Childhood polycythemia vera and essential thrombocythemia: Does their pathogenesis overlap with that of adult patients?

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Showcasing a Barren Plateau Theory Beyond the Dynamical Lie Algebra

Barren plateaus have emerged as a pivotal challenge for variational quantum computing. Our understanding of this phenomenon underwent a transformative shift with the recent introduction of a Lie algebraic theory capable of explaining most sources of barren plateaus. However, this theory requires either initial states or observables that lie in the circuit's Lie algebra. Focusing on parametrized matchgate circuits, in this work we are able to go beyond this assumption and provide an exact formula for the loss function variance that is valid for arbitrary input states and measurements. Our results reveal that new phenomena emerge when the Lie algebra constraint is relaxed. For instance, we find that the variance does not necessarily vanish inversely with the Lie algebra's dimension. Instead, this measure of expressiveness is replaced by a generalized expressiveness quantity: The dimension of the Lie group modules. By characterizing the operators in these modules as products of Majorana operators, we can introduce a precise notion of generalized globality and show that measuring generalized-global operators leads to barren plateaus. Our work also provides operational meaning to the generalized entanglement as we connect it with known fermionic entanglement measures, and show that it satisfies a monogamy relation. Finally, while parameterized matchgate circuits are not efficiently simulable in general, our results suggest that the structure allowing for trainability may also lead to classical simulability.Comment: 5+26 pages, 2+1 figure

Parallel-in-time quantum simulation via Page and Wootters quantum time

In the past few decades, researchers have created a veritable zoo of quantum algorithm by drawing inspiration from classical computing, information theory, and even from physical phenomena. Here we present quantum algorithms for parallel-in-time simulations that are inspired by the Page and Wooters formalism. In this framework, and thus in our algorithms, the classical time-variable of quantum mechanics is promoted to the quantum realm by introducing a Hilbert space of "clock" qubits which are then entangled with the "system" qubits. We show that our algorithms can compute temporal properties over $N$ different times of many-body systems by only using $\log(N)$ clock qubits. As such, we achieve an exponential trade-off between time and spatial complexities. In addition, we rigorously prove that the entanglement created between the system qubits and the clock qubits has operational meaning, as it encodes valuable information about the system's dynamics. We also provide a circuit depth estimation of all the protocols, showing an exponential advantage in computation times over traditional sequential in time algorithms. In particular, for the case when the dynamics are determined by the Aubry-Andre model, we present a hybrid method for which our algorithms have a depth that only scales as $\mathcal{O}(\log(N)n)$. As a by product we can relate the previous schemes to the problem of equilibration of an isolated quantum system, thus indicating that our framework enable a new dimension for studying dynamical properties of many-body systems.Comment: 19+15 pages, 18+1 figure

Lipid Exchange between Borrelia burgdorferi and Host Cells

Borrelia burgdorferi, the agent of Lyme disease, has cholesterol and cholesterol-glycolipids that are essential for bacterial fitness, are antigenic, and could be important in mediating interactions with cells of the eukaryotic host. We show that the spirochetes can acquire cholesterol from plasma membranes of epithelial cells. In addition, through fluorescent and confocal microscopy combined with biochemical approaches, we demonstrated that B. burgdorferi labeled with the fluorescent cholesterol analog BODIPY-cholesterol or 3H-labeled cholesterol transfer both cholesterol and cholesterol-glycolipids to HeLa cells. The transfer occurs through two different mechanisms, by direct contact between the bacteria and eukaryotic cell and/or through release of outer membrane vesicles. Thus, two-way lipid exchange between spirochetes and host cells can occur. This lipid exchange could be an important process that contributes to the pathogenesis of Lyme disease

Hereditary thrombocytosis caused by MPLSer505Asn is associated with a high thrombotic risk, splenomegaly and progression to bone marrow fibrosis.

Background The MPL(Ser505Asn) mutation has been reported to be a cause of hereditary thrombocythemia. Recently, we detected this mutation in a large proportion of children with familial thrombocythemia, suggesting that in Italy the incidence of MPL(Ser505Asn) mutation could be underestimated. DESIGN AND METHODS: We extended the search for this mutation to all patients with essential thrombocythemia who had a positive family history for thrombocytosis or essential thrombocythemia. We identified eight Italian families positive for the MPL(Ser505Asn) mutation. Clinical and hematologic data were available for members of seven families, including 21 patients with a proven mutation and 20 relatives with thrombocytosis. RESULTS: Fifteen major thrombotic episodes, nine of which were fatal, were recorded among 41 patients. The thrombotic manifestation was stroke in four cases, myocardial infarction in seven cases, fetal loss in two cases, deep vein thrombosis of the leg in one case and Budd Chiari syndrome in one case. Almost all patients over 20 years old had splenomegaly and bone marrow fibrosis, while these were rarely observed in patients under 20 years old, suggesting that these manifestations are associated with aging. Finally, the life expectancy of family members with thrombocytosis was significantly shorter than that of members without thrombocytosis (P=0.003). Conclusions Patients with familial thrombocytosis caused by a MPL(Ser505Asn) mutation have a high risk of thrombosis and, with aging, develop splenomegaly and bone marrow fibrosis, significantly affecting their life expectancy

Multicenter randomized study on the comparison between electronic and traditional chest drainage systems

Background: In patients submitted to major pulmonary resection, the postoperative length of stay is mainly influenced by the duration of air leaks and chest tube removal. The measurement of air leaks largely relies on traditional chest drainage systems which are prone to subjective interpretation. Difficulty in differentiating between active air leaks and bubbles due to a pleural space effect may also lead to tentative drain clamping and prolonged time for chest drain removal. New digital systems allow continuous monitoring of air leaks, identifying subtle leakage that may be not visible during daily patient evaluation. Moreover, an objective assessment of air leaks may lead to a reduced interobserver variability and to an optimized timing for chest tube removal. Methods: This study is a prospective randomized, interventional, multicenter trial designed to compare an electronic chest drainage system (Drentech\u2122 Palm Evo) with a traditional system (Drentech\u2122 Compact) in a cohort of patients undergoing pulmonary lobectomy through a standard three-port video-assisted thoracic surgery approach for both benign and malignant disease. The study will enroll 382 patients in three Italian centers. The duration of chest drainage and the length of hospital stay will be evaluated in the two groups. Moreover, the study will evaluate whether the use of a digital chest system compared with a traditional system reduces the interobserver variability. Finally, it will evaluate whether the digital drain system may help in distinguishing an active air leak from a pleural space effect, by the digital assessment of intrapleural differential pressure, and in identifying potential predictors of prolonged air leaks. Discussion: To date, few studies have been performed to evaluate the clinical impact of digital drainage systems. The proposed prospective randomized trial will provide new knowledge to this research area by investigating and comparing the difference between digital and traditional chest drain systems. In particular, the objectives of this project are to evaluate the feasibility and usefulness of digital chest drainages and to provide new tools to identify patients at higher risk of developing prolonged air leaks. Trial registration: ClinicalTrials.gov, NCT03536130. Retrospectively registered on 24 May 2018