The laparoscopic treatment of perforated duodenal ulcer in Romania – a multicentric study

Clinica Chirurgie 2, Timișoara, România, Clinica Chirurgie, Spitalul de Urgență, București, Al XI-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” din Republica Moldova și cea de-a XXXIII-a Reuniune a Chirurgilor din Moldova „Iacomi-Răzeșu” 27-30 septembrie 2011Aims. This retrospective study was evaluated the results of laparoscopic treatment of the perforated duodenal ulcer (PDU) in 6 Romanian centres with an important experience in laparoscopic surgery.Methods. Between 2000 and 2010, 221 patients (38 females and 183 men) aged from 18 to 78 years, were operated laparoscopicaly for PDU, by using 3 (66.0%), 4 (27%) or 5 (7.0%) trocars. Forty six (20.8%) of them had a weak, 143(64.7%) an important and 32(14.5%) a grave peritonitis. Procedures performed were: simple suture 84(38.1%) patients, suture with epiplonoplasty 135(61.1%) patients, only epiplonoplasty 1(0.4%) patients, excision with suture 1(0.4%) patients. All patients had abundant peritoneal cavity washing and tub drainage (1-3 tubs).Results. The interventions lasted between 30 and 120 min, with an average of 63 min. No mortality was reported. Postoperative oral nutrition began after 24 hours for 114(51.6%) patients and after intestinal transit has restarted for 107(48.4%) patients. The intestinal transit has restarted after 1-6 days (average 3.5 days), depending of the gravity of peritonitis. Complications were: parietal infections 3 (1.3%), duodenal fistula 1 (0.4%), abdominal abcesses 1(0.4%), digestive haemorrhage 1(0.4%) and duodenal stenosis 1 (0.4%). Hospitalization lasted between 2 and 13 days (average 5.5 days). In comparison with open techniques, patients had the same intravenous perfusions, less pain, less antibiotics, less dressings, less complications during postoperative evolution. Conclusion. Laparoscopic treatment of PDU is safe even in case of severe peritonitis, with faster patient’s recovery. with less complications and with less postoperative medical care than open procedures. Aims. This retrospective study was evaluated the results of laparoscopic treatment of the perforated duodenal ulcer (PDU) in 6 Romanian centres with an important experience in laparoscopic surgery.Methods. Between 2000 and 2010, 221 patients (38 females and 183 men) aged from 18 to 78 years, were operated laparoscopicaly for PDU, by using 3 (66.0%), 4 (27%) or 5 (7.0%) trocars. Forty six (20.8%) of them had a weak, 143(64.7%) an important and 32(14.5%) a grave peritonitis. Procedures performed were: simple suture 84(38.1%) patients, suture with epiplonoplasty 135(61.1%) patients, only epiplonoplasty 1(0.4%) patients, excision with suture 1(0.4%) patients. All patients had abundant peritoneal cavity washing and tub drainage (1-3 tubs). Results. The interventions lasted between 30 and 120 min, with an average of 63 min. No mortality was reported. Postoperative oral nutrition began after 24 hours for 114(51.6%) patients and after intestinal transit has restarted for 107(48.4%) patients. The intestinal transit has restarted after 1-6 days (average 3.5 days), depending of the gravity of peritonitis. Complications were: parietal infections 3 (1.3%), duodenal fistula 1 (0.4%), abdominal abcesses 1(0.4%), digestive haemorrhage 1(0.4%) and duodenal stenosis 1 (0.4%). Hospitalization lasted between 2 and 13 days (average 5.5 days). In comparison with open techniques, patients had the same intravenous perfusions, less pain, less antibiotics, less dressings, less complications during postoperative evolution. Conclusion. Laparoscopic treatment of PDU is safe even in case of severe peritonitis, with faster patient’s recovery. with less complications and with less postoperative medical care than open procedures

The most accurate determination of the 8B half-life

Beta decay is a primary source of information of the structure of a nucleus. An accurate measurement of the half-life of a nucleus is essential for the proper determination of the reduced Gammow-Teller transition probability B(GT). In this work, we present an experiment using a compact set-up of Si-telescope detectors to measure the half-life of the 8B nucleus. Three independent measurements have been analysed, obtaining the values 771.9(17) ms, 773.9(18) ms, and 770.9(27) ms. The value of the half-life obtained as the weighted averaged with the previous published measures is 771.17(94) ms which is a factor 3.2 of improvement in the uncertainty of the half-life

The experiments to determine the electron capture and β-decay of 8B into the highly excited states of 8Be

The main goal of this work is to study the structure of the highest energy states in 8Be populated following the β+-decay and the electron capture (EC) of 8B. With this aim, two experiments were performed at ISOLDE-CERN in 2017 and 2018. The first experiment had the aim to resolve the 2+ doublet at 16.6 and 16.9 MeV, in order to study their isospin mixing. The second experiment aimed to determine a value or give an experimental upper limit to the branching ratio of the exotic EC-p decay. In this paper, we present the experimental setups and we discuss the analysis and present the preliminary results obtained so far

Beta-delayed proton emission from 20Mg

Beta-delayed proton emission from 20 Mg has been measured at ISOLDE, CERN, with the ISOLDE Decay Station (IDS) setup including both charged-particle and gamma-ray detection capabilities. A total of 27 delayed proton branches were measured including seven so far unobserved. An updated decay scheme, including three new resonances above the proton separation energy in 20 Na and more precise resonance energies, is presented. Beta-decay feeding to two resonances above the Isobaric Analogue State (IAS) in 20 Na is observed. This may allow studies of the 4032.9(2.4)keV resonance in 19 Ne through the beta decay of 20 Mg, which is important for the astrophysically relevant reaction 15O( $\alpha$ , $\gamma$ )19Ne . Beta-delayed protons were used to obtain a more precise value for the half-life of 20 Mg, 91.4(1.0)ms

Identification of the crossing point at N=21 between normal and intruder configurations

The beta(-) decay of Mg-34 was used to study the Al-34 nucleus through. spectroscopy at the Isotope Separator On-Line facility of CERN. Previous studies identified two beta-decaying states in Al-34 having spin-parity assignments J(pi) = 4(-) dominated by the normal configuration pi(d(5/2))(-1)circle times nu(f(7/2)) and J(pi) = 1(+) by the intruder configuration pi(d(5/2))(-1) circle times nu(d(3/2))(-1) (f(7/2))(2). Their unknown ordering and relative energy have been the subject of debate for the placement of Al-34 inside or outside the N = 20 "island of inversion." We report here that the 1(+) intruder lies only 46.6 keV above the 4(-) ground state. In addition, a new half-life of T-1/2 = 44.9(4) ms, that is twice as long as the previously measured 20(10) ms, has been determined for Mg-34. Large-scale shell-model calculations with the recently developed SDPF-U-MIX interaction are compared with the new data and used to interpret the mechanisms at play at the very border of the N = 20 island of inversion.Peer reviewe

First Accurate Normalization of the beta-delayed alpha Decay of N-16 and Implications for the C-12(alpha,gamma)O-16 Astrophysical Reaction Rate

The C-12(alpha,gamma)O-16 reaction plays a central role in astrophysics, but its cross section at energies relevant for astrophysical applications is only poorly constrained by laboratory data. The reduced a width, gamma(11), of the bound 1(-) level in O-16 is particularly important to determine the cross section. The magnitude of gamma(11) is determined via sub-Coulomb a-transfer reactions or the beta-delayed a decay of N-16, but the latter approach is presently hampered by the lack of sufficiently precise data on the beta-decay branching ratios. Here we report improved branching ratios for the bound 1(-) level [b(beta,11) = (5.02 +/- 0.10) x 10(-2)] and for beta-delayed alpha emission [b(beta alpha) = (1.59 +/- 0.06) x 10(-5)]. Our value for b(beta alpha) is 33% larger than previously held, leading to a substantial increase in gamma(11). Our revised value for gamma(11) is in good agreement with the value obtained in a-transfer studies and the weighted average of the two gives a robust and precise determination of gamma(11), which provides significantly improved constraints on the C-12(alpha,gamma) cross section in the energy range relevant to hydrostatic He burning.Peer reviewe

Octupole states in Tl-207 studied through beta decay

The beta decay of Hg-207 into the single-proton-hole nucleus Tl-207 has been studied through gamma-ray spectroscopy at the ISOLDE Decay Station (IDS) with the aim of identifying states resulting from coupling of the pi s(1/2)(-1), pi d(3/2)(-1) and pi h(11/2)(-1) shell model orbitals to the collective octupole vibration. Twenty-two states were observed lying between 2.6 and 4.0 MeV, eleven of which were observed for the first time, and 78 new transitions were placed. Two octupole states (s(3/2)-coupled) are identified and three more states (d(3/2)-coupled) are tentatively assigned using spin-parity inferences, while further h(11/2)-coupled states may also have been observed for the first time. Comparisons are made with state-of-the-art large-scale shell model calculations and previous observations made in this region, and systematic underestimation of the energy of the octupole vibrational states is noted. We suggest that in order to resolve the difference in predicted energies for collective and noncollective t = 1 states (t is the number of nucleons breaking the Pb-208 core), the effect of t = 2 mixing may be reduced for octupole-coupled states. The inclusion of mixing with t = 0, 2, 3 excitations is necessary to replicate all t = 1 state energies accurately.Peer reviewe