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The Eastern Mediterranean is the most seismically active region in Europe due to the complex interactions of the Arabian, African, and Eurasian tectonic plates. Deformation is achieved by faulting in the brittle crust, distributed flow in the viscoelastic lower-crust and mantle, and Hellenic subduction, but the long-term partitioning of these mechanisms is still unknown. We exploit an extensive suite of geodetic observations to build a kinematic model connecting strike-slip deformation, extension, subduction, and shear localization across Anatolia and the Aegean Sea by mapping the distribution of slip and strain accumulation on major active geological structures. We find that tectonic escape is facilitated by a plate-boundary-like, trans-lithospheric shear zone extending from the Gulf of Evia to the Turkish-Iranian Plateau that underlies the surface trace of the North Anatolian Fault. Additional deformation in Anatolia is taken up by a series of smaller-scale conjugate shear zones that reach the upper mantle, the largest of which is located beneath the East Anatolian Fault. Rapid north–south extension in the western part of the system, driven primarily by Hellenic Trench retreat, is accommodated by rotation and broadening of the North Anatolian mantle shear zone from the Sea of Marmara across the north Aegean Sea, and by a system of distributed transform faults and rifts including the rapidly extending Gulf of Corinth in central Greece and the active grabens of western Turkey. Africa–Eurasia convergence along the Hellenic Arc occurs at a median rate of 49.8 mm yr–1 in a largely trench-normal direction except near eastern Crete where variably oriented slip on the megathrust coincides with mixed-mode and strike-slip deformation in the overlying accretionary wedge near the Ptolemy–Pliny–Strabo trenches. Our kinematic model illustrates the competing roles the North Anatolian mantle shear zone, Hellenic Trench, overlying mantle wedge, and active crustal faults play in accommodating tectonic indentation, slab rollback and associated Aegean extension. Viscoelastic flow in the lower crust and upper mantle dominate the surface velocity field across much of Anatolia and a clear transition to megathrust-related slab pull occurs in western Turkey, the Aegean Sea and Greece. Crustal scale faults and the Hellenic wedge contribute only a minor amount to the large-scale, regional pattern of Eastern Mediterranean interseismic surface deformation. [ABSTRACT FROM AUTHOR]

In 2010, 41 patients ill with Escherichia coli O157:H7 isolates determined to be indistinguishable by pulsed-field g electrophoresis were identified among residents of five Southwestern U.S. states. A majority of patients reported consuming complimentary samples of aged raw-milk Gouda cheese at national warehouse chain store locations; sampling Gouda cheese was significantly associated with illness (odds ratio, 9.0; 95% confidence interval, 1.7 to 47). Several Gouda samples yielded the O 157:H7 outbreak strain, confirming the food vehicle and source of infections. Implicated retail food-sampling operations were inconsistently regulated among affected states, and sanitation deficiencies were common among sampling venues. Inspection of the cheese manufacturer indicated deficient sanitation practices and insufficient cheese curing times. Policymakers should continue to reexamine the adequacy and enforcement of existing rules intended to ensure the safety of raw-milk cheeses and retail food sampling. Additional research is necessary to clarify the food safety hazards posed to patrons who consume free food samples while shopping. [ABSTRACT FROM AUTHOR]

Little research is available on the muscle activity patterns of the lower extremity muscles during dynamic closed chain squatting activities. The purpose of this study was to examine the effect of lower extremity position during an Olympic squat on the muscle activity patterns of the vastus medialis, vastus lateralis, semimembranosus/semitendinosus, and biceps femoris. Twenty-five healthy, untrained subjects, 18-35 years old, were randomly assigned initial squatting positions of either self-selected neutral or 30 degrees of lower extremity turn-out from the self-selected neutral position. Surface electromyography and motion analysis data were collected simultaneously in 10 degrees intervals and analyzed from 10-60 degrees of knee flexion in both the ascending and descending phases of the squat. A four-way analysis of variance indicated that the main effect of lower extremity position and the interaction of extremity position and knee joint angles were not found to cause significant changes in muscle activity patterns. Significant changes in muscle activity did occur with changes in knee flexion angles in the vastus medialis and vastus lateralis but not in the semimembranosus/semitendinosus or biceps femoris.

Purpose: To analyze the organizational development and implementation of an interdisciplinary health promotion project at the University of New Mexico. The effort involved three academic units in a 3-year externally funded project to institutionalize health promotion curricula in the respective schools and to develop a wellness-oriented service for students, faculty, and staff., Methods: The open systems theory was used as a framework to analyze the organizational and role issues that emerged from the data collected through interviews, staff surveys, and document review. The analysis is summarized by five thematic questions: (1) How did the project's vision affect its development? (2) How was leadership enacted, and with what effect? (3) What were the organizational issues for the staff? (4) What were the interdisciplinary dilemmas? (5) What was instituted or changed as a result of the project?, Results: The analysis uncovered a series of interpersonal and organizational dilemmas involving the nature of the organizational environment, the character of interdisciplinary work, leadership, boundaries of group membership, and the structuring of a unified vision., Conclusions: Future projects should consider the strength and stability of the boundary spanners, the resource context, and the role of a unified vision for new and organizationally linked units as key issues in facilitating and sustaining change.

There is a need for an improved test to assess the integrity of the ACL, especially following injury during athletic competition. Early intervention of acute ACL tears has been limited by the inability to obtain accurate initial evaluations. The following modification of the Lachman test is characterized by improved thigh stabilization, the assessment of anterior translation with an accurate endfeel, and its use as an acute on-field assessment technique. J Orthop Sports Phys Ther 1990;11(8):372-373.

The diagnosis "brief reactive psychosis" leaves little implied in the way of etiology or treatment approach. Three case histories are presented to illustrate the term, followed by brief summaries of the major dynamics involved. The older diagnostic term "hysterical psychosis" is discussed, and a parallel is drawn between this form of brief reactive psychosis and others so that they may be psychodynamically understood and that treatment may be rationally based upon this model.