Joint source-channel coding for a quantum multiple access channel

Suppose that two senders each obtain one share of the output of a classical, bivariate, correlated information source. They would like to transmit the correlated source to a receiver using a quantum multiple access channel. In prior work, Cover, El Gamal, and Salehi provided a combined source-channel coding strategy for a classical multiple access channel which outperforms the simpler "separation" strategy where separate codebooks are used for the source coding and the channel coding tasks. In the present paper, we prove that a coding strategy similar to the Cover-El Gamal-Salehi strategy and a corresponding quantum simultaneous decoder allow for the reliable transmission of a source over a quantum multiple access channel, as long as a set of information inequalities involving the Holevo quantity hold.Comment: 21 pages, v2: minor changes, accepted into Journal of Physics

Group Key Exchange Enabling On-Demand Derivation of Peer-to-Peer Keys

Abstract. We enrich the classical notion of group key exchange (GKE) protocols by a new property that allows each pair of users to derive an independent peer-to-peer (p2p) key on-demand and without any subsequent communication; this, in addition to the classical group key shared amongst all the users. We show that GKE protocols enriched in this way impose new security challenges concerning the secrecy and independence of both key types. The special attention should be paid to possible collusion attacks aiming to break the secrecy of p2p keys possibly established between any two non-colluding users. In our constructions we utilize the well-known parallel Diffie-Hellman key exchange (PDHKE) technique in which each party uses the same exponent for the computation of p2p keys with its peers. First, we consider PDHKE in GKE protocols where parties securely transport their secrets for the establishment of the group key. For this we use an efficient multi-recipient ElGamal encryption scheme. Further, based on PDHKE we design a generic compiler for GKE protocols that extend the classical Diffie-Hellman method. Finally, we investigate possible optimizations of these protocols allowing parties to re-use their exponents to compute both group and p2p keys, and show that not all such GKE protocols can be optimized. Key words: group key exchange, peer-to-peer keys, on-demand derivation

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Is diet partly responsible for differences in COVID-19 death rates between and within countries?

Correction: Volume: 10 Issue: 1 Article Number: 44 DOI: 10.1186/s13601-020-00351-w Published: OCT 26 2020Reported COVID-19 deaths in Germany are relatively low as compared to many European countries. Among the several explanations proposed, an early and large testing of the population was put forward. Most current debates on COVID-19 focus on the differences among countries, but little attention has been given to regional differences and diet. The low-death rate European countries (e.g. Austria, Baltic States, Czech Republic, Finland, Norway, Poland, Slovakia) have used different quarantine and/or confinement times and methods and none have performed as many early tests as Germany. Among other factors that may be significant are the dietary habits. It seems that some foods largely used in these countries may reduce angiotensin-converting enzyme activity or are anti-oxidants. Among the many possible areas of research, it might be important to understand diet and angiotensin-converting enzyme-2 (ACE2) levels in populations with different COVID-19 death rates since dietary interventions may be of great benefit.Peer reviewe

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe