robability of death.Tropical cyclones have large effects on marine ecosystems through direct (e.g., storm surge) and indirect (e.g., nutrient runoff) effects. Given their intensity, understanding their effects on the marine environment is an important goal for conservation and resource management. In June 2012, Tropical Storm Debby impacted coastal Florida including Tampa Bay. Acoustic recorders were deployed prior to the storm at a shallow water location inside Tampa Bay and a deeper water location in the Gulf of Mexico. Ambient noise levels were significantly higher during the storm, and the highest increases were observed at lower frequencies (≤ 500 Hz). Although the storm did not directly hit the area, mean ambient noise levels were as high as 13.5 dB RMS above levels in non-storm conditions. At both the shallow water and the deep water station, the rate of fish calls showed a variety of patterns over the study period, with some rates decreasing during the storm and others showing no apparent reaction. The rates of fish calls were frequently correlated with storm conditions (storm surge, water temperature), but also with lunar cycle. Reactions to the storm were generally stronger in the inshore station, although fish sounds increased quickly after the storm’s passage. Although this was not a major tropical cyclone nor a direct hit on the area, the storm did appear to elicit a behavioral response from the fish community, and ambient noise levels likely limited the abilities of marine species to use sound for activities such as communication. Given the increases in intensity and rainfall predicted for tropical cyclones due to climate change, further studies of the ecological effects of tropical cyclones are needed.Network connectivity has been thoroughly investigated in several domains, including physics, neuroscience, and social sciences. This work tackles the possibility of characterizing the topological properties of real-world networks from a quantum-inspired perspective. Starting from the normalized Laplacian of a network, we use a well-defined procedure, based on the dressing transformations, to derive a 1-dimensional Schrödinger-like equation characterized by the same eigenvalues. We investigate the shape and properties of the potential appearing in this equation in simulated small-world and scale-free network ensembles, using measures of fractality. Besides, we employ the proposed framework to compare real-world networks with the Erdős-Rényi, Watts-Strogatz and Barabási-Albert benchmark models. Reconstructed potentials allow to assess to which extent real-world networks approach these models, providing further insight on their formation mechanisms and connectivity properties.

Pulmonary rehabilitation (PR) is not very often used by physicians in Lebanon despite evidence on its positive effects on health-related quality of life.

This study assesses the knowledge, attitudes and practices of PR among physicians in Lebanon. In addition, the study identifies the main barriers to access to PR according to chest physicians. Insight into these issues will help to increase awareness about the need for PR programs and can contribute to designing such programs in the country.

A survey was conducted during the regional conference of the Lebanese Pulmonary Society. One week after the initial survey, the survey questionnaire was sent by email to all chest physicians who were registered with the Lebanese Pulmonary Society but did not attend the conference. A 25-item questionnaire was used to collect information on PR.

Responses were analyzed using descriptive statistics. The response rate was 40%. Results show that only one-third of Lebanese chest physicians have good knowledge about the nature and multidisciplinary content of PR. Physicians generally support the current “Pulmonary Rehabilitation Program” in Beirut. Key barriers found are the lack of referral, lack of motivation by patients due to their health, cost of care and lack of qualified health care specialists in Lebanon.

Absence of awareness and education about PR among healthcare providers plays an important role in increasing access to the “Pulmonary Rehabilitation Program”. Awareness campaigns and education for physicians, health care professionals and patients should be considered to increase PR in the country.

Absence of awareness and education about PR among healthcare providers plays an important role in increasing access to the “Pulmonary Rehabilitation Program”. Awareness campaigns and education for physicians, health care professionals and patients should be considered to increase PR in the country.

Gastric cancer (GC) patients frequently develop peritoneal metastasis. Recently, it has been reported that peritoneal mesothelial cells (PMCs) activated by GC cells acquire a migratory capacity and promote GC cell invasion. The invasiveness of PMCs reportedly depends on the activity of Tks5, an adaptor protein required for invadopodia formation. However, the relationship between clinicopathologic features and Tks5 expression in PMCs has been poorly documented. In this study, we evaluated the clinicopathologic significance of the Tks5 expression of PMCs in GC patients.

A total of 110 GC patients who underwent gastrectomy were enrolled in this study. Tks5 expressions in PMCs from the greater omentum, lesser omentum and retroperitoneum were evaluated by immunohistochemistry. We analyzed the correlation between Tks5 expressions in PMCs and the patients’ clinicopathologic features.

Tks5 expression was found in 71 (64.5%) of the 110 patients, while 39 (35.5%) were Tks5-negative. Tks5 positivity was significantly (p = 0.038) associated with a greater tumor depth (i.e., T3/4 compared with T1/T2). Peritoneal recurrence was found in 12 of 98 cases within 3 years of surgery. The 3-year peritoneal recurrence-free survival (PRFS) rate in Tks5-positive cases was significantly poorer than that in Tks5-negative cases (80.1% vs 97.4%, p = 0.024). Multivariate analysis revealed that Tks5 positivity and lymph node metastasis were independent factors for PRFS.

Tks5 is frequently expressed in PMCs in advanced-stage gastric cancer. UGT8-IN-1 Tks5 might be a useful predictor for peritoneal recurrence in GC patients.

Tks5 is frequently expressed in PMCs in advanced-stage gastric cancer. Tks5 might be a useful predictor for peritoneal recurrence in GC patients.