Perioperative thromboprophylaxis in digital replantation: a systematic review

Background There is no international consensus on the use of perioperative thromboprophylaxis in digital replantation. Suboptimal perioperative management may lead to replant failure which compromises extremity function, worsens psychosocial outcomes for patients and incurs significant cost. This systematic review evaluates and compares the efficacy and safety of perioperative antithrombotic protocols used in digital replantation. Methods A PRISMA-compliant prospectively registered (PROSPERO CRD42018108695) systematic review was conducted. Cochrane Central Register of Controlled Trials, Medline, EMBASE and Scopus were searched up until December 2019. Articles were assessed for eligibility in duplicate by two independent reviewers. All comparative studies which examined the use of perioperative thromboprophylaxis in digital replantation were eligible for inclusion. Results Collectively, 1,025 studies were identified of which 7 met full inclusion criteria reporting data from 635 patients (908 digital replants, 86% male, average age 37.3 years). Laceration was the most commonly reported mechanism of injury (68%) with 33% of replantation occurring in Tamai zone III. Fourteen distinct perioperative protocols were identified. One study reported significantly higher digital survival with continuous heparin infusion versus bolus heparin. Five studies demonstrated a significantly higher incidence of complications amongst patients treated with systemic heparin. Conclusions The clinical efficacy and safety of peri-operative antithrombotic therapy following digital replantation remains equivocal. The perceived benefits of improved digital survival must be tempered against the adverse systemic side effects of antithrombotic and anticoagulant therapies until further prospectively collected data sets become available

1.6 W continuous-wave Raman laser using low-loss synthetic diamond

Low-birefringence (Δn<2x10−6), low-loss (absorption coefficient <0.006cm−1 at 1064nm), single-crystal, synthetic diamond has been exploited in a CW Raman laser. The diamond Raman laser was intracavity pumped within a Nd:YVO4 laser. At the Raman laser wavelength of 1240nm, CW output powers of 1.6W and a slope efficiency with respect to the absorbed diode-laser pump power (at 808nm) of ~18% were measured. In quasi-CW operation, maximum on-time output powers of 2.8W (slope efficiency ~24%) were observed, resulting in an absorbed diode-laser pump power to the Raman laser output power conversion efficiency of 13%

An Exploration of Fairness in the Assessment and Process of Student Group Work

This project was driven by a motivation to be as fair as possible in the assessment of students\u27 group work. Achieving fairness in assessment is a recurrent them in group project assessment literature (Nordberg, 2009). All authors of this report teach modules with group projects, and acknowledged that discrepancies often exist between a mark assigned to a group and an individual\u27s contribution. Our aims were to (a) collectively enhance our understanding of the issues that need to be considered when assessing a group work project and (b) collectively build our confidence in approaches chosen to overcome these challenges. The findings of a literature review on group work assessment informed the creation of a methodology to develop a toolkit which can be referred to when planning and setting group work assignments. An intermediary stage of this process was the development of an algorithm which incorporated user perspectives to assign associated values to assignment outputs and how they are assessed. This subjective user input, whether it is generated within a School, a subject matter or from a large sample of educators, can then be applied by associated users. An intended output of these potential processes is that the tailored toolkits can assist educators and/or programmes regardless of their teaching philosophy. Flash-cards were developed as a prototype of how the toolkit information can be visualised

Perturbed cholesterol and vesicular trafficking associated with dengue blocking in Wolbachia-infected Aedes aegypti cells

Wolbachia are intracellular maternally inherited bacteria that can spread through insect populations and block virus transmission by mosquitoes, providing an important approach to dengue control. To better understand the mechanisms of virus inhibition, we here perform proteomic quantification of the effects of Wolbachia in Aedes aegypti mosquito cells and midgut. Perturbations are observed in vesicular trafficking, lipid metabolism and in the endoplasmic reticulum that could impact viral entry and replication. Wolbachia-infected cells display a differential cholesterol profile, including elevated levels of esterified cholesterol, that is consistent with perturbed intracellular cholesterol trafficking. Cyclodextrins have been shown to reverse lipid accumulation defects in cells with disrupted cholesterol homeostasis. Treatment of Wolbachia-infected Ae. aegypti cells with 2-hydroxypropyl-β-cyclodextrin restores dengue replication in Wolbachia-carrying cells, suggesting dengue is inhibited in Wolbachia-infected cells by localised cholesterol accumulation. These results demonstrate parallels between the cellular Wolbachia viral inhibition phenotype and lipid storage genetic disorders

From spin coating to roll-to-roll: investigating the challenge of upscaling lead halide perovskite solar cells

Spin coating, typically used to achieve nanometre thick films, is the established method for depositing perovskite precursors at lab scale for use in solar cells. This study investigates the dynamics of spin coating perovskite. By combining experimental measurement with a semi-empirical model the evaporation rate of the dimethylformamide solvent during the spin coating of a mixed lead halide precursor is determined to be 1.2 × 10 –8 m/s. When K-bar coating the same precursor the solvent does not significantly evaporate during the deposition process and when this film is crystallised on a hot plate a rough film results which gives a power conversion efficiency (PCE) of less than 2%. By increasing the airflow of the K-bar coated perovskite film during crystallisation to 2.7 × 10 –4 m/s the PCE increases significantly to 8.5% through an improvement in short-circuit current and fill factor

Method for RNA extraction and transcriptomic analysis of single fungal spores

Transcriptomic analysis of single cells has been increasingly in demand in recent years, thanks to technological and methodological advances as well as growing recognition of the importance of individuals in biological systems. However, the majority of these studies have been performed in mammalian cells, due to their ease of lysis and high RNA content. No single cell transcriptomic analysis has yet been applied to microbial spores, even though it is known that heterogeneity at the phenotype level exists among individual spores. Transcriptomic analysis of single spores is challenging, in part due to the physically robust nature of the spore wall. This precludes the use of methods commonly used for mammalian cells. Here, we describe a simple method for extraction and amplification of transcripts from single fungal conidia (asexual spores), and its application in single-cell transcriptomics studies. The method can also be used for studies of small numbers of fungal conidia, which may be necessary in the case of limited sample availability, low-abundance transcripts or interest in small subpopulations of conidia.• The method allows detection of transcripts from single conidia of Aspergillus niger• The method allows detection of genomic DNA from single conidia of Aspergillus nige

A novel site of adult doublecortin expression: neuropeptide neurons within the suprachiasmatic nucleus circadian clock

Background: The mammalian suprachiasmatic nucleus (SCN) is composed of heterogeneous subgroups of neurons that are organized into a neural system for the control of circadian physiology and behaviour. Molecular circadian 'clocks' are not an exclusive property of SCN neurons but the unique role of the SCN as a central integrative pacemaker is associated with specialized aspects of neuronal organization. Current studies are aimed at identifying the functional components of this hypothalamic integrative centre. Results: In the present study we have identified and characterized a quite novel aspect of SCN neurobiology, doublecortin (DCX) protein expression within a defined group of adult rat SCN neurons. Adult neuronal DCX expression is surprising because this microtubule-associated protein (MAP) is generally a developmentally restricted component of immature, migrating neurons. We have also demonstrated for the first time that the SCN as a whole exhibits low expression of the neuronal differentiation marker NeuN. However, DCX is co-localized with NeuN in the ventral SCN, and also with neuropeptides; DCX is extensively co-localized with GRP and partially colocalized with VIP. Conclusion: The highly selective expression of DCX in the adult SCN compared with other hypothalamic and thalamic nuclei shows that this MAP is somewhat uniquely required in certain SCN neurons, perhaps contributing to a specific functional property of the brain's circadian clock nucleus. DCX may maintain a capacity for dynamic cellular plasticity that subserves daily alterations in SCN neuronal signalling

Classical and quantum magnetisation reversal studied in single nanometer-sized particles and clusters using micro-SQUIDs

Recent progress in experiment on quantum tunnelling of the magnetic moment in mesoscopic systems will be reviewed. The emphasis will be made on measurements of individual nanoparticles. These nanomagnets allow one to test the border between classical and quantum behaviour. Using the micro-SQUID magnetometer, waiting time, switching field and telegraph noise measurements show unambiguously that the magnetisation reversal of small enough single crystalline nanoparticles is described by a model of thermal activation over a single-energy barrier. Results on insulating BaFeO nanoparticles show strong deviations from this model below 0.4 K which agree with the theory of macroscopic quantum tunnelling in the low dissipation regime.Comment: 6 pages, 2 figures, conference proceedings of LT22-Helsink