SUMMARY: Marine bacteria from Atlantic coastal waters off Florida, isolated by a technique assuring that all would grow on a sea-water medium but not on a distilled water medium, were studied; 96 of 100 original isolates were characterized by morphological and some physiological properties, particularly those related to mineral responses. All isolates were Gram-negative rods or spiral forms, grew well in a simple saline-peptone medium, and most were pigmented and motile. All isolates required NaCl for good growth, and groupings could be clearly established for those whose mineral nutrition was satisfied, in a casein digest broth, by adding NaCl only, NaCl + KCl, NaCl + Mg salts, or all three salts. Lytic susceptibility in various mineral solutions and growth tolerance to various salt levels were studied. Some overall similarities, and a few correlations between mineral nutrition and physiological versatility, were established.


BACKGROUND
We introduce a technique of posterior annulus shortening to augment leaflet coaptation which addresses the restrictive mitral leaflet mobility in ischemic mitral incompetence (IMI), and report its long-term outcome.

METHODS
Between 1992 and 2012, 75 patients (mean age, 64.6±10.4 years; median, 66.0 years; range, 35.0-86.1 years) underwent repair of IMI by posterior annulus shortening to augment leaflet coaptation surface area. This technique reduces the annular diameter to between 23 and 25 mm and decreases the valve orifice to between 3.5 to 4.5 cm(2), which is sufficient to ensure an adequate leaflet coaptation area. An untreated pericardial strip is used to reinforce the shortened annulus in order to avoid redilatation. This augments the posterior leaflet by increasing the ratio of leaflet area/valve orifice where the coaptation gap is the greatest. The tissue strip increases and heightens the area which the posterior leaflet offers to the anterior leaflet for coaptation during closure, making valve closure possible in advanced leaflet restriction.

RESULTS
During a mean follow-up of 7.62±0.66 (median 8.53, range, 3.6-20.9) years, New York Heart Association (NYHA) functional class significantly improved, left ventricular ejection fraction (LVEF) increased and there was a tremendous abatement of MI (P<0.01). Annular area was reduced from 9.2 to 5.8 cm(2). Coaptation area was increased from a complete lack thereof to 6.6 mm(2) post-repair. CT showed posterior annulus size reduction from 70.4 to 54 mm and an increase in posterior leaflet length from 15.9 to 19.6 mm. A remarkable CT finding was the increase in coaptation length from 5.2 to 8.2 mm. Eighteen-year freedom from moderate MI, freedom from reoperation and survival rates were 80.7%±9%, 84.9%±4.2% and 65.1%±6.3%, respectively.

CONCLUSIONS
Posterior annulus shortening with pericardial strip augmentation addressing the lack of leaflet coaptation is a simple, reproducible and highly effective technique to restore valve competence in IMI.


ABSTRACT
Pain education is a popular treatment approach for persistent pain that involves learning a variety of concepts about pain (ie, target concepts), which is thought to be an important part of recovery. Yet, little is known about what patients value learning about pain. A mixed-methods survey was conducted to identify pain concepts that were valued by people with persistent pain who improved after a pain science education intervention. An online survey was distributed to 123 people who were treated for persistent pain with a pain science education approach; responses of participants who self-identified as "improved" were analysed. Open-ended survey questions were analysed using reflexive thematic analysis and close-ended questions were analysed for frequency of responses. Each question-type was analysed separately, before integration for complementarity. We analysed the data of 97 participants. We constructed 3 themes from the open-ended questions. Pain does not mean my body is damaged (theme 1) captured the importance of abandoning preexisting ideas that pain indicated damage. Thoughts, emotions and experiences affect pain (theme 2) captured the value of recognising multifactorial influences on pain. I can retrain my overprotective pain system (theme 3) captured the importance of conceptualising pain as a heightened protective response that could be lessened. Responses from close-ended questions confirmed that the target concepts represented by these themes are among those most valued, although divergence with the qualitative data suggests differences between patient and clinician language. These data offer patient-centred conceptualizations and language that could assist in further refining pain education interventions.


The central importance of soil for the functioning of terrestrial systems is increasingly recognized. Critically relevant for water quality, climate control, nutrient cycling and biodiversity, soil provides more functions than just the basis for agricultural production. Nowadays, soil is increasingly under pressure as a limited resource for the production of food, energy and raw materials. This has led to an increasing demand for concepts assessing soil functions so that they can be adequately considered in decision making aimed at sustainable soil management. The various soil science disciplines have progressively developed highly sophisticated methods to explore the multitude of physical, chemical and biological processes in soil. It is not obvious, however, how the steadily improving insight into soil processes may contribute to the evaluation of soil functions. Here we present to a new systemic modeling framework that allows for a consistent coupling between reductionist yet observable indicators for soil functions with detailed process understanding. It is based on the mechanistic relationships between soil functional attributes, each explained by a network of interacting processes as derived from scientific evidence. The non-linear character of these interactions produces stability and resilience of soil with respect to functional characteristics. We anticipate that this new conceptional framework will integrate the various soil science disciplines and help identify important future research questions at the interface between disciplines. It allows the overwhelming complexity of soil systems to be adequately coped with and paves the way for steadily improving our capability to assess soil functions based on scientific understanding.


Many studies have proved the relevance of local immune responses, rather than systemic immunity, to the pathogenesis of allergic rhinitis. Indeed, allergen‐specific B lymphocyte undergoes class switching to IgE in situ. However, the relative contribution of in situ production to the amount in serum is still ambiguous. Here, a quantitative comparison of the local concentration of allergen‐specific IgE with the systemic concentration was explored for the estimation. Among seasonal rhinitis patients, total and Japanese cedar pollen (JCP)‐specific IgE, IgA and IgG antibodies were quantified in nasal lavage fluid (NLF) and serum with the time‐resolved fluorescence immunosorbent assay. Although the total amounts of IgE and IgG classes in the NLF, which were apparently passive discharge from the mucosal tissue, were smaller and variable, the relative proportions of JCP‐specific antibodies could be quantitatively compared between NLF and serum or between subjects. The proportions of specific IgE in the NLF were remarkably higher than in serum (average 13.2‐fold) in most subjects, which strongly supported the predominant in situ production of the specific IgE and subsequent dilutions in the systemic circulations. Similar but smaller values were obtained for IgA (average 3.7‐fold). In contrast, the specific proportions of IgG in the NLF were surprisingly consistent with serum (average 1.0‐fold), suggesting that the specific IgG was mostly produced in the downstream lymphoid organs. The local productions of specific IgE would encourage the topical therapies and the usage of the NLF for the diagnosis of allergic rhinitis.


A self-retaining retractor has been designed to enable one surgeon to perform cholecystectomy and exploration of the bile duct with a minimum of assistance. The instrument consists of a horseshoe shaped collapsible frame and four specially designed blades. It is ideally suited for a right subcostal or a transverse incision. Adjustment and removal for performing on-table cholangiography and reapplication are all straightforward.


Abstract Typing systems for differentiating among strains of methicillin-resistant Staphylococcus aureus (MRSA) can be valuable tools for the epidemiologist and the clinician. Specific criteria for evaluating such systems are typeability, reproducibility, and discriminatory power. An ideal typing system also would be rapid, inexpensive, technically simple, and readily available. Systems based on the detection of phenotypic variations include antimicrobial susceptibility testing, bacteriophage typing, multilocus enzyme electrophoresis, and electrophoretic methods such as protein eletrophoresis and immunoblotting. Systems that directly detect genotypic variations include plasmid profile analysis, restriction enzyme analysis of plasmid DNA, restriction enzyme analysis of chromosomal DNA, Southern blot analysis of specific restriction fragment length polymorphisms, and pulse field gel electrophoresis. in general, the more widely available typing systems based on phenotypic assays and plasmid analysis have limitations in typeability and/or discriminatory power.The chromosomal DNA-based techniques, although promising, are unproven approaches still under active investigation.


Phantom studies are used to develop a reliable quantitative data processing protocol for 3D PET brain scanning for conditions typically encountered in FDG and neuroreceptor brain imaging. These protocols often span several half-lives of the injected radiotracer thus resulting in a greatly varying statistical content of the acquired data over the study duration. Detector normalization, scatter correction and their interplay over a wide range of statistical content of acquired data were evaluated. Overall sensitivity calibration factors were determined after all other quantification corrections were applied to the data. The result is an optimum data processing protocol that includes an iterative convolution subtraction scatter correction method, a normalization procedure that takes into account the geometric properties of the scanner and a region of interest based calibration procedure, applied in this order. This protocol yields a 3D PET quantification accuracy within approximately 3% of independently measured concentration values for scanning conditions that include variation in the number of acquired counts from one million to several hundred millions and variation in size and shape from a 20 cm diameter phantom to a tapered phantom with minimum cross section of 3.7 x 14.5 cm2. This performance is comparable with that of the 2D acquisition mode.


The emission of electrons from an insulating crystal deposited on a conductor occurs at a macroscopic electric field of a few volts per micrometer, 3 orders of magnitude below the field emission from a clean metal. This is due to the local field enhancement induced by the presence of the insulating crystal. The emission profiles depend on the shape of the conductive substrate; analyzing these profiles enables the local difference in electric potential and the opening angle to be traced. Given the thickness of the crystal, the local difference in potential indicates the local field enhancement of a few volts per nanometer applied to the conductor.


U.S. District Judge Jed Rakoff of the Southern District of New York has offered an important voice on a wide range of issues in federal practice, typically from the bench. In 2011, for example, he refused to rubber-stamp a $285 million proposed civil settlement between the Securities and Exchange Commission and banking giant Citigroup. Rakoff recently sounded off from the podium on the current state of federal sentencing. On March 7, as the keynote speaker at the 27th Annual National Institute on White Collar Crime in Las Vegas, Rakoff railed against the numerical calculations and formulaic approach that still drives criminal sentencing in federal court: the U.S. Sentencing Guidelines.Rakoff said the guidelines represent a set of numbers "drawn from nowhere" that continue to steer most federal judges imposing criminal sentences. He's right. The U.S. Sentencing Commission, the congressionally created entity responsible for the guidelines, has never articulated on what basis they equate another $50,000 in loss, the next 40 victims of a scheme, or an additional 20 grams of heroin (each carries a two-level increase in "offense level points" under the guidelines). Rakoff concluded, "Basically, my modest proposal is that they should be scrapped in their entirety."I, like other academics and (former) federal practitioners, agree in part.


The structural changes of the wrought magnesium alloy AZ31B in semisolid state were clarified using optical microscopy and hot-stage microscopy. The influence of heat treatment variables was assessed. Compression tests covering a range from room temperature to 673 K were carried out for mechanical property assessment; flow stress and breaking strain were determined. The following are the results: (1) The grain growth of the hot-extruded AZ31B without preprocessing sensitively reacted at temperature and retention time. (2) The hot-extruded AZ31B with 30 % preprocessing showed an almost perfectly spheroidized structure in a semisolid state under certain conditions. (3) Heating velocity markedly affected the spheroidizing rate of grains. (4) From the direct observation of the hot-extruded alloy AZ31B by hot-stage microscopy, spheroidization was observed in some crystal populations. (5) Spheroided materials in the semisolid temperature range had a lower flow stress and a larger breaking strain than nonspheroidized materials. These results indicate the possibility of manufacturing wrought magnesium alloy by cold working.


This chapter investigates the conflicting demands faced by web designers in the development of social e-atmospherics that aim to encourage e-value creation, thus strengthening and prolonging market planning strategies. While recent studies have shown that significant shifts are occurring concerning the importance of users' generated content by way of social e-communication tools (e.g. blogs), these trends are also creating expectations that social and cultural cues ought to become a greater part of e-atmospherics and e-business strategies. Yet, there is growing evidence that organizations are resisting such efforts, fearing that they will lose control of their e-marketing strategy. This chapter contributes to the theory and literature on online cross-cultural understanding and the impact website designers (meso-level) can have on improving the sustainability of e-business planning, departing from recent studies that focus mainly on firms' e-business plans (macro-level) or final consumers (micro-level). A second contribution is made with respect to online behavior regarding the advancement of technologies that facilitate the development and shaping of new social e-atmospherics that affect users' behavior and long term e-business strategies through the avoidance of traditional, formal decision making processes and marketing strategy mechanisms implemented by firms. These issues have been highlighted in the literature on the co-production and co-creation of value, which few organizations have thus far integrated in their strategic and pragmatic e-business plans. Drawing upon fifteen online interviews with web designers in the USA, as key non-institutional actors at the meso-level who are developing what future websites will be like, this chapter analyzes ways in which identifying points of resistance and conflicting demands can lead to engagement with the debate over the online co-creation of value and more sustainable future e-business planning. A number of points of resistance to the inclusion of more e-social atmospherics are identified, and the implications for web designers' roles and web design planning are discussed along with the limitations of the study and potential future research for e-business studies.


How can economic assumptions be present in the heart of commercially driven drug development research? Such assumptions underpin industry-based bio-statistical discussions around a new pharmaceutical trial design, the 'compound finder'. This example illustrates several ways in which trials might be designed and situated in the larger setting of interlinked valuation practices central to the development, distribution, and use of pharmaceuticals. It shows how economic assumptions and considerations can be differently entwined with endeavors to produce knowledge. Different trial designs may further differ in what knowledge they produce. Adaptive design trials (ADTs), of which the compound finder is one kind, share the feature that they might be the object of thousands of simulations to specify the design taking many different kinds of considerations into account. These considerations include several economic aspects such as trial costs and assumptions about the future market. ADTs will likely continue to become more common in the years to come, even if the future for the specific compound finder trial design is uncertain. Yet, the continued rise in importance of ADTs means a further intimate entwining of economic assumptions into the specification of trial designs. This will be consequential for what knowledge is produced as well as where and how treatments are assessed.


The present research work is focus on the influence of the rheological constitutive equation and friction law formulation on 16MnCr5 forging fibering. Numerical analysis using FE Forge® and Abaqus code show the importance of the rheological softening terms on the metals fibers morphology and position coordinate. Calibration of friction law and sensitivity of softening parameters corresponding to a Hansel-Spittel rheological equation have been studied.


Art and craft is considered to be an integral part of the tourism business, since it plays an important role as souvenirs and mementos, thereby spatially and temporarily expanding the visitor experience. It is also increasingly looked upon as an opportunity to diversify the tourism sector offerings, as well as the broader economic base. As part of the overall global creative economy, the art and craft sector has seen consistent trade growth over the past two decades, and has shown the capacity to forge even stronger linkages with the tourism sector. This paper examines the nature of this relationship in the particular context of the Caribbean, by undertaking a survey of the sub-regional art and craft sector, as well as a case study value chain analysis of two Caribbean countries-Saint Lucia and Trinidad and Tobago. The findings confirm that art and craft holds significant potential for bolstering the regional tourism economy. Moreover, the dynamics of the tourism sector appear, in turn, to provide a good driver for the future development of the sub-sector.


Despite the empirical advances of deep learning across a variety of learning tasks, our theoretical understanding of its success is still very restricted. One of the key challenges is the overparametrized nature of modern models, enabling complete overfitting of the data even if the labels are randomized, i.e. networks can completely \textit{memorize} all given patterns. While such a memorization capacity seems worrisome, in this work we show that under training protocols that include \textit{data augmentation}, neural networks learn to memorize entirely random labels in a benign way, i.e. they learn embeddings that lead to highly non-trivial performance under nearest neighbour probing. We demonstrate that deep models have the surprising ability to separate noise from signal by distributing the task of memorization and feature learning to different layers. As a result, only the very last layers are used for memorization, while preceding layers encode performant features which remain largely unaffected by the label noise. We explore the intricate role of the augmentations used for training and identify a memorization-generalization trade-off in terms of their diversity, marking a clear distinction to all previous works. Finally, we give a first explanation for the emergence of benign memorization by showing that \textit{malign} memorization under data augmentation is infeasible due to the insufficient capacity of the model for the increased sample size. As a consequence, the network is forced to leverage the correlated nature of the augmentations and as a result learns meaningful features. To complete the picture, a better theory of feature learning in deep neural networks is required to fully understand the origins of this phenomenon.


Cairo is a city in flux, characterized by ceaseless intersections of residents who openly claim their rights to mobility beyond the city's material infrastructure and political will. Egypt's governing systems have, for many years, neglected to tackle urban inequality, particularly since the political turmoil of the January 2011 revolution. Against such a backdrop, this article seeks to understand how informal communities reinterpret structures of political division as expanded spaces of economic and cultural operation. It supports the notion that large segments of Cairo's populace are in a constant negotiation between autonomy and integration. Compelled by physical and socioeconomic barriers, they carve out selfgovernance and develop structures which give them the freedom to work, socialize, and live in the public arena. This article proposes that Cairo's local, or baladī streets, often neglected by the state and ill-serviced, offer their residents a spatial reservoir of possibilities, where elements of political subjugation often mask a highly mobile and connected social realm. This reading of informality infers that invisible infrastructures of networks and relationships open marginalized spaces to new productive exchanges and lived practices, where expressions of collective identity flourish.


There is now unequivocal evidence for global climate change; however, its potential impacts on evolutionary processes remain unclear. Many species have responded to contemporary climate change through shifts in their geographic range. This could lead to increased sympatry between recently diverged species; likely increasing the potential for hybridization. Recently, following a series of warm winters, southern flying squirrels (Glaucomys volans) in Ontario, Canada rapidly expanded their northern range limit resulting in increased sympatry with the closely related northern flying squirrel (Glaucomys sabrinus). This provided the opportunity to test the prediction that contemporary climate change can act as a catalyst creating conditions for the formation of hybrid zones. Following extensive sampling and molecular analyses (nuclear and mitochondrial DNA), we identified the occurrence of hybridization between sympatric G. sabrinus and G. volans. There was evidence of backcrossing but not of extensive introgession, consistent with the hypothesis of recent rather than historic hybridization. To our knowledge, this is the first report of hybrid zone formation following a range expansion induced by contemporary climate change. This is also the first report of hybridization between North American flying squirrel species.