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F. Karmok, M.A.S., M.D.

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There is growing concern that a chemical spill on a nearby freeway could pollute the spring and wipe out the species antibiotic spacer order chloramphenicol 250mg without a prescription. To provide a source of salamanders to repopulate the spring in the event of such a catastrophe antibiotic dental abscess cheap chloramphenicol 500 mg line, a proposal has been made to establish a captive breeding population of the salamander in a local zoo infection high blood pressure generic chloramphenicol 250 mg free shipping. You are asked to provide a plan for the establishment of this captive breeding population antibiotics for acne and the pill buy chloramphenicol 250mg amex, with the goal of maintaining as much of the genetic variation of the species as possible in the captive population. With the assumption that only a limited number of salamanders can be maintained in captivity, what procedures should be instituted to ensure the longterm maintenance of as much of the variation as possible? The frequencies of taster and nontaster alleles have been estimated in hundreds of human populations worldwide. Almost all populations have both tasters and nontasters; the frequency of the two alleles varies widely. These observations suggest that natural selection has played a role in the evolution of the taster trait. Some understanding of the mechanism of the evolution of the taster trait was gained when well-known population geneticist Ronald A. This locus encodes receptors for bitter compounds and is expressed in the cells of our taste buds. However, much to the surprise of the investigators, the taster alleles in humans and chimpanzees are not the same at the molecular level. In the human taster and nontaster alleles, nucleotide differences at three positions affect which amino acids are present in the taste-receptor protein. In Chapter 25, we considered the evolutionary forces that bring about change in the allelic frequencies of a population: mutation, migration, genetic drift, and selection. In this chapter, we examine some specific ways that these forces shape the genetic makeup of populations and bring about long-term evolution. We begin by looking at how the process of evolution depends on genetic variation and how much genetic variation is found in natural populations. We then turn to the evolutionary changes that bring about the appearance of new species and how evolutionary histories (phylogenies) are constructed. We end the chapter by taking a look at patterns of evolutionary change at the molecular level. Evolution is supported by the fossil record, comparative anatomy, embryology, the distribution of plants and animals (biogeography), and molecular genetics. Biological evolution In spite of its vast importance to all fields of biology, evolution is often misunderstood and misinterpreted. However, biological evolution refers only to a specific type of change-genetic change taking place in a group of organisms. Many nongenetic changes take place in living organisms, such as the development of a complex intelligent person from a single-celled zygote. The second aspect to emphasize is that evolution takes place in groups of organisms. An individual organism does not evolve; what evolves is the gene pool common to a group of organisms. Theodosius Dobzhansky, an important early leader in the field of evolutionary genetics, once remarked "Nothing in biology makes sense except in the light of evolution. The evidence for evolution is overwhelm- Evolution as a two-step process Evolution can be thought of as a two-step process. Genetic variation has its origin in the processes of mutation, which produces new alleles, and recombination, which shuffles alleles into new combinations. The second step in the process of evolution is the increase and decrease in the frequencies of Evolutionary Genetics 723 Cladogenesis Cladogenesis is the splitting of one lineage into two. Anagenesis is change within an evolutionary lineage; cladogenesis is the splitting of lineages (speciation). Various evolutionary forces discussed in Chapter 25 cause some alleles in the gene pool to increase in frequency and other alleles to decrease in frequency. This shift in the composition of the gene pool common to a group of organisms constitutes evolutionary change. Although genetic variation could not be quantified directly, studies of phenotypes suggested that many populations of organisms harbor considerable genetic variation. Populations of organisms in nature exhibit tremendous amounts of phenotypic variation: frogs vary in color pattern, birds differ in size, butterflies vary in spotting patterns, mice differ in coat color, humans vary in blood types, to mention just a few.

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In mosaicism treatment for uti macrobid order chloramphenicol 500mg with mastercard, different cells within the same individual organism have different chromosome constitutions antibiotics for urinary tract infection purchase chloramphenicol 500mg amex. Polyploidy is common in plants and is a major mechanism by which new plant species have evolved virus in midwest generic 500mg chloramphenicol. Approximately 40% of all flowering-plant species and from 70% to 80% of grasses are polyploids virus detector order 500 mg chloramphenicol mastercard. They include a number of agriculturally important plants, such as wheat, oats, cotton, potatoes, and sugar cane. Polyploidy is less common in animals but is found in some invertebrates, fishes, salamanders, frogs, and lizards. No naturally occurring, viable polyploids are known in birds, but at least one polyploid mammal-a rat in Argentina-has been reported. We will consider two major types of polyploidy: autopolyploidy, in which all chromosome sets are from a single species; and allopolyploidy, in which chromosome sets are from two or more species. Autopolyploidy Autopolyploidy is due to accidents of meiosis or mitosis that produce extra sets of chromosomes, all derived from a single species. Nondisjunction of all chromosomes in mitosis in an early 2n embryo, for example, doubles the chromosome number and produces an autotetraploid (4n), as depicted in Figure 9. An autotriploid (3n) may arise when nondisjunction in meiosis produces a diploid gamete that then fuses with a normal haploid gamete to produce a triploid zygote (Figure 9. Alternatively, triploids may arise from a cross between an autotetraploid that produces 2n gametes and a diploid that produces 1n gametes. Occasionally, whole sets of chromosomes fail to separate in meiosis or mitosis, leading to polyploidy, the presence of more than two genomic sets of chromosomes. Chromosome Variation 259 Because all the chromosome sets in autopolyploids are from the same species, they are homologous and attempt to align in prophase I of meiosis, which usually results in sterility. In meiosis in a diploid cell, two chromosome homologs pair and align, but, in autotriploids, three homologs are present. One of the three homologs may fail to align with the other two, and this unaligned chromosome will segregate randomly (see Figure 9. Which gamete gets the extra chromosome will be determined by chance and will differ for each homologous group of chromosomes. The resulting gametes will have two copies of some chromosomes and one copy of others. Even if all three chromosomes do align, two chromosomes must segregate to one gamete and one chromosome to the other (see Figure 9. Occasionally, the presence of a third chromosome interferes with normal alignment, and all three chromosomes move to the same gamete (see Figure 9. No matter how the three homologous chromosomes align, their random segregation will create unbalanced gametes, with various numbers of chromosomes. A gamete produced by meiosis in such an autotriploid might receive, say, two copies of chromosome 1, one copy of chromosome 2, three copies of chromosome 3, and no copies of chromosome 4. When the unbalanced gamete fuses with a normal gamete (or with another unbalanced gamete), the resulting zygote has different numbers of the four types of chromosomes. This difference in number creates unbalanced gene dosage in the zygote, which is often lethal. In even-numbered autopolyploids, such as autotetraploids, the homologous chromosomes can theoretically form pairs and divide equally. However, this event rarely happens; so these types of autotetraploids also produce unbalanced gametes. The sterility that usually accompanies autopolyploidy has been exploited in agriculture. Wild diploid bananas (2n = 22), for example, produce seeds that are hard and inedible, but triploid bananas (3n = 33) are sterile and produce no seeds; they are the bananas sold commercially. Similarly, seedless triploid watermelons have been created and are now widely sold. This example illustrates the pairing and segregation of a single homologous set of chromosomes.

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An amazing example of how the same genes in distantly related organisms can shape similar developmental pathways is seen in the development of eyes in fruit flies virus yontooc cheap chloramphenicol 500mg on line, mice virus 99 best chloramphenicol 250 mg, and humans infection preventionist discount chloramphenicol 500 mg visa. Walter Gehring and his collaborators examined the effect of the eyeless gene in Drosophila antibiotic not working for uti order chloramphenicol 250 mg visa, which is required for proper development of the fruit-fly eye. Gehring and his coworkers genetically engineered cells that expressed eyeless in parts of the fly where the gene is not normally expressed. When these flies hatched, they had eyes on their wings, antennae, and legs (Figure 22. These structures were not just tissue that resembled eyes, but complete eyes with a cornea, cone cells, and photoreceptors that responded to light, although the flies could not use these eyes to see, because they lacked a connection to the nervous system. The eyeless gene has counterparts in mice and humans that affect the development of mammalian eyes. There is a striking similarity between the eyeless gene of Drosophila and the Small eye gene that exists in mice. In mice, a mutation in one copy of Small eye causes small eyes; a mouse that is homozygous for the Small eye mutation has no eyes. There is also a similarity between the eyeless gene in Drosophila and the Aniridia gene in humans; a mutation in Aniridia produces a severely malformed human eye. Similarities in the sequences of eyeless, Small eye, and Aniridia suggest that all three genes evolved from a common ancestral sequence. This possibility is surprising, because the eyes of insects and mammals were thought to have evolved independently. Similarities among eyeless, Small eye, and Aniridia suggest that a common pathway underlies eye development in flies, mice, and humans. Similar genes may be part of a developmental pathway common to two different species but have quite different effects. For example, a Hox gene called AbdB helps define the posterior end of a Drosophila embryo; a similar group of genes in birds divides the wing into three segments. In another example, the sog gene in fruit flies stimulates cells to assume a ventral orientation in the embryo, but the expression of a similar gene called chordin in vertebrates causes 626 Chapter 22 cells to assume dorsal orientation, exactly the opposite of the situation in fruit flies. In fruit flies, the toll gene encodes a protein that helps determine the dorsal­ventral axis, as mentioned earlier. Similar genes in vertebrates encode proteins called Toll-like receptors that bind to molecules on pathogens and stimulate the immune system. The theme emerging from these studies is that a small, common set of genes may underlie many basic developmental processes in many different organisms. Although this assumption holds for most cells, there are some important exceptions, one of which concerns genes that encode immune function in vertebrates. In the development of immunity, individual segments of certain genes are rearranged into different combinations, producing immune cells that contain different genetic information and that are each adapted to attack one particular foreign substance. This rearrangement and loss of genetic material is key to the power of our immune systems to protect us against almost any conceivable foreign substance. The immune system provides protection against infection by bacteria, viruses, fungi, and parasites. The focus of an immune response is an antigen, defined as any molecule (usually a protein) that elicits an immune reaction. The immune system is remarkable in its ability to recognize an almost unlimited number of potential antigens. The body is full of proteins, and so it is essential that the immune system be able to distinguish between self-antigens and foreign antigens. Occasionally, the ability to make this distinction breaks down, and the body produces an immune reaction to its own antigens, resulting in an autoimmune disease (Table 22. Evolution through change in gene expression Another concept revealed by studies in evo-devo is that many major evolutionary adaptations are not through changes in the types of proteins produced but through changes in the expression of genes that encode proteins that regulate development. This concept is seen in the evolution of blind cavefish discussed in the introduction to the chapter, where a small difference in the expression of two transcription-factor-encoding genes, sonic hedgehog and tiggy-winkle hedgehog, cause the development of the lens to abort and result in eyelessness. The birds differ primarily in the size and shape of their beaks: ground finches have deep and wide beaks, cactus finches have long and pointed beaks, and warbler finches have sharp and thin beaks. These differences are associated with diet, and evolutionary changes in beak shape and size have taken place in the past when climate changes brought about shifts in the abundance of food items. They found differences in the expression of a gene that encodes a protein called calmodulin (CaM); the gene that encodes CaM was more highly expressed in the long and pointed beak of cactus-finch embryos than in the beaks of the other species.

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The main determinants of resistance to blood flow in the pulmonary circuit are degree of alveolar hypoxia antibiotic resistant gonorrhea pictures generic chloramphenicol 250 mg with mastercard, and size of the vascular bed bacteria kingdoms quality 500mg chloramphenicol, (reduced size can result in an increase in resistance as seen in patients with hypoplastic lungs) antimicrobial beer line 500 mg chloramphenicol overnight delivery. Transitional Circulation Guidelines for Acute Care of the Neonate bacterial resistance order chloramphenicol 500mg free shipping, Edition 26, 2018­19 Section of Neonatology, Department of Pediatrics, Baylor College of Medicine Section 3-Cardiac Care Table 3-1. Considerations for improving oxygen transport balance Minimizing oxygen consumption Ensure normothermia Treat agitation and pain Decrease work of breathing via respiratory support Treat arrhythmia Treating underlying comorbidities. Adapted from Assuncao, Murillo Santucci Cesar de, Corrкa, Thiago Domingos, Bravim, Bruno de Arruda, & Silva, Eliйzer. Optimal measurement of lactate is through a specimen obtained via arterial puncture or indwelling catheter. Capillary specimens may be used as a method of trending lactate levels but should not be considered diagnostic Oxygen extraction is normally 25% to match the delivery and consumption. Some fluctuation from the baseline may be expected during periods of agitation, handling, or procedures. Preload increases with increased circulating blood volume, venous tone, ventricular compliance, atrial contractility, or with decreased intrathoracic pressure. As per the FrankStarling mechanism, increasing preload leads to increased stretching of cardiac muscle fibers, leading to increased force of contraction and stroke volume (Fig 3-3). An increase in afterload will decrease stroke volume for a given preload (Fig 3-4). In severe aortic coarctation or interruption, oxygen saturation in the feet is lower than in the right hand. Guidelines for Acute Care of the Neonate, Edition 26, 2018­19 42 Section of Neonatology, Department of Pediatrics, Baylor College of Medicine Section 3-Cardiac Care Blood Pressure - Blood pressure measurements have little utility in the diagnosis of cardiac diseases. A normal newborn may have up to a 15 mmHg gradient between upper and lower extremities. In infants with fixed right to left cardiac shunts or in conditions where mixing of systemic and pulmonary circulations occur, there will be a minimal rise in PaO2 (with typical PaO2 <100 mmHg). In coarctation of aorta, there may be a delay between radial/brachial and femoral pulses. Other cardiac conditions associated with systemic hypoperfusion include cardiomyopathies and arrhythmias. Color-Central cyanosis is a manifestation of arterial oxygen lactate, and Chem10 should be considered. Radiography-Heart size can be inferred by comparing the width of the cardiothymic silhouette to the width of the chest wall. The degree of pulmonary vascularity (normal, increased, or decreased) may indicate the type of cardiac lesion. The degree of cyanosis depends on the concentration of desaturated hemoglobin (> 5 g/dl). Polycythemic infants have more profound cyanosis despite relatively modest arterial desaturation. Conversely, anemic infants may appear pink despite significant arterial desaturation. Infants that are cold may have significant peripheral cyanosis that is not due to arterial oxygen desaturation. Respiratory Status-Cardiac lesions with systemic diagnostic for cardiac diseases in the newborn period. Although hypotension may be part of the clinical syndrome, circulatory insufficiency may exist without hypotension. Shock is best defined as circulatory dysfunction that produces inadequate tissue perfusion to multiple organs. Parameters that suggest inadequate tissue perfusion include: · · · · · Low arterial systolic or diastolic blood pressure Reduced urine output Poor capillary refill, peripheral pallor, or cyanosis Lactic acidosis Increased arterial-venous O2 content difference or decreased mixed venous oxygen saturation, both of which reflect an increase in oxygen extraction clues to cardiac disease. An increased right or left ventricular impulse indicates increase in ventricular blood volume. Heart Sounds-Auscultation of heart sounds and murmurs is rarely diagnostic in newborns. Auscultation of the second heart sound (S2) is important in diagnosing cardiac disease.

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