Natural history and ecology of larval Lost River suckers and larval shortnose suckers in the Williamson River-Upper Klamath Lake System

We monitored larval Lost River and shortnose suckers from natal beds in the Williamson and Sprague rivers to nursery grounds in Upper Klamath Lake. Downstream movements occurred at night, in the middle of the channel, and on the falling limb of the hydrograph. Ages, sizes, and developmental stages of larvae from spawning beds and the river mouth were similar, while larvae collected contemporaneously from the lake tended to be larger and better fed. Our results indicate in-river rearing was rare, that a rapid outmigration to the lake was favorable for larval survival, and that modification of the lower Williamson River does not appear to have prohibited rapid entry or preclude access to Upper Klamath Lake. Within the Williamson River and Upper Klamath Lake, emergent macrophytes supported significantly higher abundance, larger mean sizes, and better fed larvae than submerged macrophytes, woody vegetation, or open water areas. Analysis of seven years of larval sucker production and survival corroborated the habitat analysis by identifying a positive relationship with emergent macrophyte availability as well as a positive relationship with air temperature and a negative relationship with high wind. These findings illustrate the importance of fast growth, appropriate habitat and calm hydrological conditions for larvae, and are highly consistent with other larval fish studies

Superior Mesenteric Artery originating from the celiac axis: A rare vascular anomaly

The knowledge of the vascular anatomy of the concerned region is an important prerequisite for planning surgical intervention. The awareness of the existing vascular anomalies enhances the insight regarding that region. We report a patient undergoing preoperative evaluation with CTA finding of Superior Mesenteric Artery (SMA) originating from the celiac artery. This celiac-mesenteric trunk is rare (<1%)

Designing a global assessment of climate change on inland fishes and fisheries: knowns and needs

© 2017, Springer International Publishing Switzerland (outside the USA). To date, there are few comprehensive assessments of how climate change affects inland finfish, fisheries, and aquaculture at a global scale, but one is necessary to identify research needs and commonalities across regions and to help guide decision making and funding priorities. Broadly, the consequences of climate change on inland fishes will impact global food security, the livelihoods of people who depend on inland capture and recreational fisheries. However, understanding how climate change will affect inland fishes and fisheries has lagged behind marine assessments. Building from a North American inland fisheries assessment, we convened an expert panel from seven countries to provide a first-step to a framework for determining how to approach an assessment of how climate change may affect inland fishes, capture fisheries, and aquaculture globally. Starting with the small group helped frame the key questions (e.g., who is the audience? What is the best approach and spatial scale?). Data gaps identified by the group include: the tolerances of inland fisheries to changes in temperature, stream flows, salinity, and other environmental factors linked to climate change, and the adaptive capacity of fishes and fisheries to adjust to these changes. These questions are difficult to address, but long-term and large-scale datasets are becoming more readily available as a means to test hypotheses related to climate change. We hope this perspective will help researchers and decision makers identify research priorities and provide a framework to help sustain inland fish populations and fisheries for the diversity of users around the globe

Central pancreatectomy without anastomosis

<p>Abstract</p> <p>Background</p> <p>Central pancreatectomy has a unique application for lesions in the neck of the pancreas. It preserves the distal pancreas and its endocrine functions. It also preserves the spleen.</p> <p>Methods</p> <p>This is a retrospective review of 10 patients who underwent central pancreatectomy without pancreatico-enteric anastomosis between October 2005 and May 2009. The surgical indications, operative outcomes, and pathologic findings were analyzed.</p> <p>Results</p> <p>All 10 lesions were in the neck of the pancreas and included: 2 branch intraductal papillary mucinous neoplasms (IPMNs), a mucinous cyst, a lymphoid cyst, 5 neuroendocrine tumors, and a clear cell adenoma.</p> <p>Conclusion</p> <p>Central pancreatectomy without pancreatico-enteric anastomosis for lesions in the neck and proximal pancreas is a safe and effective procedure. Morbidity is low because there is no anastomosis. Long term endocrine and exocrine function has been maintained.</p

A Randomized Controlled Trial Comparing the Effects of Counseling and Alarm Device on HAART Adherence and Virologic Outcomes

Michael Chung and colleagues show that intensive early adherence counseling at HAART initiation resulted in sustained, significant impact on adherence and virologic treatment failure, whereas use of an alarm device had no effect