Introduction: We evaluated and compared five currently available energy-based vessel sealing devices to assess typical surgical metrics.Methods: We tested Caiman 5 (C5), Harmonic Scalpel Ace Plus (HA), Harmonic Ace +7 (HA7), LigaSure (LS), and Enseal G2 (ES) on small (2–5 mm), medium (5.1–7 mm), and large (7.1–9 mm) vessels obtained from 15 Yorkshire pigs. Vessels were randomly sealed and transected. We recorded sealing and transection time, charring and carbonization, thermal spread, and bursting pressure (BP). Specimens were sent for histopathologic evaluation of seal quality and thermal spread.Results: A total of 246 vessels were evaluated: 125 were arteries and 121 were veins. There was no difference in BPs for small size arteries. For medium arteries, C5 provided the highest BP (proximal and distal jaw), followed by HA7, ES, LS, and HA [1740, 1600, 1165, 1165, 981, and 571 mm Hg, respectively, HA250 mm Hg.

Across their North American range, grizzly bears (Ursus arctos) occupy a special place in human imagination, as icons of nature's rugged and raw power, to representations of safety risks and economic costs of living with carnivores. Different bear representations can also be found across news media, from controversial and sensational descriptions of attacks, tragic events and conflicts, to scientific accounts of conservation research. News media certainly has the power to pique curiosity, spark debate, or elicit emotional responses through framing and repetition of content. In turn, news stories can influence how people might interpret and internalize information about grizzly bears. Using media content analysis, we examined newsprint stories on grizzly bears across their North American range between 2000 and 2016, to understand message framing and attention cycle, as well as attitudinal expression and representative anecdote conveyed to the readership. We found that human–bear conflict stories are over‐reported compared to other narratives, where a single incidence garners more attention than a story about new scientific findings. We also found articles that included hunting frames largely originated in Alberta, likely due to the threatened species listing and hunting moratorium. Attitudinal expressions included ecological, negative or neutral, and moral sentiments toward bears. The most common representative anecdote conveyed to the readership reflected the dire state faced by grizzly bears. The bear eco‐gossip expressed in the articles we reviewed, which included clear protagonists and antagonists and the occasional man‐bites‐bear surprise, appears to be the diet of manufactured information fed to the public. Results of our study can help scientists and conservationists understand how news media portrays grizzly bears to the public and how this might influence public sentiment toward their conservation, but also identifies the roles that scientists, conservationists and journalists together can play in crafting effective, factual and engaging news stories about bears.

In this pilot study, 3D printed stents manifested a mean total flow rate comparable to the flow rates of contemporary stents. Continued advances in technology and material may permit functionally feasible 3D printed ureteral stents.

OBJECTIVE The summer surgery program (SSP) was founded in 2012 as an educational program for students at the critical juncture between high school and college to engender interest in medicine, science, and innovation. This program has a distinct emphasis on innovation and problem solving based on real-life operative challenges identified by students during surgical observation in the operating room. The effect of the SSP regarding postsecondary education and career goals was evaluated by participants using a follow-up questionnaire. DESIGN Retrospective cohort study using web-based survey administered to students at least 1 year after participation in the SSP. Associations between demographics and survey responses were made using Fisher’s exact test and a Bonferonni correction was used to account for multiple comparisons. PARTICIPANTS Between July 2012 and August 2015, 119 students enrolled in the SSP. We sent a web-based questionnaire link to all participants who completed the program. The questionnaire contained 80 questions assessing the participant’s interest in studying medicine or science in college, knowledge of health care, and their appreciation and understanding of innovation. SETTING UC Irvine Medical Center, Orange, CA; Institutional tertiary care center. RESULTS In total, 77 (64.7%) of 119 students who matriculated in the SSP completed the follow-up survey; the mean number of years after the program was 2.09 years. Nearly all students reported the program increased their interest in studying medicine or science in college (97.4%), led them to a better understanding of their own career goals (93.5%) and made them more confident in their ability to succeed in a career in health care (88.3%). The majority indicated the program led them to better understand the training and schooling required of doctors and surgeons (94.8%), and led them to better appreciate the roles of different medical specialties (96.1%). Overall 96% of students reported that the program led them to better understand the importance of innovation and 86% of the respondents noted they better understood the process of innovation. Participants in the SSP were confident they would be able to become a health professional (p < 0.0001). Of note, there was no drop off in the ratings for the program when comparing classes that were 1, 2, 3, or 4 years after their SSP experience. CONCLUSIONS The follow-up survey revealed that the 2 week SSP had a markedly, long lasting positive effect on participants in areas of academic, career, and innovation-related variables.

We demonstrated the feasibility of creation of a functionally anephric porcine model with successful development of retroperitoneal spaces using balloon inflation. Notwithstanding minimal clearance and limited diffusion capacity in this experiment, additional studies are needed to examine potential use of retroperitoneal space for peritoneal dialysis.