MISCONDUCT IN MEDICAL STUDENTS

Medical students, subject to unique challenges and stressors, frequently engage in misconduct. In this observational study, carried out in a medical school in Colombia, we developed a survey to explore the association between misconduct and stress, potential stressors and other possible contributing factors, such as sex, age and academic year. Of the 433 students that responded to our survey, 97.9% did not fully disagree with at least one of the mentioned misconducts and 99.8% admitted to at least one transgression. Based on a scale we developed, 61.4% of the students consistently agreed with misconduct and 44.9% frequently engaged in misconduct. A logistic regression model suggests that being male (OR 1.90, CI 95% 1.27–2.84) and stress (OR 1.04, CI 95% 1.01–1.06) may increase the likelihood of misconduct. In a subgroup of students, excluding those in their last year of studies, higher academic semester (OR 1.25, CI 95%: 1.10–1.42) may also be a risk factor for misconduct. Most of the observed variation in the data, however, is not explained by these factors. Other modifiers, such as student personality and sub‐culture, may play a greater role in determining misconduct. The proportion of medical students that engage in misconduct is very high and warrants the attention of the medical education community.     

Pattern of differentiation in the annual killifish genus Austrolebias (Cyprinodontiformes: Rivulidae) from a biosphere reserve site in South America: a multidisciplinary approach

The annual killifish genus Austrolebias includes approximately 38 species distributed throughout the Paraná-Plata basin and Patos-Merín system. Within the Austrolebias adloffi species complex, the Uruguayan populations of Austrolebias charrua were considered as an intergradation between A. adloffi and Austrolebias viarius populations. Austrolebias charrua presents an intermediate phenotype between both taxa and high levels of morphological and chromatic variability. In the present study, we incorporate different methodological approaches (molecular, morphology, and gamete ultrastructure) to elucidate the pattern of differentiation among the parapatric taxa ( A. charrua , Austrolebias reicherti , A. viarius ) distributed in a Biosphere Reserve Site. Analyses of cytochrome b sequences show high values of DNA polymorphism, in particular for A. charrua. This is in accordance with both morphological and gametic variation. Using a statistical parsimony network based on these sequences and analysis of morphological data, past fragmentation and range expansion involving perhaps secondary contact between A. charrua and A. reicherti could be proposed. Coloration pattern and morphometric analyses showed an unexpected higher similarity between the most distantly-related taxa, A. viarius and A. charrua . This could be the result of retention of ancestral polymorphisms, especially in A. charrua populations from ponds of higher elevation, or to directional selection acting in similar ecological environments. Because these annual killifish species are considered endangered, our work reinforces the high priority need to include them in a conservation programme.  © 2009 The Linnean Society of London, Biological Journal of the Linnean Society , 2009, 98 , 620–635.     

Randomly Amplified Polymorphic DNA (RAPD) and Isoenzyme Analysis of Trypanosoma rangeli Strains

ABSTRACT. Sixteen Trypanosoma rangeli strains were compared by isoenzyme and randomly amplified polymorphic DNA (RAPD) analysis. Eight strains were isolated from either Rhodnius prolixus or Homo sapiens from Honduras, Colombia and Venezuela. Another eight strains were isolated from either Panstrongylus megistus or the rodent Echimys dasythrix from the State of Santa Catarina, southern Brazil. All six T. rangeli strains isolated from P. megistus were co-infections with Trypanosoma cruzi , demonstrating an overlap of the sylvatic cycles of these parasites and that the accurate identification of species is of utmost importance. Both isoenzyme and RAPD analysis revealed two distinct groups of T. rangeli strains, one formed by the strains from Santa Catarina and the other, by the strains from Honduras, Colombia and Venezuela. With the five enzymes used, all the strains from Santa Catarina had identical profiles which overlapped with those of the other regions only in the pattern obtained with malic enzyme. Analysis of 138 RAPD bands by means of an unweighted pair group method analysis (UPGMA) phenogram using the Dice similarity coefficient allowed the separation of the two groups based on their divergence at a lower level of similarity than the phenon line. We show that the identification of T. cruzi and T. rangeli in naturally mixed infections is readily achieved by either RAPD or isoenzyme analysis.     

Distribution of Carbohydrates Recognized by the Lectins Euonymus europaeus and Concanavalin A in Monoxenic and Heteroxenic Trypanosomatids

We observed a wide distribution of the carbohydrate epitopes galactosylα(1–3) galactose (galα1–3 gal), α-glucoside, and α-mannoside in mono- and heteroxenic trypanosomatids by using fluorescein-labelled lectins of Euonymus europaeus (EE) and Concanavalin A (Con A) as well as sera from acute chagasic patients who have very high levels of anti-galα(1–3) gal antibodies. The direct fluorescence test for galα1–3 gal with EE was positive at minimum concentrations of 6 μg/ml for heteroxenic trypanosomatids and 0.7 μg/ml for monoxenic ones and for the plant parasite, Phytomonas. On the other hand, heteroxenic trypanosomatids that infect vertebrates bound ten-fold more Con A than monoxenic flagellates and Phytomonas. These data were confirmed in ELISA and Western Blot assays carried out with peroxidase-labelled EE and Con A. Euonymus europaeus recognized several glycoproteins in all trypanosomatids that we tested. Con A, however, recognized a glycoprotein cluster in heteroxenic protozoa, which ranging from 60–120 kDa, seemed to lack monoxenic parasites and Phytomonas. These findings suggest that α-D-mannose and α-D-glucose might play an important role in the interaction between trypanosomatids and vertebrate hosts.     

Regeneration patterns and persistence of the fog-dependent Fray Jorge forest in semiarid Chile during the past two centuries

The persistence of rainforest patches at Fray Jorge National Park (FJNP) in semiarid Chile (30°40′S), a region receiving approximately 147 mm of annual rainfall, has been a source of concern among forest managers. These forests are likely dependent on water inputs from oceanic fog and their persistence seems uncertain in the face of climate change. Here, we assessed tree radial growth and establishment during the last two centuries and their relation to trends in climate and canopy disturbance. Such evaluation is critical to understanding the dynamics of these semiarid ecosystems in response to climate change. We analyzed forest structure of six forest patches (0.2–22 ha) in FJNP based on sampling within 0.1 ha permanent plots. For the main canopy species, the endemic Aextoxicon punctatum (Aextoxicaceae), we used tree‐ring analysis to assess establishment periods, tree ages, growing trends and their relation to El Niño Southern Oscillation (ENSO), rainfall, and disturbance. The population dynamics of A. punctatum can be described by a continuous regeneration mode. Regeneration of A. punctatum was sensitive to different canopy structures. Growth release patterns suggest the absence of large scale human impact. Radial growth and establishment of A. punctatum were weakly correlated with rainfall and ENSO. If water limits forests patch persistence, patches are likely dependent on the combination of fog and rain water inputs. Forest patches have regenerated continuously for at least 250 years, despite large fluctuations in rainfall driven by ENSO and a regional decline in rainfall during the last century. Because of the positive influence on fog interception, forest structure should be preserved under any future climate scenario. Future research in FJNP should prioritize quantifying the long‐term trends of fog water deposition on forests patches. Fog modeling is crucial for understanding the interplay among physical drivers of water inputs under climate change.     

Post-fledging behaviour in Golden Eagles Aquila chrysaetos: onset of juvenile dispersal and progressive distancing from the nest

Thirteen juvenile Golden Eagles Aquila chrysaetos were tracked during their first year of life using satellite telemetry. Distances to the nest attained during that period and the age at the onset of juvenile dispersal were explored. The performance of nine different criteria to determine that age was analysed. In general, after a brief period of restricted movements around the nest, the average distance to the nest increased with time. Maximum distances to the nest ranged between 57.7 and 184.3 km, and were considerably greater in females (mean ± sd, 138.5 ± 44.5 km) than in males (70.5 ± 14.0 km). No sex difference was observed in the age at which that distance was attained (males: 329 ± 32 days, females: 312 ± 20 days). The onset of juvenile dispersal took place around the fifth month of life (September in Spain). Eight of the nine criteria provided similar results, suggesting that in Spain dispersal starts when birds are between 140 and 180 days old, and that the post-nestling period lasts between 60 and 120 days. For future studies, to determine the age at which the onset of juvenile dispersal occurs, we recommend the use of either the first day on which individuals were located beyond the mean distance between nests of different pairs (10 km in our study area), or the date of the record midway between the first and the last location recorded during the month in which the maximum variability in the distance to the nest was observed.