Defect processes in orthorhombic LnBaCo2O5.5 double perovskites.

Static atomistic simulations based on the Born model were used to investigate intrinsic defect processes in orthorhombic LnBaCo(2)O(5.5) (Ln = Y, La, Pr, Nd, Sm, Gd, Dy, Ho, Er, and Yb) double perovskites. It was found that Ln/Ba antisite disorder is the lowest energy defect reaction, with the large Ln cations giving rise to smaller antisite energies. On the oxygen sublattice the oxygen Frenkel disorder dominates and also decreases in energy with increasing Ln cation size. The lowest energy oxygen vacancy and interstitial positions are in the LnO(0.5) and CoO(2) layers respectively. Interestingly, the calculations indicate that oxygen vacancies cluster with Ba antisite defects (occupying Ln sites). This suggests that the transport of oxygen vacancies will be influenced not only by the oxygen Frenkel energy but also the antisite energy. We propose that PrBaCo(2)O(5.5) most efficiently balances these two competing effects as it has an oxygen Frenkel energy of just 0.24 eV per defect combined with a high antisite energy (0.94 eV), which ensures that the A cation sublattice will remain more ordered.

Contributions of jewish surgeons in the United States.

The contributions of Jewish American surgeons in the nineteenth and early twentieth century at a time in which prejudice against ethnic and religious minorities was commonplace in the United States are detailed. The contributions of Jewish American surgeons and the positions they attained subsequent to a change in attitude toward religious minorities in the United States are presented as a comparison.

Water Renew systems: wastewater polishing using renewable energy crops.

Macronutrients concentrations were measured during the establishment year of short rotation coppice of Salix viminalis, Populus trichocarpa, Eucalyptus gunnii irrigated with secondary treated effluent. Twenty four plots of 12.25 m2 located in Cranfield, Bedfordshire, UK on heavy fine clay were drip-irrigated in order to maintain their soil moisture at field capacity. Soil water was sampled at 30 cm and 60 cm with soil water suction cup samplers fortnightly. Willow and eucalyptus received more than 900 mm of effluent corresponding to more than 290 kg-N/ha, 30 kg-P/ha and 220 kg-K/ha. Poplar and unplanted plots received less than 190 kg-N/ha, 17 kg-P/ha and 120 kg-K/ha. For soil water nitrogen concentrations as for potassium concentrations, there was an irrigation effect only on eucalyptus planted plots. On all plots, there was no significant effect of tree presence or species. There was no phosphorus measurable in soil water samples. Groundwater chemistry was unaffected by irrigation. Thus, intensive irrigation of short rotation coppice during the establishment year should not be considered as a major threat to groundwater quality. Willows and eucalyptus can absorb almost a third more effluent than poplar and unplanted plots without having any significant effect on soil water chemistry.

Franz John A. Torek.

Franz John A. Torek (1861 to 1938) is one of the pioneering surgeons in thoracic surgery. The son of German immigrants, he worked in the German (now Lenox Hill) Hospital in New York City. In 1913 he performed the first thoracic esophagectomy for cancer, and the patient survived for 12 years. We describe the surgical work and private life of Torek and recall the details of the groundbreaking operation.

Bioremediation of leachate from a green waste composting facility using waste-derived filter media.

The evaluation of two waste-derived materials used to treat compost leachate by biofiltration is described in this paper. Nine biofilters were constructed using 240 l, high density polyethylene containers. Three containers were filled without compaction with 200l of each of three types of filter media. Waste-derived filter media (compost and oversize) were compared to a mineral control (granite chips). The filters were fed with compost leachate from a typical green waste composting facility at hydraulic loading rates ranging from 0.05 m3/m3/day to 0.5 m3/m3/day over a period of twelve months. The oversize medium emerged as the most effective demonstrating characteristics of consistency of effluent quality and resilience to stress. The oversize medium produced an effluent of <10mg/l ammoniacal nitrogen on >95% of sampling occasions. The organic component of compost leachate was dominated by compounds that proved to be recalcitrant to biodegradation. The solids content of the treated effluent remained too high to be acceptable for direct discharge to a watercourse without further treatment and if discharge to a watercourse is to be considered, a polishing stage (e.g., reed bed) able to remove solids and dampen occasional peaks of ammoniacal nitrogen should be employed.

Hydroxychloroquine-induced toxic myopathy causing respiratory failure.

Chloroquine and hydroxychloroquine (HCQ) are commonly prescribed antimalarial agents used for a variety of systemic diseases. HCQ neuromyotoxicity is a rare complication characterized by proximal muscle weakness, normal creatinine kinase levels, and characteristic ultrastructural changes on muscle biopsy of curvilinear body formation. In this report, we describe a patient with rheumatoid arthritis and respiratory failure associated with proximal myopathy secondary to HCQ. Characteristic changes on muscle biopsy were present. Patients treated with HCQ in whom proximal myopathy, neuropathy, or cardiomyopathy develop should be evaluated for possible HCQ toxicity. Clinicians should be aware of this unusual complication of antimalarials, as discontinuation of the agent may result in clinical improvement.

Economic evaluation of minimally invasive colectomy.

BACKGROUND: We performed a cost-benefit analysis of minimally invasive colectomy (MIC) with the appreciation that this approach extends the duration of the operation and requires additional instruments and equipment when compared with the open procedure. These negatives may be offset by decreased pain, earlier initiation of oral feeding, and a shorter hospitalization. STUDY DESIGN: We reviewed operating room records of all open colectomies (OCs) and MICs performed at Strong Memorial Hospital between January 1, 2000, and March 31, 2004, as defined by CPT codes. Operating room times, total operating room costs, lengths of hospital stay, and total hospital costs were calculated for each procedure. RESULTS: Sixty-eight right hemicolectomies (54 OCs and 14 MICs) were performed. Operating room time was significantly longer for MIC compared with OC (214 +/- 41 minutes versus 170 +/- 56 minutes, p = 0.01). Length of hospital stay was shorter for MIC compared with OC (4.5 +/- 1.3 days versus 7.4 +/- 2.5 days, p = 0.004). There were 131 left hemicolectomies (104 OCs and 27 MICs) performed. Operating room time was significantly longer for left MIC compared with left OC (256 +/- 46 minutes versus 213 +/- 60 minutes, p = 0.005). Length of hospital stay was shorter for left MIC than for left OC (4.4 +/- 1.3 days versus 7.9 +/- 3.0 days, p = 0.001). Total hospital costs were significantly lower for MIC compared with OC (8,580 US dollars +/- 1,358 US dollars versus 10,303 US dollars +/- 3,299 US dollars, p = 0.046). CONCLUSIONS: MIC is associated with a significantly longer operating room time and a shorter hospital stay than OC. Operating room cost is significantly higher for MIC, but total hospital cost is lower. MIC is cost effective and results in significant savings to the health-care system.

The discovery of insulin: the Rochester, New York, connection.

The discovery of insulin in Toronto by Dr. Frederick G. Banting and colleagues has been well chronicled. The story of how insulin therapy was introduced into the United States has been less detailed. The first patient to be treated with insulin in the United States resided in Rochester, New York, a city with a then newly developed medical school that had also tried to recruit Dr. Banting. A series of letters from that period provides a description of the course of a juvenile patient with diabetes before and after the use of insulin as a therapeutic agent.

Survival of viruses on fresh produce, using MS2 as a surrogate for norovirus.

AIMS: To study the survival and removal of viruses from fresh fruit and vegetables using the bacteriophage MS2 as a potential surrogate for noroviruses. METHOD AND RESULTS: Survival of MS2 in buffer and on fresh produce was studied at 4, 8 and 22 degrees C. At 4 and 8 degrees C a reduction of <1 log10 was observed after 50 days in buffer; however a reduction in excess of 1 log10 occurred within 9 days at 22 degrees C. Similar results were obtained with fresh produce with virus survival times exceeding the shelf life of the produce. In washing experiments, using a chlorine wash (100 ppm), in all but one case <1.5 log10 MS2 bacteriophage was removed from fruit and vegetables. The mean across all produce types was 0.89 log10. With potable water, reduction was lower (0.3 log mean across all produce types). CONCLUSIONS: MS2 survived for prolonged periods, both in buffer and on fresh produce, at temperatures relevant to chilled foods. It was not removed effectively by chlorine washing. SIGNIFICANCE AND IMPACT OF THE STUDY: Bacteriophage MS2 has been evaluated as a potential surrogate for noroviruses on fresh produce. Experimental results together with current knowledge of norovirus resistance and survival indicate that MS2 could be used as an effective surrogate in future evaluations.