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1.
Sci Total Environ ; 651(Pt 2): 1992-2002, 2019 Feb 15.
Article in English | MEDLINE | ID: mdl-30321722

ABSTRACT

Inland aquatic ecosystems play an important part in the delivery and support of ecosystem services. However, these ecosystems are subject to stressors associated with human activities such as invasive species introduction and landscape alteration. There is a delicate balance between maintaining good status of the ecosystem whilst meeting the needs of those stakeholders dependent on the ecosystem services it supplies, and where there are many different stakeholders, each with different aspirations and dependencies on the ecosystem, it can be difficult to strike a balance on suitable management measures to put in place. A better understanding of the interactions between the human and ecological functions of the ecosystem (a socio-ecological systems (SES) approach) can enable an effective dialogue to be opened to secure management solutions of best fit. In this study we took a SES approach to explore the dependencies and interactions in the Lough Erne catchment with a range of stakeholders representing the use of the Lough. In particular, we explored how individual stakeholder goals were perceived to be affected by both the biodiversity and activities found in the catchment. Results suggest there are distinct components deemed integral to the success of stakeholder goals in this system, including 'key habitat components' and 'policy relevant species', as well as activities associated with 'conservation and recreation' and 'scientific research'. Those components which were seen to limit the potential achievement of most goals included invasive species, and in particular, more recently introduced invasives, as well as extractive industries. Consideration of the similarity in goals based on their perceived interactions with the activities and biodiversity of the system indicated that there were shared dependencies between some stakeholders, but also differences that highlight the potential for conflict. Future management scenarios should take consideration of the key limiting and enabling factors identified here.


Subject(s)
Biodiversity , Conservation of Natural Resources/methods , Ecosystem , Human Activities , Lakes , Northern Ireland , Socioeconomic Factors
2.
Sci Total Environ ; 652: 320-329, 2019 Feb 20.
Article in English | MEDLINE | ID: mdl-30366333

ABSTRACT

The AQUACROSS project was an unprecedented effort to unify policy concepts, knowledge, and management of freshwater, coastal, and marine ecosystems to support the cost-effective achievement of the targets set by the EU Biodiversity Strategy to 2020. AQUACROSS aimed to support EU efforts to enhance the resilience and stop the loss of biodiversity of aquatic ecosystems as well as to ensure the ongoing and future provision of aquatic ecosystem services. The project focused on advancing the knowledge base and application of Ecosystem-Based Management. Through elaboration of eight diverse case studies in freshwater and marine and estuarine aquatic ecosystem across Europe covering a range of environmental management problems including, eutrophication, sustainable fisheries as well as invasive alien species AQUACROSS demonstrated the application of a common framework to establish cost-effective measures and integrated Ecosystem-Based Management practices. AQUACROSS analysed the EU policy framework (i.e. goals, concepts, time frames) for aquatic ecosystems and built on knowledge stemming from different sources (i.e. WISE, BISE, Member State reporting within different policy processes, modelling) to develop innovative management tools, concepts, and business models (i.e. indicators, maps, ecosystem assessments, participatory approaches, mechanisms for promoting the delivery of ecosystem services) for aquatic ecosystems at various scales of space and time and relevant to different ecosystem types.


Subject(s)
Biodiversity , Conservation of Natural Resources/methods , Ecosystem , Environmental Monitoring , Environmental Policy , Europe , Eutrophication , Fisheries , Fresh Water
3.
FEMS Microbiol Lett ; 365(11)2018 06 01.
Article in English | MEDLINE | ID: mdl-29718203

ABSTRACT

With the launch of the teaching excellence framework, teaching in higher education (HE) is under greater scrutiny than ever before. Didactic lecture delivery is still a core element of many HE programmes but there is now a greater expectation for academics to incorporate alternative approaches into their practice to increase student engagement. These approaches may include a large array of techniques from group activities, problem-based learning, practical experience and mock scenarios to newly emerging approaches such as flipped learning practices and the use of gamification. These participatory forms of learning encourage students to become more absorbed within a topic that may otherwise be seen as rather 'dry' and reduce students engagement with, and therefore retention of, material. Here we use participatory-based teaching approaches in microbiology as an example to illustrate to University undergraduate students the potentially devastating effects that a disease can have on a population. The 'threat' that diseases may pose and the manner in which they may spread and/or evolve can be challenging to communicate, especially in relation to the timescales associated with these factors in the case of an epidemic or pandemic.


Subject(s)
Disease Outbreaks , Education, Medical/methods , Epidemiology/education , Pandemics , Behavior Therapy , Humans , Students/psychology
4.
Forensic Sci Int ; 286: 177-184, 2018 May.
Article in English | MEDLINE | ID: mdl-29579718

ABSTRACT

Developmental data of forensically important blowflies used by entomologists to estimate minimum post mortem interval (mPMI) are established under controlled laboratory conditions for various temperature ranges throughout the stages of egg, 1st-3rd instar, puparia, and adult fly emergence. However, environmental conditions may influence the patterns of development and behaviour of blowflies, potentially impacting on these established development rates. Previous studies investigating indoor colonisation have focused on the delay to oviposition, with behaviour during the post-feeding phase in this setting often overlooked. The environment in which third instar larvae disperse when searching for a pupariation site may vary drastically at both outdoor and indoor scenarios, influencing the activity and distance travelled during this phase and possibly affecting developmental rates. This study investigated the effect of eight common domestic indoor surfaces on dispersal time, distance travelled, and behaviour of post-feeding Lucilia sericata as well as any resulting variation in development. It was found that pupariation and puparia length within a pupariation medium of sawdust (often used in laboratory settings) produced comparable results with that of carpeted environments (those deemed to be 'enclosed'). Non-carpeted environments (those which were 'exposed') produced a delay to pupariation likely due to increased activity and energy expenditure in searching for pupariation sites which enabled burial. In addition, the observed speed of travel during dispersal was seen via time lapse photography to be greater within 'exposed' conditions. Larvae which dispersed upon burnt laminate flooring were observed to travel faster than in all other conditions and showed the only significant variation (P=0.04) in the day of emergence in comparison to the control condition of sawdust. This study has demonstrated that wandering phase activity is affected by the environmental surface which has potential implications for estimating both the distance travelled by dispersing larvae in indoor conditions and with further research, may be a consideration in mPMI calculations.


Subject(s)
Diptera/growth & development , Diptera/physiology , Feeding Behavior/physiology , Interior Design and Furnishings , Larva/growth & development , Larva/physiology , Surface Properties , Animals , Entomology , Forensic Sciences , Postmortem Changes , Pupa/growth & development , Pupa/physiology , Temperature
5.
Am J Transplant ; 17(10): 2580-2590, 2017 Oct.
Article in English | MEDLINE | ID: mdl-28375588

ABSTRACT

Normothermic ex vivo kidney perfusion (NEVKP) demonstrated superior results compared to hypothermic storage in donation after circulatory death (DCD) kidney transplantation. It is unknown whether an optimal perfusion time exists following hypothermic storage to allow for the recovery of renal grafts from cold ischemic injury. In a porcine model of DCD kidney autotransplantation, the impact of initial static cold storage (SCS) (8 h) followed by various periods of NEVKP recovery was investigated: group A, 8 hSCS only (control); group B, 8 hSCS + 1 hNEVKP (brief NEVKP); group C, 8 hSCS + 8 hNEVKP (intermediate NEVKP); and group D, 8 hSCS + 16 hNEVKP (prolonged NEVKP). All grafts were preserved and transplanted successfully. One animal in group D was sacrificed and excluded by postoperative day 3 due to hind limb paralysis, but demonstrated good renal function. Postoperative graft assessment during 8 days' follow-up demonstrated lowest levels of peak serum creatinine for intermediate (C) and prolonged (D) NEVKP (p = 0.027). Histological assessment on day 8 demonstrated a significant difference in tubular injury (p = 0.001), with highest values for group B. These results suggest that longer periods of NEVKP following SCS are feasible and safe for postponing surgical transplant procedure and superior to brief NEVKP, reducing the damage caused during cold ischemic storage of renal grafts.


Subject(s)
Body Temperature Regulation , Kidney Transplantation/methods , Perfusion/methods , Animals , Humans , In Vitro Techniques , Male , Models, Animal , Swine
6.
Am J Transplant ; 17(4): 957-969, 2017 04.
Article in English | MEDLINE | ID: mdl-27647696

ABSTRACT

Hypothermic preservation is known to cause renal graft injury, especially in donation after circulatory death (DCD) kidney transplantation. We investigated the impact of cold storage (SCS) versus short periods of normothermic ex vivo kidney perfusion (NEVKP) after SCS versus prolonged, continuous NEVKP with near avoidance of SCS on kidney function after transplantation. Following 30 min of warm ischemia, kidneys were removed from 30-kg Yorkshire pigs and preserved for 16 h with (A) 16 h SCS, (B) 15 h SCS + 1 h NEVKP, (C) 8 h SCS + 8 h NEVKP, and (D) 16 h NEVKP. After contralateral kidney resection, grafts were autotransplanted and pigs followed up for 8 days. Perfusate injury markers such as aspartate aminotransferase and lactate dehydrogenase remained low; lactate decreased significantly until end of perfusion in groups C and D (p < 0.001 and p = 0.002). Grafts in group D demonstrated significantly lower serum creatinine peak when compared to all other groups (p < 0.001) and 24-h creatinine clearance at day 3 after surgery was significantly higher (63.4 ± 19.0 mL/min) versus all other groups (p < 0.001). Histological assessment on day 8 demonstrated fewer apoptotic cells in group D (p = 0.008). In conclusion, prolonged, continuous NEVKP provides superior short-term outcomes following DCD kidney transplantation versus SCS or short additional NEVKP following SCS.


Subject(s)
Brain Death , Cold Temperature , Kidney Transplantation/methods , Organ Preservation/methods , Perfusion , Tissue and Organ Harvesting/standards , Animals , Male , Sus scrofa , Tissue and Organ Harvesting/methods , Tissue and Organ Procurement
7.
Mar Biol ; 163: 156, 2016.
Article in English | MEDLINE | ID: mdl-27397936

ABSTRACT

The at-sea distribution of seabirds primarily depends on the distance from their breeding colony, and the abundance, distribution and predictability of their prey, which are subject to strong spatial and temporal variation. Many seabirds have developed flexible foraging strategies to deal with this variation, such as increasing their foraging effort or switching to more predictable, less energy dense, prey, in poor conditions. These responses may vary both within and between individuals, and understanding this variability is vital to predict the population-level impacts of spatially explicit environmental disturbances, such as offshore windfarms. We conducted a multi-year tracking study in order to investigate the inter-annual variation in the foraging behaviour and location of a population of northern gannets breeding on Alderney in the English Channel. To do so, we investigated the link between individual-level behaviour and population-level behaviour. We found that a sample of gannets tracked in 2015 had longer trip durations, travelled further from the colony and had larger core foraging areas and home range areas than gannets tracked in previous years. This inter-annual variation may be associated with oceanographic conditions indexed by the North Atlantic Oscillation (NAO). Our findings suggest that this inter-annual variation was driven by individuals visiting larger areas in all of their trips rather than individuals diversifying to visit more, distinct areas. These findings suggest that, for gannets at least, if prey becomes less abundant or more widely distributed, more individuals may be required to forage further from the colony, thus increasing their likelihood of encountering pressures from spatially explicit anthropogenic disturbances.

8.
Mar Environ Res ; 107: 24-34, 2015 Jun.
Article in English | MEDLINE | ID: mdl-25876194

ABSTRACT

Using established associations between species traits (life history, morphological and behavioural characteristics) and key ecological functions, we applied biological traits analysis (BTA) to investigate the consequences of 40 years of change in two North Sea benthic communities. Ecological functioning (trait composition) was found to be statistically indistinguishable across periods that differed significantly in taxonomic composition. A temporary alteration to functioning was, however, inferred at both sampling stations; coinciding with the North Sea regime shift of the 1980s. Trait composition recovered after 1 year at the station located inside the grounds of a trawl fishery, whereas the station located outside the main area of fishing activity underwent a six-year period of significantly altered, and temporally unstable, trait composition. A further alteration to functioning was inferred at the fished station, when the population of a newly established species rapidly increased in numbers. The results suggest that density compensation by characteristically similar (redundant) taxa acts to buffer changes to ecological functioning over time, but that functional stability is subject to aperiodic disruption due to substitutions of dissimilar taxa or uncompensated population fluctuations. The rate at which ecological functioning stabilises and recovers appears to be dependent on environmental context; e.g. disturbance regime.


Subject(s)
Biodiversity , Ecosystem , Animals , Carbon/metabolism , Feeding Behavior , North Sea , Population Dynamics , Time
9.
J Fish Biol ; 83(4): 826-46, 2013 Oct.
Article in English | MEDLINE | ID: mdl-24090550

ABSTRACT

In the Welsh part of the Irish Sea, a method was developed for assessing the sensitivity of different seabed habitats to existing fishing activities, across a range of potential fishing intensities. The resistance of 31 habitats and their associated biological assemblage to damage by 14 categories of fishing activity were assessed along with the rate at which each habitat would recover following impact (resilience). Sensitivity was scored based on a combination of the resistance of a habitat to damage and its subsequent rate of recovery. The assessments were based, wherever possible, on scientific literature, with expert judgement used to extrapolate results to habitat and gear combinations not directly examined in the published literature. The resulting sensitivity matrices were then subject to further peer review at a series of workshops. Following consensus on the habitat sensitivity, these data were combined with the most resolved sea-floor habitat maps. These habitat sensitivity maps can help inform the development of site-specific management plans, as well as having a place in spatial planning and aiding managers in developing dialogue with other stakeholders. A case study of their application is provided.


Subject(s)
Conservation of Natural Resources , Ecosystem , Fisheries , Animals , Ecology/methods , Geographic Mapping , Models, Biological , Oceans and Seas , Wales
10.
Mar Environ Res ; 90: 104-12, 2013 Sep.
Article in English | MEDLINE | ID: mdl-23871519

ABSTRACT

We present the results of experiments to assess the immediate impact of scallop dredging on the seabed sediment and on the inhabiting infauna. The passage of the scallop dredge is shown to homogenise the seabed, flattening sand ripples. The turbulent wake entrains up to the equivalent of a 1 mm layer of sediment per unit of swept width, although an analysis of the finer particles material implies that the suspended silt material must originate from depths of at least 10 mm. The species most abundant in the sediment plume either swim actively in the water column or are found in, or on, the upper layers of the substrate, whereas those most abundant in core samples taken from the sediment, but not present in the net samples, are almost all tube-building or deep burrowing. The vertical stratification of sediment concentration and of animal numbers in the water column suggests that even if some of these species respond actively to the presence of the dredge, once entrained, they are transported more or less passively in the same way as the larger sediment particles. There was no difference between the core samples taken before or after towing suggesting that animals mobilised by the dredge resettle in the tow path. Our analysis does not provide any information regarding the fate of these animals.


Subject(s)
Aquatic Organisms/physiology , Biota , Conservation of Natural Resources , Geologic Sediments/analysis , Pectinidae , Animals , Environmental Monitoring , Scotland
11.
Ann Oncol ; 24(4): 889-94, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23136230

ABSTRACT

BACKGROUND: Some reports suggest that patients with synchronous multiple foci of nonsmall-cell lung cancers (NSCLC) distributed in multiple lobes have a poor prognosis, even when there is no extrathoracic metastasis. The vast majority of such patients do not receive surgical treatment. For those who undergo surgery, prognostic factors are unclear. PATIENTS AND METHODS: We systematically reviewed the literature on surgery for synchronous NSCLC in multiple lobes published between 1990 and 2011. Individual patient data were used to obtain adjusted hazard ratios (HRs) in each dataset and pooled analyses were carried out. RESULTS: Six studies contributed 467 eligible patients for analysis. The median overall survival was 52.0 months [95% confidence interval 45.6-63.7]. Male gender and advanced age were associated with a decreased survival: HRs 1.64 (1.22, 2.22) and 1.40 (1.20, 1.80) per 20-year increment, respectively. Patients with cancers distributed in one lung had a higher mortality risk than those with bilateral disease: HRs 1.45 (1.06, 2.00). N1 or N2 had a decreased survival compared with N0: HRs 1.68 (1.12, 2.51) and 1.94 (1.33, 2.82), respectively. There was a trend toward increased mortality among patients with different histology: HRs 1.29 (0.96, 1.75). CONCLUSION: Advanced age, male gender, nodal involvement, and unilateral tumor location were poor prognostic factors.


Subject(s)
Carcinoma, Non-Small-Cell Lung/surgery , Lymph Nodes/pathology , Neoplasms, Multiple Primary/surgery , Prognosis , Age Factors , Aged , Carcinoma, Non-Small-Cell Lung/pathology , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Neoplasms, Multiple Primary/pathology , Sex Factors , Treatment Outcome
12.
Arch. prev. riesgos labor. (Ed. impr.) ; 9(3): 109-113, jul.-sept. 2006. ilus, tab
Article in Es | IBECS | ID: ibc-050822

ABSTRACT

Objetivo: Analizar la carga física de los conductores de vehículos de carga y pasajeros a través de la medición directa del consumo de oxigeno para determinar si la actividad de conducir se encuentra bajo las recomendaciones metabólicas internacionales y establecer comparaciones entre estos dos tipos de conductores con el fin de establecer qué vehículo exige una mayor carga física. Métodos: De un estudio mayor con una muestra de 80 conductores se seleccionaron nueve trabajadores representativos de los grupos de conductores profesionales de carga y pasajeros (hombres, 31 a 50 años). Sobre esta submuestra se realizaron mediciones en el laboratorio con un protocolo de carga incremental de 25W cada minuto hasta lograr el máximo y recuperación de 5 minutos. Posteriormente se realizaron mediciones de campo durante la tarea de conducir un vehículo de carga o pasajeros tanto en la ciudad de Bogotá como fuera de ella. Resultados: Se encontraron valores del VO2 máximo en laboratorio entre 21,77 y 48,63 ml/min/kg y valores de VO2 promedio en la tarea entre 5,18 y 10,30 ml/min/kg. Conclusiones: Las tareas de conducir un vehículo de carga o de conducir un vehículo de pasajeros son de poca exigencia física, según los datos analizados y las normas internacionales. Se observa también que los conductores de mercancías presentan exigencias fisiológicas adicionales frente a los conductores de vehículos de pasajeros


Objective: To analyze and compare the physical workload of drivers of freight and passenger vehicles through direct measurement of oxygen consumption (VO2), both in the laboratory and the field, to determine if these activities are consistent with internationally recommended guidelines. Methods: From a larger study of 80 healthy drivers, nine men, ages 31 to 50 years, were selected for more intensive study. Measurements were taken in the laboratory, using a progressive incremental workload protocol of 25 watts/minute, until maximum effort was reached, followed by a recovery stage at 25 watts for 5 minutes. Subsequently, direct oxygen consumption measurements were obtained in the field, while driving either freight trucks or buses, both in Bogotá and outside this city. Results: Maximum VO2 in the laboratory ranged from 21.77 to 48.63 ml/min/kg, whereas average VO2 during task performance in the field was between 5.18 and 10.30 ml/min/kg. Conclusion: Based on these results and in comparison with international guidelines, driving a freight truck or bus is associated with low physical demand. Drivers of freight vehicles have additional physiological demands as compared to drivers of passenger vehicles


Subject(s)
Male , Adult , Middle Aged , Humans , Workload , Oxygen Consumption/physiology , Spirometry/statistics & numerical data , Transportation , Ergonomics
13.
Tob Control ; 12 Suppl 4: IV26-33, 2003 Dec.
Article in English | MEDLINE | ID: mdl-14645937

ABSTRACT

OBJECTIVE: To examine the feasibility, acceptability, and effectiveness of a school based smoking cessation programme among students caught smoking at school. DESIGN: A randomised controlled trial comparing cessation rates among students in a behavioural cessation programme and those receiving self help materials only. SETTING: Eighteen schools in the Memphis, Tennessee area. SUBJECTS: Two hundred and sixty one adolescent cigarette smokers (166 male, 95 female) averaging 15.8 years of age. INTERVENTION: Students assigned to the intervention received a four session behavioural treatment programme administered individually by a health educator. In addition, these students received stage matched intervention in brief phone calls monthly until the one year follow up. MAIN OUTCOME MEASURE: Self reported and biochemically verified smoking cessation at post-test and 12 month follow up. RESULTS: Recruiting students who were caught smoking at school proved to be highly successful. Participants rated the programme favourably, and retention rates were high. Although treated participants improved more in tobacco related knowledge relative to controls (p = 0.002), there were no group differences in changes in attitudes toward smoking. In addition, treated and control participants demonstrated no significant differences in cessation rates both at post-test and follow up. Comparisons between self reported cessation rates and those obtained under bogus pipeline conditions or with biochemical verification suggested significant falsification of cessation among participants. CONCLUSIONS: Our results failed to demonstrate any significant effect of the cessation programme on smoking rates for treated adolescents compared with controls. Our findings also highlight the importance of utilising strong methodology in research on adolescent smoking cessation, including control groups and biochemical verification of smoking status.


Subject(s)
Smoking Cessation/methods , Adolescent , Adolescent Behavior/psychology , Attitude to Health , Behavior Therapy/methods , Cotinine/analysis , Female , Health Knowledge, Attitudes, Practice , Humans , Male , Program Evaluation/methods , Saliva/chemistry , Smoking/psychology , Social Environment , Tennessee , Treatment Outcome
14.
J Nanosci Nanotechnol ; 3(4): 325-8, 2003 Aug.
Article in English | MEDLINE | ID: mdl-14598447

ABSTRACT

We describe the nanofabrication study of self-aligned electrodes on suspended multiwalled carbon nanotube structures. When metal is deposited on a suspended multiwalled carbon nanotube structure, the nanotube acts as an evaporation mask, resulting in the formation of discontinuous electrodes. The metal deposits on the nanotubes are removed with lift-off. Using Al sacrificial layers, it was possible to fabricate self-aligned contact electrodes and control electrodes nanometers from the suspended carbon nanotubes with a single lithography step. It was also shown that the fabrication technique may also be used to form nano-gapped contact electrodes. The technique should prove useful for the fabrication of nano-electromechanical systems.


Subject(s)
Coated Materials, Biocompatible/chemistry , Crystallization/methods , Electrochemistry/instrumentation , Microelectrodes , Nanotechnology/instrumentation , Nanotechnology/methods , Nanotubes, Carbon/chemistry , Nanotubes, Carbon/ultrastructure , Chromium/chemistry , Coated Materials, Biocompatible/chemical synthesis , Electrochemistry/methods , Equipment Design
15.
Bioorg Med Chem Lett ; 13(14): 2381-4, 2003 Jul 21.
Article in English | MEDLINE | ID: mdl-12824039

ABSTRACT

Glutamic acid derived hydroxamates were identified as potent and selective inhibitors of procollagen C-proteinase, an essential enzyme for the processing of procollagens to fibrillar collagens. Such compounds have potential therapeutic application in the treatment of fibrosis.


Subject(s)
Bone Morphogenetic Proteins/metabolism , Glutamates/chemical synthesis , Glutamates/pharmacology , Hydroxamic Acids/chemical synthesis , Hydroxamic Acids/pharmacology , Metalloendopeptidases/metabolism , Protease Inhibitors/chemical synthesis , Protease Inhibitors/pharmacology , Bone Morphogenetic Protein 1 , Chromatography, High Pressure Liquid , Indicators and Reagents , Kinetics , Matrix Metalloproteinase Inhibitors , Structure-Activity Relationship
16.
Bioorg Med Chem Lett ; 13(13): 2101-4, 2003 Jul 07.
Article in English | MEDLINE | ID: mdl-12798313

ABSTRACT

The parallel synthesis of novel inhibitors of procollagen C-terminal proteinase is described. The synthetic strategy allowed for the facile synthesis of a large number of side-chain diversified diamino acid hydroxamates, of which the D-diaminopropionic acid derivatives were shown to be single digit nanomolar PCP inhibitors.


Subject(s)
Bone Morphogenetic Proteins/antagonists & inhibitors , Hydroxamic Acids/chemical synthesis , Hydroxamic Acids/pharmacology , Metalloendopeptidases/antagonists & inhibitors , Protease Inhibitors/chemical synthesis , Protease Inhibitors/pharmacology , Bone Morphogenetic Protein 1 , Indicators and Reagents , Kinetics , Structure-Activity Relationship
18.
Q J Nucl Med ; 45(1): 38-46, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11456374

ABSTRACT

Radioisotope bone scanning is frequently employed in staging malignancies. However, false positive results are common, and biopsy is usually required. In the absence of plain radiographic abnormalities or local symptoms, localization of the area of abnormal tracer activity at the time of open rib or sternum biopsy may be difficult. It often requires resection of a large portion of one or more ribs or other bones to assure that the target area was biopsied, and still the area in question is commonly missed. In this setting, the newly-developed, small gamma probe is now used as a tool to allow precise intraoperative localization of increased tracer activity in the target bone. The use of gamma counting is an easy, highly accurate aid (100% sensitivity) to localize areas of abnormal radioisotope uptake in suspected asymptomatic osseous metastases, usually for open biopsy of a rib. The use of this technique obviates the need to obtain intraoperative localizing radiographs to confirm accurate rib identification, thereby substantially decreasing operative time.


Subject(s)
Bone Neoplasms/diagnostic imaging , Bone Neoplasms/pathology , Bone Neoplasms/secondary , Biopsy/methods , Bone and Bones/diagnostic imaging , Bone and Bones/pathology , Humans , Intraoperative Care , Methylene Blue , Radionuclide Imaging , Radiopharmaceuticals , Ribs/diagnostic imaging , Ribs/pathology , Sensitivity and Specificity , Technetium Tc 99m Medronate
19.
CMAJ ; 164(2): 173, 2001 Jan 23.
Article in English | MEDLINE | ID: mdl-11332301
20.
J Assoc Nurses AIDS Care ; 12(2): 25-32, 2001.
Article in English | MEDLINE | ID: mdl-11296728

ABSTRACT

The AIDS epidemic has resulted in an unprecedented death toll among young adults, many of whom are survived by siblings. Whereas the circumstances surrounding deaths from AIDS place survivors at risk for intense bereavement, no reported studies have examined the pattern or intensity of grief among adult siblings. One hundred and two adults who had experienced the death of a sibling from AIDS were recruited into this study in which grief reactions were measured using the Grief Experience Inventory. Time since the sibling's death ranged from 3 months to 11 years. Grief reactions were found to exceed those previously reported. A positive relationship was found between the level of closeness of the survivor to the deceased and the intensity of grief reactions. No relationship was found between time since the sibling's death and intensity of grief.


Subject(s)
Acquired Immunodeficiency Syndrome , Grief , Nuclear Family/psychology , Adult , Analysis of Variance , Female , Humans , Male , Middle Aged , Object Attachment , Pennsylvania , Psychological Theory , Time Factors
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