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In the REVIVED-BCIS2 (Revascularization for Ischemic Ventricular Dysfunction) trial, percutaneous coronary intervention (PCI) did not reduce the incidence of death or hospitalization for heart failure (HHF).

AbstractThe reference to ‘victoriati’ in Bloomberg Wax Tablet 31 has been interpreted as a request for 52 Roman quinarii. This paper argues that quinarii were not available in significant enough quantities to make such a payment and that a more credible alternative is to see these ‘victoriati’ as a reference to local, Celtic coinage, specifically the silver issues of Epaticcus or Cunobelin. This identification, supported by recent metallurgic studies, alongside data from hoards, excavations and the Portable Antiquities Scheme, suggests a more prolonged use of Celtic coinage in Roman London than has previously been appreciated. Supplementary material is available online and provides data supporting the assertions made.

Using National Lakes Assessment data, we evaluated the influence of total N (TN), total P (TP), and other variables on lake chlorophyll‐aconcentrations. With simple linear regressions, high TN/TP samples biased predictions based on TN, and low TN/TP samples biased predictions based on TP. The bias problem was corrected, and correlation was improved, by splitting the dataset at the TN/TP ratio we estimated to be indicative of a balanced supply and developing separate regressions that predict chlorophyll‐abased on TP, TN, dissolved inorganic N (DIN), dissolved organic carbon (DOC), nonalgal light attenuation, depth, area, latitude, elevation, and conductivity. Both nutrients were excellent predictors, and nonalgal light attenuation was the next most influential predictor. The regression analysis suggested that a potential for P only limitation (high TN/TP, 17% of samples) or N only limitation (low TN/TP, 14% of samples) can be inferred at the extremes of the TN/TP range. However, 69% of samples had an intermediate TN/TP ratio where it is difficult to infer anything about potential nutrient limitations (biomass could be N limited, P limited, N and P co‐limited, or not limited by nutrients at all). Our results show that when developing phytoplankton response relationships using cross‐lake datasets that span a wide range of trophic states, it is important to consider whether and how biomass is influenced by confounding factors—such as differences in the relative supply of N and P—so that biomass is not underestimated or overestimated, and nutrient criteria are not under‐protective or over‐protective.

ObjectiveTo investigate percutaneous coronary intervention (PCI) practice in an international cohort of patients with spontaneous coronary artery dissection (SCAD). To explore factors associated with complications and study angiographic and longer term outcomes.MethodsSCAD patients (n=215, 94% female) who underwent PCI from three national cohort studies were investigated and compared with a matched cohort of conservatively managed SCAD patients (n=221).ResultsSCAD-PCI patients were high risk at presentation with only 8.8% undergoing PCI outside the context of ST-elevation myocardial infarction/cardiac arrest, thrombolysis in myocardial infarction (TIMI) 0/1 flow or proximal dissections. PCI complications occurred in 38.6% (83/215), with 13.0% (28/215) serious complications. PCI-related complications were associated with more extensive dissections (multiple vs single American Heart Association coronary segments, OR 1.9 (95% CI: 1.06–3.39),p=0.030), more proximal dissections (proximal diameter per mm, OR 2.25 (1.38–3.67), p=0.001) and dissections with no contrast penetration of the false lumen (Yip-Saw 2 versus 1, OR 2.89 (1.12–7.43), p=0.028). SCAD-PCI involved long lengths of stent (median 46mm, IQR: 29–61mm). Despite these risks, SCAD-PCI led to angiographic improvements in those with reduced TIMI flow in 84.3% (118/140). Worsening TIMI flow was only seen in 7.0% (15/215) of SCAD-PCI patients. Post-PCI major adverse cardiovascular and cerebrovascular events (MACCE) and left ventricular function outcomes were favourable.ConclusionWhile a conservative approach to revascularisation is favoured, SCAD cases with higher risk presentations may require PCI. SCAD-PCI is associated with longer stent lengths and a higher risk of complications but leads to overall improvements in coronary flow and good medium-term outcomes in patients.

It's not this classy thing.'" - Peter Tower, co-founder of Magnolia Photo Booth Co. 26 "I think my favorite part is - it's kind of like everyone's favorite part - we get to have a lot of people experience Louisville from other cities who may not have ever been, and it's something that brings them in, and they end up loving the city. I had it all planned before the Derby was postponed - with tents, food, games, bartenders, photo booths, DJ and a band. - Heather Potter, curator of photographs and prints at the Filson Historical Society 80 "Street Sense, you could put a bomb under him and he never got nervous. [Extracted from the article]

ObjectiveTo monitor hospital activity for presentation, diagnosis and treatment of cardiovascular diseases during the COVID-19) pandemic to inform on indirect effects.MethodsRetrospective serial cross-sectional study in nine UK hospitals using hospital activity data from 28 October 2019 (pre-COVID-19) to 10 May 2020 (pre-easing of lockdown) and for the same weeks during 2018–2019. We analysed aggregate data for selected cardiovascular diseases before and during the epidemic. We produced an online visualisation tool to enable near real-time monitoring of trends.ResultsAcross nine hospitals, total admissions and emergency department (ED) attendances decreased after lockdown (23 March 2020) by 57.9% (57.1%–58.6%) and 52.9% (52.2%–53.5%), respectively, compared with the previous year. Activity for cardiac, cerebrovascular and other vascular conditions started to decline 1–2 weeks before lockdown and fell by 31%–88% after lockdown, with the greatest reductions observed for coronary artery bypass grafts, carotid endarterectomy, aortic aneurysm repair and peripheral arterial disease procedures. Compared with before the first UK COVID-19 (31 January 2020), activity declined across diseases and specialties between the first case and lockdown (total ED attendances relative reduction (RR) 0.94, 0.93–0.95; total hospital admissions RR 0.96, 0.95–0.97) and after lockdown (attendances RR 0.63, 0.62–0.64; admissions RR 0.59, 0.57–0.60). There was limited recovery towards usual levels of some activities from mid-April 2020.ConclusionsSubstantial reductions in total and cardiovascular activities are likely to contribute to a major burden of indirect effects of the pandemic, suggesting they should be monitored and mitigated urgently.

The New Hudson Tunnel Project in New York City is drawing on the experience of the UK, particularly London, to inform its early plans. The project aims to refurbish the damaged North River Tunnel and construct twin bore rail tunnels linking New Jersey and Manhattan. Ground freezing, a technique used in British tunnel projects, will be employed to overcome the challenge of submerged stabilization. The project also emphasizes sustainability and environmental sensitivity, incorporating recycled materials and biodiesel. The Gateway Development Commission has already secured environmental permissions to mitigate disruption for residents and stakeholders. [Extracted from the article]

The gender pay gap in the construction industry has widened, according to data from the 2023/24 financial year. The research shows that fewer women are being appointed to highly paid senior positions in consultants and contractors. The average hourly pay gap between men and women has also increased, and there has been a rise in the percentage of women in the lowest paid positions. However, clients have performed better than contractors and consultants in terms of gender pay equality, with women accounting for 32% of their highest paid employees. It is important to note that the gender pay gap reflects relative seniority and types of roles held, and does not indicate that companies pay women less for the same job as male colleagues. [Extracted from the article]

Several people in the industry say Minnick's article about Beam was so heartfelt and emotional that Minnick stopped being just a reporter and became a member of the bourbon community. Around that, the "uniquely Louisville" activities are a bourbon Disneyland built to Minnick's specifications: tasting rooms, pop-up speakeasies, bourbon-nerd panel discussions, standing-room-only seminars with master distillers and personalities who are, in the bourbon subculture, as important as the acts onstage. Now guiding the Bourbon Crusaders in Butchertown through several bourbon samples, Minnick is a little like Mick Jagger singing "Satisfaction" - something he's done thousands of times but must somehow keep fresh. [Extracted from the article]

Several photographs are presented depicting various ground-level parking lots overseen by attendants occupying small booths in Pittsburgh, Pennsylvania.

The article offers information on the 1976 Shovelhead motorcycle designed and built by Bill Dodge of motorcycle shop Bling's Cycles for Tennessee bull breeder James Chase. Topics discussed include the bike reflects background as well as the style preferences and the skills of Dodge, modifying the bike's frame, and the in-house inventory of the shop.

The article offers step-by-step instructions on installing Dyna Rigid Mount Saddlebags to the Harley-Davidson Low Rider motorcycle.

The article offers information on the 2015 Custom motorcycle from motorcycle company Harley-Davidson Inc.

A personal narrative is presented which explores the author's experience of motorcycling through I-40 and I-70 highways to Utah, Nebraska, and Wisconsin on his Harley-Davidson Sportster motorcycle.

The article reviews the modified 1991 Harley-Davidson FXR owned by Paul Morris.

The article focuses on the customized 2007 Harley-Davidson Night Train motorcycle of bike owner Michael Doherty. Topics discussed include a description of the modifications made by custom builder Iacona Custom Cycles on the motorcycle, the challenges faced by the custom builder in modifying the motorcycle and its technical specifications.

The article evaluates the 2000 Fat Boy big bike motorcycle from Harley-Davidson Motorcycle Co.

The article discusses how Keith Howard of Hardcord Kustomz motorcycle shop in Adamsville, Tennessee remodeled his Harley-Davidson Night Train bike. Topics discussed include Howard's use of a frame from Kraft Tech, chassis parts supplied by DNA which include springer and calipers, and the powerplant features of the motorcycle which include an Ultima El Bruto engine, Mahle flattop pistons and Ultima flyweels.

The article offers brief information on the Southpaw 2006 Custom motorcycle made from New York City ironworkers Joe Prevete and Billy Millington and owned by Joe Prevete and Port Jefferson.

The article offers travel tips for the State Road A1A, a coastal byway in Florida and includes information on various tourist destinations such as the Marineland, the Flagler Pier in Flagler Beach, and the Matanzas Inlet Bridge.

The article describes the customized design of a 2012 Danny Martin Pro Street motorcycle model owned and built by Lyle Larson.

The article features a customized 2014 motorcycle model built by Paul Cox of Paul Cox Industries.

Several letters to the editor are presented in response to articles published in previous issues including "Our Wild Side" in the July/August 2016 issue; and "WritersandArtists"; and "City Renewal By the Bite" in the September/October 2016 issue.

In this article, I address the use of witness testimony by medieval and early-modern historians of England. Although the idea that such evidence straightforwardly represents the thoughts and feelings of quite lowly people has long been discredited, I think that some part of this assumption still haunts the thinking of our postmodern, or cultural turn, historiography. To put it rather too bluntly: the old, empiricist quest for “real voices” in testimonies has to some extent been replaced by a contemporary quest for “real discourses.” That is to say, the utilization of testimonies by historians often seems to boil down to the careful extraction of the particular discourse under examination—gender, class, childhood—from the legal discourses acknowledged to be inherent in witness testimonies produced in law courts. Now, this is a severely reductionist account, and later I will elaborate on the varieties and subtleties of current approaches. Nonetheless, this assumption that we can simply extrapolate socialdiscourses about “x” from the legaldiscourses of the depositions seems to me somewhat flawed, because it presumes that premodern witnesses were simply conduits of discourse, whose testimony was nonetheless decisively shaped by the machinations of the legal counsel. In fact, as I will argue here, medieval witnesses were quite capable of manipulating such discourses, using clichés to tell the court what they thought it wanted to hear. In the subsequent discussion, I will look in detail at two intimately related cases from the Bishop of London's consistory court to make this point more explicit. First, I will relate the basic facts of these cases: the narrative of the events and the procedure of the courts. I will then address the historiography of witness testimony in greater detail, at the same time demonstrating the way in which the examples from the consistory counter the assumptions of this historiography. I will present different ways of reading my own examples using different positions within the scholarly literature, before showing how the case upsets even the most sophisticated of such readings. Overall, I argue that as well as considering the “construction” of the testimony by lawyers and legal counsels, and the “deconstruction” of such discourses by historians, we must begin to think about the “preconstruction” of the testimony by witnesses; their own integration of legalistic ideas into the fabric of their depositions. Finally, I will conclude by considering some of the wider implications of this argument for the use of witness depositions, and for the study of “law and society” more generally in the medieval and early-modern periods.

The article reports on the utilization of Procharger Racing's Procharger unit by UPI Performance owner-operator Scott Smalley and colleagues for building a 300 horsepower (hp) Road King motorcycle. It cites the use of the Procharger in Smalley and crew's application of an engine adequate of 170-plus hp. Moreover, it notes the efficient use of the Procharger in Scott's Road King motorcycle.

The article features the 1945 Harley-Davidson WL motorcycle, custom built and owned by Andrew Johnson.

The article presents information on the introduction of hydraulic lifters by Harley-Davidson Motor Co. in 1948, which consist of rigid cylindrical bodies with rollers that helps in reducing valve train weariness. It informs that these lifters utilizes spring-supported internal plungers, which pressurized oil forces upward to remove slack between the pushrods, rocker arms, and the lifters. It further informs about the problems that can be faced during the installation of hydraulic lifters.

A personal narrative is presented which explores the author's experience of interstate traveling by motorcycling bound for Daytona motorcycle events in Florida.

The article presents the third part in the series of modification of the Harley-Davidson Street Glide motorcycle from Bruce Rossmeyer. The bike features a Hugger fender and 8.5-inch tinted FLARE windshield from Klock Werks. The windshield increases downforce on the front end to improve high-speed stability. Mustang Motorcycle Products, LLC gave one of its Tripper Fastback seats to offer a comfortable perch for the rider.

The article discusses enhancements made by Dave Schroer of Rossmeyer's to the 2013 official Motorcycle of Daytona Bike Week. Schroer opted for a Cobra PowrFlo air cleaner and PowrPro Fi2000 EFI tuner to pen the door wide, and a Bassani +P Bagger-Stepped, True Dual system with Power Curve to keep it that way. Schroer also improved volume and sound quality with four components from J&M Corporation.

The article offers step-by-step instructions for building a special raffle bagger for Harley-Davidson FLHX Street Glide motorcycle.