Association Between Eosinophilia and Late-onset Circulatory Collapse in Preterm Infants: A case-Control Study

Late-onset circulatory collapse (LCC) in preterm infants is presumably caused by relative adrenal insufficiency. Because eosinophilia is known to be associated with adrenal insufficiency, we attempted to clarify the relation-ship between eosinophilia and LCC in preterm infants. We divided the cases of the infants (born at < 28 weeks’ gestation) admitted to our neonatal intensive care unit in 2008-2010 into 2 groups: those diagnosed with LCC that received glucocorticoids (LCC group), and those who did not receive glucocorticoids (control group). We compared eosinophil counts between the 2 groups and between before and after glucocorticoid treatment in the LCC group. A total of 28 infants were examined: LCC group (n = 12); control group (n = 16). The peak eosin-ophil counts of the LCC group were significantly higher than those of the control group (median: 1.392 × 109/L vs. 1.033 × 109/L, respectively; p = 0.02). Additionally, in the LCC group, the eosinophil counts declined significantly after glucocorticoid treatment (0.877 × 109/L vs. 0.271 × 109/L, p = 0.003). Eosinophil counts in the LCC group were significantly higher than in the control group and decreased rapidly after gluco-corticoid treatment. These results indicate that eosinophilia may be a factor associated with LCC caused by adrenal insufficiency

Nutrition in aneurysm clipping

Aneurysmal subarachnoid hemorrhage (SAH) is a serious clinical event associated with high mortality and, among survivors, serious morbidity. Maintaining the muscle volume in SAH patients is essential, as rehabilitation is often required after intensive care. In this study, we investigated whether proper nutritional administration improved clinical outcomes based on patients laboratory data and level of activities of daily living. This retrospective study was carried out on 250 consecutive SAH patients who underwent craniotomy within 72 hours of onset from February 2005 to June 2018. Finally, 75 patients with a BMI < 22 kg / m2 were included. We compared postoperative energy and protein intake in relation to measures of biochemical parameters and modified Rankin Scale at discharge. Serum Alb concentrations at 25-35 hospital days was significantly improved by postoperative energy intake of ≥ 25 kcal / kg and protein intake of ≥ 0.8 g / kg per day beginning 3 days. High serum Alb concentrations at 25-35 hospital days following the start of this intake were independent factors for good prognosis. This study suggests that the minimum postoperative nutritional intake per day for SAH patients undergoing aneurysmal clipping is 25 kcal / kg of energy and 0.8 g / kg of protein. Higher serum Alb concentrations corresponded to improved long-term functional outcome

Coarse-graining and Self-similarity of Price Fluctuations

We propose a new approach for analyzing price fluctuations in their strongly correlated regime ranging from minutes to months. This is done by employing a self-similarity assumption for the magnitude of coarse-grained price fluctuation or volatility. The existence of a Cramer function, the characteristic function for self-similarity, is confirmed by analyzing real price data from a stock market. We also discuss the close interrelation among our approach, the scaling-of-moments method and the multifractal approach for price fluctuations.Comment: 9 pages, 3 figure

Improved Superconducting Magnetic Energy Storage (SMES) Controller for High Power Utility Applications

Superconducting magnetic energy storage (SMES) systems are getting increasing interest in applications of power flow stabilization and control in the transmission network level. This trend is mainly supported by the rising integration of large-scale renewable energy power plants into the high-power utility system and by major features of SMES units. In a SMES system, the power conditioning system (PCS) is the crucial component for controlling the power exchange between the superconducting coil and the ac system. The dynamics of the PCS directly influences the validity of the SMES in the dynamic control of the power system. This paper describes a novel PCS scheme of SMES to simultaneously perform both active and reactive power flow controls. Moreover, a detailed model of the SMES unit is derived and a three-level control scheme is designed, comprising a full decoupled current control strategy in the dq reference frame with a novel controller to prevent PCS dc bus capacitors voltage drift/imbalance. The dynamic performances of the proposed systems are fully validated by computer simulation.Fil: Molina, Marcelo Gustavo. Universidad Nacional de San Juan. Facultad de Ingeniería. Instituto de Energía Eléctrica; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - San Juan; ArgentinaFil: Mercado, Pedro Enrique. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Hirokazu Watanabe, Edson. Universidade Federal do Rio de Janeiro; Brasi

"Communication and Coordination in Organizations" (in Japanese)

This paper analyzes a model of coordination where two agents attempt to coordinate their actions through communication. One agent (Sender) is engaged in finding the true state of nature in a stochastic environment and the action that best fits the state. The other agent (Receiver) in turn tries to ``understand'' the Sender's message and chooses his own action. Since the communication succeeds only probilistically, so does the coordination. In our model, two different modes of coordination are identified: the integral-type coordination based on the communication of soft information and the default-type coordination based on the predetermined default value. We find that the agents might choose the latter mode of coordination when the cost arising from the failed communication is high relative to the benefit from coordinating on the state-contingent best actions. Applications to the economics of organization are also discussed.