Optimal unambiguous discrimination of two subspaces as a case in mixed state discrimination

We show how to optimally unambiguously discriminate between two subspaces of a Hilbert space. In particular we suppose that we are given a quantum system in either the state \psi_{1}, where \psi_{1} can be any state in the subspace S_{1}, or \psi_{2}, where \psi_{2} can be any state in the subspace S_{2}, and our task is to determine in which of the subspaces the state of our quantum system lies. We do not want to make a mistake, which means that our procedure will sometimes fail if the subspaces are not orthogonal. This is a special case of the unambiguous discrimination of mixed states. We present the POVM that solves this problem and several applications of this procedure, including the discrimination of multipartite states without classical communication.Comment: 8 pages, replaced with published versio

Initial energy setting, outcome and efficiency in direct current cardioversion of atrial fibrillation and flutter

AbstractOBJECTIVESThe purpose of this study was to design a more efficient protocol for the electrical cardioversion of atrial arrhythmias.BACKGROUNDGuidelines for electrical cardioversion of atrial arrhythmias recommend starting with low energy shocks, which are often ineffective.METHODSWe recorded the sequence of shocks in 1,838 attempts at cardioversion for atrial fibrillation (AF) and 678 attempts at cardioversion for atrial flutter. These data were used to calculate the probability of success for each shock of a standard series and the probability of success with a single shock at each intensity. In 150 cases, a rhythm strip with the time of each shock allowed us to calculate the time expended on unsuccessful shocks.RESULTSWe analyzed the effects of 5,152 shocks delivered to patients for AF and 1,238 shocks delivered to patients for atrial flutter. The probability of success on the first shock in AF of >30 days duration was 5.5% at <200 J, 35% at 200 J and 56% at 360 J. In atrial flutter, an initial 100 J shock worked in 68%. In AF of >30 days duration, shocks of <200 J had a 6.1% probability of success; this fell to 2.2% with a duration >180 days. In those with AF for >180 days, the initial use of a 360 J shock was associated with the eventual use of less electrical energy than with an initial shock of ≤100 J (581 ± 316 J vs. 758 ± 433 J, p < 0.01, Mann-Whitney Utest).CONCLUSIONSAn initial energy setting of ≥360 J can achieve cardioversion of AF more efficiently in patients than traditional protocols, particularly with AF of longer duration

Identification and prioritisation of odorants within the volatile organic compounds (VOC) emissions from tunnel ventilated broiler houses in Australia

The continued expansion in population of established cities leads to rural encroachment, this rural encroachment results in a decline in the chief barrier against malodours, that of distance. Associated to the population growth is an increased demand upon primary industries to produce greater quantities of food stuffs to satisfy the consumers. Intensive livestock practices are one of the most effective ways to produce the quantity and consistent quality of livestock produce that is in increasing demand from the general population. However the operation of most intensive livestock operations results in an environmental impact that is often difficult to monitor and assess; that of their odour output. The production of broilers (meat chickens) is one example of intensive livestock practice that is under increasing pressure to minimise the impact that it has upon the surrounding environment with respect to odour production. Understanding the emissions from intensive livestock practices is the only way to develop guidelines for operators in order to minimise or at least understand the emissions of their facilities at different production cycle times. The Australian Poultry Cooperative Research Centre (P-CRC) is funding a significant project that is investigating the odour and dust emissions from typical mechanically (tunnel) ventilated poultry houses; one of the aspects of this project is the analysis of non-methane volatile organic compounds. The NMVOC analysis will be performed by collecting pumped sorbent tubes and subsequent assay using thermal desorption - gas chromatography - mass spectrometry (TD-GC-MS) and also thermal desorption - gas chromatography-mass spectrometry and olfactometry (TD-GC-MS/O.) The simultaneous detection using mass spectrometry and olfactometry allows for the odorants within the matrix to be identified and subsequently prioritised

Transvenous Lead Extraction: Work in Progress

Cardiac implantable electronic devices are the cornerstone of cardiac rhythm management, with a significant number of implantations annually. A rising prevalence of cardiac implantable electronic devices coupled with widening indications for device removal has fuelled a demand for transvenous lead extraction (TLE). With advancement of tools and techniques, the safety and efficacy profile of TLE has significantly improved since its inception. Despite these advances, TLE continues to carry risk of significant complications, including a superior vena cava injury and mortality. However, innovative approaches to lead extraction, including the use of the jugular and femoral accesses, offers potential for further gains in safety and efficacy. In this review, the indications and risks of TLE are discussed while examining the evolution of this procedure from simple traction to advanced methodologies, which have contributed to a significant improvement in safety and efficacy

Patterns and drivers of plant diversity across Australia

Biodiversity analyses across continental extents are important in providing comprehensive information on patterns and likely drivers of diversity. For vascular plants in Australia, community-level diversity analyses have been restricted by the lack of a consistent plot-based survey dataset across the continent. To overcome these challenges, we collated and harmonised plot-based vegetation survey data from the major data sources across Australia and used them as the basis for modelling species richness (α-diversity) and community compositional dissimilarity (β-diversity), standardised to 400 m2, with the aim of mapping diversity patterns and identifying potential environmental drivers. The harmonised Australian vegetation plot (HAVPlot) dataset includes 219 552 plots, of which we used 115 083 to analyse plant diversity. Models of species richness and compositional dissimilarity both explained approximately one-third of the variation in plant diversity across Australia (D2 = 33.0% and 32.7%, respectively). The strongest environmental predictors for both aspects of diversity were a combination of temperature and precipitation, with soil texture and topographic heterogeneity also important. The fine-resolution (≈ 90 m) spatial predictions of species richness and compositional dissimilarity identify areas expected to be of particular importance for plant diversity, including south-western Australia, rainforests of eastern Australia and the Australian Alps. Arid areas of central and western Australia are predicted to support assemblages that are less speciose or unique; however, these areas are most in need of additional survey data to fill the spatial, environmental and taxonomic gaps in the HAVPlot dataset. The harmonised data and model predictions presented here provide new insight into plant diversity patterns across Australia, enabling a wide variety of future research, such as exploring changes in species abundances, linking compositional patterns to functional traits or undertaking conservation assessments for selected components of the flora

Esophageal cooling for protection during left atrial ablation : a systematic review and meta-analysis

Thermal damage to the esophagus is a risk from radiofrequency (RF) ablation of the left atrium for the treatment of atrial fibrillation (AF). The most extreme type of thermal injury results in atrio-esophageal fistula (AEF) and a correspondingly high mortality rate. Various strategies for reducing esophageal injury have been developed, including power reduction, esophageal deviation, and esophageal cooling. One method of esophageal cooling involves the direct instillation of cold water or saline into the esophagus during RF ablation. Although this method provides limited heat-extraction capacity, studies of it have suggested potential benefit. We sought to perform a meta-analysis of published studies evaluating the use of esophageal cooling via direct liquid instillation for the reduction of thermal injury during RF ablation. We searched PubMed for studies that used esophageal cooling to protect the esophagus from thermal injury during RF ablation. We then performed a meta-analysis using a random effects model to calculate estimated effect size with 95% confidence intervals, with an outcome of esophageal lesions stratified by severity, as determined by post-procedure endoscopy. A total of 9 studies were identified and reviewed. After excluding preclinical and mathematical model studies, 3 were included in the meta-analysis, totaling 494 patients. Esophageal cooling showed a tendency to shift lesion severity downward, such that total lesions did not show a statistically significant change (OR 0.6, 95% CI 0.15 to 2.38). For high-grade lesions, a significant OR of 0.39 (95% CI 0.17 to 0.89) in favor of esophageal cooling was found, suggesting that esophageal cooling, even with a low-capacity thermal extraction technique, reduces the severity of lesions resulting from RF ablation. Esophageal cooling reduces the severity of the lesions that may result from RF ablation, even when relatively low heat extraction methods are used, such as the direct instillation of small volumes of cold liquid. Further investigation of this approach is warranted, particularly with higher heat extraction capacity techniques

OvMark: a user-friendly system for the identification of prognostic biomarkers in publically available ovarian cancer gene expression datasets

Background: Ovarian cancer has the lowest survival rate of all gynaecologic cancers and is characterised by a lack of early symptoms and frequent late stage diagnosis. There is a paucity of robust molecular markers that are independent of and complementary to clinical parameters such as disease stage and tumour grade. METHODS: We have developed a user-friendly, web-based system to evaluate the association of genes/miRNAs with outcome in ovarian cancer. The OvMark algorithm combines data from multiple microarray platforms (including probesets targeting miRNAs) and correlates them with clinical parameters (e.g. tumour grade, stage) and outcomes (disease free survival (DFS), overall survival). In total, OvMark combines 14 datasets from 7 different array platforms measuring the expression of ~17,000 genes and 341 miRNAs across 2,129 ovarian cancer samples. RESULTS: To demonstrate the utility of the system we confirmed the prognostic ability of 14 genes and 2 miRNAs known to play a role in ovarian cancer. Of these genes, CXCL12 was the most significant predictor of DFS (HR = 1.42, p-value = 2.42x10-6). Surprisingly, those genes found to have the greatest correlation with outcome have not been heavily studied in ovarian cancer, or in some cases in any cancer. For instance, the three genes with the greatest association with survival are SNAI3, VWA3A and DNAH12. CONCLUSIONS/IMPACT: OvMark is a powerful tool for examining putative gene/miRNA prognostic biomarkers in ovarian cancer (available at http://glados.ucd.ie/OvMark/index.html). The impact of this tool will be in the preliminary assessment of putative biomarkers in ovarian cancer, particularly for research groups with limited bioinformatics facilities

Consequences of “natural” disasters on aquatic life and habitats

“Natural” disasters (also known as geophysical disasters) involve physical processes that have a direct or indirect impact on humans. These events occur rapidly and may have severe consequences for resident flora and fauna as their habitat undergoes dramatic and sudden change. Although most studies have focused on the impact of natural disasters on humans and terrestrial systems, geophysical disasters can also impact aquatic ecosystems. Here, we provide a synthesis on the effects of the most common and destructive geophysical disasters on aquatic systems (life and habitat). Our approach spanned realms (i.e., freshwater, estuarine, and marine) and taxa (i.e., plants, vertebrates, invertebrates, and microbes) and included floods, droughts, wildfires, hurricanes/cyclones/typhoons, tornadoes, dust storms, ice storms, avalanches (snow), landslides, volcanic eruptions, earthquakes (including limnic eruptions), tsunamis, and cosmic events. Many geophysical disasters have dramatic effects on aquatic systems. The evidence base is somewhat limited for some natural disasters because transient events (e.g., tornadoes and floods) are difficult to study. Most natural disaster studies focus on geology/geomorphology and hazard assessment for humans and infrastructure. However, the destruction of aquatic systems can impact humans indirectly through loss of food security, cultural services, or livelihoods. Many geophysical disasters interact in complex ways (e.g., wildfires often lead to landslides and flooding) and can be magnified or otherwise mediated by human activities. Our synthesis reveals that geophysical events influence aquatic ecosystems, often in negative ways, yet systems can be resilient provided that effects are not compounded by anthropogenic stressors. It is difficult to predict or prevent geophysical disasters but understanding how aquatic ecosystems are influenced by geophysical events is important given the inherent connection between peoples and aquatic ecosystems.acceptedVersio