367 research outputs found

    Ureteroscopic treatment of larger renal calculi (\u3e2 cm).

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    OBJECTIVES: To evaluate the current status of ureteroscopic lithotripsy (UL) for treating renal calculi of \u3e2 cm, as advances in flexible ureteroscope design, accessory instrumentation and lithotrites have revolutionised the treatment of urinary calculi. While previously reserved for ureteric and small renal calculi, UL has gained an increasing role in the selective management of larger renal stone burdens. METHODS: We searched the available databases, including PubMed, Google Scholar, and Scopus, for relevant reports in English, and the article bibliographies to identify additional relevant articles. Keywords included ureteroscopy, lithotripsy, renal calculi, and calculi \u3e2 cm. Retrieved articles were reviewed to consider the number of patients, mean stone size, success rates, indications and complications. RESULTS: In all, nine studies (417 patients) were eligible for inclusion. After one, two or three procedures the mean (range) success rates were 68.2 (23-84)%, 87.1 (79-91)% and 94.4 (90.1-96.7)%, respectively. Overall, the success rate was \u3e90% with a mean of 1.2-2.3 procedures per patient. The overall complication rate was 10.3%, including six (1.4%) intraoperative and 37 (8.9%) postoperative complications, most of which were minor. The most common indications for UL were a failed previous treatment (46%), comorbidities (18.2%), and technical and anatomical factors (12.3%). CONCLUSIONS: UL is safe and effective for treating large renal calculi. While several procedures might be required for total stone clearance, UL should be considered a standard approach in the urologist\u27s options treating renal calculi of \u3e2 cm

    On the generalization of quantum state comparison

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    We investigate the unambiguous comparison of quantum states in a scenario that is more general than the one that was originally suggested by Barnett et al. First, we find the optimal solution for the comparison of two states taken from a set of two pure states with arbitrary a priori probabilities. We show that the optimal coherent measurement is always superior to the optimal incoherent measurement. Second, we develop a strategy for the comparison of two states from a set of N pure states, and find an optimal solution for some parameter range when N=3. In both cases we use the reduction method for the corresponding problem of mixed state discrimination, as introduced by Raynal et al., which reduces the problem to the discrimination of two pure states only for N=2. Finally, we provide a necessary and sufficient condition for unambiguous comparison of mixed states to be possible.Comment: 8 pages, 4 figures, Proposition 1 corrected, appendix adde

    Purifying and Reversible Physical Processes

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    Starting from the observation that reversible processes cannot increase the purity of any input state, we study deterministic physical processes, which map a set of states to a set of pure states. Such a process must map any state to the same pure output, if purity is demanded for the input set of all states. But otherwise, when the input set is restricted, it is possible to find non-trivial purifying processes. For the most restricted case of only two input states, we completely characterize the output of any such map. We furthermore consider maps, which combine the property of purity and reversibility on a set of states, and we derive necessary and sufficient conditions on sets, which permit such processes.Comment: 5 pages, no figures, v2: only minimal change

    Physical Purification of Quantum States

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    We introduce the concept of a physical process that purifies a mixed quantum state, taken from a set of states, and investigate the conditions under which such a purification map exists. Here, a purification of a mixed quantum state is a pure state in a higher-dimensional Hilbert space, the reduced density matrix of which is identical to the original state. We characterize all sets of mixed quantum states, for which perfect purification is possible. Surprisingly, some sets of two non-commuting states are among them. Furthermore, we investigate the possibility of performing an imperfect purification.Comment: 5 pages, 1 figure; published versio

    Finite key analysis for symmetric attacks in quantum key distribution

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    We introduce a constructive method to calculate the achievable secret key rate for a generic class of quantum key distribution protocols, when only a finite number n of signals is given. Our approach is applicable to all scenarios in which the quantum state shared by Alice and Bob is known. In particular, we consider the six state protocol with symmetric eavesdropping attacks, and show that for a small number of signals, i.e. below the order of 10^4, the finite key rate differs significantly from the asymptotic value for n approaching infinity. However, for larger n, a good approximation of the asymptotic value is found. We also study secret key rates for protocols using higher-dimensional quantum systems.Comment: 9 pages, 5 figure
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