Robotic partial nephrectomy for posterior tumors through a retroperitoneal approach offers decreased length of stay compared with the transperitoneal approach: A propensity-matched analysis

INTRODUCTION: We sought to compare surgical outcomes between transperitoneal and retroperitoneal robotic partial nephrectomy (RPN) for posterior tumors. PATIENTS AND METHODS: Using our multi-institutional RPN database, we reviewed 610 consecutive cases for posterior renal masses treated between 2007 and 2015. Primary outcomes were complications, operative time, length of stay (LOS), surgical margin status, and estimated glomerular filtration rate (eGFR) preservation. Secondary outcomes were estimated blood loss, warm ischemia time (WIT), disease recurrence, and disease-specific mortality. Due to significant differences in treatment year and tumor size between approaches, retroperitoneal cases were matched 1:4 to transperitoneal cases based on propensity scores using the greedy algorithm. Outcomes were compared between approaches using the chi-square and Mann-Whitney U tests. RESULTS: After matching, 296 transperitoneal and 74 retroperitoneal cases were available for analysis, and matched groups were well balanced in terms of treatment year, age, gender, race, American Society of Anesthesiologists physical status classification (ASA) score, body mass index, tumor laterality, tumor size, R.E.N.A.L. (radius, exophytic/endophytic properties, nearness of tumor to the collecting system or sinus, anterior/posterior, location relative to polar lines) score, and hilar location. Compared with transperitoneal, the retroperitoneal approach was associated with significantly shorter mean LOS (2.2 vs 2.6 days, p = 0.01), but longer mean WIT (21 vs 19 minutes, p = 0.01). Intraoperative (p = 0.35) and postoperative complications (p = 0.65), operative time (p = 0.93), positive margins (p = 1.0), and latest eGFR preservation (p = 0.25) were not significantly different between approaches. No differences were detected in the other outcomes. CONCLUSIONS: Among high-volume surgeons, transperitoneal and retroperitoneal RPN achieved similar outcomes for posterior renal masses, although with slight differences in LOS and WIT. Retroperitoneal RPN may be an effective option for the treatment of certain small posterior renal masses

Hazard Assessment of Meteoroid Impact for the Design of Lunar Habitats

The design of self-sustaining lunar habitats is a challenge primarily due to the Moon’s lack of atmospheric protection and hazardous environment. To assure safe habitats that will lead to further lunar and space exploration, it is necessary to assess the different hazards faced on the Moon such as meteoroid impacts, extreme temperatures, and radiation. In particular, meteoroids pose a risk to lunar structures due to their high frequency of occurrence and hypervelocity impact. Continuous meteoroid impacts can harm structural elements and vital equipment compromising the well-being of lunar inhabitants. This study is focused on the hazard conceptualization and quantification of the most frequent range of meteoroids that impact the Moon, tens of grams to few kilograms. Probabilistic frequency analysis of compiled lunar meteoroid impact data was performed to estimate impactor diameter, mass, and potentially damaging energy. Selected probabilities of exceedance and return periods were determined to establish expected meteoroid characteristics within a time frame. The estimates of meteoroid characteristics are anticipated to contribute to the structural design of lunar habitats. This study ultimately provides a risk assessment platform of meteoroid impacts to proceed forward in the colonization of the Moon

Evaluation of Radiation and Design Criteria for a Lunar Habitat

Extraterrestrial habitation has long been the object of science fiction, and experts in the fields of science and engineering have proposed many designs for a lunar base. The research conducted has focused on either structural stability, radiation protection, or meteorite-impact vulnerabilities, but rarely have these been considered together. The Resilient ExtraTerrestrial Habitats (RETH) project aims to design a lunar habitat from a hazards perspective, considering general degradation, meteorite impacts, seismic activity, radiation exposure, thermal extremes, and geomagnetic storms in addition to the physiological, psychological, and sociological aspects of astronauts living in such a habitat. Several members of the RETH team will begin the project by each quantifying an individual hazard and proposing a solution which, when combined with other members’ research, will provide specific parameters used in designing a safe, self-sustaining lunar or planetary outpost. This paper focuses on the effects of cosmic and solar radiation which can be detrimental to the health of future lunar inhabitants, and as such, quantifying the amount of radiation present in the environment is vital. Different materials such as aluminum, polyethylene, water, and regolith can provide adequate shielding with varying thickness, though the possibility of using lunar lava tubes remains open

Cloud Screening and Quality Control Algorithm for Star Photometer Data: Assessment with Lidar Measurements and with All-sky Images

This paper presents the development and set up of a cloud screening and data quality control algorithm for a star photometer based on CCD camera as detector. These algorithms are necessary for passive remote sensing techniques to retrieve the columnar aerosol optical depth, delta Ae(lambda), and precipitable water vapor content, W, at nighttime. This cloud screening procedure consists of calculating moving averages of delta Ae() and W under different time-windows combined with a procedure for detecting outliers. Additionally, to avoid undesirable Ae(lambda) and W fluctuations caused by the atmospheric turbulence, the data are averaged on 30 min. The algorithm is applied to the star photometer deployed in the city of Granada (37.16 N, 3.60 W, 680 ma.s.l.; South-East of Spain) for the measurements acquired between March 2007 and September 2009. The algorithm is evaluated with correlative measurements registered by a lidar system and also with all-sky images obtained at the sunset and sunrise of the previous and following days. Promising results are obtained detecting cloud-affected data. Additionally, the cloud screening algorithm has been evaluated under different aerosol conditions including Saharan dust intrusion, biomass burning and pollution events

In situ-formed nitrogen-doped carbon/silicon-based materials as negative electrodes for lithium-ion batteries

The development of negative electrode materials with better performance than those currently used in Li-ion technology has been a major focus of recent battery research. Here, we report the synthesis and electrochem-ical evaluation of in situ-formed nitrogen-doped carbon/SiOC. The materials were synthesized by a sol-gel pro-cess using 3-(aminopropyl)triethoxysilane (APTES), sodium citrate and glycerol. The electrochemical performance of pyrolyzed materials was studied using poly(acrylic acid) binder and commercial organic elec-trolyte. Our reported approach enables changes in both the amount of nitrogen and the morphology as a func-tion of the molar ratio of APTES:citrate and reaction time. Spherical-shaped NC/SiOC composite electrodes deliver a delithiation capacity of 622 mAh/g at 0.1 A/g and an initial coulombic efficiency of-63%, while in the large bulk material, respective values of 367 mAh/g and-55% were obtained. After 1000 charge/dis-charge cycles at 1.6 A/g, the latter material exhibits 98% of the initial capacity once it returned to lower cur-rent cycling. Overall, our results indicate that NC/SiOC materials are quite promising for electrochemical applications since both their large capacity and stability demonstrate superior performance compared to tradi-tional graphite. Moreover, our synthesis is simple and, more importantly, environmentally friendly chemicals, such as sodium citrate and glycerol, are used.Peer reviewe

Four Phosphonium-based Ionic Liquids. Synthesis, Characterization and Electrochemical Performance as Electrolytes for Silicon Anodes

Herein, we describe the synthesis, characterization and electrochemical performance of four phosphonium-based ionic liquids (ILs) as electrolytes, Physicochemical properties such as viscosity, density, ionic conductivity, and thermal stability of ILs and conventional organic solvent ethylene carbonate (EC)/diethyl carbonate (DEC) were experimentally determined at different temperatures. All ILs showed thermal stability greater than 300 degrees C, surpassing the stability of the conventional organic solvent, whose flash points were 145 and 23 degrees C for EC and DEC, respectively. Nevertheless, at room temperature, all ILs are much more viscous than EC/DEC. The composite Si -[P-2224][FSI] (triethyl-n-butylphosphonium bis(fluoromethylsulfonyl)imide) and Si-EC/DEC anodes exhibit initial specific capacities at 0.15 A/g of 2409 and 2631 mAh/g, respectively. This demonstrates that despite the inferior transport properties of ILs, short alkyl-substituted phosphonium ILs like [P-2224][FSI] are potentially competitive for the new generation of electrolytes for LIBs. NMR, DSC, TGA, and galvanostatic discharged/charged were used as characterization techniques.Peer reviewe

Small Energy Scale for Mixed-Valent Uranium Materials

We investigate a two-channel Anderson impurity model with a $5f^1$ magnetic and a $5f^2$ quadrupolar ground doublet, and a $5f^2$ excited triplet. Using the numerical renormalization group method, we find a crossover to a non-Fermi liquid state below a temperature $T^*$ varying as the $5f^2$ triplet-doublet splitting to the 7/2 power. To within numerical accuracy, the non-linear magnetic susceptibility and the $5f^1$ contribution to the linear susceptibility are given by universal one-parameter scaling functions. These results may explain UBe$_{13}$ as mixed valent with a small crossover scale $T^*$.Comment: 4 pages, 3 figures, REVTeX, to appear in Phys. Rev. Let

Decline of Monarch Butterflies Overwintering in Mexico- Is the Migratory Phenomenon at Risk?

1.During the 2009-2010 overwintering season and following a 15-year downward trend, the total area in Mexico occupied by the eastern North American population of overwintering monarch butterflies reached an all-time low. Despite an increase, it remained low in 2010-2011. 2. Although the data set is small, the decline in abundance is statistically significant using both linear and exponential regression models. 3. Three factors appear to have contributed to reduce monarch abundance: degradation of the forest in the overwintering areas; the loss of breeding habitat in the United States due to the expansion ofGM herbicide-resistant crops, with consequent loss of milkweed host plants, as well as continued land development; and severe weather. 4. This decline calls into question the long-term survival of the monarchs' migratory phenomeno

Phase-coherence threshold and vortex-glass state in diluted Josephson-junction arrays in a magnetic field

We study numerically the interplay of phase coherence and vortex-glass state in two-dimensional Josephson-junction arrays with average rational values of flux quantum per plaquette $f$ and random dilution of junctions. For $f=1/2$, we find evidence of a phase coherence threshold value $x_s$, below the percolation concentration of diluted junctions $x_p$, where the superconducting transition vanishes. For $x_s < x < x_p$ the array behaves as a zero-temperature vortex glass with nonzero linear resistance at finite temperatures. The zero-temperature critical currents are insensitive to variations in $f$ in the vortex glass region while they are strongly $f$ dependent in the phase coherent region.Comment: 6 pages, 4 figures, to appear in Phys. Rev.

A Neutron Star Binary Merger Model for GW170817/GRB170817a/SSS17a

The merging neutron star gravitational wave event GW170817 has been observed throughout the entire electromagnetic spectrum from radio waves to $\gamma$-rays. The resulting energetics, variability, and light curves are shown to be consistent with GW170817 originating from the merger of two neutron stars, in all likelihood followed by the prompt gravitational collapse of the massive remnant. The available $\gamma$-ray, X-ray and radio data provide a clear probe for the nature of the relativistic ejecta and the non-thermal processes occurring within, while the ultraviolet, optical and infrared emission are shown to probe material torn during the merger and subsequently heated by the decay of freshly synthesized $r$-process material. The simplest hypothesis that the non-thermal emission is due to a low-luminosity short $\gamma$-ray burst (sGRB) seems to agree with the present data. While low luminosity sGRBs might be common, we show here that the collective prompt and multi-wavelength observations are also consistent with a typical, powerful sGRB seen off-axis. Detailed follow-up observations are thus essential before we can place stringent constraints on the nature of the relativistic ejecta in GW170817.Comment: 9 pages, 5 figures, accepted to ApJ Letter