The relationship between systemic inflammation and stoma formation following anterior resection for rectal cancer: a cross-sectional study

Introduction: There is evidence that temporary defunctioning stoma formation in patients undergoing anterior resection reduces the risk of anastomotic leakage. The aim of the present study was to investigate the relationship between stoma formation, the postoperative systemic inflammatory response and complications following anterior resection for rectal cancer. Methods: Data was recorded prospectively for patients who underwent anterior resection for histologically proven rectal cancer, from 2008 to 2015 at a single centre, n = 167. Patients had routine preoperative and postoperative blood sampling including serum C-reactive protein (CRP). Postoperative complications including anastomotic leakage were recorded. Results: Of the 167 patients, the majority were male (61%) and over 65 years old (56%) with node negative disease (60%). 36 patients (22%) underwent preoperative neoadjuvant treatment. 100 patients (60%) had a stoma formed at the time of surgery. Stoma formation was significantly associated with male sex (69% vs. 50%, p = 0.017), neoadjuvant chemoradiotherapy (30% vs 9%, p = 0.001) and open surgery (71% vs. 55%, p = 0.040). Of those 100 patients who had a stoma formed, 80 had it reversed. Permanent stoma was significantly associated with increasing age (p = 0.011), exceeding the established CRP threshold of 150 mg/L on postoperative day 4 (67% vs 37%, p = 0.039), higher incidence of postoperative complications (76% vs 47%, p = 0.035), anastomotic leakage (24% vs 2%, p = 0.003) and higher Clavien Dindo score (p = 0.036). Conclusions: There was no significant association between stoma formation during anterior resection and the postoperative systemic inflammatory response. However, in these patients both the postoperative systemic inflammatory response and complications were associated with permanent stoma

Energy scale independence of Koide's relation for quark and lepton masses

Koide's mass relation of charged leptons has been extended to quarks and neutrinos, and we prove here that this relation is independent of energy scale in a huge energy range from $1 {GeV}$ to $2\times10^{16} {GeV}$. By using the parameters $k_u$, $k_d$ and $k_{\nu}$ to describe the deviations of quarks and neutrinos from the exact Koide's relation, we also check the quark-lepton complementarity of masses such as $k_{l}+k_{d} \approx k_{\nu}+k_{u} \approx 2$, and show that it is also independent (or insensitive) of energy scale.Comment: 16 Latex pages, 2 figures, final version to appear in PR

Alpha Decay Width of 212^{212}Po from a quartetting wave function approach

A microscopic calculation of $\alpha$-cluster preformation probability and $\alpha$ decay width in the typical $\alpha$ emitter $^{212}$Po is presented. Results are obtained by improving a recent approach to describe $\alpha$ preformation in $^{212}$Po [Phys. Rev. C 90, 034304 (2014)] implementing four-nucleon correlations (quartetting). Using the actually measured density distribution of the $^{208}$ Pb core, the calculated alpha decay width of $^{212}$Po agrees fairly well with the measured one.Comment: 7 pages, 5 figures, 1 table, submitted to Phys. Rev.

Using High Resolution Images from UAV and Satellite Remote Sensing for Best Management Practice Analyses

Best Management Practices (BMPs) are commonly adopted to ameliorate the quality of runoff and reduce the frequency and intensity of flash floods in urban areas. To date, many of the BMP studies are conducted using coarse resolution data. However, the accuracy of such studies may be compromised due to the shortcomings inherent in the input data; as such, the evaluation of the BMP cost-effectiveness may not be accurate. The objective of this paper is to demonstrate the improvements of higher resolution images over coarse resolution data in BMP analyses. An unmanned aerial vehicle (UAV) was used to collect a more detailed and accurate picture of the digital surface model and digital elevation model. Landsat 8 multi-spectral imagery was classified by object-oriented classification to generate a land use/land cover map. The method used in this study provided more detailed and accurate information of the physical conditions of the study area, an improved subwatershed delineation, a more comprehensive list of the suitable locations for BMPs, and a more reliable estimate of the cost-effectiveness of the BMP ensembles than that generated using coarse resolution data. Using the fine resolution data, this study further determined the utility of the selected BMP ensembles under a changed future climate regime and identified the best BMP and BMP ensemble in reducing urban surface runoff. This method can be especially useful in areas without quality topography and land use data

Bound clusters on top of doubly magic nuclei

An effective $\alpha$ particle equation is derived for cases where an $\alpha$ particle is formed on top of a doubly magic nucleus. As an example, we consider $^{212}$Po with the $\alpha$ on top of the $^{208}$ Pb core. We will consider the core nucleus infinitely heavy, so that the $\alpha$ particle moves with respect to a fixed center, i.e., recoil effects are neglected. The fully quantal solution of the problem is discussed. The approach is inspired by the THSR (Tohsaki-Horiuchi-Schuck-R\"{o}pke) wave function concept that has been successfully applied to light nuclei. Shell model calculations are improved by including four-particle ($\alpha$-like) correlations that are of relevance when the matter density becomes low. In the region where the $\alpha$-like cluster penetrates the core nucleus, the intrinsic bound state wave function transforms at a critical density into an unbound four-nucleon shell model state. Exploratory calculations for $^{212}$Po are presented. Such preformed cluster states are only hardly described by shell model calculations. Reasons for different physics behavior of an $\alpha$-like cluster with respect to a deuteron-like cluster are discussed.Comment: 24 pages, 5 figure

Black Holes and Photons with Entropic Force

We study entropic force effects on black holes and photons. We find that application of an entropic analysis restricts the radial change $\Delta R$ of a black hole of radius $R_{\mathrm{H}}$, due to a test particle of a Schwartzchild radius $R_{h}$ moving towards the black hole by $\Delta x$ near black body surface, to be given by a relation $R_{\mathrm{H}} \Delta R= R_h \Delta x/2$, or {\Delta R}/{\lambdabar_M} = {\Delta x}/{2 \lambdabar_m}. We suggest a new rule regarding entropy changes in different dimensions, \Delta S= 2\pi k D \Delta l /\lambdabar, which unifies Verlinde's conjecture and the black hole entropy formula. We also propose to extend the entropic force idea to massless particles such as a photon. We find that there is an entropic force on a photon of energy $E_\gamma$, with $F=G M m_{\gamma}/R^2$, and therefore the photon has an effective gravitational mass $m_\gamma = E_\gamma/c^2$.Comment: 4 Latex pages, no figure

q-deformed Supersymmetric t-J Model with a Boundary

The q-deformed supersymmetric t-J model on a semi-infinite lattice is diagonalized by using the level-one vertex operators of the quantum affine superalgebra $U_q[\hat{sl(2|1)}]$. We give the bosonization of the boundary states. We give an integral expression of the correlation functions of the boundary model, and derive the difference equations which they satisfy.Comment: LaTex file 18 page

Perception of pregnant women on barriers to male involvement in antenatal care in Sekondi, Ghana.

Getting men to be actively involved in Antenatal Care (ANC) has been acknowledged by the World Health Organisation as a key indicator for better maternal health outcomes. We investigated the perception of women about barriers to male involvement in ANC in Sekondi, Ghana. Dwelling on cross-sectional design, we used a sample of 300 pregnant women (adolescents excluded) who had ever attended ANC in five fishing communities in Sekondi. The study was underpinned by a conceptual framework adapted from Doe's conceptual framework of male partner involvement in maternity care. We used questionnaire for the data collection. Both descriptive-frequencies and percentages; and inferential-binary logistic regression analyses were carried out. Seven out of ten (70%) participants indicated high male involvement in ANC. Respondents whose partners were aged 50-59 were less likely to report high male involvement in ANC compared to those whose partners were aged 20-29 years (OR = 0.47, 95% CI = [0.35-0.86], p = 0.03). Those living together with their partners were about two times more likely to report high male involvement in ANC compared to those who did not live with their partners (OR = 1.63, 95% CI = [1.18-3.19], p = 0.01). Participants who identified long waiting time at the health facility as a determinant of male involvement in ANC were less likely to report high male involvement in ANC compared to those who disagreed (OR = 0.57, 95% CI = [0.38-0.85], p = 0.01). The outcome of our study calls for male partner friendly policy driven environment at the various ANC visit points that would make men more comfortable to accompany their partners in accessing ANC services

Investigation for the puzzling abundance pattern of the neutron-capture elements in the ultra metal-poor star: CS 30322-023

The s-enhanced and very metal-poor star CS 30322-023 shows a puzzling abundance pattern of the neutron-capture elements, i.e. several neutron-capture elements such as Ba, Pb etc. show enhancement, but other neutron-capture elements such as Sr, Eu etc. exhibit deficient with respect to iron. The study to this sample star could make people gain a better understanding of s- and r-process nucleosynthesis at low metallicity. Using a parametric model, we find that the abundance pattern of the neutron-capture elements could be best explained by a star that was polluted by an AGB star and the CS 30322-023 binary system formed in a molecular cloud which had never been polluted by r-process material. The lack of r-process material also indicates that the AGB companion cannot have undergone a type-1.5 supernova, and thus must have had an initial mass below 4.0M$_\odot$, while the strong N overabundance and the absence of a strong C overabundance indicate that the companion's initial mass was larger than 2.0M$_\odot$. The smaller s-process component coefficient of this star illustrates that there is less accreted material of this star from the AGB companion, and the sample star should be formed in the binary system with larger initial orbital separation where the accretion-induced collapse (AIC) mechanism can not work.Comment: 13 pages, 2 figure