Are Child's Class C Patients With Acute Variceal Bleeding Worth Treating?

In the ten year period January 1980 to December 1989, 102 patients with Child’s Class C liver disease (Pugh's Modification) were admitted with acute variceal bleeding to one surgical unit with a policy of early sclerotherapy. There were 56 males and 46 females; the average age was 55 years (range 28–77). Fifty-three suffered from alcoholic cirrhosis. Four died before definitive treatment could be carried out, three from liver failure and one from uncontrolled bleeding. Of the remaining 98 patients, eight had urgent oesophageal transection with three deaths from hepatorenal failure; 90 had sclerotherapy with 19 hospital deaths, nine from recurrent bleeding, eight from liver failure often coupled with renal failure and two from respiratory complications. Of the 76 who survived to leave hospital, 52 received chronic injection sclerotherapy, 10 had elective oesophageal transection and 14 did not have further elective intervention for various reasons. Surviving patients have been followed up at a special Liver Clinic with minimum follow up of one year. Although no patient has yet survived ten years, the one, five and eight year survivals of 50%, 21% and 13% suggest that salvage of thdse patients is worthwhile

Feral honey bees in pine forest landscapes of east Texas

In 1990 the Africanized honey bee, a descendent of Apis mellifera scutellata, was identified in south Texas [Hunter, L.A., Jackman, J.A., Sugden,E.A., 1992.Detection records of Africanized honey bees inTexas during 1990, 1991 and 1992. Southwestern Entomol. 18, 79–89]. The potential impact of this immigrant on feral and managed colonies was the subject of considerable speculation. The goal of this study was to investigate the diversity of feral honey bee races in pine forest landscapes of east Texas, subsequent to immigration of A. m. scutellata. The specific objectives were (i) to assess the immigration of A. m. scutellata into east Texas pine forest landscapes and (ii) to evaluate the suitability of the pine forest landscape to feral honey bees. This mesoscale landscape study was conducted on the SamHouston National Forest in east Texas. Swarm traps and aerial pitfall traps were used to monitor feral honey bees. Spatial databases were used to evaluate suitability of the pine forest landscape for honey bees. Scoring mitochondrial DNA type (mitotypes), we found representatives of A. mellifera scutellata, eastern European, western European, and A. mellifera lamarckii races in pine forest landscapes of east Texas. The conclusions that follow from this aspect of the investigation are (i) honey bees are a ubiquitous component of the pine forest landscape in east Texas, (ii) mitotype diversity persists subsequent to the immigration of A. m. scutellata, and (iii) A. m. scutellata is an added element of the mitotype diversity in the landscape. To evaluate quantitatively the suitability of the pine forest to feral honey bees, we used a spatial database for the study area and FRAGSTATS. The landscape structure in 1256 ha units surrounding six swarms of honey bees captured in the swarm traps was examined. The metrics used to characterize the kind, number, size, shape, and configuration of elements forming the landscape, defined a heterogeneous environment for honey bees that included sufficient food and habitat resources needed for survival, growth, and reproduction. The conclusions that follow from this aspect of the investigation are (1) although classified as a pine forest, management practices and other human activities have altered the landscape and thereby created food and habitat resources suitable for honey bees, (2) the forestry practices associated specifically with road corridor maintenance, stream side corridor protection, RCW management, and Wilderness Area management introduce structural heterogeneity to the forest landscape which enriches the diversity and abundance of early successional flowering plants and provides cavity sites needed by honey bees, (3) ranching, farming, and urbanization within the study area also create these conditions, and (4) based on inferences from melissopalynology, honey bees provide pollination services for a broad representation of native and introduced flowering plant species of the pineywoods ecoregion

Measuring chronological uncertainty in intensive survey finds. A case study from Antikythera, Greece

This paper considers how to make the most out of the rather imprecise chronological knowledge that we often have about the past. We focus here on the relative dating of artefacts during archaeological fieldwork, with particular emphasis on new ways to express and analyse chronological uncertainty. A probabilistic method for assigning artefacts to particular chronological periods is advocated and implemented for a large pottery dataset from an intensive survey of the Greek island of Antikythera. We also highlight several statistical methods for exploring how uncertainty is shared amongst different periods in this dataset and how these observed associations can prompt more sensitive interpretations of landscape-scale patterns. The concluding discussion re-emphasises why these issues are relevant to wider methodological debates in archaeological field practice

Defining appropriateness in coach-athlete sexual relationships: The voice of coaches

The sporting culture, with omnipotent coaches, fierce competition for recognition and funding, and ‘win at all cost’ ethos, creates an environment conducive to sexual exploitation of athletes. Recent increased public awareness and the development of child protection policies in sport have led to the questioning of previously accepted coach-athlete relationships. This study is an exploratory investigation into male swimming coaches’ perceptions of appropriateness of coach-athlete sexual relationships. Sexual relationships with athletes under the age of 16 were unanimously considered totally inappropriate. With regard to sexual relationships with athletes above the age of consent for heterosexual sex, opinions ranged from “totally inappropriate” to “it’s a question of civil liberties.” These results are discussed in relation to how coaches have adapted their own behaviours in the face of public scrutiny but are still reluctant to restrict the rights of their fellow coaches

Impaired perception of facial motion in autism spectrum disorder

Copyright: © 2014 O’Brien et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.This article has been made available through the Brunel Open Access Publishing Fund.Facial motion is a special type of biological motion that transmits cues for socio-emotional communication and enables the discrimination of properties such as gender and identity. We used animated average faces to examine the ability of adults with autism spectrum disorders (ASD) to perceive facial motion. Participants completed increasingly difficult tasks involving the discrimination of (1) sequences of facial motion, (2) the identity of individuals based on their facial motion and (3) the gender of individuals. Stimuli were presented in both upright and upside-down orientations to test for the difference in inversion effects often found when comparing ASD with controls in face perception. The ASD group’s performance was impaired relative to the control group in all three tasks and unlike the control group, the individuals with ASD failed to show an inversion effect. These results point to a deficit in facial biological motion processing in people with autism, which we suggest is linked to deficits in lower level motion processing we have previously reported

Multi-frequency VLBA observations of compact sources from the Peacock & Wall catalogue

VLBA observations are presented for 6 compact radio sources selected from the Peacock & Wall catalogue. From the new morphological and spectral information 2 objects that in the Peacock and Wall catalogue are flat spectrum (alpha < 0.5) sources, appear to be double sided objects with linear sizes of the order of one kpc. Three are core-jet sources and the last one is still an ``enigmatic'' object. These data complete the sample of small double compact sources in the Peacock & Wall catalogue and the complete list is given.Comment: 11 pages, 14 figures, aa.cls Accepted by A&

Africanization of a feral honey bee (Apis mellifera) population in South Texas: Does a decade make a difference?

The arrival to the United States of the Africanized honey bee, a hybrid between European subspecies and the African subspecies Apis mellifera scutellata, is a remarkable model for the study of biological invasions. This immigration has created an opportunity to study the dynamics of secondary contact of honey bee subspecies from African and European lineages in a feral population in South Texas. An 11-year survey of this population (1991-2001) showed that mitochondrial haplotype frequencies changed drastically over time from a resident population of eastern and western European maternal ancestry, to a population dominated by the African haplotype. A subsequent study of the nuclear genome showed that the Africanization process included bidirectional gene flow between European and Africanized honey bees, giving rise to a new panmictic mixture of A.m.scutellata- and European-derived genes. In this study, we examined gene flow patterns in the same population 23 years after the first hybridization event occurred. We found 28 active colonies inhabiting 92 tree cavities surveyed in a 5.14 km2 area, resulting in a colony density of 5.4 colonies/km2. Of these 28 colonies, 25 were of A.m. scutellata maternal ancestry, and three were of western European maternal ancestry. No colonies of eastern European maternal ancestry were detected, although they were present in the earlier samples. Nuclear DNA revealed little change in the introgression of A.m.scutellata-derived genes into the population compared to previous surveys. Our results suggest this feral population remains an admixed swarm with continued low levels of European ancestry and a greater presence of African-derived mitochondrial genetic composition.Peer reviewedZoolog

Eosinophils Are Important for Protection, Immunoregulation and Pathology during Infection with Nematode Microfilariae

Eosinophil responses typify both allergic and parasitic helminth disease. In helminthic disease, the role of eosinophils can be both protective in immune responses and destructive in pathological responses. To investigate whether eosinophils are involved in both protection and pathology during filarial nematode infection, we explored the role of eosinophils and their granule proteins, eosinophil peroxidase (EPO) and major basic protein-1 (MBP-1), during infection with Brugia malayi microfilariae. Using eosinophil-deficient mice (PHIL), we further clarify the role of eosinophils in clearance of microfilariae during primary, but not challenge infection in vivo. Deletion of EPO or MBP-1 alone was insufficient to abrogate parasite clearance suggesting that either these molecules are redundant or eosinophils act indirectly in parasite clearance via augmentation of other protective responses. Absence of eosinophils increased mast cell recruitment, but not other cell types, into the broncho-alveolar lavage fluid during challenge infection. In addition absence of eosinophils or EPO alone, augmented parasite-induced IgE responses, as measured by ELISA, demonstrating that eosinophils are involved in regulation of IgE. Whole body plethysmography indicated that nematode-induced changes in airway physiology were reduced in challenge infection in the absence of eosinophils and also during primary infection in the absence of EPO alone. However lack of eosinophils or MBP-1 actually increased goblet cell mucus production. We did not find any major differences in cytokine responses in the absence of eosinophils, EPO or MBP-1. These results reveal that eosinophils actively participate in regulation of IgE and goblet cell mucus production via granule secretion during nematode-induced pathology and highlight their importance both as effector cells, as damage-inducing cells and as supervisory cells that shape both innate and adaptive immunity

Mode Competition in Relativistic Magnetrons and Injection Locking in KW Magnetrons

Both relativistic and nonrelativistic magnetrons are under experimental and theoretical investigation at U of M. Relativistic (Titan‐6‐vane) magnetron experiments (300–400 kV, 1–10 kA, 0.5 microsecond) investigate mode control with various output coupling geometries. Mode competition between the pi mode and the 2/3 pi mode has been characterized for two‐versus‐three output extractors for comparison with particle in cell simulations. Phase measurements and time‐frequency‐analysis are performed for mode identification. Peak microwave output power on the order 0.5 GW has been measured, assuming equal output from 3 waveguides. Nonrelativistic (4 kV, <1A, kW microwave power) magnetron experiments are performed on commercial oven magnetrons for an in‐depth investigation of crossed‐field injection‐locking and noise. Injection‐locking is demonstrated by utilizing an oven magnetron as a reflection amplifier. Noise generation is explored as a function of injected signal and cathode conditions. © 2003 American Institute of PhysicsPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/87505/2/301_1.pd

A lionfish (Pterois miles) invasion has begun in the Mediterranean Sea

Until now, few sightings of the alien lionfish Pterois miles have been reported in the Mediterranean and it was questionable whether the species could invade this region like it has in the western Atlantic. Here, we present evidence from divers and fishermen that lionfish have recently increased in abundance and within a year colonised almost the entire south eastern coast of Cyprus, likely due to sea surface warming. At least 23 different fish are reported of which 6 were removed. Groups of lionfish exhibiting mating behaviour have been noted for the first time in the Mediterranean. Managers need this information and should alert stakeholders to the potential ecological and socio-economic impacts that may arise from a lionfish invasion. Actions could involve incentives to engage divers and fishermen in lionfish removal programmes, as these have worked well at shallow depths in the Caribbean. Given that the Suez Canal has recently been widened and deepened, measures will need to be put in place to help prevent further invasion