Dental management considerations for the patient with an acquired coagulopathy. Part 1: Coagulopathies from systemic disease

Current teaching suggests that many patients are at risk for prolonged bleeding during and following invasive dental procedures, due to an acquired coagulopathy from systemic disease and/or from medications. However, treatment standards for these patients often are the result of long-standing dogma with little or no scientific basis. The medical history is critical for the identification of patients potentially at risk for prolonged bleeding from dental treatment. Some time-honoured laboratory tests have little or no use in community dental practice. Loss of functioning hepatic, renal, or bone marrow tissue predisposes to acquired coagulopathies through different mechanisms, but the relationship to oral haemostasis is poorly understood. Given the lack of established, science-based standards, proper dental management requires an understanding of certain principles of pathophysiology for these medical conditions and a few standard laboratory tests. Making changes in anticoagulant drug regimens are often unwarranted and/or expensive, and can put patients at far greater risk for morbidity and mortality than the unlikely outcome of postoperative bleeding. It should be recognised that prolonged bleeding is a rare event following invasive dental procedures, and therefore the vast majority of patients with suspected acquired coagulopathies are best managed in the community practice setting

Introduced Mammalian Predators Induce Behavioural Changes in Parental Care in an Endemic New Zealand Bird

The introduction of predatory mammals to oceanic islands has led to the extinction of many endemic birds. Although introduced predators should favour changes that reduce predation risk in surviving bird species, the ability of island birds to respond to such novel changes remains unstudied. We tested whether novel predation risk imposed by introduced mammalian predators has altered the parental behaviour of the endemic New Zealand bellbird (Anthornis melanura). We examined parental behaviour of bellbirds at three woodland sites in New Zealand that differed in predation risk: 1) a mainland site with exotic predators present (high predation risk), 2) a mainland site with exotic predators experimentally removed (low risk recently) and, 3) an off-shore island where exotic predators were never introduced (low risk always). We also compared parental behaviour of bellbirds with two closely related Tasmanian honeyeaters (Phylidonyris spp.) that evolved with native nest predators (high risk always). Increased nest predation risk has been postulated to favour reduced parental activity, and we tested whether island bellbirds responded to variation in predation risk. We found that females spent more time on the nest per incubating bout with increased risk of predation, a strategy that minimised activity at the nest during incubation. Parental activity during the nestling period, measured as number of feeding visits/hr, also decreased with increasing nest predation risk across sites, and was lowest among the honeyeaters in Tasmania that evolved with native predators. These results demonstrate that some island birds are able to respond to increased risk of predation by novel predators in ways that appear adaptive. We suggest that conservation efforts may be more effective if they take advantage of the ability of island birds to respond to novel predators, especially when the elimination of exotic predators is not possible

Single nucleotide polymorphisms in DNA repair genes as risk factors associated to prostate cancer progression

Background Besides serum levels of PSA, there is a lack of prostate cancer specific biomarkers. It is need to develop new biological markers associated with the tumor behavior which would be valuable to better individualize treatment. The aim of this study was to elucidate the relationship between single nucleotide polymorphisms (SNPs) in genes involved in DNA repair and prostate cancer progression.Methods A total of 494 prostate cancer patients from a Spanish multicenter study were genotyped for 10 SNPs in XRCC1, ERCC2, ERCC1, LIG4, ATM and TP53 genes. The SNP genotyping was made in a Biotrove OpenArray® NT Cycler. Clinical tumor stage, diagnostic PSA serum levels, and Gleason score at diagnosis were obtained for all participants. Genotypic and allelic frequencies were determined using the web-based environment SNPator.Results SNPs rs11615 (ERCC1) and rs17503908 (ATM) appeared as risk factors for prostate cancer aggressiveness. Patients wild homozygous for these SNPs (AA and TT, respectively) were at higher risk for developing cT2b – cT4 (OR = 2.21 (confidence interval (CI) 95% 1.47 – 3.31), p < 0.001) and Gleason scores ≥ 7 (OR = 2.22 (CI 95% 1.38 – 3.57), p < 0.001), respectively. Moreover, those patients wild homozygous for both SNPs had the greatest risk of presenting D’Amico high-risk tumors (OR = 2.57 (CI 95% 1.28 – 5.16)).Conclusions Genetic variants at DNA repair genes are associated with prostate cancer progression, and would be taken into account when assessing the malignancy of prostate cancer.This work was subsidized by a grant from the Instituto de Salud Carlos III (Ministerio de Economía y Competitividad from Spain), ID: PI12/01867. Almudena Valenciano has a grant from the Instituto Canario de Investigación del Cáncer (ICIC)

Tracking reveals limited interactions between Campbell Albatross and fisheries during the breeding season

International audienceFisheries-related mortality has been influential in driving global declines in seabird populations. Understanding the overlap between seabird distribution and fisheries is one important element in assessing bycatch risk, and may be achieved by tracking the movements of individual birds and fishing vessels. Here, we assess the spatiotemporal overlap between the vulnerable Campbell Albatross Thalassarche impavida and large (>28 m) commercial fishing boats in New Zealand’s Exclusive Economic Zone (EEZ). We used a novel analytical approach, bivariate Gaussian bridge movement modelling, to compute spatiotemporal utilization distributions of bird-borne global positioning system (GPS) loggers and data from the Vessel Monitoring System. We tracked birds for 28,815 h during incubation and chick brooding, with half of this time spent within New Zealand’s EEZ, utilizing 6.7% of the available area. However, there was no evidence that albatrosses and fishing vessels were in the same location simultaneously. We accounted for the broader ecological footprint of fishing vessels by calculating the distance between GPS-fix locations for albatrosses and fishing vessels, revealing that albatrosses were within 30 km of fishing vessels in 8.4% of foraging trips. This highlights differences in estimated fine-scale spatiotemporal overlaps which may be due to the distance between albatrosses and vessels or the methods used. Overall, the low levels of spatial overlap could be a result of Campbell Albatross’ preference for foraging in areas without fishing activity or competitive exclusion by other species. Our results reinforce the importance of multi-scale, temporally explicit, and multi-national approaches to risk assessment, as Campbell Albatrosses spend approximately half of their time foraging outside New Zealand’s EEZ

Tony Whitaker: life and achievements of a pioneer New Zealand lizard ecologist

<p>Tony Whitaker grew up in Pinehaven, north of Wellington, New Zealand. He soon became interested in natural history, with interests centred on lizard ecology. Newly developed nocturnal, mark–recapture and quadrat survey techniques enabled density and niche segregation studies, resulting in numerous scientific publications throughout his life. From 1966 to 1977 he worked as an ecologist at the Department of Scientific and Industrial Research (DSIR). His surveys of islands off northern New Zealand led to an important study of the impact of kiore (Polynesian rat; <i>Rattus exulans</i>) on lizard populations, showing that rat eradication was necessary for conservation. At DSIR he also researched birds and mammals. Later, Tony and his wife Viv established a farm near Motueka and began mainland studies of lizards, contracted to mining companies or the New Zealand Wildlife Service/Department of Conservation. Having built up a well-documented collection of New Zealand lizards (now at the Museum of New Zealand Te Papa Tongarewa), Tony then contributed to a bibliography, atlas and field guide. During the period when the taxonomy of lizards was revolutionised by the use of molecular techniques, Tony provided specimens, guidance and encouragement to many herpetologists. From 2000, his interests turned to the little-known and threatened lizards of New Caledonia, on which he contributed to 13 major papers. His life and work are here described under thematic, rather than strictly chronological, headings.</p

Mitigation of seabird mortality on factory trawlers: trials of three devices to reduce warp cable strikes

Experimental trials were conducted onboard a stern trawler to identify the relative efficacy of three emerging mitigation measures (tori lines, warp scarer and Brady baffler) designed to reduce seabird mortality caused by warp cable strikes. The use of mitigation measures was clearly shown to substantially reduce seabird mortalities from collisions between seabirds and warp cables. Based on an established significant relationship between contact rate and seabird mortality, when using contact rate as an index of mortality there was a clear performance hierarchy of the three measures. Tori lines and the warp scarer were significantly more effective at reducing contacts than the Brady Baffler, whilst tori lines represent a smaller, but still significant, improvement on the warp scarer. While further testing would be required under local environmental and operational conditions, our findings are likely to have application for many trawl fisheries around the world