The involvement of type IV pili and the phytochrome CphA in gliding motility, lateral motility and photophobotaxis of the cyanobacterium Phormidium lacuna

Phormidium lacuna is a naturally competent, filamentous cyanobacterium that belongs to the order Oscillatoriales. The filaments are motile on agar and other surfaces and display rapid lateral movements in liquid culture. Furthermore, they exhibit a photophobotactic response, a phototactic response towards light that is projected vertically onto the area covered by the culture. However, the molecular mechanisms underlying these phenomena are unclear. We performed the first molecular studies on the motility of an Oscillatoriales member. We generated mutants in which a kanamycin resistance cassette (KanR) was integrated in the phytochrome gene cphA and in various genes of the type IV pilin apparatus. pilM, pilN, pilQ and pilT mutants were defective in gliding motility, lateral movements and photophobotaxis, indicating that type IV pili are involved in all three kinds of motility. pilB mutants were only partially blocked in terms of their responses. pilB is the proposed ATPase for expelling of the filament in type IV pili. The genome reveals proteins sharing weak pilB homology in the ATPase region, these might explain the incomplete phenotype. The cphA mutant revealed a significantly reduced photophobotactic response towards red light. Therefore, our results imply that CphA acts as one of several photophobotaxis photoreceptors or that it could modulate the photophobotaxis response

Ventilation and outcomes following robotic-assisted abdominal surgery: an international, multicentre observational study

Background: International data on the epidemiology, ventilation practice, and outcomes in patients undergoing abdominal robotic-assisted surgery (RAS) are lacking. The aim of the study was to assess the incidence of postoperative pulmonary complications (PPCs), and to describe ventilator management after abdominal RAS. Methods: This was an international, multicentre, prospective study in 34 centres in nine countries. Patients ≥18 yr of age undergoing abdominal RAS were enrolled between April 2017 and March 2019. The Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) score was used to stratify for higher risk of PPCs (≥26). The primary outcome was the incidence of PPCs. Secondary endpoints included the preoperative risk for PPCs and ventilator management. Results: Of 1167 subjects screened, 905 abdominal RAS patients were included. Overall, 590 (65.2%) patients were at increased risk for PPCs. Meanwhile, 172 (19%) patients sustained PPCs, which occurred more frequently in 132 (22.4%) patients at increased risk, compared with 40 (12.7%) patients at lower risk of PPCs (absolute risk difference: 12.2% [95% confidence intervals (CI), 6.8–17.6%]; P<0.001). Plateau and driving pressures were higher in patients at increased risk, compared with patients at low risk of PPCs, but no ventilatory variables were independently associated with increased occurrence of PPCs. Development of PPCs was associated with a longer hospital stay. Conclusions: One in five patients developed one or more PPCs (chiefly unplanned oxygen requirement), which was associated with a longer hospital stay. No ventilatory variables were independently associated with PPCs. Clinical trial registration: NCT02989415

A new index for the wintertime southern hemispheric split jet

One of the most prominent asymmetric features of the southern hemispheric (SH) circulation is the split jet over Australia and New Zealand in austral winter. Previous studies have developed indices to detect the degree to which the upper-level midlatitude westerlies are split and investigated the relationship between split events and the low-frequency teleconnection patterns, viz. the Antarctic Oscillation (AAO) and the El Niño–Southern Oscillation (ENSO). As the results were inconsistent, the relationship between the wintertime SH split jet and the climate variability indices remains unresolved and is the focus of this study. Until now, all split indices' definitions were based on the specific region where the split jet is recognizable. We consider the split jet as hemispheric rather than a regional feature and propose a new, hemispherical index that is based on the principal components (PCs) of the zonal wind field for the SH winter. A linear combination of PC2 and PC3 of the anomalous monthly (JAS) zonal wind is used to identify split-jet conditions. In a subsequent correlation analysis, our newly defined PC-based split index (PSI) indicates a strong coherence with the AAO. However, this significant relationship is unstable over the analysis period; during the 1980s, the AAO amplitude was higher than the PSI, and vice versa in the 1990s. It is probable that the PSI, as well as the AAO, underlie low-frequency variability on the decadal to centennial timescales, but the analyzed period is too short to draw these conclusions. A regression analysis with the Multivariate ENSO Index points to a nonlinear relationship between PSI and ENSO; i.e., split jets occur during both strong positive and negative phases of ENSO but rarely under normal conditions. The Pacific South American (PSA) patterns, defined as the second and third modes of the geopotential height variability at 500 hPa, correlate poorly with the PSI (rPSA − 1 ≈ 0.2 and rPSA − 2 =  0.06), but significantly with the individual components (PCs) of the PSI, revealing an indirect influence on the SH split-jet variability. Our study suggests that the wintertime SH split jet is strongly associated with the AAO, while ENSO is to a lesser extent connected to the PSI. We conclude that a positive AAO phase, as well as both flavors of ENSO and the PSA-1 pattern produce favorable conditions for a SH split event

Tensile properties of the human iliotibial tract depend on height and weight

Background and aims: The human iliotibial tract (IT) is increasingly used in different types of musculoskeletal models. Previous findings indicate age-dependent changes of the human IT tensile properties, these lack confirmation to date. The relationship of the human IT and anthropometrical parameters, such as body height and weight has not been investigated before. Materials and methods: 33 fresh human IT samples (age range 4 months to 93 years) were uniaxially tested using digital imaging correlation and the latest advances in 3D-printing to standardize biomechanical soft tissues testing. Results: The tensile parameters of the human IT are not age-dependent, except for the maximum strain in males. Height significantly correlated to elastic modulus, tensile strength and maximum strain of the human IT in males. Females just showed a significant correlation between maximum strain and weight, which was contrary to the findings in males. Discussion and conclusion: Age-dependency of human IT tensile parameters could not be confirmed in the larger sample size investigated in this study. Due to the strong correlation with the tensile IT parameters in males, we suggest that height should be integrated when the IT is used in simulations, such as finite element analyses of the hip and knee

International multicenter observational study on assessment of ventilatory management during general anaesthesia for robotic surgery and its effects on postoperative pulmonary complication (AVATaR): Study protocol and statistical analysis plan

Introduction Robotic-assisted surgery (RAS) has emerged as an alternative minimally invasive surgical option. Despite its growing applicability, the frequent need for pneumoperitoneum and Trendelenburg position could significantly affect respiratory mechanics during RAS. AVATaR is an international multicenter observational study aiming to assess the incidence of postoperative pulmonary complications (PPC), to characterise current practices of mechanical ventilation (MV) and to evaluate a possible association between ventilatory parameters and PPC in patients undergoing RAS. Methods and analysis AVATaR is an observational study of surgical patients undergoing MV for general anaesthesia for RAS. The primary outcome is the incidence of PPC during the first five postoperative days. Secondary outcomes include practice of MV, effect of surgical positioning on MV, effect of MV on clinical outcome and intraoperative complications. Ethics and dissemination This study was approved by the Institutional Review Board of the Hospital Israelita Albert Einstein. The study results will be published in peer-reviewed journals and disseminated at international conferences. Trial registration number NCT02989415; Pre-results