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In the U.S., the rope-ladder technique for cannulating arteriovenous fistulas has been the technique of choice in patients on hemodialysis. Recently, the buttonhole cannulation technique has been gaining popularity. Based upon review of the literature and developments in clinical practice, an important question is posed regarding infection rates in those utilizing this technique. This article discusses those findings, presents a change in practice, and provides recommendations for practice.

Modified reciprocal transplant experiments were conducted with the annual plant species Impatients capensis and I. pallida to partition the influence of environment on fitness into two components; that of (1) conspecific neighbours occupying each transplant site, and (2) the abiotic and biotic features of each site exclusive of the conspecific neighbours. In the within-species reciprocal transplant series, differences in survivorship and fruit production by cleistogamous flowers were attributable primarily to the effect of conspecific neighbours. In addition, plants surrounded by neighbours from the site of origin produced significantly more fruit from chasmogamous flowers compared with plants surrounded by neighbours from the alien site. In the between-species reciprocal transplant series, one transplant site was consistently associated with greater survivorship and fruit production regardless of the identity of neighbouring plants. The results suggest that different aspects of the environment in these reciprocal transplant experiments (conspecific neighbours, other species, physical factors) determine fitness in different situations.

An experimental population composed of ramets of white spruce clones was studied to determine the influence of different levels of clonal male reproductive investment on clonal male reproductive success, where the male reproductive success of different clones in the population was defined as the proportion of the seed crop sired by each clone. We present a multilocus estimation procedure which provides unbiased estimates of the proportion of seed sired by each parental genotypic class from pollen gamete frequency data, whenever gametic segregation frequencies are known. Significant linear and quadratic components were found for the relationship between the number of male cones produced and the estimated proportion of the seed crop sired. A clone that produced an exceptionally large number of male cones, however, did not have the greatest male reproductive success. In general, the results support an assumption made in theoretical models of selection on mating system modifiers regarding the relationship between male investment and male reproductive success. They also support the hypothesis that male reproductive success in wind-pollinated species continues to increase substantially with increasing male reproductive investment., (© 1986 The Society for the Study of Evolution.)

Estimates of viability and fecundity selection of 13 phenotypic characters for 1,536 individuals of Impatiens pallida growing in 24 locations within a single natural population were compared. Directional viability selection of cotyledon area, day of initial leaf production, number of leaves, and stem length was detected throughout this population. Directional fecundity selection of cotyledon area, day of initial flower production, number of leaves present on day of initial flower production, stem length on day of initial flower production, number of leaves, and stem length was also detected. Phenotypic selection of these characters was strong in some cases, and the strength of selection was significantly heterogeneous among locations. For several of the characters, directional phenotypic selection within the population was significantly positive in some locations and significantly negative in others separated by only a few meters. Fecundity selection was stronger than viability selection for some characters, implying that fecundity selection was at least as important as viability selection within this population. Soil moisture levels and light intensities played a larger role than soil nutrient levels in determining the patterns of both viability and fecundity selection, and differences in directional viability selection were more strongly related to environmental variation than were differences in fecundity selection. The pattern of phenotypic selection could not be reliably inferred from the patterns of mortality and reproduction alone., (© 1987 The Society for the Study of Evolution.)