Techniques for Mitral Valve Re-repair.

The emergence of mitral valve repair as the preferred treatment for severe mitral regurgitation (MR) caused by degenerative disease has been accompanied by an increasing number of valve repair failures seen by surgeons. Consequently, the feasibility of valve re-repair vs valve replacement at the time of reoperation has become a valid clinical consideration. In this report we explore the mechanisms of mitral valve repair failure as well as factors that meaningfully influence the likelihood of a successful re-repair.

Clinical outcomes associated with retrograde arterial perfusion in minimally invasive mitral valve surgery: a systematic review.

Introduction: Given several reports of an increased neurologic risk with retrograde arterial perfusion in minimally invasive mitral valve surgery, we sought to identify and synthesize the best available evidence on the influence of perfusion strategy on post-operative clinical outcomes in this population.

Methods: A systematic search of PubMed, EMBASE, MEDLINE, and Cochrane library databases was performed to identify publications comparing clinical outcomes associated with antegrade and retrograde arterial perfusion in minimally invasive mitral valve surgery. Pre-specified outcomes of interest were neurologic events, mortality, and renal failure.

Not all checking decreases memory confidence: Implications for obsessive-compulsive disorder.

Background And Objectives: Repetitive checking, a frequently reported compulsive behavior associated with obsessive-compulsive disorder (OCD), may, at least in part, result from a lack of memory confidence. Surprisingly, numerous studies have shown that when participants repeatedly perform an action and check that they performed it correctly, memory confidence decreases across repetitions, suggesting that repeated checking produces memory distrust. It is not clear, however, whether the checking component of each trial is critical for the decrease in confidence to occur.

Use of the Impella 5.0 Device as a Bridge to Recovery in Adult Fulminant Viral Myocarditis.

We present a case of a 48-year-old female patient successfully bridged to recovery with the Impella 5.0 microaxial pump (Abiomed, Danvers, MA USA) after presenting with cardiogenic shock secondary to acute fulminant viral myocarditis. After 1 week of flu-like symptoms, the patient presented to her community emergency department with chest pain and hypotension.

Long-term patency of endoscopically harvested radial arteries: from a randomized controlled trial.

Objective: From 2005 to 2007, 119 patients were enrolled in a prospective randomized controlled trial comparing open and endoscopically harvested radial arteries for coronary artery bypass grafting. The objective of the current study was to compare graft patency between intervention groups at more than 5 years from the initial trial. We hypothesized that endoscopically harvested radial arteries would show equivalent patency to those conventionally harvested.

Single-stage hybrid coronary revascularization with long-term follow-up.

Objectives: Hybrid coronary revascularization, performing a left internal thoracic artery (LITA) to left anterior descending (LAD) bypass followed by percutaneous coronary intervention (PCI) in a non-LAD coronary artery lesion, represents an evolving revascularization strategy. It utilizes the survival benefit of the LITA-to-LAD bypass, while providing complete revascularization with PCI to a non-critical vessel to decrease procedural morbidity. However, quantitative patency results and clinical outcomes remain understudied.

Dying scenarios improve recall as much as survival scenarios.

Merely contemplating one's death improves retention for entirely unrelated material learned subsequently. This "dying to remember" effect seems conceptually related to the survival processing effect, whereby processing items for their relevance to being stranded in the grasslands leads to recall superior to that of other deep processing control conditions. The present experiments directly compared survival processing scenarios with "death processing" scenarios.

Dying to remember, remembering to survive: mortality salience and survival processing.

Processing items for their relevance to survival improves recall for those items relative to numerous other deep processing encoding techniques. Perhaps related, placing individuals in a mortality salient state has also been shown to enhance retention of items encoded after the morality salience manipulation (e.g.

Adaptive memory: the survival scenario enhances item-specific processing relative to a moving scenario.

Nairne, Thompson, and Pandeirada (2007) found that retention of words rated for their relevance to survival is superior to that of words encoded under numerous other deep processing conditions. They suggested that our memory systems might have evolved to confer an advantage for survival-relevant information. Burns, Burns, and Hwang (2011) suggested a two-process explanation of the proximate mechanisms responsible for the survival advantage.

Large-scale analysis of high-speed atomic force microscopy data sets using adaptive image processing.

Modern high-speed atomic force microscopes generate significant quantities of data in a short amount of time. Each image in the sequence has to be processed quickly and accurately in order to obtain a true representation of the sample and its changes over time. This paper presents an automated, adaptive algorithm for the required processing of AFM images.

Nothing concentrates the mind: thoughts of death improve recall.

It seems likely that awareness of one's mortality is in some respects advantageous (e.g., because it helps individuals forestall death), but little research has explored the psychological mechanisms that might confer such an advantage.

Adaptive memory: determining the proximate mechanisms responsible for the memorial advantages of survival processing.

J. S. Nairne, S.

Falsely recalled items are rich in item-specific information.

Current theorizing suggests that critical lures in the Deese/Roediger-McDermott (DRM) procedure are often falsely remembered because they have received considerable relational processing (e.g., spreading activation or encoding of gist information).

The simultaneous learning effect: why does simultaneous task learning improve retention?

Despite the prevalence of encoding variables that have been shown to influence the rate of learning, very few affect the rate of forgetting of verbal material. However, when a list of words is learned simultaneously with other lists, the rate of forgetting is markedly lower than that of single-task learning. Although the magnitude of this simultaneous learning effect is large compared with typical list learning effects, it has received little empirical attention.

An item gains and losses analysis of false memories suggests critical items receive more item-specific processing than list items.

In a repeated testing paradigm, list items receiving item-specific processing are more likely to be recovered across successive tests (item gains), whereas items receiving relational processing are likely to be forgotten progressively less on successive tests. Moreover, analysis of cumulative-recall curves has shown that item-specific processing produces a slower, but steadier rate of recall than relational processing. The authors relied on these findings to determine the type of processing that both list items and critical lures receive in the Deese-Roediger-McDermott false memory procedure.

Using cumulative-recall curves to assess the extent of relational and item-specific processing.

Although distinguishing between item-specific and relational information has proved to be a useful approach for understanding a variety of important memory phenomena, finding measurement tools for assessing the amount and type of information processed has proven difficult. Using the repeated-testing procedure, Burns (1993) demonstrated that item gains (the recall of items on a later test that were not recalled on earlier tests) and item losses (the forgetting of items on a later test that were recalled on earlier tests) reflected differences in amount of item-specific and relational information processed, respectively. Although several researchers have begun to use the measures with apparent success, the present research demonstrates that the accuracy of the item-gain measure is largely dependent on the rather arbitrary choice of recall-test length.

The simultaneous acquisition effect: simultaneous task learning inhibits memory for order.

Delayed recall of a list of words learned simultaneously with other lists is superior to that of a list of words learned singly. A Brown-Peterson-like task was used to investigate this simultaneous acquisition effect from the perspective of the item-order distinction. It was hypothesized that simultaneous task learning would impede the encoding of order information but promote the encoding of item-specific information relative to single-task learning.