The divergence coincided with serial sea level rises during the l

The divergence coincided with serial sea level rises during the late Pliocene and early Pleistocene, and was probably reinforced by repeated isolation events associated with environmental changes

throughout the Pleistocene. Indochinese-Sundaic differentiations within P.tigris and P.temminckii were more recent at 72-108 and 250-1570kya, respectively. Overall, these results illuminate unexpected, deep vicariance events in Southeast Asian felids and provide compelling evidence of species-level distinction between the Indochinese and Sundaic populations in the leopard cat and marbled cat. Broader sampling and further molecular and morphometric analyses of these species will be instrumental in defining conservation units and effectively preserving Southeast Asian biodiversity.”
“Objective To review the 2009 Canadian Cardiovascular Society guidelines and provide practical JAK inhibitor recommendations for physicians.\n\nSources of information Initial review of the references provided with the guidelines led to a search of the PubMed, ACP Journal Club, and Cochrane databases signaling pathway using the key words primary prevention and statin for English-language clinical trials, randomized controlled trials, meta-analyses, and

reviews conducted with human participants. References from appropriate retrieved articles were also reviewed.\n\nMain message The guidelines outline low-density ABT-737 in vitro lipoprotein cholesterol (LDL-C) thresholds and targets to inform optimal use of statins in the primary prevention of cardiovascular disease (CVD). Family history of CVD and levels of high-sensitivity C-reactive protein (hsCRP) are risk modifiers in calculating the risk score with the new recommendations. An electronic calculator has been developed to facilitate increased uptake of these guidelines. Large numbers of asymptomatic people, particularly the elderly, will become eligible for statin therapy according to these new guidelines.

Poor uptake by physicians and patients might result from the need for repeated testing of hsCRP and LDL-C levels in people who do not perceive themselves to be ill. Controversy persists concerning the role of hsCRP in the reclassification of CVD risk, and the concept of treating LDL-C to target has never been tested as an independent variable in a randomized trial. As two-thirds of the LDL-C lowering achieved by a statin occurs at the initial dose, it might be possible to achieve considerable CVD risk reduction for those at risk by treating initially with a mid-dose statin without LDL-C follow-up.\n\nConclusion A simplified approach might appeal to patients or physicians who find current guidelines too complex, cumbersome, or costly. Success in getting high-risk patients to take statins is key to achieving improved CVD mortality reduction.

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