Transapical off-pump mitral valve repair with Neochord Implantation (TOP-MINI): step-by-step guide

open10openColli, Andrea; Zucchetta, Fabio; Torregrossa, Gianluca; Manzan, Erica; Bizzotto, Eleonora; Besola, Laura; Bellu, Roberto; Sarais, Cristiano; Pittarello, Demetrio; Gerosa, GinoColli, Andrea; Zucchetta, Fabio; Torregrossa, Gianluca; Manzan, Erica; Bizzotto, Eleonora; Besola, Laura; Bellu, Roberto; Sarais, Cristiano; Pittarello, Demetrio; Gerosa, Gin

Subjective evidence based ethnography: method and applications

Subjective Evidence Based Ethnography (SEBE) is a method designed to access subjective experience. It uses First Person Perspective (FPP) digital recordings as a basis for analytic Replay Interviews (RIW) with the participants. This triggers their memory and enables a detailed step by step understanding of activity: goals, subgoals, determinants of actions, decision-making processes, etc. This paper describes the technique and two applications. First, the analysis of professional practices for know-how transferring purposes in industry is illustrated with the analysis of nuclear power-plant operators’ gestures. This shows how SEBE enables modelling activity, describing good and bad practices, risky situations, and expert tacit knowledge. Second, the analysis of full days lived by Polish mothers taking care of their children is described, with a specific focus on how they manage their eating and drinking. This research has been done on a sub-sample of a large scale intervention designed to increase plain water drinking vs sweet beverages. It illustrates the interest of SEBE as an exploratory technique in complement to other more classic approaches such as questionnaires and behavioural diaries. It provides the detailed “how” of the effects that are measured at aggregate level by other techniques

Sterol 3β-glucosyltransferase biocatalysts with a range of selectivities, including selectivity for testosterone

The main objectives of this work were to characterise a range of purified recombinant sterol 3β-glucosyltransferases and show that rational sampling of the diversity that exists within sterol 3β-glucosyltransferase sequence space can result in a range of enzyme selectivities. In our study the catalytically active domain of the Saccharomyces cerevisiae 3β-glucosyltransferase was used to mine putative sterol 3β-glucosyltransferases from the databases. Selected diverse sequences were expressed in and purified from Escherichia coli and shown to have different selectivities for the 3β-hydroxysteroids ergosterol and cholesterol. Surprisingly, three enzymes were also selective for testosterone, a 17β-hydroxysteroid. This study therefore reports for the first time sterol 3β-glucosyltransferases with selectivity for both 3β- and 17β-hydroxysteroids and is also the first report of recombinant 3β-glucosyltransferases with selectivity for steroids with a hydroxyl group at positions other than C-3. These enzymes could therefore find utility in the pharmaceutical industry for the green synthesis of a range of glycosylated compounds of medicinal interest

Atmospheric forcing by ALADIN/MFSTEP and MFSTEP oriented tunings

International audienceALADIN/MFSTEP is a configuration of the numerical weather prediction (NWP) model ALADIN run in a dedicated real-time mode for the purposes of the MFSTEP Project. A special attention was paid to the quality of atmospheric fluxes used for the forcing of fine-scale oceanographic models. This paper describes the novelties applied in ALADIN/MFSTEP initiated by the MFSTEP demands, leading also to improvements in general weather forecasting

Experiential learning and simulation-based training in Norwegian police education: examining body-worn video as a tool to encourage reflection

This research article aims to add to current knowledge on reflection, body-worn video, and police education. It examines the potential effects of an intervention which employed subcams (a type of body-worn video) and replay interviews of video footage to enhance experiential learning during an operative training course for Norwegian police students in their final year of study. Our investigation examines evaluation surveys for differences between an intervention and comparison group on reflection and experiential learning outcomes. Findings indicate that students in the intervention group self-reported more general learning outcomes from the course concerning decision-making and communication and that they could identify their own mistakes to a greater degree. They also reported more learning outcomes as measured by the number of statements written about what they learned and would change to improve their performance on three different simulations. Moreover, the content of these statements reflected the intervention as they involved communication and decision-making to a greater degree than students in the comparison group. Implications for the further use of body-worn video to encourage reflection and enhance experiential learning in professional police training and development are discussed

Ventricular arrhythmias in young competitive athletes: Prevalence, determinants, and underlying substrate

Whether ventricular arrhythmias (VAs) represent a feature of the adaptive changes of the athlete's heart remains elusive. We aimed to assess the prevalence, determinants, and underlying substrates of VAs in young competitive athletes.Background--Whether ventricular arrhythmias (VAs) represent a feature of the adaptive changes of the athlete's heart remains elusive. We aimed to assess the prevalence, determinants, and underlying substrates of VAs in young competitive athletes. Method and Results--We studied 288 competitive athletes (age range, 16-35 years; median age, 21 years) and 144 sedentary individuals matched for age and sex who underwent 12-lead 24-hour ambulatory electrocardiographic monitoring. VAs were evaluated in terms of number, complexity (ie, couplet, triplet, or nonsustained ventricular tachycardia), exercise inducibility, and morphologic features. Twenty-eight athletes (10%) and 13 sedentary individuals (11%) showed > 10 isolated premature ventricular beats (PVBs) or 651 complex VA (P=0.81). Athletes with > 10 isolated PVBs or 651 complex VA were older (median age, 26 versus 20 years; P=0.008) but did not differ with regard to type of sport, hours of training, and years of activity compared with the remaining athletes. All athletes with > 10 isolated PVBs or 651 complex VA had a normal echocardiographic examination; 17 of them showing > 500 isolated PVBs, exercise-induced PVBs, and/or complex VA underwent additional cardiac magnetic resonance, which demonstrated nonischemic left ventricular late gadolinium enhancement in 3 athletes with right bundle branch block PVBs morphologic features. Conclusions--The prevalence of > 10 isolated PVBs or 651 complex VA at 24-hour ambulatory electrocardiographic monitoring did not differ between young competitive athletes and sedentary individuals and was unrelated to type, intensity, and years of sports practice. An underlying myocardial substrate was uncommon and distinctively associated with right bundle branch block VA morphologic features

Detection, analysis, and photocatalytic destruction of the freshwater taint compound geosmin.

A significant issue affecting the aquaculture and water industries is the presence of off-flavour compounds in water, which cause problems by imparting an undesirable earthy/musty flavour and smell to water and fish. Two predominant off-flavour compounds are geosmin (GSM) and 2-methylisoborneol (MIB). These compounds are produced by several varieties of cyanobacteria and actinomycetes as metabolic products and can be detected by humans at concentrations as low as 0.015 mg L-1. Removal of GSM and MIB from potable waters has proven to be inefficient using standard water treatment such as filtration, coagulation, flocculation, sedimentation and chlorination. Activated carbon and membrane processes can physically remove GSM and MIB, but do not destroy them, and ozone treatment can be expensive. Titanium dioxide (TiO2) photocatalysis has recently been demonstrated to rapidly degrade GSM and MIB. When the semiconductor catalyst is illuminated with ultraviolet light simultaneous oxidation and reduction reactions occur. Pollutants are broken down into mineral acids, carbon dioxide and water. This study was conducted to determine if TiO2 photocatalysis, using a pelleted form of TiO2 called Hombikat K01/C, was a suitable method for the treatment of potable water. Additionally an analytical method was developed to rapidily analyse the large number of samples generated. Two reactors, a bench scale batch reactor and pilot scale flow reactor, were developed and used to evaluate the efficacy of Hombikat K01/C TiO2 photocatalysis in degrading GSM. The batch reactor, containing Hombikat K01/C, was used to investigate the effect of numerous experimental variables on the photocatalysis of GSM, including initial substrate concentration, pH, light intensity, aeration rate, the presence of additional reactants, and catalysis conducted in deuterated water. GSM was rapidly degraded using the TiO2 batch reactor, with the rate of GSM degradation most affected by light intensity and additional reactants, though pH also had a notable effect. A kinetic isotope effect of 1.61 was observed for the destruction of GSM using Hombikat K01/C TiO2. The flow reactor was also found to efficiently degrade GSM in raw waters. The rate of GSM destruction was found to be significantly lowered by UV shielding of the catalyst, caused by constituents of raw the water used, and the presence of additional reactants. The pilot scale flow reactor was also successfully evaluated in Denmark using gesomin contaminated water from an eel far

Phytosociology applied to wildlife management - a study on the potentiality for the reintroduction of cervids in the Montemuro-Freita-Arada mountain range

Doutoramento em Engenharia Florestal e dos Recursos Naturais - Instituto Superior de AgronomiaThe aim of the present thesis was to assess the use of phytosociology in wildlife management. In Section II, as a case study, I investigated red deer (Cervus elaphus hispanicus) and roe deer (Capreolus capreolus) free ranging populations occurring in the Natural Park of Montesinho, northeast Portugal, using faecal-pellet counts to assess deer use of semi-natural meadows (lameiros) and forest communities. Phytosociological classification contributed to explain red deer spring selective use of meadows at finer scales and performed better than other clustering criteria for classifying vegetation patches. At the landscape level, composition of the neighbouring vegetation mosaic, topography, and meadow’s characteristics, as management status and dominant phytosociology, produced the best models for deer seasonal use of meadows. The forest use analysis revealed red and roe deer preference for oak forests over pine plantations, and habitat use overlapping between red and roe deer all year round. In Section III, I extrapolated the information gathered in Section II on deer use to build, for the Montemuro-Freita-Arada massif, a predictive map for roe deer use of meadows, showing a generally low use, with exception of isolated meadows closer to oak forest patche