35 research outputs found
High-power collective charging of a solid-state quantum battery
Quantum information theorems state that it is possible to exploit collective
quantum resources to greatly enhance the charging power of quantum batteries
(QBs) made of many identical elementary units. We here present and solve a
model of a QB that can be engineered in solid-state architectures. It consists
of two-level systems coupled to a single photonic mode in a cavity. We
contrast this collective model ("Dicke QB"), whereby entanglement is genuinely
created by the common photonic mode, to the one in which each two-level system
is coupled to its own separate cavity mode ("Rabi QB"). By employing exact
diagonalization, we demonstrate the emergence of a quantum advantage in the
charging power of Dicke QBs, which scales like for .Comment: 8 pages, 5 figures. Version v2 supersedes version v1 where a
technical mistake was done in using the Holstein-Primakoff transformation.
The quantum advantage in the maximum charging power discussed in version v1
has been found to be robust. We have also updated the list of author
Extractable work, the role of correlations, and asymptotic freedom in quantum batteries
We investigate a quantum battery made of N two-level systems, which is
charged by an optical mode via an energy-conserving interaction. We quantify
the fraction E(N) of energy stored in the B battery that can be extracted in
order to perform thermodynamic work. We first demonstrate that E(N) is highly
reduced by the presence of correlations between the charger and the battery or
B between the two-level systems composing the battery. We then show that the
correlation-induced suppression of extractable energy, however, can be
mitigated by preparing the charger in a coherent optical state. We conclude by
proving that the charger-battery system is asymptotically free of such locking
correlations in the N \to \infty limit.Comment: 5+4 page
Oral Secondary Syphilis in an HIV-Positive Transgender Patient: A Case Report and Review of the Literature
Background: Syphilis is a worldwide sexually transmitted infection caused by Treponema pallidum. In most cases, the oral manifestations of syphilis infection are associated with cutaneous involvement. However, the present case report is noteworthy since the oral lesions are the sole clinical sign in an HIV-positive transgender patient. Case presentations: We reported an uncommon case of secondary syphilis in a 37-year-old seropositive transgender male, whose diagnostic suspect was based only on oral mucosal lesions. The patient was referred to the Oral Medicine Unit for the presence of multiple undiagnosed painful oral lesions. The intraoral examination revealed the presence of white and red plaques on the right and the left buccal mucosa and several painful lesions localized on the upper and lower labial mucosa. No cutaneous lesions were observed. Considering the sexual history of the patient and clinical findings, secondary syphilis infection was suspected. The serologic analysis was conducted, and the diagnosis of syphilis was confirmed. Moreover, to exclude the presence of oral epithelial dysplasia or malignant disease, an incisional biopsy was performed. Discussion: Compared to the literature data, oral lesions as lone signs of secondary syphilis infection are uncommon, especially in HIV-positive patients. Syphilis and HIV coinfection create a concerning situation as they interact synergistically, leading to an increased risk of transmission and faster disease progression. Conclusions: This case report emphasizes the importance of considering syphilis as a diagnostic possibility, even when oral lesions are the only clinical manifestations, especially in HIV-positive patients. Comprehensive evaluation, including a detailed sexual history and careful oral examination, is essential for accurate diagnosis and appropriate management in such cases
Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world
Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic.
Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality.
Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States.
Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis.
Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
Abstract
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries
Percutaneous treatment of ventricular tachycardia, perimembranous ventricular septal defect and patent foramen ovale: a case report.
Crescita vegetative ed aspetti ecofisiologici in giovani piante di olivo inoculate con il virus associato all’ingiallimento fogliare (OLYaV).
Quantum resources for energy storage
Recently the possibility to exploit quantum-mechanical effects to increase the performance of energy storage has raised a great interest. It consists of N two-level systems coupled to a single photonic mode in a cavity. We demonstrate the emergence of a quantum advantage in the charging power on this collective model (Dicke Quantum Battery) with respect to the one in which each two-level system is coupled to its own separate cavity mode (Rabi Quantum Battery). Moreover, we discuss the model of a Quantum Supercapacitor. This consists of two chains, one containing electrons and the other one holes, hosted by arrays of double quantum dots. The two chains are in close proximity and embedded in the same photonic cavity, in the same spirit of the Dicke model. We find the phase diagram of this model showing that, when transitioning from the ferro/antiferromagnetic to the superradiant phase, the quantum capacitance of the model is greatly enhanced