Metachronous Intraductal Papillary Neoplasm of the Bile Duct and Intraductal Papillary Mucinous Neoplasm of the Pancreas in a Patient Diagnosed With Mucinous Adenocarcinoma.

Intraductal papillary neoplasm of the bile duct (IPNB) is a rare biliary tumor, which shares some radiologic and histologic similarities with pancreatic intraductal papillary mucinous neoplasm (IPMN). IPNB is a recognized precursor lesion of invasive adenocarcinoma. We present a case of metachronous IPNB and IPMN lesions in a patient with mucinous adenocarcinoma of the pancreas who presented with jaundice and abdominal pain. The patient was treated with surgery and adjuvant chemotherapy

Habitat, Climate, and Raptors as Factors in the Northern Bobwhite Decline: A Multi-Scale Analysis

Landscape-level processes such as habitat loss and fragmentation are primarily responsible for the declines in northern bobwhite (Colinus virginianus). These landscape processes generally occur at a scale beyond that of traditional quail studies and may involve not only habitat loss and fragmentation but also broad-scale changes in climate trends and predation risk. However, reductions in usable space and changes in habitat configuration at smaller scales may also reduce population viability. It is therefore imperative to study relationships to bobwhite populations at multiple scales. The objective of our research is to quantify to what extent habitat loss and fragmentation, climate, and predators are affecting quail populations at multiple scales within Texas. Our study area will include the Rolling Plains and Rio Grande Plains ecoregions, which are historic strongholds of bobwhite, though each has seen recent declines. We will examine the relative contributions of 3 general factors (habitat, climate, and predators) on quail populations at multiple scales (ranch, route-level, and landscape). Specifically, these factors include total habitat amount, degree of fragmentation, raptor relative abundance, temperature, and precipitation. We will obtain data from multiple sources to determine quail trends (Breeding Bird Survey and ranch-level data) and relate habitat trends (National Land Cover Database and Texas Ecological Systems Classification Project), raptor abundance (Breeding Bird Survey), and climate factors (PRISM) within a multiple linear regression framework. This study will provide an understanding of 1) to what degree habitat loss and fragmentation are affecting quail populations on Texas rangelands, 2) how other factors such as climate and predators may be compounding these effects, and 3) how these relationships vary at multiple scales

Effect of Celluclast 1.5L on the Physicochemical Characterization of Gold Kiwifruit Pectin

The effects of Celluclast 1.5L concentration on the physicochemical characterization of gold kiwifruit pectin was evaluated. Varying the enzyme concentration affected the pectin yield and pectin physicochemical properties. The viscosity of extracted pectin was largely dependent on the enzyme concentration. Celluclast 1.5L with medium concentration exhibited the highest viscosity. Varying the enzyme concentration also influenced the molecular weight distribution. High molecular weight (Mw) pectin (1.65 × 106 g/mol) was obtained when the medium concentration was used. Overall, the study clearly reflects the importance of taking into consideration the amount of cellulytic enzyme added in order to determine the final quality of pectin

Isolation and Expression of a Gene Cluster Responsible for Biosynthesis of the Glycopeptidolipid Antigens of \u3cem\u3eMicobacterium avium\u3c/em\u3e

Bacteria within the Mycobacterium avium complex are prominent in the environment and are a source of serious disseminated infections in patients with AIDS. Serovars of the M. avium complex are distinguished from all other mycobacteria and from one another by the presence of highly antigenic glycolipids, the glycopeptidolipids, on their surfaces. A genomic library of DNA from serovar 2 of the M. avium complex was constructed in the Escherichia coli-Mycobacterium shuttle cosmid, pYUB18, and used to clone and express in Mycobacterium smegmatis the genes responsible for the biosynthesis of the oligosaccharide segment of the M. avium serovar 2-specific glycopeptidolipid. The responsible gene cluster was mapped to a 22- to 27-kb functional region of the M. avium genome. The recombinant glycolipid was also isolated by high-pressure liquid chromatography and chemically characterized, by gas chromatography-mass spectrometry and fast atom bombardment-mass spectrometry, to demonstrate that the lipopeptide core originated in M. smegmatis, whereas the oligosaccharide segment arose from the cloned M. avium genes. This first-time demonstration of the cloning and expression, in a nonpathogenic mycobacterium, of the genes encoding complex cell wall glycoconjugates from a pathogenic mycobacterium presents a new approach for studying the role of such products in disease processes

Loss of ATM/Chk2/p53 Pathway Components Accelerates Tumor Development and Contributes to Radiation Resistance in Gliomas

SummaryMaintenance of genomic integrity is essential for adult tissue homeostasis and defects in the DNA-damage response (DDR) machinery are linked to numerous pathologies including cancer. Here, we present evidence that the DDR exerts tumor suppressor activity in gliomas. We show that genes encoding components of the DDR pathway are frequently altered in human gliomas and that loss of elements of the ATM/Chk2/p53 cascade accelerates tumor formation in a glioma mouse model. We demonstrate that Chk2 is required for glioma response to ionizing radiation in vivo and is necessary for DNA-damage checkpoints in the neuronal stem cell compartment. Finally, we observed that the DDR is constitutively activated in a subset of human GBMs, and such activation correlates with regions of hypoxia

Effects of Tanglehead Expansion on Bobwhite Habitat Use in South Texas

Usable space for northern bobwhite (Colinus virginianus) has been reduced across a large portion of South Texas rangelands due to the spread of non-native, invasive grasses. A native grass, tanglehead (Heteropogon contortus) has rapidly expanded its dominance in the western Sand Sheet of South Texas within the last 10-15 years. It has formed high-density monocultures, similar to non-native grasses, which are associated with losses of forb and grass diversity as well as bare ground, which are key components of bobwhite habitat. The objectives of our research were to 1) determine selection-avoidance of habitat features by bobwhites, and 2) determine the effects of tanglehead cover on vegetation characteristics. We detected 488 coveys across 20,103 ha on helicopter surveys conducted December 2014 in South Texas. We measured 6 vegetation characterstics (grass and forb species richness, vegetation height, woody-plant cover, tanglehead cover, and non-native grass cover) at all covey detections and an equal number of random locations. We developed continuous selection ratios based on probability density functions of used and random points derived using Simple Saddlepoint Approximations to determine habitat selection by bobwhites. We also used quantile regression at the 10th, 50th, and 90th quantiles to determine relationships between tanglehead and vegetation factors. Bobwhite avoided areas of high canopy cover (\u3e20%) of all invasive grasses measured. Brush cover was selected for up to 47%, after which it was avoided. We found significant negative relationships between tanglehead cover and forb and grass species richness, bare ground, and shrub cover, and a positive relationship with vegetation height at all quantiles modeled. Our results demonstrate the negative effects of increased tanglehead cover on native rangeland habitats. Further expansion by tanglehead has the potential to significantly reduce usable space for bobwhites in South Texas

Does changing examiner stations during UK postgraduate surgery objective structured clinical examinations influence examination reliability and candidates' scores?

Objective Objective structured clinical examinations (OSCE) are widely used for summative assessment in surgery. Despite standardizing these as much as possible, variation, including examiner scoring, can occur which may affect reliability. In study of a high-stakes UK postgraduate surgical OSCE, we investigated whether examiners changing stations once during a long examining day affected marking, reliability, and overall candidates’ scores compared with examiners who examined the same scenario all day. Design, Setting, and Participants An observational study of 18,262 examiner-candidate interactions from the UK Membership of the Royal College of Surgeons examination was carried at 3 Surgical Colleges across the United Kingdom. Scores between examiners were compared using analysis of variance. Examination reliability was assessed with Cronbach’s alpha, and the comparative distribution of total candidates’ scores for each day was evaluated using t-tests of unit-weighted z scores. Results A significant difference was found in absolute scores differences awarded in the morning and afternoon sessions between examiners who changed stations at lunchtime and those who did not (p < 0.001). No significant differences were found for the main effects of either broad content area (p = 0.290) or station content area (p = 0.450). The reliability of each day was not affected by examiner switching (p = 0.280). Overall, no difference was found in z-score distribution of total candidate scores and categories of examiner switching. Conclusions This large study has found that although the range of marks awarded varied when examiners change OSCE stations, examination reliability and the likely candidate outcome were not affected. These results may have implications for examination design and examiner experience in surgical OSCEs and beyond

Landscape-Scale Effects of Habitat and Weather on Scaled Quail Populations

Scaled quail (Callipepla squamata) have declined over the last half century; however, there is spatial variation within their geographic distribution. Interior populations have increased and peripheral populations have generally decreased. Declines have been attributed to habitat loss and degradation. Scaled quail populations also show interannual fluctuations related to precipitation. Our objective was to determine the relative impact of habitat and weather (i.e., precipitation and temperature) on scaled quail population dynamics. Our hypothesis was that habitat metrics would be more important for decreasing populations whereas weather metrics would be more important for increasing populations. We used publicly available datasets for scaled quail abundance measures (Breeding Bird Survey, Christmas Bird Count), weather (PRISM), and land cover (National Land Cover Data) collected over 3 5-year time periods (1990–1994, 1999–2003, 2009–2013). Data were collected at 2 scales: a route scale (5-km route buffer) and region scale (25-km circular buffer). We developed 25 a priori models that fit into 4 “model classes” (habitat amount, habitat fragmentation, matrix quality, weather). Model selection followed a 2-stage approach, where models were initially evaluated within each individual model class, then top models from each class were evaluated in combination to determine a global model. We used mixed-effects models with a negative binomial response distribution, treating route as a random effect. Weather variables were the primary explanatory factor for increasing populations at both scales. Similarly following our hypothesis, habitat variables were generally the most important for decreasing populations, but only at the route scale; weather variables dominated at the region scale. Both abundance datasets provided similar results and explanatory power (R2 ≈ 0.10 for route scale; R2 ≈ 0.27 for region scale), for both increasing and decreasing populations. Comparisons of land cover variables showed increasing populations to have higher amounts of habitat (p = 0.0028), higher mean patch area of habitat (p = 0.0446), and lower urban cover (p = 0.0287). Our hypothesis that weather variables account for more variation of increasing scaled quail populations was generally supported, likely because of increased amounts of habitat in these areas. However, given the low overall explanatory power of our models, it is likely that other factors such as habitat quality may be more important to scaled quail. Increasing temperature and reduced precipitation associated with climate change are likely to exacerbate scaled quail declines both directly and through continued habitat degradation, even within areas with increasing populations