15 research outputs found
First online multireflection time-of-flight mass measurements of isobar chains produced by fusion-evaporation reactions: Toward identification of superheavy elements via mass spectroscopy
International audienceUsing a multireflection time-of-flight mass spectrograph located after a gas cell coupled with the gas-filled recoil ion separator GARIS-II, the masses of several α-decaying heavy nuclei were directly and precisely measured. The nuclei were produced via fusion-evaporation reactions and separated from projectilelike and targetlike particles using GARIS-II before being stopped in a helium-filled gas cell. Time-of-flight spectra for three isobar chains, Fr204-Rn204-At204-Po204, Fr205-Rn205-At205-Po205-Bi205, and Fr206-Rn206-At206, were observed. Precision atomic mass values were determined for Fr204–206, Rn204,205, and At204,205. Identifications of Bi205, Po204,205, Rn206, and At206 were made with N≲10 detected ions, representing the next step toward use of mass spectrometry to identify exceedingly low-yield species such as superheavy element ions
Total photoabsorption cross sections for H-1, H-2, and He-3 from 200 to 800 MeV
The total photoabsorption cross sections for 1H, 2H, and 3He have been measured for incident photon energies ranging from 200 to 800 MeV. The 3He data are the first for this nucleus. By using the large acceptance detector DAPHNE in conjunction with the tagged photon beam facility of the MAMI accelerator in Mainz, cross sections of high precision have been obtained. The results show clearly the changes in the nucleon resonances in going from 1H to 3He. In particular, for the D13 region the behavior for 3He is intermediate between that for 1H, 2H, and heavier nuclei. This will provide a strong constraint to the theories that are presently being developed with a view to explaining the apparent ‘‘damping’’ of higher resonances in heavy
nuclei
Assessment of variceal pressure by continuous non-invasive endoscopic registration: a placebo controlled evaluation of the effect of terlipressin and octreotide.
Mortality from esophagectomy for esophageal cancer across low, middle, and high-income countries: An international cohort study.
BACKGROUND
No evidence currently exists characterising global outcomes following major cancer surgery, including esophageal cancer. Therefore, this study aimed to characterise impact of high income countries (HIC) versus low and middle income countries (LMIC) on the outcomes following esophagectomy for esophageal cancer.
METHOD
This international multi-center prospective study across 137 hospitals in 41 countries included patients who underwent an esophagectomy for esophageal cancer, with 90-day follow-up. The main explanatory variable was country income, defined according to the World Bank Data classification. The primary outcome was 90-day postoperative mortality, and secondary outcomes were composite leaks (anastomotic leak or conduit necrosis) and major complications (Clavien-Dindo Grade III - V). Multivariable generalized estimating equation models were used to produce adjusted odds ratios (ORs) and 95% confidence intervals (CI).
RESULTS
Between April 2018 to December 2018, 2247 patients were included. Patients from HIC were more significantly older, with higher ASA grade, and more advanced tumors. Patients from LMIC had almost three-fold increase in 90-day mortality, compared to HIC (9.4% vs 3.7%, p < 0.001). On adjusted analysis, LMIC were independently associated with higher 90-day mortality (OR: 2.31, CI: 1.17-4.55, p = 0.015). However, LMIC were not independently associated with higher rates of anastomotic leaks (OR: 1.06, CI: 0.57-1.99, p = 0.9) or major complications (OR: 0.85, CI: 0.54-1.32, p = 0.5), compared to HIC.
CONCLUSION
Resections in LMIC were independently associated with higher 90-day postoperative mortality, likely reflecting a failure to rescue of these patients following esophagectomy, despite similar composite anastomotic leaks and major complication rates to HIC. These findings warrant further research, to identify potential issues and solutions to improve global outcomes following esophagectomy for cancer