Complex reconstructions in head and neck cancer surgery: decision making

Defects in head and neck after tumor resection often provide significant functional and cosmetic deformity. The challenge for reconstruction is not only the aesthetic result, but the functional repair. Cancer may involve composite elements and the in sano resection may lead to an extensive tissue defect. No prospective randomized controlled studies for comparison of different free flaps are available. There are many options to cover defects and restore function in the head and neck area, however we conclude from experience that nearly all defects in head and neck can be closed by 5 different free flaps: radial forearm flap, free fibula flap, anterior lateral thigh flap, lateral arm flap and parascapular flap

Playing exposure does not affect movement characteristics or physiological responses of elite youth footballers during an intensified period of competition.

This is an Accepted Manuscript of an article published by Taylor & Francis in Science and Medicine in Football on 08/05/18, available online: https://www.tandfonline.com/doi/full/10.1080/24733938.2018.1470664This study investigated the effect of playing time on physiological and perceptual responses to six, 60 min matches played over five days. Thirty youth football players (age = 14.1 ± 0.4 years; body mass = 57.4 ± 12.9 kg; stature 169.3 ± 7.7 cm) were grouped into low (<250 min; LPG, n = 18) and high (≥250 min; HPG, n = 12) match exposure groups and monitored daily for lower body power and perceived wellness. GPS technology was used to assess match running demands in total distance (m•min-1), low (<13 km•h-1) and high (≥13 km•h-1) speed running categories. Hypothesis based testing and effect sizes (ES) were used to analyse data. The HPG performed moderately more total distance (103.7 ± 10.4 cf. 90.2 ± 19.7 m•min-1, P = 0.03; ES=0.74 ± 0.63) and high speed running (26.7 ± 6.6 cf. 20.3 ± 6.5 m•min-1, P = 0.01; ES=0.87 ± 0.6) than the LPG across all six matches. Differences of a small magnitude were observed between groups for lower body power (P = 0.08; ES =0.59 ± 0.8) and perceived wellness (P = 0.09; ES=0.42 ± 0.4) which were both higher in the HPG. Youth football players appear well equipped to deal with intensified period of competition, such as those experienced in tournaments, irrespective of match exposure

Design, construction and operation of the ProtoDUNE-SP Liquid Argon TPC

The ProtoDUNE-SP detector is a single-phase liquid argon time projection chamber (LArTPC) that was constructed and operated in the CERN North Area at the end of the H4 beamline. This detector is a prototype for the first far detector module of the Deep Underground Neutrino Experiment (DUNE), which will be constructed at the Sandford Underground Research Facility (SURF) in Lead, South Dakota, U.S.A. The ProtoDUNE-SP detector incorporates full-size components as designed for DUNE and has an active volume of 7 × 6 × 7.2 m3. The H4 beam delivers incident particles with well-measured momenta and high-purity particle identification. ProtoDUNE-SP's successful operation between 2018 and 2020 demonstrates the effectiveness of the single-phase far detector design. This paper describes the design, construction, assembly and operation of the detector components