Feasibility level, soils and geology investigation -- Lilipuna Hillside Residence development, Kaneohe, Hawaii

tax map key: 4-6-01W.O. 435-00Includes proposed development, field exploration, subsurface conditions, recommendations, site plan, test pit logs, and grading specifications.Brian Gray & Associate

Preliminary soils and geology investigation -- Puu Alii Residential PUD, Heeia, Oahu, Hawaii

tax map key: 4-6-02W.O. 436-00Includes proposed development, field exploration, subsurface conditions, recommendations, site plan, boring logs, and test pit logs.Brian Gray & Associate

Continuous Flow Left Ventricular Assist Device Improves Functional Capacity and Quality of Life of Advanced Heart Failure Patients

ObjectivesThis study sought to assess the impact of continuous flow left ventricular assist devices (LVADs) on functional capacity and heart failure-related quality of life.BackgroundNewer continuous-flow LVAD are smaller and quieter than pulsatile-flow LVADs.MethodsData from advanced heart failure patients enrolled in the HeartMate II LVAD (Thoratec Corporation, Pleasanton, California) bridge to transplantation (BTT) (n = 281) and destination therapy (DT) (n = 374) trials were analyzed. Functional status (New York Heart Association [NYHA] functional class, 6-min walk distance, patient activity scores), and quality of life (Minnesota Living With Heart Failure [MLWHF] and Kansas City Cardiomyopathy Questionnaires [KCCQ]) were collected before and after LVAD implantation.ResultsCompared with baseline, LVAD patients demonstrated early and sustained improvements in functional status and quality of life. Most patients had NYHA functional class IV symptoms at baseline. Following implant, 82% (BTT) and 80% (DT) of patients at 6 months and 79% (DT) at 24 months improved to NYHA functional class I or II. Mean 6-min walk distance in DT patients was 204 m in patients able to ambulate at baseline, which improved to 350 and 360 m at 6 and 24 months. There were also significant and sustained improvements from baseline in both BTT and DT patients in median MLWHF scores (by 40 and 42 U in DT patients, or 52% and 55%, at 6 and 24 months, respectively), and KCCQ overall summary scores (by 39 and 41 U, or 170% and 178%).ConclusionsUse of a continuous flow LVAD in advanced heart failure patients results in clinically relevant improvements in functional capacity and heart failure-related quality of life

Progress in marine geoconservation in Scotland’s seas : assessment of key interests and their contribution to Marine Protected Area network planning

This study was part-funded by Marine Scotland and was undertaken as part of the Scottish Marine Protected Areas (MPA) Programme, a joint initiative between Marine Scotland, Historic Scotland, Scottish Natural Heritage (SNH) and the Joint Nature Conservation Committee (JNCC).Geoconservation in the marine environment has been largely overlooked, despite a wealth of accumulated information on marine geology and geomorphology and clear links between many terrestrial and marine features. As part of the wider characterisation of Scotland’s seas, this study developed criteria and a methodology that follow the established principles of the terrestrial, Great Britain-wide geoconservation audit, the Geological Conservation Review, to assess geodiversity key areas on the seabed. Using an expert judgement approach, eight geodiversity feature categories were identified to represent the geological and geomorphological processes that have influenced the evolution and present-day morphology of the Scottish seabed: Quaternary of Scotland; Submarine Mass Movement; Marine Geomorphology of the Scottish Deep-Ocean Seabed; Seabed Fluid and Gas Seep; Cenozoic Structures of the Atlantic Margin; Marine Geomorphology of the Scottish Shelf Seabed; Coastal Geomorphology of Scotland; and Biogenic Structures of the Scottish Seabed. Within these categories, 35 key areas were prioritised for their scientific value. Specific interests range from large-scale landforms (e.g. submarine landslides, sea-mounts and trenches) to fine-scale dynamic features (e.g. sand waves). Although these geodiversity interests provided supporting evidence for the identification and selection of a suite of Nature Conservation Marine Protected Areas (MPAs) containing important marine natural features, they are only partially represented in these MPAs and existing protected areas. Nevertheless, a pragmatic approach is emerging to integrate as far as possible the conservation management of marine geodiversity with that of biodiversity and based on evidence of the sensitivity and vulnerability geological and geomorphological features on the seabed.PostprintPeer reviewe

Valuing initial teacher education at Master's level

The future of Master’s-level work in initial teacher education (ITE) in England seems uncertain. Whilst the coalition government has expressed support for Master’s-level work, its recent White Paper focuses on teaching skills as the dominant form of professional development. This training discourse is in tension with the view of professional learning advocated by ITE courses that offer Master’s credits. Following a survey of the changing perceptions of Master’s-level study during a Post Graduate Certificate in Education course by student teachers in four subject groups, this paper highlights how the process of professional learning can have the most impact on how they value studying at a higher level during their early professional development

Exercise intensity while hooked is associated with physiological status of longline-captured sharks

Some shark populations face declines owing to targeted capture and by-catch in longline fisheries. Exercise intensity during longline capture and physiological status may be associated, which could inform management strategies aimed at reducing the impacts of longline capture on sharks. The purpose of this study was to characterize relationships between exercise inten- sity and physiological status of longline-captured nurse sharks (Ginglymostoma cirratum) and Caribbean reef sharks (Carcharhinus perezi). Exercise intensity of longline-captured sharks was quantified with digital cameras and accelerometers, which was paired with blood-based physiological metrics from samples obtained immediately post-capture. Exercise intensity was associated with physiological status following longline capture. For nurse sharks, blood pH increased with capture dur- ation and the proportion of time exhibiting low-intensity exercise. Nurse sharks also had higher blood glucose and plasma potassium concentrations at higher sea surface temperatures. Associations between exercise intensity and physiological sta- tus for Caribbean reef sharks were equivocal; capture duration had a positive relation with blood lactate concentrations and a negative relationship with plasma chloride concentrations. Because Caribbean reef sharks did not appear able to influence blood pH through exercise intensity, this species was considered more vulnerable to physiological impairment. While both species appear quite resilient to longline capture, it remains to be determined if exercise intensity during capture is a useful tool for predicting mortality or tertiary sub-lethal consequences. Fisheries management should consider exercise during cap- ture for sharks when developing techniques to avoid by-catch or reduce physiological stress associated with capture

Multiple AMPK activators inhibit L-Carnitine uptake in C2C12 skeletal muscle myotubes

Mutations in the gene that encodes the principal L-Carnitine transporter, OCTN2, can lead to a reduced intracellular L-Carnitine pool and the disease Primary Carnitine Deficiency. L-Carnitine supplementation is used therapeutically to increase intracellular L-Carnitine. As AMPK and insulin regulate fat metabolism and substrate uptake we hypothesised that AMPK activating compounds and insulin would increase L-Carnitine uptake in C2C12myotubes. The cells express all three OCTN transporters at the mRNA level and immunohistochemistry confirmed expression at the protein level. Contrary to our hypothesis, despite significant activation of PKB and 2DG uptake, insulin did not increase L-Carnitine uptake at 100nM. However, L-Carnitine uptake was modestly increased at a dose of 150nM insulin. A range of AMPK activators that increase intracellular calcium content [caffeine (10mM, 5mM, 1mM, 0.5mM), A23187 (10μM)], inhibit mitochondrial function [Sodium Azide (75μM), Rotenone (1μM), Berberine (100μM), DNP (500μM)] or directly activate AMPK [AICAR (250μM)] were assessed for their ability to regulate L-Carnitine uptake. All compounds tested significantly inhibited L-Carnitine uptake. Inhibition by caffeine was not dantrolene (10μM) sensitive. Saturation curve analysis suggested that caffeine did not competitively inhibit L-Carnitine transport. However, the AMPK inhibitor Compound C (10μM) partially rescued the effect of caffeine suggesting that AMPK may play a role in the inhibitory effects of caffeine. However, caffeine likely inhibits L-Carnitine uptake by alternative mechanisms independently of calcium release. PKA activation or direct interference with transporter function may play a role

Properties of Ni-Al under shock loading

New models for the dynamic response of materials will be based increasingly on better understanding and representation of processes occurring at the microstructural level. These developments require advances in diagnostics and models which can be applied explicitly to microstructural response. Various phenomena occur at the microstructural level which are generally ignored or averaged out in continuum-level models. One example of such 'irregular hydrodynamics' is the roughness imparted to a shock wave as it propagates through a polycrystalline material. We have developed imaging techniques to study spatial variations in shock propagation through polycrystalline materials. In order to interpret spatially-resolved data from polycrystal samples, we need to compare with simulations which represent the microstructure. Here we describe work undertaken to develop a model of the dynamic response of individual grains. The material chosen was Ni-Al alloy, because it exhibits a relatively large degree of elastic anisotropy, and it is relatively easy to manufacture

Comparison of the diagnostic accuracy of three current guidelines for the evaluation of asymptomatic pancreatic cystic neoplasms.

Asymptomatic pancreatic cysts are a common clinical problem but only a minority of these cases progress to cancer. Our aim was to compare the accuracy to detect malignancy of the 2015 American Gastroenterological Association (AGA), the 2012 International Consensus/Fukuoka (Fukuoka guidelines [FG]), and the 2010 American College of Radiology (ACR) guidelines.We conducted a retrospective study at 3 referral centers for all patients who underwent resection for an asymptomatic pancreatic cyst between January 2008 and December 2013. We compared the accuracy of 3 guidelines in predicting high-grade dysplasia (HGD) or cancer in resected cysts. We performed logistic regression analyses to examine the association between cyst features and risk of HGD or cancer.A total of 269 patients met inclusion criteria. A total of 228 (84.8%) had a benign diagnosis or low-grade dysplasia on surgical pathology, and 41 patients (15.2%) had either HGD (n = 14) or invasive cancer (n = 27). Of the 41 patients with HGD or cancer on resection, only 3 patients would have met the AGA guideline\u27s indications for resection based on the preoperative cyst characteristics, whereas 30/41 patients would have met the FG criteria for resection and 22/41 patients met the ACR criteria. The sensitivity, specificity, positive predictive value, negative predictive value of HGD, and/or cancer of the AGA guidelines were 7.3%, 88.2%, 10%, and 84.1%, compared to 73.2%, 45.6%, 19.5%, and 90.4% for the FG and 53.7%, 61%, 19.8%, and 88% for the ACR guidelines. In multivariable analysis, cyst size \u3e3 cm, compared to ≤3 cm, (odds ratio [OR] = 2.08, 95% confidence interval [CI] = 1.11, 4.2) and each year increase in age (OR = 1.07, 95% CI = 1.03, 1.11) were positively associated with risk of HGD or cancer on resection.In patients with asymptomatic branch duct-intraductal papillary mucinous neoplasms or mucinous cystic neoplasms who underwent resection, the prevalence rate of HGD or cancer was 15.2%. Using the 2015 AGA criteria for resection would have missed 92.6% of patients with HGD or cancer. The more inclusive FG and ACR had a higher sensitivity for HGD or cancer but lower specificity. Given the current deficiencies of these guidelines, it will be important to determine the acceptable rate of false-positives in order to prevent a single true-positive