Meta-analysis of type 2 Diabetes in African Americans Consortium

Type 2 diabetes (T2D) is more prevalent in African Americans than in Europeans. However, little is known about the genetic risk in African Americans despite the recent identification of more than 70 T2D loci primarily by genome-wide association studies (GWAS) in individuals of European ancestry. In order to investigate the genetic architecture of T2D in African Americans, the MEta-analysis of type 2 DIabetes in African Americans (MEDIA) Consortium examined 17 GWAS on T2D comprising 8,284 cases and 15,543 controls in African Americans in stage 1 analysis. Single nucleotide polymorphisms (SNPs) association analysis was conducted in each study under the additive model after adjustment for age, sex, study site, and principal components. Meta-analysis of approximately 2.6 million genotyped and imputed SNPs in all studies was conducted using an inverse variance-weighted fixed effect model. Replications were performed to follow up 21 loci in up to 6,061 cases and 5,483 controls in African Americans, and 8,130 cases and 38,987 controls of European ancestry. We identified three known loci (TCF7L2, HMGA2 and KCNQ1) and two novel loci (HLA-B and INS-IGF2) at genome-wide significance (4.15 × 10(-94)<P<5 × 10(-8), odds ratio (OR)  = 1.09 to 1.36). Fine-mapping revealed that 88 of 158 previously identified T2D or glucose homeostasis loci demonstrated nominal to highly significant association (2.2 × 10(-23) < locus-wide P<0.05). These novel and previously identified loci yielded a sibling relative risk of 1.19, explaining 17.5% of the phenotypic variance of T2D on the liability scale in African Americans. Overall, this study identified two novel susceptibility loci for T2D in African Americans. A substantial number of previously reported loci are transferable to African Americans after accounting for linkage disequilibrium, enabling fine mapping of causal variants in trans-ethnic meta-analysis studies.Peer reviewe

Pulmonary adenocarcinoma metastatic to pituitary craniopharyngioma

[No abstract available

The incidence and cost of cardiac surgery adverse events in Australian (Victorian) hospitals 2003–2004

Health economics, Costs, Adverse events, Patient safety, C13, D78, H51,

Perceived Impacts Of Ecotourism Environmental Learning And Conservation: Turtle Watching As A Case Study

Using a case study, involving turtle-based ecotourism, we explore the role of ecotourism in promoting environmental learning and in sustaining conservation of nature. Mon Repos Conservation Park (an important marine turtle rookery involved in ecotourism) in Queensland, Australia, was selected for this study and visitors were surveyed using a structured questionnaire. The reported on-site experiences of respondents are analysed to identify important factors that alter their stated conservation attitudes and behaviours. The impact of these factors (such as the amount of environmental education that respondents claimed they obtained, sighting of sea turtles, nationality) is quantified using regression analyses. There has been little previous quantification of such influences. The study reveals that a considerable amount of environmental knowledge is gained by visitors to Mon Repos. The ecotourism experience, involving environmental education and seeing of turtles, was found to have positive and statistically significant impacts on the visitors' stated desire and intended behaviour to protect sea turtles. The study reveals the importance of learning and the interaction of tourists with wildlife as a contributor to their pro-conservation sentiments and actions. It shows how ecotourism can support nature conservation