Which medical technology and/or local treatment is most conducive, as of 2012, to pressure sore debridement ? Developing French guidelines for clinical practice

AbstractIntroductionImplementation of a curative strategy at the debridement stage associates systemic therapy with local therapy.ObjectivesTo determine which medical devices and technology other than support surfaces and what kinds of drugs to use in order to cleanse a pressure ulcer in 2012.MethodA systematic review of the literature querying the databases PASCAL Biomed, Cochrane Library and PubMed from 2000 to 2010 along with a compendium of prevailing professional practices.ResultsPressure sore debridement is based on local care and on the use of alginates, hydrogels and hydrocolloids.DiscussionThe analyzed articles do not take into account any specific stage of pressure ulcer debridement. Data that might favor some kinds of dressings show a low level of evidence. Were it possible to decide on the dressing to be used for a given indication, professionals would be better able to orient and narrow down their choices.ConclusionUse of alginates and hydrogels in pressure ulcer debridement is of real interest. According to expert opinion, other dressings (irrigo-absorbents, for instance) seem promising, but have yet to receive adequate scientific validation

Quark description of nuclear matter

We discuss the role of an adjoint chiral condensate for color superconducting quark matter. Its presence leads to color-flavor locking in two-flavor quark matter. Color is broken completely as well as chiral symmetry in the two-flavor theory with coexisting adjoint quark-antiquark and antitriplet quark-quark condensates. The qualitative properties of this phase match the properties of ordinary nuclear matter without strange baryons. This complements earlier proposals by Schafer and Wilczek for a quark description of hadronic phases. We show for a class of models with effective four-fermion interactions that adjoint chiral and diquark condensates do not compete, in the sense that simultaneous condensation occurs for sufficiently strong interactions in the adjoint chiral channel.Comment: 15 pages, 3 figure

Spontaneous symmetry breaking in strong-coupling lattice QCD at high density

We determine the patterns of spontaneous symmetry breaking in strong-coupling lattice QCD in a fixed background baryon density. We employ a next-nearest-neighbor fermion formulation that possesses the SU(N_f)xSU(N_f) chiral symmetry of the continuum theory. We find that the global symmetry of the ground state varies with N_f and with the background baryon density. In all cases the condensate breaks the discrete rotational symmetry of the lattice as well as part of the chiral symmetry group.Comment: 10 pages, RevTeX 4; added discussion of accidental degeneracy of vacuum after Eq. (35

Charged and superconducting vortices in dense quark matter

Quark matter at astrophysical densities may contain stable vortices due to the spontaneous breaking of hypercharge symmetry by kaon condensation. We argue that these vortices could be both charged and electrically superconducting. Current carrying loops (vortons) could be long lived and play a role in the magnetic and transport properties of this matter. We provide a scenario for vorton formation in protoneutron stars.Comment: Replaced with the published version. A typographical error in Eq. 2 is correcte

Angular Momentum Mixing in Crystalline Color Superconductivity

In crystalline color superconductivity, quark pairs form at non-zero total momentum. This crystalline order potentially enlarges the domain of color superconductivity in cold dense quark matter. We present a perturbative calculation of the parameters governing the crystalline phase and show that this is indeed the case. Nevertheless, the enhancement is modest, and to lowest order is independent of the strength of the color interaction.Comment: 9 pages, 2 figures, Revte

Thermodynamics of two-colour QCD and the Nambu Jona-Lasinio model

We investigate two-flavour and two-colour QCD at finite temperature and chemical potential in comparison with a corresponding Nambu and Jona-Lasinio model. By minimizing the thermodynamic potential of the system, we confirm that a second order phase transition occurs at a value of the chemical potential equal to half the mass of the chiral Goldstone mode. For chemical potentials beyond this value the scalar diquarks undergo Bose condensation and the diquark condensate is nonzero. We evaluate the behaviour of the chiral condensate, the diquark condensate, the baryon charge density and the masses of scalar diquark, antidiquark and pion, as functions of the chemical potential. Very good agreement is found with lattice QCD (N_c=2) results. We also compare with a model based on leading-order chiral effective field theory.Comment: 24 pages, 12 figure

Illuminating Dense Quark Matter

We imagine shining light on a lump of cold dense quark matter, in the CFL phase and therefore a transparent insulator. We calculate the angles of reflection and refraction, and the intensity of the reflected and refracted light. Although the only potentially observable context for this phenomenon (reflection of light from and refraction of light through an illuminated quark star) is unlikely to be realized, our calculation casts new light on the old idea that confinement makes the QCD vacuum behave as if filled with a condensate of color-magnetic monopoles.Comment: 4 pages, 1 figur

Asymptotic deconfinement in high-density QCD

We discuss QCD with two light flavors at large baryon chemical potential mu. Color superconductivity leads to partial breaking of the color SU(3) group. We show that the infrared physics is governed by the gluodynamics of the remaining SU(2) group with an exponentially soft confinement scale Lambda_QCD' Delta*exp[-a*mu/(g*Delta)], where Delta<<mu is the superconducting gap, g is the strong coupling, and a=0.81... We estimate that at moderate baryon densities Lambda_QCD' is O(10 MeV) or smaller. The confinement radius increases exponentially with density, leading to "asymptotic deconfinement." The velocity of the SU(2) gluons is small due to the large dielectric constant of the medium.Comment: 4 pages; restructured, published versio

Spatial structure of quark Cooper pairs in a color superconductor

Spatial structure of Cooper pairs with quantum numbers color 3^*, I=J=L=S=0 in ud 2 flavor quark matter is studied by solving the gap equation and calculating the coherence length in full momentum range without the weak coupling approximation. Although the gap at the Fermi surface and the coherence length depend on density weakly, the shape of the r-space pair wave function varies strongly with density. This result indicates that quark Cooper pairs become more bosonic at higher densities.Comment: 10 pages, 3 figures. The frequency dependence of the gap and the limitation on the type I/type II discussion are mentioned briefly. To appear in Phys. Rev.

Phases of QCD at High Baryon Density

We review recent work on the phase structure of QCD at very high baryon density. We introduce the phenomenon of color superconductivity and discuss how the quark masses and chemical potentials determine the structure of the superfluid quark phase. We comment on the possibility of kaon condensation at very high baryon density and study the competition between superfluid, density wave, and chiral crystal phases at intermediate density.Comment: 15 pages. To appear in the proceedings of the ECT Workshop on Neutron Star Interiors, Trento, Italy, June 200