Thoracic epidural analgesia: a new approach for the treatment of acute pancreatitis?

This review article analyzes, through a nonsystematic approach, the pathophysiology of acute pancreatitis (AP) with a focus on the effects of thoracic epidural analgesia (TEA) on the disease. The benefit-risk balance is also discussed. AP has an overall mortality of 1 %, increasing to 30 % in its severe form. The systemic inflammation induces a strong activation of the sympathetic system, with a decrease in the blood flow supply to the gastrointestinal system that can lead to the development of pancreatic necrosis. The current treatment for severe AP is symptomatic and tries to correct the systemic inflammatory response syndrome or the multiorgan dysfunction. Besides the removal of gallstones in biliary pancreatitis, no satisfactory causal treatment exists. TEA is widely used, mainly for its analgesic effect. TEA also induces a targeted sympathectomy in the anesthetized region, which results in splanchnic vasodilatation and an improvement in local microcirculation. Increasing evidence shows benefits of TEA in animal AP: improved splanchnic and pancreatic perfusion, improved pancreatic microcirculation, reduced liver damage, and significantly reduced mortality. Until now, only few clinical studies have been performed on the use of TEA during AP with few available data regarding the effect of TEA on the splanchnic perfusion. Increasing evidence suggests that TEA is a safe procedure and could appear as a new treatment approach for human AP, based on the significant benefits observed in animal studies and safety of use for human. Further clinical studies are required to confirm the clinical benefits observed in animal studies

Testing Nonstandard Neutrino Properties with a M\"ossbauer Oscillation Experiment

If the neutrino analogue of the M\"ossbauer effect, namely, recoiless emission and resonant capture of neutrinos is realized, one can study neutrino oscillations with much shorter baselines and smaller source/detector size when compared to conventional experiments. In this work, we discuss the potential of such a M\"ossbauer neutrino oscillation experiment to probe nonstandard neutrino properties coming from some new physics beyond the standard model. We investigate four scenarios for such new physics that modify the standard oscillation pattern. We consider the existence of a light sterile neutrino that can mix with \bar \nu_e, the existence of a Kaluza-Klein tower of sterile neutrinos that can mix with the flavor neutrinos in a model with large flat extra dimensions, neutrino oscillations with nonstandard quantum decoherence and mass varying neutrinos, and discuss to which extent one can constrain these scenarios. We also discuss the impact of such new physics on the determination of the standard oscillation parameters.Comment: 28 pages, 11 figures, published version in JHE

New test of modulated electron capture decay of hydrogen-like 142Pm ions: Precision measurement of purely exponential decay

An experiment addressing electron capture (EC) decay of hydrogen-like 142Pm60+ions has been conducted at the experimental storage ring (ESR) at GSI. The decay appears to be purely exponential and no modulations were observed. Decay times for about 9000 individual EC decays have been measured by applying the single-ion decay spectroscopy method. Both visually and automatically analysed data can be described by a single exponential decay with decay constants of 0.0126(7)s−1for automatic analysis and 0.0141(7)s−1for manual analysis. If a modulation superimposed on the exponential decay curve is assumed, the best fit gives a modulation amplitude of merely 0.019(15), which is compatible with zero and by 4.9 standard deviations smaller than in the original observation which had an amplitude of 0.23(4)