0000000000510271
AUTHOR
P. Müller
The impact of conversion on the risk of major complication following laparoscopic colonic surgery: an international, multicentre prospective audit.
BACKGROUND: Laparoscopy has now been implemented as a standard of care for elective colonic resection around the world. During the adoption period, studies showed that conversion may be detrimental to patients, with poorer outcomes than both laparoscopic completed or planned open surgery. The primary aim of this study was to determine whether laparoscopic conversion was associated with a higher major complication rate than planned open surgery in contemporary, international practice.METHODS: Combined analysis of the European Society of Coloproctology 2017 and 2015 audits. Patients were included if they underwent elective resection of a colonic segment from the caecum to the rectosigmoid jun…
Isotope shifts and hyperfine structure in calcium 4snp and 4snf F Rydberg states
Isotope shifts and hyperfine structure have been measured in 4snp 1 P1 and Rydberg states for all stable calcium isotopes and the radioisotope 41Ca using high-resolution laser spectroscopy. Triple-resonance excitation via Rydberg state was followed by photoionization with a CO2 laser and mass selective ion detection. Isotope shifts for the even-mass isotopes have been analyzed to derive specific mass shift and field shift factors. The apparent isotope shifts for 41Ca and 43Ca exhibit anomalous values that are n-dependent. This is interpreted in terms of hyperfine-induced fine-structure mixing, which becomes very pronounced when singlet-triplet fine-structure splitting is comparable to the h…
Counting IndividualCa41Atoms with a Magneto-Optical Trap
Atom trap trace analysis, a novel method based upon laser trapping and cooling, is used to count individual atoms of $^{41}\mathrm{Ca}$ present in biomedical samples with isotopic abundance levels between ${10}^{\ensuremath{-}8}$ and ${10}^{\ensuremath{-}10}$. The method is calibrated against resonance ionization mass spectrometry, demonstrating good agreement between the two methods. The present system has a counting efficiency of $2\ifmmode\times\else\texttimes\fi{}{10}^{\ensuremath{-}7}$. Within 1 h of observation time, its $3\mathrm{\text{\ensuremath{-}}}\ensuremath{\sigma}$ detection limit on the isotopic abundance of $^{41}\mathrm{Ca}$ reaches $4.5\ifmmode\times\else\texttimes\fi{}{10…
Ringoffene Serotonin-Analoga, 2. Mitt.1) Synthese von 3-(2-Aminophenyl)-propanamin- und 1-(N-Piperidino)-3-(2-aminophenyl)-3-oxo-propan-Derivaten
Die Darstellung der Titelverbindungen gelingt via Mannich-Reaktion beim Einsatz geeignet substituierter Acetophenone. Die Gewinnung von 2 und seiner Derivate erfordert zusatzlich die nachfolgende durchgreifende Hydrierung der Carbonylgruppe der entsprechenden Mannichbasen. Ring-Opened Analogues of Serotonine, II: Synthesis of 3-(2-Aminophenyl)propanamine and 1-(Piperidin-1-yl)-3-(2-aminophenyl)propan-3-one and Their Derivatives The synthesis of the title compounds was achieved by Mannich reaction of suitably substituted acetophenones. The preparation of 3-(2-aminophenyl)propanamine and its derivatives requires complete hydrogenation of the carbonyl group of the Mannich bases.
Peak shape for a quadrupole mass spectrometer: comparison of computer simulation and experiment
Abstract Computer simulations of ion trajectories have been used to evaluate the performance of a quadrupole mass spectrometer. Consideration has been given to realistic fields modeled on a commercial system as well as experimental distributions with respect to ion entry position, axial and radial velocity and relative phase of the quadrupole field. Determination of the mass filter acceptance-area as a function of the mass setting yields mass peak shapes with a dynamic range of more than seven orders of magnitude and thus provides estimates for abundance sensitivity. Results from these simulations are found to give excellent agreement with experimental measurements for different elements in…
Evaluating the incidence of pathological complete response in current international rectal cancer practice: the barriers to widespread safe deferral of surgery
INTRODUCTION: The mainstay of management for locally advanced rectal cancer is chemoradiotherapy followed by surgical resection. Following chemoradiotherapy, a complete response may be detected clinically and radiologically (cCR) prior to surgery or pathologically after surgery (pCR). We aim to report the overall complete pathological response (pCR) rate and the reliability of detecting a cCR by conventional pre-operative imaging.METHODS: A pre-planned analysis of the European Society of Coloproctology (ESCP) 2017 audit was performed. Patients treated by elective rectal resection were included. A pCR was defined as a ypT0 N0 EMVI negative primary tumour; a partial response represented any r…
Isotope shifts and hyperfine structure in the $\mathsf{ 3d ^2D_J \rightarrow 4p ^2P_J}$ transitions in calcium II
The isotope shift and hyperfine structure in the three \(\) - transitions in Ca II have been studied by fast ion beam collinear laser spectroscopy for all stable Ca isotopes. The metastable 3d states were populated within the surface ionization source of a mass separator with a probability of about 0.1%. After resonant excitation to the 4p levels with diode laser light around 850 nm the uv photons from the \(\) transitions to the ground state were used for detection. Hyperfine structure parameters A and B for the odd isotope 43Ca, as evaluated from the splittings observed, agree well with theoretical predictions from relativistic many-body perturbation theory. Field shift constants \(\) and…
Neutronenhalos in neuem Licht. Kernphysik mit exotischen Isotopen
Laserspektroskopie an den neutronenreichen kurzlebigen Isotopen von Helium und Lithium erlaubt detaillierte Aussagen zur Kernstruktur von exotischen Halokernen. Mit speziell entwickelten Methoden, die eine hohe Prazision in der Bestimmung der atomaren Ubergangsfrequenzen mit einer sehr hohen Empfindlichkeit verbinden, liesen sich die Ladungsradien der Atomkerne von He-6, He-8 und Li-11 erstmalig bestimmen. Aus diesen Daten konnen die mittleren Entfernungen der Haloneutronen vom Rumpfkern extrahiert werden.
An international multicentre prospective audit of elective rectal cancer surgery; operative approach versus outcome, including transanal total mesorectal excision (TaTME)
Introduction: Transanal total mesorectal excision (TaTME) has rapidly emerged as a novel approach for rectal cancer surgery. Safety profiles are still emerging and more comparative data is urgently needed. This study aimed to compare indications and short-term outcomes of TaTME, open, laparoscopic, and robotic TME internationally. Methods: A pre-planned analysis of the European Society of Coloproctology (ESCP) 2017 audit was performed. Patients undergoing elective total mesorectal excision (TME) for malignancy between 1 January 2017 and 15 March 2017 by any operative approach were included. The primary outcome measure was anastomotic leak. Results: Of 2579 included patients, 76.2% (1966/257…
Isotope shifts and hyperfine structure in the transitions of gadolinium
High-resolution resonance ionization mass spectrometry has been used to measure isotope shifts and hyperfine structure in all (J = 2-6) and the transitions of gadolinium (Gd I). Gadolinium atoms in an atomic beam were excited with a tunable single-frequency laser in the wavelength range of 422-429 nm. Resonant excitation was followed by photoionization with the 363.8 nm line of an argon ion laser and resulting ions were mass separated and detected with a quadrupole mass spectrometer. Isotope shifts for all stable gadolinium isotopes in these transitions have been measured for the first time. Additionally, the hyperfine structure constants of the upper states have been derived for the isotop…
Using 81Kr and Noble Gases to Characterize and Date Groundwater and Brines in the Baltic Artesian Basin on the One-Million-Year Timescale
Analyses for $^{81}$Kr and noble gases on groundwater from the deepest aquifer system of the Baltic Artesian Basin (BAB) were performed to determine groundwater ages and uncover the flow dynamics of the system on a timescale of several hundred thousand years. We find that the system is controlled by mixing of three distinct water masses: Interglacial or recent meteoric water $(\delta^{18}\text{O} \approx -10.4\unicode{x2030})$ with a poorly evolved chemical and noble gas signature, glacial meltwater $(\delta^{18}\text{O} \leq -18\unicode{x2030})$ with elevated noble gas concentrations, and an old, high-salinity brine component $(\delta^{18}\text{O} \geq -4.5\unicode{x2030}, \geq 90 \text{g …
Properties and performance of a quadrupole mass filter used for resonance ionization mass spectrometry
Abstract The performance of commercial quadrupole mass spectrometers (QMS) with a number of imperfections, as compared to the ideal hyperbolic geometry, has been characterized using the computer simulation program simion 3d version 6.0. The analysis of simulated QMS geometries focuses primarily on modeling of the internal potential, the study of field deviations, and the influence of finite length on performance of the QMS. The computer simulation of ion trajectories in the QMS field yields predictions for optimum working conditions and provides estimates for the resolving power and the maximum isotopic abundance sensitivity. Experimental measurements that confirm these expectations are pre…
Intercomparison measurements between accelerator and laser based mass spectrometry for ultra-trace determination of 41Ca in the 10−11–10−10 isotopic range
Abstract Selective ultra-trace determination of the long-lived radioisotope 41 Ca has applications in environmental and biomedical research, as well as in cosmochemistry. We have conducted an intercomparison between the two currently available methods for measurement at these low (radio) activities: accelerator mass spectrometry (AMS) and resonance ionization mass spectrometry (RIMS). Three artificially produced 41 Ca samples, primarily of cosmochemical importance, with isotopic abundances in the range of 10 −11 –10 −10 were used and results of these measurements show good agreement between the two methods, within the experimental uncertainties.
Recent developments in and applications of resonance ionization mass spectrometry
Resonance Ionization Mass Spectrometry (RIMS) has nowadays reached the status of a routine method for sensitive and selective ultratrace determination of long-lived radioactive isotopes in environmental, biomedical and technical samples. It provides high isobaric suppression, high to ultra-high isotopic selectivity and good overall efficiency. Experimental detection limits are as low as 106 atoms per sample and permit the fast and sensitive determination of ultratrace amounts of radiotoxic contaminations. Experimental arrangements for the detection of different radiotoxic isotopes, e.g. 236–244Pu, 89,90Sr and 99Tc in environmental samples are described, and the application of RIMS to the ul…