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1.
J Zool (1987) ; 299(2): 84-88, 2016 06.
Article in English | MEDLINE | ID: mdl-27570375

ABSTRACT

The cooperative breeding hypothesis (CBH) states that cooperative breeding, a social system in which group members help to rear offspring that are not their own, has important socio-cognitive consequences. Thornton & McAuliffe (2015; henceforth T&M) critiqued this idea on both conceptual and empirical grounds, arguing that there is no reason to predict that cooperative breeding should favour the evolution of enhanced social cognition or larger brains, nor any clear evidence that it does. In response to this critique, Burkart & van Schaik (2016 henceforth B&vS) attempt to clarify the causal logic of the CBH, revisit the data and raise the possibility that the hypothesis may only apply to primates. They concede that cooperative breeding is unlikely to generate selection pressures for enhanced socio-cognitive abilities, but argue instead that the CBH operates purely through cooperative breeding reducing social or energetic constraints. Here, we argue that this revised hypothesis is also untenable because: (1) it cannot explain why resources so released would be allocated to cognitive traits per se rather than any other fitness-related traits, (2) key assumptions are inconsistent with available evidence and (3) ambiguity regarding the predictions leaves it unclear what evidence would be required to falsify it. Ultimately, the absence of any compelling evidence that cooperative breeding is associated with elevated cognitive ability or large brains (indeed data suggest the opposite is true in non-human primates) also casts doubt on the capacity of the CBH to explain variation in cognitive traits.

2.
Am J Primatol ; 78(3): 298-314, 2016 Mar.
Article in English | MEDLINE | ID: mdl-25573250

ABSTRACT

Tamarins are reported to live in small multimale-multifemale groups characterized by a single breeding female. Here we present information on the composition and genetic relatedness of individuals in 12 wild-trapped groups of Weddell's saddleback tamarins (Saguinus weddelli) from northern Bolivia to determine if groups are best described as nuclear or extended families suggesting social monogamy or whether groups contain several unrelated same sex adults indicative of social polyandry/polygyny. Mean group size was 6.25 including an average of 2.16 adult males (range 1-4) and 2.08 adult females (1-3). No group contained only one adult male and one adult female and 25% of groups contained two parous females. We estimated the genetic relatedness among individuals using 13 polymorphic microsatellite markers. Across the population, mean relatedness was low and not significantly different among adult males versus among adult females, suggesting that both sexes disperse from their natal groups. Adults of both sexes also tended to have close same-sex adult relatives within their groups; relatedness among adult females of the same group averaged 0.31 and among adult males was 0.26. This suggests that tamarins of one or both sexes sometimes delay dispersal and remain as adults in their natal group or that emigration of same-sexed relatives into the same group may be common. Finally, parentage analyses indicated that, whereas the parents of juveniles generally were present in the group, this was not always the case. Based on these data, published reports of the presence of multiple breeding males and occasionally multiple breeding females in the same group, and the fact that less than 10% of groups in the wild contain a single adult male-adult female pair, we argue that social polyandry best characterizes the composition of tamarin groups and that monogamy is not a common mating pattern in Saguinus weddelli or other tamarin species.


Subject(s)
Pair Bond , Reproduction , Saguinus/physiology , Social Behavior , Animals , Bolivia , Female , Male , Microsatellite Repeats , Saguinus/genetics
3.
Am J Phys Anthropol ; 156(3): 474-81, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25369770

ABSTRACT

The genus Saguinus represents a successful radiation of over 20 species of small-bodied New World monkeys. Studies of the tamarin diet indicate that insects and small vertebrates account for ∼16-45% of total feeding and foraging time, and represent an important source of lipids, protein, and metabolizable energy. Although tamarins are reported to commonly consume large-bodied insects such as grasshoppers and walking sticks (Orthoptera), little is known concerning the degree to which smaller or less easily identifiable arthropod prey comprises an important component of their diet. To better understand tamarin arthropod feeding behavior, fecal samples from 20 wild Bolivian saddleback tamarins (members of five groups) were collected over a 3 week period in June 2012, and analyzed for the presence of arthropod DNA. DNA was extracted using a Qiagen stool extraction kit, and universal insect primers were created and used to amplify a ∼280 bp section of the COI mitochondrial gene. Amplicons were sequenced on the Roche 454 sequencing platform using high-throughput sequencing techniques. An analysis of these samples indicated the presence of 43 taxa of arthropods including 10 orders, 15 families, and 12 identified genera. Many of these taxa had not been previously identified in the tamarin diet. These results highlight molecular analysis of fecal DNA as an important research tool for identifying anthropod feeding patterns in primates, and reveal broad diversity in the taxa, foraging microhabitats, and size of arthropods consumed by tamarin monkeys.


Subject(s)
DNA/analysis , Feces/chemistry , Feeding Behavior/physiology , Insecta/genetics , Saguinus/physiology , Animals , DNA/genetics , High-Throughput Nucleotide Sequencing , Insecta/classification , Metagenomics , Sequence Analysis, DNA
4.
Am J Primatol ; 74(4): 344-58, 2012 Apr.
Article in English | MEDLINE | ID: mdl-21538454

ABSTRACT

Some populations of capuchins are reported to use tools to solve foraging problems in the wild. In most cases, this involves the act of pounding and digging. The use of probing tools by wild capuchins is considerably less common. Here we report on the results of an experimental field study conducted in southern Brazil designed to examine the ability of wild black-horned capuchins (Sapajus nigritus) to use a wooden dowel as a lever or a probe to obtain an embedded food reward. A group of eight capuchins was presented with two experimental platforms, each housing a clear Plexiglas box containing two bananas on a shelf and four inserted dowels. Depending on the conditions of the experiment, the capuchins were required either to pull (Condition I) or push (Conditions II and III) the dowels, in order to dislodge the food reward from the shelf so that it could be manually retrieved. In Condition I, four individuals spontaneously solved the foraging problem by pulling the dowels in 25% (72/291) of visits. In Conditions II and III, however, no capuchin successfully pushed the dowels forward to obtain the food reward. During these latter two experimental conditions, the capuchins continued to pull the dowels (41/151 or 27% of visits), even though this behavior did not result in foraging success. The results of these field experiments are consistent with an identical study conducted on wild Cebus capucinus in Costa Rica, and suggest that when using an external object as a probe to solve a foraging problem, individual capuchins were able to rapidly learn an association between the tool and the food reward, but failed to understand exactly how the tool functioned in accomplishing the task. The results also suggest that once a capuchin learned to solve this tool-mediated foraging problem, the individual persisted in using the same solution even in the face of repeated failure (slow rate of learning extinction).


Subject(s)
Cebus/psychology , Problem Solving/physiology , Tool Use Behavior , Animals , Cebus/physiology , Female , Learning , Male
5.
Am J Primatol ; 73(1): 91-5, 2011 Jan.
Article in English | MEDLINE | ID: mdl-20973084

ABSTRACT

This is a reply to Richard Lawler's commentary on our previous work [Lawler, 2011; this issue] in which he develops a set of operational models to test socioecological theories of the evolutionary importance of feeding competition. We strongly agree that we need to critically re-evaluate the basic assumptions of all models of primate sociality, and to verify the explanatory power of alternative models. We also feel Lawler's commentary provides an important opportunity to broaden the debate concerning the fundamental roles of cooperation, competition, and aggression in understanding primate social systems. Lawler provides a number of suggestions as to how models developed in primate socioecology might be tested. We agree with these suggestions, make further suggestions, and call for specific operational definitions so that researchers might begin to develop and test various methodologies. However, we also call for testing alternative theories. Current socioecological theory is based on the assumption that competition and positive selection is always in operation and has driven the evolution of living organisms. We believe that this "explanation of choice" often is treated as an assumed truth to which data are forced to fit, rather than being seen as a theory to be tested. Furthermore, we agree with Weiss and Buchanan [2009. The Mermaid's Tale: Four Billion Years of Cooperation in the Making of Living Things] that on ecological and developmental scales, where organisms actually live out their lives, cooperation may play a more fundamental role than competition.


Subject(s)
Primates/psychology , Activity Cycles , Aggression , Animals , Anthropology, Cultural/methods , Biological Evolution , Cooperative Behavior , Feeding Behavior , Models, Biological , Social Behavior
6.
Am J Primatol ; 72(9): 785-93, 2010 Sep.
Article in English | MEDLINE | ID: mdl-20653004

ABSTRACT

In 1993 and 1999, with the assistance of a Nicaraguan family, we founded La Suerte Biological Research Station in northeastern Costa Rica and Ometepe Biological Research Station in southern Nicaragua as a privately owned conservation-oriented business. Our goal was to develop a program of sustainable community ecology focused on education, research, and the conservation of primates and tropical forests. In order to accomplish this we developed field courses in which undergraduate and graduate students conduct scientific research, experience local cultures, and learn about conservation. Over 120 of these students have received doctoral degrees or are currently in graduate programs. Four doctoral dissertations, several MA theses, and some 20 scientific articles have been published based on research conducted at our field stations. In order to achieve our long-term goals of preserving the environment, we also needed to engage directly with local communities to address their needs and concerns. To this end, we developed a series of community-based initiatives related to health care, bilingual education, and conservation education using traditional and on-line teaching tools. In this article, we describe our efforts in Costa Rica and Nicaragua teaching conservation-oriented field courses and working with the local human communities. Building upon these experiences, we outline a set of ethical considerations and responsibilities for private reserves, conservation-oriented businesses, NGOs, and conservancies that help integrate members of the local community as stakeholders in conservation.


Subject(s)
Community Participation/methods , Community-Institutional Relations , Conservation of Natural Resources/methods , Ecology/education , Primates , Zoology/education , Animals , Costa Rica , Ecology/ethics , Humans , Nicaragua , Zoology/ethics
7.
Anim Cogn ; 11(3): 401-11, 2008 Jul.
Article in English | MEDLINE | ID: mdl-18183435

ABSTRACT

In this experimental field investigation, we compare the degree to which wild capuchins in Brazil (Cebus nigritus) and Costa Rica (Cebus capucinus) exhibit individual- and population-level handedness during three visually-guided tasks. These tasks required reaching to remove a large leaf covering a hidden food reward, seizing the food reward, and manipulating a tool (pulling a wooden dowel) in order to obtain access to an embedded food reward. Studies in some populations of captive capuchins indicate evidence for both individual hand preferences and population-level handedness. In this study, six of eight wild C. capucinus and six of seven wild C. nigritus exhibited a significant hand preference during individual tasks, but no individual exhibited a consistent preference across all three tasks. Task-specialization, or the tendency for most individuals in the same group or population to use the same hand to accomplish a particular task, also was evaluated. Cebus nigritus showed a significant bias toward the use of the right hand in removing the leaf. Although the number of individual capuchins in both species that manipulated the dowels was limited (N = 7), each individual that manipulated the dowels in eight or more instances had a positive handedness index, suggesting a greater use of the right hand to accomplish this task. Overall, our results provide preliminary support for individual- and population-level handedness in wild capuchin monkeys.


Subject(s)
Cebus/psychology , Choice Behavior , Functional Laterality , Problem Solving , Tool Use Behavior , Animals , Female , Individuality , Male , Species Specificity
8.
Am J Primatol ; 62(3): 165-70, 2004 Mar.
Article in English | MEDLINE | ID: mdl-15027090

ABSTRACT

From September through November 2000 we conducted an experimental field study of tool use in a group of 15 wild white-faced capuchins (Cebus capucinus) in Costa Rica. The problem presented to the capuchins involved the use of wooden dowels as probes to obtain a food reward (two bananas) located inside a clear Plexiglas box. Specifically, the task required the capuchins to manually insert a dowel into any of six holes drilled into the box in order to push the bananas off a shelf. The banana could then be retrieved through a large opening at the bottom of the box. The capuchins visited the tool-use platform 702 times over the course of 55 consecutive days and under several experimental conditions. During the first 21 days of the study, they explored the box but made no attempt to touch or pick up the dowels. Even after we placed the dowels in the holes, the capuchins only occasionally manipulated them. Overall, the results indicate that the capuchins did not use a tool to solve this novel foraging problem.


Subject(s)
Cebus/psychology , Feeding Behavior , Problem Solving , Psychomotor Performance , Animals , Costa Rica
9.
Am J Primatol ; 54(1): 17-31, 2001 May.
Article in English | MEDLINE | ID: mdl-11329165

ABSTRACT

We present the results of a 4-month field investigation of positional behavior, vertical ranging, and species differences in limb proportions and body mass in a mixed-species troop of Saguinus fuscicollis, Saguinus labiatus, and Callimico goeldii in northwestern Brazil. Despite certain similarities in overall positional repertoire, patterns of positional behavior varied significantly between species. Travel in Callimico occurred principally in the lowest levels of the canopy, and was characterized by an exaggerated form of hindlimb-dominated bounding (bounding-hop), and leaping to and from vertical trunks (55.1% of leaps). In contrast, saddle-back tamarins traveled in the lower and middle levels of the canopy, and engaged in a range of leaping behaviors, including stationary leaps (37.3%), acrobatic leaps (31.3%), and trunk-to-trunk leaps (20%). Red-bellied tamarins exploited the highest levels of the arboreal canopy. Travel in this species was dominated by quadrupedal bounding and acrobatic leaps (67% of leaps) that began and ended on thin, flexible supports. Species differences in positional behavior correlated with species differences in limb proportions and locomotor anatomy, and provide a framework for understanding niche partitioning in mixed-species troops of Saguinus and Callimico.


Subject(s)
Callimico/psychology , Motor Activity , Saguinus/psychology , Animals , Biometry , Callimico/anatomy & histology , Female , Hindlimb/anatomy & histology , Male , Movement , Posture , Saguinus/anatomy & histology
10.
Am J Phys Anthropol ; 110(3): 325-39, 1999 Nov.
Article in English | MEDLINE | ID: mdl-10516564

ABSTRACT

Prehensile tails appear to have evolved at least twice in platyrrhine evolution. In the atelines, the tail is relatively long and possesses a bare area on the distal part of its ventral surface that is covered with der-matoglyphs and richly innervated with Meissner's corpuscles. In contrast, the prehensile tail of Cebus is relatively short, fully haired, and lacks specialized tactile receptors. Little is currently known regarding tail function in capuchins, and whether their prehensile tail serves a greater role in feeding or traveling. In this paper we examine patterns of positional behavior, substrate preference, and tail use in wild white-faced capuchins (Cebus capucinus) inhabiting a wet tropical forest in northeastern Costa Rica. Observational data were collected over the course of 3 months on adult capuchins using an instantaneous focal animal time sampling technique. Differences in the frequency and context of tail use, and the estimated amount of weight support provided by the tail relative to other appendages during feeding/foraging and traveling were used as measures of the ecological role of this specialized organ in capuchin positional behavior. During travel, quadrupedal walking, leaping, and climbing dominated the capuchin positional repertoire. The capuchin tail provided support in only 13.3% of travel and was principally employed during below branch locomotor activities. In contrast, tail-assisted postures accounted for 40.6% of all feeding and foraging records and occurred primarily in two contexts. The tail was used to suspend the individual below a branch while feeding, as well as to provide leverage and weight support in above-branch postures associated with the extraction of prey from difficult to search substrates. A comparison of tail use in Cebus, with published data on the atelines indicates that both taxa possess a grasping tail that is capable of supporting the animal's full body weight. In capuchins and howling monkeys, the tail appears to be used more frequently and serves a greater weight-bearing role during feeding than during traveling. In Ateles, and possibly Brachyteles, and Lagothrix, however, the prehensile tail serves a dual role in both feeding and forelimb suspensory locomotion. Additional relationships between white-faced capuchin feeding, positional behavior, extractive foraging techniques, and prehensile tail use are discussed.


Subject(s)
Cebus/anatomy & histology , Feeding Behavior , Posture , Tail/anatomy & histology , Animals , Female , Locomotion , Male
12.
Am J Primatol ; 45(1): 9-28, 1998.
Article in English | MEDLINE | ID: mdl-9573440

ABSTRACT

In this paper, we evaluate patterns of fruit eating and seed dispersal in monkeys and apes and draw an important distinction between 1) the ecological consequences of primates as seed dispersers and 2) the evolutionary implications of primates on the seed and fruit traits of the plant species they exploit. In many forest communities, primates act as both seed predators and seed dispersers and are likely to have an important ecological impact on patterns of forest regeneration and tree species diversity. Evidence from Kibale National Park, Uganda, and Manu National Park, Peru, as well as several other South American sites indicates that monkeys and apes display a wide range of fruit-processing behaviors, including spitting seeds, dropping seeds, masticating seeds, and swallowing seeds. Differences in consumer body size, diet, ranging patterns, and oral and digestive morphology result in different patterns in the distance and distribution of seeds from the parent plant. In the case of South American monkeys, for example, despite their relatively small body size, platyrrhines were found to exploit larger fruits and swallow larger seeds on average than did Old World monkeys and apes of the Kibale forest. We found little evidence to support the existence of a coevolutionary relationship between a single or set of primate dispersers and the particular plant species they disperse. This is due to variability in the manner in which monkeys and apes select fruits and treat seeds, the fact that many species of primates and nonprimates exploit and disperse the same fruit species, and the fact that extremely high levels of postdispersal seed, seedling, and sapling mortality serve to dilute the influence that any primate species may have on the recruitment of the next generation of adult trees. It is apparent that many primate lineages exhibit dental, digestive, and/or sensory adaptations that aid in the exploitation of particular food types and that many lineages of flowering plants have evolved characteristics of fruits and seeds that facilitate seed dispersal. However, in light of currently available data, we argue that these represent evolutionary rather than more strictly defined coevolutionary relationships.


Subject(s)
Feeding Behavior/physiology , Fruit , Haplorhini/physiology , Seeds , Animals , Female , Fruit/classification , Male , Peru , Uganda
13.
Child Dev ; 69(1): 75-84, 1998 Feb.
Article in English | MEDLINE | ID: mdl-9499558

ABSTRACT

Children frequently gesture when they explain what they know, and their gestures sometimes convey different information than their speech does. In this study, we investigate whether children's gestures convey knowledge that the children themselves can recognize in another context. We asked fourth-grade children to explain their solutions to a set of math problems and identified the solution procedures each child conveyed only in gesture (and not in speech) during the explanations. We then examined whether those procedures could be accessed by the same child on a rating task that did not involve gesture at all. Children rated solutions derived from procedures they conveyed uniquely in gesture higher than solutions derived from procedures they did not convey at all. Thus, gesture is indeed a vehicle through which children express their knowledge. The knowledge children express uniquely in gesture is accessible on other tasks, and in this sense, is not tied to the hands.


Subject(s)
Cognition/physiology , Gestures , Hand , Child , Humans , Problem Solving , Speech/physiology
14.
Folia Primatol (Basel) ; 68(1): 1-22, 1997.
Article in English | MEDLINE | ID: mdl-9170641

ABSTRACT

This paper explores relations of ontogeny, life history strategies and patterns of infant care in 11 species of small-bodied New World monkeys. Analysis of these data suggests that differences in the social systems of Aotus, Callicebus, Saimiri, Callimico, Saguinus, Leontopithecus, Cebuella and Callithrix are closely tied to both the costs of reproduction and to the ontogenetic requirements of maturing young. In Saimiri, both rapid prenatal body weight and perinatal brain growth result in relatively high metabolic costs to breeding females. These costs, coupled with minimal nonmaternal assistance in caregiving, appear to favor a reproductive strategy that limits offspring production to a single birth at 2-year intervals. In contrast, tamarins and marmosets are capable of producing twins twice in the same year. Prenatal investment in each offspring is relatively low, and the potentially high postnatal costs of nursing 2 infants are minimized by the evolution of a social system involving extensive extramaternal care-giving. Cooperative infant care in callitrichins (tamarins and marmosets) serves to distribute the metabolic costs of infant ontogeny among several group members. Callimico is also characterized by a high reproductive output, with females capable of producing a single infant twice during the year. Infants continue to grow rapidly after weaning. Patterns of infant development in Callimico are similar to those found in tamarins and marmosets and support a close phylogenetic relationship among these taxa. Aotus and Callicebus are characterized by an alternative strategy. In these taxa, a monogamous mating system is associated with paternal certainty, male parental care, and provisioning of the young. The transfer of male energetic resources to a single offspring allows night and titi monkeys to maintain a comparatively short interbirth interval (1 year). Ecological and social factors, such as predation and feeding competition, do not appear to adequately explain much of the observed variation in infant development and preadult growth rates in these platyrrhines. Instead, reproductive strategies are strongly linked to ontogenetic patterns and life histories.


Subject(s)
Aging/physiology , Cebidae/physiology , Cebidae/psychology , Maternal Behavior , Paternal Behavior , Reproduction , Animals , Body Weight , Brain/anatomy & histology , Brain/growth & development , Female , Male , Organ Size , Phylogeny , Species Specificity
15.
Folia Primatol (Basel) ; 68(3-5): 236-53, 1997.
Article in English | MEDLINE | ID: mdl-9360308

ABSTRACT

Despite a large body of data on diet and ranging patterns in prosimians, monkeys and apes, little is known regarding the types of information that non-human primates use when making foraging decisions. In a series of controlled field experiments, we tested the ability of wild capuchins (Cebus capucinus) at La Suerte Biological Research Station in north-eastern Costa Rica to remember the spatial positions of 13 feeding platforms and use olfactory and visual cues to identify baited (real bananas) versus sham (plastic bananas) feeding sites. The results indicate that when 'place' was predictable, the capuchins learned the spatial locations of food and non-food sites rapidly (one-trial learning). In a second experiment, the positions of baited feeding sites were random. In the absence of other information, the capuchins used the presence of a local landmark cue (yellow block) placed at reward platforms to select feeding sites. In a final experiment, there was evidence that expectations regarding the amount of food available at a platform (2 bananas vs. 1/2 banana) had a significant influence on capuchin foraging decisions. Although the capuchins were sensitive to changes in experimental conditions, when they were given conflicting cues, spatial information was predominant over other information in selecting feeding sites.


Subject(s)
Cebus/psychology , Learning , Memory , Animals , Animals, Wild , Costa Rica , Decision Making , Feeding Behavior , Habituation, Psychophysiologic , Space Perception
16.
Am J Primatol ; 38(1): 29-46, 1996.
Article in English | MEDLINE | ID: mdl-31914709

ABSTRACT

In several primate taxa there is evidence that the social and physical environment can exert a significant effect on reproductive behavior and biology. In this paper we examine social and physiological factors influencing group composition and reproduction in free-ranging moustached tamarin monkeys (Saguinus mystax mystax). This species is characterized by cooperative care of the young and a breeding system that includes both polyandrous and polygyandrous matings. Body measurements collected on adult males residing in multimale groups indicate marked within-group differences in testes volume. In 12 of 17 groups examined, testes volume of at least two resident adult males differed by 21-174%. Among these males, testes volume was not correlated with either body weight or adult age class. We also examine whether factors such as time of year had an effect on reproductive condition. An analysis of body measurements of 128 adult male and 127 adult female moustached tamarins, wild-trapped and released in northeastern Peru, indicates cyclic changes in genital size. For males, mean monthly testes volume in July (712 mm3) was twice that recorded in June (351 mm3). Females exhibited a similar pattern. Although endocrine information on intra- and intersexual social effects on fertility are unavailable for S. mystax, given the high degree of social cooperation and lack of overt aggression among adult male group members, we offer the possibility that resident male moustached tamarins compete for access to the groups' lone breeding female through socially induced reproductive suppression and sperm competition. © 1996 Wiley-Liss, Inc.

17.
Ophthalmic Plast Reconstr Surg ; 11(4): 254-60, 1995 Dec.
Article in English | MEDLINE | ID: mdl-8746816

ABSTRACT

Six patients were treated for gradual onset of enophthalmos, a deep superior sulcus and globe ptosis. There was no history of orbital trauma or sinusitis. CT scan showed an opacified shrunken maxillary sinus with dehiscence and depression of the orbital floor and downward displacement of the orbital contents. Pathological review of the surgical specimens showed a respiratory mucosal lining with thick mucoid secretions, new bone formation, but no purulence. The etiology is thought to be maxillary sinus mucocele. Surgical treatment with an otolaryngologist consisted of a Caldwell-Luc procedure to evacuate the maxillary sinus with nasal antrostomy and an orbital floor exploration with insertion of a methylmethacrylate implant molded at the time of surgery to reform the orbital floor and reposition the globe. Follow-up of 2 1/2-4 years shows excellent functional and cosmetic results.


Subject(s)
Blepharoptosis/etiology , Enophthalmos/etiology , Maxillary Sinus , Mucocele/complications , Paranasal Sinus Diseases/complications , Adult , Blepharoptosis/diagnosis , Blepharoptosis/surgery , Enophthalmos/diagnosis , Enophthalmos/surgery , Humans , Male , Methylmethacrylate , Methylmethacrylates , Mucocele/diagnosis , Mucocele/surgery , Orbit/pathology , Orbit/surgery , Paranasal Sinus Diseases/diagnosis , Paranasal Sinus Diseases/surgery , Prostheses and Implants , Tomography, X-Ray Computed , Vasodilator Agents
18.
J Crit Care ; 10(1): 1-6, 1995 Mar.
Article in English | MEDLINE | ID: mdl-7757138

ABSTRACT

PURPOSE: Our study investigated the effects of an increase in aortic pressure, induced by norepinephrine (NE) administration on coronary artery flow in a clotted artery, and rate of coronary thrombolysis induced by intravenous (i.v.) administration of recombinant tissue plasminogen activator (rtPA). METHODS: A canine model of coronary thrombosis, induced by intracoronary injection of radioactive autologous blood clots, was used to test the hypothesis that an increase in aortic blood pressure will increase coronary artery flow and the rate of clot lysis induced by i.v. administration of rtPA. RESULTS: After clot injection, 11 dogs were phlebotomized to decrease systolic aortic pressure to 75 mm Hg. Subsequently, .25 mg/kg of rtPA was administered intravenously over two 15-minute intervals, one during hypotension, and the other after NE infusion had increased systolic blood pressure to 130 mm Hg. In six dogs the hypotensive condition was studied first, and in five dogs the NE-induced normotensive condition was studied first. In all dogs, coronary artery flow and the rate of clot lysis were significantly increased in the normotensive condition. CONCLUSIONS: These results indicate that an increase in a low coronary artery perfusion pressure may enhance coronary artery flow and the rate of thrombolysis.


Subject(s)
Aorta/physiology , Blood Pressure/physiology , Coronary Circulation/physiology , Thrombolytic Therapy/methods , Tissue Plasminogen Activator/administration & dosage , Animals , Aorta/drug effects , Blood Pressure/drug effects , Coronary Circulation/drug effects , Coronary Thrombosis/drug therapy , Coronary Thrombosis/physiopathology , Disease Models, Animal , Dogs , Drug Evaluation, Preclinical , Drug Therapy, Combination , Infusions, Intravenous , Norepinephrine/administration & dosage , Recombinant Proteins/administration & dosage
19.
Can J Cardiol ; 11(1): 30-6, 1995 Jan.
Article in English | MEDLINE | ID: mdl-7850662

ABSTRACT

OBJECTIVES: To investigate the effect of an increase in aortic pressure combined with rapid tissue plasminogen activator infusion on hemodynamic stability and patency of the infarct-related artery in patients with acute myocardial infarction complicated by profound hypotension or cardiogenic shock. BACKGROUND: Thrombolytic therapy improves mortality in relatively stable patients with acute myocardial infarction but not in patients with cardiogenic shock. Recent canine studies have demonstrated that a moderate increase in low aortic pressure improves thrombolysis. Conceivably, then, decreased thrombolytic efficacy in cardiogenic shock is due, at least in part, to a low aortic pressure impairing delivery of the thrombolytic agent. PATIENTS AND METHODS: For patients presenting within 6 h of an acute myocardial infarction complicated by profound hypotension or cardiogenic shock, an inotropic agent was rapidly administered to increase the systolic aortic pressure to approximately 110 mmHg, and 100 mg of tissue plasminogen activator was administered intravenously over 45 to 60 mins. RESULTS: Eight consecutive patients meeting the study criteria were treated over 18 months. In six of eight patients, the inotropic agent increased systolic blood pressure over 10 mins, from a mean of 64 +/- 12 mmHg to 102 +/- 12 mmHg. In the two patients whose blood pressure did not increase, early angiography in one demonstrated occlusion of the infarct-related artery, and both of the patients died. In the other six patients there was clinical and hemodynamic evidence of early reperfusion, and infarct-related arteries were patent on angiography. These six patients survived at least 30 days, with four having a favourable clinical outcome and two having a functional limitation due to heart failure. CONCLUSIONS: These results are consistent with experimental data indicating that an increase in aortic pressure combined with rapid tissue plasminogen activator infusion may increase thrombolytic efficacy when an acute myocardial infarction is complicated by profound hypotension or cardiogenic shock.


Subject(s)
Shock, Cardiogenic/drug therapy , Thrombolytic Therapy , Tissue Plasminogen Activator/therapeutic use , Adult , Aged , Blood Pressure/drug effects , Female , Humans , Male , Middle Aged , Myocardial Infarction/complications , Shock, Cardiogenic/etiology , Shock, Cardiogenic/physiopathology , Time Factors , Tissue Plasminogen Activator/pharmacology , Treatment Outcome
20.
Am J Med Genet ; 47(8): 1151-2, 1993 Dec 01.
Article in English | MEDLINE | ID: mdl-8291546

ABSTRACT

We describe 2 brothers with cardiomyopathy and hypergonadotropic hypogonadism and conclude that this is the first description of the Najjar syndrome in the United States. The inheritance may be autosomal recessive.


Subject(s)
Cardiomyopathies/genetics , Hypogonadism/genetics , Humans , Infant, Newborn , Male , Syndrome
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