Differential attainment in higher surgical training: scoping pan-specialty spectra.

Introduction: This study aimed to evaluate differential attainment during higher surgical training (HST; all specialties) related to three ethnic cohorts: White UK (WUKG), Black and Minority Ethnic UK Graduates (BMEUKG), and International Medical Graduates (IMG).

Method: Anonymised records of 266 HSTs (126 WUKG, 65 BMEUKG, 75 IMG; 7 years) in a single UK Statutory Education Body were examined. Primary effect measures were Annual Record of Competency Progression Outcome (ARCPO) and Fellowship of the Royal College of Surgeons (FRCS) pass.

Unconventional domain wall magnetoresistance of patterned Ni/Nb bilayer structures below superconducting transition temperature of Nb.

Scattering of spin-up and spin-down electrons while passing through a ferromagnetic domain wall (DW) leads to an additional resistance for transport current, usually observed prominently in constricted magnetic structures. In this report we use the resistance of the DW as a probe to find an indirect signatures of the theoretically predicted spin-singlet supercurrent to spin-triplet supercurrent conversion effect of ferromagnetic DWs. Here we examine the DW induced resistance in Ni stripe in a bilayer Ni/Nb geometry in the normal state and in the superconducting state of Nb.

Nanoscale Domain Wall Engineered Spin-Triplet Josephson Junctions and SQUID.

Spin-singlet Cooper pairs convert to spin-triplet Cooper pairs on passing through a magnetically noncollinear structure at a superconductor(S)/ferromagnet(F) interface. In this context, the generation of triplet supercurrents through intrinsic ferromagnetic domain walls, which are naturally occurring noncollinear magnetic features, was proposed theoretically in the past decade. However, an experimental demonstration has been lacking in the literature, particularly because of the difficulty in accessing a single domain wall, which is typically buried between two domains in a ferromagnetic material.

Anaphylactic Reaction Rates to Blue Dyes Used for Sentinel Lymph Node Mapping: Systematic Review and Meta-analysis.

Objective: The primary objective of this study was to quantify the risk of anaphylaxis to blue dyes used in SLNB for cancer. Secondary outcomes included the identification of factors that may influence this risk.

Summary Of Background Data: Blue dyes are widely used to help identify sentinel lymph nodes in oncological surgery.

Long-term seizure recurrence after eclampsia: A systematic review and meta-analysis.

Background: Seizure recurrence after a fit has implications for both individuals and healthcare providers guiding neurologic prognosis, treatment, and driving and work restrictions. A systematic review of long-term seizure recurrence after eclampsia will help to quantify recurrence risk in this setting.

Objective: To evaluate the long-term recurrence of seizures after eclampsia.

The pathology and aetiology of subcortical clefts in infants.

In infants, traumatic surface contusions of the brain are rare but subcortical clefts or cysts, variously labelled "contusional tears", "contusional clefts", "cortical tears" or "parenchymal lacerations" have been ascribed to trauma, and are even said to be characteristic of shaking and abuse. We describe the pathology of subcortical clefts or haemorrhages in seven infants. In none were the axonal swellings characteristic of traumatic axonal injury seen in relation to the clefts.

Current margin practice and effect on re-excision rates following the publication of the SSO-ASTRO consensus and ABS consensus guidelines: a national prospective study of 2858 women undergoing breast-conserving therapy in the UK and Ireland.

Introduction: There is variation in margin policy for breast conserving therapy (BCT) in the UK and Ireland. In response to the Society of Surgical Oncology and American Society for Radiation Oncology (SSO-ASTRO) margin consensus ('no ink on tumour' for invasive and 2 mm for ductal carcinoma in situ [DCIS]) and the Association of Breast Surgery (ABS) consensus (1 mm for invasive and DCIS), we report on current margin practice and unit infrastructure in the UK and Ireland and describe how these factors impact on re-excision rates.

Methods: A trainee collaborative-led multicentre prospective study was conducted in the UK and Ireland between 1st February and 31st May 2016.

Superconducting exchange coupling between ferromagnets.

Recent discoveries from superconductor (S)/ferromagnet (FM) heterostructures include π-junctions, triplet pairing, critical temperature (T) control in FM/S/FM superconducting spin valves (SSVs) and critical current control in S/FM/N/FM/S spin valve Josephson junctions (N: normal metal). In all cases, the magnetic state of the device, generally set by the applied field, controls the superconducting response. We report here the observation of the converse effect, that is, direct superconducting control of the magnetic state in GdN/Nb/GdN SSVs.

In Situ Observations of Phase Transitions in Metastable Nickel (Carbide)/Carbon Nanocomposites.

Nanocomposite thin films comprised of metastable metal carbides in a carbon matrix have a wide variety of applications ranging from hard coatings to magnetics and energy storage and conversion. While their deposition using nonequilibrium techniques is established, the understanding of the dynamic evolution of such metastable nanocomposites under thermal equilibrium conditions at elevated temperatures during processing and during device operation remains limited. Here, we investigate sputter-deposited nanocomposites of metastable nickel carbide (NiC) nanocrystals in an amorphous carbon (a-C) matrix thermal postdeposition processing via complementary in situ X-ray diffractometry, in situ Raman spectroscopy, and in situ X-ray photoelectron spectroscopy.

Nano-optical single-photon response mapping of waveguide integrated molybdenum silicide (MoSi) superconducting nanowires.

We present low temperature nano-optical characterization of a silicon-on-insulator (SOI) waveguide integrated SNSPD. The SNSPD is fabricated from an amorphous MoSi thin film chosen to give excellent substrate conformity. At 350 mK, the SNSPD exhibits a uniform photoresponse under perpendicular illumination, corresponding to a maximum system detection efficiency of approximately 5% at 1550 nm wavelength.

Cerebral venous sinus thrombosis complicating traumatic head injury.

Cerebral venous sinus thrombosis (CVST) is a rare complication of traumatic head injury. Here we present a patient with traumatic extradural haematoma successfully evacuated with good clinical recovery. However, the patient then deteriorated and died.

Vertically oriented TiO(x)N(y) nanopillar arrays with embedded Ag nanoparticles for visible-light photocatalysis.

We present a straightforward method to produce highly crystalline, vertically oriented TiO(x)N(y) nanopillars (up to 1 μm in length) with a band gap in the visible-light region. This process starts with reactive dc sputtering to produce a TiN porous film, followed by a simple oxidation process at elevated temperatures in oxygen or air. By controlling the oxidation conditions, the band gap of the prepared TiO(x)N(y) can be tuned to different wavelength within the range of visible light.

Spin-filter Josephson junctions.

Josephson junctions with ferromagnetic barriers have been intensively investigated in recent years. Of particular interest has been the realization of so called π-junctions with a built-in phase difference, and induced triplet pairing. Such experiments have so far been limited to systems containing metallic ferromagnets.

Preoperative assessment clinic: a missed learning opportunity?

Background: Day-case surgery, theatre direct admissions and elective surgery have revolutionised the surgical patient's pathway, and have minimised the length of their hospital stay. However, with large numbers of medical students placed mostly at teaching hospitals, this has also significantly reduced students' exposure to clinical signs in surgery. This study aimed to assess whether the preoperative assessment clinic would be an appropriate teaching arena to offer medical students exposure to clinical signs.

The response of osteoblasts to nanocrystalline silicon-substituted hydroxyapatite thin films.

Magnetron co-sputtering has been employed to fabricate thin nanocrystalline coatings of silicon-substituted hydroxyapatite (SiHA) of different Si compositions: 0.8 wt%, 2.2 wt%, and 4.