Ein Blick in die Blase—der Mensch dahinter

Zusammenfassung: Der Blick ins Innere des Menschen ist ein alter Wunsch in der Medizin. Die Entwicklung der Zystoskopie ist den dafür Interessierten bekannt. Nachfolgend steht diese Untersuchung nicht im Zentrum des Blickpunktes, sondern die Menschen, die dahinter stehen, die ihre Energien und ihre Phantasie einsetzen, um das einmal Erreichte zu verbessern. Dabei kommt man nicht darum herum, über Menschliches—Allzumenschliches—zu berichte

Histomorphological changes after neodymium: YAG laser-coagulation of the human prostate with the Side Focus fiber: Effect of power setting and time

The objective of our study was to determine optimal treatment parameters and appropriate methods of examination for neodymium:yttrium-aluminum-garnet (Nd:YAG) high-power laser coagulation of the human prostate in relation to power setting and time. Transurethral free-beam laser coagulation was performed with the Side-Focus side-firing laser fiber in ten patients prior to planned radical surgery, of whom six underwent transperitoneal laparoscopic lymphadenectomy and laser coagulation 4-9 days prior to open surgery. Depth and volume of coagulated prostatic tissue were measured at power setting/time combinations of 40 W/90 s and 60 W/60 s, respectively, while holding total energy delivery constant. Microscopic examination in the early phase showed that epithelial cells had become loose from the basal-cell membrane. By 4-9 days there was evidence of conspicuous squamous epithelial metaplasia with a high proliferation rate as a sign of reepithelialization. Using the Side Focus side-firing laser fiber, both treatment modalities showed comparable volume coagulation. In contrast there was a significant difference between those prostates removed at 4-9 days and those removed at 60-210 min after laser coagulation. We conclude that laser-induced changes in the human prostate are conclusively discernible only after 4 day

CO2 content beneath northern Iceland and the variability of mantle carbon

Primitive basalt melt inclusions from Borgarhraun, northern Iceland, display large correlated variations in CO2 and non-volatile incompatible trace elements (ITEs) such as Nb, Th, Rb, and Ba. The average CO2/ITE ratios of the Borgarhraun melt inclusion population are precisely determined (e.g., CO2/Nb = 391 ± 16; 2M, n = 161). These data, along with published data on five other populations of undegassed MORB glasses and melt inclusions, demonstrate that upper mantle CO2/Ba and CO2/Rb are nearly homogenous, while CO2/Nb and CO2/Th are broadly correlated with long-term indices of mantle heterogeneity reflected in Nd isotopes (143Nd/144Nd) in five out of the six regions of the upper mantle examined thus far. Our results suggest that heterogeneous carbon contents of the upper mantle are long-lived features, and that average carbon abundances of the mantle sources of Atlantic mid-ocean ridge basalts (MORB) are higher by a factor of two than those of Pacific MORB. This observation is correlated with a similar distinction in water contents (Michael, 1995) and trace elements characteristic of subduction fluids (Ba, Rb; Arevalo and McDonough, 2010). We suggest that the upper mantle beneath the younger Atlantic Ocean basin contains components of hydrated and carbonated subduction-modified mantle from prior episodes of Iapetus subduction that were entrained and mixed into the upper mantle during opening of the Atlantic Ocean basin.Maclennan is supported by Natural Environment Research Council grant NE/M000427/1. This research was supported by the Carnegie Institution of Washington and is a contribution to the Deep Carbon Observatory

Radioactive Probes of the Supernova-Contaminated Solar Nebula: Evidence that the Sun was Born in a Cluster

We construct a simple model for radioisotopic enrichment of the protosolar nebula by injection from a nearby supernova, based on the inverse square law for ejecta dispersion. We find that the presolar radioisotopes abundances (i.e., in solar masses) demand a nearby supernova: its distance can be no larger than 66 times the size of the protosolar nebula, at a 90% confidence level, assuming 1 solar mass of protosolar material. The relevant size of the nebula depends on its state of evolution at the time of radioactivity injection. In one scenario, a collection of low-mass stars, including our sun, formed in a group or cluster with an intermediate- to high-mass star that ended its life as a supernova while our sun was still a protostar, a starless core, or perhaps a diffuse cloud. Using recent observations of protostars to estimate the size of the protosolar nebula constrains the distance of the supernova at 0.02 to 1.6 pc. The supernova distance limit is consistent with the scales of low-mass stars formation around one or more massive stars, but it is closer than expected were the sun formed in an isolated, solitary state. Consequently, if any presolar radioactivities originated via supernova injection, we must conclude that our sun was a member of such a group or cluster that has since dispersed, and thus that solar system formation should be understood in this context. In addition, we show that the timescale from explosion to the creation of small bodies was on the order of 1.8 Myr (formal 90% confidence range of 0 to 2.2 Myr), and thus the temporal choreography from supernova ejecta to meteorites is important. Finally, we can not distinguish between progenitor masses from 15 to 25 solar masses in the nucleosynthesis models; however, the 20 solar mass model is somewhat preferred.Comment: ApJ accepted, 19 pages, 3 figure

Spatiotemporal Amplitude and Phase Retrieval of Bessel-X pulses using a Hartmann-Shack Sensor

We propose a new experimental technique, which allows for a complete characterization of ultrashort optical pulses both in space and in time. Combining the well-known Frequency-Resolved-Optical-Gating technique for the retrieval of the temporal profile of the pulse with a measurement of the near-field made with an Hartmann-Shack sensor, we are able to retrieve the spatiotemporal amplitude and phase profile of a Bessel-X pulse. By following the pulse evolution along the propagation direction we highlight the superluminal propagation of the pulse peak

Direct health costs of environmental tobacco smoke exposure and indirect health benefits due to smoking ban introduction

Background: Introducing comprehensive smoke-free policies to public places is expected to reduce health costs. This includes prevented health damages by avoiding environmental tobacco smoke (ETS) exposure as well as indirect health benefits from reduced tobacco consumption. Methods: The aim of this study was to estimate direct health costs of ETS exposure in public places and indirect health benefits from reduced tobacco consumption. We calculated attributable hospital days and years of life lost (YLL), based on the observed passive smoking and disease rates in Switzerland. The exposure-response associations of all relevant health outcomes were derived by meta-analysis from prospective cohort studies in order to calculate the direct health costs. To assess the indirect health benefits, a meta-analysis of smoking ban studies on hospital admissions for acute myocardial infarction was conducted. Results: ETS exposure in public places in Switzerland causes 32 000 preventable hospital days (95% CI: 10 000-61 000), 3000 YLL (95% CI: 1000-5000), corresponding to health costs of 330 Mio CHF. The number of hospital days for ischaemic heart disease attributable to passive smoking is much larger if derived from smoking ban studies (41 000) than from prospective cohort studies (3200), resulting in additional health costs of 89 Mio CHF, which are attributed to the indirect health benefits of a smoking ban introduction. Conclusion: The example of smoking ban studies on ischaemic heart disease hospitalization rates suggests that total health costs that can be prevented with smoking bans are considerably larger than the costs arising from the direct health impact of ETS exposure in public place

CO2 content beneath northern Iceland and the variability of mantle carbon

Primitive basalt melt inclusions from Borgarhraun, northern Iceland, display large correlated variations in CO2 and nonvolatile incompatible trace elements (ITEs) such as Nb, Th, Rb, and Ba. The average CO2/ITE ratios of the Borgarhraun melt inclusion population are precisely determined (e.g., CO2/Nb = 391 ± 16; 2σM [two standard errors of the mean], n = 161). These data, along with published data on five other populations of undegassed mid-oceanic ridge basalt (MORB) glasses and melt inclusions, demonstrate that upper mantle CO2/Ba and CO2/Rb are nearly homogeneous, while CO2/Nb and CO2/Th are broadly correlated with long-term indices of mantle heterogeneity reflected in Nd isotopes (143Nd/144Nd) in five of the six regions of the upper mantle examined thus far. Our results suggest that heterogeneous carbon contents of the upper mantle are long-lived features, and that average carbon abundances of the mantle sources of Atlantic MORB are higher by a factor of two than those of Pacific MORB. This observation is correlated with a similar distinction in water contents and trace elements characteristic of subduction fluids (Ba, Rb). We suggest that the upper mantle beneath the younger Atlantic Ocean basin contains components of hydrated and carbonated subduction-modified mantle from prior episodes of Iapetus subduction that were entrained and mixed into the upper mantle during opening of the Atlantic Ocean basin

Pb isotopic variability in melt inclusions from the EMI–EMII–HIMU mantle end-members and the role of the oceanic lithosphere

Melt inclusions from four individual lava samples representing the HIMU (Mangaia Island), EMI (Pitcairn Island) and EMII (Tahaa Island) end member components, have heterogeneous Pb isotopic composition larger than that defined by the erupted lavas in each island. The broad linear trend in ^(207)Pb/^(206)Pb–^(208)Pb/^(206)Pb space produced by the melt inclusions from Mangaia, Tahaa and fPitcairn samples reproduces the entire trend defined by the Austral chain, the Society islands and the Pitcairn island and seamount groups. The inclusions preserve a record of melt composition of far greater isotopic diversity than that sampled in whole rock basalts. These results can be explained by mixing of a common depleted component with the HIMU, EMI and EMII lavas, respectively. We favor a model that considers the oceanic lithosphere to be that common component. We suggest that the Pb isotopic compositions of the melt inclusions reflect wall rock reaction of HIMU, EMI and EMII melts during their percolation through the oceanic lithosphere. Under these conditions, the localized rapid crystallization of olivine from primitive basalt near the reaction zone would allow the entrapment of melt inclusions with different isotopic composition

Magma Pressure-Temperature-Time Paths During Mafic Explosive Eruptions

We have constrained syneruptive pressure-temperature-time (P-T-t) paths of mafic magmas using a combination of short-timescale cooling and decompression chronometers. Recent work has shown that the thermal histories of crystals in the last few seconds to hours of eruption can be constrained using concentration gradients of MgO inside olivine-hosted melt inclusions, produced in response to syneruptive cooling and crystallization of olivine on the inclusion walls. We have applied this technique to the study of melt inclusions erupted by arc and ocean island volcanoes, including the 1974 subplinian eruption of Fuego volcano; the 1977 fire-fountain eruption of Seguam volcano; and three eruptions of Kilauea volcano (episode 1 of the 1959 Kilauea Iki fire-fountain eruption, the 1500 CE vigorous fire-fountain eruption, and the 1650 CE subplinian eruption). Of the eruptions studied so far, melt inclusions from the 1959 Kilauea Iki eruption record the highest syneruptive cooling rates (3–11°C/s) and the shortest cooling durations (4–19 s), while inclusions from the 1974 Fuego eruption record the slowest cooling rates (0.1–1.7°C/s) and longest cooling durations (21–368 s). The high cooling rates inferred for the Kilauea Iki and Seguam fire fountain eruptions are consistent with air quenching over tens of seconds during and after fragmentation and eruption. Melt inclusions sampled from the interiors of small (∼6 cm diameter) volcanic bombs at Fuego are found to have cooled more slowly on average than inclusions sampled from ash (with particle diameters < 2 mm) during the same eruption, as expected based on conductive cooling models. We find evidence for a systematic relationship between cooling rates and decompression rates of magmas, in which rapidly ascending gas-bearing magmas experience slower cooling during ascent and eruption than slowly ascending magmas. Our magma P-T-t constraints for the Kilauea Iki eruption are in broad agreement with isentropic models that show that the dominant driver of cooling in the conduit is adiabatic expansion of a vapor phase; however, at Fuego and Seguam, our results suggest a significant role for latent heat production and/or open-system degassing (both of which violate assumptions required for isentropic ascent). We thereby caution against the application of isentropic conduit models to magmas containing relatively high initial water concentrations (e.g., arc magmas containing ∼4 wt% water). We note that several processes that have been inferred to occur in volcanic conduits such as magma stalling, magma mingling, open- and closed-system degassing, vapor fluxing, and vapor accumulation (in foam layers or as slugs of gas) are associated with different implied vapor volume fractions during syneruptive ascent. Given the sensitivity of magma P-T-t paths to vapor volume fraction, the syneruptive thermometer presented here may be a means of identifying these processes during the seconds to hours preceding the eruption of mafic magmas