Minimally Invasive Mitral Valve Surgery III: Training and Robotic-Assisted Approaches.

Minimally invasive mitral valve operations are increasingly common in the United States, but robotic-assisted approaches have not been widely adopted for a variety of reasons. This expert opinion reviews the state of the art and defines best practices, training, and techniques for developing a successful robotics program

Minimally Invasive Mitral Valve Surgery I: Patient Selection, Evaluation, and Planning.

Widespread adoption of minimally invasive mitral valve repair and replacement may be fostered by practice consensus and standardization. This expert opinion, first of a 3-part series, outlines current best practices in patient evaluation and selection for minimally invasive mitral valve procedures, and discusses preoperative planning for cannulation and myocardial protection

Minimally Invasive Mitral Valve Surgery II: Surgical Technique and Postoperative Management.

Techniques for minimally invasive mitral valve repair and replacement continue to evolve. This expert opinion, the second of a 3-part series, outlines current best practices for nonrobotic, minimally invasive mitral valve procedures, and for postoperative care after minimally invasive mitral valve surgery

The High Angular Resolution Multiplicity of Massive Stars

We present the results of a speckle interferometric survey of Galactic massive stars that complements and expands upon a similar survey made over a decade ago. The speckle observations were made with the KPNO and CTIO 4 m telescopes and USNO speckle camera, and they are sensitive to the detection of binaries in the angular separation regime between 0.03" and 5" with relatively bright companions (Delta V < 3). We report on the discovery of companions to 14 OB stars. In total we resolved companions of 41 of 385 O-stars (11%), 4 of 37 Wolf-Rayet stars (11%), and 89 of 139 B-stars (64%; an enriched visual binary sample that we selected for future orbital determinations). We made a statistical analysis of the binary frequency among the subsample that are listed in the Galactic O Star Catalog by compiling published data on other visual companions detected through adaptive optics studies and/or noted in the Washington Double Star Catalog and by collecting published information on radial velocities and spectroscopic binaries. We find that the binary frequency is much higher among O-stars in clusters and associations compared to the numbers for field and runaway O-stars, consistent with predictions for the ejection processes for runaway stars. We present a first orbit for the O-star Delta Orionis, a linear solution of the close, apparently optical, companion of the O-star Iota Orionis, and an improved orbit of the Be star Delta Scorpii. Finally, we list astrometric data for another 249 resolved and 221 unresolved targets that are lower mass stars that we observed for various other science programs.Comment: 76 pages, 6 figures, 11 table

The Visual Orbit of the 1.1-day Spectroscopic Binary \sigma^2 Coronae Borealis from Interferometry at the CHARA Array

We present an updated spectroscopic orbit and a new visual orbit for the double-lined spectroscopic binary \sigma^2 Coronae Borealis based on radial velocity measurements at the Oak Ridge Observatory in Harvard, Massachusetts and interferometric visibility measurements at the CHARA Array on Mount Wilson. \sigma^2 CrB is composed of two Sun-like stars of roughly equal mass in a circularized orbit with a period of 1.14 days. The long baselines of the CHARA Array have allowed us to resolve the visual orbit for this pair, the shortest period binary yet resolved interferometrically, enabling us to determine component masses of 1.137 \pm 0.037 M_sun and 1.090 \pm 0.036 M_sun. We have also estimated absolute V-band magnitudes of MV (primary) = 4.35 \pm 0.02 and MV(secondary) = 4.74 \pm 0.02. A comparison with stellar evolution models indicates a relatively young age of 1-3 Gyr, consistent with the high Li abundance measured previously. This pair is the central component of a quintuple system, along with another similar-mass star, \sigma^1 CrB, in a ~ 730-year visual orbit, and a distant M-dwarf binary, \sigma CrB C, at a projected separation of ~ 10 arcmin. We also present differential proper motion evidence to show that components C & D (ADS 9979C & D) listed for this system in the Washington Double Star Catalog are optical alignments that are not gravitationally bound to the \sigma CrB system.Comment: 40 pages, 14 figures. Accepted by Ap

Unc-51/ATG1 Controls Axonal and Dendritic Development via Kinesin-Mediated Vesicle Transport in the Drosophila Brain

Background:Members of the evolutionary conserved Ser/Thr kinase Unc-51 family are key regulatory proteins that control neural development in both vertebrates and invertebrates. Previous studies have suggested diverse functions for the Unc-51 protein, including axonal elongation, growth cone guidance, and synaptic vesicle transport.Methodology/Principal Findings:In this work, we have investigated the functional significance of Unc-51-mediated vesicle transport in the development of complex brain structures in Drosophila. We show that Unc-51 preferentially accumulates in newly elongating axons of the mushroom body, a center of olfactory learning in flies. Mutations in unc-51 cause disintegration of the core of the developing mushroom body, with mislocalization of Fasciclin II (Fas II), an IgG-family cell adhesion molecule important for axonal guidance and fasciculation. In unc-51 mutants, Fas II accumulates in the cell bodies, calyx, and the proximal peduncle. Furthermore, we show that mutations in unc-51 cause aberrant overshooting of dendrites in the mushroom body and the antennal lobe. Loss of unc-51 function leads to marked accumulation of Rab5 and Golgi components, whereas the localization of dendrite-specific proteins, such as Down syndrome cell adhesion molecule (DSCAM) and No distributive disjunction (Nod), remains unaltered. Genetic analyses of kinesin light chain (Klc) and unc-51 double heterozygotes suggest the importance of kinesin-mediated membrane transport for axonal and dendritic development. Moreover, our data demonstrate that loss of Klc activity causes similar axonal and dendritic defects in mushroom body neurons, recapitulating the salient feature of the developmental abnormalities caused by unc-51 mutations.Conclusions/Significance:Unc-51 plays pivotal roles in the axonal and dendritic development of the Drosophila brain. Unc-51-mediated membrane vesicle transport is important in targeted localization of guidance molecules and organelles that regulate elongation and compartmentalization of developing neurons

Human Cytomegalovirus UL29/28 Protein Interacts with Components of the NuRD Complex Which Promote Accumulation of Immediate-Early RNA

Histone deacetylation plays a pivotal role in regulating human cytomegalovirus gene expression. In this report, we have identified candidate HDAC1-interacting proteins in the context of infection by using a method for rapid immunoisolation of an epitope-tagged protein coupled with mass spectrometry. Putative interactors included multiple human cytomegalovirus-coded proteins. In particular, the interaction of pUL38 and pUL29/28 with HDAC1 was confirmed by reciprocal immunoprecipitations. HDAC1 is present in numerous protein complexes, including the HDAC1-containing nucleosome remodeling and deacetylase protein complex, NuRD. pUL38 and pUL29/28 associated with the MTA2 component of NuRD, and shRNA-mediated knockdown of the RBBP4 and CHD4 constituents of NuRD inhibited HCMV immediate-early RNA and viral DNA accumulation; together this argues that multiple components of the NuRD complex are needed for efficient HCMV replication. Consistent with a positive acting role for the NuRD elements during viral replication, the growth of pUL29/28- or pUL38-deficient viruses could not be rescued by treating infected cells with the deacetylase inhibitor, trichostatin A. Transient expression of pUL29/28 enhanced activity of the HCMV major immediate-early promoter in a reporter assay, regardless of pUL38 expression. Importantly, induction of the major immediate-early reporter activity by pUL29/28 required functional NuRD components, consistent with the inhibition of immediate-early RNA accumulation within infected cells after knockdown of RBBP4 and CHD4. We propose that pUL29/28 modifies the NuRD complex to stimulate the accumulation of immediate-early RNAs

Minimally Invasive Mitral Valve Surgery III: Training and Robotic-Assisted Approaches.

Minimally invasive mitral valve operations are increasingly common in the United States, but robotic-assisted approaches have not been widely adopted for a variety of reasons. This expert opinion reviews the state of the art and defines best practices, training, and techniques for developing a successful robotics program