728 research outputs found
Outcomes after non-cardiac surgery: Mortality, complications, disability, and rehospitalization
In the last 25 years, the number of patients aged ≥75 years undergoing non-cardiac surgery has greatly increased. In elderly patients, frailty is significantly associated with an increased risk of adverse events, functional decline, procedural complications, prolonged hospitalization, and mortality. The relationship between frailty and increased mortality and morbidity requires an appropriate tool of assessment to accurately quantify the patient's clinical and perioperative conditions. The preoperative evaluation of elderly patients candidate for non-cardiac surgery should include assessment of frailty, sarcopenia and malnutrition, as these are related to high surgical risk. For colon-rectal surgery as also for gastric cancer surgery, especially early gastric cancer, the introduction of laparoscopy has yielded considerable benefits in terms of short-term postsurgical outcomes, e.g. lower rate of intraprocedural bleeding and reduced length of hospital stay. Despite the progress made in preoperative assessment, surgical procedures and postoperative management, the improvement of outcomes after non-cardiac surgery in elderly patients remains a challenge and calls for future, well-designed clinical studies.</p
evolution of surgical techniques for a progressive risk reduction
Advanced age is a strong predictor of high perioperative mortality in surgical patients and patients aged 75 years and older have an elevated surgical risk, much higher than that of younger patients. Progressive advances in surgical techniques now make it possible to treat high-risk surgical patients with minimally invasive procedures. Endovascular techniques have revolutionized the treatment of several vascular diseases, in particular carotid stenosis, aortic pathologies, and severely incapacitating intermittent claudication or critical limb ischemia. The main advantages of the endovascular approach are the low complication rate, high rate of technical success and a good clinical outcome. Biliary stenting has improved the clinical status of severely ill patients with bile duct stricture before major surgery, and represents a good palliative therapy in the case of malignant biliary obstruction
Asymmetries between the production of D+ and D- mesons from 500 GeV/c pi- nucleon interactions as a function of xF and pt**2
We present asymmetries between the production of D+ and D- mesons in Fermilab
experiment E791 as a function of xF and pt**2. The data used here consist of
74,000 fully-reconstructed charmed mesons produced by a 500 GeV/c pi- beam on C
and Pt foils. The measurements are compared to results of models which predict
differences between the production of heavy-quark mesons that have a light
quark in common with the beam (leading particles) and those that do not
(non-leading particles). While the default models do not agree with our data,
we can reach agreement with one of them, PYTHIA, by making a limited number of
changes to parameters used
Search for CP Violation in Charged D Meson Decays
We report results of a search for CP violation in the singly
Cabibbo-suppressed decays D+ -> K- K+ pi+, phi pi+, K*(892)0 K+, and pi- pi+
pi+ based on data from the charm hadroproduction experiment E791 at Fermilab.
We search for a difference in the D+ and D- decay rates for each of the final
states. No evidence for a difference is seen. The decay rate asymmetry
parameters A(CP), defined as the difference in the D+ and D- decay rates
divided by the sum of the decay rates, are measured to be: A(CP)(K K pi) =
-0.014 +/- 0.029, A(CP)(phi pi) = -0.028 +/- 0.036, A(CP)(K*(892) K) = -0.010
+/- 0.050, and A(CP)(pi pi pi) = -0.017 +/- 0.042.Comment: 13 pages, 5 figures, 1 table; Elsevier LaTe
Atomic mass dependence of \Xi^- and \overline{\Xi}^+ production in central 250 GeV \pi^- nucleon interactions
We present the first measurement of the atomic mass dependence of central
\Xi^- and \overline{\Xi}^+ production. It is measured using a sample of 22,459
\Xi^-'s and \overline{\Xi}^+'s produced in collisions between a 250 GeV \pi^-
beam and targets of beryllium, aluminum, copper, and tungsten. The relative
cross sections are fit to the two parameter function \sigma_0 A^\alpha, where A
is the atomic mass. We measure \alpha = 0.924+-0.020+-0.025, for Feynman-x in
the range -0.09 < x_F < 0.15.Comment: 10 pages, revtex, 2 figures, submitted to Phys. Rev.
Differential cross sections, charge production asymmetry, and spin-density matrix elements for D*(2010) produced in 500 GeV/c pi^- nucleon interactions
We report differential cross sections for the production of D*(2010) produced
in 500 GeV/c pi^- nucleon interactions from experiment E791 at Fermilab, as
functions of Feynman-x (x_F) and transverse momentum squared (p_T^2). We also
report the D* +/- charge asymmetry and spin-density matrix elements as
functions of these variables. Investigation of the spin-density matrix elements
shows no evidence of polarization. The average values of the spin alignment are
\eta= 0.01 +- 0.02 and -0.01 +- 0.02 for leading and non-leading particles,
respectively.Comment: LaTeX2e (elsart.cls). 13 pages, 6 figures (eps files). Submitted to
Physics Letters
Mass Splitting and Production of and Measured in N Interactions
From a sample of decaying to the
final state, we have observed, in the hadroproduction experiment E791 at
Fermilab, and through
their decays to . The mass difference ) is measured to be ; for
, we find .
The rate of production from decays of the triplet is
(22\pm 2\pm 3) {%} of the total production assuming equal rate
of production from all three, as measured for and .
We do not observe a statistically significant baryon-antibaryon
production asymmetry. The and spectra of from
decays are observed to be similar to those for all 's
produced.Comment: 15 pages, uuencoded postscript 3 figures uuencoded, tar-compressed
fil
Fermilab E791
Fermilab E791, a very high statistics charm particle experiment, recently
completed its data taking at Fermilab's Tagged Photon Laboratory. Over 20
billion events were recorded through a loose transverse energy trigger and
written to 8mm tape in the the 1991-92 fixed target run at Fermilab. This
unprecedented data sample containing charm is being analysed on many-thousand
MIP RISC computing farms set up at sites in the collaboration. A glimpse of the
data taking and analysis effort is presented. We also show some preliminary
results for common charm decay modes. Our present analysis indicates a very
rich yield of over 200K reconstructed charm decays.Comment: 4 pages, 1 figure, LaTe
Branching Fractions for D0 -> K+K- and D0 -> pi+pi-, and a Search for CP Violation in D0 Decays
Using the large hadroproduced charm sample collected in experiment E791 at
Fermilab, we have measured ratios of branching fractions for the two-body
singly-Cabibbo-suppressed charged decays of the D0:
(D0 -> KK)/(D0 -> Kpi) = 0.109 +- 0.003 +- 0.003,
(D0 -> pipi)/(D0 -> Kpi) = 0.040 +- 0.002 +- 0.003, and
(D0 -> KK)/(D0 -> pipi) = 2.75 +- 0.15 +- 0.16. We have looked for
differences in the decay rates of D0 and D0bar to the CP eigenstates K+K- and
pi+pi-, and have measured the CP asymmetry parameters
A_CP(K+K-) = -0.010 +- 0.049 +- 0.012 and
A_CP(pi+pi-) = -0.049 +- 0.078 +- 0.030, both consistent with zero.Comment: 10 Postscript pages, including 2 figures. Submitted to Phys. Lett.
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