Prescription of drugs blocking the renin-angiotensin system in Italian children

Little is known about the prescription pattern of antihypertensive drugs for children with impaired kidney function. We have therefore documented the use of antihypertensive drugs in this patient group by evaluating the Italian pediatric population-based registry of patients with chronic kidney disease on conservative treatment (ItalKid) from 1995 to 2003. In 1995, prescriptions written for antihypertensive drugs for use by children were approximately equally divided among drugs blocking the renin-angiotensin system and calcium channel blockers (38 vs. 43% of all prescriptions), followed by beta-blockers and diuretics (15 and 4%, respectively). During subsequent years the proportion of prescriptions for drugs blocking the renin-angiotensin system increased (2003: 61%; p<0.001) and that of calcium channel blockers decreased (2003: 18%, p<0.001). In 1995, blockers of the renin-angiotensin system were prescribed, either as monotherapy or in combination, in 53% of the patients, but the relative frequency of the patients prescribed these drugs increased up to 83% in 2003 (p<0.0005). In conclusion, physicians caring for Italian children with impaired kidney function are increasingly prescribing drugs blocking the renin-angiotensin system.

The tragedy of the commons in evolutionary biology

Garrett Hardin's tragedy of the commons is an analogy that shows how individuals driven by self-interest can end up destroying the resource upon which they all depend. The proposed solutions for humans rely on highly advanced skills such as negotiation, which raises the question of how non-human organisms manage to resolve similar tragedies. In recent years, this question has promoted evolutionary biologists to apply the tragedy of the commons to a wide range of biological systems. Here, we provide tools to categorize different types of tragedy and review different mechanisms, including kinship, policing and diminishing returns that can resolve conflicts that could otherwise end in tragedy. A central open question, however, is how often biological systems are able to resolve these scenarios rather than drive themselves extinct through individual-level selection favouring self-interested behaviours.

Resolving the tragedy of the commons: the feedback between intraspecific conflict and population density

Competition and conflict among individuals can favour exploitative strategies that undermine the common good. Theory suggests that this can lead to a tragedy of the commons and ultimately population extinction, a phenomenon known as evolutionary suicide. Here, I present a model of the evolutionary tragedy of the commons that explicitly considers the population dynamics where individuals invest in individually costly competitive traits. In the simplest form, this supports the notion that selection for high levels of conflict can cause evolutionary suicide. However, as competition comes with survival and fecundity costs, a feedback between the investment in competition and population density can act to reduce the level of conflict and prevent the population from going extinct. This suggests that the interaction between population ecology and the evolution of competition and conflict among individuals may be an important mechanism in resolving the level of competition and conflict among individuals.

Exhibit: “Tumult and Tragedy: Michigan’s 1913-1914 Copper Strike”

Tumult and Tragedy: Michigan’s 1913-14 Copper Strike chronicles one of the greatest upheavals in Michigan’s history. The determination, conflict, sorrow, and tragedy of this epic confrontation changed the Copper Country for decades and memories of conflict remain to this day. This traveling exhibit explores the story of this remarkable period in Michigan history.

Exhibit: “Tumult and Tragedy: Michigan’s 1913-1914 Copper Strike”

Tumult and Tragedy: Michigan’s 1913-14 Copper Strike chronicles one of the greatest upheavals in Michigan’s history. The determination, conflict, sorrow, and tragedy of this epic confrontation changed the Copper Country for decades and memories of conflict remain to this day. This traveling exhibit explores the story of this remarkable period in Michigan history.

Exhibit: “Tumult and Tragedy: Michigan’s 1913-1914 Copper Strike”

Tumult and Tragedy: Michigan’s 1913-14 Copper Strike chronicles one of the greatest upheavals in Michigan’s history. The determination, conflict, sorrow, and tragedy of this epic confrontation changed the Copper Country for decades and memories of conflict remain to this day. This traveling exhibit explores the story of this remarkable period in Michigan history.

Exhibits

The Finnish American Heritage Center at Finlandia University recently installed three exhibits. They include a photographic exhibit titled “Rural Reflections: Finnish American Buildings and Landscapes in Michigan’s Copper Country”; a historic photography exhibit named “People, Place and Time: Michigan’s Copper Country Through the Lens of J.W. Nara”; and a pair of lithographs acquired by the National Park Service which were on either side of the Italian Hall stage the night of the infamous Christmas Eve tragedy 100 years ago. The “Rural Reflections” exhibit documents the built environment that Finnish immigrants and their descendants created in Michigan's Copper Country from the 1880s through the 1930s. Although much of this heritage has been lost with the passage of time, the district yet holds one of the largest concentrations of rural Finnish buildings and cultural landscapes in North America. The Nara exhibit, funded in part by descendants Robert and Ruth Nara of Bootjack Michigan, works from historical photographs held at the Michigan Tech Archives. Interpretive panels highlight the people, places, and times that J.W. Nara experienced during his lifetime and include material on urban life, farming, and the 1913 Michigan copper miners’ strike. The lithographs are a recent and unique acquisition for the Keweenaw National Historical Park, and will be on protected display at the FAHC. One of the panels shows the Italian royal family and was produced in 1908, while the other, produced in 1905, is of the five founders of the modern Italian state. For more information about the exhibits at the Finnish American Heritage Center, call (906) 487-7302.

Exhibits

The Finnish American Heritage Center at Finlandia University recently installed three exhibits. They include a photographic exhibit titled “Rural Reflections: Finnish American Buildings and Landscapes in Michigan’s Copper Country”; a historic photography exhibit named “People, Place and Time: Michigan’s Copper Country Through the Lens of J.W. Nara”; and a pair of lithographs acquired by the National Park Service which were on either side of the Italian Hall stage the night of the infamous Christmas Eve tragedy 100 years ago. The “Rural Reflections” exhibit documents the built environment that Finnish immigrants and their descendants created in Michigan's Copper Country from the 1880s through the 1930s. Although much of this heritage has been lost with the passage of time, the district yet holds one of the largest concentrations of rural Finnish buildings and cultural landscapes in North America. The Nara exhibit, funded in part by descendants Robert and Ruth Nara of Bootjack Michigan, works from historical photographs held at the Michigan Tech Archives. Interpretive panels highlight the people, places, and times that J.W. Nara experienced during his lifetime and include material on urban life, farming, and the 1913 Michigan copper miners’ strike. The lithographs are a recent and unique acquisition for the Keweenaw National Historical Park, and will be on protected display at the FAHC. One of the panels shows the Italian royal family and was produced in 1908, while the other, produced in 1905, is of the five founders of the modern Italian state. For more information about the exhibits at the Finnish American Heritage Center, call (906) 487-7302.

Exhibits

The Finnish American Heritage Center at Finlandia University recently installed three exhibits. They include a photographic exhibit titled “Rural Reflections: Finnish American Buildings and Landscapes in Michigan’s Copper Country”; a historic photography exhibit named “People, Place and Time: Michigan’s Copper Country Through the Lens of J.W. Nara”; and a pair of lithographs acquired by the National Park Service which were on either side of the Italian Hall stage the night of the infamous Christmas Eve tragedy 100 years ago. The “Rural Reflections” exhibit documents the built environment that Finnish immigrants and their descendants created in Michigan's Copper Country from the 1880s through the 1930s. Although much of this heritage has been lost with the passage of time, the district yet holds one of the largest concentrations of rural Finnish buildings and cultural landscapes in North America. The Nara exhibit, funded in part by descendants Robert and Ruth Nara of Bootjack Michigan, works from historical photographs held at the Michigan Tech Archives. Interpretive panels highlight the people, places, and times that J.W. Nara experienced during his lifetime and include material on urban life, farming, and the 1913 Michigan copper miners’ strike. The lithographs are a recent and unique acquisition for the Keweenaw National Historical Park, and will be on protected display at the FAHC. One of the panels shows the Italian royal family and was produced in 1908, while the other, produced in 1905, is of the five founders of the modern Italian state. For more information about the exhibits at the Finnish American Heritage Center, call (906) 487-7302.