26 research outputs found

    Watershed Restoration through Culture-Based Education and Community Outreach

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    In this thesis I will examine the relationship between watershed restoration and my own traditional teachings. One of my goals is to demonstrate how understanding Indigenous ways of knowing can help others understand the importance of watershed restoration, and also how getting local people involved is an essential aspect of effective conservation and restoration. I will use my tribe, Ona=k@= - People of the Standing Stone, otherwise known as the Oneida Nation of Wisconsin, as a case study . The Upper Wakarusa watershed in Lawrence, KS will be used to compare how different strategies in watershed restoration are employed in non-Indian community

    Case Reports1. A Late Presentation of Loeys-Dietz Syndrome: Beware of TGFβ Receptor Mutations in Benign Joint Hypermobility

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    Background: Thoracic aortic aneurysms (TAA) and dissections are not uncommon causes of sudden death in young adults. Loeys-Dietz syndrome (LDS) is a rare, recently described, autosomal dominant, connective tissue disease characterized by aggressive arterial aneurysms, resulting from mutations in the transforming growth factor beta (TGFβ) receptor genes TGFBR1 and TGFBR2. Mean age at death is 26.1 years, most often due to aortic dissection. We report an unusually late presentation of LDS, diagnosed following elective surgery in a female with a long history of joint hypermobility. Methods: A 51-year-old Caucasian lady complained of chest pain and headache following a dural leak from spinal anaesthesia for an elective ankle arthroscopy. CT scan and echocardiography demonstrated a dilated aortic root and significant aortic regurgitation. MRA demonstrated aortic tortuosity, an infrarenal aortic aneurysm and aneurysms in the left renal and right internal mammary arteries. She underwent aortic root repair and aortic valve replacement. She had a background of long-standing joint pains secondary to hypermobility, easy bruising, unusual fracture susceptibility and mild bronchiectasis. She had one healthy child age 32, after which she suffered a uterine prolapse. Examination revealed mild Marfanoid features. Uvula, skin and ophthalmological examination was normal. Results: Fibrillin-1 testing for Marfan syndrome (MFS) was negative. Detection of a c.1270G > C (p.Gly424Arg) TGFBR2 mutation confirmed the diagnosis of LDS. Losartan was started for vascular protection. Conclusions: LDS is a severe inherited vasculopathy that usually presents in childhood. It is characterized by aortic root dilatation and ascending aneurysms. There is a higher risk of aortic dissection compared with MFS. Clinical features overlap with MFS and Ehlers Danlos syndrome Type IV, but differentiating dysmorphogenic features include ocular hypertelorism, bifid uvula and cleft palate. Echocardiography and MRA or CT scanning from head to pelvis is recommended to establish the extent of vascular involvement. Management involves early surgical intervention, including early valve-sparing aortic root replacement, genetic counselling and close monitoring in pregnancy. Despite being caused by loss of function mutations in either TGFβ receptor, paradoxical activation of TGFβ signalling is seen, suggesting that TGFβ antagonism may confer disease modifying effects similar to those observed in MFS. TGFβ antagonism can be achieved with angiotensin antagonists, such as Losartan, which is able to delay aortic aneurysm development in preclinical models and in patients with MFS. Our case emphasizes the importance of timely recognition of vasculopathy syndromes in patients with hypermobility and the need for early surgical intervention. It also highlights their heterogeneity and the potential for late presentation. Disclosures: The authors have declared no conflicts of interes

    Strain-promoted cycloadditions in lipid bilayers triggered by liposome fusion

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    Due to the variety of roles served by the cell membrane, its composition and structure are complex, making it difficult to study. Bioorthogonal reactions, such as the strain promoted azide–alkyne cycloaddition (SPAAC), are powerful tools for exploring the function of biomolecules in their native environment but have been largely unexplored within the context of lipid bilayers. Here, we developed a new approach to study the SPAAC reaction in liposomal membranes using azide- and strained alkyne-functionalized Förster resonance energy transfer (FRET) dye pairs. This study represents the first characterization of the SPAAC reaction between diffusing molecules inside liposomal membranes. Potential applications of this work include in situ bioorthogonal labeling of membrane proteins, improved understanding of membrane dynamics and fluidity, and the generation of new probes for biosensing assays

    Strain-Promoted Cycloadditions in Lipid Bilayers Triggered by Liposome Fusion

    No full text
    Due to the variety of roles served by the cell membrane, its composition and structure are complex, making it difficult to study. Bioorthogonal reactions, such as the strain promoted azide-alkyne cycloaddition (SPAAC), are powerful tools for exploring the function of biomolecules in their native environment but have been largely unexplored within the context of lipid bilayers. Here, we developed a new approach to study the SPAAC reaction in liposomal membranes using azide- and strained alkyne-functionalized Förster resonance energy transfer (FRET) dye pairs. This study represents the first characterization of the SPAAC reaction between diffusing molecules inside liposomal membranes. Potential applications of this work include in situ bioorthogonal labeling of membrane proteins, improved understanding of membrane dynamics and fluidity, and the generation of new probes for biosensing assays

    Sample Size and Repeated Measures Required in Studies of Foods in the Homes of African-American Families

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    Measurement of the home food environment is of interest to researchers because it affects food intake and is a feasible target for nutrition interventions. The objective of this study was to provide estimates to aid the calculation of sample size and number of repeated measures needed in studies of nutrients and foods in the home. We inventoried all foods in the homes of 80 African-American first-time mothers and determined 6 nutrient-related attributes. Sixty-three households were measured 3 times, 11 were measured twice, and 6 were measured once, producing 217 inventories collected at ~2-mo intervals. Following log transformations, number of foods, total energy, dietary fiber, and fat required only one measurement per household to achieve a correlation of 0.8 between the observed and true values. For percent energy from fat and energy density, 3 and 2 repeated measurements, respectively, were needed to achieve a correlation of 0.8. A sample size of 252 was needed to detect a difference of 25% of an SD in total energy with one measurement compared with 213 with 3 repeated measurements. Macronutrient characteristics of household foods appeared relatively stable over a 6-mo period and only 1 or 2 repeated measures of households may be sufficient for an efficient study design
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