 22%). To determine future trajectories of velvet gecko populations under climate warming, we ran population viability analyses in Vortex and varied annual rates of hatchling mortality within the range 78- 96%. Hatchling mortality strongly influenced the probability of extinction and the mean time to extinction. When hatchling mortality was >86%, populations had a higher probability of extinction (PE: range 0.52- 1.0) with mean times to extinction of 18-44 years. Whether future changes in hatchling survival translate into reduced population viability will depend on the ability of females to modify their nest-site choices. Over the period 1992-2015, females used the same communal nests annually, suggesting that there may be little plasticity in maternal nest-site selection. The impacts of climate change may therefore be especially severe on communal nesting species, particularly if such species occupy thermally challenging environments.


Assuntos
Mudança Climática , Lagartos , Comportamento de Nidação , Animais , Austrália , Feminino , Temperatura Alta , Temperatura
18.
Clin Nephrol ; 86(7): 9-17, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27191663

RESUMO

It is well-established that parathyroid hormone (PTH) correlates with the level of bone turnover in patients with chronic kidney disease stage 5D (CKD-5D). Hyperphosphatemia is a well-established complication of end-stage renal disease and is usually attributed to dietary intake. This study evaluates the relationship between serum phosphorus levels and bone turnover in patients with CKD-5D. 93 patients with CKD-5D from the Kentucky Bone Registry who had sequentially undergone anterior iliac bone biopsies were reviewed. Undecalcified bone sections were qualitatively assessed for turnover and placed into a group with low turnover and a group with non-low (normal/high) turnover. Results of PTH and phosphorus concentrations in blood drawn at the time of biopsies were compared between the groups. PTH and phosphorus levels were significantly higher in the non-low turnover group compared to the low turnover group. Cutoff levels for PTH and phosphorus were tested for predictive power of bone turnover. Both PTH and phosphorus correlated with turnover. Adding serum phosphorus to serum PTH enhanced predictive power of PTH for low turnover. The vast majority of patients with serum phosphorus levels ≥ 6.0 mg/dL had non-low turnover, while the majority of those with low turnover had phosphorus values < 6.0 mg/dL. Classification and regression-tree analysis showed that elevated serum phosphorus (> 6.2 mg/dL) in patients with PTH < 440 pg/mL was helpful in diagnosing nonlow turnover in this range of PTH. In patients with PTH ranges of 440 - 814 pg/mL, serum phosphorus levels > 4.55 mg/dL ruled out low turnover bone disease. This suggests that not only dietary intake but also bone affects serum phosphorus levels.


Assuntos
Remodelação Óssea , Distúrbio Mineral e Ósseo na Doença Renal Crônica/sangue , Falência Renal Crônica/sangue , Hormônio Paratireóideo/sangue , Fósforo/sangue , Adulto , Idoso , Distúrbio Mineral e Ósseo na Doença Renal Crônica/diagnóstico , Feminino , Humanos , Ílio , Falência Renal Crônica/complicações , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes
19.
Angew Chem Int Ed Engl ; 55(4): 1474-8, 2016 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-26666391

RESUMO

We report the chemo- and regioselective hydrogenolysis of the C-O bonds in di-ortho-substituted diaryl ethers under the catalysis of a supported nickel catalyst. The catalyst comprises heterogeneous nickel particles supported on activated carbon and furnishes arenes and phenols in high yields without hydrogenation. The high thermal stability of the embedded metal particles allows C-O bond cleavage to occur in highly substituted diaryl ether units akin to those in lignin. Preliminary mechanistic experiments show that this catalyst undergoes sintering less readily than previously reported catalyst particles that form from a solution of [Ni(cod)2].

20.
J Org Chem ; 80(4): 2148-54, 2015 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-25611780

RESUMO

Herein a direct ß-sulfido carbonyl compound synthesis by the easy activation of RS-Bpin reagents with α,ß-unsaturated ketones and aldehydes is reported. This convenient methodology can be performed at room temperature with no other additives. The key point of this reactivity is based on the Lewis acidic properties of the boryl unit of the RS-Bpin reagent interacting with the C═O oxygen. Consequently, the SR unit becomes more nucleophilic and promotes the 1,4- versus the 1,2-addition, as a function of the involved substrate. The thioborated products can be further transformed into ß-sulfido carbonyl compounds by addition of MeOH.

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