Management of Pancreatic Cancer During COVID-19 Pandemic: To Treat or Not to Treat?

Pancreatic cancer is a very aggressive disease and survival remains dismal even with treatment. Currently, management of patients with pancreatic cancer has been complicated by the ongoing COVID-19 pandemic. Medical oncologists face the dilemma of whether to treat or to not treat these patients who are at high-risk of complications and even death from COVID-19. No current guidelines are available and our limited experience at this time makes it more difficult to manage these patients. Although we have general strategies available from experience in Italy, we need more treatment specific strategies to help mitigate risks of complications and toxicities from chemotherapy in order to protect our patients from COVID-19 as much as possible

Quantum Revivals in Periodically Driven Systems close to nonlinear resonance

We calculate the quantum revival time for a wave-packet initially well localized in a one-dimensional potential in the presence of an external periodic modulating field. The dependence of the revival time on various parameters of the driven system is shown analytically. As an example of application of our approach, we compare the analytically obtained values of the revival time for various modulation strengths with the numerically computed ones in the case of a driven gravitational cavity. We show that they are in very good agreement.Comment: 14 pages, 1 figur

On the degree conjecture for separability of multipartite quantum states

We settle the so-called degree conjecture for the separability of multipartite quantum states, which are normalized graph Laplacians, first given by Braunstein {\it et al.} [Phys. Rev. A \textbf{73}, 012320 (2006)]. The conjecture states that a multipartite quantum state is separable if and only if the degree matrix of the graph associated with the state is equal to the degree matrix of the partial transpose of this graph. We call this statement to be the strong form of the conjecture. In its weak version, the conjecture requires only the necessity, that is, if the state is separable, the corresponding degree matrices match. We prove the strong form of the conjecture for {\it pure} multipartite quantum states, using the modified tensor product of graphs defined in [J. Phys. A: Math. Theor. \textbf{40}, 10251 (2007)], as both necessary and sufficient condition for separability. Based on this proof, we give a polynomial-time algorithm for completely factorizing any pure multipartite quantum state. By polynomial-time algorithm we mean that the execution time of this algorithm increases as a polynomial in $m,$ where $m$ is the number of parts of the quantum system. We give a counter-example to show that the conjecture fails, in general, even in its weak form, for multipartite mixed states. Finally, we prove this conjecture, in its weak form, for a class of multipartite mixed states, giving only a necessary condition for separability.Comment: 17 pages, 3 figures. Comments are welcom

The Role of EGFR Inhibitors in the Treatment of Metastatic Anal Canal Carcinoma: A Case Series

Anal cancer patients who have exhibited disease progression after having received all approved drugs pose a major therapeutic challenge. In addition to cytotoxic agents, novel targeted agents are being developed and have an established role in the treatment of many solid tumors, including colon cancer. However, their role in anal cancer is yet to be determined. Most anal malignancies are squamous cell carcinomas often strongly expressing epidermal growth factor receptors (EGFRs). Targeting the latter seems to result in favorable changes in tumor growth. We present three cases of refractory anal cancers, treated with EGFR inhibitors, after having received the recommended chemotherapy regimens. We conclude that EGFR inhibitors may play a vital role in the treatment of anal cancer and we suggest that large trials are be conducted in order to clarify their efficacy and to improve therapeutic management

Characterization of an H3N2 triple reassortant influenza virus with a mutation at the receptor binding domain (D190A) that occurred upon virus transmission from turkeys to pigs

The hemagglutinin (HA) protein of influenza virus mediates essential viral functions including the binding to host receptor and virus entry. It also has the antigenic sites required for virus neutralization by host antibodies. Here, we characterized an H3N2 triple reassortant (TR) influenza virus (A/turkey/Ohio/313053/04) with a mutation at the receptor binding domain (Asp190Ala) that occurred upon virus transmission from turkeys to pigs in an experimental infection study. The mutant virus replicated less efficiently than the parental virus in human, pig and turkey primary tracheal/bronchial epithelial cells, with more than 3-log10 difference in virus titer at 72 hours post infection. In addition, the mutant virus demonstrated lower binding efficiency to plasma membrane preparations from all three cell types compared to the parental virus. Antisera raised against the parental virus reacted equally to both homologous and heterlogous viruses, however, antisera raised against the mutant virus showed 4-8 folds lower reactivity to the parental virus

Quantum Revivals in a Periodically Driven Gravitational Cavity

Quantum revivals are investigated for the dynamics of an atom in a driven gravitational cavity. It is demonstrated that the external driving field influences the revival time significantly. Analytical expressions are presented which are based on second order perturbation theory and semiclassical secular theory. These analytical results explain the dependence of the revival time on the characteristic parameters of the problem quantitatively in a simple way. They are in excellent agreement with numerical results