Intra-Abdominal Hypertension and Abdominal Compartment Syndrome in Association with Ruptured Abdominal Aortic Aneurysm in the Endovascular Era: Vigilance Remains Critical

Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are common complications of ruptured abdominal aortoiliac aneurysms (rAAAs) and other abdominal vascular catastrophes even in the age of endovascular therapy. Morbidity and mortality due to systemic inflammatory response syndrome (SIRS) and multiple organ failure (MOF) are significant. Recognition and management of IAH are key critical care measures which may decrease morbidity and improve survival in these vascular patients. Two strategies have been utilized: expectant management with prompt decompressive laparotomy upon diagnosis of threshold levels of IAH versus prophylactic, delayed abdominal closure based upon clinical parameters at the time of initial repair. Competent management of the abdominal wound with preservation of abdominal domain is also an important component of the care of these patients. In this review, we describe published experience with IAH and ACS complicating abdominal vascular catastrophes, experience with ACS complicating endovascular repair of rAAAs, and techniques for management of the abdominal wound. Vigilance and appropriate management of IAH and ACS remains critically important in decreasing morbidity and optimizing survival following catastrophic intra-abdominal vascular events

Tricarbon­yl(2-methyl-2-η6-phenyl-1,3-dioxolane)chromium(0)

The structure of the title compound, [Cr(C10H12O2)(CO)3], is presented. The distorted piano-stool geometry features an off-center Cr(CO)3 fragment which reduces contact with the dioxolane ring. The dioxolane ring, in twisted conformation, is syn-oriented towards the Cr(CO)3 moiety

A Brief Overview of Ophthalmic Ultrasound Imaging

Ultrasound is one of the oldest imaging modalities. Sound waves are emitted into the body, and the returning echoes can be interpreted. It has become widely used because it can easily be done at bedside with a relatively small apparatus and does not expose the patient to any ionizing radiation. While this technique has seen widespread acceptance in other fields such as cardiology or obstetrics and gynecology, the general use in ophthalmology has been somewhat limited. However, recent advancements in ultrasonic arrays can be a powerful tool in the evaluation of ophthalmic pathology. Such systems can quickly generate very high detail images and 3D reconstructions without the need for extensive manual scanning. The application of this technology includes evaluation of traumatic eye injuries; assessing presence and location of an intraocular foreign body; evaluation of intraocular tumors, including small tumors that have not yet caused visual distortion; evaluation of retinal detachment; and evaluation of vascular disease. The goal of this article is to briefly review the history and development of ultrasound and to provide an overview of the most current systems and applications of ultrasound use in ophthalmologic clinical evaluation

Quantitative evidence for cochlear, non-neuronal norepinephrine

Endogenous norepinephrine was quantitatively measured in cochlear tissues of pigmented and non-pigmented animals by high-performance liquid chromatography and electrochemical detection. Epinephrine, dopamine and serotonin were not detected. The cochlear norepinephrine content of the pigmented animals was found to be more than double that present in corresponding albinos. Cochlear norepinephrine was only minimally depleted 48 h after surgical removal of the superior cervical ganglion. 12 h after administration of reserpine (5 mg/kg), cochlear norepinephrine was partially depleted. These results indicate that the norepinephrine located in the cochlea is probably not confined entirely to noradrenergic nerve terminals.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/24265/1/0000530.pd

The Jahn-Teller instability in dissipative quantum electromechanical systems

We consider the steady states of a harmonic oscillator coupled so strongly to a two-level system (a qubit) that the rotating wave approximation cannot be made. The Hamiltonian version of this model is known as the $E\otimes\beta$ Jahn-Teller model. The semiclassical version of this system exhibits a fixed point bifurcation, which in the quantum model leads to a ground state with substantial entanglement between the oscillator and the qubit. We show that the dynamical bifurcation survives in a dissipative quantum description of the system, amidst an even richer bifurcation structure. We propose two experimental implementations of this model based on superconducting cavities: a parametrically driven nonlinear nanomechanical resonator coupled capacitively to a coplanar microwave cavity and a superconducting junction in the central conductor of a coplanar waveguide.Comment: 24 pages, 13 figure

Geographic variation in phenotypic divergence between two hybridizing field cricket species

Patterns of morphological divergence across species' ranges can provide insight into local adaptation and speciation. In this study, we compared phenotypic divergence among 4,221 crickets from 337 populations of two closely related species of field cricket, Gryllus firmus and G. pennsylvanicus, and their hybrids. We found that these species differ across their geographic range in key morphological traits, such as body size and ovipositor length, and we directly compared phenotype with genotype for a subset of crickets to demonstrate nuclear genetic introgression, phenotypic intermediacy of hybrids, and essentially unidirectional mitochondrial introgression. We discuss how these morphological traits relate to life history differences between the two species. Our comparisons across geographic areas support prior research suggesting that cryptic variation within G. firmus may represent different species. Our study highlights how variable morphology can be across wide-ranging species and the importance of studying reproductive barriers in more than one or two transects of a hybrid zone

Mass transfer in eccentric binaries: the new Oil-on-Water SPH technique

To measure the onset of mass transfer in eccentric binaries we have developed a two-phase SPH technique. Mass transfer is important in the evolution of close binaries, and a key issue is to determine the separation at which mass transfer begins. The circular case is well understood and can be treated through the use of the Roche formalism. To treat the eccentric case we use a newly-developed two phase system. The body of the donor star is made up from high-mass "water" particles, whilst the atmosphere is modelled with low-mass "oil" particles. Both sets of particles take part fully in SPH interactions. To test the technique we model circular mass-transfer binaries containing a 0.6 Msun donor star and a 1 Msun white dwarf; such binaries are thought to form cataclysmic variable (CV) systems. We find that we can reproduce a reasonable CV mass-transfer rate, and that our extended atmosphere gives a separation that is too large by aproximately 16%, although its pressure scale height is considerably exaggerated. We use the technique to measure the semi-major axis required for the onset of mass transfer in binaries with a mass ratio of q=0.6 and a range of eccentricities. Comparing to the value obtained by considering the instantaneous Roche lobe at pericentre we find that the radius of the star required for mass transfer to begin decreases systematically with increasing eccentricity.Comment: 9 pages, 8 figures, accepted by MNRA

Genome‐wide linkage analysis and whole‐exome sequencing identifies an ITGA2B mutation in a family with thrombocytopenia

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/150531/1/bjh15961_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/150531/2/bjh15961.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/150531/3/bjh15961-sup-0001-DataS1.pd

Deposition of mercury in forests across a montane elevation gradient: Elevational and seasonal patterns in methylmercury inputs and production

Global mercury contamination largely results from direct primary atmospheric and secondary legacy emissions, which can be deposited to ecosystems, converted to methylmercury, and bioaccumulated along food chains. We examined organic horizon soil samples collected across an elevational gradient on Whiteface Mountain in the Adirondack region of New York State, USA to determine spatial patterns in methylmercury concentrations across a forested montane landscape. We found that soil methylmercury concentrations were highest in the midelevation coniferous zone (0.39 ± 0.07 ng/g) compared to the higher elevation alpine zone (0.28 ± 0.04 ng/g) and particularly the lower elevation deciduous zone (0.17 ± 0.02 ng/g), while the percent of total mercury as methylmercury in soils decreased with elevation. We also found a seasonal pattern in soil methylmercury concentrations, with peak methylmercury values occurring in July. Given elevational patterns in temperature and bioavailable total mercury (derived from mineralization of soil organic matter), soil methylmercury concentrations appear to be driven by soil processing of ionic Hg, as opposed to atmospheric deposition of methylmercury. These methylmercury results are consistent with spatial patterns of mercury concentrations in songbird species observed from other studies, suggesting that future declines in mercury emissions could be important for reducing exposure of mercury to montane avian species.Key PointsTotal mercury and methylmercury concentrations and fluxes are examined across an elevational gradient on an Adirondack, New York mountainMethylmercury concentrations across the elevational gradient are greatest in midelevation coniferous zonesSoil methylmercury concentrations are driven by the internal processing of mercury, rather than external inputs of methylmercuryPlain Language SummaryOnce mercury is emitted into the atmosphere by anthropogenic sources, it can be deposited onto the Earth’s surface. This mercury can then be converted to its toxic form of methylmercury by microbes in the soil and can accumulate in birds, altering physiology, behavior, and reproduction. We examined soils from Whiteface Mountain in the Adirondack region of New York State, USA to determine patterns in the production of methylmercury. We found that methylmercury in soils was highest in the mid‐elevation coniferous forests of the mountain and that the concentration appeared to be driven by soil microbes rather than direct deposition of mercury from the atmosphere. The finding of peak methylmercury at mid‐elevations was consistent with previous studies showing peak bird mercury concentrations at the same elevation. Thus, reductions in methylmercury concentrations in these forests is important to reducing bird mercury concentrations.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138300/1/jgrg20832_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/138300/2/jgrg20832-sup-0001-2016JG003721-SI.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/138300/3/jgrg20832.pd

Prevalence of suicidal behaviour following traumatic brain injury: Longitudinal follow-up data from the NIDRR Traumatic Brain Injury Model Systems

Objective: This study utilized the Traumatic Brain Injury Model Systems (TBIMS) National Database to examine the prevalence of depression and suicidal behaviour in a large cohort of patients who sustained moderate-to-severe TBI. Method: Participants presented to a TBIMS acute care hospital within 72 hours of injury and received acute care and comprehensive rehabilitation in a TBIMS designated brain injury inpatient rehabilitation programme. Depression and suicidal ideation were measured with the Patient Health Questionnaire (PHQ-9). Self-reported suicide attempts during the past year were recorded at each follow-up examination, at 1, 2, 3, 10, 15 and 20 years post-injury. Results: Throughout the 20 years of follow-up, rates of depression ranged from 24.8–28.1%, suicidal ideation ranged from 7.0–10.1% and suicide attempts (past year) ranged from 0.8–1.7%. Participants who endorsed depression and/or suicidal behaviour at year 1 demonstrated consistently elevated rates of depression and suicidal behaviour 5 years after TBI. Conclusion: Compared to the general population, individuals with TBI are at greater risk for depression and suicidal behaviour many years after TBI. The significant psychiatric symptoms evidenced by individuals with TBI highlight the need for routine screening and mental health treatment in this population