10 research outputs found
An ytterbium quantum gas microscope with narrow-line laser cooling
We demonstrate site-resolved imaging of individual bosonic
atoms in a Hubbard-regime two-dimensional optical lattice
with a short lattice constant of 266 nm. To suppress the heating by probe light
with the - transition of the wavelength = 399 nm for
high-resolution imaging and preserve atoms at the same lattice sites during the
fluorescence imaging, we simultaneously cool atoms by additionally applying
narrow-line optical molasses with the - transition of the
wavelength = 556 nm. We achieve a low temperature of $T = 7.4(1.3)\
\mu\mathrm{K}$, corresponding to a mean oscillation quantum number along the
horizontal axes of 0.22(4) during imaging process. We detect on average 200
fluorescence photons from a single atom within 400 ms exposure time, and
estimate the detection fidelity of 87(2)%. The realization of a quantum gas
microscope with enough fidelity for Yb atoms in a Hubbard-regime optical
lattice opens up the possibilities for studying various kinds of quantum
many-body systems such as Bose and Fermi gases, and their mixtures, and also
long-range-interacting systems such as Rydberg states.Comment: 14 pages, 6 figure
Short-term outcomes associated with the use of a new powered circular stapler for rectal reconstructions: a retrospective study comparing it to manual circular staplers using inverse probability of treatment weight analysis
Abstract Background The most common postoperative complication in malignant rectal surgery is anastomotic leakage (AL). AL after anterior or low anterior resection in rectal tumors is a fatal postoperative complication. Recently, the first automated suture circular stapler, which is expected to reduce the incidence of AL, (J&J). Materials and methods This study included a total of 248 rectal tumor patients who underwent double stapler technique (DST) anastomotic procedures in the department of gastroenterological surgery /pediatric surgery at Gifu University School of Medicine from January 2017 to December 2021. The experience of a single institution utilizing the The Echelon circular™ stapler (ECP stapler:Manual VS Automatic) in rectal surgery cases was evaluated retrospectively from maintained database. Result One hundred thirty-nine patients (58.4%) were performed by manual circular stapling, 99 patients (41.6%) by powerd circular stapling. Diverting stoma was performed in 45 cases (32.4%) by manual circular stapling, 42 patients (42.4%) by powerd circular stapling Postoperative complications were occurred clavien-dindo grade II or higher in 57 cases (23.9%) and grade III or higher in 20 cases (8.4%). Anastomotic leakage occurred in 14 patients (5.9%) within all grades. After IPTW, the variables of patient characteristics was SMD ≤ 0.2 (Table.3), and there was a significant difference in anastomotic leakage (Odds Ratio (OR), 0.57; 95% Confidence Interval(CI), 0.34–0.98; p = 0.041). In addition, there was no significant difference in postoperative complications in grade II or higher (OR, 0.88; 95%CI, 0.65–1.19; p = 0.417) and grade III or higher (OR, 0.46; 95%CI, 0.29–0.74; p = 0.001) were significantly remarkable lower in powered circular stapling group. Conclusion In this IPTW comparison of patients undergoing rectal reconstructions, the ECP trial cohort had lower risks of several surgical complications AL and statistically signifcant lower rates of ileus/bowel obstruction, infection, and bleeding as Clavien-Dindo ≥ grade II and III as compared with for whom manual circular staplers were used