Management of a Parturient with Mast Cell Activation Syndrome: An Anesthesiologist\u27s Experience

Mast cell activation syndrome (MCAS) is a disorder in which patients experience symptoms and signs attributable to inappropriate mast cell activation and mediator release. Multiorgan involvement in patients can result in significant morbidity and possible mortality. Limited literature exists regarding anesthetic management of patients with MCAS. We report a case of vaginal delivery with neuraxial labor analgesia in a parturient with this condition and highlight the importance of multidisciplinary planning for uneventful outcomes. Stress can trigger life-threatening symptoms, and counseling is important to allay patients\u27 fears. Optimum medical control, adequate premedication, avoidance of triggers, and preparedness to treat serious mediator effects are key. We review MCAS and discuss anesthetic considerations for patients with this mast cell disorder

The universal cover of an algebra without double bypass

Let A be a basic finite dimensional and connected algebra over an algebraically closed field k with zero characteristic. If the ordinary quiver of A has no double bypasses, we show that A admits a Galois covering which satisfies a universal property with respect to the Galois coverings of A. This universal property is similar to the one of the universal cover of a connected topological space.Comment: This text (21 pages) gives detailed proofs of the results announced in a previous note of the author (The fundamental group of a triangular algebra without double bypasses) and extends the study of this previous note to the Galois coverings of an algebr

NUMERICAL MULTIGROUP TRANSIENT ANALYSIS OF SLAB NUCLEAR REACTOR WITH THERMAL FEEDBACK

The paper describes a new numerical code for multigroup transient analyses with thermal feedback. The code is developed at Institute of Nuclear and Physical Engineering. It is necessary to carefully investigate transient states of fast neutron reactors, due to recriticality issues after accident scenarios. The code solves numerical diffusion equation for 1D problem with possible neutron source incorporation. Crank-Nicholson numerical method is used for the transient states. The investigated cases are describing behavior of PWR fuel assembly inside of spent fuel pool and with the incorporated neutron source for better illustration of thermal feedback

Maximal intrinsic randomness of a quantum state

One of the most counterintuitive aspects of quantum theory is its claim that there is 'intrinsic' randomness in the physical world. Quantum information science has greatly progressed in the study of intrinsic, or secret, quantum randomness in the past decade. With much emphasis on device-independent and semi-device-independent bounds, one of the most basic questions has escaped attention: how much intrinsic randomness can be extracted from a given state $\rho$, and what measurements achieve this bound? We answer this question for two different randomness quantifiers: the conditional min-entropy and the conditional von Neumann entropy. For the former, we solve the min-max problem of finding the measurement that minimises the maximal guessing probability of an eavesdropper. The result is that one can guarantee an amount of conditional min-entropy $H^{*}_{\textrm{min}}=-\log_{2}P^{*}_{\textrm{guess}}(\rho)$ with $P^{*}_{\textrm{guess}}(\rho)=\frac{1}{d}\,(\textrm{tr} \sqrt{\rho})^2$ by performing suitable projective measurements. For the latter, we find that its maximal value is $H^{*}= \log_{2}d-S(\rho)$, with $S(\rho)$ the von Neumann entropy of $\rho$. Optimal values for $H^{*}_{\textrm{min}}$ and $H^{*}$ are achieved by measuring in any basis that is unbiased to the eigenbasis of $\rho$, as well as by other less intuitive measurements

An education and training programme for radiological institutes: impact on the reduction of the CT radiation dose

Objectives: To establish an education and training programme for the reduction of CT radiation doses and to assess this programme's efficacy. Methods: Ten radiological institutes were counselled. The optimisation programme included a small group workshop and a lecture on radiation dose reduction strategies. The radiation dose used for five CT protocols (paranasal sinuses, brain, chest, pulmonary angiography and abdomen) was assessed using the dose-length product (DLP) before and after the optimisation programme. The mean DLP values were compared with national diagnostic reference levels (DRLs). Results: The average reduction of the DLP after optimisation was 37% for the sinuses (180 vs. 113mGycm, P < 0.001), 9% for the brain (982 vs. 896mGycm, P < 0.05), 24% for the chest (425 vs. 322mGycm, P < 0.05) and 42% for the pulmonary arteries (352 vs. 203mGycm, P < 0.001). No significant change in DLP was found for abdominal CT. The post-optimisation DLP values of the sinuses, brain, chest, pulmonary arteries and abdomen were 68%, 10%, 20%, 55% and 15% below the DRL, respectively. Conclusions: The education and training programme for radiological institutes is effective in achieving a substantial reduction in CT radiation dos

Criticality Safety Analysis of Spent Fuel Storage Pool for NPP Mochovce using MCNP5 Code

The paper presents results of nuclear criticality safety analysis of spent fuel storage and handling for the 1st and 2nd unit of NPP Mochovce. Spent fuel storage pool (compact and reserve grid) and T-12 transport cask were modeled using the Monte Carlo code MCNP5. Conservative approach was applied and calculation of max eff k values was performed for normal and various postulated emergency conditions in order to evaluate the final maximal max eff k values. The requirement of current safety regulations to ensure 5% subcriticality was met except some especially conservative cases

The Intrinsic Fundamental Group of a Linear Category

We provide an intrinsic definition of the fundamental group of a linear category over a ring as the automorphism group of the fibre functor on Galois coverings. If the universal covering exists, we prove that this group is isomorphic to the Galois group of the universal covering. The grading deduced from a Galois covering enables us to describe the canonical monomorphism from its automorphism group to the first Hochschild-Mitchell cohomology vector space.Comment: Final version, to appear in Algebras and Representation Theor

Minerva Cuevas: Disidencia

Bilingual catalogue for the exhibition Minerva Cuevas: Disidencia presented at Baruch College\u27s Mishkin Gallery

A shadowing problem in the detection of overlapping communities: lifting the resolution limit through a cascading procedure

Community detection is the process of assigning nodes and links in significant communities (e.g. clusters, function modules) and its development has led to a better understanding of complex networks. When applied to sizable networks, we argue that most detection algorithms correctly identify prominent communities, but fail to do so across multiple scales. As a result, a significant fraction of the network is left uncharted. We show that this problem stems from larger or denser communities overshadowing smaller or sparser ones, and that this effect accounts for most of the undetected communities and unassigned links. We propose a generic cascading approach to community detection that circumvents the problem. Using real and artificial network datasets with three widely used community detection algorithms, we show how a simple cascading procedure allows for the detection of the missing communities. This work highlights a new detection limit of community structure, and we hope that our approach can inspire better community detection algorithms.Comment: 14 pages, 12 figures + supporting information (5 pages, 6 tables, 3 figures

Criticality Safety Analysis of Spent Fuel Storage Pool for NPP Mochovce using MCNP5 Code

The paper presents results of nuclear criticality safety analysis of spent fuel storage and handling for the 1st and 2nd unit of NPP Mochovce. Spent fuel storage pool (compact and reserve grid) and T-12 transport cask were modeled using the Monte Carlo code MCNP5. Conservative approach was applied and calculation of max eff k values was performed for normal and various postulated emergency conditions in order to evaluate the final maximal max eff k values. The requirement of current safety regulations to ensure 5% subcriticality was met except some especially conservative cases