Laparoscopic Repair of Colonic Anastomotic Leak in an Elderly Patient

Laparoscopic surgery may be extended to a wider variety of colorectal emergencies in a carefully selected group of patients, including the elderly

The covid-19 learning crisis as a challenge and an opportunity for schools: An evidence review and conceptual synthesis of research-based tools for sustainable change

This paper advances our understanding of how schools can become change agents capable of transforming local practice to address the challenges arising from the Covid-19 pandemic. It presents a novel application of cultural-historical activity theory to reinterpret evidence on widespread learning loss and increasing educational inequities resulting from the pandemic, and to identify scalable transformative learning opportunities through reframing the crisis as a double stimulation. By reviewing evidence of the emerging educational landscape, we first develop a picture of the new ‘problem space’ upon which schools must act. We develop a problem space map to serve as the first stimulus to articulate local challenges. Integrating this problem space with research on professional change, we identify conceptual tools to capture learning gaps and implement pedagogic interventions at scale, in order to enhance schools’ agency in directly addressing the crisis. These tools can act as the second stimulus, enabling educators to address local challenges. We conclude by discussing the Covid-19 educational crisis as a unique stimulus for professional learning and outline the potential for durable shifts in educational thinking and practice beyond the pandemic. We argue that this unprecedented historic disruption can be harnessed as a transformative professional learning opportunity. In particular, we consider how research on professional change offers local, scalable interventions and tools that can support educators in preventing the new insights from ‘slipping away’ post-pandemic. Utilising the notions of boundaries and tool-mediated professional change, we examine the ways in which this disruption generates opportunities to envision alternative futures for equitable learning in school.Author 1: The epiSTEMe project [grant number RES-179-25-0003, PI Prof. K. Ruthven] The TEACh project [ES/M005445/1, PI Prof. P. Rose] ESRC Impact Acceleration Grant, University of Cambridge [PI Dr. R. Hofmann] Cambridge University Health Partners Commonwealth Education Trust (PI. Prof. S. Hennessy) Authors 2-8: (2) Faculty of Education, University of Cambridge, PhD scholarship (3) Economic and Social Research Council PhD scholarship [ES/P000738/1] (4) Agencia Nacional de Investigación y Desarrollo (ANID), Cambridge Trust, PhD scholarship (5) Economic and Social Research Council [ES/P000738/1] and MRC Epidemiology Unit PhD scholarship (6) Yayasan Khazanah, Cambridge Trust, PhD scholarship (7) Guy’s and St Thomas’ Charity, UK [TCF180902] PhD scholarship (8) The LEGO Foundatio

Sexual and social stimuli elicit rapid and contrasting genomic responses

Sensory physiology has been shown to influence female mate choice, yet little is known about the mechanisms within the brain that regulate this critical behaviour. Here we examine preference behaviour of 58 female swordtails, Xiphophorus nigrensis, in four different social environments (attractive and unattractive males, females only, non-attractive males only and asocial conditions) followed by neural gene expression profiling. We used a brain-specific cDNA microarray to identify patterns of genomic response and candidate genes, followed by quantitative PCR (qPCR) examination of gene expression with variation in behaviour. Our microarray results revealed patterns of genomic response differing more between classes of social stimuli than between presence versus absence of stimuli. We identified suites of genes showing diametrically opposed patterns of expression: genes that are turned ‘on’ while females interact with attractive males are turned ‘off’ when interacting with other females, and vice versa. Our qPCR results identified significant predictive relationships between five candidate genes and specific mate choice behaviours (preference and receptivity) across females exposed to males, with no significant patterns identified in female or asocial conditions or with overall locomotor activity. The identification of stimulus- and behaviour-specific responses opens an exciting window into the molecular pathways associated with social behaviour and mechanisms that underlie sexual selection

Automated Additive Construction (AAC) for Earth and Space Using In-situ Resources

Using Automated Additive Construction (AAC), low-fidelity large-scale compressive structures can be produced out of a wide variety of materials found in the environment. Compressionintensive structures need not utilize materials that have tight specifications for internal force management, meaning that the production of the building materials do not require costly methods for their preparation. Where a certain degree of surface roughness can be tolerated, lower-fidelity numerical control of deposited materials can provide a low-cost means for automating building processes, which can be utilized in remote or extreme environments on Earth or in Space. For space missions where every kilogram of mass must be lifted out of Earth’s gravity well, the promise of using in-situ materials for the construction of outposts, facilities, and installations could prove to be enabling if significant reduction of payload mass can be achieved. In a 2015 workshop sponsored by the Keck nstitute for Space Studies, on the topic of Three Dimensional (3D) Additive Construction For Space Using In-situ Resources, was conducted with additive construction experts from around the globe in attendance. The workshop explored disparate efforts, methods, and technologies and established a proposed framework for the field of Additive Construction Using In-situ Resources. This paper defines the field of Automated Additive Construction Using In-situ Resources, describes the state-of-the-art for various methods, establishes a vision for future efforts, identifies gaps in current technologies, explores investment opportunities, and proposes potential technology demonstration missions for terrestrial, International Space Station (ISS), lunar, deep space zero-gravity, and Mars environments

A collaborative filtering similarity measure based on singularities.

Recommender systems play an important role in reducing the negative impact of informa- tion overload on those websites where users have the possibility of voting for their prefer- ences on items. The most normal technique for dealing with the recommendation mechanism is to use collaborative filtering, in which it is essential to discover the most similar users to whom you desire to make recommendations. The hypothesis of this paper is that the results obtained by applying traditional similarities measures can be improved by taking contextual information, drawn from the entire body of users, and using it to cal- culate the singularity which exists, for each item, in the votes cast by each pair of users that you wish to compare. As such, the greater the measure of singularity result between the votes cast by two given users, the greater the impact this will have on the similarity. The results, tested on the Movielens, Netflix and FilmAffinity databases, corroborate the excellent behaviour of the singularity measure proposed

Implications of extinction due to meteoritic smoke in the upper stratosphere

Recent optical observations of aerosols in the upper stratosphere and mesosphere show significant amounts of extinction at altitudes above about 40 km where the stratospheric sulfate aerosol layer ends. Recent modeling of this region reveals that meteoritic smoke settling from the mesosphere and its interaction with the upper part of the sulfate aerosol layer is the origin of the observed extinction. Extinction in this region has major implications for the interpretation and analysis of several kinds of aerosol data (satellite and lidar). We compare observations from the SAGE II satellite and from NOAA's lidar located at Mauna Loa, Hawaii to extinction profiles derived from the Whole Atmosphere Community Climate Model (WACCM) coupled with the Community Aerosol and Radiation Model for Atmospheres (CARMA). Our results show that a major source of extinction exists in the region above about 30 km that must be addressed by all remote sensing instruments that have traditionally used the stratosphere above about 30 km as an aerosol free region to estimate the molecular component of their total extinction. It is also shown that meteoritic smoke not only contributes to but also becomes the dominant source of aerosol extinction above 35 km and poleward of 30 degrees in latitude, as well as above 40 km in the tropics. After addressing the concerns described here, current and past observations of this region could be reanalyzed to further our understanding of meteoritic dust in the upper stratosphere

Reshuffling the OPE: Delocalized Operator Expansion

A generalization of the operator product expansion for Euclidean correlators of gauge invariant QCD currents is presented. Each contribution to the modified expansion, which is based on a delocalized multipole expansion of a perturbatively determined coefficient function, sums up an infinite series of local operators. On a more formal level the delocalized operator expansion corresponds to an optimal choice of basis sets in the dual spaces which are associated with the interplay of perturbative and nonperturbative N-point correlations in a distorted vacuum. A consequence of the delocalized expansion is the running of condensates with the external momentum. Phenomenological evidence is gathered that the gluon condensate, often being the leading nonperturbative parameter in the OPE, is indeed a function of resolution. Within a model calculation of the nonperturbative corrections to the ground state energy of a heavy quarkonium system it is shown exemplarily that the convergence properties are better than those of the OPE. Potential applications of the delocalized operator expansion in view of estimates of the violation of local quark-hadron duality are discussed.Comment: Talk given at conference Continuous advances in QCD 2002 / Arkadyfest, Minneapolis; 16 pages, 4 figure

Prostate Cancer Foundation Hormone-Sensitive Prostate Cancer Biomarker Working Group Meeting Summary.

Androgen deprivation therapy remains the backbone therapy for the treatment of metastatic hormone-sensitive prostate cancer (mHSPC). In recent years, several treatments, including docetaxel, abiraterone + prednisone, enzalutamide, and apalutamide, have each been shown to demonstrate survival benefit when used upfront along with androgen deprivation therapy. However, treatment selection for an individual patient remains a challenge. There is no high level clinical evidence for treatment selection among these choices based on biological drivers of clinical disease. In August 2020, the Prostate Cancer Foundation convened a working group to meet and discuss biomarkers for hormone-sensitive prostate cancer, the proceedings of which are summarized here. This meeting covered the state of clinical and biological evidence for systemic therapies in the mHSPC space, with emphasis on charting a course for the generation, interrogation, and clinical implementation of biomarkers for treatment selection