2,216 research outputs found
A case of successful comprehensive treatment of necrotizing enterocolitis in a newborn child
Necrotizing enterocolitis is an inflammatory disease caused by infection and hypoxic–ischemic damage of the intestinal mucosa, which leads to generalization with the development of a systemic inflammatory response. The pathogenetic mechanisms leading to intestinal wall damage are ischemia and pain. Therefore, the use of central neuraxial blocks, which provide the analgesic effect and preganglionic blockade of the sympathetic nervous system, is pathogenetically justified.
The aim of the work is to acquaint practitioners with the case of successful comprehensive treatment using neuraxial blocks in a newborn with necrotizing enterocolitis.
Materials and methods. The child was treated at the Department of Anesthesiology and Intensive Care for Newborns of Zaporizhzhia City Pediatric Hospital No. 5. He underwent clinical and biochemical blood tests, microbiological, radiological and ultrasound examinations using hospital equipment.
Results. A child was operated due to suspected intestinal perforation and pneumoperitoneum. It was found that throughout the small and large intestines had multiple hemorrhages and air bubbles in the subserosa, but no perforation sites were found. Subsequently, the child underwent conservative treatment with antibacterial therapy according to the de-escalation principle, antifungal therapy, intravenous immunoglobulins, total parenteral nutrition. In addition to this standard treatment, the child underwent caudal-epidural blocks twice a day for a week in the postoperative period for effective analgesia, improvement of microcirculation and splanchnic blood flow.
Conclusions. Surgical intervention performed on a newborn child with the second stage of necrotizing enterocolitis (intestinal pneumatosis), when its perforation could not be excluded, did not significantly affect the course of the disease, so the positive outcome can be considered the result of successful comprehensive intensive care. In our opinion, the decisive factor that influenced the positive treatment outcomes (prevention of perforation and peritonitis) was the effect of neuraxial caudal epidural blocks, which contributed to the improvement of microcirculation in the splanchnic area, elimination of intestinal ischemia and effective anesthesia
Nanopowder management and control of plasma parameters in electronegative SiH4 plasmas
Management of nanosize powder particles via control of plasma parameters in a low-pressure SiH4
discharge for silicon microfabrication technologies is considered. The spatial profiles of electron and
positive/negative ion number densities, electron temperature, and charge of the fine particles are
obtained using a self-consistent fluid model of the electronegative plasmas in the parallel plate
reactor geometry. The model accounts for variable powder size and number density, powder-charge
distribution, local plasma nonuniformity, as well as UV photodetachment of electrons from the
nanoparticles. The relations between the equilibrium discharge state and powder properties and the
input power and neutral gas pressure are studied. Methods for controlling the electron temperature
and SiH3- anion (here assumed to be the powder precursor) density, and hence the powder growth
process, are proposed. It is shown that by controlling the neutral gas pressure, input power, and
powder size and density, plasma density profiles with high levels of uniformity can be achieved.
Management of powder charge distribution is also possible through control of the external
parameters
Observation of a charged charmoniumlike structure in at GeV
We study the process at a
center-of-mass energy of 4.26GeV using a 827pb data sample obtained with
the BESIII detector at the Beijing Electron Positron Collider. Based on a
partial reconstruction technique, the Born cross section is measured to be
pb. We observe a structure near the
threshold in the recoil mass spectrum, which we denote as the
. The measured mass and width of the structure are
MeV/c and MeV, respectively. Its
production ratio is determined to be . The first uncertainties
are statistical and the second are systematic.Comment: 7 pages, 4 figures, 1 table; version accepted to be published in PR
Search for the Lepton Flavor Violation Process at BESIII
We search for the lepton-flavor-violating decay of the into an
electron and a muon using events
collected with the BESIII detector at the BEPCII collider. Four candidate
events are found in the signal region, consistent with background expectations.
An upper limit on the branching fraction of (90% C.L.) is obtained
Search for Baryonic Decays of \psi(3770) and \psi(4040)
By analyzing data samples of 2.9 fb^{-1} collected at \sqrt s=3.773 GeV, 482
pb^{-1} collected at \sqrt s=4.009 GeV and 67 pb^{-1} collected at \sqrt
s=3.542, 3.554, 3.561, 3.600 and 3.650 GeV with the BESIII detector at the
BEPCII storage ring, we search for \psi(3770) and \psi(4040) decay to baryonic
final states, including \Lambda\bar\Lambda\pi^+\pi^-, \Lambda \bar\Lambda\pi^0,
\Lambda\bar\Lambda\eta, \Sigma^+ \bar\Sigma^-, \Sigma^0 \bar\Sigma^0,
\Xi^-\bar\Xi^+ and \Xi^0\bar\Xi^0 decays. None are observed, and upper limits
are set at the 90% confidence level.Comment: 9 pages, 3 figure
Measurement of azimuthal asymmetries in inclusive charged dipion production in annihilations at = 3.65 GeV
We present a measurement of the azimuthal asymmetries of two charged pions in
the inclusive process based on a data set of 62
at the center-of-mass energy GeV collected with
the BESIII detector. These asymmetries can be attributed to the Collins
fragmentation function. We observe a nonzero asymmetry, which increases with
increasing pion momentum. As our energy scale is close to that of the existing
semi-inclusive deep inelastic scattering experimental data, the measured
asymmetries are important inputs for the global analysis of extracting the
quark transversity distribution inside the nucleon and are valuable to explore
the energy evolution of the spin-dependent fragmentation function.Comment: 7 pages, 5 figure
Study of and and
We study the decays of and to the final states
and based on a single
baryon tag method using data samples of
and events collected with
the BESIII detector at the BEPCII collider. The decays to
are observed for the first time. The
measured branching fractions of and
are in good agreement with, and much
more precise, than the previously published results. The angular parameters for
these decays are also measured for the first time. The measured angular decay
parameter for , , is found to be negative, different to the other
decay processes in this measurement. In addition, the "12\% rule" and isospin
symmetry in the and and
systems are tested.Comment: 11 pages, 7 figures. This version is consistent with paper published
in Phys.Lett. B770 (2017) 217-22
Measurement of the Cross Section between 600 and 900 MeV Using Initial State Radiation
We extract the cross section in the energy
range between 600 and 900 MeV, exploiting the method of initial state
radiation. A data set with an integrated luminosity of 2.93 fb taken at
a center-of-mass energy of 3.773 GeV with the BESIII detector at the BEPCII
collider is used. The cross section is measured with a systematic uncertainty
of 0.9%. We extract the pion form factor as well as the
contribution of the measured cross section to the leading order hadronic vacuum
polarization contribution to . We find this value to be
.Comment: 14 pages, 7 figures, accepted by PL
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