Early experience with the ARTISENTIAL® articulated instruments in laparoscopic low anterior resection with TME

Background: The notion of articulation in surgery has been largely synonymous with robotics. The ARTISENTIAL® instruments aim at bringing advanced articulation to laparoscopy to overcome challenges in narrow anatomical spaces. In this paper, we present first single-center results of a series of low anterior resections, performed with ARTISENTIAL®. Methods: Between September 2020 and August 2021, at the Department of Surgery, St. Marienkrankenhaus Siegen, Siegen, Germany, patients with cancer of the mid- and low rectum were prospectively enrolled in a pilot feasibility study to evaluate the ARTISENTIAL® articulated instruments in performing a laparoscopic low anterior resection. Perioperative and short-term postoperative data were analyzed. Results: Seventeen patients (10 males/7 females) were enrolled in this study. The patients had a median age of 66 years (range 47–80 years) and a median body mass index of 28 kg/m2 (range 23–33 kg/m2). The median time to rectal transection was 155 min (range 118–280 min) and the median total operative time was 276 min (range 192–458 min). The median estimated blood loss was 30 ml (range 5–70 ml) and there were no conversions to laparotomy. The median number of harvested lymph nodes was 15 (range 12–28). Total mesorectal excision (TME) quality was ‘good’ in all patients with no cases of circumferential resection margin involvement (R0 = 100%). The median length of stay was 9 days (range 7–14 days). There were no anastomotic leaks and the overall complication rate was 17.6%. There was one unrelated readmission with no mortality. Conclusions: Low anterior resection with ARTISENTIAL® is feasible and safe. All patients had a successful TME procedure with a good oncological outcome. We will now seek to evaluate the benefits of ARTISENTIAL® in comparison with standard laparoscopic instruments through a larger study

Prospects for studying the solar CNO cycle by means of a lithium neutrino detector

Lithium detectors have a high sensitivity to CNO neutrinos from the Sun. The present experimental data and prospects for future experiments on the detection of CNO neutrinos are discussed. A nonstationary case is considered when the flux of 13N neutrinos is higher than the standard solar model predicts due to the influx of fresh material from the peripheral layers to the solar core.Comment: 12 pages, 5 figures, a thoroughly revised version, reported at International Symposium "Physics of Massive Neutrinos" at MILOS (Greece) 19-23 May 200

Analysis of ORF5 and Full-Length Genome Sequences of Porcine Reproductive and Respiratory Syndrome Virus Isolates of Genotypes 1 and 2 Retrieved Worldwide Provides Evidence that Recombination Is a Common Phenomenon and May Produce Mosaic Isolates

Recombination is currently recognized as a factor for high genetic diversity, but the frequency of such recombination events and the genome segments involved are not well known. In the present study, we initially focused on the detection of recombinant porcine reproductive and respiratory syndrome virus (PRRSV) isolates by examining previously published data sets of ORF5 sequences (genotypes 1 and 2) obtained worldwide. We then examined full-length genome sequences in order to determine potential recombination breakpoints along the viral genome. For ORF5, 11 sets of genotype 1 sequences from different geographical areas, including 2 Asian, 1 American, and 7 European regions, and three sets of genotype 2, including sets from China, Mexico, and the United States, were analyzed separately. Potential recombination breakpoints were detected in 10/11 genotype 1 sets, including 9 cases in which the clustering of at least one isolate was different before and after the breakpoints. In genotype 2, potential breakpoints and different tree clustering of at least one strain before and after the breakpoint were observed in 2 out of 3 sets. The results indicated that most of the ORF5 data sets contained at least one recombinant sequence. When the full-length genome sequences were examined, both genotype 1 and 2 sets presented breakpoints (10 and 9, respectively), resulting in significantly different topologies before and after the breakpoints. Mosaic genomes were detected in genotype 1 sequences. These results may have significant implications for the understanding of the molecular epidemiology of PRRSV. IMPORTANCE PRRSV is one of the most important viruses affecting swine production worldwide, causing big economic losses and sanitary problems. One of the key questions on PRRSV arises from its genetic diversity, which is thought to have a direct impact on immunobiology, epidemiology, diagnosis, and vaccine efficacy. One of the causes of this genetic diversity is recombination among strains. This study provides evidence that recombinant PRRSV isolates are common in most of the countries with significant swine production, especially PRRSV genotype 1. This observation has implications in the proper characterization of PRRSV strains, in the future development of phylogenetic studies, and in the development of new PRRSV control strategies. Moreover, the present paper emphasizes the need for a deeper understanding of the mechanisms and circumstances involved in the generation of genetic diversity of PRRSV

DETEKSI GLUKOSA DALAM URIN ORANGUTAN SUMATERA (PONGO ABELII) MENGGUNAKAN STRIPTEST SEMIKUANTITATIF DI TAMAN HEWAN PEMATANG SIANTAR

Penelitian ini bertujuan mengetahui ada tidaknya glukosa dalam uron orangutan sumatera (Pongo abelii) sebagai penunjang diagnosa di Taman Hewan Pematang Siantar, Sumatera Utara. Pengoleksian urin terhadap 4 ekor orangutan sumatera di dalam kandang yang dilakukan pada pagi hari yaitu saat orangutan bangun tidur atau sebelum pemberian pakan orangutan. Pengulangan uji dilakukan 3 kali selama 10 hari pada bulan Januari 2015. Setelah pengoleksian urin kemudian dilakukan pemeriksaan dengan cara mencelupkan stripstest pada 5-10 ml urin selama 30 detik. Analisis data menggunakan metode deskriptif kualitatif dengan hasil bersifat semikuantitatif melalui pembacaan nilai glukosa pada stripstest yang memiliki skala perubahan warna yaitu : negatif, positif 1 (100 mg/dL), positif 2 (250 mg/dL), positif 3 (500 mg/dL), dan positif 4 (1000 mg/dL). Hasil penelitian menunjukkan bahwa dari 4 sampel urin orangutan sumatera tidak terdeteksi adanya glukosa dalam urin

Effects of dicopper oxide and copper sulfate on growth performance and gut microbiota in broilers

An experiment was conducted to determine the effects of two sources of copper (Cu) from copper sulfate (CuSO) and dicopper oxide (CuO, CoRouge) at three levels of inclusion (15, 75, and 150 mg/kg) on growth performance and gut microbiota of broilers. A total of 840 one-d-old male chickens (Ross 308) were weighed and randomly allocated to seven dietary treatments: negative control (NC, a basal diet without Cu addition), and the NC supplemented with 15, 75, or 150 mg Cu/kg from CuSO or CuO (12 replicate pens/treatment, 10 chicks per pen). Broilers were challenged by reusing an old litter with high concentrations in Clostridium perfringens to promote necrotic enteritis. Broiler performance was registered at d 21, 35, and 42. Excreta samples were collected at d 14, 28, and 42 for antimicrobial resistance (AMR) analyses. At d 43, one broiler per pen was euthanized to obtain ileal content for microbial characterization. Body weight d 35 and daily gain d 42 improved (P < 0.05) in CuO as Cu dose inclusion increased from 15 mg/kg to 150 mg/kg. Supplementation of 150 mg/kg of Cu from CuO decreased the abundance (P < 0.01) of some families such as Streptococcaceae and Corynebacteriaceae and increased the abundance (P < 0.05) of some commensal bacteria like Clostridiaceae and Peptostreptococcaceae. Phenotypic AMR was not different among treatments on d 14 and 28. Isolated Enterococcus spp. from broilers fed the NC diet on d 42 showed higher (P < 0.05) resistance to enrofloxacin, gentamicin, and chloramphenicol compared with Cu treatments. By contrast, the isolated Escherichia coli from broilers fed 150 mg/kg of Cu, either from CuSO or CuO, showed higher (P < 0.05) resistance to streptomycin and chloramphenicol compared to the NC. This study suggests that supplementing 150 mg/kg of Cu from CuO establishes changes in the gut microbiota by regulating the bacterial population in the ileum, which may explain the positive impact on broilers' growth performance

Thin film composite membranes with regulated crossover and water migration for long-life aqueous redox flow batteries.

Redox flow batteries (RFBs) are promising for large-scale long-duration energy storage owing to their inherent safety, decoupled power and energy, high efficiency, and longevity. Membranes constitute an important component that affects mass transport processes in RFBs, including ion transport, redox-species crossover, and the net volumetric transfer of supporting electrolytes. Hydrophilic microporous polymers, such as polymers of intrinsic microporosity (PIM), are demonstrated as next-generation ion-selective membranes in RFBs. However, the crossover of redox species and water migration through membranes are remaining challenges for battery longevity. Here, a facile strategy is reported for regulating mass transport and enhancing battery cycling stability by employing thin film composite (TFC) membranes prepared from a PIM polymer with optimized selective-layer thickness. Integration of these PIM-based TFC membranes with a variety of redox chemistries allows for the screening of suitable RFB systems that display high compatibility between membrane and redox couples, affording long-life operation with minimal capacity fade. Thickness optimization of TFC membranes further improves cycling performance and significantly restricts water transfer in selected RFB systems

Thin Film Composite Membranes with Regulated Crossover and Water Migration for Long-Life Aqueous Redox Flow Batteries

Redox flow batteries (RFBs) are promising for large-scale long-duration energy storage owing to their inherent safety, decoupled power and energy, high efficiency, and longevity. Membranes constitute an important component that affects mass transport processes in RFBs, including ion transport, redox-species crossover, and the net volumetric transfer of supporting electrolytes. Hydrophilic microporous polymers, such as polymers of intrinsic microporosity (PIM), are demonstrated as next-generation ion-selective membranes in RFBs. However, the crossover of redox species and water migration through membranes are remaining challenges for battery longevity. Here, a facile strategy is reported for regulating mass transport and enhancing battery cycling stability by employing thin film composite (TFC) membranes prepared from a PIM polymer with optimized selective-layer thickness. Integration of these PIM-based TFC membranes with a variety of redox chemistries allows for the screening of suitable RFB systems that display high compatibility between membrane and redox couples, affording long-life operation with minimal capacity fade. Thickness optimization of TFC membranes further improves cycling performance and significantly restricts water transfer in selected RFB systems

On the rotational evolution of solar- and late-type stars, its magnetic origins, and the possibility of stellar gyrochronology

We propose a simple interpretation of the rotation period data for solar- and late-type stars. The open cluster and Mt. Wilson star observations suggest that rotating stars lie primarily on two sequences, initially called I and C. Some stars lie in the intervening gap. These sequences, and the fractional numbers of stars on each sequence evolve systematically with cluster age, enabling us to construct crude rotational isochrones allowing `stellar gyrochronology', a procedure, upon improvement, likely to yield ages for individual field stars. The age and color dependences of the sequences allow the identification of the underlying mechanism, which appears to be primarily magnetic. The majority of solar- and late-type stars possess a dominant Sun-like, or Interface magnetic field, which connects the convective envelope both to the radiative interior of the star and to the exterior where winds can drain off angular momentum. These stars spin down Skumanich-style. An age-decreasing fraction of young G, K, and M stars, which are rapid rotators, possess only a Convective field which is not only inefficient in depleting angular momentum, but also incapable of coupling the surface convection zone to the inner radiative zone, so that only the outer zone is spun down, and on an exponential timescale. These stars do not yet possess large-scale dynamos. The large-scale magnetic field associated with the dynamo, apparently created by the shear between the decoupled radiative and convective zones, (re)couples the convective and radiative zones and drives a star from the Convective to the Interface sequence through the gap on a timescale that increases as stellar mass decreases. (Abstract is truncated here.)Comment: 32 pages, 6 figures (4 in color), accepted by Ap

Helioseismic studies of differential rotation in the solar envelope by the solar oscillations investigation using the michelson doppler imager

The splitting of the frequencies of the global resonant acoustic modes of the Sun by large-scale flows and rotation permits study of the variation of angular velocity &#937; with both radius and latitude within the turbulent convection zone and the deeper radiative interior. The nearly uninterrupted Doppler imaging observations, provided by the Solar Oscillations Investigation (SOI) using the Michelson Doppler Imager (MDI) on the Solar and Heliospheric Observatory (SOHO) spacecraft positioned at the L1 Lagrangian point in continuous sunlight, yield oscillation power spectra with very high signal-to-noise ratios that allow frequency splittings to be determined with exceptional accuracy. This paper reports on joint helioseismic analyses of solar rotation in the convection zone and in the outer part of the radiative core. Inversions have been obtained for a medium-l mode set (involving modes of angular degree l extending to about 250) obtained from the first 144 day interval of SOI-MDI observations in 1996. Drawing inferences about the solar internal rotation from the splitting data is a subtle process. By applying more than one inversion technique to the data, we get some indication of what are the more robust and less robust features of our inversion solutions. Here we have used seven different inversion methods. To test the reliability and sensitivity of these methods, we have performed a set of controlled experiments utilizing artificial data. This gives us some confidence in the inferences we can draw from the real solar data. The inversions of SOI-MDI data have confirmed that the decrease of &#937; with latitude seen at the surface extends with little radial variation through much of the convection zone, at the base of which is an adjustment layer, called the tachocline, leading to nearly uniform rotation deeper in the radiative interior. A prominent rotational shearing layer in which &#937; increases just below the surface is discernible at low to mid latitudes. Using the new data, we have also been able to study the solar rotation closer to the poles than has been achieved in previous investigations. The data have revealed that the angular velocity is distinctly lower at high latitudes than the values previously extrapolated from measurements at lower latitudes based on surface Doppler observations and helioseismology. Furthermore, we have found some evidence near latitudes of 75&#176; of a submerged polar jet which is rotating more rapidly than its immediate surroundings. Superposed on the relatively smooth latitudinal variation in &#937; are alternating zonal bands of slightly faster and slower rotation, each extending some 10&#176; to 15&#176; in latitude. These relatively weak banded flows have been followed by inversion to a depth of about 5% of the solar radius and appear to coincide with the evolving pattern of "torsional oscillations" reported from earlier surface Doppler studies