Objective: To present an institutional experience with stent placement in the arterial duct combined with bilateral banding of the pulmonary artery branches as a basis for various surgical strategies ...in newborns with hypoplastic left heart obstructive lesions. Design: Observational study. Setting: Paediatric heart centre in a university hospital. Patients: 20 newborns with various forms of left heart obstructive lesions and duct dependent systemic blood flow. Interventions: Patients underwent percutaneous ductal stenting and surgical bilateral pulmonary artery banding. Atrial septotomy by balloon dilatation was performed as required, in one premature baby by the transhepatic approach. Main outcome measures: Survival; numbers of and reasons for palliative and corrective cardiac surgery. Results: One patient died immediately after percutaneous ductal stenting. One patient died in connection with the surgical approach of bilateral pulmonary banding. Stent and ductal patency were achieved for up to 331 days. Two patients underwent heart transplantation and two patients died on the waiting list. Ten patients had a palliative one stage procedure with reconstruction of the aortic arch and bidirectional cavopulmonary connection at the age of 3.5–6 months. There was one death. One patient is still awaiting this approach. Two patients received biventricular repair. In one, biventricular repair will soon be provided. Conclusions: Stenting the arterial duct combined with bilateral pulmonary artery banding in newborns with hypoplastic left heart or multiple left heart obstructive lesions allows a broad variation of surgical strategies depending on morphological findings, postnatal clinical conditions, and potential ventricular growth.
A basic feature of the nuclear equation of state is not yet understood: the dependence of the nuclear caloric curve on the neutron–proton asymmetry. Predictions of theoretical models differ on the ...magnitude and even the sign of this dependence. In this work, the nuclear caloric curve is examined for fully reconstructed quasi-projectiles around mass A=50. The caloric curve extracted with the momentum quadrupole fluctuation thermometer shows that the temperature varies linearly with quasi-projectile asymmetry N−ZA. An increase in asymmetry of 0.15 units corresponds to a decrease in temperature on the order of 1 MeV. These results also highlight the importance of a full quasi-projectile reconstruction in the study of thermodynamic properties of hot nuclei.
The traditional isoscaling technique has been used to analyze all isotopically identified particles from 70Zn+70Zn and 64Zn+64Zn collisions at 35 MeV/u. Two additional techniques, using an ...energy-averaged ratio and using the data present in the tail of energy spectra, are compared to the traditional method and show similar results. Isoscaling fit parameters α and β are found both globally and for each individual series of constant Z and N. The data are then split up between emitted fragments and projectile-like fragments. Isoscaling values for the two different types of fragments are shown to be different, emphasizing the importance of experimentally distinguishing between projectile-like fragments and emitted fragments in order to achieve accurate isoscaling parameters.
At finite temperatures and low densities, nuclei may undergo a phase change similar to a classical liquid-gas phase transition. Temperature is the control parameter while density and pressure are the ...conjugate variables. In the nucleus the difference between the proton and neutron concentrations acts as an additional order parameter, for which the symmetry potential is the conjugate variable. We present experimental results which reveal the N/Z dependence of the phase transition and discuss possible implications of these observations in terms of the Landau free energy description of critical phenomena.
Alpha emitting radionuclides with medically relevant half-lives are interesting for treatment of tumors and other diseases because they deposit large amounts of energy close to the location of the ...radioisotope. Researchers at the Cyclotron Institute at Texas A&M University are developing a program to produce 211At, an alpha emitter with a medically relevant half-life. The properties of 211At make it a great candidate for targeted alpha therapy for cancer due to its short half-life (7.2 h). Astatine-211 has now been produced multiple times and reliability of this process is being improved.
It is expected that the cross section for super-heavy nuclei production of Z > 118 is dropping into the region of tens of femto barns. This creates a serious limitation for the complete fusion ...technique that is used so far. Moreover, the available combinations of the neutron to proton ratio of stable projectiles and targets are quite limited and it can be difficult to reach the island of stability of super heavy elements using complete fusion reactions with stable projectiles. In this context, a new experimental investigation of mechanisms other than complete fusion of heavy nuclei and a novel experimental technique are invented for our search of super- and hyper-nuclei. This contribution is focused on that technique.
Calculations using astrophysical equations of state at low densities comparable to that of the neutrino emission surface in supernovae and accretion disks are confronted with experimental results ...from heavy ion collisions. An extension of previous work shows that it is important to include all of the measured experimental data to draw conclusions about the astrophysical equation of state. Armed with this information, the calculations of the astrophysical equation of state are significantly constrained. Predictions of temperatures and densities sampled in black hole accretion disks are compared to those sampled in the experimental data.
An extensive experimental survey of the features of the disassembly of a small quasiprojectile system with A{approx}36, produced in the reactions of 47 MeV/nucleon {sup 40}Ar + {sup 27}Al, {sup ...48}Ti, and {sup 58}Ni, has been carried out. Nuclei in the excitation energy range of 1-9 MeV/nucleon have been investigated employing a new method to reconstruct the quasiprojectile source. At an excitation energy {approx}5.6 MeV/nucleon many observables indicate the presence of maximal fluctuations in the deexcitation processes. These include the normalized second moments of the Campi plot and normalized variances of the distributions of order parameters such as the atomic number of the heaviest fragment Z{sub max} and the total kinetic energy. The evolution of the correlation of the atomic number of the heaviest fragment with that of the second heaviest fragment and a bimodality test are also consistent with a transition in the same excitation energy region. The related phase separation parameter, S{sub p}, shows a significant change of slope at the same excitation energy. In the same region a {delta}-scaling analysis for of the heaviest fragments exhibits a transition to {delta} = 1 scaling, which is predicted to characterize a disordered phase. The fragment topological structure shows that the rank-sorted fragments obey Zipf's law at the point of largest fluctuations, providing another indication of a liquid gas phase transition. The Fisher droplet model critical exponent {tau} {approx} 2.3 obtained from the charge distribution at the same excitation energy is close to the critical exponent of the liquid gas phase transition universality class. The caloric curve for this system shows a monotonic increase of temperature with excitation energy and no apparent plateau. The temperature at the point of maximal fluctuations is 8.3{+-}0.5 MeV. Taking this temperature as the critical temperature and employing the caloric curve information we have extracted the critical exponents {beta},{gamma}, and {sigma} from the data. Their values are also consistent with the values of the universality class of the liquid gas phase transition. Taken together, this body of evidence strongly suggests a phase change in an equilibrated mesoscopic system at, or extremely close to, the critical point.
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