Clinical disorders affecting mesopic vision

Vision in the mesopic range is affected by a number of inherited and acquired clinical disorders. We review these conditions and summarize the historical background, describing the clinical characteristics alongside the genetic basis and molecular biological mechanisms giving rise to rod and cone dysfunction relevant to twilight vision. The current diagnostic gold standards for each disease are discussed and curative and symptomatic treatment strategies are summarized

Re-Presenting Rossetti: The Art of Frank Cadogan Cowper

The art of Frank Cadogan Cowper is virtually unknown, yet his paintings attest to a post-modern presence in British art during the rise of High-Modernism. Cowper maintained a 19th-century style during the development of formalism and was not alone. The artist belongs to a wider, loosely formed group of marginal, British painters who drew inspiration from the art of Dante Gabriel Rossetti. Like Rossetti, Cowper was particularly fascinated with the cultural phenomenon of the femme fatale, whose iconography forms a pervasive motif in the artist\u27s oeuvre. Against the wider cultural context, one of the more salient transformations in social stratification during 1890-1914 is the emergence of the New Woman. Encoded in the artistic representations of Cowper is fear, yet fascination with female sexuality; his imagery throws into relief a set of interrelated preoccupations and anxieties, which are part of a larger ideological and artistic structure. This thesis offers the first analysis of Cowper\u27s paintings within England\u27s fin-de-siecle discourses on sexuality and art. Using Royal Academy archival letters written from Cowper to his mother during the early years of his career and through the study of his patrons, I position Cowper\u27s paintings within an interpretive framework. What emerges is an imaginative collision of ironic, irrational, yet traditional and highly decorative imagery, which engages with culture in a distinctive way. Yet, beyond the obvious cultural and artistic implications of Cowper\u27s many paintings, the artist\u27s imagery ultimately opposes the separation of art from life, a central theme of Post-modernity

JACIE accreditation for blood and marrow transplantation: past, present and future directions of an international model for healthcare quality improvement.

Blood and marrow transplantation (BMT) is a complex and evolving medical speciality that makes substantial demands on healthcare resources. To meet a professional responsibility to both patients and public health services, the European Society for Blood and Marrow Transplantation (EBMT) initiated and developed the Joint Accreditation Committee of the International Society for Cellular Therapy and EBMT-better known by the acronym, JACIE. Since its inception, JACIE has performed over 530 voluntary accreditation inspections (62% first time; 38% reaccreditation) in 25 countries, representing 40% of transplant centres in Europe. As well as widespread professional acceptance, JACIE has become incorporated into the regulatory framework for delivery of BMT and other haematopoietic cellular therapies in several countries. In recent years, JACIE has been validated using the EBMT registry as an effective means of quality improvement with a substantial positive impact on survival outcomes. Future directions include development of Europe-wide risk-adjusted outcome benchmarking through the EBMT registry and further extension beyond Europe, including goals to faciliate access for BMT programmes in in low- and middle-income economies (LMIEs) via a 'first-step' process

Idiopathic osteonecrosis of the medial tibial plateau

Osteonecrosis of the medial tibial plateau is characterized by acute pain on the medial aspect of the knee. Progression can lead to articular collapse and requires early diagnosis and treatment. We studied seven patients affected of idiopathic osteonecrosis of the tibial plateau. The mean age was 62 years and the mean follow-up 42 months. We performed roentgenograms in all patients, bone scans in three patients and magnetic resonance image (MRI) in five. MRI shows T1-weighted low-intensity signal and T2-weighted high-intensity signal with a surrounding area of intermediate low-intensity signal. An increased focal uptake was seen at bone scan. Histological findings showed necrotic bone with empty lacunae. Surgical treatment consisted of tibial subchondral drilling in four patients-two of them by failure of conservative treatment, and a total knee arthroplasty in other two. One patient had a satisfactory evolution with conservative treatment. Idiopathic osteonecrosis of the tibial plateau must be considered in elderly patients with knee pain over the medial tibial plateau. At early stages, decompression with tibial drilling must be considered. This procedure allows a prompt and effective relief of symptom

Müller glia provide essential tensile strength to the developing retina.

This is the final version of the article. It first appeared from the Rockefeller University Press via http://dx.doi.org/10.1083/jcb.201503115To investigate the cellular basis of tissue integrity in a vertebrate central nervous system (CNS) tissue, we eliminated Müller glial cells (MG) from the zebrafish retina. For well over a century, glial cells have been ascribed a mechanical role in the support of neural tissues, yet this idea has not been specifically tested in vivo. We report here that retinas devoid of MG rip apart, a defect known as retinoschisis. Using atomic force microscopy, we show that retinas without MG have decreased resistance to tensile stress and are softer than controls. Laser ablation of MG processes showed that these cells are under tension in the tissue. Thus, we propose that MG act like springs that hold the neural retina together, finally confirming an active mechanical role of glial cells in the CNS.This work was funded by a Herchel Smith Postdoctoral Fellowship to R.B.M., the Wellcome Trust programme in Developmental Biology to O.R. and J.O., NIH grants EY14358 (R.O.W.) and EY01730 (Vision Core), MRC Career Development Award and HFSP Young Investigator Grant to K.F., and a Wellcome Trust Investigator Award to W.A.H

Transitive and Gallai colorings

A Gallai coloring of the complete graph is an edge-coloring with no rainbow triangle. This concept first appeared in the study of comparability graphs and anti-Ramsey theory. We introduce a transitive analogue for acyclic directed graphs, and generalize both notions to Coxeter systems, matroids and commutative algebras. It is shown that for any finite matroid (or oriented matroid), the maximal number of colors is equal to the matroid rank. This generalizes a result of Erd\H{o}s-Simonovits-S\'os for complete graphs. The number of Gallai (or transitive) colorings of the matroid that use at most $k$ colors is a polynomial in $k$. Also, for any acyclic oriented matroid, represented over the real numbers, the number of transitive colorings using at most 2 colors is equal to the number of chambers in the dual hyperplane arrangement. We count Gallai and transitive colorings of the root system of type A using the maximal number of colors, and show that, when equipped with a natural descent set map, the resulting quasisymmetric function is symmetric and Schur-positive.Comment: 31 pages, 5 figure

Cause of Death and Predictors of All-Cause Mortality in Anticoagulated Patients With Nonvalvular Atrial Fibrillation : Data From ROCKET AF

M. Kaste on työryhmän ROCKET AF Steering Comm jäsen.Background-Atrial fibrillation is associated with higher mortality. Identification of causes of death and contemporary risk factors for all-cause mortality may guide interventions. Methods and Results-In the Rivaroxaban Once Daily Oral Direct Factor Xa Inhibition Compared with Vitamin K Antagonism for Prevention of Stroke and Embolism Trial in Atrial Fibrillation (ROCKET AF) study, patients with nonvalvular atrial fibrillation were randomized to rivaroxaban or dose-adjusted warfarin. Cox proportional hazards regression with backward elimination identified factors at randomization that were independently associated with all-cause mortality in the 14 171 participants in the intention-to-treat population. The median age was 73 years, and the mean CHADS(2) score was 3.5. Over 1.9 years of median follow-up, 1214 (8.6%) patients died. Kaplan-Meier mortality rates were 4.2% at 1 year and 8.9% at 2 years. The majority of classified deaths (1081) were cardiovascular (72%), whereas only 6% were nonhemorrhagic stroke or systemic embolism. No significant difference in all-cause mortality was observed between the rivaroxaban and warfarin arms (P=0.15). Heart failure (hazard ratio 1.51, 95% CI 1.33-1.70, P= 75 years (hazard ratio 1.69, 95% CI 1.51-1.90, P Conclusions-In a large population of patients anticoagulated for nonvalvular atrial fibrillation, approximate to 7 in 10 deaths were cardiovascular, whereasPeer reviewe