A Proposal for a Common Minimal Topic Set in Introductory Biology Courses for Majors

A common complaint among instructors of introductory biology courses is the course covers too much material. Without a national consensus specifying which topics are essential, instructors are leery of excluding material. A survey was administered to Two-Year College and Four-Year College and University section members of the National Association of Biology Teachers (NABT) to identify the topics and skills college and university biology instructors believe students completing introductory biology should know and comprehend. Analysis identified a strong consensus for twenty topics and seven skills that should be included in all year-long introductory college biology course sequences for majors

Redesigning Introductory Biology: A Proposal

With the increasing complexity and expansion of the biological sciences, there has been a corresponding increase in content in the first-year introductory biology course sequence for majors. In general this has resulted in courses that introduce students to large amounts of material and leave little time for practicing investigative science or skill development. Based on our analysis of data compiled from 742 biology faculty at a variety of institutions across the United States, we verified that there is strong agreement on the content appropriate for introductory biology courses for majors. Therefore, we propose that faculty teaching these courses focus primarily on the topics identified in this study, and redesign their courses to incorporate active learning strategies that emphasize the investigative nature of biology and provide opportunities for skill development

Development and Validation of a Risk Score for Chronic Kidney Disease in HIV Infection Using Prospective Cohort Data from the D:A:D Study

Ristola M. on työryhmien DAD Study Grp ; Royal Free Hosp Clin Cohort ; INSIGHT Study Grp ; SMART Study Grp ; ESPRIT Study Grp jäsen.Background Chronic kidney disease (CKD) is a major health issue for HIV-positive individuals, associated with increased morbidity and mortality. Development and implementation of a risk score model for CKD would allow comparison of the risks and benefits of adding potentially nephrotoxic antiretrovirals to a treatment regimen and would identify those at greatest risk of CKD. The aims of this study were to develop a simple, externally validated, and widely applicable long-term risk score model for CKD in HIV-positive individuals that can guide decision making in clinical practice. Methods and Findings A total of 17,954 HIV-positive individuals from the Data Collection on Adverse Events of Anti-HIV Drugs (D:A:D) study with >= 3 estimated glomerular filtration rate (eGFR) values after 1 January 2004 were included. Baseline was defined as the first eGFR > 60 ml/min/1.73 m2 after 1 January 2004; individuals with exposure to tenofovir, atazanavir, atazanavir/ritonavir, lopinavir/ritonavir, other boosted protease inhibitors before baseline were excluded. CKD was defined as confirmed (>3 mo apart) eGFR In the D:A:D study, 641 individuals developed CKD during 103,185 person-years of follow-up (PYFU; incidence 6.2/1,000 PYFU, 95% CI 5.7-6.7; median follow-up 6.1 y, range 0.3-9.1 y). Older age, intravenous drug use, hepatitis C coinfection, lower baseline eGFR, female gender, lower CD4 count nadir, hypertension, diabetes, and cardiovascular disease (CVD) predicted CKD. The adjusted incidence rate ratios of these nine categorical variables were scaled and summed to create the risk score. The median risk score at baseline was -2 (interquartile range -4 to 2). There was a 1: 393 chance of developing CKD in the next 5 y in the low risk group (risk score = 5, 505 events), respectively. Number needed to harm (NNTH) at 5 y when starting unboosted atazanavir or lopinavir/ritonavir among those with a low risk score was 1,702 (95% CI 1,166-3,367); NNTH was 202 (95% CI 159-278) and 21 (95% CI 19-23), respectively, for those with a medium and high risk score. NNTH was 739 (95% CI 506-1462), 88 (95% CI 69-121), and 9 (95% CI 8-10) for those with a low, medium, and high risk score, respectively, starting tenofovir, atazanavir/ritonavir, or another boosted protease inhibitor. The Royal Free Hospital Clinic Cohort included 2,548 individuals, of whom 94 individuals developed CKD (3.7%) during 18,376 PYFU (median follow-up 7.4 y, range 0.3-12.7 y). Of 2,013 individuals included from the SMART/ESPRIT control arms, 32 individuals developed CKD (1.6%) during 8,452 PYFU (median follow-up 4.1 y, range 0.6-8.1 y). External validation showed that the risk score predicted well in these cohorts. Limitations of this study included limited data on race and no information on proteinuria. Conclusions Both traditional and HIV-related risk factors were predictive of CKD. These factors were used to develop a risk score for CKD in HIV infection, externally validated, that has direct clinical relevance for patients and clinicians to weigh the benefits of certain antiretrovirals against the risk of CKD and to identify those at greatest risk of CKD.Peer reviewe

Journey to the Center of the Gyre: The Fate of the Tohoku Tsunami Debris Field

The 9.0 magnitude Tohoku earthquake that struck off the coast of Japan on March 11, 2011, was the fourth largest earthquake in recorded history and the largest ever to hit a densely populated region (Bertero, 2011; Lekkas et al., 2011). The ensuing tsunami inundated an area of about 561 km2 (Geospatial Information Authority, 2011), washing away an estimated 24.9 million tonnes of debris, including wood, sediments, plastics, industrial chemicals, and structural components (Oh, 2011). Two weeks following the tsunami, the meltdown of the Fukushima Daiichi nuclear reactors released radioactive elements into the atmosphere and coastal waters. Atmospheric deposition was found to be an important source of radioactivity in surface waters and may have contaminated the debris field, although the extent of this contamination remains unknown (Buesseler et al., 2012; Honda et al., 2012).Here, we follow the debris field along its predicted path from its source in Japanese coastal waters through the Kuroshio-Oyashio Extension, the North Pacific Current, and the California Current. From there, it will loop back toward the Hawaiian Islands, ultimately accumulating in the North Pacific Gyre (International Pacific Research Center, 2011b; Figure 1). Relying on precedents from previous natural disasters and ongoing observations, we attempt to predict the impact of this debris field on marine and coastal ecosystems in each of these regions. We predict that the Tohoku debris field will create a rare perturbation for ecosystems interconnected across the North Pacific, exacerbating the accumulating human impacts on the world ocean