Island networks: Transformations of inter-community social relationships in the Lesser Antilles at the advent of European colonialism

The Caribbean Sea was a conduit for human mobility and the exchange of goods and ideas during the whole of its pre-colonial history. The period cal. AD 1000-1800, covering the Late Ceramic Age and early colonial era, represents an archaeologically understudied time during which the Lesser Antilles came under increasing influence from the Greater Antilles and coastal South America and participated in the last phase of indigenous resistance to colonial powers. This article summarizes the results of the Island Network project, supported by the Netherlands Organisation for Scientific Research (NWO) in which a multi-disciplinary set of archaeological, archaeometric, geochemical, GIS, and network science methods and techniques have been employed to disentangle this turbulent era in regional and global history. These diverse approaches reveal and then explore multi-layered networks of objects and people and uncover how Lesser Antillean communities were created and transformed through teaching, trade, migration, movement, and exchange of goods and knowledge

The APC variants I1307K and E1317Q are associated with colorectal tumors, but not always with a family history

Classical familial adenomatous polyposis (FAP) is a high-penetrance autosomal dominant disease that predisposes to hundreds or thousands of colorectal adenomas and carcinoma and that results from truncating mutations in the APC gene. A variant of FAP is attenuated adenomatous polyposis coli, which results from germ-line mutations in the 5' and 3' regions of the APC gene. Attenuated adenomatous polyposis coli patients have "multiple" colorectal adenomas (typically fewer than 100) without the florid phenotype of classical FAP. Another group of patients with multiple adenomas has no mutations in the APC gene, and their phenotype probably results from variation at a locus, or loci, elsewhere in the genome. Recently, however, a missense variant of APC (I1307K) was described that confers an increased risk of colorectal tumors, including multiple adenomas, in Ashkenazim. We have studied a set of 164 patients with multiple colorectal adenomas and/or carcinoma and analyzed codons 1263-1377 (exon 15G) of the APC gene for germ-line variants. Three patients with the I1307K allele were detected, each of Ashkenazi descent. Four patients had a germ-line E1317Q missense variant of APC that was not present in controls; one of these individuals had an unusually large number of metaplastic polyps of the colorectum. There is increasing evidence that there exist germ-line variants of the APC gene that predispose to the development of multiple colorectal adenomas and carcinoma, but without the florid phenotype of classical FAP, and possibly with importance for colorectal cancer risk in the general population

Island networks: Transformations of inter-community social relationships in the Lesser Antilles at the advent of European colonialism

The Caribbean Sea was a conduit for human mobility and the exchange of goods and ideas during the whole of its pre-colonial history. The period cal. AD 1000-1800, covering the Late Ceramic Age and early colonial era, represents an archaeologically understudied time during which the Lesser Antilles came under increasing influence from the Greater Antilles and coastal South America and participated in the last phase of indigenous resistance to colonial powers. This article summarizes the results of the Island Network project, supported by the Netherlands Organisation for Scientific Research (NWO) in which a multi-disciplinary set of archaeological, archaeometric, geochemical, GIS, and network science methods and techniques have been employed to disentangle this turbulent era in regional and global history. These diverse approaches reveal and then explore multi-layered networks of objects and people and uncover how Lesser Antillean communities were created and transformed through teaching, trade, migration, movement, and exchange of goods and knowledge

Informal microfinance institutions and development-led tourism entrepreneurship

This paper explores how informal microfinance institutions (IMFIs) support development-led tourism entrepreneurship through providing microcredit and development opportunities to small tourism firms (STFs), as well as undertaking communitarian projects and outreach activities that promote the business activities of STFs. Drawing on resilience and social capital as central concepts, the paper argues that the form of collective action found in IMFIs can be examined to understand their impact on development-led tourism entrepreneurship. Using Cameroon as a case study important policy challenges in destinations where regulatory constrains cause many STFs to become dependent on IMFIs as opposed to formal (regulated) financial institutions in development-led tourism are highlighted

Analysis of Outcomes in Ischemic vs Nonischemic Cardiomyopathy in Patients With Atrial Fibrillation A Report From the GARFIELD-AF Registry

IMPORTANCE Congestive heart failure (CHF) is commonly associated with nonvalvular atrial fibrillation (AF), and their combination may affect treatment strategies and outcomes