Clinical Experience and Sexual Function Outcome of Patients With Priapism Treated With Penile Cavernosal-Dorsal Vein Shunt Using Saphenous Vein Graft

OBJECTIVES To assess the outcome of new penile cavernosal-dorsal vein shunt using a saphenous vein graft. Traditional surgeries for priapism have high failure rate and subsequent impotence. METHODS We reviewed the medical records of, and administered a questionnaire and the International Index of Erectile Function to, 16 consecutive patients with priapism who had treated with the penile cavernosal-dorsal vein shunt from 1997 to 2007. Their age was 15-65 years. The duration of ischemic priapism was 32 hours to 8 days. Ten patients had previously undergone shunt surgery by other urologists. Of the 16 patients, 5 returned the questionnaires. RESULTS Priapism resolved or was improved after surgery in all 16 patients. One patient was lost to follow-up. One pediatric patient was excluded from the analysis. One patient with nonischemic priapism continued to have sexual intercourse. Of the 13 adult patients with ischemic priapism and follow-up for ≤ 6.5 years, 3 patients had no erection, 1 had very little erection, and 9 (69%) had erection. Of the 9 patients with erections possible, six had had sexual intercourse (International Index of Erectile Function score 32-70) and 3 had not; 1 had a mental disorder, 1 was in prison, and for 1, the reason was unknown. After surgery, color Doppler ultrasound studies showed a patent shunt in all patients and restoration of cavernosal arterial flow in 12 of 13 patients studied. CONCLUSIONS A penile cavernosal-dorsal shunt appears effective for priapism. It resulted in priapism resolution even in patients who had experienced a previous failed cavernosal-glandular shunt or cavernosalspongiosal shunt, with a high rate of sexual function preservation

Quantum Mechanical Search and Harmonic Perturbation

Perturbation theory in quantum mechanics studies how quantum systems interact with their environmental perturbations. Harmonic perturbation is a rare special case of time-dependent perturbations in which exact analysis exists. Some important technology advances, such as masers, lasers, nuclear magnetic resonance, etc., originated from it. Here we add quantum computation to this list with a theoretical demonstration. Based on harmonic perturbation, a quantum mechanical algorithm is devised to search the ground state of a given Hamiltonian. The intrinsic complexity of the algorithm is continuous and parametric in both time T and energy E. More precisely, the probability of locating a search target of a Hamiltonian in N-dimensional vector space is shown to be 1/(1+ c N E^{-2} T^{-2}) for some constant c. This result is optimal. As harmonic perturbation provides a different computation mechanism, the algorithm may suggest new directions in realizing quantum computers.Comment: 6 pages, 4 figures, revtex

Unimodular Loop Quantum Cosmology

Unimodular gravity is based on a modification of the usual Einstein-Hilbert action that allows one to recover general relativity with a dynamical cosmological constant. It also has the interesting property of providing, as the momentum conjugate to the cosmological constant, an emergent clock variable. In this paper we investigate the cosmological reduction of unimodular gravity, and its quantization within the framework of flat homogeneous and isotropic loop quantum cosmology. It is shown that the unimodular clock can be used to construct the physical state space, and that the fundamental features of the previous models featuring scalar field clocks are reproduced. In particular, the classical singularity is replaced by a quantum bounce, which takes place in the same condition as obtained previously. We also find that requirement of semi-classicality demands the expectation value of the cosmological constant to be small (in Planck units). The relation to spin foam models is also studied, and we show that the use of the unimodular time variable leads to a unique vertex expansion.Comment: 26 pages. Revised version taking into account referee's comment

GUT theories from Calabi-Yau 4-folds with SO(10) Singularities

We consider an SO(10) GUT model from F-theory compactified on an elliptically fibered Calabi-Yau with a D5 singularity. To obtain the matter curves and the Yukawa couplings, we use a global description to resolve the singularity. We identify the vector and spinor matter representations and their Yukawa couplings and we explicitly build the G-fluxes in the global model and check the agreement with the semi-local results. As our bundle is of type SU(2k), some extra conditions need to be applied to match the fluxes.Comment: 27 page

Yukawa hierarchies at the point of E8E_8 in F-theory

We analyse the structure of Yukawa couplings in local SU(5) F-theory models with $E_8$ enhancement. In this setting the $E_8$ symmetry is broken down to SU(5) by a 7-brane configuration described by T-branes, all the Yukawa couplings are generated in the vicinity of a point and only one family of quarks and leptons is massive at tree-level. The other two families obtain their masses when non-perturbative effects are taken into account, being hierarchically lighter than the third family. However, and contrary to previous results, we find that this hierarchy of fermion masses is not always appropriate to reproduce measured data. We find instead that different T-brane configurations breaking $E_8$ to SU(5) give rise to distinct hierarchical patterns for the holomorphic Yukawa couplings. Only some of these patterns allow to fit the observed fermion masses with reasonable local model parameter values, adding further constraints to the construction of F-theory GUTs. We consider an $E_8$ model where such appropriate hierarchy is realised and compute its physical Yukawas, showing that realistic charged fermions masses can indeed be obtained in this case.Comment: 46 pages + appendices, 5 figures. v2, added references and typos corrected, version accepted on JHEP. v3, typos correcte

A Deformation of Twistor Space and a Chiral Mass Term in N=4 Super Yang-Mills Theory

Super twistor space admits a certain (super) complex structure deformation that preserves the Poincare subgroup of the symmetry group PSL(4|4) and depends on 10 parameters. In a previous paper [hep-th/0502076], it was proposed that in twistor string theory this deformation corresponds to augmenting N=4 super Yang-Mills theory by a mass term for the left-chirality spinors. In this paper we analyze this proposal in more detail. We calculate 4-particle scattering amplitudes of fermions, gluons and scalars and show that they are supported on holomorphic curves in the deformed twistor space.Comment: 52 pages, 15 figure