Nasolabial flap - alternative uses for a classic but versatile technique

The nasolabial flap is one of the most ancient techniques used in orofacial surgery. The authors report two cases of patients with skin cancer treated surgically with variations of the classic nasolabial flap by transposition (bilateral and folded) that highlight the broad applicability of this technique.info:eu-repo/semantics/publishedVersio

20 cm VLA Radio-Continuum Study of M31 - Images and Point Source Catalogues

We present a series of new high-sensitivity and high-resolution radio-continuum images of M31 at \lambda=20 cm (\nu=1.4 GHz). These new images were produced by merging archived 20 cm radio-continuum observations from the Very Large Array (VLA) telescope. Images presented here are sensitive to rms=60 \mu Jy and feature high angular resolution (<10"). A complete sample of discrete radio sources have been catalogued and analysed across 17 individual VLA projects. We identified a total of 864 unique discrete radio sources across the field of M31. One of the most prominent regions in M31 is the ring feature for which we estimated total integrated flux of 706 mJy at \lambda=20 cm. We compare here, detected sources to those listed in Gelfand et al. (2004) at \lambda=92 cm and find 118 sources in common to both surveys. The majority (61%) of these sources exhibit a spectral index of \alpha <-0.6 indicating that their emission is predominantly non-thermal in nature. That is more typical for background objects.Comment: 28 pages, 25 figures, accepted for publication in the Serbian Astronomical Journa

Multi-frequency study of Local Group Supernova Remnants The curious case of the Large Magellanic Cloud SNR J0528-6714

Aims. Recent ATCA, XMM-Newton and MCELS observations of the Magellanic Clouds (MCs) cover a number of new and known SNRs which are poorly studied, such as SNR J0528-6714 . This particular SNR exhibits luminous radio-continuum emission, but is one of the unusual and rare cases without detectable optical and very faint X-ray emission (initially detected by ROSAT and listed as object [HP99] 498). We used new multi-frequency radio-continuum surveys and new optical observations at H{\alpha}, [S ii] and [O iii] wavelengths, in combination with XMM-Newton X-ray data, to investigate the SNR properties and to search for a physical explanation for the unusual appearance of this SNR. Methods. We analysed the X-ray and Radio-Continuum spectra and present multi-wavelength morphological studies of this SNR. Results. We present the results of new moderate resolution ATCA observations of SNR J0528-6714. We found that this object is a typical older SNR with a radio spectral index of {\alpha}=-0.36 \pm 0.09 and a diameter of D=52.4 \pm 1.0 pc. Regions of moderate and somewhat irregular polarisation were detected which are also indicative of an older SNR. Using a non-equilibrium ionisation collisional plasma model to describe the X-ray spectrum, we find temperatures kT of 0.26 keV for the remnant. The low temperature, low surface brightness, and large extent of the remnant all indicate a relatively advanced age. The near circular morphology indicates a Type Ia event. Conclusions. Our study revealed one of the most unusual cases of SNRs in the Local Group of galaxies - a luminous radio SNR without optical counterpart and, at the same time, very faint X-ray emission. While it is not unusual to not detect an SNR in the optical, the combination of faint X-ray and no optical detection makes this SNR very unique.Comment: 6 pages, 5 figures, Accepted for publication in A&

Primary vulvar Paget disease - the importance of clinical suspicion

Extramammary Paget disease of the vulva is a rare condition that accounts for only 1-2% of vulvar malignancies and represents a frequent cause of misdiagnosis. It is most commonly seen in postmenopausal women. Clinically it is similar to Paget disease of the breast, appearing as red, well-demarcated eczematoid lesions, with slightly raised edges. A high degree of clinical suspicion is very important when evaluating these lesions in order to avoid misdiagnosis and delay of effective treatment. We present a case of vulvar Paget disease treated with vulvectomy.info:eu-repo/semantics/publishedVersio

Seasonal and depth-driven changes in rhodolith bed structure and associated macroalgae off Arvoredo island (southeastern Brazil)

Rhodoliths are formed by coralline red algae and can form heterogeneous substrata with high biodiversity. Here we describe a rhodolith bed at the southern limit of the known distribution of this habitat in the western Atlantic. We characterized rhodolith and macroalgal assemblages at 5, 10 and 15. m depth during summer and winter. Lithothamnion crispatum was dominant amongst the six rhodolith-forming species present. Most rhodoliths were spheroidal in shape indicating high mobility due to water movement. Rhodolith density decreased with increasing depth and during winter. Turf-forming seaweeds accounted for 60% of the biomass growing on rhodoliths. Macroalgae increased abundance and richness in the summer, but was similar between 5 and 15. m depth. They were less abundant and diverse than that recorded in rhodolith beds further north in Brazil. Both, season and depth, affected the structure of the macroalgae assemblages. We conclude that Lithothamniom is the most representative genus of Brazilian rhodolith beds. Summer is responsible for increasing the diversity and richness of macroalgae, as well as increasing rhodolith density. © 2013 Elsevier B.V

AGN behind the SMC selected from radio and X-ray surveys

The XMM-Newton survey of the Small Magellanic Cloud (SMC) revealed 3053 X-ray sources with the majority expected to be active galactic nuclei (AGN) behind the SMC. However, the high stellar density in this field often does not allow assigning unique optical counterparts and hinders source classification. On the other hand, the association of X-ray point sources with radio emission can be used to select background AGN with high confidence, and to constrain other object classes like pulsar wind nebula. To classify X-ray and radio sources, we use clear correlations of X-ray sources found in the XMM-Newton survey with radio-continuum sources detected with ATCA and MOST. Deep radio-continuum images were searched for correlations with X-ray sources of the XMM-Newton SMC-survey point-source catalogue as well as galaxy clusters seen with extended X-ray emission. Eighty eight discrete radio sources were found in common with the X-ray point-source catalogue in addition to six correlations with extended X-ray sources. One source is identified as a Galactic star and eight as galaxies. Eight radio sources likely originate in AGN that are associated with clusters of galaxies seen in X-rays. One source is a PWN candidate. We obtain 43 new candidates for background sources located behind the SMC. A total of 24 X-ray sources show jet-like radio structures.Comment: 9 pages, 6 figures, accepted for publication in A&

Multi-frequency observations of a superbubble in the LMC: The case of LHA 120-N 70

We present a detailed study of new Australia Telescope Compact Array (ATCA) and XMM-Newton observations of LHA 120-N 70 (hereafter N 70), a spherically shaped object in the Large Magellanic Cloud (LMC) classified as a superbubble (SB). Both archival and new observations were used to produce high quality radio-continuum, X-ray and optical images. The radio spectral index of N 70 is estimated to be $\alpha=-0.12\pm 0.06$ indicating that while a supernova or supernovae have occurred in the region at some time in the distant past, N70 is not the remnant of a single specific supernova. N70 exhibits limited polarisation with a maximum fractional polarisation of 9% in a small area of the north west limb. We estimate the size of N 70 to have a diameter of 104 pc ($\pm 1$ pc). The morphology of N 70 in X-rays closely follows that in radio and optical, with most X-ray emission confined within the bright shell seen at longer wavelengths. Purely thermal models adequately fit the soft X-ray spectrum which lacks harder emission (above 1 keV). We also examine the pressure output of N 70 where the values for the hot (PX) and warm (PHii) phase are consistent with other studied Hii regions. However, the dust-processed radiation pressure (PIR) is significantly smaller than in any other object studied in Lopez et al. (2013). N70 is a very complex region that is likely to have had multiple factors contributing to both the origin and evolution of the entire region.Comment: 21 pages 8 figures accepted for publication in A

Embryo selection through artificial intelligence versus embryologists: a systematic review

STUDY QUESTION What is the present performance of artificial intelligence (AI) decision support during embryo selection compared to the standard embryo selection by embryologists? SUMMARY ANSWER AI consistently outperformed the clinical teams in all the studies focused on embryo morphology and clinical outcome prediction during embryo selection assessment. WHAT IS KNOWN ALREADY The ART success rate is ∼30%, with a worrying trend of increasing female age correlating with considerably worse results. As such, there have been ongoing efforts to address this low success rate through the development of new technologies. With the advent of AI, there is potential for machine learning to be applied in such a manner that areas limited by human subjectivity, such as embryo selection, can be enhanced through increased objectivity. Given the potential of AI to improve IVF success rates, it remains crucial to review the performance between AI and embryologists during embryo selection. STUDY DESIGN, SIZE, DURATION The search was done across PubMed, EMBASE, Ovid Medline, and IEEE Xplore from 1 June 2005 up to and including 7 January 2022. Included articles were also restricted to those written in English. Search terms utilized across all databases for the study were: (‘Artificial intelligence’ OR ‘Machine Learning’ OR ‘Deep learning’ OR ‘Neural network’) AND (‘IVF’ OR ‘in vitro fertili*’ OR ‘assisted reproductive techn*’ OR ‘embryo’), where the character ‘*’ refers the search engine to include any auto completion of the search term. PARTICIPANTS/MATERIALS, SETTING, METHODS A literature search was conducted for literature relating to AI applications to IVF. Primary outcomes of interest were accuracy, sensitivity, and specificity of the embryo morphology grade assessments and the likelihood of clinical outcomes, such as clinical pregnancy after IVF treatments. Risk of bias was assessed using the Modified Down and Black Checklist. MAIN RESULTS AND THE ROLE OF CHANCE Twenty articles were included in this review. There was no specific embryo assessment day across the studies—Day 1 until Day 5/6 of embryo development was investigated. The types of input for training AI algorithms were images and time-lapse (10/20), clinical information (6/20), and both images and clinical information (4/20). Each AI model demonstrated promise when compared to an embryologist’s visual assessment. On average, the models predicted the likelihood of successful clinical pregnancy with greater accuracy than clinical embryologists, signifying greater reliability when compared to human prediction. The AI models performed at a median accuracy of 75.5% (range 59–94%) on predicting embryo morphology grade. The correct prediction (Ground Truth) was defined through the use of embryo images according to post embryologists’ assessment following local respective guidelines. Using blind test datasets, the embryologists’ accuracy prediction was 65.4% (range 47–75%) with the same ground truth provided by the original local respective assessment. Similarly, AI models had a median accuracy of 77.8% (range 68–90%) in predicting clinical pregnancy through the use of patient clinical treatment information compared to 64% (range 58–76%) when performed by embryologists. When both images/time-lapse and clinical information inputs were combined, the median accuracy by the AI models was higher at 81.5% (range 67–98%), while clinical embryologists had a median accuracy of 51% (range 43–59%). LIMITATIONS, REASONS FOR CAUTION The findings of this review are based on studies that have not been prospectively evaluated in a clinical setting. Additionally, a fair comparison of all the studies were deemed unfeasible owing to the heterogeneity of the studies, development of the AI models, database employed and the study design and quality. WIDER IMPLICATIONS OF THE FINDINGS AI provides considerable promise to the IVF field and embryo selection. However, there needs to be a shift in developers’ perception of the clinical outcome from successful implantation towards ongoing pregnancy or live birth. Additionally, existing models focus on locally generated databases and many lack external validation. STUDY FUNDING/COMPETING INTERESTS This study was funded by Monash Data Future Institute. All authors have no conflicts of interest to declare. REGISTRATION NUMBER CRD4202125633