70 research outputs found

    Pericarditis. Clinical Presentation and Characteristics of a Pediatric Population

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    INTRODUCTION: Pericarditis is an inflammation of the pericardium. It may be infectious or secondary to a systemic disease. The aim of this study was to analyze the clinical findings, course, treatment and follow-up of children diagnosed with pericarditis at our center. METHODS: We performed a retrospective analysis of all children admitted to our pediatric cardiology unit with pericarditis between 2003 and 2015. Patient characteristics were summarized using frequencies and percentages for categorical variables and medians with percentiles for continuous variables. RESULTS: Fifty patients were analyzed (40 male, 10 female) with a median age of 14 years. The most common diagnosis was acute pericarditis (80%). Thirty-five patients (70%) presented with chest pain and 26% reported fever. Cardiomegaly was identified on chest X-ray in 11 patients (22%), 30 patients (60%) had an abnormal ECG and 44 patients (80%) had alterations on the transthoracic echocardiogram. In 17 cases (34%) there was myocardial involvement. Forty-eight percent of patients presented with infectious pericarditis and the pathologic agent was identified in half of them. Postpericardiotomy syndrome was diagnosed in five cases. The first-line therapy was aspirin in 50% of cases. Pericardiocentesis was performed in 12 patients. The median length of stay was nine days. There was symptom recurrence in seven children. CONCLUSIONS: In this study, acute infectious pericarditis was the most common presentation and about one third of patients also had myocarditis. The symptom recurrence rate was not negligible and is probably related to the type of therapy employed.info:eu-repo/semantics/publishedVersio

    Quantifying Quantum Correlations in Fermionic Systems using Witness Operators

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    We present a method to quantify quantum correlations in arbitrary systems of indistinguishable fermions using witness operators. The method associates the problem of finding the optimal entan- glement witness of a state with a class of problems known as semidefinite programs (SDPs), which can be solved efficiently with arbitrary accuracy. Based on these optimal witnesses, we introduce a measure of quantum correlations which has an interpretation analogous to the Generalized Robust- ness of entanglement. We also extend the notion of quantum discord to the case of indistinguishable fermions, and propose a geometric quantifier, which is compared to our entanglement measure. Our numerical results show a remarkable equivalence between the proposed Generalized Robustness and the Schliemann concurrence, which are equal for pure states. For mixed states, the Schliemann con- currence presents itself as an upper bound for the Generalized Robustness. The quantum discord is also found to be an upper bound for the entanglement.Comment: 7 pages, 6 figures, Accepted for publication in Quantum Information Processin

    Efficient and feasible state tomography of quantum many-body systems

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    We present a novel method to perform quantum state tomography for many-particle systems which are particularly suitable for estimating states in lattice systems such as of ultra-cold atoms in optical lattices. We show that the need for measuring a tomographically complete set of observables can be overcome by letting the state evolve under some suitably chosen random circuits followed by the measurement of a single observable. We generalize known results about the approximation of unitary 2-designs, i.e., certain classes of random unitary matrices, by random quantum circuits and connect our findings to the theory of quantum compressed sensing. We show that for ultra-cold atoms in optical lattices established techniques like optical super-lattices, laser speckles, and time-of-flight measurements are sufficient to perform fully certified, assumption-free tomography. Combining our approach with tensor network methods - in particular the theory of matrix-product states - we identify situations where the effort of reconstruction is even constant in the number of lattice sites, allowing in principle to perform tomography on large-scale systems readily available in present experiments.Comment: 10 pages, 3 figures, minor corrections, discussion added, emphasizing that no single-site addressing is needed at any stage of the scheme when implemented in optical lattice system

    Efficient tomography of a quantum many-body system

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    Quantum state tomography (QST) is the gold standard technique for obtaining an estimate for the state of small quantum systems in the laboratory [1]. Its application to systems with more than a few constituents (e.g. particles) soon becomes impractical as the e ff ort required grows exponentially with the number of constituents. Developing more e ffi cient techniques is particularly pressing as precisely-controllable quantum systems that are well beyond the reach of QST are emerging in laboratories. Motivated by this, there is a considerable ongoing e ff ort to develop new state characterisation tools for quantum many-body systems [2–11]. Here we demonstrate Matrix Product State (MPS) tomography [2], which is theoretically proven to allow the states of a broad class of quantum systems to be accurately estimated with an e ff ort that increases e ffi ciently with constituent number. We use the technique to reconstruct the dynamical state of a trapped-ion quantum simulator comprising up to 14 entangled and individually-controlled spins (qubits): a size far beyond the practical limits of QST. Our results reveal the dynamical growth of entanglement and description complexity as correlations spread out during a quench: a necessary condition for future beyond-classical performance. MPS tomography should therefore find widespread use to study large quantum many-body systems and to benchmark and verify quantum simulators and computers

    Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

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    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
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