Assuring Integrity in the Residency Match Process

Integrity in medicine is essential. One of the most important competencies a medical student can master is to be honest at all times. Indeed, professionalism is a key competency in the identity formation and development of a medical student. At times, this competency becomes challenged during the resident matching process. The behavior of some students, faculty members, and program directors who participate in the residency program selection process (the Match) often falls short of this ideal when it comes to handling the process that will be most dispositive in directing the future careers of graduating medical students. Violations of both National Resident Matching Program (NRMP) rules and ethical norms have been reported in the literature and experienced by students. In this Invited Commentary, the authors recommend a series of reforms. Substantially more robust enforcement of NRMP rules should be considered, including the creation of an avenue for anonymous reporting by applicants who experience inappropriate pre-Match, post-interview communications

Isidella elongata (Cnidaria: Alcyonacea) facies in the western Mediterranean Sea: Visual surveys and descriptions of its ecological role

Isidella elongata is a candelabrum-shaped alcyonacean forming important facies on the bathyal muddy bottoms of the Mediterranean Sea, currently considered a sensitive habitat and heavily impacted by deep-sea fisheries. Until a few decades ago, this facies was a widespread habitat of the deep Mediterranean seabed and I. elongata was a common species in the trawling fishery's bycatch. Despite its current persistence in dense aggregations being very scarce, a dense facies of I. elongata was revealed during several ROV (Remotely Operated Vehicle) surveys carried out from 2010 to 2014 on the muddy bottoms between two seamounts east of Ibiza (Balearic Sea). The facies developed in an area between 480 and 615 m in depth where trawling is forbidden, with an extraordinary density of about 2300–2683 colonies/ha, representing one of the biggest facies of I. elongata currently known for the Mediterranean Sea considering the surface covered and the colonies' density. The associated community was surveyed, with 50 taxa identified. Moreover, a canyon southwest of Formentera characterised by the presence of I. elongata together with a high trawling impact was investigated. The density of the colonies was 53–62 colonies/ha and only 19 taxa of associated fauna were observed. The results of the two areas are compared and discussed in the framework of the protection of such an important habitat

Rhodolith beds heterogeneity along the apulian continental shelf (Mediterranean sea)

Rhodolith beds represent a key habitat worldwide, from tropical to polar ecosystems. Despite this habitat is considered a hotspot of biodiversity, providing a suite of ecosystem goods and services, still scarce quantitative information is available thus far about rhodolith beds occurrence and ecological role, especially in the Mediterranean Sea. This study reports the composition and patterns of distribution of rhodolith assemblages found in four study areas along ca. 860 km of coast in the Central Mediterranean Sea. These rhodolith beds were studied for the first time and significant differences at all spatial scales have been highlighted, documenting the high variability of this habitat. Rhodolith species composition, morphology and distribution have been discussed considering the potential role of environmental factors in driving these patterns. The need for improving their protection is discussed to complement present conservation and management initiatives, particularly in the frame of the EU Marine Strategy Framework Directive

New deep-water cnidarian sites in the southern Adriatic Sea

Recent ROV (Remotely Operated Vehicle) exploration and bottom sampling in the southern Adriatic Sea (Apulian and Montenegrin margins) resulted in the discovery of cnidarian-rich deep-sea habitats in the depth range of ca. 400-700 m. In particular, ROV inspection of Montenegrin canyons reveals the existence of megabenthic communities dominated by a variety of cnidarians, including scleractinians (Madrepora oculata, Lophelia pertusa, Dendrophyllia cornigera),antipatharians (Leiopathes glaberrima) and gorgonians (Callogorgia verticillata) as major habitat forming taxa, often in association with sponges and, subordinately, serpulids. All such cnidarians are new records for the south-eastern side of the Adriatic Sea. Our investigation indicates that an almost continuous belt of patchy cold water coral sites occurs along the entire south-western margin (Apulian),basically connecting the Adriatic populations with those inhabiting the Ionian margin (Santa Maria di Leuca coral province)

Macro- and megafauna recorded in the submarine Bari Canyon (southern Adriatic, Mediterranean Sea) using different tools

Macro- and megafauna were recorded in the submarine Bari Canyon (southern Adriatic Sea, Mediterranean Sea) during an oceanographic cruise carried out in May-June 2012 and an experimental fishing survey conducted in November 2013. During the former, a total of 20 benthic samples were taken using a Van Veen grab at depths between 268 and 770 m and 4 deployments of a baited lander, for about 43 hours of video records, were carried out at depths between 443 and 788 m. During the latter, 8 longline fishing operations were conducted from 338 down to 612 m. Eighty-five living benthic and benthopelagic species were recorded: 29 Porifera, 1 Cnidaria, 2 Mollusca, 11 Annelida, 1 Arthropoda, 19 Bryozoa, 3 Echinodermata and 19 Chordata. A total of 51 species are new records for the Bari Canyon, 29 new records for the Adriatic Sea. Among the Porifera Cerbaris curvispiculifer is a new addition for the Italian Sponge Fauna. The first certain record of living specimens for the bryozoan Crisia tenella longinodata is reported. A total of 6 Mediterranean endemic species have been identified: 4 Porifera and 2 Annelida. The bathymetric range of some species has been extended. New information acquired for deep sea species confirms their importance in the structure of cold-water coral communities. This study has updated the knowledge on the biodiversity of the Adriatic Sea, as well as of the Bari Canyon in particular, one of the sites designated as “jewels of the Mediterranean” for which urgent conservation measures are needed

Application of Hyperspectral Imaging to Underwater Habitat Mapping, Southern Adriatic Sea

Hyperspectral imagers enable the collection of high-resolution spectral images exploitable for the supervised classification of habitats and objects of interest (OOI). Although this is a well-established technology for the study of subaerial environments, Ecotone AS has developed an underwater hyperspectral imager (UHI) system to explore the properties of the seafloor. The aim of the project is to evaluate the potential of this instrument for mapping and monitoring benthic habitats in shallow and deep-water environments. For the first time, we tested this system at two sites in the Southern Adriatic Sea (Mediterranean Sea): the cold-water coral (CWC) habitat in the Bari Canyon and the Coralligenous habitat off Brindisi. We created a spectral library for each site, considering the different substrates and the main OOI reaching, where possible, the lower taxonomic rank. We applied the spectral angle mapper (SAM) supervised classification to map the areal extent of the Coralligenous and to recognize the major CWC habitat-formers. Despite some technical problems, the first results demonstrate the suitability of the UHI camera for habitat mapping and seabed monitoring, through the achievement of quantifiable and repeatable classifications

Macro- and megafauna recorded in the submarine Bari Canyon (southern Adriatic, Mediterranean Sea) using different tools

Macro- and megafauna were recorded in the submarine Bari Canyon, located in the southern Adriatic Sea (Mediterranean Sea) during an oceanographic cruise carried out in May-June 2012 and an experimental fishing survey conducted in November 2013. During the former, 20 benthic samples were taken using a Van Veen grab at depths between 268 and 770 m and four deployments of a baited lander, for approximately 43 hours of video records, were carried out at depths between 443 and 788 m. During the latter, eight longline fishing operations were conducted from 338 m down to 612 m. Eighty-five living benthic and bentho-pelagic species were recorded: 29 Porifera, 1 Cnidaria, 2 Mollusca, 11 Annelida, 1 Arthropoda, 19 Bryozoa, 3 Echinodermata, and 19 Chordata. Fifty-one species are new records for the Bari Canyon, and 29 species are new records for the Adriatic Sea. Among the Porifera Cerbaris curvispiculifer is a new addition for the Italian sponge fauna. The first confirmed record of living specimens of the bryozoan Crisia tenella longinodata is reported. A total of six Mediterranean endemic species have been identified, four Porifera and two Annelida. The bathymetric range of some species has been extended. New information acquired for deep sea species confirms their importance in the structure of cold-water coral communities. This study has updated knowledge on the biodiversity of the Adriatic Sea, as well as of the Bari Canyon in particular, one of the sites designated as “jewels of the Mediterranean” for which urgent conservation measures are needed

Three-dimensional structure of β-cell-specific zinc transporter, ZnT-8, predicted from the type 2 diabetes-associated gene variant SLC30A8 R325W

<p>Abstract</p> <p>Background</p> <p>We examined the effects of the R325W mutation on the three-dimensional (3D) structure of the β-cell-specific Zn²⁺(zinc) transporter ZnT-8.</p> <p>Methods</p> <p>A model of the C-terminal domain of the human ZnT-8 protein was generated by homology modeling based on the known crystal structure of the <it>Escherichia coli </it>(<it>E. coli</it>) zinc transporter YiiP at 3.8 Å resolution.</p> <p>Results</p> <p>The homodimer ZnT-8 protein structure exists as a Y-shaped architecture with Arg325 located at the ultimate bottom of this motif at approximately 13.5 Å from the transmembrane domain juncture. The C-terminal domain sequences of the human ZnT-8 protein and the <it>E. coli </it>zinc transporter YiiP share 12.3% identical and 39.5% homologous residues resulting in an overall homology of 51.8%. Validation statistics of the homology model showed a reasonable quality of the model. The C-terminal domain exhibited an αββαβ fold with Arg325 as the penultimate N-terminal residue of the α2-helix. The side chains of both Arg325 and Trp325 point away from the interface with the other monomer, whereas the ε-NH₃⁺group of Arg325 is predicted to form an ionic interaction with the β-COO^-group of Asp326 as well as Asp295. An amino acid alignment of the β2-α2 C-terminal loop domain revealed a variety of neutral amino acids at position 325 of different ZnT-8 proteins.</p> <p>Conclusions</p> <p>Our validated homology models predict that both Arg325 and Trp325, amino acids with a helix-forming behavior, and penultimate N-terminal residues in the α2-helix of the C-terminal domain, are shielded by the planar surface of the three cytoplasmic β-strands and hence unable to affect the sensing capacity of the C-terminal domain. Moreover, the amino acid residue at position 325 is too far removed from the docking and transporter parts of ZnT-8 to affect their local protein conformations. These data indicate that the inherited R325W abnormality in SLC30A8 may be tolerated and results in adequate zinc transfer to the correct sites in the pancreatic islet cells and are consistent with the observation that the <it>SLC30A8 </it>gene variant R325W has a low predicted value for future type 2 diabetes at population-based level.</p

SLC30A3 Responds to Glucose- and Zinc Variations in ß-Cells and Is Critical for Insulin Production and In Vivo Glucose-Metabolism During ß-Cell Stress

BACKGROUND:Ion transporters of the Slc30A- (ZnT-) family regulate zinc fluxes into sub-cellular compartments. beta-cells depend on zinc for both insulin crystallization and regulation of cell mass. METHODOLOGY/PRINCIPAL FINDINGS:This study examined: the effect of glucose and zinc chelation on ZnT gene and protein levels and apoptosis in beta-cells and pancreatic islets, the effects of ZnT-3 knock-down on insulin secretion in a beta-cell line and ZnT-3 knock-out on glucose metabolism in mice during streptozotocin-induced beta-cell stress. In INS-1E cells 2 mM glucose down-regulated ZnT-3 and up-regulated ZnT-5 expression relative to 5 mM. 16 mM glucose increased ZnT-3 and decreased ZnT-8 expression. Zinc chelation by DEDTC lowered INS-1E insulin content and insulin expression. Furthermore, zinc depletion increased ZnT-3- and decreased ZnT-8 gene expression whereas the amount of ZnT-3 protein in the cells was decreased. Zinc depletion and high glucose induced apoptosis and necrosis in INS-1E cells. The most responsive zinc transporter, ZnT-3, was investigated further; by immunohistochemistry and western blotting ZnT-3 was demonstrated in INS-1E cells. 44% knock-down of ZnT-3 by siRNA transfection in INS-1E cells decreased insulin expression and secretion. Streptozotocin-treated mice had higher glucose levels after ZnT-3 knock-out, particularly in overt diabetic animals. CONCLUSION/SIGNIFICANCE:Zinc transporting proteins in beta-cells respond to variations in glucose and zinc levels. ZnT-3, which is pivotal in the development of cellular changes as also seen in type 2 diabetes (e.g. amyloidosis in Alzheimer's disease) but not previously described in beta-cells, is present in this cell type, up-regulated by glucose in a concentration dependent manner and up-regulated by zinc depletion which by contrast decreased ZnT-3 protein levels. Knock-down of the ZnT-3 gene lowers insulin secretion in vitro and affects in vivo glucose metabolism after streptozotocin treatment