Skin thickness of the anterior, anteromedial, and anterolateral thigh: a cadaveric study for split-skin graft donor sites

Background: The depth of graft harvest and the residual dermis available for reepithelization primarily influence the healing of split-skin graft donor sites. When the thigh region is chosen, the authors hypothesize based on thickness measurements that the anterolateral region is the optimal donor site. Methods: Full-thickness skin specimens were sampled from the anteromedial, anterior, and anterolateral regions of human cadavers. Skin specimens were cut perpendicularly with a custom-made precision apparatus to avoid the overestimation of thickness measurements. The combined epidermal and dermal thicknesses (overall skin thickness) were measured using a digital calliper. The specimens were histologically stained to visualize their basement membrane, and microscopy images were captured. Since the epidermal thickness varies across the specimen, a stereological method was used to eliminate observer bias. Results: Epidermal thickness represented 2.5% to 9.9% of the overall skin thickness. There was a significant difference in epidermal thickness from one region to another (P<0.05). The anterolateral thigh region had the most consistent and highest mean epidermal thickness (60±3.2 µm). We observed that overall skin thickness increased laterally from the anteromedial region to the anterior and anterolateral regions of the thigh. The overall skin thickness measured 1,032±435 µm in the anteromedial region compared to 1,220±257 µm in the anterolateral region. Conclusions: Based on skin thickness measurements, the anterolateral thigh had the thickest epidermal and dermal layers. We suggest that the anterolateral thigh region is the optimal donor site for split-skin graft harvests from the thigh

MK3: On optimizing the management of cascades or systems of reservoirs at catchment level

This project is about scaling up to the catchment level the results obtained from optimizing the management of individual reservoirs. As such, it draws on results from MKs 1 and 2. It seeks to understand at the catchment scale the cumulative upstream and downstream consequences of management decisions taken for multiple reservoirs. It includes the study of land degradation and reservoir siltation processes

Submillimeter wave heterodyne receiver

In an embodiment, a submillimeter wave heterodyne receiver includes a finline ortho-mode transducer comprising thin tapered metallic fins deposited on a thin dielectric substrate to separate a vertically polarized electromagnetic mode from a horizontally polarized electromagnetic mode. Other embodiments are described and claimed

Dual-Polarization, Sideband-Separating, Balanced Receiver for 1.5 THz

A proposed heterodyne receiver would be capable of detecting electromagnetic radiation in both of two orthogonal linear polarizations, separating sidebands, and providing balanced outputs in a frequency band centered at 1.5 THz with a fractional bandwidth greater than 40 percent. Dual polarization, sideband-separating, and balanced-output receivers are well-known and have been used extensively at frequencies up to about 100 GHz; and there was an earlier proposal for such a receiver for frequencies up to 900 GHz. However, the present proposal represents the first realistic design concept for such a receiver capable of operating above 1 THz. The proposed receiver is intended to be a prototype of mass-producible receiver units, operating at frequencies up to 6 THz, that would be incorporated into highly sensitive heterodyne array instruments to be used in astronomical spectroscopic and imaging studies

Breakthrough results in astrobiology: is ‘high risk’ research needed?

Astrobiology is a scientific endeavour involving great uncertainties. This could justify intellectual risk-taking associated with research that significantly deviates from the mainstream, to explore new avenues. However, little is known regarding the effect of such maverick endeavours. To better understand the need for more or less risk in astrobiology, we investigate to what extent high-risk / high-impact research contributes to breakthrough results in the discipline. We gathered a sample of the most impactful astrobiology papers of the past 20 years and explored the degree of risk of the research projects behind these papers via contact with the corresponding authors. We carried out interviews to explore how attitudes towards risk have played out in their work, and to ascertain their opinions on risk-taking in astrobiology. We show the majority of the selected breakthrough results derive from endeavours considered medium- or high-risk, risk is significantly correlated with impact, and most of the discussed projects adopt exploratory approaches. Overall, the researchers display a distribution of attitudes towards risk from the more cautious to the more audacious, and are divided on the need for more risk-taking in astrobiology. Our findings ultimately support the explicit implementation of a risk-balanced portfolio in astrobiology

Global, regional, and national mortality among young people aged 10–24 years, 1950–2019 : a systematic analysis for the Global Burden of Disease Study 2019

Background: Documentation of patterns and long-term trends in mortality in young people, which reflect huge changes in demographic and social determinants of adolescent health, enables identification of global investment priorities for this age group. We aimed to analyse data on the number of deaths, years of life lost, and mortality rates by sex and age group in people aged 10–24 years in 204 countries and territories from 1950 to 2019 by use of estimates from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019. Methods: We report trends in estimated total numbers of deaths and mortality rate per 100 000 population in young people aged 10–24 years by age group (10–14 years, 15–19 years, and 20–24 years) and sex in 204 countries and territories between 1950 and 2019 for all causes, and between 1980 and 2019 by cause of death. We analyse variation in outcomes by region, age group, and sex, and compare annual rate of change in mortality in young people aged 10–24 years with that in children aged 0–9 years from 1990 to 2019. We then analyse the association between mortality in people aged 10–24 years and socioeconomic development using the GBD Socio-demographic Index (SDI), a composite measure based on average national educational attainment in people older than 15 years, total fertility rate in people younger than 25 years, and income per capita. We assess the association between SDI and all-cause mortality in 2019, and analyse the ratio of observed to expected mortality by SDI using the most recent available data release (2017). Findings: In 2019 there were 1·49 million deaths (95% uncertainty interval 1·39–1·59) worldwide in people aged 10–24 years, of which 61% occurred in males. 32·7% of all adolescent deaths were due to transport injuries, unintentional injuries, or interpersonal violence and conflict; 32·1% were due to communicable, nutritional, or maternal causes; 27·0% were due to non-communicable diseases; and 8·2% were due to self-harm. Since 1950, deaths in this age group decreased by 30·0% in females and 15·3% in males, and sex-based differences in mortality rate have widened in most regions of the world. Geographical variation has also increased, particularly in people aged 10–14 years. Since 1980, communicable and maternal causes of death have decreased sharply as a proportion of total deaths in most GBD super-regions, but remain some of the most common causes in sub-Saharan Africa and south Asia, where more than half of all adolescent deaths occur. Annual percentage decrease in all-cause mortality rate since 1990 in adolescents aged 15–19 years was 1·3% in males and 1·6% in females, almost half that of males aged 1–4 years (2·4%), and around a third less than in females aged 1–4 years (2·5%). The proportion of global deaths in people aged 0–24 years that occurred in people aged 10–24 years more than doubled between 1950 and 2019, from 9·5% to 21·6%. Interpretation: Variation in adolescent mortality between countries and by sex is widening, driven by poor progress in reducing deaths in males and older adolescents. Improving global adolescent mortality will require action to address the specific vulnerabilities of this age group, which are being overlooked. Furthermore, indirect effects of the COVID-19 pandemic are likely to jeopardise efforts to improve health outcomes including mortality in young people aged 10–24 years. There is an urgent need to respond to the changing global burden of adolescent mortality, address inequities where they occur, and improve the availability and quality of primary mortality data in this age group. Funding: Bill & Melinda Gates Foundation. © 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Muhammad Aziz Rahman” is provided in this record**. Erratum: Department of Error (The Lancet (2021) 398(10311) (1593–1618), (S0140673621015464), (10.1016/S0140-6736(21)01546-4)) In figure 8 of this Article, the total deaths and proportion in each age group in 1950 were incorrect. These corrections have been made to the online version as of Feb 24, 2022. © 2022 Elsevier Lt

A framework to support risk assessment in hospitals

In healthcare, risk assessment is used alongside a number of reactive risk management approaches to ensure the quality and safety of the care delivered. However, problems have been identified regarding its current application in hospitals, despite the considerable efforts made. In this paper, we present a framework that aims to address these current challenges and to guide staff working in healthcare settings in undertaking an effective risk assessment in hospitals. We report on the design of this framework, where we used a V developmental model, in conjunction with mixed methods, including interviews, document analysis and group discussions. The framework consists of a risk assessment model that depicts the main risk assessment steps; risk assessment explanation cards that provide prompts to help apply each step; and a risk assessment form that helps to systematise the risk assessment and document the findings. We also report on the evaluation of the framework, which shows promising results. While the framework was recommended for use in practice, it was also suggested that it would be helpful as a training tool. With its use in risk assessment, we anticipate that risk assessments would lead to more effective decisions being made, and, thus, to more appropriate actions being taken to minimise risks. Consequently, the quality and safety of care delivered would be improved.National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) East of Englan

Identification of the Moving Junction Complex of Toxoplasma gondii: A Collaboration between Distinct Secretory Organelles

Apicomplexan parasites, including Toxoplasma gondii and Plasmodium sp., are obligate intracellular protozoa. They enter into a host cell by attaching to and then creating an invagination in the host cell plasma membrane. Contact between parasite and host plasma membranes occurs in the form of a ring-shaped moving junction that begins at the anterior end of the parasite and then migrates posteriorly. The resulting invagination of host plasma membrane creates a parasitophorous vacuole that completely envelops the now intracellular parasite. At the start of this process, apical membrane antigen 1 (AMA1) is released onto the parasite surface from specialized secretory organelles called micronemes. The T. gondii version of this protein, TgAMA1, has been shown to be essential for invasion but its exact role has not previously been determined. We identify here a trio of proteins that associate with TgAMA1, at least one of which associates with TgAMA1 at the moving junction. Surprisingly, these new proteins derive not from micronemes, but from the anterior secretory organelles known as rhoptries and specifically, for at least two, from the neck portion of these club-shaped structures. Homologues for these AMA1-associated proteins are found throughout the Apicomplexa strongly suggesting that this moving junction apparatus is a conserved feature of this important class of parasites. Differences between the contributing proteins in different species may, in part, be the result of selective pressure from the different niches occupied by these parasites

Session D5: Using a Waterfall System as a Natural Laboratory to Inform the Design of Fish Passes in the Mekong

Abstract: The Mekong Basin features 103 long distance migratory fish species contributing 800,000 tonnes per year to the regional inland fishery. At Khone Falls in southern Laos, the Mekong River splits into multiple channels and flows through numerous waterfalls that constitute a major obstacle to fish migrations across the basin. We present here the approach and methodology of a new research project using the Khone Falls bottleneck as a natural laboratory to inform the design of fish passes in the Mekong. This project is based on systematic gathering of local ecological knowledge, combined with hydrological measurements and river geomorphological characterization in multiple sites. The project will produce a matrix detailing, for the dominant Mekong migratory species, flow conditions and river conditions passable, preferred or not passable to fish. This information will help design fish ladders better adapted to native fish species, thus contributing to improved mitigation of the impact of hydropower dams on food security and fish biodiversity in the Mekong Basin