9 research outputs found
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Development plan for the Nucleon Physics Laboratory Facility at LAMPF
A 3- to 4-year plan is described for upgrading the LAMPF Nucleon Physics Laboratory including a neutron time-of-flight facility for the (p,n) reaction, a medium-resolution spectrometer for (p,p') and n,p) studies, and a dedicated facility for atomic beam studies. Development of these facilities and relationships to other ongoing developments are detailed. The scope of the new physics programs supported by such a facility is discussed
Is One Anastomosis Gastric Bypass with a Biliopancreatic Limb of 150 cm Effective in the Treatment of People with Severe Obesity with BMI > 50?
Purpose: The treatment of people with severe obesity and BMI > 50 kg/m2 is challenging. The present study aims to evaluate the short and mid-term outcomes of one anastomosis gastric bypass (OAGB) with a biliopancreatic limb of 150 cm as a primary bariatric procedure to treat those people in a referral center for bariatric surgery. Material and Methods: Data of patients who underwent OAGB for severe obesity with BMI > 50 kg/m2 between 2010 and 2017 were collected prospectively and analyzed retrospectively. Follow-up comprised clinical and biochemical assessment at 1, 3, 6, 12, 18, and 24 months postoperatively, and once a year thereafter. Results: Overall, 245 patients underwent OAGB. Postoperative mortality was null, and early morbidity was observed in 14 (5.7%) patients. At 24 months, the percentage total weight loss (%TWL) was 43.2 ± 9, and percentage excess weight loss (%EWL) was 80 ± 15.7 (184 patients). At 60 months, %TWL was 41.9 ± 10.2, and %EWL was 78.1 ± 18.3 (79 patients). Conversion to Roux-en-Y gastric bypass was needed in three (1.2%) patients for reflux resistant to medical treatment. Six patients (2.4%) had reoperation for an internal hernia during follow-up. Anastomotic ulcers occurred in three (1.2%) patients. Only two patients (0.8%) underwent a second bariatric surgery for insufficient weight loss. Conclusion: OAGB with a biliopancreatic limb of 150 cm is feasible and associated with sustained weight loss in the treatment of severe obesity with BMI > 50 kg/m2. Further randomized studies are needed to compare OAGB with other bariatric procedures in this setting
Nouvelles données cytologiques et nomenclatures sur les hybrides entre les fougères Asplenium foreziense
Taxons de Ptéridophytes associés à une planche de Plumier et à un spécimen des Mascareignes — lectotypification de Polypodium punctulatum
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DARHT : integration of shielding design and analysis with facility design /
The design of the interior portions of the Dual Axis Radiographic Hydrodynamic Test (DARHT) Facility incorporated shielding and controls from the beginning of the installation of the Accelerators. The purpose of the design and analysis was to demonstrate the adequacy of shielding or to determine the need for additional shielding or controls. Two classes of events were considered: (1) routine operation defined as the annual production of 10,000 2000-ns pulses of electrons at a nominal energy of 20 MeV, some of which are converted to the x-ray imaging beam consisting of four nominal 60-ns pulses over the 2000-ns time frame, and (2) accident case defined as up to 100 2000-ns pulses of electrons accidentally impinging on some metallic surface, thereby producing x rays. Several locations for both classes of events were considered inside and outside of the accelerator hall buildings. The analysis method consisted of the definition of a source term for each case studied and the definition of a model of the shielding and equipment present between the source and the dose areas. A minimal model of the fixed existing or proposed shielding and equipment structures was used for a first approximation. If the resulting dose from the first approximation was below the design goal (1 rem/yr for routine operations, 5 rem for accident cases), then no further investigations were performed. If the result of the first approximation was above our design goals, the model was refined to include existing or proposed shielding and equipment. In some cases existing shielding and equipment were adequate to meet our goals and in some cases additional shielding was added or administrative controls were imposed to protect the workers. It is expected that the radiation shielding design, exclusion area designations, and access control features, will result in low doses to personnel at the DARHT Facility