Maps on density operators preserving quantum f-divergences

For an arbitrary strictly convex function f defined on the non-negative real line we determine the structure of all transformations on the set of density operators which preserve the quantum f-divergence

Does the availability of snack foods in supermarkets vary internationally?

BackgroundCross-country differences in dietary behaviours and obesity rates have been previously reported. Consumption of energy-dense snack foods and soft drinks are implicated as contributing to weight gain, however little is known about how the availability of these items within supermarkets varies internationally. This study assessed variations in the display of snack foods and soft drinks within a sample of supermarkets across eight countries.MethodsWithin-store audits were used to evaluate and compare the availability of potato chips (crisps), chocolate, confectionery and soft drinks. Displays measured included shelf length and the proportion of checkouts and end-of-aisle displays containing these products. Audits were conducted in a convenience sample of 170 supermarkets across eight developed nations (Australia, Canada, Denmark, Netherlands, New Zealand, Sweden, United Kingdom (UK), and United States of America (US)).ResultsThe mean total aisle length of snack foods (adjusted for store size) was greatest in supermarkets from the UK (56.4 m) and lowest in New Zealand (21.7 m). When assessed by individual item, the greatest aisle length devoted to chips, chocolate and confectionery was found in UK supermarkets while the greatest aisle length dedicated to soft drinks was in Australian supermarkets. Only stores from the Netherlands (41%) had less than 70% of checkouts featuring displays of snack foods or soft drinks.ConclusionWhilst between-country variations were observed, overall results indicate high levels of snack food and soft drinks displays within supermarkets across the eight countries. Exposure to snack foods is largely unavoidable within supermarkets, increasing the likelihood of purchases and particularly those made impulsively.<br /

Varicella-zoster virus infections in immunocompromised patients - a single centre 6-years analysis

Background: Infection with varicella-zoster virus (VZV) contemporaneously with malignant disease or immunosuppression represents a particular challenge and requires individualized decisions and treatment. Although the increasing use of varicella-vaccines in the general population and rapid initiation of VZVimmunoglobulins and acyclovir in case of exposure has been beneficial for some patients, immunocompromised individuals are still at risk for unfavourable courses. Methods: In this single center, 6-year analysis we review incidence, hospitalization and complication rates of VZVinfections in our center and compare them to published data. Furthermore, we report three instructive cases. Results: Hospitalization rate of referred children with VZV-infections was 45%, among these 17% with malignancies and 9% under immunosuppressive therapy. Rate of complications was not elevated in these two high-risk cohorts, but one ALL-patient died due to VZV-related complications. We report one 4-year old boy with initial diagnosis of acute lymphoblastic leukemia who showed a rapidly fatal outcome of his simultaneous varicella-infection, one 1.8-year old boy with an identical situation but a mild course of his disease, and an 8.5-year old boy with a steroiddependent nephrotic syndrome. This boy developed severe hepatic involvement during his varicella-infection but responded to immediate withdrawl of steroids and administration of acyclovir plus single-dose cidofovir after nonresponse to acyclovir after 48 h. Conclusion: Our data show that patients with malignant diseases or immunosuppressive therapy should be hospitalized and treated immediately with antiviral agents. Despite these measures the course of VZV-infections can be highly variable in these patients. We discuss aids to individual decision-making for these difficult situations

Oxygen and Nitrogen in Leo A and GR 8

We present elemental abundances for multiple HII regions in Leo A and GR 8 obtained from long slit optical spectroscopy of these two nearby low luminosity dwarf irregular galaxies. As expected from their luminosities, and in agreement with previous observations, the derived oxygen abundances are extremely low in both galaxies. High signal-to-noise ratio observations of a planetary nebula in Leo A yield 12 + log(O/H) = 7.30 +/- 0.05; "semi-empirical" calculations of the oxygen abundance in four HII regions in Leo A indicate 12 + log(O/H) = 7.38 +/- 0.10. These results confirm that Leo A has one of the lowest ISM metal abundances of known nearby galaxies. Based on results from two HII regions with high signal-to-noise measurements of the weak [O III] 4363 line, the mean oxygen abundance of GR 8 is 12 + log(O/H) = 7.65 +/- 0.06; using "empirical" and "semi-empirical" methods, similar abundances are derived for 6 other GR 8 HII regions. Similar to previous results in other low metallicity galaxies, the mean log(N/O) = -1.53 +/- 0.09 for Leo A and -1.51 +/- 0.07 for GR 8. There is no evidence of significant variations in either O/H or N/O in the HII regions. The metallicity-luminosity relation for nearby (D < 5 Mpc) dwarf irregular galaxies with measured oxygen abundances has a mean correlation of 12 + log(O/H) = 5.67 - 0.151 M_B with a dispersion in oxygen about the relationship of 0.21. These observations confirm that gas-rich low luminosity galaxies have extremely low elemental abundances in the ionized gas-phase of their interstellar media. Although Leo A has one of the lowest metal abundances of known nearby galaxies, detection of tracers of an older stellar population indicate that it is not a newly formed galaxy as has been proposed for some other similarly low metallicity star forming galaxies.Comment: 36 pages, 7 figures. Accepted to Ap

Rotationally Supported Virgo Cluster Dwarf Elliptical Galaxies: Stripped Dwarf Irregular Galaxies?

New observations of 16 dwarf elliptical galaxies in the Virgo Cluster indicate that at least seven dEs have significant velocity gradients along their optical major axis, with typical rotation amplitudes of 20-30 km/s. Of the remaining nine galaxies in this sample, 6 have velocity gradients less than 20 km/s kpc^{-1} while the other 3 observations had too low of a signal--to--noise ratio to determine an accurate velocity gradient. Typical velocity dispersions for these galaxies are ~44 +/- 5 km/s, indicating that rotation can be a significant component of the stellar dynamics of Virgo dEs. When corrected for the limited spatial extent of the spectral data, the rotation amplitudes of the rotating dEs are comparable to those of similar brightness dIs. Evidence for a relationship between the rotation amplitude and galaxy luminosity is found, and, in fact, agrees well with the Tully-Fisher relation. The similarity in the scaling relations of dIs and dEs implies that it is unlikely that dEs evolve from significantly more luminous galaxies. These observations reaffirm the possibility that some cluster dwarf elliptical galaxies may be formed when the neutral gaseous medium is stripped from dwarf irregular galaxies in the cluster environment. We hypothesize that several different mechanisms are involved in the creation of the overall population of dE galaxies, and that stripping of infalling dIs may be the dominant process in the creation of dEs in clusters like Virgo.Comment: 33 pages, 8 figures (1 color). Published in A

The arrival of biosimilar monoclonal antibodies in oncology: clinical studies for trastuzumab biosimilars

The monoclonal antibody trastuzumab (Herceptin®), which targets the human epidermal growth factor receptor 2 (HER2), is approved for the treatment of early breast and advanced breast and gastric cancer in which HER2 is overexpressed. Several biosimilar versions of trastuzumab are expected to enter the European market over the course of 2018 and 2019. The biosimilar development pathway consists of a comprehensive comparability exercise between the biosimilar candidate and the reference product, primarily focussing on data from analytical studies. Clinical studies for biosimilar candidates follow a different design to those for a new biological, as the aim is not to independently establish clinical benefit, but to confirm biosimilarity between the two agents. The different trastuzumab biosimilar candidates have followed diverse pathways in their clinical development, with differences in clinical trial design (equivalence or non-inferiority design), patient population (those with metastatic or early breast cancer) and endpoint (overall response rate or pathological complete response). These differences in approach in phase 3 testing must be viewed in the totality of evidence demonstrating biosimilarity. Adequate information on the biosimilar approval pathway, the nature of the biosimilarity exercise and how the clinical development of a biosimilar is tailored to meet the licensing requirements can help informed decision making in clinical practice

Stellar Populations of Dwarf Elliptical Galaxies: UBVRI Photometry of Dwarf Elliptical Galaxies in the Virgo Cluster

We present UBVRI surface photometry for 16 dwarf elliptical galaxies in the Virgo Cluster with previously measured kinematic properties. The global optical colors are red, with median values for the sample of 0.24 +/- 0.03 in (U-B), 0.77 +/- 0.02 in (B-V), and 1.02 +/- 0.03 in (V-I). We recover the well known color-magnitude relation for cluster galaxies, but find no significant difference in dominant stellar population between rotating and non-rotating dwarf elliptical galaxies; the average age of the dominant stellar population is 5-7 Gyr in all 16 galaxies in this sample. Analysis of optical spectra confirm these age estimates and indicate Fe and Mg abundances in the range of 1/20th to 1/3 of solar, as expected for low luminosity galaxies. Based on Lick indices and simple stellar population models, the derived [alpha/Fe] ratios are sub-solar to solar, indicating a more gradual chemical enrichment history for dEs as compared to giant elliptical galaxies in the Virgo Cluster. These observations confirm the marked difference in stellar population and stellar distribution between dwarf and giant elliptical galaxies and further substantiate the need for alternative evolutionary scenarios for the lowest mass cluster galaxies. We argue that it is likely that several different physical mechanisms played a significant role in the production of the Virgo cluster dE galaxies including in situ formation, infall of dEs that were once part of Local Group analogs, and transformation of dwarf irregular galaxies by the cluster environment. The observations support the hypothesis that a large fraction of the Virgo cluster dEs are formed by ram pressure stripping of gas from infalling dIs.Comment: 37 pages, 8 figures (2 color). Accepted to AJ (scheduled for Dec. 2004

Defining the timing of respiratory syncytial virus (RSV) outbreaks: an epidemiological study

BACKGROUND: Seasonal RSV infections occur every year and affect particularly children under six months of age. Passive immunoprophylaxis with monoclonal antibody Palivizumab is recommended in the period with high risk of RSV infection. This study aims to define the period for the southern part of Germany (Stuttgart area). METHODS: Epidemiological analysis of the RSV situation in southern Germany from 1996 to 2004 and comparison of results with literature was made. The respiratory tract specimens were sent in for the detection of RSV mainly by paediatric clinics. Detection of RSV was carried out mainly by real-time RT-PCR or by ELISA "Pathfinder". RSV outbreaks were depicted as an absolute number and as a percentage of RSV diagnoses in a month. Onsets, offsets, peaks, duration and severity of RSV seasons were defined and analysed. RESULTS: An early season with strong RSV activity (early-high phase) was followed by a weaker late season (late-low phase) in a regular biennial rhythm. However, onsets, offsets and durations of outbreaks varied significantly from year to year. RSV epidemics in southern Germany were found to oscillate in an antiphase with RSV epidemics in Finland and Sweden. CONCLUSION: The long-term regular biennial rhythm allows predicting whether the next outbreak will be late or early and whether RSV activity will be strong or weak. Not foreseeable, however, is the precise time of increase and decrease of RSV activity. Moreover, the regular seasonal pattern may be disrupted by irregular outbreaks. Thus, activity of RSV has to be monitored every year to define the period with high risk of infection

A host signature based on TRAIL, IP-10, and CRP for reducing antibiotic overuse in children by differentiating bacterial from viral infections: a prospective, multicentre cohort study

Objectives: Identifying infection aetiology is essential for appropriate antibiotic use. Previous studies have shown that a host-protein signature consisting of TNF-related apoptosis-induced ligand (TRAIL), interferon-γ-induced protein-10 (IP-10), and C-reactive protein (CRP) can accurately differentiate bacterial from viral infections. Methods: This prospective, multicentre cohort study, entitled AutoPilot-Dx, aimed to validate signature performance and to estimate its potential impact on antibiotic use across a broad paediatric population (&gt;90 days to 18 years) with respiratory tract infections, or fever without source, at emergency departments and wards in Italy and Germany. Infection aetiology was adjudicated by experts based on clinical and laboratory investigations, including multiplex PCR and follow-up data. Results: In total, 1140 patients were recruited (February 2017–December 2018), of which 1008 met the eligibility criteria (mean age 3.5 years, 41.9% female). Viral and bacterial infections were adjudicated for 628 (85.8%) and 104 (14.2%) children, respectively; 276 patients were assigned an indeterminate reference standard outcome. For the 732 children with reference standard aetiology, the signature discriminated bacterial from viral infections with a sensitivity of 93.7% (95%CI 88.7–98.7), a specificity of 94.2% (92.2–96.1), positive predictive value of 73.0% (65.0–81.0), and negative predictive value of 98.9% (98.0–99.8); in 9.8% the test results were equivocal. The signature performed consistently across different patient subgroups and detected bacterial immune responses in viral PCR-positive patients. Conclusions: The findings validate the high diagnostic performance of the TRAIL/IP-10/CRP signature in a broad paediatric cohort, and support its potential to reduce antibiotic overuse in children with viral infections

Empirical Phi-Discrepancies and Quasi-Empirical Likelihood: Exponential Bounds

We review some recent extensions of the so-called generalized empirical likelihood method, when the Kullback distance is replaced by some general convex divergence. We propose to use, instead of empirical likelihood, some regularized form or quasi-empirical likelihood method, corresponding to a convex combination of Kullback and χ2 discrepancies. We show that for some adequate choice of the weight in this combination, the corresponding quasi-empirical likelihood is Bartlett-correctable. We also establish some non-asymptotic exponential bounds for the confidence regions obtained by using this method. These bounds are derived via bounds for self-normalized sums in the multivariate case obtained in a previous work by the authors. We also show that this kind of results may be extended to process valued infinite dimensional parameters. In this case some known results about self-normalized processes may be used to control the behavior of generalized empirical likelihood