Esophageal tracheobronchoplasty for diseases of the central airway

AbstractThree infants with congenital tracheal stenosis and three adults with various diseases of the central airway underwent esophageal tracheobronchoplasty to repair long-segment stenoses and defects. The primary operative goal was enlargement of the stenosis ( n = 4), repair of the defect ( n = 1), or both ( n = 1). Cardiopulmonary support was required in two cases. All three infants were operated on for generalized congenital tracheal stenoses. There was one postoperative death on the fifth day. Another infant died of pneumonia 3 months after operation. Tracheal patency was excellent in two infants. One infant is well without symptoms 6 years after the operation, although balloon dilation was required three times during the first postoperative year. In the three adult patients, the primary diseases were congenital tracheal stenosis, iatrogenic injury associated with relapsing polychondritis, and malignant mediastinal tumor involving the trachea. All lesions involved both the trachea and main stem bronchi. Postoperative airway patency was excellent in all three adults, although expandable metallic stents had to be inserted in one patient. Postoperative pulmonary function was improved, particularly forced expiratory volume in 1 second and peak expiratory flow rate. Although the postoperative mortality rate was still high, especially among the infants, and prolonged postoperative ventilatory support was required for five of the six patients, long-term patency and postoperative pulmonary functional improvement are encouraging. (J Thorac Cardiovasc Surg 1996;112:124-9

Chiral phase transition in an extended NJL model with higher-order multi-quark interactions

The chiral phase transition is studied in an extended Nambu--Jona-Lasinio model with eight-quark interactions. Equations for scalar and vector quark densities, derived in the mean field approximation, are nonlinear and mutually coupled. The scalar-type nonlinear term hastens the restoration of chiral symmetry, while the scalar-vector mixing term makes the transition sharper. The scalar-type nonlinear term shifts the critical endpoint toward the values predicted by lattice QCD simulations and the QCD-like theory.Comment: 11pages, 7 figure

Critical endpoint in the Polyakov-loop extended NJL model

The critical endpoint (CEP) and the phase structure are studied in the Polyakov-loop extended Nambu--Jona-Lasinio model in which the scalar type eight-quark (\sigma^4) interaction and the vector type four-quark interaction are newly added. The \sigma^4 interaction largely shifts the CEP toward higher temperature and lower chemical potential, while the vector type interaction does oppositely. At zero chemical potential, the \sigma^4 interaction moves the pseudo-critical temperature of the chiral phase transition to the vicinity of that of the deconfinement phase transition.Comment: 13 pages, 6 figures embedded, accepted for publication in Phys. Lett.