Early improvement of respiratory function after surgical plication for unilateral diaphragmatic paralysis

We reported an unusual case of symptomatic diaphragmatic paralysis in an elderly patient with progressive respiratory-dependent limitation of her daily activities. Surgical plication of the affected hemidiaphragm resulted in early clinical and physiological improvement

Perioperative mortality and major cardio-pulmonary complications after lung surgery for non-small cell carcinoma

Objectives: A database of patients operated of lung cancer was analyzed to evaluate the predictive risk factors of operative deaths and life-threatening cardiopulmonary complications. Methods: From 1990 to 1997, data were collected concerning 634 consecutive patients undergoing lung resection for non-small cell carcinoma in an academic medical centre and a regional hospital. Operations were managed by a team of experienced surgeons, anaesthesiologists and chest physicians. Operative mortality was defined as death within 30 days of operation and/or intra-hospital death. Respiratory failure, myocardial infarct, heart failure, pulmonary embolism and stroke were considered as major non-fatal complications. Preoperative risk factors, extent of surgery, pTNM staging, perioperative mortality and major cardiopulmonary complications were recorded and evaluated using chi-square statistics and multivariate logistic regression. Results: Complete data were obtained in 621 cases. The overall operative mortality was 3.2% (n=19). Cardiovascular complications (n=10), haemorrhage (n=4) and sepsis or acute lung injury (n=5) were incriminated as the main causative factors. In addition, there were 13 life-threatening complications (2.1%) consisting in strokes (n=4), myocardial infarcts (n=5), pulmonary embolisms (n=1), acute lung injury (n=1) and respiratory failure (n=2). Four independent predictors of operative death were identified: pneumonectomy, evidence of coronary artery disease (CAD), ASA class 3 or 4 and period 1990-93. In addition, the risk of major complications was increased in hypertensive patients and in those belonging to ASA class 3 or 4. A trend towards improved outcome was observed during the second period, from 1994 to 97. Conclusion: Our data demonstrate that perioperative mortality is mainly dependent on the extent of surgery, the presence of CAD and provision of adequate medical and nursing care. Preoperative testing and interventions to reduce the cardiovascular risk factors may help to further improve perioperative outcom

Probing Nuclear forces beyond the drip-line using the mirror nuclei 16^{16}N and 16^{16}F

Radioactive beams of $^{14}$O and $^{15}$O were used to populate the resonant states 1/2$^+$, 5/2$^+$ and $0^-,1^-,2^-$ in the unbound $^{15}$F and $^{16}$F nuclei respectively by means of proton elastic scattering reactions in inverse kinematics. Based on their large proton spectroscopic factor values, the resonant states in $^{16}$F can be viewed as a core of $^{14}$O plus a proton in the 2s$_{1/2}$ or 1d$_{5/2}$ shell and a neutron in 1p$_{1/2}$. Experimental energies were used to derive the strength of the 2s$_{1/2}$-1p$_{1/2}$ and 1d$_{5/2}$-1p$_{1/2}$ proton-neutron interactions. It is found that the former changes by 40% compared with the mirror nucleus $^{16}$N, and the second by 10%. This apparent symmetry breaking of the nuclear force between mirror nuclei finds explanation in the role of the large coupling to the continuum for the states built on an $\ell=0$ proton configuration.Comment: 6 pages, 3 figures, 2 tables, accepted for publication as a regular article in Physical Review

New pathway to bypass the 15O waiting point

We propose the sequential reaction process $^{15}$O($p$,$\gamma)(\beta^{+}$)$^{16}$O as a new pathway to bypass of the $^{15}$O waiting point. This exotic reaction is found to have a surprisingly high cross section, approximately 10$^{10}$ times higher than the $^{15}$O($p$,$\beta^{+}$)$^{16}$O. These cross sections were calculated after precise measurements of energies and widths of the proton-unbound $^{16}$F low lying states, obtained using the H($^{15}$O,p)$^{15}$O reaction. The large $(p,\gamma)(\beta^{+})$ cross section can be understood to arise from the more efficient feeding of the low energy wing of the ground state resonance by the gamma decay. The implications of the new reaction in novae explosions and X-ray bursts are discussed.Comment: submitte

Search for new resonant states in 10C and 11C and their impact on the cosmological lithium problem

The observed primordial 7Li abundance in metal-poor halo stars is found to be lower than its Big-Bang nucleosynthesis (BBN) calculated value by a factor of approximately three. Some recent works suggested the possibility that this discrepancy originates from missing resonant reactions which would destroy the 7Be, parent of 7Li. The most promising candidate resonances which were found include a possibly missed 1- or 2- narrow state around 15 MeV in the compound nucleus 10C formed by 7Be+3He and a state close to 7.8 MeV in the compound nucleus 11C formed by 7Be+4He. In this work, we studied the high excitation energy region of 10C and the low excitation energy region in 11C via the reactions 10B(3He,t)10C and 11B(3He,t)11C, respectively, at the incident energy of 35 MeV. Our results for 10C do not support 7Be+3He as a possible solution for the 7Li problem. Concerning 11C results, the data show no new resonances in the excitation energy region of interest and this excludes 7Be+4He reaction channel as an explanation for the 7Li deficit.Comment: Accepted for publication in Phys. Rev. C (Rapid Communication

A rare case of a peritoneal cyst arising from the falciform ligament

Peritoneal cysts are rare benign intra-abdominal lesions most commonly found attached to the mesentery of the ileum. They may be asymptomatic, present with abdominal pain, bloating or discovered incidentally. We describe the case of a peritoneal cyst located in an unusual position in a female patient; attached to the falciform ligament

A huge Omental Lymphangioma with extention into Labia Majorae: A case report

BACKGROUND: Abdominal cystic lymphangiomas are uncommon congenital benign tumors. CASE PRESENTATION: We present a case of a 4 year old female child with a cystic lymphangioma arising from greater omentum and occupying whole of the abdomen and protruding through labia mejora. Ultrasonography and CT scan confirmed the diagnosis. Complete excision of the cyst along with omentectomy done with no clinical or radiological evidence of recurrence till 6 months. CONCLUSION: Due to variable presentation of abdominal lymphangiomas, extensive imaging studies are necessary for evaluation and diagnosis. Complete surgical resection is a treatment of choice

VLT/SPHERE deep insight of NGC 3603's core: Segregation or confusion?

We present new near-infrared photometric measurements of the core of the young massive cluster NGC 3603 obtained with extreme adaptive optics. The data were obtained with the SPHERE instrument mounted on ESO Very Large Telescope, and cover three fields in the core of this cluster. We applied a correction for the effect of extinction to our data obtained in the J and K broadband filters and estimated the mass of detected sources inside the field of view of SPHERE/IRDIS, which is 13.5"x13.5". We derived the mass function (MF) slope for each spectral band and field. The MF slope in the core is unusual compared to previous results based on Hubble space telescope (HST) and very large telescope (VLT) observations. The average slope in the core is estimated as -1.06^{+0.26}_{-0.26} for the main sequence stars with 3.5 Msun < M < 120 Msun.Thanks to the SPHERE extreme adaptive optics, 814 low-mass stars were detected to estimate the MF slope for the pre-main sequence stars with 0.6 Msun< M < 3.5 Msun , Gamma = -0.54^{+0.11}_{-0.11} in the K-band images in two fields in the core of the cluster. For the first time, we derive the mass function of the very core of the NGC 3603 young cluster for masses in the range 0.6 - 120 Msun. Previous studies were either limited by crowding, lack of dynamic range, or a combination of both