A sports headlight retrofitted on magnifying loupes: A simple and cheap method for daily use

Medical professionals such as doctors, nurses and paramedics often use headlight to examine or to perform surgical intervention in the patients. However, there are concerns related to its use such as comfort for the user, mobility and asepsis for the cable, availability in the departments plus cost effectiveness. The concept of a retrofitted 1-watt sports headlight (adjusted on magnifying loupes) would give quick access to a light source, be available and reliable at any place, save vital funds and would be environmentally friendly as the battery can be replaced. The same concept can be applied to pre-hospital emergency care and disaster medicine as well. BACKGROUND Headlights with fibre optic cables have being used for two decades as an adjunct to the operating theatre lighting. The cable-powered headlights pose, to our experience, some limitations for the operating team: Smooth personnel circulation around the operating field is hindered by repeated unplugging and re-plugging of the cable when surgeon and assistants change sides. Protocols for draping and asepsis have to accommodate the cumbersome cable and the light source and in addition are time consuming and arising issues of flexibility. The weight of the headlight and cable may cause health issues for the bearer (head ache, low back pain) [1]. Portable surgical headlights have also been available for the last decade for a not negligible cost. They are powered by a battery pack, attached to the torso/waist and connected to the headlight by a shorter cable. They are priced at hundreds of pounds. METHOD As an alternative to cumbersome cables and expensive ‘ad hoc’ designs, we use a retrofitted 1-watt sports headlight with a weight of 100 grams. We acquired that for $ 14.99 (approximately £10) from an outdoor specialist retailer (Petzl America, Clearfield, Utah, USA). The headlight is powered by three 1.5 Volt AAA batteries and provides 60 lumen of luminous flux (Fig.1). We have wrapped the elastic bands of the headlight around the corresponding horizontal (axial circumferential) and sagittal elements of the headband, where the magnifying loupes are mounted (Keeler Ltd., Clewer Hill Road, Windsor SL4 4AA). The headlight can be aimed by tilting the housing (Fig.1, 2). DISCUSSION The luminous flux from our headlight according to our experience in cardiothoracic surgery is adequate for a variety of procedures: femoral and axillary arterial access, harvesting internal thoracic (mammary) arteries, open pulmonary resections, valve surgery. Being fully portable without cable, light source or pouches, it is especially handy outside the operating suite (ITU, A&E, wards) for emergency re-explorations for bleeding, secondary wound closures, application of vacuum therapy dressings, trauma, for ECMO work etc. Finally, we have had no evidence of thermal injury, as has being reported from strong xenon beams [2]. This simple affordable headlight system can be easily adapted to the needs of the entire spectrum of surgical specialties, especially those using magnifying loupes. Therefore, can be part of basic life support kits for use in prehospital emergency care, disaster and military medicine [3]. The device has the following advantages: 1. ‘‘Two-in-one’’ function of Loupes and Torch. 2. Battery can be changed (so no need to throw away the item) and is environmentally friendly 3. No need for asepsis 4. Cost effective 5. Availability everywhere In conclusion, we believe this is a practical medical device

Charmed Baryonium

We re-analyze the published data on the Y(4630) --> Lambda_c Lambdabar_c and the Y(4660) --> psi(2S) pi pi with a consistent Ansatz and we find that the two observations are likely to be due to the same state Y_B with M_{Y_B} = 4660.7 +- 8.7 MeV and Gamma_{Y_B} = 61 +- 23 MeV. Under this hypothesis and reanalizing also the e+e- --> J/psi pi pi gamma_ISR spectrum we extract B(Y_B --> Lambda_c Lambdabar_c) / B(Y_B --> psi(2S) pi pi) = 25 +- 7, B(Y_B --> J/psi pi pi) / B(Y_B --> psi(2S) pi pi) J/psi pi pi) / B(Y(4350) --> psi(2S) pi pi) psi(2S) sigma) / B (Y_B --> psi(2S) f_0)=2.0 +- 0.3. These conclusions strongly support the hypothesis of Y_B being the first observation of a charmed baryonium constituted by four quarks. From the analysis of the mass spectrum and the decay properties we show that Y(4350) and Y_B are respectively consistent with the ground state and first radial excitation of the L=1 state.Comment: Corrected phase space normalization in the fit

Phase Transitions of Charged Scalars at Finite Temperature and Chemical Potential

We calculate the grand canonical partition function at the one-loop level for scalar quantum electrodynamics at finite temperature and chemical potential. A classical background charge density with a charge opposite that of the scalars ensures the neutrality of the system. For low density systems we find evidence of a first order phase transition. We find upper and lower bounds on the transition temperature below which the charged scalars form a condensate. A first order phase transition may have consequences for helium-core white dwarf stars in which it has been argued that such a condensate of charged helium-4 nuclei could exist.Comment: 20 pages, 3 figures. Version accepted for publication in JHE

Catching the Right Wave: Evaluating Wave Energy Resources and Potential Compatibility with Existing Marine and Coastal Uses

Many hope that ocean waves will be a source for clean, safe, reliable and affordable energy, yet wave energy conversion facilities may affect marine ecosystems through a variety of mechanisms, including competition with other human uses. We developed a decision-support tool to assist siting wave energy facilities, which allows the user to balance the need for profitability of the facilities with the need to minimize conflicts with other ocean uses. Our wave energy model quantifies harvestable wave energy and evaluates the net present value (NPV) of a wave energy facility based on a capital investment analysis. The model has a flexible framework and can be easily applied to wave energy projects at local, regional, and global scales. We applied the model and compatibility analysis on the west coast of Vancouver Island, British Columbia, Canada to provide information for ongoing marine spatial planning, including potential wave energy projects. In particular, we conducted a spatial overlap analysis with a variety of existing uses and ecological characteristics, and a quantitative compatibility analysis with commercial fisheries data. We found that wave power and harvestable wave energy gradually increase offshore as wave conditions intensify. However, areas with high economic potential for wave energy facilities were closer to cable landing points because of the cost of bringing energy ashore and thus in nearshore areas that support a number of different human uses. We show that the maximum combined economic benefit from wave energy and other uses is likely to be realized if wave energy facilities are sited in areas that maximize wave energy NPV and minimize conflict with existing ocean uses. Our tools will help decision-makers explore alternative locations for wave energy facilities by mapping expected wave energy NPV and helping to identify sites that provide maximal returns yet avoid spatial competition with existing ocean uses

Congenital muscular dystrophy: from muscle to brain.

Congenital muscular dystrophies (CMDs) are a wide group of muscular disorders that manifest with very early onset of muscular weakness, sometime associated to severe brain involvement.The histologic pattern of muscle anomalies is typical of dystrophic lesions but quite variable depending on the different stages and on the severity of the disorder.Recent classification of CMDs have been reported most of which based on the combination of clinical, biochemical, molecular and genetic findings, but genotype/phenotype correlation are in constant progression due to more diffuse utilization of the molecular analysis.In this article, the Authors report on CMDs belonging to the group of dystroglycanopathies and in particular on the most severe forms represented by the Fukuyama CMD, Muscle-Eye-Brain disease and Walker Walburg syndrome.Clinical diagnosis of infantile hypotonia is particularly difficult considering the different etiologic factors causing the lesions, the difficulty in localizing the involved CNS area (central vs. peripheral) and the limited role of the diagnostic procedures at this early age.The diagnostic evaluation is not easy mainly in differentiating the various types of CMDs, and represents a challenge for the neonatologists and pediatricians. Suggestions are reported on the way to reach a correct diagnosis with the appropriate use of the diagnostic means

The Einstein-Vlasov sytem/Kinetic theory

The main purpose of this article is to guide the reader to theorems on global properties of solutions to the Einstein-Vlasov system. This system couples Einstein's equations to a kinetic matter model. Kinetic theory has been an important field of research during several decades where the main focus has been on nonrelativistic- and special relativistic physics, e.g. to model the dynamics of neutral gases, plasmas and Newtonian self-gravitating systems. In 1990 Rendall and Rein initiated a mathematical study of the Einstein-Vlasov system. Since then many theorems on global properties of solutions to this system have been established. The Vlasov equation describes matter phenomenologically and it should be stressed that most of the theorems presented in this article are not presently known for other such matter models (e.g. fluid models). The first part of this paper gives an introduction to kinetic theory in non-curved spacetimes and then the Einstein-Vlasov system is introduced. We believe that a good understanding of kinetic theory in non-curved spacetimes is fundamental in order to get a good comprehension of kinetic theory in general relativity.Comment: 31 pages. This article has been submitted to Living Rev. Relativity (http://www.livingreviews.org

Unanswered Questions in the Electroweak Theory

This article is devoted to the status of the electroweak theory on the eve of experimentation at CERN's Large Hadron Collider. A compact summary of the logic and structure of the electroweak theory precedes an examination of what experimental tests have established so far. The outstanding unconfirmed prediction of the electroweak theory is the existence of the Higgs boson, a weakly interacting spin-zero particle that is the agent of electroweak symmetry breaking, the giver of mass to the weak gauge bosons, the quarks, and the leptons. General arguments imply that the Higgs boson or other new physics is required on the TeV energy scale. Indirect constraints from global analyses of electroweak measurements suggest that the mass of the standard-model Higgs boson is less than 200 GeV. Once its mass is assumed, the properties of the Higgs boson follow from the electroweak theory, and these inform the search for the Higgs boson. Alternative mechanisms for electroweak symmetry breaking are reviewed, and the importance of electroweak symmetry breaking is illuminated by considering a world without a specific mechanism to hide the electroweak symmetry. For all its triumphs, the electroweak theory has many shortcomings. . . .Comment: 31 pages, 20 figures; prepared for Annual Review of Nuclear and Particle Science (minor changes