769 resultados para Barriers to access
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Bayesian clustering methods are typically used to identify barriers to gene flow, but they are prone to deduce artificial subdivisions in a study population characterized by an isolation-by-distance pattern (IbD). Here we analysed the landscape genetic structure of a population of wild boars (Sus scrofa) from south-western Germany. Two clustering methods inferred the presence of the same genetic discontinuity. However, the population in question was characterized by a strong IbD pattern. While landscape-resistance modelling failed to identify landscape features that influenced wild boar movement, partial Mantel tests and multiple regression of distance matrices (MRDMs) suggested that the empirically inferred clusters were separated by a genuine barrier. When simulating random lines bisecting the study area, 60% of the unique barriers represented, according to partial Mantel tests and MRDMs, significant obstacles to gene flow. By contrast, the random-lines simulation showed that the boundaries of the inferred empirical clusters corresponded to the most important genetic discontinuity in the study area. Given the degree of habitat fragmentation separating the two empirical partitions, it is likely that the clustering programs correctly identified a barrier to gene flow. The differing results between the work published here and other studies suggest that it will be very difficult to draw general conclusions about habitat permeability in wild boar from individual studies.
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BACKGROUND Ventricular tachycardia (VT) refractory to antiarrhythmic drugs and standard percutaneous catheter ablation techniques portends a poor prognosis. We characterized the reasons for ablation failure and describe alternative interventional procedures in this high-risk group. METHODS AND RESULTS Sixty-seven patients with VT refractory to 4±2 antiarrhythmic drugs and 2±1 previous endocardial/epicardial catheter ablation attempts underwent transcoronary ethanol ablation, surgical epicardial window (Epi-window), or surgical cryoablation (OR-Cryo; age, 62±11 years; VT storm in 52%). Failure of endo/epicardial ablation attempts was because of VT of intramural origin (35 patients), nonendocardial origin with prohibitive epicardial access because of pericardial adhesions (16), and anatomic barriers to ablation (8). In 8 patients, VT was of nonendocardial origin with a coexisting condition also requiring cardiac surgery. Transcoronary ethanol ablation alone was attempted in 37 patients, OR-Cryo alone in 21 patients, and a combination of transcoronary ethanol ablation and OR-Cryo (5 patients), or transcoronary ethanol ablation and Epi-window (4 patients), in the remainder. Overall, alternative interventional procedures abolished ≥1 inducible VT and terminated storm in 69% and 74% of patients, respectively, although 25% of patients had at least 1 complication. By 6 months post procedures, there was a significant reduction in defibrillator shocks (from a median of 8 per month to 1; P<0.001) and antiarrhythmic drug requirement although 55% of patients had at least 1 VT recurrence, and mortality was 17%. CONCLUSIONS A collaborative strategy of alternative interventional procedures offers the possibility of achieving arrhythmia control in high-risk patients with VT that is otherwise uncontrollable with antiarrhythmic drugs and standard percutaneous catheter ablation techniques.
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Uniquely in the Southern Hemisphere the New Zealand micro-continent spans the interface between a subtropical gyre and the Subantarctic Circumpolar Current. Its 20° latitudinal extent includes a complex of submerged plateaux, ridges, saddles and basins which, in the present interglacial, are partial barriers to circulation and steer the Subtropical (STF) and Subantarctic (SAF) fronts. This configuration offers a singular opportunity to assess the influence of bottom topography on oceanic circulation through Pleistocene glacial - interglacial (G/I) cycles, its effect on the location and strength of the fronts, and its ability to generate significant differences in mixed layer thermal history over short distances. For this study we use new planktic foraminiferal based sea-surface temperature (SST) estimates spanning the past 1 million years from a latitudinal transect of four deep ocean drilling sites. We conclude that: 1. the effect of the New Zealand landmass was to deflect the water masses south around the bathymetric impediments; 2. the effect of a shallow submerged ridge on the down-current side (Chatham Rise), was to dynamically trap the STF along its crest, in stark contrast to the usual glacial-interglacial (G-I) meridional migration that occurs in the open ocean; 3. the effect of more deeply submerged, downstream plateaux (Campbell, Bounty) was to dynamically trap the SAF along its steep southeastern margin; 4. the effects of saddles across the submarine plateaux was to facilitate the development of jets of subtropical and subantarctic surface water through the fronts, forming localized downstream gyres or eddies during different phases in the G-I climate cycles; 5. the deep Pukaki Saddle across the Campbell-Bounty Plateaux guided a branch of the SAF to flow northwards during each glacial, to form a strong gyre of circumpolar surface water in the Bounty Trough, especially during the mid-Pleistocene Climate Transition (MIS 22-16) when exceptionally high SST gradients existed across the STF; 6. the shallower Mernoo Saddle, at the western end of the Chatham Rise, provided a conduit for subtropical water to jet southwards across the STF in the warmest interglacial peaks (MIS 11, 5.5) and for subantarctic water to flow northwards during glacials; 7. although subtropical or subantarctic drivers can prevail at a particular phase of a G-I cycles, it appears that the Antarctic Circumpolar Current is the main influence on the regional hydrography. Thus complex submarine topography can affect distinct differences in the climate records over short distances with implications for using such records in interpreting global or regional trends. Conversely, the local topography can amplify the paleoclimate record in different ways in different places, thus enhancing its value for the study of more minor paleoceanographic influences that elsewhere are more difficult to detect. Such sites include DSDP 594, which like some other Southern Ocean sites, has the typical late Pleistocene asymmetrical saw-tooth G-I climate pattern transformed to a gap-tooth pattern of quasi-symmetrical interglacial spikes that interrupt extended periods of minimum glacial temperatures.
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Vol. 1 prepared by Andrew L. Stoler.
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Reproduced from typewritten copy
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Through formal assessment of resources and data and "grassroots" exploration of the opinions of over 500 African American males who participated in town hall meetings across Illinois, the Taskforce has formulated recommendations for policy in areas of health, employment, criminal justice, education and fatherhood. The recommendations should guide us in our important work to improve the critical services [for] African American men across Illinois -- with such help those men will be enabled to realize their full potential and enriching life for all of Illinois' citizens.
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"January 2007."
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Illinois Public Act 94-0199 established the Illinois School Wellness Policy Task Force which was to submit specific reports to the General Assembly and the Governor: 1) identification of barriers to developing and implementing school wellness policies and recommendations to reduce these barriers by Jan. 1, 2006; 2) recommendations on statewide school nutrition standards by Jan. 1, 2007; 3) evaluation of five to ten school districts on the effectiveness of school wellness policies by Jan. 1, 2008.
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Thesis (Ph.D.)--University of Washington, 2016-06
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Thesis (Master's)--University of Washington, 2016-06
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Thesis (Ph.D.)--University of Washington, 2016-04
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Thesis (Master's)--University of Washington, 2016-06
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The potential of online learning has long afforded the hope of providing quality education to anyone, anywhere in the world. The recent development of Massive Open Online Courses (MOOCs) heralded an exciting new breakthrough by providing free academic instruction and professional skills development from the world’s leading universities to anyone with the sufficient resources to access the internet. The research in Advancing MOOCs for Development Initiative study was designed to analyze the MOOC landscape in developing countries and to better understand the motivations of MOOC users and afford insights on the advantages and limitations of MOOCs for workforce development outcomes. The key findings of this study challenge commonly held beliefs about MOOC usage in developing countries, defying typical characterizations of how people in resource constrained settings use technology for learning and employment. In fact, some of the findings are so contrary to what has been reported in the U.S. and other developed environments that they raise new questions for further investigation.
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Vaccines have been described as weapons of mass protection. The eradication of many diseases is testament to their utility and effectiveness. Nevertheless, many vaccine preventable diseases remain prevalent because of political and economic barriers. Additionally, the effects of immaturity and old age, therapies that incapacitate the adaptive immune system and the multitude of strategies evolved by pathogens to evade immediate or sustained recognition by the mammalian immune system are barriers to the effectiveness of existing vaccines or development of new vaccines. In the front line of defence against the pervasiness of infection are the elements of the innate immune system. Innate immunity is under studied and poorly appreciated. However, in the first days after entry of a pathogen into the body, our entire protective response is dependant upon the various elements of our innate immune repertoire. In spite of, its place as our initial defence against infection, attention is only now turning to strategies which enhance or supplement innate immunity. This review examines the need for and potential of innate immune therapies.
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Although a relatively high percentage of Australian adolescents experience mental health problems, many disturbed adolescents do not receive the help they require, and only a small proportion of adolescents seek professional psychological help. The present study examined adolescents' willingness to seek help and investigated factors that promote and prevent adolescents from seeking help for a mental illness from both formal and informal sources. Secondary school students (254 in number) from schools in Brisbane, Australia completed a questionnaire that examined the relationship between demographic and psychological variables, attitudes toward mental illness, and willingness to seek help for a mental illness. Results suggest that adolescents with greater adaptive functioning, fewer perceived barriers to help seeking, and higher psychological distress were more willing to seek help from formal and informal sources for a mental illness. Greater social support also predicted willingness to seek help from informal sources. Although attitudes toward mental illness did not influence willingness to seek help, less stigmatising attitudes were related to higher knowledge of mental illness, being female, and higher levels of social support. Implications for the present study focus on enhancing the ability of mental health interventions to increase adolescents' willingness to seek psychological help.