Pulmonary Embolism Presenting with Sudden Respiratory Failure in Two Previously Stable Neonates

Pulmonary artery embolism (PE) is a rare and life-threatening complication in the neonate. We describe two previously stable infants who incurred respiratory failure from PE. The first case is a late preterm infant with gastroschisis with autopsy confirmation of PE presumably as a result of a central venous line (CVL) with thromboembolism. The second case is an extreme low birth weight infant with sudden onset of respiratory failure, abnormal chest x-ray, disseminated intravascular coagulation (DIC), and echocardiographic confirmation of a thrombus at the junction of the superior vena cava and right atrium (SVC/RA) at the site of a previous CVL. This infant was successfully managed with thrombolytic therapy and anticoagulation. We suggest that PE be considered in an infant with a history of a CVL who presents with otherwise unexplained respiratory failure

Effect of Low-Carbohydrate, Unlimited Calorie Diet on the Treatment of Childhood Obesity: A Prospective Controlled Study

Background: Childhood obesity has been recognized as the new epidemic in developed countries. Caloric restriction with physical activity is the main therapeutic treatment available for these children. We compared two different dietary protocols to assess treatment efficacy. Methods: Obese children from the Pediatric Endocrinology clinic were prospectively recruited for the study. Children and their parents were allowed to choose one of two dietary protocols: (1) carbohydrate restricted diet (\u3c30 g/day), with unlimited calories, protein, and fat (High protein, Low CHO Diet), and (2) calorie restricted diet (Low Cal Diet). Anthropometric data were measured at baseline and at the 2 month follow up appointment. Results: Thirty-seven children completed the study of whom 27 chose High Protein, Low CHO Diet and 10 chose Low Cal diet. No differences in gender ratio, age, or BMI were observed at baseline. At 2 months, children in the High Protein, Low CHO Diet lost an average of 5.21 ± 3.44 kg (p \u3c 0.001) and decreased their BMI by 2.42 ± 1.3 points (p \u3c 0.001), compared to the children in the Low Cal Diet who gained an average of 2.36 ± 2.54 kg and 1.00 point on the BMI value (p \u3c 0.001). Conclusions: A high protein, low carbohydrate, unlimited calorie diet was superior to a restricted calorie protocol for weight loss in obese school age children; moreover, compliance was better

Competition and/or Coexistence of Antiferromagnetism and Superconductivity in CeRhIn5_5 and CeCoIn5_5

The Ce compounds CeCoIn$_5$ and CeRhIn$_5$ are ideal model systems to study the competition of antiferromagnetism (AF) and superconductivity (SC). Here we discuss the pressure--temperature and magnetic field phase diagrams of both compounds. In CeRhIn$_5$ the interesting observation is that in zero magnetic field a coexistence AF+SC phase exist inside the AF phase below the critical pressure $p_{\rm c}^\star \approx 2$ GPa. Above $p_{\rm c}^\star$ AF is suppressed in zero field but can be re-induced by applying a magnetic field. The collapse of AF under pressure coincides with the abrupt change of the Fermi surface. In CeCoIn$_5$ a new phase appears at low temperatures and high magnetic field (LTHF) which vanishes at the upper critical field $H_{\rm c2}$. In both compounds the paramagnetic pair breaking effect dominates at low temperature. We discuss the evolution of the upper critical field under high pressure of both compounds and propose a simple picture of the glue of reentrant magnetism to the upper critical field in order to explain the interplay of antiferromagnetic order and superconductivity.Comment: 6 pages, 7 figures, Manuscript for Proceedings of the International Conference on Quantum Criticality and Novel Phases (QCNP09, Dresden); to appear in pss(b

Transport properties and the anisotropy of Ba_{1-x}K_xFe_2As_2 single crystals in normal and superconducting states

The transport and superconducting properties of Ba_{1-x}K_xFe_2As_2 single crystals with T_c = 31 K were studied. Both in-plane and out-of plane resistivity was measured by modified Montgomery method. The in-plane resistivity for all studied samples, obtained in the course of the same synthesis, is almost the same, unlike to the out-of plane resistivity, which differ considerably. We have found that the resistivity anisotropy \gamma=\rho_c /\rho_{ab} is almost temperature independent and lies in the range 10-30 for different samples. This, probably, indicates on the extrinsic nature of high out-of-plane resistivity, which may appear due to the presence of the flat defects along Fe-As layers in the samples. This statement is supported by comparatively small effective mass anisotropy, obtained from the upper critical field measurements, and from the observation of the so-called "Friedel transition", which indicates on the existence of some disorder in the samples in c-direction.Comment: 5 pages, 5 figure

Respiratory Monitoring by Porphyrin Modified Quartz Crystal Microbalance Sensors

A respiratory monitoring system based on a quartz crystal microbalance (QCM) sensor with a functional film was designed and investigated. Porphyrins 5,10,15,20-tetrakis-(4-sulfophenyl)-21H,23H-porphine (TSPP) and 5,10,15,20-tetrakis-(4-sulfophenyl)-21H, 23H-porphine manganese (III) chloride (MnTSPP) used as sensitive elements were assembled with a poly(diallyldimethyl ammonium chloride) (PDDA). Films were deposited on the QCM resonators using layer-by-layer method in order to develop the sensor. The developed system, in which the sensor response reflects lung movements, was able to track human respiration providing respiratory rate (RR) and respiratory pattern (RP). The sensor system was tested on healthy volunteers to compare RPs and calculate RRs. The operation principle of the proposed system is based on the fast adsorption/desorption behavior of water originated from human breath into the sensor films deposited on the QCM electrode

The quantum critical point in CeRhIn_5: a resistivity study

The pressure--temperature phase diagram of CeRhIn_5 has been studied under high magnetic field by resistivity measurements. Clear signatures of a quantum critical point has been found at a critical pressure of p_c = 2.5 GPa. The field induced magnetic state in the superconducting state is stable up to the highest field. At p_c the antiferromagnetic ground-state under high magnetic field collapses very rapidly. Clear signatures of p_c are the strong enhancement of the resistivity in the normal state and of the inelastic scattering term. No clear T2 temperature dependence could be found for pressures above T_c. From the analysis of the upper critical field within a strong coupling model we present the pressure dependence of the coupling parameter lambda and the gyromagnetic ratio g. No signatures of a spatially modulated order parameter could be evidenced. A detailed comparison with the magnetic field--temperature phase diagram of CeCoIn_5 is given. The comparison between CeRhIn_5 and CeCoIn_5 points out the importance to take into account the field dependence of the effective mass in the calculation of the superconducting upper critical field H_c2. It suggests also that when the magnetic critical field H_(0) becomes lower than H_c2 (0)$, the persistence of a superconducting pseudo-gap may stick the antiferromagnetism to H_c2 (0).Comment: 15 pages, 20 figures, to be published in J. Phys. Soc. Jp

Review of two-photon exchange in electron scattering

We review the role of two-photon exchange (TPE) in electron-hadron scattering, focusing in particular on hadronic frameworks suitable for describing the low and moderate Q^2 region relevant to most experimental studies. We discuss the effects of TPE on the extraction of nucleon form factors and their role in the resolution of the proton electric to magnetic form factor ratio puzzle. The implications of TPE on various other observables, including neutron form factors, electroproduction of resonances and pions, and nuclear form factors, are summarized. Measurements seeking to directly identify TPE effects, such as through the angular dependence of polarization measurements, nonlinear epsilon contributions to the cross sections, and via e+ p to e- p cross section ratios, are also outlined. In the weak sector, we describe the role of TPE and gamma-Z interference in parity-violating electron scattering, and assess their impact on the extraction of the strange form factors of the nucleon and the weak charge of the proton.Comment: 73 pages, 40 figures, review article for Prog. Part. Nucl. Phys. (dedicated to the memory of John A. Tjon

Post-resuscitation complications in term neonates

Objective: It has been recommended that all newborn babies who have received substantial resuscitation be cared for in an environment where post-resuscitation care can be provided. To test this recommendation, we examined whether infants who received delivery room resuscitation and seemingly recovered by 5 min age are at increased risk of short-term morbidity. Study design: We undertook a retrospective analysis of the outcomes of babies who received delivery room resuscitation, and who had seemingly recovered by 5 min age, over a 1 year time period at a single academic institution. The 33 babies were compared with outcomes of 33 controls who received no resuscitation with normal 1 and 5 min Apgar scores. Complication rates and admissions to the neonatal intensive care unit (NICU) were compared between the two groups using the 2 test. Results: Fifty-two percent of the study group and three percent of the control group were admitted to the NICU (P\u3c0.01). Short-term complications were noted in 61% of the study group and three percent of the control group (P\u3c0.01). Conclusion: Increased short-term morbidity is demonstrated in neonates who receive delivery room resuscitation and are seemingly recovered at 5 min, when compared to a group of infants with normal Apgar scores at one and 5 min; and these infants should be cared for in an environment where ongoing evaluation can be provided