Accuracy of blood transfusion in postpartum hemorrhage to assess maternal morbidity.

International audience; OBJECTIVE: To measure the accuracy of blood transfusion (timing and number of blood units) in postpartum hemorrhage (PPH) in a perinatal network. STUDY DESIGN: (1) The ANONYMAT software system was used for anonymization and linkage of two large stand-alone databases, the Burgundy Perinatal Network (BPN) and the National Blood Centre (EFS) databases, which contain, respectively, clinical data from hospital discharges and information concerning any blood transfusion in France (considered as the gold standard database for identifying any transfusion). (2) Identification of prescriptions of at least one red blood cell (RBC) unit at the day of delivery (≥22 weeks) and up …

Advantages and limitations of using national administrative data on obstetric blood transfusions to estimate the frequency of obstetric hemorrhages

International audience; BACKGROUND: Obstetric hemorrhages are a frequent cause of maternal death all over the world, but are not routinely monitored. Health systems administrative databases could be used for this purpose, but data quality needs to be assessed. OBJECTIVES: Using blood transfusion data recorded in administrative databases to estimate the frequency of obstetric hemorrhages. Research design A population-based study. Subjects Validation sub-sample: all mothers who gave birth in a French region in 2006-07 (35 123 pregnancies). Main study: all mothers who gave birth in France in 2006-07 (1 629 537 pregnancies). METHOD: Linkage and comparison of administrative data on blood transfu…

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…

Cluster Formation during Expansion of Hot and Compressed Nuclear Matter Produced in Central Collisions of Au on Au at 250AMeV

Complete distributions of the light and intermediate mass fragments ({ital Z}=1--6) produced within the polar angular range 1{sup {circ}}{le}{Theta}{sub lab}{le}30{sup {circ}} in highly central collisions of 250{ital A} MeV Au+Au are presented. The results of this measurement and a model analysis are used to study the expansion and clustering of the hot and compressed transient state formed in central collisions of such a heavy system. The influence of the initial conditions on the final observables is discussed.

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…

Est-il possible de construire un indicateur de morbidité maternelle sévère (hémorragie maternelle) à partir des données du programme de médicalisation des systèmes d’information complétées par celles de l’Établissement français du sang ?

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…

A highly-segmented ΔE-time-of-flight wall as forward detector of the 4π-system for charged particles at the SIS/ESR accelerator

Abstract At the SIS/ESR accelerator facility at GSI in Darmstadt the 4π-detector system FOPI is under construction at present. It is designed for the investigation of central collisions of heavy ions in the energy range up to 2 A GeV. As phase I of this detector a forward wall has been built and used in various experiments. It comprizes a total number of 764 scintillators with an additional shell of 188 thin ΔE -detectors in front of it and covers the full azimuth of the polar angles from 1° to 30°. The velocity and the nuclear charge of the fragments are determined by a combined time-of-flight and ΔE measurement.

Validation des hémorragies maternelles codées dans le programme de médicalisation des systèmes d’information (PMSI) par couplage aux données de l’Établissement français du sang (EFS)

97/37 Rb 60 : The Cornerstone of the Region of Deformation around A∼100

Excited states of the neutron-rich nuclei 97,99Rb were populated for the first time using the multistep Coulomb excitation of radioactive beams. Comparisons of the results with particle-rotor model calculations provide clear identification for the ground-state rotational band of 97Rb as being built on the πg9/2 [431] 3/2+ Nilsson-model configuration. The ground-state excitation spectra of the Rb isotopes show a marked distinction between single-particle-like structures below N=60 and rotational bands above. The present study defines the limits of the deformed region around A∼100 and indicates that the deformation of 97Rb is essentially the same as that observed well inside the deformed regi…

Evidence for collective expansion in light-particle emission following Au+Au collisions at 100, 150 and 250 A·MeV

Abstract Light-particle emission from Au+Au collisions has been studied in the bombarding-energy range 100–250 A ·MeV, using ΔE − E R telescopes in coincidence with the FOPI detector in its phase I configuration. Center-of-mass energy spectra have been measured for Z = 1,2 isotopes emitted in central collisions at CM polar angles between 60° and 90°. Evidence for a collective expansion is reported, on the basis of the mean kinetic energies of hydrogen isotopes. Comparison is presented with statistical calculations (WIX code). For CM kinetic energy spectra, fair agreement is found between data and a recently developed transport model.

Normal and intruder configurations in $^{34}$Si populated in the $\beta^-$ decay of $^{34}$Mg and $^{34}$Al

The structure of Si34 was studied through γ spectroscopy separately in the β− decays of Mg34 and Al34 at the ISOLDE facility of CERN. Different configurations in Si34 were populated independently from the two recently identified β-decaying states in Al34 having spin-parity assignments Jπ=4− dominated by the normal configuration π(d5/2)−1⊗ν(f7/2) and Jπ=1+ by the intruder configuration π(d5/2)−1⊗ν(d3/2)−1(f7/2)2. The paper reports on spectroscopic properties of Si34 such as an extended level scheme, spin and parity assignments based on log(ft) values and γ-ray branching ratios, absolute β feeding intensities, and neutron emission probabilities. A total of 11 newly identified levels and 26 tr…

g factors of $^{31,32,33}$Al: Indication for intruder configurations in the $^{33}$Al ground state

Abstract The g factors of 31,32,33 Al have been measured using the β -nuclear magnetic resonance ( β -NMR) technique on spin-polarized beams produced in the fragmentation of a 36 S (77.5 MeV/u) beam on a 9 Be target. Nearly pure beams of Al ( Z = 13 ) isotopes were selected with the high-resolution fragment separator LISE at GANIL. An asymmetry as high as 6% has been observed in the β -NMR curve for 32 Al implanted in a Si single crystal. The magnetic moment of the N = 20 nucleus 33 Al is obtained for the first time: μ ( Al 33 , I π = 5 / 2 + ) = 4.088 ( 5 ) μ N , while those of 31,32 Al are obtained with improved accuracy: μ ( Al 31 , I π = 5 / 2 + ) = 3.830 ( 5 ) μ N and μ ( Al 32 , I π =…

"Table 5" of "Evidence for collective expansion in light-particle emission following Au+Au collisions at 100, 150 and 250 A��MeV"

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"Table 1" of "Evidence for collective expansion in light-particle emission following Au+Au collisions at 100, 150 and 250 A��MeV"

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"Table 2" of "Evidence for collective expansion in light-particle emission following Au+Au collisions at 100, 150 and 250 A��MeV"

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"Table 4" of "Evidence for collective expansion in light-particle emission following Au+Au collisions at 100, 150 and 250 A��MeV"

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"Table 6" of "Evidence for collective expansion in light-particle emission following Au+Au collisions at 100, 150 and 250 A��MeV"

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"Table 3" of "Evidence for collective expansion in light-particle emission following Au+Au collisions at 100, 150 and 250 A��MeV"

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