Recent advances in minimally invasive colorectal cancer surgery

Laparoscopy has improved surgical treatment of various diseases due to its limited surgical trauma and has developed as an interesting therapeutic alternative for the resection of colorectal cancer. Despite numerous clinical advantages (faster recovery, less pain, fewer wound and systemic complications, faster return to work) the laparoscopic approach to colorectal cancer therapy has also resulted in unusual complications, i.e. ureteral and bladder injury which are rarely observed with open laparotomy. Moreover, pneumothorax, cardiac arrhythmia, impaired venous return, venous thrombosis as well as peripheral nerve injury have been associated with the increased intraabdominal pressure as well as patient's positioning during surgery. Furthermore, undetected small bowel injury caused by the grasping or cauterizing instruments may occur with laparoscopic surgery. In contrast to procedures performed for nonmalignant conditions, the benefits of laparoscopic resection of colorectal cancer must be weighed against the potential for poorer long-term outcomes of cancer patients that still has not been completely ruled out. In laparoscopic colorectal cancer surgery, several important cancer control issues still are being evaluated, i.e. the extent of lymph node dissection, tumor implantation at port sites, adequacy of intraperitoneal staging as well as the distance between tumor site and resection margins. For the time being it can be assumed that there is no significant difference in lymph node harvest between laparoscopic and open colorectal cancer surgery if oncological principles of resection are followed. As far as the issue of port site recurrence is concerned, it appears to be less prevalent than first thought (range 0-2.5%), and the incidence apparently corresponds with wound recurrence rates observed after open procedures. Short-term (3-5 years) survival rates have been published by a number of investigators, and survival rates after laparoscopic surgery appears to compare well with data collected after conventional surgery for colorectal cancer. However, long-term results of prospective randomized trials are not available. The data published so far indicate that the oncological results of laparoscopic surgery compare well with the results of the conventional open approach. Nonetheless, the limited information available from prospective studies leads us to propose that minimally invasive surgery for colorectal cancer surgery should only be performed within prospective trials

The Chromo-Dielectric Soliton Model: Quark Self Energy and Hadron Bags

The chromo-dielectric soliton model (CDM) is Lorentz- and chirally-invariant. It has been demonstrated to exhibit dynamical chiral symmetry breaking and spatial confinement in the locally uniform approximation. We here study the full nonlocal quark self energy in a color-dielectric medium modeled by a two parameter Fermi function. Here color confinement is manifest. The self energy thus obtained is used to calculate quark wave functions in the medium which, in turn, are used to calculate the nucleon and pion masses in the one gluon exchange approximation. The nucleon mass is fixed to its empirical value using scaling arguments; the pion mass (for massless current quarks) turns out to be small but non-zero, depending on the model parameters.Comment: 24 pages, figures available from the author

A Case Study of Low-Mass Star Formation

This article synthesizes observational data from an extensive program aimed toward a comprehensive understanding of star formation in a low-mass star-forming molecular cloud. New observations and published data spanning from the centimeter wave band to the near infrared reveal the high and low density molecular gas, dust, and pre-main sequence stars in L1551.Comment: 24 pages, 21 figures, ApJS accepte

MLP: a MATLAB toolbox for rapid and reliable auditory threshold estimation

In this paper, we present MLP, a MATLAB toolbox enabling auditory thresholds estimation via the adaptive Maximum Likelihood procedure proposed by David Green (1990, 1993). This adaptive procedure is particularly appealing for those psychologists that need to estimate thresholds with a good degree of accuracy and in a short time. Together with a description of the toolbox, the current text provides an introduction to the threshold estimation theory and a theoretical explanation of the maximum likelihood adaptive procedure. MLP comes with a graphical interface and it is provided with several built-in, classic psychoacoustics experiments ready to use at a mouse click

Age-specific vaccine effectiveness of seasonal 2010/2011 and pandemic influenza A(H1N1) 2009 vaccines in preventing influenza in the United Kingdom

An analysis was undertaken to measure age-specific vaccine effectiveness (VE) of 2010/11 trivalent seasonal influenza vaccine (TIV) and monovalent 2009 pandemic influenza vaccine (PIV) administered in 2009/2010. The test-negative case-control study design was employed based on patients consulting primary care. Overall TIV effectiveness, adjusted for age and month, against confirmed influenza A(H1N1)pdm 2009 infection was 56% (95% CI 42–66); age-specific adjusted VE was 87% (95% CI 45–97) in <5-year-olds and 84% (95% CI 27–97) in 5- to 14-year-olds. Adjusted VE for PIV was only 28% (95% CI x6 to 51) overall and 72% (95% CI 15–91) in <5-year-olds. For confirmed influenza B infection, TIV effectiveness was 57% (95% CI 42–68) and in 5- to 14-year-olds 75% (95% CI 32–91). TIV provided moderate protection against the main circulating strains in 2010/2011, with higher protection in children. PIV administered during the previous season provided residual protection after 1 year, particularly in the <5 years age group

Top Quark Pair Production close to Threshold: Top Mass, Width and Momentum Distribution

The complete NNLO QCD corrections to the total cross section $\sigma(e^+e^- \to Z*,\gamma*\to t\bar t)$ in the kinematic region close to the top-antitop threshold are calculated by solving the corresponding Schroedinger equations exactly in momentum space in a consistent momentum cutoff regularization scheme. The corrections coming from the same NNLO QCD effects to the top quark three-momentum distribution $d\sigma/d |\vec k_t|$ are determined. We discuss the origin of the large NNLO corrections to the peak position and the normalization of the total cross section observed in previous works and propose a new top mass definition, the 1S mass M_1S, which stabilizes the peak in the total cross section. If the influence of beamstrahlung and initial state radiation on the mass determination is small, a theoretical uncertainty on the 1S top mass measurement of 200 MeV from the total cross section at the linear collider seems possible. We discuss how well the 1S mass can be related to the $\bar{MS}$ mass. We propose a consistent way to implement the top quark width at NNLO by including electroweak effects into the NRQCD matching coefficients, which then can become complex.Comment: 53 pages, latex; minor changes, a number of typos correcte

Mass Size Distribution and Chemical Composition of the Surface Layer of Summer and Winter Airborne Particles in Zabrze, Poland

Mass size distributions of ambient aerosol were measured in Zabrze, a heavily industrialized city of Poland, during a summer and a winter season. The chemical analyses of the surface layer of PM10, PM2.5 and PM1 in this area were also performed by X-ray photoelectron spectroscopy (XPS). Results suggested that the influence of an atmospheric aerosol on the health condition of Zabrze residents can be distinctly stronger in winter than in summer because of both: higher concentration level of particulate matter (PM) and higher contribution of fine particles in winter season compared to summer. In Zabrze in June (summer) PM10 and PM2.5 reached about 20 and 14 μg/m3, respectively, while in December (winter) 57 and 51 μg/m3, respectively. The XPS analysis showed that elemental carbon is the major surface component of studied airborne particles representing about 78%–80% (atomic mass) of all detected elements

Relativistic three-body bound states and the reduction from four to three dimensions

Beginning with an effective field theory based upon meson exchange, the Bethe-Salpeter equation for the three-particle propagator (six-point function) is obtained. Using the one-boson-exchange form of the kernel, this equation is then analyzed using time-ordered perturbation theory, and a three-dimensional equation for the propagator is developed. The propagator consists of a pre-factor in which the relative energies are fixed by the initial state of the particles, an intermediate part in which only global propagation of the particles occurs, and a post-factor in which relative energies are fixed by the final state of the particles. The pre- and post-factors are necessary in order to account for the transition from states where particles are off their mass shell to states described by the global propagator with all of the particle energies on shell. The pole structure of the intermediate part of the propagator is used to determine the equation for the three-body bound state: a Schr{\"o}dinger-like relativistic equation with a single, global Green's function. The role of the pre- and post-factors in the relativistic dynamics is to incorporate the poles of the breakup channels in the initial and final states. The derivation of this equation by integrating over the relative times rather than via a constraint on relative momenta allows the inclusion of retardation and dynamical boost corrections without introducing unphysical singularities.Comment: REVTeX, 21 pages, 4 figures, epsf.st

No absorption in de Sitter space

We study the wave equation for a minimally coupled massive scalar in D-dimensional de Sitter space. We compute the absorption cross section to investigate its cosmological horizon in the southern diamond. By analogy of the quantum mechanics, it is found that there is no absorption in de Sitter space. This means that de Sitter space is usually in thermal equilibrium, like the black hole in anti de Sitter space. It confirms that the cosmological horizon not only emits radiation but also absorbs that previously emitted by itself at the same rate, keeping the curvature radius of de Sitter space fixed.Comment: 11 pages, REVTE