Perioperative and anesthetic deaths: toxicological and medico legal aspects

Background: Anesthesia has become safer during decades, though there is still a preventable mortality; the complexity of medical and surgical interventions, increasingly older and sicker patients, has created a host of new hazards in anesthesiology. In this paper, some of these perioperative (PO) fatal adverse events are investigated in terms of health responsibility. Selective literature research in several data bases, concerning perioperative and anesthetic deaths and medical responsibility, was performed. Main text: A generally accepted definition of the anesthesia and perioperatory-related death still remains one of the major concerns in forensic pathology, and the terms “operative deaths” and “anesthetic deaths” are usually applied inaccurately within the medico-legal literature. Such events involve comprehensively PO fatalities and allow for subtle separation of natural and unnatural death, at least from the prospective of forensic pathology. Iatrogenic deaths in this field can be separated into some major categories, as attributable to previous patient’s unfavorable conditions or depending from surgical procedure per se (such as PO cardiac and cerebrovascular events). In this review, the authors carried out syntheses of specific research areas regarding epidemiology, complications of general and spinal anesthetic, failure in airway management and patient’s circulatory homeostasis, and adverse drugs reactions; analysis considering the challenge of anesthetic-related mortality, epidemiology and classifications, by indicating causal chain of death, in respect of both contributing and associated anesthetic and surgery facts. Conclusions: Perioperative quality control programs and its relevance for medico-legal evaluation are emphasized as, although mortality rates have decreased worldwide over the last decades, however, preventable drug-related deaths still happen. Such fatal events have to be considered within the field of forensic pathology experts, with regard of malpractice claims, to implement a strategy for preventing potentially fatal complications

There exist non orthogonal quantum measurements that are perfectly repeatable

We show that, contrarily to the widespread belief, in quantum mechanics repeatable measurements are not necessarily described by orthogonal projectors--the customary paradigm of "observable". Nonorthogonal repeatability, however, occurs only for infinite dimensions. We also show that when a non orthogonal repeatable measurement is performed, the measured system retains some "memory" of the number of times that the measurement has been performed.Comment: 4 pages, 1 figure, revtex4, minor change

Synthesis of oxazolidinones from N-aryl-carbamate and epichlorohydrin under mild conditions

The reaction conditions for an enantiospecific synthesis of various N-aryl-oxazolidinones from N-aryl-carbamates and (R) or (S) epichlorohydrin were optimized. The N-aryl-oxazolidinones were applied to the synthesis of compounds of biological interest such as DuP 721, toloxatone and a linezolid analogue

Clean Positive Operator Valued Measures

In quantum mechanics the statistics of the outcomes of a measuring apparatus is described by a positive operator valued measure (POVM). A quantum channel transforms POVM's into POVM's, generally irreversibly, thus loosing some of the information retrieved from the measurement. This poses the problem of which POVM's are "undisturbed", namely they are not irreversibly connected to another POVM. We will call such POVM clean. In a sense, the clean POVM's would be "perfect", since they would not have any additional "extrinsical" noise. Quite unexpectedly, it turns out that such cleanness property is largely unrelated to the convex structure of POVM's, and there are clean POVM's that are not extremal and vice-versa. In this paper we solve the cleannes classification problem for number n of outcomes n<=d (d dimension of the Hilbert space), and we provide a a set of either necessary or sufficient conditions for n>d, along with an iff condition for the case of informationally complete POVM's for n=d^2.Comment: Minor changes. amsart 21 pages. Accepted for publication on J. Math. Phy

Private quantum decoupling and secure disposal of information

Given a bipartite system, correlations between its subsystems can be understood as information that each one carries about the other. In order to give a model-independent description of secure information disposal, we propose the paradigm of private quantum decoupling, corresponding to locally reducing correlations in a given bipartite quantum state without transferring them to the environment. In this framework, the concept of private local randomness naturally arises as a resource, and total correlations get divided into eliminable and ineliminable ones. We prove upper and lower bounds on the amount of ineliminable correlations present in an arbitrary bipartite state, and show that, in tripartite pure states, ineliminable correlations satisfy a monogamy constraint, making apparent their quantum nature. A relation with entanglement theory is provided by showing that ineliminable correlations constitute an entanglement parameter. In the limit of infinitely many copies of the initial state provided, we compute the regularized ineliminable correlations to be measured by the coherent information, which is thus equipped with a new operational interpretation. In particular, our results imply that two subsystems can be privately decoupled if their joint state is separable.Comment: Child of 0807.3594 v2: minor changes v3: presentation improved, one figure added v4: extended version with a lot of discussions and examples v5: published versio

The Quantum Reverse Shannon Theorem based on One-Shot Information Theory

The Quantum Reverse Shannon Theorem states that any quantum channel can be simulated by an unlimited amount of shared entanglement and an amount of classical communication equal to the channel's entanglement assisted classical capacity. In this paper, we provide a new proof of this theorem, which has previously been proved by Bennett, Devetak, Harrow, Shor, and Winter. Our proof has a clear structure being based on two recent information-theoretic results: one-shot Quantum State Merging and the Post-Selection Technique for quantum channels.Comment: 30 pages, 4 figures, published versio

Polygamy of Distributed Entanglement

While quantum entanglement is known to be monogamous (i.e. shared entanglement is restricted in multi-partite settings), here we show that distributed entanglement (or the potential for entanglement) is by nature polygamous. By establishing the concept of one-way unlocalizable entanglement (UE) and investigating its properties, we provide a polygamy inequality of distributed entanglement in tripartite quantum systems of arbitrary dimension. We also provide a polygamy inequality in multi-qubit systems, and several trade offs between UE and other correlation measures.Comment: 9 pages, 1 figure, few typos correcte

Unital Quantum Channels - Convex Structure and Revivals of Birkhoff's Theorem

The set of doubly-stochastic quantum channels and its subset of mixtures of unitaries are investigated. We provide a detailed analysis of their structure together with computable criteria for the separation of the two sets. When applied to O(d)-covariant channels this leads to a complete characterization and reveals a remarkable feature: instances of channels which are not in the convex hull of unitaries can return to it when either taking finitely many copies of them or supplementing with a completely depolarizing channel. In these scenarios this implies that a channel whose noise initially resists any environment-assisted attempt of correction can become perfectly correctable.Comment: 31 page

Local channels preserving maximal entanglement or Schmidt number

Maximal entanglement and Schmidt number play an important role in various quantum information tasks. In this paper, it is shown that a local channel preserves maximal entanglement state(MES) or preserves pure states with Schmidt number $r$($r$ is a fixed integer) if and only if it is a local unitary operation.Comment: 10 page

Generalised quantum weakest preconditions

Generalisation of the quantum weakest precondition result of D'Hondt and Panangaden is presented. In particular the most general notion of quantum predicate as positive operator valued measure (POVM) is introduced. The previously known quantum weakest precondition result has been extended to cover the case of POVM playing the role of a quantum predicate. Additionally, our result is valid in infinite dimension case and also holds for a quantum programs defined as a positive but not necessary completely positive transformations of a quantum states.Comment: 7 pages, no figures, added references, changed conten