Laparoscopic-assisted bowel resections in inflammatory bowel disease: state of the art

The objectives of this paper are to review the rational, the present results and future of laparoscopic-assisted bowel surgery in patients with inflammatory bowel disease (IBD). Only a few centres in the world report on laparoscopic bowel resection in IBD that include stoma surgery, ileocolic resection, left, right and (sub)total colectomy for Crohn's disease, and subtotal or restorative total proctocolectomy (ileal pouch anal procedures). The combined series report conversion rates between 2.5% and 22.2%. Ileocolic resection, stoma creation, stricturoplasty and segmental small bowel resection are associated with an acceptable length of surgery, but laparoscopic(-assisted) total colectomy or restorative proctocolectomy still demand up to 4-6 hours of operative time. The few randomised studies addressing laparoscopic-assisted (segmental) bowel surgery versus conventional surgery demonstrated significantly less pain, a quicker return to self-care and a shorter hospital stay. The results of the series reporting on laparoscopic-assisted (ileo)colectomy in IBD are similar to those from these randomised studies. Laparoscopic-assisted subtotal colectomy and restorative proctocolectomy have no benefit compared with conventional surgery other than superior cosmesis. Morbidity of laparoscopic (ileo)colectomy in IBD is low, that of laparoscopic-assisted subtotal colectomy and restorative proctocolectomy remains to be seen. The various laparoscopic bowel resections done in IBD are all feasible. The first series describing laparoscopic surgery for IBD indicate that laparoscopic-assisted segmental (ileo)colectomy is safe and is the preferred approach provided it is done in a centre specialised in the treatment of IBD and by skilled laparoscopic surgeons beyond the learning curve. Until now, laparoscopic-assisted subtotal colectomy and restorative proctocolectomy do not have the same short-term benefits as seen in other laparoscopic colorectal procedures. Patients with inflammatory bowel disease (IBD) have a high life-time risk of having abdominal surgery and reoperations. The proposed advantages of laparoscopic surgery in this group of young patients might be higher than in patients with other colorectal diseases. Minimal physiologic insult in patients who already are under significant physiologic stress, less adhesion formation and superior cosmesis are important benefits over time. In a time where patient's demands will increase, the future of laparoscopic colonic surgery in IBD looks assured.     

Cross-sector collaboration within Dutch flood risk governance: historical analysis of external triggers

ABSTRACT

This article synthesizes the literature on Dutch flood risk governance to analyze how external conditions shaped past and present dynamics of cross-sector collaboration for integrated flood risk management in the Netherlands. It traces the extent to which policy and legal frameworks, socio-economic circumstances, political realities, power relations and conflict situations have influenced attempts at collaboration between flood safety, spatial planning, environmental protection and other sectors. Despite the growing interdependences, existing power relations between the sectors are characterized by the dominance of the water sector. Hence, cross-sector collaboration can develop as long as it does not compromise flood safety.     

Growth and stability of ZnTe magic-size nanocrystals

A synthetic method for ZnTe magic-sized clusters (MSCs) is reported, and the stability and growth kinetics of these clusters are investigated. Four distinct MSC families, with lowest-energy absorption peaks at 330, 354, 378, and 392 nm, are observed. The stability and growth kinetics of the MSCs are strongly influenced by the reaction temperature, precursor concentration, and nature of the ligands used as the coordinating solvent. High precursor concentrations result in faster growth and MSC formation at lower temperatures. Higher temperatures accelerate the growth kinetics and lead to a gradual shift from the stepwise MSC growth regime to a continuous growth regime. For temperatures above 260 °C, only continuous growth of nanocrystals is observed. The nature of the ligands also influences the stability and growth of ZnTe MSCs, which are formed with primary alkylamines as ligands, but not when trioctylphosphine, trioctylphosphine oxide, or trioctylamine are used as the sole ligands. This demonstrates the crucial role of ligands in the formation of stable ZnTe MSCs using colloidal synthetic methods. Under optimal synthetic conditions (200 °C, hexadecylamine as ligand, and suitable precursor concentrations), the method presented here allows the synthesis and isolation of a single MSC family absorbing at 330 nm.     

Study of a Classical Strobe Composition

Many strobe compositions were discovered in the past but only a few have been studied and none of them were fully understood. This article aimed at introducing the ternary composition of ammonium perchlorate as oxidizer, magnalium as fuel, and barium sulfate as metal salt. Parameters that influence its performances are analyzed. First, the binary compositions ammonium perchlorate/magnesium and ammonium perchlorate/magnalium were studied to observe the differences in behavior by using magnalium instead of magnesium. Next, variations were applied to the ternary composition changing the fuel: oxidizer:metal salt ratio. Finally the effect of potassium dichromate was analyzed. It is often added to the composition because it is known to improve the regularity and sharpness of flashes. The burning behavior was recorded using a high speed camera, together with emission spectra using a Charged‐Coupled Device (CCD) camera coupled with a spectrometer and the temporal evolution of the intensity with a photodiode coupled with an oscilloscope. The results of the experiment give first insights into the physical and chemical mechanisms and give directions to the further study on strobe reactions.     

Exciton storage by Mn(2+) in colloidal Mn(2+)-doped CdSe quantum dots

Colloidal Mn (2+)-doped CdSe quantum dots showing long excitonic photoluminescence decay times of up to tau exc = 15 mus at temperatures over 100 K are described. These decay times exceed those of undoped CdSe quantum dots by approximately 10 (3) and are shown to arise from the creation of excitons by back energy transfer from excited Mn (2+) dopant ions. A kinetic model describing thermal equilibrium between Mn (2+ 4)T 1 and CdSe excitonic excited states reproduces the experimental observations and reveals that, for some quantum dots, excitons can emit with near unity probability despite being approximately 100 meV above the Mn (2+ 4)T 1 state. The effect of Mn (2+) doping on CdSe quantum dot luminescence at high temperatures is thus completely opposite from that at low temperatures described previously.     

FULLSPECTRUM: a new PV wave making more efficient use of the solar spectrum

The project FULLSPECTRUM — an Integrated Project (IP) in the terminology of the European Commission — pursues a better exploitation of the FULL solar SPECTRUM by (1) further developing concepts already scientifically proven but not yet developed and (2) by trying to prove new ones in the search for a breakthrough in photovoltaic (PV) technology. More specific objectives are the development of: (a) III–V multijunction cells (MJC), (b) solar thermo-photovoltaic (TPV) converters, (c) intermediate band (IB) materials and cells (IBC), (d) molecular-based concepts (MBC) for full PV utilisation of the solar spectrum and (e) manufacturing technologies (MFG) for novel concepts including assembling. MJC technology towards 40% efficiency will be developed using lower cost substrates and high light concentration (up or above 1000 suns). TPV is a concept with a theoretically high efficiency limit because the entire energy of all the photons is used in the heating process and because the non-used photons can be fed back to the emitter, therefore helping in keeping it hot. In the IBC approach, sub-bandgap photons are exploited by means of an IB. Specific IB materials will be sought by direct synthesis suggested by material-band calculations and using nanotechnology in quantum dot (QD) IBCs. In the development of the MBC, topics such as the development of two-photon dye cells and the development of a static global (direct and diffuse) light concentrator by means of luminescent multicolour dyes and QDs, with the radiation confined by photonic crystals, will be particularly addressed. MFG include optoelectronic assembling techniques and coupling of light to cells with new-optic miniconcentrators.     

Modeling improvement of spectral response of solar cells by deployment of spectral converters containing semiconductor nanocrystals

A planar converter containing quantum dots as wavelength-shifting moieties on top of a solar cell was studied. The highly efficient quantum dots are to shift the wavelengths where the spectral response of the solar cell is low to wavelengths where the spectral response is high in order to improve the conversion efficiency of the solar cell. It was calculated that quantum dots with an emission at 603 nm increase the multicrystalline solar cell short-circuit current by nearly 10%. Simulation results for planar converters on hydrogenated amorphous silicon solar cells show no beneficial effects, due to the high spectral response at low wavelength.     

Coherence-Multiplexed Optical RF Feeder Networks

An optical RF feeding system for wireless access is proposed, in which the radio access points are distinguished by means of coherence multiplexing (CM). CM is a rather unknown and potentially inexpensive optical code division multiple access technique, which is particularly suitable for relatively short-range applications with moderate transmission bandwidth requirements. Subcarrier multiplexing (SCM) can possibly be used on top of CM, either as single-channel or multichannel SCM. The performances of the resulting distribution networks are analyzed, incorporating the effect of chromatic dispersion, optical beat noise, shot noise, thermal noise, and-in the case of multichannel SCM-intermodulation distortion. The results of the analyses are illustrated by using numerical examples, based on the IEEE 802.11b standard for wireless LAN.     

Identification of Olfactory Stimulants for Anopheles gambiae from Human Sweat Samples

The behavioral and electroantennogram (EAG) responses of female Anopheles gambiae mosquitoes to pooled samples of freshly collected human sweat and human sweat incubated for 42–52 hr were tested. No behavioral or EAG response was obtained to pooled fresh sweat samples, whereas incubated pooled sweat samples produced a behavioral as well as an EAG response. GC-MS analysis of the headspace composition of the fresh sweat revealed ethanol (15.1% of the total amount of volatiles trapped), acetic acid (10.9%), and 3-hydroxy-2-butanone (9.5%) as the most abundant compounds; a wide range of ethyl esters was present as well. None of the ethyl esters was detected in the headspace collections from incubated sweat, while the relative amounts of ethanol, acetic acid, and 3-hydroxy-2-butanone were strongly reduced. In the latter collections, indole (27.9%), 1-dodecanol (22.4%), and 3-methyl-1-butanol (10%) were present in high amounts, while they were absent or present in only minor amounts in the headspace collections from fresh sweat. Geranyl acetone (6%) and 6-methyl-5-hepten-2-one (1.9%) were relatively abundant in both the fresh and incubated headspace samples. EAG responses were observed in response to indole, 6-methyl-5-hepten-2-one, and geranyl acetone.