| 1. |
- Martin, David, et al.
(författare)
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Defining Major Surgery: A Delphi Consensus Among European Surgical Association (ESA) Members
- 2020
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Ingår i: World Journal of Surgery. - : Springer Science and Business Media LLC. - 0364-2313 .- 1432-2323. ; 44:7, s. 2211-2219
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Tidskriftsartikel (refereegranskat)abstract
- © 2020, Société Internationale de Chirurgie. Background: Major surgery is a term frequently used but poorly defined. The aim of the present study was to reach a consensus in the definition of major surgery within a panel of expert surgeons from the European Surgical Association (ESA). Methods: A 3-round Delphi process was performed. All ESA members were invited to participate in the expert panel. In round 1, experts were inquired by open- and closed-ended questions on potential criteria to define major surgery. Results were analyzed and presented back anonymously to the panel within next rounds. Closed-ended questions in round 2 and 3 were either binary or statements to be rated on a Likert scale ranging from 1 (strong disagreement) to 5 (strong agreement). Participants were sent 3 reminders at 2-week intervals for each round. 70% of agreement was considered to indicate consensus. Results: Out of 305 ESA members, 67 (22%) answered all the 3 rounds. Significant comorbidities were the only preoperative factor retained to define major surgery (78%). Vascular clampage or organ ischemia (92%), high intraoperative blood loss (90%), high noradrenalin requirements (77%), long operative time (73%) and perioperative blood transfusion (70%) were procedure-related factors that reached consensus. Regarding postoperative factors, systemic inflammatory response (76%) and the need for intensive or intermediate care (88%) reached consensus. Consequences of major surgery were high morbidity (>30% overall) and mortality (>2%). Conclusion: ESA experts defined major surgery according to extent and complexity of the procedure, its pathophysiological consequences and consecutive clinical outcomes.
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| 2. |
- Vanzella, E., et al.
(författare)
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Probing the circumstellar medium 2.8 Gyr after the big bang : detection of Bowen fluorescence in the Sunburst arc
- 2020
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Ingår i: Monthly Notices of the Royal Astronomical Society: Letters. - London : Oxford University Press. - 1745-3925 .- 1745-3933. ; 499:1, s. L67-L71
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Tidskriftsartikel (refereegranskat)abstract
- We discovered Bowen emission arising from a strongly lensed (i.e., with magnification factor μ>20) source hosted in the Sunburst arc at z=2.37. We claim this source is plausibly a transient stellar object and study the unique ultraviolet lines emerging from it. In particular, narrow (σ_v ~ 40 km/s) ionisation lines of Fe fluoresce after being exposed to Lya radiation that pumps selectively their atomic levels. Data from VLT/MUSE, X-Shooter and ESPRESSO observations (the latter placed at the focus of the four UTs) at increasing spectral resolution of R=2500, 11400 and R=70000, respectively, confirm such fluorescent lines are present since at least 3.3 years (~ 1 year rest-frame). Additional Fe forbidden lines have been detected, while C and Si doublets probe an electron density n_e >~ 106 cm−3. Similarities with the spectral features observed in the circum-stellar Weigelt blobs of Eta-Carinae probing the circum-stellar dense gas condensations in radiation-rich conditions are observed. We discuss the physical origin of the transient event, which remains unclear. We expect such transient events (including also supernova or impostors) will be easily recognised with ELTs thanks to high angular resolution provided by adaptive optics and large collecting area, especially in modest (μ<3) magnification regime.
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| 3. |
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| 4. |
- Rosati, Roberto, 1984, et al.
(författare)
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Temporal Evolution of Low-Temperature Phonon Sidebands in Transition Metal Dichalcogenides
- 2020
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Ingår i: ACS Photonics. - : American Chemical Society (ACS). - 2330-4022. ; 7:10, s. 2756-2764
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Tidskriftsartikel (refereegranskat)abstract
- Low-temperature photoluminescence (PL) of hBN-encapsulated monolayer tungsten diselenide (WSe2) shows a multitude of sharp emission peaks below the bright exciton. Some of them have been recently identified as phonon sidebands of momentum-dark states. However, the exciton dynamics behind the emergence of these sidebands has not been revealed yet. In this joint theory-experiment study, we theoretically predict and experimentally observe time-resolved PL, providing microscopic insights into the thermalization of hot excitons formed after optical excitation. In very good agreement between theory and experiment, we demonstrate a spectral red-shift of phonon sidebands on a time scale of tens of picoseconds, reflecting the phonon-driven thermalization of hot excitons in momentum-dark states. Furthermore, we predict the emergence of a transient phonon sideband that vanishes in the stationary PL. The obtained microscopic insights are applicable to a broad class of 2D materials with multiple exciton valleys.
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| 5. |
- Zipfel, Jonas, et al.
(författare)
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Exciton diffusion in monolayer semiconductors with suppressed disorder
- 2020
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Ingår i: Physical Review B. - 2469-9969 .- 2469-9950. ; 101:11
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Tidskriftsartikel (refereegranskat)abstract
- Tightly bound excitons in monolayer semiconductors represent a versatile platform to study two-dimensional propagation of neutral quasiparticles. Their intrinsic properties, however, can be severely obscured by spatial energy fluctuations due to a high sensitivity to the immediate environment. Here, we take advantage of the encapsulation of individual layers in hexagonal boron nitride to strongly suppress environmental disorder. Diffusion of excitons is then directly monitored using time and spatially resolved emission microscopy at ambient conditions. We consistently find very efficient propagation with linear diffusion coefficients up to 10 cm(2)/s, corresponding to room-temperature effective mobilities as high as 400 cm(2)/Vs as well as a correlation between rapid diffusion and short population lifetime. At elevated densities we detect distinct signatures of many-particle interactions and consequences of strongly suppressed Auger-type exciton-exciton annihilation. A combination of analytical and numerical theoretical approaches is employed to provide pathways toward comprehensive understanding of the observed linear and nonlinear propagation phenomena. We emphasize the role of dark exciton states and present a mechanism for diffusion facilitated by free-electron hole plasma from entropy-ionized excitons.
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