The investigation of bacterial pathogens of the red macroalga gracilaria gracilis and its response to bacterial infection

Bibliography: leaves 190-209.The red agar-containing macroalga G. gracilis (Stackhouse) Steentoft, Irvine et, Farnham has occurred in Saldanha Bay, South Africa for many years. However, in recent years a number of collapses in this G. gracilis population were recorded, in some instances almost erradicating the entire population. One of the causes of these collapses is thought to be bacterial disease about which there is very little known. The bacterial pathogens of this macroalga were thus investigated to determine the nature of disease occurrence and how G. gracilis responds to such infections. A large number of culturable bacterial epiphytes isolated from G. gracilis from Saldanha Bay, South Africa, and Luderitz, Namibia were characterised and compared. The number of culturable bacteria isolated from the seawater surrounding the macroalgae was significantly lower than that which occurred epiphytically on the macro algal thalli. Most of the bacteria isolated were Gram-negative, motile rods, and many were classified to genus level. Scanning electron microscopy confirmed that a large epiphytic population of coccoid and rod-shaped bacteria occurs primarily on the main thalli of the rnacroalga and that significantly fewer (and often none) reside on the thallus growth tips

Managing a harvestable resource : individual transferable harvest quotas in the Lake Huron commercial fishery

Much has been written on the theoretical implications and postulated impacts of individual transferable harvest quotas (ITHQ), but there have been few empirical studies of the development and implementation process, the impacts of this process and the impacts of ITHQ in a Great Lakes fishery. In 1984, Ontario implemented ITHQ for selected commercial fish species. The objectives of this study are: (1) to identify and understand the impacts of ITHQ; (2) to detail the linkages between these impacts and the application of fisheries management interventions derived from the bioeconomic model (which is the theoretical origin of ITHQ); and (3) to further our understanding of the process of ITHQ development and implementation and the impacts of this process of development and implementation, by utilizing theoretical perspectives in the co management theory of resource management and in three policy process models. The study area was the Canadian portion of the Lake Huron commercial fishery. Data were obtained from annual harvest reports filed by commercial fishers over the 1980-1985 time period and through interviews with commercial fishers, fisheries managers and scientists. Data on 1986-1989 harvest amounts and values was also obtained from the provincial data base. In the two years following ITHQ implementation, there was little traceable impact on either the harvest amounts or values of the two principal commercial species, but there was a trend toward a reduction in capacity of the fishery. ITHQ’s most important effects appears to have been on the organization of labour and capital in the fishery. Commercial fishing activities have not generated major instabilities; it is the ecological phenomena that most affect harvest amounts, species and values. Other policy impacts, however, are complex and difficult to identify and analyze. Future administrative costs are not easy to estimate; the social impacts from changes in the structure of the industry are intricate; and some aspects of policy implementation may be too inflexible. Analysis of qualitative data suggests several conclusive linkages between the process of ITHQ development and implementation and its effectiveness. In this regard, adequacy of stock assessment information, effectiveness of consultation and level of attention to social context were found to be of importance. The co-management model was found to provide a strong basis for explanation and understanding of the impacts of the process of ITHQ development and implementation in the community of resource users because the relationships it incorporates overtly address decision-making processes related to the adaptation of new ideas, arbitration of power relationships, and the rate, timing and extent of change. The co-management model suggests that incorporation of resource users’ collective strengths and organization in an arrangement wherein regulatory interventions are developed and implemented cooperatively with resource users would lead to more efficient, effective and sustainable management regimes. Transaction costs, in particular, may be significantly reduced in a co-managed fishery where specified community characteristics exist. Development and implementation processes for ITHQ in Lake Huron were viewed as the interaction of rational, incremental and interest group decision-making processes. Findings suggest that social issues of autonomy, equity and a broad basis of understanding are as important as those of economic efficiency, and that if not dealt with, these issues can significantly impact the efficacy of management interventions. This study is significant because it addresses analysis of common property problems through utilizing the analytical powers derived from models dealing with biological, economic and political relationships to examine a regulatory policy application in a field situation (after Ostrom 1992).Graduate and Postdoctoral StudiesGraduat

Assessment of intra-fraction motion during frameless image guided Gamma Knife stereotactic radiosurgery

As frameless stereotactic radiosurgery increase in use, the aim of this study was to evaluate intra-fraction motion through cone-beam CT (CBCT) and high-definition motion management (HDMM) systems. Intra-fraction motion measured between localization, repeat localization and post-treatment CBCTs were correlated to intra-faction motion indicated by the HDMM files using the Pearson coefficient (r). A total of 302 plans were reviewed from 263 patients (114 male, 149 female); 216 pairs of localization-repeat localization, and 260 localization–post-treatment CBCTs were analyzed against HDMM logs. We found the magnitude of intra-fraction motion detected by the HDMM system were larger than the corresponding CBCT results

Human immunodeficiency virus type 1 subtype C Gag virus-like particle boost substantially improves the immune response to a subtype C gag DNA vaccine in mice

Human immunodeficiency virus type 1 (HIV-1) subtype C is the predominant HIV in southern Africa, and is the target of a number of recent vaccine candidates. It has been proposed that a heterologous prime/boost vaccination strategy may result in stronger, broader and more prolonged immune responses. Since HIV-1 Gag Pr55 polyprotein can assemble into virus-like particles (VLPs) which have been shown to induce a strong cellular immune response in animals, we showed that a typical southern African subtype C Pr55 protein expressed in insect cells via recombinant baculovirus could form VLPs. We then used the baculovirus-produced VLPs as a boost to a subtype C HIV-1 gag DNA prime vaccination in mice. This study shows that a low dose of HIV-1 subtype C Gag VLPs can significantly boost the immune response to a single subtype C gag DNA inoculation in mice. These results suggest a possible vaccination regimen for humans. © 2004 SGM

HIV-1 subtype C Pr55gag virus-like particle vaccine efficiently boosts baboons primed with a matched DNA vaccine

A DNA vaccine expressing human immunodeficiency virus type 1 (HIV-1) southern African subtype C Gag (pTHGag) and a recombinant baculovirus Pr55gag virus-like particle prepared using a subtype C Pr55gag protein (Gag VLP) was tested in a prime-boost inoculation regimen in Chacma baboons. The response of five baboons to Gag peptides in a gamma interferon (IFN-γ) enzyme-linked immunospot (ELISPOT) assay after three pTHGag immunizations ranged from 100 to 515 spot-forming units (s.f.u.) per 106 peripheral blood mononuclear cells (PBMCs), whilst the response of two baboons to the Gag VLP vaccine ranged from 415 to 465 s.f.u. per 106 PBMCs. An increase in the Gag-specific response to a range of 775-3583 s.f.u. per 106 PBMCs was achieved by boosting with Gag VLPs the five baboons that were primed with pTHGag. No improvement in Gag responses was achieved in this prime-boost inoculation regimen by increasing the number of pTHGag inoculations to six. IFN-γ responses were mapped to several peptides, some of which have been reported to be targeted by PBMCs from HIV-1 subtype C-infected individuals. Gag VLPs, given as a single-modality regimen, induced a predominantly CD8+ T-cell IFN-γ response and interleukin-2 was a major cytokine within a mix of predominantly Th1 cytokines produced by a DNA-VLP prime-boost modality. The prime-boost inoculation regimen induced high serum p24 antibody titres in all baboons, which were several fold above that induced by the individual vaccines. Overall, this study demonstrated that these DNA prime/VLP boost vaccine regimens are highly immunogenic in baboons, inducing high-magnitude and broad multifunctional responses, providing support for the development of these products for clinical trials. © 2008 SGM

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine

Critical care admission following elective surgery was not associated with survival benefit:prospective analysis of data from 27 countries

Purpose: As global initiatives increase patient access to surgical treatments, there is a need to define optimal levels of perioperative care. Our aim was to describe the relationship between the provision and use of critical care resources and postoperative mortality. Methods: Planned analysis of data collected during an international 7-day cohort study of adults undergoing elective in-patient surgery. We used risk-adjusted mixed-effects logistic regression models to evaluate the association between admission to critical care immediately after surgery and in-hospital mortality. We evaluated hospital-level associations between mortality and critical care admission immediately after surgery, critical care admission to treat life-threatening complications, and hospital provision of critical care beds. We evaluated the effect of national income using interaction tests. Results: 44,814 patients from 474 hospitals in 27 countries were available for analysis. Death was more frequent amongst patients admitted directly to critical care after surgery (critical care: 103/4317 patients [2%], standard ward: 99/39,566 patients [0.3%]; adjusted OR 3.01 [2.10–5.21]; p < 0.001). This association may differ with national income (high income countries OR 2.50 vs. low and middle income countries OR 4.68; p = 0.07). At hospital level, there was no association between mortality and critical care admission directly after surgery (p = 0.26), critical care admission to treat complications (p = 0.33), or provision of critical care beds (p = 0.70). Findings of the hospital-level analyses were not affected by national income status. A sensitivity analysis including only high-risk patients yielded similar findings. Conclusions: We did not identify any survival benefit from critical care admission following surgery