The role of positronium decoherence in the studies of positron annihilation in matter

A small difference between the energy of the para-positronium (p-Ps) and ortho-positronium (o-Ps) states suggests the possibility of superposition of p-Ps and o-Ps during the formation of positronium (Ps) from pre-Ps terminating its migration in the matter in a void ('free volume'). It is shown that such a superposition decohere in the basis of p-Ps and o-Ps and the decoherence time is estimated. The time scale of the decoherence estimated here motivates respective correction in decomposition of the positron annihilation lifetime spectra. The way of the correction is sketched. The timescale of the decoherence suggests a need of awareness when experimental data from positron annihilation techniques are processed. More generally, the superposited state of Ps should contribute to the evolution theory of positronium in matter.Comment: 15 pages, 6 figure

Medical management of common urinary calculi

Nephrolithiasis is a common condition affecting nearly 5 percent of U.S. men and women during their lifetimes. Recurrent calculi can be prevented in most patients by the use of a simplified evaluation, reasonable dietary and fluid recommendations, and directed pharmacologic intervention. Serum studies and 24-hour urine collections are the mainstays of metabolic investigation and usually are warranted in patients with recurrent calculi. Although some stones are the result of inherited conditions, most result from a complex interaction between diet, fluid habits, and genetic predisposition. Calcium-sparing diuretics such as thiazides often are used to treat hypercalciuria. Citrate medications increase levels of this naturally occurring stone inhibitor. Allopurinol can be helpful in patients with hyperuricosuria, and urease inhibitors can help break the cycle of infectious calculi. Aggressive fluid intake and moderated intake of salt, calcium, and meat are recommended for most patients. South African Family Practice Vol. 49 (3) 2007: pp. 4

Thermal spread of vessel-sealing devices evaluated in a clinically relevant in vitro model

Introduction: Bipolar vessel-sealing devices (VSDs) have advantages in urological surgeries (less hemorrhage, shorter operating time). However, these instruments can cause thermal injuries, which can result in neural damage and necrosis. The objectives of this study were to establish a reproducible in vitro model for standardized assessment of electrosurgical devices and to evaluate whether optimized placement of surgical instruments can reduce the thermal spread. Methods: We evaluated thermal spread of two VSDs in vitro using thin bovine muscle strips. Thermal injury was measured using an infrared camera, temperature probes and histology. The recordings were made with the VSD alone and with a rectangular clamp next to the VSD. Results: Both instruments showed a significant temperature spread of 2.5 mm lateral to the VSD. The placement of a metal clamp next to the VSD significantly reduced the temperature spread. Histological examinations were able to underline these findings. Conclusions: In this study we describe a straightforward clinically relevant in vitro model for the evaluation of future electrosurgical instruments. We demonstrated that the thermal spread of VSD could be further reduced by optimized placement of an additional surgical instrument. Our results could help surgeons protect sensitive structures like nerves in the vicinity of the VSD