An improved method of supercharged transposed latissimus dorsi flap with the skin paddle for the management of a complicated lumbosacral defect

OBJECTIVE: Treatment of nonhealing wounds of lower back often poses a powerful challenge. We present one of the first report of treatment of a lumbosacral defect with a supercharged latissimus dorsi flap with the skin paddle. CASE REPORT: We report a case of a 59 yearold man with myeloma of the sacral spine who underwent radiotherapy and chemotherapy and subsequently, laminectomies and placement of hardware for ongoing paresis and spine instability. Then, he developed an open wound and osteomyelitis of the spine with culture positive tuberculous granulomas. After multiple surgical debridement, he presented to our service and was treated with a single stage debridement followed by the performance of a latissimus dorsi musculocutaneous flap based on paraspinal perforators and supercharged. RESULTS: This solution, allowed for augmentation of blood flow to the muscle with the inferior gluteal artery, provided coverage of the defect resistant to the pressure, and simplified post-operative management of the patient. CONCLUSIONS: Alternative treatment options, including free tissue transfer, posed difficulties in finding suitable recipient vessels near the defect, in inserting the flap so as to restore its original length without compromising blood flow, and in postoperative care of the patient. Treatment of a lumbosacral defect with a supercharged latissimus dorsi flap with the skin paddle may represent a milestone procedure for complicated lower spine wounds

A single-mode, high index-contrast, lead silicate glass fibre with high nonlinearity, broadband near-zero dispersion at telecommunication wavelengths

We report on the design, fabrication and characterization of a single-mode W-type lead silicate glass fibre with flattened and near-zero dispersion profile at telecom wavelengths and high nonlinearity of 820 W-1km-1 at 1.55 µm

Sex Differences in Desiccation Tolerance Varies by Colony in the Mesic Liverwort \u3ci\u3ePlagiochila porelloides\u3c/i\u3e

Water scarcity, a common stress factor, negatively impacts plant performance. Strategies to cope with it, such as desiccation tolerance, are becoming increasingly important to investigate. However, phenomena, such as intraspecific variation in stress responses have not received much attention. Knowledge of this variability and the environmental drivers can be leveraged to further investigate the mechanisms of desiccation tolerance. Here we tested for variation in desiccation tolerance in Plagiochila porelloides among colonies and sexes within the same riparian zone. Field-collected dehardened plants were subjected to a desiccation event, under controlled conditions and then rehydrated. Plant water status, photosynthetic rates, net carbon gain, and efficiency of photosystem II (PSII) were assayed to evaluate tissue desiccation, basic metabolic processes and plant recovery. To establish a linkage between plant response and environmental factors, field light conditions were measured. We detected intraspecific variation, where a more exposed colony (high percentage of open sky, large temporal range of light quantity, and high red/far-red ratio) showed sex differences in desiccation tolerance and recovery. Overall, PSII recovery occurred by 72 h after rehydration, with a positive carbon gain occurring by day 30. This within species variation suggests plastic or genetic effects, and likely association with light conditions

Flat, broadband supercontinuum generation at low pulse energies in a dispersion-tailored lead-silicate fibre

We report flat, broadband supercontinuum generation at low pump pulse energies (69pJ 740fs pulses at 1540nm) in a lead-silicate fibre providing a unique combination of high nonlinearity (820W-1km-1) and a flat near-zero dispersion profile

Morphology of pollen grains and orbicules of two threatened species of Cedrela P. Browne (Meliaceae A. Juss.)

Abstract Pollen grain morphology and the characterization of additional structures related to pollen dispersion can help to understand the strategies presented by species as well as their taxonomic circumscription. This work investigates the morphology of pollen grains and orbicules of Cedrela fissilis Vell. and Cedrela odorata L., two threatened species of the genus Cedrela P. Browne (Meliaceae A. Juss.) in Brazil. Observations of pollen grains and orbicules of the species were carried out pre- and post-chemical treatment of the samples, under light and scanning electron microscopy, aiming at recognizing structures, detailing morphological characterizations and taking measurements, the last of which were submitted to statistical treatment. The results demonstrate that the pollen grains of the two species are medium in size (measuring between 25 and 50µm), radially symmetrical, isopolar, prolate-spheroidal and 4,5-colporate with subcircular to subquadrangular amb and psilate ornamentation; the orbicules also have a smooth surface and measure about 7 to 10µm. Variation was observed in the size of pollen grains, which presented high coefficient of variation and in the orbicules, as well as in the number of apertures

Phase sensitive amplification in a highly nonlinear lead-silicate fibre

We experimentally demonstrate phase-sensitive amplification in a highly nonlinear lead-silicate W-type fibre. A phase-sensitive gain swing of 6dB was observed in a 1.56m sample of the fibre for a total launched power of 33dBm

Nutritional interventions for patients with melanoma: From prevention to therapy—an update

Melanoma is an aggressive skin cancer, whose incidence rates have increased over the past few decades. Risk factors for melanoma are both intrinsic (genetic and familiar predisposition) and extrinsic (environment, including sun exposure, and lifestyle). The recent advent of targeted and immune-based therapies has revolutionized the treatment of melanoma, and research is focusing on strategies to optimize them. Obesity is an established risk factor for several cancer types, but its possible role in the etiology of melanoma is controversial. Body mass index, body surface area, and height have been related to the risk for cutaneous melanoma, although an ‘obesity paradox’ has been described too. Increasing evidence suggests the role of nutritional factors in the prevention and management of melanoma. Several studies have demonstrated the impact of dietary attitudes, specific foods, and nutrients both on the risk for melanoma and on the progression of the disease, via the effects on the oncological treatments. The aim of this narrative review was to summarize the main literature results regarding the preventive and therapeutic role of nutritional schemes, specific foods, and nutrients on melanoma incidence and progression

Applications of highly nonlinear dispersion tailored lead silicate fibres for high speed optical communications

Recent advances in optical fibre technology, most notably in the area of microstructured optical fibres (MOFs), offer a host of new opportunities within future high speed communication systems. Herein we review how our recent progress on the implementation of lead silicate fibre designs, allowing both flexible dispersion control and a high effective nonlinearity, can be integrated into various all-optical signal processing devices for high speed optical communication systems. Highly nonlinear lead silicate fibres have already proven to be well suited for achieving efficient four-wave mixing (FWM) due to their high effective nonlinear coefficient, low dispersion profile and short length