Risk factors for death in hospitalized dysentery patients in Rwanda.

To evaluate the management of severe dysentery cases in in-patient facilities during an epidemic of Shigella dysenteriae type 1 (Sd1), and to identify the factors associated with the risk of death, we conducted a prospective cohort study in 10 Rwandese hospitals between September and December 1994. Data were obtained from 849 cases admitted to hospitals with diarrhoea and visible blood in stools. The proportion of patients with persistent bloody diarrhoea was 51.0% at treatment day 3 and 27.9% at treatment day 5. At discharge, 79.9% had improved or were cured. The case fatality ratio was 13.2%, higher for patients treated with nalidixic acid than for those treated with ciprofloxacin (12.2% vs. 2.2%, RR = 5.80, 95% CI = 0.83-40.72). In a logistic regression model three risk factors were significantly associated with an increased risk of death during hospitalization: severe dehydration on admission (adjusted OR = 2.79, 95% CI = 1.46-5.33), age over 50 (adjusted OR vs. 5-49 age group = 3.22, 95% CI = 1.70-6.11) and prescription of nalidixic acid (adjusted OR vs. ciprofloxacin = 8.66, 95% CI = 1.08-69.67). Those results were consistent with reported high levels of resistance of Sd1 to the commonest antibiotics, including nalidixic acid. Patients belonging to groups with a higher risk of dying should be given special medical attention and supportive care. In areas of high resistance to nalidixic acid, severe cases of dysentery should be treated with fluoroquinolones in order to reduce the mortality associated with these epidemics

Stochastic semi-continuous simulation for extreme flood estimation in catchments with combined rainfall–snowmelt flood regimes

Simulation methods for extreme flood estimation represent an important complement to statistical flood frequency analysis because a spectrum of catchment conditions potentially leading to extreme flows can be assessed. In this paper, stochastic, semi-continuous simulation is used to estimate extreme floods in three catchments located in Norway, all of which are characterised by flood regimes in which snowmelt often has a significant role. The simulations are based on SCHADEX, which couples a precipitation probabilistic model with a hydrological simulation such that an exhaustive set of catchment conditions and responses is simulated. The precipitation probabilistic model is conditioned by regional weather patterns, and a bottom–up classification procedure was used to define a set of weather patterns producing extreme precipitation in Norway. SCHADEX estimates for the 1000-year (Q1000) discharge are compared with those of several standard methods, including event-based and long-term simulations which use a single extreme precipitation sequence as input to a hydrological model, statistical flood frequency analysis based on the annual maximum series, and the GRADEX method. The comparison suggests that the combination of a precipitation probabilistic model with a long-term simulation of catchment conditions, including snowmelt, produces estimates for given return periods which are more in line with those based on statistical flood frequency analysis, as compared with the standard simulation methods, in two of the catchments. In the third case, the SCHADEX method gives higher estimates than statistical flood frequency analysis and further suggests that the seasonality of the most likely Q1000 events differs from that of the annual maximum flows. The semi-continuous stochastic simulation method highlights the importance of considering the joint probability of extreme precipitation, snowmelt rates and catchment saturation states when assigning return periods to floods estimated by precipitation-runoff methods. The SCHADEX methodology, as applied here, is dependent on observed discharge data for calibration of a hydrological model, and further study to extend its application to ungauged catchments would significantly enhance its versatility

Suppression of eukaryotic initiation factor 4E prevents chemotherapy-induced alopecia

BACKGROUND: Chemotherapy-induced hair loss (alopecia) (CIA) is one of the most feared side effects of chemotherapy among cancer patients. There is currently no pharmacological approach to minimize CIA, although one strategy that has been proposed involves protecting normal cells from chemotherapy by transiently inducing cell cycle arrest. Proof-of-concept for this approach, known as cyclotherapy, has been demonstrated in cell culture settings. METHODS: The eukaryotic initiation factor (eIF) 4E is a cap binding protein that stimulates ribosome recruitment to mRNA templates during the initiation phase of translation. Suppression of eIF4E is known to induce cell cycle arrest. Using a novel inducible and reversible transgenic mouse model that enables RNAi-mediated suppression of eIF4E in vivo, we assessed the consequences of temporal eIF4E suppression on CIA. RESULTS: Our results demonstrate that transient inhibition of eIF4E protects against cyclophosphamide-induced alopecia at the organismal level. At the cellular level, this protection is associated with an accumulation of cells in G1, reduced apoptotic indices, and was phenocopied using small molecule inhibitors targeting the process of translation initiation. CONCLUSIONS: Our data provide a rationale for exploring suppression of translation initiation as an approach to prevent or minimize cyclophosphamide-induced alopecia.1U01 CA168409 - NCI NIH HHS; P01 CA 87497 - NCI NIH HHS; P30 CA008748 - NCI NIH HHS; MOP-106530 - Canadian Institutes of Health Research; P01 CA013106 - NCI NIH HH

Range Expansion by Moose into Coastal Temperate Rainforests of British Columbia, Canada

Ranges of species are dynamic and respond to long-term climate change and contemporary effects such as habitat modification. We report here that moose (Alces alces) have recently colonized coastal temperate rainforests of British Columbia, Canada. Contrary to recent publications, field observations of moose and their sign, combined with their occurrence in wolf (Canis lupus) faeces, suggest that moose are now widespread on the coastal mainland and occur on least three islands. Traditional ecological knowledge (information accumulated by aboriginal peoples about their environment) suggests that colonization occurred during the mid 1900s, concomitant with logging of major watersheds that bisect the Coast Mountain Range. Range expansion by moose may have ecological consequences such as alteration of predator– prey dynamics and transmission of disease to native deer (Odocoileus hemionus)

Introducing a rainfall compound distribution model based on weather patterns sub-sampling

This paper presents a probabilistic model for daily rainfall, using sub-sampling based on meteorological circulation. We classified eight typical but contrasted synoptic situations (weather patterns) for France and surrounding areas, using a "bottom-up" approach, i.e. from the shape of the rain field to the synoptic situations described by geopotential fields. These weather patterns (WP) provide a discriminating variable that is consistent with French climatology, and allows seasonal rainfall records to be split into more homogeneous sub-samples, in term of meteorological genesis. <br><br> First results show how the combination of seasonal and WP sub-sampling strongly influences the identification of the asymptotic behaviour of rainfall probabilistic models. Furthermore, with this level of stratification, an asymptotic exponential behaviour of each sub-sample appears as a reasonable hypothesis. This first part is illustrated with two daily rainfall records from SE of France. <br><br> The distribution of the multi-exponential weather patterns (MEWP) is then defined as the composition, for a given season, of all WP sub-sample marginal distributions, weighted by the relative frequency of occurrence of each WP. This model is finally compared to Exponential and Generalized Pareto distributions, showing good features in terms of robustness and accuracy. These final statistical results are computed from a wide dataset of 478 rainfall chronicles spread on the southern half of France. All these data cover the 1953–2005 period

Early Ontogenetic Diet in Gray Wolves, Canis lupus, of Coastal British Columbia

Within populations, different age classes often consume dissimilar resources, and provisioning of juveniles by adults is one mechanism by which this can occur. Although the diet of Gray Wolves (Canis lupus) has been studied extensively, the diet of pups is largely unknown. We examined faeces deposited by altricial pups and adult providers during the first two months following birth at two den sites over two years on the central coast of British Columbia, Canada. Pups and adult wolves consumed similar species, and Black-tailed Deer (Odocoileus hemionus) constituted most of the diet for both age groups. Pup and adult diet, however, diverged. Specifically, adult deer occurred significantly less frequently in the diet of pups than in the diet of adult wolves, which suggests that adults selectively provisioned pups. We speculate that this may relate to adaptive strategies of adult wolves to provide their offspring with food of optimal nutritional value or reduced parasitic burden, and/or logistic factors associated with provisioning such as prey transportability and availability

Faecal-Centric Approaches to Wildlife Ecology and Conservation; Methods, Data and Ethics

Abundant and commonly encountered in the field, wildlife faeces have long attracted scientists. Recent advances in molecular techniques, however, especially when coupled with creative study designs, can now yield a great variety of high quality data. Herein, we review the opportunities and challenges of faecal-centric approaches to address ecological and conservation questions using wolves of coastal British Columbia, Canada, as a case system. We begin by discussing methodological considerations, which should have broad applicability to any wildlife study system. We then summarize the extensive and unique variety of data that has emerged from our ‘facts from faeces’ approach with wolves, which has ranged from descriptive autecology to process-oriented hypothesis-testing to applied conservation management. We conclude by contrasting this non-invasive approach with radio-collaring in an ethics framework. We contend that when the two methods are equally efficacious in answering required research questions, scatology become the only ethical option, a perspective increasingly codified as policy governing research activities

Early Ontogenetic Diet in Gray Wolves, Canis lupus, of Coastal British Columbia

Within populations, different age classes often consume dissimilar resources, and provisioning of juveniles by adults is one mechanism by which this can occur. Although the diet of Gray Wolves (Canis lupus) has been studied extensively, the diet of pups is largely unknown. We examined faeces deposited by altricial pups and adult providers during the first two months following birth at two den sites over two years on the central coast of British Columbia, Canada. Pups and adult wolves consumed similar species, and Black-tailed Deer (Odocoileus hemionus) constituted most of the diet for both age groups. Pup and adult diet, however, diverged. Specifically, adult deer occurred significantly less frequently in the diet of pups than in the diet of adult wolves, which suggests that adults selectively provisioned pups. We speculate that this may relate to adaptive strategies of adult wolves to provide their offspring with food of optimal nutritional value or reduced parasitic burden, and/or logistic factors associated with provisioning such as prey transportability and availability

3D Model Retrieval with Spherical Harmonics and Moments

We consider 3D object retrieval in which a polygonal mesh serves as a query and similar objects are retrieved from a collection of 3D objects. Algorithms proceed first by a normalization step in which models are transformed into canonical coordinates. Second, feature vectors are extracted and compared with those derived from normalized models in the search space. In the feature vector space nearest neighbors are computed and ranked. Retrieved objects are displayed for inspection, selection, and processing. Our feature vectors are based on rays cast from the center of mass of the object. For each ray the object extent in the ray direction yields a sample of a function on the sphere. We compared two kinds of representations of this function, namely spherical harmonics and moments. Our empirical comparison using precision-recall diagrams for retrieval results in a data base of 3D models showed that the method using spherical harmonics performed better