Oblate collectivity in the yrast structure of 194Pt

A deep inelastic reaction using a 460 MeV 82Se beam incident upon a thick 192Os target was performed at the Legnaro National Laboratory, Italy. The resulting γ-decays were measured using the GASP array. Results for 194Pt extend the known level scheme of the yrast structure from spin I = (12 ħ) to (20 ħ). The irregularities in the sequence of the new transition energies and total Routhian surface calculations show a breakdown in collectivity with an yrast oblate shape remaining to high spin.Rubio Barroso, Berta, [email protected]

Biological Evaluation of Balneotherapeutic Mud and Sulfurous Mineral Waters: Insights from In Vivo and In Vitro Studies

Balneotherapy, treating diseases by bathing in mineral-rich waters and mud, has a long historical application across various cultures. Despite its widespread use, comprehensive studies on its biological impacts are scant, particularly in quantifying effects at the cellular and systemic levels. This study aims to rigorously investigate the biological effects of therapeutic mud and mineral waters, providing a scientific basis for their clinical application. We focused on elucidating the mechanisms behind the observed therapeutic effects and determining these natural resources' safety profiles. Employing a dual approach, we conducted both in vitro and in vivo studies. For the in vitro experiments, human fibroblast cells were treated with different concentrations of mud extracts to assess cytotoxicity, proliferation, and apoptosis pathways. For the in vivo assessments, Wistar rats were exposed to mud and mineral water treatments, with subsequent evaluations of biochemical markers in blood and urine indicative of systemic physiological changes. Our findings reveal that mud extracts exert a dose-dependent influence on cell viability, with low concentrations promoting cellular proliferation while higher concentrations induce apoptosis. In vivo treatments demonstrated significant modulation of inflammatory markers and oxidative stress parameters without evident systemic toxicity. The therapeutic mud and mineral waters demonstrate pronounced biological effects, enhancing cellular health and modulating systemic physiological responses without adverse side effects

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background: Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods: The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results: A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion: Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Hydrocarbon seeps in Romania: Gas origin and release to the atmosphere

Romania is one of the countries with the largest number of surface hydrocarbon seeps in the world. Seeps may be an important tool for petroleum exploration as they can provide useful information regarding source rock maturity, reservoir quality, and secondary gas alterations. Seeps also represent an important source of methane, ethane, and propane to the atmosphere. To date, the genetic characterization of natural gas in Romania has only been based on molecular composition, without isotopic information. Here, we present an overview of investigations performed over the past 15 years for the main Romanian hydrocarbon seeps, and report the molecular and isotopic compositions of gas, and the fluxes of methane, ethane and propane to the atmosphere. We assessed gas origin and secondary alterations in 17 seeps from several Romanian petroleum systems, and potential source rock types and maturity have been evaluated. As previously inferred, gas within the Transylvanian Basin is largely microbial, but also displays indications of a minor thermogenic component that is likely related to a deep petroleum system. Carpathian Flysch and Foredeep petroleum systems contain thermogenic gas, with clear evidence ofmbiodegradation in some cases. Thermogenic gas generation modelling and maturity plots suggest thatmmost Romanian gases originate from mature type II and III kerogen (%Ro: 2e3). For cases of high flux seeps, gas has the same hydrocarbon molecular composition as the reservoir, while in weaker seeps and some mud volcanoes gas is altered by molecular fractionation (a loss of C2 and C3 during gas migration). Gas seep geochemistry, in general, reflects the different geological and maturity conditions of basins where seeps are located. A vertical sequence of petroleum systems has been suggested in some basins by seeps displaying different maturity and secondary alterations. Measurements of methane flux to the atmosphere from 94 seeps display a wide range of emissions (kilograms to hundreds of tons per year), with a total, conservative estimated methane emission of approximately 3000 t y-1. Microseepage may also release a similar quantity of methane. Consequently, seepage is a substantial contributor to natural emissions of methane on a national level.Published130-1436A. Geochimica per l'ambiente e geologia medicaJCR Journa

Inventory of Onshore Hydrocarbon Seeps in Romania (HYSED-RO Database)

Seeps are the expression of the migration of hydrocarbons from subsurface accumulations to the surface in sedimentary basins. They may represent an important indication of the presence of petroleum (gas and oil) reservoirs and faults, and are a natural source of greenhouse gas (methane) and atmospheric pollutants (ethane, propane) to the atmosphere. Romania is one of the countries with the largest number of seeps in the world, due to the high petroleum potential and active tectonics. Based on a review of the available literature, and on the field surveys performed by the authors during the last 17 years, we report the first comprehensive GIS-based inventory of 470 seeps in Romania (HYSED-RO), including gas seeps (10.4% of the total), oil seeps (11.7%), mud volcanoes (50.4%), gas-rich springs (12.6%), asphalt (solid) seeps (4.3%), unclassified manifestations (4.0%), and uncertain seeps (6.6%). Seeps are typically located in correspondence with major faults and vertical and fractured stratigraphic contacts associated to petroleum reservoirs (anticlines) in low heat flow areas, and their gas-geochemistry reflects that of the subsurface reservoirs. The largest and most active seeps occur in the Carpathian Foredeep, where they release thermogenic gas, and subordinately in the Transylvanian Basin, where gas is mainly microbial. HYSED-RO may represent a key reference for baseline characterization prior to subsurface petroleum extraction, for environmental studies, and atmospheric greenhouse gas emission estimates in Romania.Published396A. Geochimica per l'ambienteJCR Journa