Exploration of the Southern California Borderland

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Low-cost, deep-sea imaging and analysis tools for deep-sea exploration: a collaborative design study

A minuscule fraction of the deep sea has been scientifically explored and characterized due to several constraints, including expense, inefficiency, exclusion, and the resulting inequitable access to tools and resources around the world. To meet the demand for understanding the largest biosphere on our planet, we must accelerate the pace and broaden the scope of exploration by adding low-cost, scalable tools to the traditional suite of research assets. Exploration strategies should increasingly employ collaborative, inclusive, and innovative research methods to promote inclusion, accessibility, and equity to ocean discovery globally. Here, we present an important step toward this new paradigm: a collaborative design study on technical capacity needs for equitable deep-sea exploration. The study focuses on opportunities and challenges related to low-cost, scalable tools for deep-sea data collection and artificial intelligence-driven data analysis. It was conducted in partnership with twenty marine professionals worldwide, covering a broad representation of geography, demographics, and domain knowledge within the ocean space. The results of the study include a set of technical requirements for low-cost deep-sea imaging and sensing systems and automated image and data analysis systems. As a result of the study, a camera system called Maka Niu was prototyped and is being field-tested by thirteen interviewees and an online AI-driven video analysis platform is in development. We also identified six categories of open design and implementation questions highlighting participant concerns and potential trade-offs that have not yet been addressed within the scope of the current projects but are identified as important considerations for future work. Finally, we offer recommendations for collaborative design projects related to the deep sea and outline our future work in this space

Safety of hospital discharge before return of bowel function after elective colorectal surgery

Background: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien-Dindo classification system.Results: A total of 3288 patients were included in the analysis, of whom 301 (9.2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4-7) and 7 (6-8) days respectively (P < 0.001). There were no significant differences in rates of readmission between these groups (6.6 versus 8.0 per cent; P = 0.499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0.90, 95 per cent c.i. 0.55 to 1.46; P = 0.659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34.7 versus 39.5 per cent; major 3.3 versus 3.4 per cent; P = 0.110).Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients