Cardiac magnetic resonance imaging in daily practice in a peripheral medical centre: description of the first 383 patients

Background. Cardiac magnetic resonance (CMR) imaging has evolved over the last decade into an indispensable diagnostic instrument. CMR imaging noninvasively provides structural, functional and morphological information with high spatial resolution and an unlimited field of view. Since October 2006 the VieCuri Medical Centre in Venlo has a CMR scanner at its disposal.Objectives. The goal of this study was to analyse the impact of CMR imaging on diagnosis and treatment in daily practice in the setting of a medium-volume peripheral hospital.Methods. All patients who underwent CMR imaging between October 2006 and November 2008 were included in this analysis. The medical history before and after the CMR scan, the application form for CMR imaging and the outcome of the scans were reviewed. CMR images, obtained using a 1.5-T magnetic resonance imaging system, were reviewed by a multidisciplinary team.Results. In 235 patients CMR imaging demonstrated one or more abnormalities, whereas CMR imaging did not identify any abnormalities in 148 patients. CMR imaging confirmed an expected finding in 166 cases, identified an unexpected condition in 69 cases, ruled out an expected finding in 59 cases and ruled out a suspected condition in 89 cases. Due to better insight into diagnosis, CMR imaging resulted in a change of treatment in 166 of the total of 383 CMR scans (43%).Conclusion. In a relevant number of cases CMR imaging leads to a change in the treatment of a patient, proving the value of CMR imaging as a diagnostic modality. Therefore, CMR imaging is an excellent opportunity for peripheral medical centres to improve efficiency and the standard of patient care. (Neth Heart J 2010;18:524–30.)     

A Monte-Carlo estimate of DNA loop formation

The ends of rather short double-helical DNA segments (approximately two persistence lengths) can be enzymatically joined to form closed circles. Such covalent closure into circles is a measure of the likelihood of the two ends of the DNA coming into close contact. There is a length of DNA for which loop formation is most likely to occur. We have determined the chain-length dependence of loop formation for stiff chains using computer-generated chains of cylinders. The distribution from which the values for the angles between cylinders were chosen relates the chain parameters to a given chain persistence. Our results are compared with those of other theories, including a statistical wormlike chain model, and with the experimental measurements for ring closure of DNA restriction fragments.     

Chromosome numbers in Onchocerca dukei and O. tarsicola

Testicular examination of male Onchocerca dukei and German O. tarsicola revealed five pairs of chromosomes, which is typical of most filariae. In contrast to German O. tarsicola, specimens from Sweden had only three pairs of chromosomes.     

Fruktifikationen und Keimlinge bei Caloglossa

Ohne Zusammenfassung     

A Bayesian approach for temporally scaling climate for modeling ecological systems

With climate change becoming more of concern, many ecologists are including climate variables in their system and statistical models. The Standardized Precipitation Evapotranspiration Index (SPEI) is a drought index that has potential advantages in modeling ecological response variables, including a flexible computation of the index over different timescales. However, little development has been made in terms of the choice of timescale for SPEI. We developed a Bayesian modeling approach for estimating the timescale for SPEI and demonstrated its use in modeling wetland hydrologic dynamics in two different eras (i.e., historical [pre‐1970] and contemporary [post‐2003]). Our goal was to determine whether differences in climate between the two eras could explain changes in the amount of water in wetlands. Our results showed that wetland water surface areas tended to be larger in wetter conditions, but also changed less in response to climate fluctuations in the contemporary era. We also found that the average timescale parameter was greater in the historical period, compared with the contemporary period. We were not able to determine whether this shift in timescale was due to a change in the timing of wet–dry periods or whether it was due to changes in the way wetlands responded to climate. Our results suggest that perhaps some interaction between climate and hydrologic response may be at work, and further analysis is needed to determine which has a stronger influence. Despite this, we suggest that our modeling approach enabled us to estimate the relevant timescale for SPEI and make inferences from those estimates. Likewise, our approach provides a mechanism for using prior information with future data to assess whether these patterns may continue over time. We suggest that ecologists consider using temporally scalable climate indices in conjunction with Bayesian analysis for assessing the role of climate in ecological systems.