Variability and Trends in Physical and Biogeochemical Parameters of the Mediterranean Sea during a Cruise with RV MARIA S. MERIAN in March 2018

The last few decades have seen dramatic changes in the hydrography and biogeochemistry of the Mediterranean Sea. The complex bathymetry and highly variable spatial and temporal scales of atmospheric forcing, convective and ventilation processes contribute to generate complex and unsteady circulation patterns and significant variability in biogeochemical systems. Part of the variability of this system can be influenced by anthropogenic contributions. Consequently, it is necessary to document details and to understand trends in place to better relate the observed processes and to possibly predict the consequences of these changes. In this context we report data from an oceanographic cruise in the Mediterranean Sea on the German research vessel Maria S. Merian (MSM72) in March 2018. The main objective of the cruise was to contribute to the understanding of long-term changes and trends in physical and biogeochemical parameters, such as the anthropogenic carbon uptake and to further assess the hydrographical situation after the major climatological shifts in the eastern and western part of the basin, known as the Eastern and Western Mediterranean Transients. During the cruise, multidisciplinary measurements were conducted on a predominantly zonal section throughout the Mediterranean Sea, contributing to the Med-SHIP and GO-SHIP long-term repeat cruise section that is conducted at regular intervals in the Mediterranean Sea to observe changes and impacts on physical and biogeochemical variables. The data can be accessed at https://doi.org/10.1594/PANGAEA.905902 (Hainbucher et al., 2019), https://doi.org/10.1594/PANGAEA.913512 (Hainbucher, 2020a) https://doi.org/10.1594/PANGAEA.913608, (Hainbucher, 2020b) https://doi.org/10.1594/PANGAEA.913505, (Hainbucher, 2020c) https://doi.org/10.1594/PANGAEA.905887 (Tanhua et al., 2019) and https://doi.org/10.25921/z7en-hn85 (Tanhua et al, 2020)

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AIM: The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery. METHODS: This was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin. RESULTS: Overall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P < 0.001). After adjustment, delay was not associated with a lower rate of complete resection (OR 1.18, 95% CI 0.90-1.55, P = 0.224), which was consistent in elective patients only (OR 0.94, 95% CI 0.69-1.27, P = 0.672). Longer delays were not associated with poorer outcomes. CONCLUSION: One in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Characterizing Supersonic Gas Jet-based Beam Profile Monitors

The next generation of high power, high intensity accelerators requires non-invasive diagnostics, particularly beam profile monitors. Residual gas-based diagnostics such as ionization beam profile or beam induced fluorescence monitors have been used to replace commonly used scintillating screens. At the Cockcroft Institute an alternative technique using a supersonic gas jet, shaped into a 45o curtain screen, was developed. It has already demonstrated its superior performance in terms of resolution and signal-to-noise ratio in comparison with residual gas monitors in experimental studies. The performance of this type of monitor depends on the achievable jet homogeneity and quality. Using a movable vacuum gauge as a scanner, the dynamic characteristics of the jet are studied. In this paper we also give an analysis of the resolution for this monitor in detail from the theory and ion drift simulation

Optical Beam Loss Monitors Based on Fibres for the CLARA Phase 1 Beam-Line

Fibre based Optical Beam Loss Monitors (oBLMs) are on-line devices used in-situ to measure losses along a beam-line. The technology is based on the detection of Cherenkov radiation, produced inside quartz fibres placed alongside the beampipe, from the interaction of secondary showers generated from losses hitting the vacuum pipe. This contribution presents ongoing developments of an oBLM system installed along the Compact Linear Accelerator for Research and Applications (CLARA). The oBLM system consists of 4 channels which allows for sub-metre loss resolution with two dimensional coverage along the entirety of the beam line, as opposed to conventional localised BLM systems. The system was first commissioned to measure dark current from the injector. The ability of the system to locate longitudinal positions of known beam loss locations has also been measured and has shown excellent agreement. We present measurements acquired from the detector during regular operation and during dedicated beam tests. We also discuss the incorporation of the monitor into the accelerator diagnostics system and its use in assisting accelerator characterisation and performance

Selective Decontamination of the Digestive Tract in Pancreatic Head Resections—A Propensity Score-Matched Analysis

(1) Background: The postoperative morbidity rate after pancreatic head resection remains high, partly due to infectious complications. The primary aim of this study was to analyze the influence of selective decontamination of the digestive tract (SDD) on the postoperative infection rate after pancreatic surgery. (2) Methods: From January 2019, the standard of care for patients undergoing pancreatic head resections at the Department for Visceral, Thoracic, and Vascular Surgery, University Hospital Dresden was the preoperative oral administration of SDD. The influence of SDD was evaluated for patients operated on between January 2019 and June 2020 in comparison to a propensity score-matched cohort, extracted from an existing database including all pancreatic resections from 2012 to 2018. The primary endpoint of the study was the shift of the bacterial load on the intraoperative bile swab test. The secondary endpoint was the association of SDD with postoperative complications. (3) Results: In total, 200 patients either with SDD (n = 100; 50%) or without SDD (non-SDD, n = 100; 50%) were analyzed. In the patient group without a preoperative biliary stent, 44% (n = 11) of the non-SDD group displayed positive bacterial results, whereas that was the case for only 21.7% (n = 10) in the SDD group (p = 0.05). Particularly, Enterobacter species (spp.) were reduced from 41.2% (n = 14) (non-SDD group) to 23.5% (n = 12) (SDD group) (p = 0.08), and Citrobacter spp. were reduced by 13.7% (p = 0.09) from the non-SDD to the SDD cohort. In patients with a preoperative biliary stent, the Gram-negative Enterobacter spp. were significantly reduced from 52.2% (n = 12) in the non-SDD group to 26.8% (n = 11) in the SDD group (p = 0.04). Similarly, Citrobacter spp. decreased by 20.6% from 30.4% (n = 7) to 9.8% (n = 4) in the non-SDD compared to the SDD group (p = 0.04). In general, deep fluid collection and abscesses occurred more frequently in the non-SDD group (36%; n = 36 vs. 27%; n = 27; p = 0.17). (4) Conclusions: Adoption of SDD before pancreatic head surgery may reduce the bacterial load in bile fluid. SDD administration does not significantly affect the postoperative infectious complication rate after pancreatic head resections

Cherenkov Radiation in Optical Fibres as a Versatile Machine Protection System in Particle Accelerators.

Machine protection systems in high power particle accelerators are crucial. They can detect, prevent, and respond to events which would otherwise cause damage and significant downtime to accelerator infrastructure. Current systems are often resource heavy and operationally expensive, reacting after an event has begun to cause damage; this leads to facilities only covering certain operational modes and setting lower limits on machine performance. Presented here is a new type of machine protection system based upon optical fibres, which would be complementary to existing systems, elevating existing performance. These fibres are laid along an accelerator beam line in lengths of ∼100 m, providing continuous coverage over this distance. When relativistic particles pass through these fibres, they generate Cherenkov radiation in the optical spectrum. This radiation propagates in both directions along the fibre and can be detected at both ends. A calibration based technique allows the location of the Cherenkov radiation source to be pinpointed to within 0.5 m with a resolution of 1 m. This measurement mechanism, from a single device, has multiple applications within an accelerator facility. These include beam loss location monitoring, RF breakdown prediction, and quench prevention. Detailed here are the application processes and results from measurements, which provide proof of concept for this device for both beam loss monitoring and RF breakdown detection. Furthermore, highlighted are the current challenges for future innovation

Beam diagnostics for low energy antiprotons

Advanced beam diagnostics for antiproton beams at keV beam energies are very important for the successful operation and continuous optimization of low energy storage rings and associated beam lines to the experiments. Manifold challenges arise from the low energy and intensity of the beam, its pulse structure and low repetition rate. This paper presents a comprehensive set of beam diagnostics that has been developed to characterize low energy antiproton and ion beams (during initial machine commissioning) and subsequent facility operation. It shows results from simulations and experiments using invasive and non-invasive monitors for absolute beam current measurements; capacitive pickups for position detection; scintillating screens, secondary emission monitors and micro channel plate detectors for transverse profile monitoring, as well as an ultra-cold gas jet for minimally-invasive profile measurements and in-ring experiments. The identified limits are discussed for each technique, and options for further improvements are indicated