Lung Separation in the Morbidly Obese Patient

Lung separation techniques in the morbidly obese patient undergoing thoracic or esophageal surgery may be at risk of complications during airway management. Access to the airway in the obese patient can be a challenge because they have altered airway anatomy, including a short and redundant neck, limited neck extension and accumulation of fat deposition in the pharyngeal wall contributing to difficult laryngoscopy. Securing the airway is the first priority in these patients followed by appropriate techniques for lung separation with the use of a single-lumen endotracheal tube and a bronchial blocker or another alternative is with the use of a double-lumen endotracheal tube. This review is focused on the use of lung isolation devices in the obese patient. The recommendations are based upon scientific evidence, case reports or personal experience. Fiberoptic bronchoscopy must be used to place and confirm proper placement of a single-lumen endotracheal tube, bronchial blocker or double-lumen endotracheal tube

Live imaging of whole mouse embryos during gastrulation : migration analyses of epiblast and mesodermal cells

During gastrulation in the mouse embryo, dynamic cell movements including epiblast invagination and mesodermal layer expansion lead to the establishment of the three-layered body plan. The precise details of these movements, however, are sometimes elusive, because of the limitations in live imaging. To overcome this problem, we developed techniques to enable observation of living mouse embryos with digital scanned light sheet microscope (DSLM). The achieved deep and high time-resolution images of GFP-expressing nuclei and following 3D tracking analysis revealed the following findings: (i) Interkinetic nuclear migration (INM) occurs in the epiblast at embryonic day (E)6 and 6.5. (ii) INM-like migration occurs in the E5.5 embryo, when the epiblast is a monolayer and not yet pseudostratified. (iii) Primary driving force for INM at E6.5 is not pressure from neighboring nuclei. (iv) Mesodermal cells migrate not as a sheet but as individual cells without coordination

Crossover between Kelvin-Helmholtz and counter-superflow instabilities in two-component Bose-Einstein condensates

Dynamical instabilities at the interface between two Bose--Einstein condensates that are moving relative to each other are investigated using mean-field and Bogoliubov analyses. Kelvin--Helmholtz instability is dominant when the interface thickness is much smaller than the wavelength of the unstable interface mode, whereas the counter-superflow instability becomes dominant in the opposite case. These instabilities emerge not only in an immiscible system but also in a miscible system where an interface is produced by external potential. Dynamics caused by these instabilities are numerically demonstrated in rotating trapped condensates.Comment: 10 pages, 9 figure

Site Amplification and Attenuation via Downhole Array Seismogram Inversion: A Comparative Study of the 2003 Miyagi-Oki Aftershock Sequence

Weak-motion geotechnical array recordings at 38 stations of the Japanese strong-motion network KiK-Net from the 2003 M_w 7:0 Miyagi-Oki aftershock sequence are used here to quantify the amplification and attenuation effects of near-surface formations to incident seismic motion. Initially, a seismic waveform optimization algorithm is implemented for the evaluation of high-resolution, low-strain velocity (V_s), attenuation (Q_s), and density (ρ) profiles at the sites of interest. Based on the inversion results, V_s versus Q_s correlations are developed, and scattering versus intrinsic attenuation effects are accounted for in their physical interpretation. Surface-to-downhole traditional spectral ratios (SSR), cross-spectral ratios (c-SSR), and horizontal-to-vertical (H/V) site-response estimates are next evaluated and compared, while their effectiveness is assessed as a function of the site conditions classified on the basis of the weighted average Vs of the upper 30 m (V_(s30)) of the formations. Single and reference-station site-response estimates are successively compared to surface-to-rock outcrop amplification spectra and are evaluated by deconvolution of the downhole records based on the inversion results; comparison of the observed SSR and estimated surface-to-rock outcrop amplification spectra illustrates the effects of destructive interference of downgoing waves at the downhole instrument level as a function of the site class. Site amplification factors are successively computed in reference to the National Earthquake Hazards Reduction Program (NEHRP) B–C boundary site conditions (V_(s30) = 760 m/sec), and results are compared to published values developed on the basis of strong-motion data and site-response analyses. Finally, weak-motion SSR estimates are compared to the mainshock spectra, and conclusions are drawn for the implications of soil nonlinearity in the near surface. Results presented in this article suggest that currently employed site classification criteria need to be reevaluated to ensure intraclass consistency in the assessment of amplification potentials and nonlinearity susceptibility of near-surficial soil formations

High-K Precession modes: Axially symmetric limit of wobbling motion

The rotational band built on the high-K multi-quasiparticle state can be interpreted as a multi-phonon band of the precession mode, which represents the precessional rotation about the axis perpendicular to the direction of the intrinsic angular momentum. By using the axially symmetric limit of the random-phase-approximation (RPA) formalism developed for the nuclear wobbling motion, we study the properties of the precession modes in $^{178}$W; the excitation energies, B(E2) and B(M1) values. We show that the excitations of such a specific type of rotation can be well described by the RPA formalism, which gives a new insight to understand the wobbling motion in the triaxial superdeformed nuclei from a microscopic view point.Comment: 14 pages, 8 figures (Spelling of the authors name was wrong at the first upload, so it is corrected

Self Running Droplet: Emergence of Regular Motion from Nonequilibrium Noise

Spontaneous motion of an oil droplet driven by chemical nonequilibricity is reported. It is shown that the droplet undergoes regular rhythmic motion under appropriately designed boundary conditions, whereas it exhibits random motion in an isotropic environment. This study is a novel manifestation on the direct energy transformation of chemical energy into regular spatial-motion under isothermal conditions. A simple mathematical equation including noise reproduces the essential feature of the transition from irregularity into periodic regular motion. Our results will inspire the theoretical study on the mechanism of molecular motors in living matter, working under significant influence of thermal fluctuation.Comment: 4 pages, 4 figure

Optimized unconventional superconductivity in a molecular Jahn-Teller metal

Understanding the relationship between the superconducting, the neighboring insulating, and the normal metallic state above Tc is a major challenge for all unconventional superconductors. The molecular A3C60 fulleride superconductors have a parent antiferromagnetic insulator in common with the atom-based cuprates, but here, the C603– electronic structure controls the geometry and spin state of the structural building unit via the on-molecule Jahn-Teller effect. We identify the Jahn-Teller metal as a fluctuating microscopically heterogeneous coexistence of both localized Jahn-Teller–active and itinerant electrons that connects the insulating and superconducting states of fullerides. The balance between these molecular and extended lattice features of the electrons at the Fermi level gives a dome-shaped variation of Tc with interfulleride separation, demonstrating molecular electronic structure control of superconductivity

Probing Slepton Mass Non-Universality at e^+e^- Linear Colliders

There are many models with non-universal soft SUSY breaking sfermion mass parameters at the grand unification scale. Even in the mSUGRA model scalar mass unification might occur at a scale closer to M_Planck, and renormalization effects would cause a mass splitting at M_GUT. We identify an experimentally measurable quantity Delta that correlates strongly with delta m^2 = m^2_{selectron_R}(M_GUT) - m^2_{selectron_L}(M_GUT), and which can be measured at electron-positron colliders provided both selectrons and the chargino are kinematically accessible. We show that if these sparticle masses can be measured with a precision of 1% at a 500 GeV linear collider, the resulting precision in the determination of Delta may allow experiments to distinguish between scalar mass unification at the GUT scale from the corresponding unification at Q ~ M_Planck. Experimental determination of Delta would also provide a distinction between the mSUGRA model and the recently proposed gaugino-mediation model. Moreover, a measurement of Delta (or a related quantity Delta') would allow for a direct determination of delta m^2.Comment: 15 pages, RevTeX, 4 postscript figure

Gigantic Maximum of Nanoscale Noncontact Friction

We report measurements of noncontact friction between surfaces of NbSe$_{2}$ and SrTiO$_{3}$, and a sharp Pt-Ir tip that is oscillated laterally by a quartz tuning fork cantilever. At 4.2 K, the friction coefficients on both the metallic and insulating materials show a giant maximum at the tip-surface distance of several nanometers. The maximum is strongly correlated with an increase in the spring constant of the cantilever. These features can be understood phenomenologically by a distance-dependent relaxation mechanism with distributed time scales.Comment: 5 pages, 4 figure