Self-generated magnetic flux in YBa2_2Cu3_3O7−x_{7-x} grain boundaries

Grain boundaries in YBa$_2$Cu$_3$O$_{7-x}$ superconducting films are considered as Josephson junctions with a critical current density $j_c(x)$ alternating along the junction. A self-generated magnetic flux is treated both analytically and numerically for an almost periodic distribution of $j_c(x)$. We obtained a magnetic flux-pattern similar to the one which was recently observed experimentally.Comment: 7 pages, 3 figure

Pantoea: A Versatile bacterial Candidate of Agricultural Importance

Genus Pantoea is a diverse group of the family Enterobacteriaceae which inhabit various ecological niches. Various species of Pantoea are found associated with a diverse host range that include plants, animals, insects and humans. Besides this Pantoea spp. has been widely distributed in nature including water, soil, dairy products, meat and fish. It is commonly associated with plants as epiphyte or pathogen. Pantoea was first recognized as a genus about 25 years ago, but since then, approximately 20 species with a wide range of characteristics have been discovered. Identification of plant-pathogenic Pantoea species is difficult, due to the high degree of phenotypic similarity between species of this genus and related Enterobacteriaceae. Pantoea species are typically characterized based on colony morphology, physiological and biochemical tests, and in some cases, fatty acid analysis or quinone composition. These have a wide range of plant hosts where they live as nonpathogenic endophytes as well as epiphytes that colonize the leaves, stems and roots. In this perspective, some Pantoea strains can be beneficial to the plant host by providing growth promoting substances such as the plant-growth hormone indole-acetic acid (IAA), phosphate solubilization or nitrogen fixation. Number of Pantoea species are also involved in bioremediation of various pesticides and organic chemical compounds. This indicates the potential to degrade some recalcitrant and xenobiotic compounds. Some Pantoea strains also provide effective protection to plants against various bacterial and fungal diseases and post-harvest fruit rots. On the other hand, some of the species are recognized as a human pathogen and has led to controversy as limited documented cases of P. agglomerans bacteremia and infections have been reported. Most of the cases reported among immunocompromised patients or the pediatric population. Thus, Pantoea is a multifaceted bacterium that plays a significant role in agriculture as a plant growth promoter by producing hormone like IAA, inorganic pollutant degradation by producing potent enzymes and also protects some plants against pathogens by producing antibacterial and antifungal compounds. In some cases, these also cause diseases in human beings. Therefore, this genus is very important for studies. In this review, the industrial, agricultural as well as ecological significance of the genus Pantoea is emphasized

Systematic Review of Medicine-Related Problems in Adult Patients with Atrial Fibrillation on Direct Oral Anticoagulants

New oral anticoagulant agents continue to emerge on the market and their safety requires assessment to provide evidence of their suitability for clinical use. There-fore, we searched standard databases to summarize the English language literature on medicine-related problems (MRPs) of direct oral anticoagulants DOACs (dabigtran, rivaroxban, apixban, and edoxban) in the treatment of adults with atri-al fibrillation. Electronic databases including Medline, Embase, International Pharmaceutical Abstract (IPA), Scopus, CINAHL, the Web of Science and Cochrane were searched from 2008 through 2016 for original articles. Studies pub-lished in English reporting MRPs of DOACs in adult patients with AF were in-cluded. Seventeen studies were identified using standardized protocols, and two reviewers serially abstracted data from each article. Most articles were inconclusive on major safety end points including major bleeding. Data on major safety end points were combined with efficacy. Most studies inconsistently reported adverse drug reactions and not adverse events or medication error, and no definitions were consistent across studies. Some harmful drug effects were not assessed in studies and may have been overlooked. Little evidence is provided on MRPs of DOACs in patients with AF and, therefore, further studies are needed to establish the safety of DOACs in real-life clinical practice

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background: Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods: The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results: A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion: Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)