Search

High-resolution absorption, dispersed fluorescence emission, and photoionization cross sections are presented for gas-phase adamantane excited by synchrotron radiation in the exciting-photon energy range of 6–30 eV. Relative and absolute absorption cross sections of so-far unmatched resolution of down to 0.27 cm ^−1 line width in the region from 6.4–28 eV are shown along with newly discovered vibronic substructures around the HOMO–LUMO transition. Absorption line positions are provided with very high accuracy and listed in tabular form to be used as spectral fingerprints for the detection of adamantane in interstellar media, where its column density may be determined via the absolute cross sections. The fluorescence emission lies in the ultraviolet range from 190–250 nm and is excited starting at the HOMO–LUMO transition at 6.49 eV, which corresponds to the highest fluorescence emission energy. Hitherto unreported fluorescence in the same spectral range and relative photoionization cross sections in the exciting-photon energy range up to 30 eV are also presented along with lifetime measurements for differentiation of the involved electronic states.

Background and Objectives: Retrograde free venous flaps represent a separate entity among free venous flaps: their physiology is still unclear, but they provide an immediate visible refill after reconnection, with a similar behaviour to conventional flaps. Therefore, the dimensions and the indications of these flaps can be extended beyond what was previously believed, and they can be easily customized, including with respect to tendons and nerves. Nevertheless, they are still debated and regarded as unsafe. Materials and Methods: From 2012 to 2019, we performed 31 retrograde free venous flaps on 31 patients to reconstruct hands, digits, and in one case the heel. All the flaps were arterialized in a retrograde manner; the donor site was the forearm in 28 cases, the foot in 2 cases, and the calf in 1 case. We recorded the size, vein architecture, donor site, donor artery, donor morbidity, function for composite and non-composite flaps, immediate complications, late complications, survival rate, and the number of revisions. We recorded the hand function when appropriate. A total of 10 flaps were also intraoperatively studied with indocyanine green to monitor their hemodynamical behaviour. Results: All the patients were followed for an average of 8 months (6–15). The flap dimensions ranged from 6 cm2 to 136 cm2. All the flaps, except two that had complete necrosis, survived. Two flaps had partial necrosis. There was no correlation between necrosis and the size of the flap, with one case of necrosis and one of partial necrosis in the small flaps (2). None of the cases with partial necrosis needed a new flap. Two flaps developed a late arterio-venous shunt that was ligated. Conclusions: The retrograde free venous flaps proved to be a useful tool for complex reconstructions of the hand and extremities. They can provide a large island of pliable skin and composite tissue with tendons and nerves, but surgeons must be aware of some caveats.

We recently reported a small study at the Federation of European Societies for Surgery of the hand, which was entitled ′What is secondary flexor tendon surgery′? This study concluded that ′secondary flexor tendon surgery′ was a generic name encompassing a multitude of pathologies. Between 10% and 15% of cases exhibited pathology of the skin and subcutaneous fat and required flap reconstruction of these tissues. Skin replacement may be used prophylactically at primary surgery or become necessary at secondary surgery after release of scar contractures, to achieve cover of vital structures. The long-term problem of skin deficiency relating to flexor tendon function is one of loss of extension from longitudinal scar shortening of the integument, even if the flexor tendons are primarily concerned with bending the digits, not straightening them. This loss of extension can only be tolerated in a hand to a certain degree without significant loss of function. This paper is largely an analysis of the flaps available and suitable for different degrees of skin deficiency and at different places along the course of the flexor system. It attempts to dispel the idea that ′any flap will do′ provided the flexors are adequately covered.

As primary repair of divided flexor tendons becomes more common, secondary tendon surgery becomes largely that of the complications of primary repair, namely ruptured and adherent repairs. These occur with an incidence of each in most reported series world-wide of around 5%, with these problems having changed little in the last two decades, despite strengthening our suture repairs. Where the primary referral service is less well-developed, and as a more occasional occurrence where primary treatment is the routine, the surgeon faces different problems. Patients arrive at a hand unit variable, but longer, times after the primary insult, having had no, or bad, previous treatment. Sometimes the situation is the same, viz. an extended finger with no active flexion, but now no longer amenable to primary repair. Frequently, it is much more complex as a result of injuries to the other tissues of the digit and, also, as a result of the unaided healing process within the digit in the presence of an inactive flexor system. We present our experience in dealing with ruptured repairs, tethered repairs and pulley incompetence.

We present highly accurate laboratory measurements on the pure rotational spectrum of doubly deuterated water, D2O, in selected frequency regions from 10 GHz up to 2.7 THz. Around 140 rotational transitions in both the vibrational ground and first excited bending states (υ2 = 0,1) were measured in total, involving energy levels with unexcelled high J and Ka rotational quantum numbers. The data give valuable information for the spectroscopic analysis of this molecule. In the case of the light and non-rigid water molecule, standard methods for its analysis are limited due to large centrifugal distortion interactions. Here, we present a global analysis of rotational and rovibrational data of the υ2 = 0 and 1 states of D2O by means of an Euler expansion of the Hamiltonian. In addition to the newly measured pure rotational transitions, around 4000 rotational and rovibrational lines have been included from previous work. It was possible to reproduce the extensive dataset to nearly its experimental uncertainty. The improved predictive capability of the model compared to previous work will be demonstrated. [ABSTRACT FROM AUTHOR]