83 research outputs found
An Erd\"os--R\'ev\'esz type law of the iterated logarithm for order statistics of a stationary Gaussian process
Let be a stationary Gaussian process with almost
surely (a.s.) continuous sample paths, , and correlation function satisfying (i) as for some , (ii) and (iii) as
for some . For any , consider mutually independent
copies of and denote by the th smallest order
statistics process, . We provide a tractable criterion for
assessing whether, for any positive, non-decreasing function , equals 0 or 1.
Using this criterion we find that, for a family of functions , such
that , , . Consequently, with , for , and
a.s.. Complementary, we prove an
Erd\"os-R\'ev\'esz type law of the iterated logarithm lower bound on
, i.e., a.s., ,
a.s., , where
Estimation of the survival probabilities in hypothermic cardiac arrest patients with drowning: The HOPE score as a tool to help selecting patients for extracorporeal rewarming.
On the unitarity of higher-dervative and nonlocal theories
We consider two simple models of higher-derivative and nonlocal quantu
systems.It is shown that, contrary to some claims found in literature, they can
be made unitary.Comment: 8 pages, no figure
The Efficacy of Renal Replacement Therapy for Rewarming of Patients in Severe Accidental Hypothermia-Systematic Review of the Literature.
Renal replacement therapy (RRT) can be used to rewarm patients in deep hypothermia. However, there is still no clear evidence for the effectiveness of RRT in this group of patients. This systematic review aims to summarize the rewarming rates during RRT in patients in severe hypothermia, below or equal to 32 °C.
This systematic review was registered in the PROSPERO International Prospective Register of Systematic Reviews (identifier CRD42021232821). We searched Embase, Medline, and Cochrane databases using the keywords hypothermia, renal replacement therapy, hemodialysis, hemofiltration, hemodiafiltration, and their abbreviations. The search included only articles in English with no time limit, up until 30 June 2021.
From the 795 revised articles, 18 studies including 21 patients, were selected for the final assessment and data extraction. The mean rate of rewarming calculated for all studies combined was 1.9 °C/h (95% CI 1.5-2.3) and did not differ between continuous (2.0 °C/h; 95% CI 0.9-3.0) and intermittent (1.9 °C/h; 95% CI 1.5-2.3) methods (p > 0.9).
Based on the reviewed literature, it is currently not possible to provide high-quality recommendations for RRT use in specific groups of patients in accidental hypothermia. While RRT appears to be a viable rewarming strategy, the choice of rewarming method should always be determined by the specific clinical circumstances, the available resources, and the current resuscitation guidelines
Gaussian queues in light and heavy traffic
In this paper we investigate Gaussian queues in the light-traffic and in the
heavy-traffic regime. The setting considered is that of a centered Gaussian
process with stationary increments and variance
function , equipped with a deterministic drift ,
reflected at 0: We
study the resulting stationary workload process
in the limiting regimes (heavy
traffic) and (light traffic). The primary contribution is that we
show for both limiting regimes that, under mild regularity conditions on the
variance function, there exists a normalizing function such that
converges to a non-trivial
limit in
Development of the interatrial wall during the ontogenesis of foetuses and children up to one year of age
Background: The foramen ovale, present in foetal interatrial septum, plays an important role during foetal life. During delivery, foramen ovale closes and becomes fossa ovalis, starting the pulmonary circulation. The aim of our study was to describe the growth of the interatrial wall and changes in location of the foramen ovale, and fossa ovalis during the ontogenesis in the human hearts.Materials and methods: The study was performed on post-mortem material obtained from 92 human hearts from 22nd week of foetal life up to 1 year of age, fixed in a 4% formalin solution.Results: The interatrial wall size in the studied development period was greater in the horizontal than in the vertical dimension. During ontogenesis up to 1 year old, the anterior and inferior parts of the interatrial wall increased their shares considerably by 8% and 6%, respectively. The percentage participation of foramen ovale in the interatrial wall construction in the foetal period formed more than 50% of its size and fairly decreased reaching in infants about 39%.Conclusions: Our study demonstrated that during ontogenesis, from the foetal period to infancy, the parts of the interatrial wall increase their dimensions unevenly. The foramen ovale growth is smaller, compared to the rest of the interatrial wall development. On the basis of our data we can assume that the foramen ovale centre tends to be found in the postero-inferior quadrant of the interatrial wall (foetuses) and in postero-superior quadrant of the interatrial wall — in infants
Prognosis of Hypothermic Patients Undergoing ECLS Rewarming-Do Alterations in Biochemical Parameters Matter?
While ECLS is a highly invasive procedure, the identification of patients with a potentially good prognosis is of high importance. The aim of this study was to analyse changes in the acid-base balance parameters and lactate kinetics during the early stages of ECLS rewarming to determine predictors of clinical outcome.
This single-centre retrospective study was conducted at the Severe Hypothermia Treatment Centre at John Paul II Hospital in Krakow, Poland. Patients ≥18 years old who had a core temperature (Tc) < 30 °C and were rewarmed with ECLS between December 2013 and August 2018 were included. Acid-base balance parameters were measured at ECLS implantation, at Tc 30 °C, and at 2 and 4 h after Tc 30 °C. The alteration in blood lactate kinetics was calculated as the percent change in serum lactate concentration relative to the baseline.
We included 50 patients, of which 36 (72%) were in cardiac arrest. The mean age was 56 ± 15 years old, and the mean Tc was 24.5 ± 12.6 °C. Twenty-one patients (42%) died. Lactate concentrations in the survivors group were significantly lower than in the non-survivors at all time points. In the survivors group, the mean lactate concentration decreased -2.42 ± 4.49 mmol/L from time of ECLS implantation until 4 h after reaching Tc 30 °C, while in the non-survivors' group (p = 0.024), it increased 1.44 ± 6.41 mmol/L.
Our results indicate that high lactate concentration is associated with a poor prognosis for hypothermic patients undergoing ECLS rewarming. A decreased value of lactate kinetics at 4 h after reaching 30 °C is also associated with a poor prognosis
On the infimum attained by a reflected L\'evy process
This paper considers a L\'evy-driven queue (i.e., a L\'evy process reflected
at 0), and focuses on the distribution of , that is, the minimal value
attained in an interval of length (where it is assumed that the queue is in
stationarity at the beginning of the interval). The first contribution is an
explicit characterization of this distribution, in terms of Laplace transforms,
for spectrally one-sided L\'evy processes (i.e., either only positive jumps or
only negative jumps). The second contribution concerns the asymptotics of
\prob{M(T_u)> u} (for different classes of functions and large);
here we have to distinguish between heavy-tailed and light-tailed scenarios
Convergence of the all-time supremum of a L\'evy process in the heavy-traffic regime
In this paper we derive a technique of obtaining limit theorems for suprema
of L\'evy processes from their random walk counterparts. For each , let
be a sequence of independent and identically distributed
random variables and be a L\'evy processes such that
, and as . Let .
Then, under some mild assumptions, , for some random variable and some function
. We utilize this result to present a number of limit theorems
for suprema of L\'evy processes in the heavy-traffic regime
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