530 research outputs found
A precise description of the p-adic valuation of the number of alternating sign matrices
Following Sun and Moll, we study v_p(T(N)), the p-adic valuation of the
counting function of the alternating sign matrices. We find an exact analytic
expression for it that exhibits the fluctuating behaviour, by means of Fourier
coefficients. The method is the Mellin-Perron technique, which is familiar in
the analysis of the sum-of-digits function and related quantities
A low noise 410-495 heterodyne two tuner mixer, using submicron Nb/Al2O3/Nb tunneljunctions
A 410-495 GHz heterodyne receiver, with an array of two Nb/Al2O3/Nb tunneljunctions as mixing element is described. The noise temperature of this receiver is below 230 K (DSB) over the whole frequency range, and has lowest values of 160 K in the 435-460 GHz range. The calculated DSB mixergain over the whole frequency range varies from -11.9 plus or minus 0.6 dB to -12.6 plus or minus 0.6 dB and the mixer noise is 90 plus or minus 30 K
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The good, the bad and the ugly: pandemic priority decisions and triage.
In this analysis we discuss the change in criteria for triage of patients during three different phases of a pandemic like COVID-19, seen from the critical care point of view. Availability of critical care beds has become a hot topic, and in many countries, we have seen a huge increase in the provision of temporary intensive care bed capacity. However, there is a limit where the hospitals may run out of resources to provide critical care, which is heavily dependent on trained staff, just-in-time supply chains for clinical consumables and drugs and advanced equipment. In the first (good) phase, we can still do clinical prioritisation and decision-making as usual, based on the need for intensive care and prognostication: what are the odds for a good result with regard to survival and quality of life. In the next (bad phase), the resources are mostly available, but the system is stressed by many patients arriving over a short time period and auxiliary beds in different places in the hospital being used. We may have to abandon admittance of patients with doubtful prognosis. In the last (ugly) phase, usual medical triage and priority setting may not be sufficient to decrease inflow and there may not be enough intensive care unit beds available. In this phase different criteria must be applied using a utilitarian approach for triage. We argue that this is an important transition where society, and not physicians, must provide guidance to support triage that is no longer based on medical priorities alone
Evaluation of selected parameters of the antioxidative system in patients with type 2 diabetes in different periods of metabolic compensation
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