Suivi des enfants après une anesthésie pour une intervention ambulatoire: incidence des effets indésirables

Introduction : Les effets indésirables de l'anesthésie ont déjà été étudiés par de nombreuses équipes qui ont recherché leurs incidences, leurs facteurs de risque, leurs moyens de prévention ainsi que leurs traitements. Le but de cette étude est d'évaluer l'incidence des effets indésirables d'une anesthésie générale spécifiquement chez l'enfant après une intervention en ambulatoire. Elle permet aussi de savoir si l'incidence des nausées et vomissements tardifs est influencée par le fait de donner rapidement une boisson ou une collation au réveil de l'anesthésie. Méthodologie : Etude prospective avec une récolte de données sur cinq mois concernant des enfants âgés de 0 à 16 ans. Les données ont été obtenues à l'aide des rapports d'anesthésie ainsi qu'un téléphone aux parents au troisième jour post-opératoire. Résultats: Cent patients ont répondu aux critères. L'incidence des nausées et vomissements précoces est de 14.3%, des vomissements tardifs de 10% et des nausées tardives de 5%. De plus, 46% des patients présentaient des douleurs, 41% des troubles du sommeil, 28.6% des modifications des selles et 22% des troubles de l'appétit. Conclusion : Donner rapidement aux enfants une boisson ou une collation au réveil de l'anesthésie n'entraîne pas de différence significative sur l'incidence des nausées et vomissements tardifs

Torque magnetometry on single-crystal high temperature superconductors near the critical temperature: a scaling approach

Angular-dependent magnetic torque measurements performed near the critical temperature on single crystals of HgBa_{2}CuO_{4+y}, La_{2-x}Sr{x}CuO_{4}, and YBa_{2}Cu_{3}O_{6.93} are scaled, following the 3D XY model, in order to determine the scaling function dG^{\pm}(z)/dz which describes the universal critical properties near T_{c}. A systematic shift of the scaling function with increasing effective mass anisotropy \gamma = (m_{ab}*/m_{c}*)^{1/2} is observed, which may be understood in terms of a 3D-2D crossover. Further evidence for a 3D-2D crossover is found from temperature-dependent torque measurements carried out in different magnetic fields at different field orientations \delta, which show a quasi 2D "crossing region'' (M*,T*). The occurrence of this "crossing phenomenon'' is explained in a phenomenological way from the weak z dependence of the scaling function around a value z = z*. The "crossing'' temperature T* is found to be angular-dependent. Torque measurements above T_{c} reveal that fluctuations are strongly enhanced in the underdoped regime where the anisotropy is large, whereas they are less important in the overdoped regime.Comment: 9 pages, 10 figures, submitted to PR

Oxygen isotope effect on the in-plane penetration depth in underdoped La_{2-x}Sr_{x}CuO_{4} single crystals

We report measurements of the oxygen isotope effect (OIE) on the in-plane penetration depth \lambda_{ab}(0) in underdoped La_{2-x}Sr_{x}CuO_{4} single crystals. A highly sensitive magnetic torque sensor with a resolution of \Delta \tau ~ 10^{-12} Nm was used for the magnetic measurements on microcrystals with a mass of ~ 10 microg. The OIE on \lambda_{ab}^{-2}(0) is found to be -10(2)% for x = 0.080 and -8(1)% for x = 0.086. It arises mainly from the oxygen mass dependence of the in-plane effective mass m_{ab}*. The present results suggest that lattice vibrations are important for the occurrence of high temperature superconductivity.Comment: 4 pages, 3 figures, submitted to PR

Drain Versus No Drain in Open Mesh Repair for Incisional Hernia, Results of a Prospective Randomized Controlled Trial.

Open mesh repair of incisional hernia is associated with different local complications, particularly bleeding and seroma formation. Traditionally, drains have been placed perioperatively to prevent these complications, despite the lack of scientific evidence or expert consensus. We formulated the hypothesis that the absence of drainage would reduce number of patients presenting collections or complications. The present study aimed to compare postoperative complication rates after open mesh repair for incisional hernia with or without prophylactic wound drainage. Prospective randomized study using standardized surgical technique and drain placement. The primary endpoint was the evaluation of residual fluid collection with ultrasound on postoperative day 30. Other complications, subdivided into medical and surgical, were analyzed as secondary endpoints. There were 144 patients randomized (70 with drain, 74 without drain). No difference was identified between both groups for fluid collection at 30 days (60.3% vs. 62%, p = 0.844). However, less surgical complications were identified in the drain group (21.7% vs. 42.7%, p = 0.007), with a lower wound dehiscence rate (1.5% vs. 9.3%, p = 0.041). Prophylactic drainage in open incisional hernia repair does not objectively reduce the rate of postoperative fluid collections. Therefore, our results do not support the use of routine drainage in incisional hernia repair. Trial registration on clinicaltrials.gov (NCT00478348)

Anisotropy of the superconducting state properties and phase diagram of MgB2 by torque magnetometry on single crystals

The angular and temperature dependence of the upper critical field Hc2 in MgB2 was determined from torque magnetometry measurements on single crystals. The Hc2 anisotropy gamma_H was found to decrease with increasing temperature, in disagreement with the anisotropic Ginzburg-Landau theory, which predicts that the gamma_H is temperature independent. This behaviour can be explained by the two band nature of superconductivity in MgB2. An analysis of measurements of the reversible torque in the mixed state yields a field dependent effective anisotropy gamma_eff, which can be at least partially explained by different anisotropies of the penetration depth and the upper critical field. It is shown that a peak effect in fields of about 0.85 Hc2 is a manifestation of an order-disorder phase transition of vortex matter. The H-T phase diagram of MgB2 for H//c correlates with the intermediate strength of thermal fluctuations in MgB2, as compared to those in high and low Tc superconductors.Comment: 12 pages, 8 figures, Physica C in print (invited paper for a special issue on MgB2

Josephson junction between anisotropic superconductors

The sin-Gordon equation for Josephson junctions with arbitrary misaligned anisotropic banks is derived. As an application, the problem of Josephson vortices at twin planes of a YBCO-like material is considered. It is shown that for an arbitrary orientation of these vortices relative to the crystal axes of the banks, the junctions should experience a mechanical torque which is evaluated. This torque and its angular dependence may, in principle, be measured in small fields, since the flux penetration into twinned crystals begins with nucleation of Josephson vortices at twin planes.Comment: 6 page

Synthesis and Bulk Properties of Oxychloride Superconductor Ca2-xNaxCuO2Cl2

Polycrystalline samples and submillimeter size single crystals of Na-doped Ca2CuO2Cl2 have been synthesized under high pressure. A series of experiments showed that the Na content depends not only on the pressure during the synthesis but also on the synthesis temperature and time. From a comparison of the Na-CCOC data with those of structurally related La214 cuprate superconductors we concluded that chlorine at the apical site is less effective that oxygen in supplying charge carriers to the CuO2 plans. As a result, the coupling between the CuO2 planes is weakened, the transition temperature Tc is reduced and the anisotropic nature is enhanced.Comment: 7 pages, 7 figures, 1 table, presenthed at the Eucas 2007 conference. Accepted for "Journal of Physics: Conference Series (JPCS)" 2008 and European News Forum, Issue 3 (2008

Dynamical Induction of s-wave Component in d-wave Superconductor Driven by Thermal Fluctuations

We investigated the mutual induction effects between the d-wave and the s-wave components of order parameters due to superconducting fluctuation above the critical temperatures and calculated its contributions to paraconductivity and excess Hall conductivity based on the two-component stochastic TDGL equation. It is shown that the coupling of two components increases paraconductivity while it decreases excess Hall conductivity compared to the cases when each component fluctuates independently. We also found the singular behavior in the paraconductivity and the excess Hall conductivity dependence on the coupling parameter which is consistent with the natural restriction among the coefficients of gradient terms.Comment: 10 pages, 4 figures included, submitted to J.Phys.Soc.Jp

Raman study of carrier-overdoping effects on the gap in high-Tc superconducting cuprates

Raman scattering in the heavily overdoped (Y,Ca)Ba_2Cu_3O_{7-d} (T_c = 65 K) and Bi_2Sr_2CaCu_2O_{8+d} (T_c = 55 K) crystals has been investigated. For the both crystals, the electronic pair-breaking peaks in the A_{1g} and B_{1g} polarizations were largely shifted to the low energies close to a half of 2Delta_0, Delta_0 being the maximum gap. It strongly suggests s-wave mixing into the d-wave superconducting order parameter and the consequent manifestation of the Coulomb screening effect in the B_{1g}-channel. Gradual mixing of s-wave component with overdoping is not due to the change of crystal structure symmetry but a generic feature in all high-T_c superconducting cuprates.Comment: 5 pages, 4 figures, to be published in Phys. Rev. B, Rapid communicaito

Spatial Symmetry of Superconducting Gap in YBa2Cu3O7-\delta Obtained from Femtosecond Spectroscopy

The polarized femtosecond spectroscopies obtained from well characterized (100) and (110) YBa2Cu3O7-\delta thin films are reported. This bulk-sensitive spectroscopy, combining with the well-textured samples, serves as an effective probe to quasiparticle relaxation dynamics in different crystalline orientations. The significant anisotropy in both the magnitude of the photoinduced transient reflectivity change and the characteristic relaxation time indicates that the nature of the relaxation channel is intrinsically different in various axes and planes. By the orientation-dependent analysis, d-wave symmetry of the bulk-superconducting gap in cuprate superconductors emerges naturally.Comment: 8 pages, 4 figures. To be published in Physical Review B, Rapid Communication