Origin of the submillimeter radio emission during the time-extended phase of a solar flare

Solar flares observed in the 200-400 GHz radio domain may exhibit a slowly varying and time-extended component which follows a short (few minutes) impulsive phase and which lasts for a few tens of minutes to more than one hour. The few examples discussed in the literature indicate that such long-lasting submillimeter emission is most likely thermal bremsstrahlung. We present a detailed analysis of the time-extended phase of the 2003 October 27 (M6.7) flare, combining 1-345 GHz total-flux radio measurements with X-ray, EUV, and H{\alpha} observations. We find that the time-extended radio emission is, as expected, radiated by thermal bremsstrahlung. Up to 230 GHz, it is entirely produced in the corona by hot and cool materials at 7-16 MK and 1-3 MK, respectively. At 345 GHz, there is an additional contribution from chromospheric material at a few 10^4 K. These results, which may also apply to other millimeter-submillimeter radio events, are not consistent with the expectations from standard semi-empirical models of the chromosphere and transition region during flares, which predict observable radio emission from the chromosphere at all frequencies where the corona is transparent.Comment: 27 pages, 7 figure

Predictors for anastomotic leak, postoperative complications, and mortality after right colectomy for cancer: Results from an international snapshot audit

Background: A right hemicolectomy is among the most commonly performed operations for colon cancer, but modern high-quality, multination data addressing the morbidity and mortality rates are lacking. Objective: This study reports the morbidity and mortality rates for right-sided colon cancer and identifies predictors for unfavorable short-term outcome after right hemicolectomy. Design: This was a snapshot observational prospective study. Setting: The study was conducted as a multicenter international study. Patients: The 2015 European Society of Coloproctology snapshot study was a prospective multicenter international series that included all patients undergoing elective or emergency right hemicolectomy or ileocecal resection over a 2-month period in early 2015. This is a subanalysis of the colon cancer cohort of patients. Main Outcome Measures: Predictors for anastomotic leak and 30-day postoperative morbidity and mortality were assessed using multivariable mixed-effect logistic regression models after variables selection with the Lasso method. Results: Of the 2515 included patients, an anastomosis was performed in 97.2% (n = 2444), handsewn in 38.5% (n = 940) and stapled in 61.5% (n = 1504) cases. The overall anastomotic leak rate was 7.4% (180/2444), 30-day morbidity was 38.0% (n = 956), and mortality was 2.6% (n = 66). Patients with anastomotic leak had a significantly increased mortality rate (10.6% vs 1.6% no-leak patients; p 65 0.001). At multivariable analysis the following variables were associated with anastomotic leak: longer duration of surgery (OR = 1.007 per min; p = 0.0037), open approach (OR = 1.9; p = 0.0037), and stapled anastomosis (OR = 1.5; p = 0.041). Limitations: This is an observational study, and therefore selection bias could be present. For this reason, a multivariable logistic regression model was performed, trying to correct possible confounding factors. Conclusions: Anastomotic leak after oncologic right hemicolectomy is a frequent complication, and it is associated with increased mortality. The key contributing surgical factors for anastomotic leak were anastomotic technique, surgical approach, and duration of surgery