Refinements and Advancements in Anterior Component Separation

This chapter will explore the newest innovations for performing anterior component separation (CS). It will include open CS, perforator sparing CS and minimally invasive component separation (MICS). It will also address the use of various meshes and their plane of inset. It will cover soft tissue management including panniculectomy, quilting sutures and drains. Fascial closure techniques will also be included. The highlight of this chapter will be the description of tips and tricks of performing MICS. We will also touch upon preoperative preparation such as body mass index (BMI) optimization and smoking cessation as well as management of postoperative complications including surgical site infections, skin necrosis and seroma

Paleomagnetism of Late Jurassic Rocks in the Northern Canelo Hills, Southeastern Arizona

The Canelo Hills volcanics are exposed in the Canelo Hills, a northwest trending range in Santa Cruz County, southeast Arizona. The formation is composed of silicic tuffs and flows as well as volcaniclastic conglomerates and sandstones. Strikes of the rocks are generally to the northwest with moderate dips to the southwest and northeast. Apparent age results from the sequence studied paleomagnetically include two published isotopic dates of 147 ± 6 Ma (K-Ar, biotite) and 149 ± 11 Ma (whole rock, Rb-Sr) and a Rb/Sr isochron age, reported here, which indicates an age of 151 ± 2 Ma. Paleomagnetic samples were collected from 17 cooling units in the northern Canelo Hills. Samples from most of these units responded to alternating field (af) demagnetization, and secondary components were generally erased by peak af between 10 and 50 mT. Samples from five sites showed no response to af demagnetization. Thermal demagnetization of samples from these units produced no significant changes in direction of natural remanent magnetization (NRM), although within-site clustering of NRM directions was improved. Data from two sites were rejected because of failure to isolate a well-determined characteristic NRM. Of the remaining 15 sites, 10 sites were of normal polarity, while five sites showed reversed polarity. Intensities of the characteristic NRM ranged from 4 × 10−3 to 3 × 10−1 A/m. The data from these 15 cooling units yield a formation mean direction of I = 29.9°, D = 334.9° with k = 33.4 and α95 = 6.7°. The resulting paleomagnetic pole is at 62.2°N, 130.3° (dp = 4.1°, dm = 7.4°). This pole is between poles obtained from the Summerville and lower Morrison formations. The Canelo Hills pole is thus consistent both in position and age with the Late Jurassic episode of rapid apparent polar wander originally defined by paleomagnetic data from the Summerville and Morrison formations

Book Reviews

Reviews of the following books: Canals and Inland Waterways of Maine by Hayden L.V. Anderson; Tate House: Crown of the Maine Mast Trade by William D. Barry with Francis Peabody; Goodwives: Images and Reality in the Lives of Women of Northern New England, 1650-1750 by Laurel Thatcher Ulrich; New England Reflections, 1889-1907: Photographs by the Howes Brothers edited by Alan B. Newman; From Memory to History: Using Oral Sources in Local Historical Research by Barbara Allen and W Linwood Montell

Gut inflammation provides a respiratory electron acceptor for Salmonella.

Salmonella enterica serotype Typhimurium (S. Typhimurium) causes acute gut inflammation by using its virulence factors to invade the intestinal epithelium and survive in mucosal macrophages. The inflammatory response enhances the transmission success of S. Typhimurium by promoting its outgrowth in the gut lumen through unknown mechanisms. Here we show that reactive oxygen species generated during inflammation react with endogenous, luminal sulphur compounds (thiosulphate) to form a new respiratory electron acceptor, tetrathionate. The genes conferring the ability to use tetrathionate as an electron acceptor produce a growth advantage for S. Typhimurium over the competing microbiota in the lumen of the inflamed gut. We conclude that S. Typhimurium virulence factors induce host-driven production of a new electron acceptor that allows the pathogen to use respiration to compete with fermenting gut microbes. Thus the ability to trigger intestinal inflammation is crucial for the biology of this diarrhoeal pathogen

Geochronology of Type Santacrucian (Middle Tertiary) Land Mammal Age, Patagonia, Argentina

Mammal-bearing lacustrine and tuffaceous sediments from three localities of the Santa Cruz Formation, type fauna of the Santacrucian Land Mammal Age, in Patagonia, southern Argentina, are calibrated by radioisotope dating with the aid of magnetostratigraphy. The strata range from about 17.6 Ma to perhaps 16.0 Ma, and are thus of late-early Miocene age. The Santacrucian Land Mammal Age ranges from about 18.0 Ma to about 15.0 Ma

Micromachined Nanoporous Membranes For Blood Oxygenation Systems

Nanostructured membranes with precisely engineered nanopores were fabricated on a thin silicon nitride membrane, using a combination of bulk micromachining and focused-ion-beam drilling. These membranes are designed to preserve microscale blood channel dimensions, thereby permitting the red cell shape change that enhances gas exchange in the pulmonary capillary. The membranes were tested for their mechanical stability and the results were verified with finite element analysis. Initial studies have proven the membranes to be robust, and capable of withstanding pressures typically experienced in blood oxygenator channels. A novel MEMS-based blood oxygenation system employing the nanoporous membranes is also presented. The oxygenation system is designed to have controlled blood and gas volumes for efficient blood oxygenation. © 2008 IEEE

Briefing: improving children and young people's mental health services: local data insights from England, Scotland and Wales.

In this briefing, we present analysis from the Networked Data Lab (NDL). Led by the Health Foundation, the NDL is a collaborative network of local analytical teams across England, Scotland and Wales. These teams analysed local, linked data sources to explore trends in mental health presentations across primary, specialist and acute services. This briefing includes: a) background on the trends in mental health disorders among children and young people and existing pressures on services, as well as an overview of the main policies in place in England, Scotland, and Wales to improve children and young people's mental health b) findings from NDL partners: we examine trends and patterns of service use, including the use of primary care, specialist mental health care and acute services, along with differences by demographic and socioeconomic characteristics c) examples of how local NDL teams used linked data to improve services in their area d) insights for national and local policymakers

Prime beef cuts : culinary images for thinking 'men'

The paper contributes to scholarship theorising the sociality of the brand in terms of subject positions it makes possible through drawing upon the generative context of circulating discourses, in this case of masculinity, cuisine and celebrity. Specifically, it discusses masculinity as a socially constructed gender practice (Bristor and Fischer, 1993), examining materialisations of such practice in the form of visualisations of social relations as resources for 'thinking gender' or 'doing gender'. The transformative potential of the visualisations is illuminated by exploring the narrative content choreographed within a series of photographic images positioning the market appeal of a celebrity chef through the medium of a contemporary lifestyle cookery book. We consider how images of men 'doing masculinity'are not only channelled into reproducing existing gender hierarchy and compulsory heterosexuality in the service of commercial ends, but also into disrupting such enduring stereotyping through subtle reframing. We acknowledge that masculinity is already inscribed within conventionalised representations of culinary culture. In this case we consider how traces of masculinity are exploited and reinscribed through contemporary images that generate resources for rethinking masculine roles and identities, especially when viewed through the lens of stereotypically feminised pursuits such as shopping, food preparation, cooking, and the communal intimacy of food sharing. We identify unsettling tensions within the compositions, arguing that they relate to discursive spaces between the gendered positions written into the images and the popular imagination they feed off. Set against landscapes of culinary culture, we argue that the images invoke a brand of naively roughish "laddishness" or "blokishness", rendering it in domesticated form not only as benign and containable, but fashionable, pliable and, importantly, desirable. We conclude that although the images draw on stereotypical premeditated notions of a feral, boisterous and untamed heterosexual masculinity, they also set in motion gender-blending narratives

Seasonality of Overseas Tourism Demand in Scotland: A Regional Analysis

This paper examines patterns of seasonality in international tourism to the regions of Scotland. Quarterly numbers of overnight stays are disaggregated by trip purpose. Seasonality in vacation tourism to Scotland is shown to be defined by more than a simple rural–urban division. Overseas visiting friends and relatives (VFR) tourism is largely an urban phenomenon and is consequently less seasonal than vacation tourism. Lower seasonal concentration of VFR tourism is not uniform across the regions. Although levels of seasonal intensity of business tourism to the three principal cities of Scotland are approximately the same, there are noticeable variations over time