Протокол функционального обследования аноректальной зоны и классификация нарушений: международный консенсус и Российские рекомендации

This manuscript summarizes consensus reached by the International Anorectal Physiology Working Group (IAPWG) for the performance, terminology used, and interpretation of anorectal function testing including anorectal manometry (focused on high-resolution manometry), the rectal sensory test, and the balloon expulsion test. Based on these measurements, a classification system for disorders of anorectal function is proposed. Aim to provide information about methods of diagnosis and new classification of functional anorectal disorders to a wide range of specialists general practitioners, therapists, gastroenterologists, coloproctologists all who face the manifestations of these diseases in everyday practice and determine the diagnostic and therapeutic algorithm. Current paper provides agreed statements of IAPWG Consensus and comments (in italics) of Russian experts on real-world practice, mainly on methodology of examination. These comments in no way intended to detract from the provisions agreed by the international group of experts. We hope that these comments will help to improve the quality of examination based on the systematization of local experience with the use of the methods discussed and the results obtained. Key recommendations: the International Anorectal Physiology Working Group protocol for the performance of anorectal function testing recommends a standardized sequence of maneuvers to test rectoanal reflexes, anal tone and contractility, rectoanal coordination, and rectal sensation. Major findings not seen in healthy controls defined by the classification are as follows: rectoanal areflexia, anal hypotension and hypocontractility, rectal hyposensitivity, and hypersensitivity. Minor and inconclusive findings that can be present in health and require additional information prior to diagnosis include anal hypertension and dyssynergia

Crystal undulator experiment at IHEP

Accelerator-based sources of hard-photon radiation are a rapidly developing field. Coherent radiation of a particle beam in an undulator is a popular choice. The crystalline undulators with periodically deformed crystallographic planes offer electromagnetic fields of the order of 1000 T and could provide a period L in the sub-millimeter range. In this way, a hundred-fold gain in the energy of emitted photons would be reached, as compared to a usual undulator. The first real construction of a crystal channeling undulator was recently proposed and realised by the present collaboration. After the sine-like deformation of crystal was proven in X-ray tests, four undulators were tested for channeling in a beam of 70-GeV protons. It was observed in the experiment that the crystal cross-section is efficiently channeling high energy particles, similarly to usual crystal deflectors. The experimentally established transparence for channeling of high energy particles allows one to start a direct experiment on photon production from a positron beam in the crystalline undulator. Details of commissioning of the experimental setup in the first run with 3 GeV positron beam are presented