Entanglement frustration in multimode Gaussian states

Bipartite entanglement between two parties of a composite quantum system can be quantified in terms of the purity of one party and there always exists a pure state of the total system that maximizes it (and minimizes purity). When many different bipartitions are considered, the requirement that purity be minimal for all bipartitions gives rise to the phenomenon of entanglement frustration. This feature, observed in quantum systems with both discrete and continuous variables, can be studied by means of a suitable cost function whose minimizers are the maximally multipartite-entangled states (MMES). In this paper we extend the analysis of multipartite entanglement frustration of Gaussian states in multimode bosonic systems. We derive bounds on the frustration, under the constraint of finite mean energy, in the low and high energy limit.Comment: 4 pages, 2 figures. Contribution to "Folding and Unfolding: Interactions from Geometry. Workshop in honour of Giuseppe Marmo's 65th birthday", 8-12 June 2011, Ischia (NA) Ital

Super-crystals in composite ferroelectrics

As atoms and molecules condense to form solids, a crystalline state can emerge with its highly ordered geometry and subnanometric lattice constant. In some physical systems, such as ferroelectric perovskites, a perfect crystalline structure forms even when the condensing substances are non-stoichiometric. The resulting solids have compositional disorder and complex macroscopic properties, such as giant susceptibilities and non-ergodicity. Here, we observe the spontaneous formation of a cubic structure in composite ferroelectric potassium– lithium–tantalate–niobate with micrometric lattice constant, 104 times larger than that of the underlying perovskite lattice. The 3D effect is observed in specifically designed samples in which the substitutional mixture varies periodically along one specific crystal axis. Laser propagation indicates a coherent polarization super-crystal that produces an optical X-ray diffractometry, an ordered mesoscopic state of matter with important implications for critical phenomena and applications in miniaturized 3D optical technologies

Fiducial Stellar Population Sequences for the VJKs Photometric System

We have obtained broad-band near-infrared photometry for seven Galactic star clusters (M92, M15, M13, M5, NGC1851, M71 and NGC6791) using the WIRCam wide-field imager on the Canada-France-Hawaii Telescope, supplemented by images of NGC1851 taken with HAWK-I on the VLT. In addition, 2MASS observations of the [Fe/H] ~ 0.0 open cluster M67 were added to the cluster database. From the resultant (V-J)-V and (V-Ks)-V colour-magnitude diagrams (CMDs), fiducial sequences spanning the range in metallicity, -2.4 < [Fe/H] < +0.3, have been defined which extend (for most clusters) from the tip of the red-giant branch (RGB) to ~ 2.5 magnitudes below the main-sequence turnoff. These fiducials provide a valuable set of empirical isochrones for the interpretation of stellar population data in the 2MASS system. We also compare our newly derived CMDs to Victoria isochrones that have been transformed to the observed plane using recent empirical and theoretical colour-Teff relations. The models are able to reproduce the entire CMDs of clusters more metal rich than [Fe/H] ~ -1.4 quite well, on the assumption of the same reddenings and distance moduli that yield good fits of the same isochrones to Johnson-Cousins BV(RI)C photometry. However, the predicted giant branches become systematically redder than the observed RGBs as the cluster metallicity decreases. Possible explanations for these discrepancies are discussed.Comment: 18 pages, 20 figures, Accepted for publication in A

The shape of the Red Giant Branch Bump as a diagnostic of partial mixing processes in low-mass stars

We suggest to use the shape of the Red Giant Branch (RGB) Bump in metal-rich globular clusters as a diagnostic of partial mixing processes between the base of the convective envelope and the H-burning shell. The Bump located along the differential luminosity function of cluster RGB stars is a key observable to constrain the H-profile inside these structures. In fact, standard evolutionary models that account for complete mixing in the convective unstable layers and radiative equilibrium in the innermost regions do predict that the first dredge-up lefts over a very sharp H-discontinuity at the bottom of the convective region. Interestingly enough we found that both atomic diffusion and a moderate convective overshooting at the base of the convective region marginally affects the shape of the RGB Bump in the differential Luminosity Function (LF). As a consequence, we performed several numerical experiments to estimate whether plausible assumptions concerning the smoothing of the H-discontinuity, due to the possible occurrence of extra-mixing below the convective boundary, affects the shape of the RGB Bump. We found that the difference between the shape of RGB Bump predicted by standard and by smoothed models can be detected if the H-discontinuity is smoothed over an envelope region whose thickness is equal or larger than 0.5 pressure scale heights. Finally, we briefly discuss the comparison between theoretical predictions and empirical data in metal-rich, reddening free Galactic Globular Clusters (GGCs) to constrain the sharpness of the H-profile inside RGB stars.Comment: 15 pages, 8 postscript figures, ApJ in pres

Aggressiveness pattern and second primary tumor risk associated with basaloid squamous cell carcinoma of the larynx

Basaloid squamous cell carcinoma (BSCC) is a rare, aggressive and distinct variant of squamous cell carcinoma (SCC) of the upper respiratory and digestive tract. We have evaluated disease specific survival (DSS) and overall survival (OS) through Kaplan-Meier method and mortality risk through univariate statistical analysis of Cox in 42 cases of BSCC and other 42 of laryngeal SCC (LSCC) matched for both age and sex. We demonstrated that laryngeal BSCC is a more aggressive tumor than LSCC as is associated to higher nodal recurrence of pathology (5 vs 2 patients, median survival, OR 2.7), a reduced survival (median survival 34 vs 40 months, OR 3.2 for mortality); in addition, basaloid patients have a higher risk to be affected by second primary tumors (13 vs 3 patients, OR 5.8) and a higher probability to die for this second tumor (Hazard Risk, HR 4.4). The analysis of survival shows an increased mortality risk concurrent with the parameters assessed by univariate analyses that assume a predictive and statistical significance in second tumor and grading in basaloid LSSC.Basaloid squamous cell carcinoma (BSCC) is a rare, aggressive and distinct variant of squamous cell carcinoma (SCC) of the upper respiratory and digestive tract. We have evaluated disease specific survival (DSS) and overall survival (OS) through Kaplan-Meier method and mortality risk through univariate statistical analysis of Cox in 42 cases of BSCC and other 42 of laryngeal SCC (LSCC) matched for both age and sex. We demonstrated that laryngeal BSCC is a more aggressive tumor than LSCC as is associated to higher nodal recurrence of pathology (5 vs 2 patients, median survival, OR 2.7), a reduced survival (median survival 34 vs 40 months, OR 3.2 for mortality); in addition, basaloid patients have a higher risk to be affected by second primary tumors (13 vs 3 patients, OR 5.8) and a higher probability to die for this second tumor (Hazard Risk, HR 4.4). The analysis of survival shows an increased mortality risk concurrent with the parameters assessed by univariate analyses that assume a predictive and statistical significance in second tumor and grading in basaloid LSSC

Pancreaticoduodenectomy model demonstrates a fundamental role of dysfunctional β cells in predicting diabetes

BACKGROUND. The appearance of hyperglycemia is due to insulin resistance, functional deficits in the secretion of insulin, and a reduction of β cell mass. There is a long-standing debate as to the relative contribution of these factors to clinically manifesting β cell dysfunction. The aim of this study was to verify the acute effect of one of these factors, the reduction of β cell mass, on the subsequent development of hyperglycemia. METHODS. To pursue this aim, nondiabetic patients, scheduled for identical pancreaticoduodenectomy surgery, underwent oral glucose tolerance tests (OGTT) and hyperglycemic clamp (HC) procedures, followed by arginine stimulation before and after surgery. Based on postsurgery OGTT, subjects were divided into 3 groups depending on glucose tolerance: normal glucose tolerance (post-NGT), impaired glucose tolerance (post-IGT), or having diabetes mellitus (post-DM). RESULTS. At baseline, the 3 groups showed similar fasting glucose and insulin levels; however, examining the various parameters, we found that reduced first-phase insulin secretion, reduced glucose sensitivity, and rate sensitivity were predictors of eventual postsurgery development of IGT and diabetes. CONCLUSION. Despite comparable functional mass and fasting glucose and insulin levels at baseline and the very same 50% mass reduction, only reduced first-phase insulin secretion and glucose sensitivity predicted the appearance of hyperglycemia. These functional alterations could be pivotal to the pathogenesis of type 2 diabetes (T2DM)

Intra-islet insulin synthesis defects are associated with endoplasmic reticulum stress and loss of beta cell identity in human diabetes

Aims/hypothesis: Endoplasmic reticulum (ER) stress and beta cell dedifferentiation both play leading roles in impaired insulin secretion in overt type 2 diabetes. Whether and how these factors are related in the natural history of the disease remains, however, unclear. Methods: In this study, we analysed pancreas biopsies from a cohort of metabolically characterised living donors to identify defects in in situ insulin synthesis and intra-islet expression of ER stress and beta cell phenotype markers. Results: We provide evidence that in situ altered insulin processing is closely connected to in vivo worsening of beta cell function. Further, activation of ER stress genes reflects the alteration of insulin processing in situ. Using a combination of 17 different markers, we characterised individual pancreatic islets from normal glucose tolerant, impaired glucose tolerant and type 2 diabetic participants and reconstructed disease progression. Conclusions/interpretation: Our study suggests that increased beta cell workload is accompanied by a progressive increase in ER stress with defects in insulin synthesis and loss of beta cell identity. Graphical abstract: [Figure not available: see fulltext.

Surgical site infection after caesarean section. Space for post-discharge surveillance improvements and reliable comparisons

Surgical site infections (SSI) after caesarean section (CS) represent a substantial health system concern. Surveying SSI has been associated with a reduction in SSI incidence. We report the findings of three (2008, 2011 and 2013) regional active SSI surveillances after CS in community hospital of the Latium region determining the incidence of SSI. Each CS was surveyed for SSI occurrence by trained staff up to 30 post-operative days, and association of SSI with relevant characteristics was assessed using binomial logistic regression. A total of 3,685 CS were included in the study. A complete 30 day post-operation follow-up was achieved in over 94% of procedures. Overall 145 SSI were observed (3.9% cumulative incidence) of which 131 (90.3%) were superficial and 14 (9.7%) complex (deep or organ/space) SSI; overall 129 SSI (of which 89.9% superficial) were diagnosed post-discharge. Only higher NNIS score was significantly associated with SSI occurrence in the regression analysis. Our work provides the first regional data on CS-associated SSI incidence, highlighting the need for a post-discharge surveillance which should assure 30 days post-operation to not miss data on complex SSI, as well as being less labour intensive

Effects of PCSK9 inhibition on glucose metabolism and β-cell function in humans: a pilot study

BackgroundAnti-PCSK9 monoclonal antibodies are effective in reducing LDL-C and cardiovascular events by neutralizing circulating PCSK9. PCSK9, however, is also expressed in tissues, including the pancreas, and studies on PCSK9 KO mice have shown impaired insulin secretion. Statin treatment is already known to affect insulin secretion. Our aim was to conduct a pilot study to evaluate the effect of anti-PCSK9 mAb on glucose metabolism and β-cell function in humans.MethodsFifteen non-diabetic subjects, candidates for anti-PCSK9 mAb therapy, were enrolled. All underwent OGTT at baseline and after 6 months of therapy. During OGTT, insulin secretion parameters were derived from C-peptide by deconvolution (β cell glucose sensitivity). Surrogate insulin sensitivity indices were also obtained from OGTT (Matsuda).ResultsGlucose levels during OGTT were unchanged after 6 months of anti-PCSK9 mAb treatment, as well as insulin and C-peptide levels. The Matsuda index remained unchanged, while β-cell glucose sensitivity improved post-therapy (before: 85.3 ± 65.4; after: 118.6 ± 70.9 pmol min-1m-2mM-1; p&lt;0.05). Using linear regression, we found a significant correlation between βCGS changes and BMI (p=0.004). Thus, we compared subjects with values above and below the median (27.6 kg/m2) and found that those with higher BMI had a greater increase in βCGS after therapy (before: 85.37 ± 24.73; after: 118.62 ± 26.83 pmol min-1m-2mM-1; p=0.007). There was also a significant correlation between βCGS change and Matsuda index through linear regression (p=0.04), so we analyzed subjects who had values above and below the median (3.8). This subgroup analysis showed a slight though not significant improvement in βCGS in more insulin resistant patients, (before: 131.4 ± 69.8; after: 170.8 ± 92.7 pmol min-1m-2mM-1; p=0.066).ConclusionsOur pilot study demonstrates that six-month treatment with anti-PCSK9 mAb improves β-cell function, and does not alter glucose tolerance. This improvement is more evident in patients with greater insulin-resistance (low Matsuda) and higher BMI