Independent contribution of plaque complexity to myocardial ischemia during Dobutamine stress echocardiography

The influence of complex plaque morphology on the extent of demand-induced ischemia in unselected patients is not well defined. We sought to investigate the functional significance of lesion morphology in patients who underwent coronary angiography and dobutamine stress echocardiography (DSE).,Angiography and DSE were performed within a 6-month period (mean 1 +/- 1 month) in 196 patients. Angiographic assessments involved quantification of stenosis severity, assessment of the extent of jeopardized myocardium, and categorization of plaque morphology according to the Ambrose classification. DSE was interpreted by separate investigators with respect to wall motion score index (WMSI) and number of coronary territories involved. A general linear model was constructed to assess,the independent contribution of patient characteristics and angiographic and DSE results with respect to extent of ischemic myocardium. Complex lesion morphology was seen in 62 patients (32%). Patients with complex lesions were more likely to have had prior myocardial infarction (p < 0.001) and be current smokers (p = 0.03). During angiography, they exhibited a trend toward a greater number of diseased vessels, had a greater coronary jeopardy score (p < 0.001) and more frequent collateral flow (p = 0.03). During echocardiography, patients had a higher stress WMSI (p < 0.001) and were more likely to show ischemia in all 3 arterial territories (p < 0.01). On multivariate regression, the coronary artery jeopardy score and the presence of complex plaque morphology were independent predictors of the extent of ischemic myocardium (R 2 = 34%, p < 0.001). Thus, patients with complex plaque morphology are older, more likely to smoke, and more likely to have had prior myocardial. infarction. They exhibit more extensive disease with higher coronary jeopardy scores and a higher resting and peak stress WMSI. Despite these differences, complex plaque morphology remains an independent predictor of the extent of ischemia during stress. (C) 2003 by Excerpta Medica, Inc.

Vicarious dissonance: Attitude change from the inconsistency of others

Three studies support the vicarious dissonance hypothesis that individuals change their attitudes when witnessing members of important groups engage in inconsistent behavior. Study 1, in which participants observed an actor in an induced-compliance paradigm, documented that students who identified with their college supported an issue more after hearing an ingroup member make a counterattitudinal speech in favor of that issue. In Study 2, vicarious dissonance occurred even when participants did not hear a speech, and attitude change was highest when the speaker was known to disagree with the issue. Study 3 showed that speaker choice and aversive consequences moderated vicarious dissonance, and demonstrated that vicarious discomfort-the discomfort observers imagine feeling if in an actor's place-was attenuated after participants expressed their revised attitudes.

Climate change and biotic invasions: a case history of a tropical woody vine

The impacts of climate change in the potential distribution and relative abundance of a C3 shrubby vine, Cryptostegia grandiflora, were investigated using the CLIMEX modelling package. Based upon its current naturalised distribution, C. grandiflora appears to occupy only a small fraction of its potential distribution in Australia under current climatic conditions; mostly in apparently sub-optimal habitat. The potential distribution of C. grandiflora is sensitive towards changes in climate and atmospheric chemistry in the expected range of this century, particularly those that result in increased temperature and water use efficiency. Climate change is likely to increase the potential distribution and abundance of the plant, further increasing the area at risk of invasion, and threatening the viability of current control strategies markedly. By identifying areas at risk of invasion, and vulnerabilities of control strategies, this analysis demonstrates the utility of climate models for providing information suitable to help formulate large-scale, long-term strategic plans for controlling biotic invasions. The effects of climate change upon the potential distribution of C. grandiflora are sufficiently great that strategic control plans for biotic invasions should routinely include their consideration. Whilst the effect of climate change upon the efficacy of introduced biological control agents remain unknown, their possible effect in the potential distribution of C. grandiflora will likely depend not only upon their effects on the population dynamics of C. grandiflora, but also on the gradient of climatic suitability adjacent to each segment of the range boundary.

SPAnDX: a process-based population dynamics model to explore management and climate change impacts on an invasive alien plant, Acacia nilotica

This paper describes a process-based metapopulation dynamics and phenology model of prickly acacia, Acacia nilotica, an invasive alien species in Australia. The model, SPAnDX, describes the interactions between riparian and upland sub-populations of A. nilotica within livestock paddocks, including the effects of extrinsic factors such as temperature, soil moisture availability and atmospheric concentrations of carbon dioxide. The model includes the effects of management events such as changing the livestock species or stocking rate, applying fire, and herbicide application. The predicted population behaviour of A. nilotica was sensitive to climate. Using 35 years daily weather datasets for five representative sites spanning the range of conditions that A. nilotica is found in Australia, the model predicted biomass levels that closely accord with expected values at each site. SPAnDX can be used as a decision-support tool in integrated weed management, and to explore the sensitivity of cultural management practices to climate change throughout the range of A. nilotica. The cohort-based DYMEX modelling package used to build and run SPAnDX provided several advantages over more traditional population modelling approaches (e.g. an appropriate specific formalism (discrete time, cohort-based, process-oriented), user-friendly graphical environment, extensible library of reusable components, and useful and flexible input/output support framework). (C) 2003 Published by Elsevier Science B.V.

Opening windows into the mind: mothers' preferences for mental state explanations and children's theory of mind

A new questionnaire, the Maternal Mental State Input Inventory (MMSII) was created to measure mothers' preferences for introducing and elaborating on mental states in conversation with their young children. In two studies, the questionnaire was given to mothers of young children, and the children's theory of mind (ToM) development was assessed with standard tasks. In both studies, the questionnaire exhibited good internal reliability, and significant correlations emerged between mothers' self-reported preferences for elaborated, explanatory talk about the mental states and children's theory of mind performance. Further, mothers' conversational preferences, as measured by the MMSII, were the best predictors of children's theory of mind development when relevant control variables were included in the analyses. These results converge with naturalistic observational research that has demonstrated links between mothers' conversational styles and their children's theory of mind. They go further in suggesting that mothers' tendencies toward elaborated, explanatory talk about a range of mental states is particularly beneficial to children's theory of mind development. (C) 2003 Elsevier Inc. All rights reserved.

Reliability of moderate-intensity and vigorous physical activity stage of change measures for young adults

Background. The purpose of this study was to examine the reliability of stage of change (SOC) measures for moderate-intensity and vigorous physical activity in two separate samples of young adults. Staging measures have focused on vigorous exercise, but current public health guidelines emphasize moderate-intensity activity. Method. For college students in the USA (n = 105) and in Australia (n = 123), SOC was assessed separately on two occasions for moderate-intensity activity and for vigorous activity. Test-retest repeatability was determined, using Cohen's kappa coefficient. Results. In both samples, the reliability scores for the moderate-intensity physical activity staging measure were lower than the scores for the vigorous exercise staging measure. Weighted kappa values for the moderate-intensity staging measure were in the fair to good range for both studies (0.50 and 0.45); for the vigorous staging measure kappa values were excellent and fair to good (0.76 and 0.72). Conclusions. There is a need to standardize and improve methods for staging moderate-intensity activity, given that such measures are used in public health interventions targeting HEPA (health-enhancing physical activity). (C) 2003 American Health Foundation and Elsevier Science (USA). All rights reserved.

Evidence and information for health policy: a decade of change

Over the past decade or so, there has been increasing demand for greater clarity about the major causes of disease and injury, how these differentially affect populations, and how they are changing. In part, this demand has been motivated by resource constraints and a realisation that better health is possible with more informed allocation of resources. At the same time, there has been a change in the way population health and its determinants are quantified, with a much closer integration of the quantitative population sciences (such as epidemiology, demography and health economics) to strengthen and broaden the evidence base for healthcare policy.

A no????o de compet??ncia na gest??o de pessoas: reflex??es acerca do setor p??blico

O presente ensaio traz ?? discuss??o a gest??o por compet??ncias como atributo elementar para o desempenho organizacional, considerando o impacto que altera????es sociais e econ??micas t??m no trabalho. O objetivo deste ?? contribuir para reflex??es por parte de gestores, colaboradores e pesquisadores sobre a gest??o por compet??ncias enquanto parte de uma gest??o estrat??gica de pessoas, com uma vis??o mais abrangente. Para tanto, fez-se uma revis??o bibliogr??fica que evidenciou a import??ncia da gest??o por compet??ncias no desempenho organizacional e na gest??o estrat??gica de pessoas. O estudo aponta que o caminho ainda ?? vasto e impreciso nas empresas p??blicas pela complexidade cultural e pol??tica envolvida. O sucesso no desenvolvimento da gest??o por compet??ncias (individual e organizacional) est?? em reconhecer que, por ser uma abordagem com foco nas pessoas, se trata de um processo evolucion??rio com eventos planejados e espont??neos que visam transformar comportamentos e atitudes, o que leva tempo e exige paci??ncia ao longo das a????es organizacionais do dia a dia.

Filogenia e evolução de roedores Echimyidae na Mata Atlântica

Os roedores Echimyidae tem distribuição Neotropical e são a família mais diversa de roedores Caviomorpha. Apesar da grande diversidade, pouco se sabe sobre a distribuição geográfica, história natural e evolução de vários grupos de equimídeos. O histórico taxonômico dessa família é confuso, sendo alguns grupos raramente coletados e, consequentemente, inferências sobre aspectos evolutivos e biológicos são pouco conclusivas e limitadas à análise de poucos exemplares. Filogenias moleculares não corroboram a classificação taxonômica para a família baseada em dados morfológicos, evidenciando a complexidade da história evolutiva desse grupo. Na Mata Atlântica são registrados cinco gêneros de Echimyidae: o rato-do-bambu, Kannabateomys; os arborícolas Phyllomys e Callistomys; o terrestre Trinomys, e o semi-fossorial Euryzygomatomys. O presente trabalho se baseou na utilização de sequências de DNA para abordar aspectos da evolução e filogenia de roedores equimídeos da Mata Atlântica em três níveis taxonômicos: família, gênero e espécie. O primeiro capítulo aborda a posição filogenética do gênero Callistomys dentro da família, utilizando sequências de 1 marcador mitocondrial (CitB) e 3 nucleares (GHR, RAG1 e vWF). Os resultados mostram que Callistomys forma um clado com o ratão-do-banhado (Myocastor), roedor semi-aquático das regiões abertas no cone sul da América do Sul e com o rato-de-espinho terrestre Proechimys com ocorrência na Amazônia. Esse clado é irmão de Thrichomys, um equimídeo terrestre que ocupa as áreas secas do centro da América do Sul. O agrupamento encontrado é inesperado, uma vez que seus membros apresentam aspectos morfológico, ecológicos e distribuição geográfica distintos e contrastantes. A filogenia resultante indica que Callistomys não é proximamente relacionado aos outros equimídeos arborícolas e sugere que o hábito arborícolas evoluiu mais de uma vez na família. O segundo capítulo investiga aspectos da filogenia, evolução e limites entre espécies de Phyllomys utilizando dois marcadores mitocondriais (CitB e COI) e três nucleares (GHR, RAG1 e vWF). Foram identificados três grupos principais de espécies: um com distribuição longitudinal pela porção central da Mata Atlântica (P. pattoni (P. mantiqueirensis, Phyllomys sp. 4)); e a partir daí dois outros grupos, um com distribuição na porção norte da Mata Atlântica (Phyllomys sp. 2 (P. blainvilii (P. brasiliensis, P. lamarum))); e outro na porção sul (Phyllomys sp. 3 ((Phyllomys sp. 1, P. lundi), (Phyllomys sp. 5 (P. dasythrix (P. nigrispinus (P. sulinus, Phyllomys sp. 6)))))). Foram identificadas duas linhagens independentes representando possíveis espécies novas, elevando o potencial número de espécies do gênero de 17 para 19. As filogenias associadas aos dados de distribuição geográfica sugerem que a diversificação e distribuição das espécies de Phyllomys foi influenciada pela ação conjunta de vários fatores como atividade neotectônica, gradientes altitudinais e latitudinais e mudanças climáticas que atuaram desde o Mioceno, marcando os primeiros eventos de diversificação do gênero até as especiações mais recentes, no Pleistoceno. O terceiro capítulo avalia a variação genética, distribuição geográfica e status taxonômico da espécie Euryzygomaotmys spinosus utilizando dois marcadores mitocondriais (CitB e D-loop). Os resultados mostraram que E.spinosus apresenta distribuição em áreas de Mata Atlântica e adjacências ao sul do Rio Doce, no Brasil, Paraguai e Argentina, incluindo um registro confirmado no Cerrado. A espécie ocupa habitats muito diversos e pode ser considerada generalista. As populações são geneticamente estruturadas ao longo da sua distribuição e os dados genéticos corroboram a taxonomia atual que considera apenas uma espécie, E. spinosus, para o gênero.

When emergent countries reform global governance of climate change: Brazil under Lula

Due to its recent economic success, Brazil is considered an emerging country, but is it an emerging power concerning global environmental governance? This article argues that although Brazil has a sui generis profile, it can only be considered an emerging power in some environmental regimes, such as global climate change. Thus, international relations theory needs more analytical instruments to assess the impact of emerging powers in global environmental governance

Fighting climate change in the air: lessons from the EU directive on global aviation

The European Union's (EU) decision to include aviation into the Emissions Trade Scheme was heatedly contested. Countries around the world, but mainly the Brazil, Russia, India, China and South Africa group (BRICS) and the US, denounced the EU's initiate as illegal and unilateral. Following a decade of frustrated negotiations at the International Civil Aviation Organization (ICAO), this paper interrogates why such measure, in principle climate-friendly, inspired so much global resentment. I argue that concerns with competitiveness and risks of legal inconsistency are important, but insufficient elements to explain the core of the conflict. The paper suggests that the EU was strongly criticized because third countries perceived this action as an imposed solution, which fostered an environment of distrust. Therefore, I claim that the problem has more to do with a normative divide than with a substantive divergence on what should be done regarding aviation emissions. My analysis is informed by the present literature on the links between trade and climate change, but gives particular weight to first-hand information through interviews with key stakeholders. The paper is divided in three parts. First, it presents the scope of the EU directive in historical perspective. Second, it explores the EU's measure through three different angles: legal, economical and political. The final part explores some possible solutions to overcome these divergences.

Dilemma of choice: China's response to climate change

In recent years, erratic global climate conditions have generated an incessant series of natural disasters in China. This article seeks to explore China's climate change policies. This article addresses the impacts of climate change on China's environment and China's perception, principle, objective and policy actions in response to climate change.

The contribution of the European Union to global climate change governance: explaining the conditions for EU actorness

Como organização regional, o papel da União Europeia na governança global do clima enfrenta obstáculos que não se aplicam a nenhuma outra parte da Convenção-Quadro das Nações Unidas sobre a Mudança do Clima (CQNUMC) e do Protocolo de Quioto. Avaliando essa singularidade, este artigo fornece uma analise teórica e empírica de como os elementos de actorness (reconhecimento, capacidade, oportunidade e coesão) definem a participação da UE no regime internacional de mudanças climáticas.