Origins of cattle on Chirikof Island, Alaska, elucidated from genome-wide SNP genotypes

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Doctors under the microscope: the birth of medical audit

In 1989 a UK government White Paper introduced medical audit as a comprehensive and statutory system of assessment and improvement in quality of care in hospitals. A considerable body of research has described the evolution of medical audit in terms of a struggle between doctors and National Health Service managers over control of quality assurance. In this paper we examine the emergence of medical audit from 1910 to the early 1950s, with a particular focus on the pioneering work of the American surgeons Codman, MacEachern and Ponton. It is contended that medical professionals initially created medical audit in order to articulate a suitable methodology for assessing individual and organisational performance. Rather than a means of protecting the medical profession from public scrutiny, medical auditing was conceived and operationalised as a managerial tool for fostering the active engagement of senior hospital managers and discharging public accountability. These early debates reveal how accounting was implicated in the development of a system for monitoring and improving the work of medical professionals, advancing the quality of hospital care, and was advocated in ways, which included rather than excluded managers

Partial rupture of the quadriceps muscle in a child

<p>Abstract</p> <p>Background</p> <p>The quadriceps femoris muscle ruptures usually occur in the middle-aged population. We present a 4-year-old patient with partial rupture of the quadriceps femoris muscle. To our knowledge, this is the youngest patient reported with a quadriceps femoris muscle rupture.</p> <p>Case Presentation</p> <p>A 4-year-old girl admitted to our clinic with left knee pain and limitation in knee movements. Her father reported that she felt pain while jumping on sofa. There was no direct trauma to thigh or knee. We located a palpable soft tissue swelling at distal anterolateral side of thigh. The history revealed that 10 days ago the patient was treated for upper tract respiratory infection with intramuscular Clindamycin for 7 days. When we consulted the patient with her previous doctor and nurse, we learnt that multiple daily injections might be injected to same side of left thigh. MRI showed a partial tear of vastus lateralis muscle matching with the injection sites. The patient treated with long leg half-casting for three weeks. Clinical examination and knee flexion had good results with conservative treatment.</p> <p>Conclusions</p> <p>Multiple intramuscular injections may contribute to damage muscles and make prone to tears with muscle contractions. Doctors and nurses must be cautious to inject from different parts of both thighs.</p

A Bayesian Nonparametric Regression Model With Normalized Weights - A Study of Hippocampal Atrophy in Alzheimer’s Disease

Hippocampal volume is one of the best established biomarkers for Alzheimer’s disease. However, for appropriate use in clinical trials research, the evolution of hippocampal volume needs to be well understood. Recent theoretical models propose a sigmoidal pattern for its evolution. To support this theory, the use of Bayesian nonparametric regression mixture models seems particularly suitable due to the flexibility that models of this type can achieve and the unsatisfactory predictive properties of semiparametric methods. In this article, our aim is to develop an interpretable Bayesian nonparametric regression model which allows inference with combinations of both continuous and discrete covariates, as required for a full analysis of the dataset. Simple arguments regarding the interpretation of Bayesian nonparametric regression mixtures lead naturally to regression weights based on normalized sums. Difficulty in working with the intractable normalizing constant is overcome thanks to recent advances in MCMC methods and the development of a novel auxiliary variable scheme. We apply the new model and MCMC method to study the dynamics of hippocampal volume, and our results provide statistical evidence in support of the theoretical hypothesis

Metabolism of phenol and hydroquinone to reactive products by macrophage peroxidase or purified prostaglandin H synthase.

Macrophages, an important cell-type of the bone marrow stroma, are possible targets of benzene toxicity because they contain relatively large amounts of prostaglandin H synthase (PHS), which is capable of metabolizing phenolic compounds to reactive species. PHS also catalyzes the production of prostaglandins, negative regulators of myelopoiesis. Studies indicate that the phenolic metabolites of benzene are oxidized in bone marrow to reactive products via peroxidases. With respect to macrophages, PHS peroxidase is implicated, as in vivo benzene-induced myelotoxicity is prevented by low doses of nonsteroidal anti-inflammatory agents, drugs that inhibit PHS. Incubations of either 14C-phenol or 14C-hydroquinone with a lysate of macrophages collected from mouse peritoneum (greater than 95% macrophages), resulted in an irreversible binding to protein that was dependent upon H2O2, incubation time, and concentration of radiolabel. Production of protein-bound metabolites from phenol or hydroquinone was inhibited by the peroxidase inhibitor aminotriazole. Protein binding from 14C-phenol also was inhibited by 8 microM hydroquinone, whereas binding from 14C-hydroquinone was stimulated by 5 mM phenol. The nucleophile cysteine inhibited protein binding of both phenol and hydroquinone and increased the formation of radiolabeled water-soluble metabolites. Similar to the macrophage lysate, purified PHS also catalyzed the conversion of phenol to metabolites that bound to protein and DNA; this activation was both H2O2- and arachidonic acid-dependent. These results indicate a role for macrophage peroxidase, possibly PHS peroxidase, in the conversion of phenol and hydroquinone to reactive metabolites and suggest that the macrophage should be considered when assessing the hematopoietic toxicity of benzene

Dense sampling of ethnic groups within African countries reveals fine-scale genetic structure and extensive historical admixture

Previous studies have highlighted how African genomes have been shaped by a complex series of historical events. Despite this, genome-wide data have only been obtained from a small proportion of present-day ethnolinguistic groups. By analyzing new autosomal genetic variation data of 1333 individuals from over 150 ethnic groups from Cameroon, Republic of the Congo, Ghana, Nigeria, and Sudan, we demonstrate a previously underappreciated fine-scale level of genetic structure within these countries, for example, correlating with historical polities in western Cameroon. By comparing genetic variation patterns among populations, we infer that many northern Cameroonian and Sudanese groups share genetic links with multiple geographically disparate populations, likely resulting from long-distance migrations. In Ghana and Nigeria, we infer signatures of intermixing dated to over 2000 years ago, corresponding to reports of environmental transformations possibly related to climate change. We also infer recent intermixing signals in multiple African populations, including Congolese, that likely relate to the expansions of Bantu language-speaking peoples

Survival regression models with dependent Bayesian nonparametric priors

We present a novel Bayesian nonparametric model for regression in survival analysis. Our model builds on the classical neutral to the right model of Doksum (1974) and on the Cox proportional hazards model of Kim and Lee (2003). The use of a vector of dependent Bayesian nonparametric priors allows us to efficiently model the hazard as a function of covariates whilst allowing nonproportionality. The model can be seen as having competing latent risks. We characterize the posterior of the underlying dependent vector of completely random measures and study the asymptotic behavior of the model. We show how an MCMC scheme can provide Bayesian inference for posterior means and credible intervals. The method is illustrated using simulated and real data

Sequential dependency for affective appraisal of food images

Abstract How we perceive the world is not solely determined by our experiences at a given moment in time, but also by what we have experienced in our immediate past. Here, we investigated whether such sequential effects influence the affective appraisal of food images. Participants from 16 different countries (N = 1278) watched a randomly presented sequence of 60 different food images and reported their affective appraisal of each image in terms of valence and arousal. For both measures, we conducted an inter-trial analysis, based on whether the rating on the preceding trial(s) was low or high. The analyses showed that valence and arousal ratings for a given food image are both assimilated towards the ratings on the previous trial (i.e., a positive serial dependence). For a given trial, the arousal rating depends on the arousal ratings up to three trials back. For valence, we observed a positive dependence for the immediately preceding trial only, while a negative (repulsive) dependence was present up to four trials back. These inter-trial effects were larger for males than for females, but independent of the participants’ BMI, age, and cultural background. The results of this exploratory study may be relevant for the design of websites of food delivery services and restaurant menus

Sedimentology and facies analysis of ancient sand ridges:Jurassic Rogn Formation, Trøndelag Platform, offshore Norway

Sand ridges represent a common type of sedimentary bedform of modern shelves seldom used as analogues to interpret isolated marine sandbodies recognised in the subsurface. Lack of extended literature on outcrop and subsurface examples limits the possibility for their recognition and seems one of the reason behind this underrepresentation. The Draugen discovery made in the early 80`s represents an unicum in the Trøndelag Platform, offshore Norway. After more than 30 years the Froan Basin and Frøya High area are still underexplored and the Late Jurassic Rogn Fm play not well understood. Predicting reservoir distribution, and its internal architecture and properties requires the understanding of factors controlling sedimentation (e.g. palaeocirculation, depositional processes). North-south elongated sandbodies pertaining to the Rogn Formation are recognised in the Froan Basin and Frøya High encased within thick shaly deposits. Sandbodies develop above a ravinement or flooding surface (i.e. Callovian Unconformity) of regional extent where local depressions occur with a non-erosional concave-up top. Depressions representing the depositional loci for the accumulation of sand and development of the ridge. The presence of eastward and westward dipping reflections within the sandbodies allows identifying their large-scale architectures. Sediments form coarsening-upward vertical units characterised by a shaly base evolving upwards to medium- and coarse-grained sand forming tabular and trough cross strata. Locally, a fining upward trend characterised by plane-parallel stratification and coarse-grained massive layers is recognised. Sediments results well organised and sorted, which positively affects final porosity and permeability with values up to 30% and 6 Darcy, respectively - typical values for many sand ridges. Accordingly, sand ridges encased within thick shaly deposits can form stratigraphic traps with the potential for large hydrocarbon accumulations. The aim of the present study is to help the understanding of distribution, and internal architectures and properties of the Rogn Fm in the Trøndelag Platform