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One of the key issues in the design and development of a satellite Photovoltaic Assembly (PVA) is the trade-off to be made between the available volume located to the PVA, its mass and the total amount of power that the solar panels have to guarantee to the spacecraft. The development of high-efficiency, flexible, lightweight solar cells is therefore instrumental to the design of future satellites providing enhanced missions and services. Based on the consolidated development of GaAs-based single junction and lattice matched triple-junction solar cells, several research efforts are being pursued worldwide to further increase the efficiency and reduce mass. Promising approaches include thin-film technologies such as Inverted Metamorphic and Epitaxial Lift-Off (ELO), and the use of nanostructures or highly mismatched alloys grown by MBE. We propose here an alternative path towards the development of lightweight GaAs-based solar cells with the potential to exceed the Shockley-Queisser (SQ) limit of single junction cells. Our approach is based on the synergistic combination of thin-film design, quantum dots (QDs) absorption, and photonic nanostructures. Challenges and opportunities offered by the use of QDs are discussed. A cost-effective and scalable fabrication process including ELO technology and nanoimprint lithography is outlined. Finally, a proof-of-concept design, based on rigorous electromagnetic and physics-based simulations, is presented. Efficiency higher than 30% and weight reduction close to 90% - owing to the substrate removal - makes the proposed device to rank record power-to-weight ratio, with the potential to become a cost-effective, attractive option for next generation space solar cells.

BackgroundDifficulty providing accurate diagnosis and prognosis, especially after mild forms of traumatic brain injury (TBI), has increased efforts to detect changes in white matter microstructure using advanced neuroimaging techniques. Although methods such as diffusion tensor imaging (DTI) have greatly increased knowledge of white matter changes resulting from TBI, several shortcomings limit the utility of these techniques particularly when applied to populations with mild TBI (mTBI) history. In vivo imaging of myelin may be particularly well suited to detect changes in white matter microstructure resulting from mTBI.ReviewThis manuscript will briefly review the animal and histological data supporting the important role of myelin following TBI, contributions and shortcomings of the use of diffusion tensor imaging (DTI) in mild TBI and the utility of multi-component relaxometry (MCR) techniques as a method for improved visualizing of white matter microstructural integrity in myelin.ConclusionThe use of MCR-based techniques has potential as a clinical and research tool to assess and track changes in myelin as well as the common behavioural changes such as slowed processing speed following TBI.

Background: Laparoscopic liver resection for hepatocellular carcinoma (HCC) in Child-Pugh A cirrhosis has been demonstrated as beneficial. However, the role of laparoscopy in Child-Pugh B cirrhosis is undetermined. The aim of this retrospective cohort study was to compare open and laparoscopic resection for HCC with Child-Pugh B cirrhosis. Methods: Data on liver resections were gathered from 17 centres. A 1: 1 propensity score matching was performed according to 17 predefined variables. Results: Of 382 available liver resections, 100 laparoscopic and 100 open resections were matched and analysed. The 90-day postoperative mortality rate was similar in open and laparoscopic groups (4.0 versus 2.0 per cent respectively; P=0.687). Laparoscopy was associated with lower blood loss (median 110 ml versus 400 ml in the open group; P=0.004), less morbidity (38.0 versus 51.0 per cent respectively; P=0.041) and fewer major complications (7.0 versus 21.0 per cent; P=0.010), and ascites was lower on postoperative days 1, 3 and 5. For laparoscopic resections, patients with portal hypertension developed more complications than those without (26 versus 12 per cent respectively; P=0.002), and patients with a Child-Pugh B9 score had higher morbidity rates than those with B8 and B7 (7 of 8, 10 of 16 and 21 of 76 respectively; P,0.001). Median hospital stay was 7.5 (range 2-243) days for laparoscopic liver resection and 18 (3-104) days for the open approach (P=0.058). The 5-year overall survival rate was 47 per cent for open and 65 per cent for laparoscopic resection (P=0.142). The 5-year disease-free survival rate was 32 and 37 per cent respectively (P=0.742). Conclusion: Patients without preoperative portal hypertension and Child-Pugh B7 cirrhosis may benefit most from laparoscopic liver surgery. [ABSTRACT FROM AUTHOR]

OBJECTIVE: The number of children living in socio-economically disadvantaged neighborhoods in developed countries is constantly growing, resulting in important implications for children's development, physical and psychological health and increased future disparities. In this study, we explored several key elements of children living in poor neighborhoods, such as demographic characteristics, access to public health assistance and school, and availability of housing and basic hygienic conditions. PATIENTS AND METHODS: The study included 711 children aged 0-17 years referring to primary care services in the suburbs of the city of Rome, Italy. RESULTS: Most children were born in Italy, while almost none of their parents were. Nearly 60% of the children did not have access to basic pediatric care, causing possible misdiagnosis and delayed treatment for acute and chronic conditions. A smaller percentage of the children did not have access to basic housing (8%) and hygienic facilities, such as heating, running water, and refrigerator (3.2%), leading to malnutrition, isolation and poor physical and psychological development. CONCLUSIONS: This study confirms a critical condition for children living in disadvantaged neighborhoods, whose vulnerability is further worsened by the limited access to paediatric health assistance and, in some cases, to basic facilities with a severe impact on their physical and psychological development. [ABSTRACT FROM AUTHOR]

Background: Surgical outcomes may be associated with hospital volume and the influence of volume on minimally invasive liver surgery (MILS) is not known. Methods: Patients entered into the prospective registry of the Italian Group of MILS from 2014 to 2018 were considered. Only centres with an accrual period of at least 12 months and stable MILS activity during the enrolment period were included. Case volume was defined by the mean number of minimally invasive liver resections performed per month (MILS/month). Results: A total of 2225 MILS operations were undertaken by 46 centres; nine centres performed more than two MILS/month (1376 patients) and 37 centres carried out two or fewer MILS/month (849 patients). The proportion of resections of anterolateral segments decreased with case volume, whereas that of major hepatectomies increased. Left lateral sectionectomies and resections of anterolateral segments had similar outcome in the two groups. Resections of posterosuperior segments and major hepatectomies had higher overall and severe morbidity rates in centres performing two or fewer MILS/month than in those undertaking a larger number (posterosuperior segments resections: overall morbidity 30·4 versus 18·7 per cent respectively, and severe morbidity 9·9 versus 4·0 per cent; left hepatectomy: 46 versus 22 per cent, and 19 versus 5 per cent; right hepatectomy: 42 versus 34 per cent, and 25 versus 15 per cent). Conclusion: A volume–outcome association existed for minimally invasive hepatectomy. Complex and major resections may be best managed in high‐volume centres. [ABSTRACT FROM AUTHOR]

In the Western Antarctic Peninsula, increased biological activity at many levels of the food web are spatially coherent with submarine canyons. One possible mechanism that links the presence of these canyons to increased biological productivity is through the local upwelling of nutrient‐rich modified Upper Circumpolar Deep Water (mUCDW) to the surface, which supports high phytoplankton stocks, krill, penguins, and whales. In the austral summer of 2015, we investigated this hypothesis by deploying three autonomous Slocum gliders over Palmer Deep Canyon, near Palmer Station, Antarctica. Although we observed the shallowing of mUCDW consistent with canyon‐driven isopycnal uplift, these deep waters did not penetrate the phytoplankton rich surface mixed layer. Waters below the mixed layer, however, were strongly coherent with bathymetry, suggesting the strong influence of the canyon. The decoupling of the surface mixed layer from the mUCDW suggests that local upwelling may not be the mechanism that supports the biological hotspot. New physical mechanisms that could support the biological hotspot at Palmer Deep Canyon are suggested. Plain Language Summary: It has been suggested that the association of deep submarine canyons and the biological hotspot at Palmer Deep Canyon in the Western Antarctic Peninsula is due to the local upwelling of deep, nutrient‐rich water to the surface, increasing phytoplankton growth and thus attracting local krill and, in turn, supporting upper trophic levels. However, we found that during the season of peak biological activity, summer stratification isolates the productive surface waters from the nutrient‐rich water. Therefore, we suggest that upwelling of nutrient‐rich water is not the mechanism driving this canyon associated biological hotspot. We suggest alternative mechanisms related to horizontal transport. Key Points: Summer stratification isolates the surface mixed layer from deep water masses, limiting the surface influence of the canyonLocal upwelling of modified Upper Circumpolar Deep Water to the surface mixed layer was not observed in Palmer Deep CanyonHorizontal transport may be important in maintaining the biological hot spot rather than local upwelling [ABSTRACT FROM AUTHOR]