The association between geriatric assessment, muscle measures, and treatment-related toxicity in older adults with cancer: An Israeli prospective study.

INTRODUCTION: We investigated the associations among frailty, as determined via the comprehensive geriatric assessment (CGA), muscle measures (i.e., sarcopenia), and treatment-related toxicity in older adults with cancer in Israel. MATERIALS AND METHODS: This prospective cohort study enrolled patients ≥65 years with newly-diagnosed stage IV lung, breast, or genitourinary cancer. Patients were enrolled and completed CGA before their first line of systemic therapy (chemotherapy, biologic therapy, immunologic therapy, or a combination thereof). CGA was used to classify patients as robust, pre-frail, or frail, and routine pre-treatment computed tomography (CT) images were used to quantify skeletal muscle index (SMI) and skeletal muscle density (SMD) at L3 cross-section. Two sarcopenia definitions were used: i. for women SMI <41 cm2/m2 regardless of body mass index (BMI), and for men SMI <43 cm2/m2 for those with BMI of <25 and < 53 cm2/m2 for those with BMI ≥25; and ii. SMI <38 cm2/m2 for women and < 41 cm2/m2 for men, regardless of BMI. The associations between frailty and muscle measures with the occurrence of at least one adverse event (AE) grade ≥ 2 were examined using the chi-square test, and logistic regression to determine odds ratio (OR) and 95% confidence interval (CI). RESULTS: In total, 51 patients were included in the analysis. The median (interquartile range) age was 72 (68-76) years, 30 (59%) were male, and 26 (51%) had lung cancer. CGA data were available for 48 patients: fifteen (31%), thirteen (27%), and twenty (42%) were defined as robust, pre-frail, and frail, respectively. Overall, 33 (65%) were sarcopenic by the first aforementioned definition, and sixteen (31%) by the second. No statistically significant associations were identified between frailty and having at least one AE grade ≥ 2, or between frailty and sarcopenia. Statistically significant associations were found between having sarcopenia (the second definition) and having at least one AE grade ≥ 2 (P = 0.0217). The corresponding odds ratio (95% CI) was 4.2 (1.2-15.0), P = 0.026. DISCUSSION: Our findings suggests that sarcopenia is significantly associated with treatment-related toxicity. Further studies with larger sample sizes are warranted.

Digital Signatures with Quantum Candies.

Quantum candies (qandies) represent a type of pedagogical simple model that describes many concepts from quantum information processing (QIP) intuitively without the need to understand or make use of superpositions and without the need of using complex algebra. One of the topics in quantum cryptography that has gained research attention in recent years is quantum digital signatures (QDS), which involve protocols to securely sign classical bits using quantum methods. In this paper, we show how the "qandy model" can be used to describe three QDS protocols in order to provide an important and potentially practical example of the power of "superpositionless" quantum information processing for individuals without background knowledge in the field.

Coding triplets in the tRNA acceptor-TΨC arm and their role in present and past tRNA recognition.

The mechanism and evolution of the recognition scheme between key components of the translation system, that is, tRNAs, synthetases, and elongation factors, are fundamental issues in understanding the translation of genetic information into proteins. Statistical analysis of bacterial tRNA sequences reveals that for six amino acids, a string of 10 nucleotides preceding the tRNA 3' end carries cognate coding triplets to nearly full extent. The triplets conserved in positions 63-67 are implicated in the recognition by the elongation factor EF-Tu, and those conserved in positions 68-72, in the identification of cognate tRNAs, and their derived minihelices by class IIa synthetases. These coding triplets are suggested to have primordial origin, being engaged in aminoacylation of prebiotic tRNAs and in the establishment of the canonical codon set.

Quantum Communication-Celebrating the Silver Jubilee of Teleportation.

In 1993, Charles H [...].

Risk of death without appropriate defibrillator shock in patients with advanced renal dysfunction.

AIMS: Heart failure patients with advanced chronic kidney disease (CKD) may experience an increased rate of non-arrhythmic mortality due to associated comorbidities. We aimed to evaluate the risk of mortality without appropriate implantable cardioverter-defibrillator (ICD) shocks in this high-risk population. METHODS AND RESULTS: The study population comprised 3542 patients who received an ICD, were enrolled, and prospectively followed-up in the Israeli ICD registry. Study patients were categorized into two groups: those with advanced CKD [defined by a glomerular filtration rate of <30 mL/min/1.73 m2 or being on dialysis at time of implantation (n = 197)], and those without advanced CKD (n = 3344). The primary endpoint was the risk of death without receiving appropriate ICD shock. Kaplan-Meier survival analysis showed that at 5 years of follow-up the rates of death without prior ICD shock were significantly higher in the advanced kidney disease group (46%) compared with the non-advanced CKD group (19%; log-rank P-value <0.001). Consistently, multivariate analysis showed that the risk of death without receiving appropriate ICD shock therapy at 5 years was 2.5-fold (P < 0.001) higher among advanced CKD patients. In contrast, the rate of appropriate ICD shock therapy at 5 years among advanced CKD patients was only 9%, with a very high mortality rate (63%) within 3.5 years subsequent to shock therapy. CONCLUSION: Nearly one-half of ICD with advanced CKD die within 5 years without receiving an appropriate ICD shock. These findings stress the importance of appropriate patient selection for primary ICD implantation in this high-risk population.

Normal Performance in Non-Visual Social Cognition Tasks in Women with Turner Syndrome.

Turner syndrome (TS) is a chromosomal disorder in women resulting from a partial or complete absence of the X chromosome. In addition to physical and hormonal dysfunctions, along with a unique neurocognitive profile, women with TS are reported to suffer from social functioning difficulties. Yet, it is unclear whether these difficulties stem from impairments in social cognition per se or from other deficits that characterize TS but are not specific to social cognition. Previous research that has probed social functioning in TS is equivocal regarding the source of these psychosocial problems since they have mainly used tasks that were dependent on visual-spatial skills, which are known to be compromised in TS. In the present study, we tested 26 women with TS and 26 matched participants on three social cognition tasks that did not require any visual-spatial capacities but rather relied on auditory-verbal skills. The results revealed that in all three tasks the TS participants did not differ from their control counterparts. The same TS cohort was found, in an earlier study, to be impaired, relative to controls, in other social cognition tasks that were dependent on visual-spatial skills. Taken together these findings suggest that the social problems, documented in TS, may be related to non-specific spatial-visual factors that affect their social cognition skills.

Attacks against a Simplified Experimentally Feasible Semiquantum Key Distribution Protocol.

A semiquantum key distribution (SQKD) protocol makes it possible for a quantum party and a classical party to generate a secret shared key. However, many existing SQKD protocols are not experimentally feasible in a secure way using current technology. An experimentally feasible SQKD protocol, "classical Alice with a controllable mirror" (the "Mirror protocol"), has recently been presented and proved completely robust, but it is more complicated than other SQKD protocols. Here we prove a simpler variant of the Mirror protocol (the "simplified Mirror protocol") to be completely non-robust by presenting two possible attacks against it. Our results show that the complexity of the Mirror protocol is at least partly necessary for achieving robustness.

Face perception in women with Turner syndrome and its underlying factors.

Turner syndrome (TS) is a chromosomal condition that affects development in females. It is characterized by short stature, ovarian failure and other congenital malformations, due to a partial or complete absence of the sex chromosome. Women with TS frequently suffer from various physical and hormonal dysfunctions, along with impairments in visual-spatial processing and social cognition difficulties. Previous research has also shown difficulties in face and emotion perception. In the current study we examined two questions: First, whether women with TS, that are impaired in face perception, also suffer from deficits in face-specific processes. The second question was whether these face impairments in TS are related to visual-spatial perceptual dysfunctions exhibited by TS individuals, or to impaired social cognition skills. Twenty-six women with TS and 26 control participants were tested on various cognitive and psychological tests to assess visual-spatial perception, face and facial expression perception, and social cognition skills. Results show that women with TS were less accurate in face perception and facial expression processing, yet they exhibited normal face-specific processes (configural and holistic processing). They also showed difficulties in spatial perception and social cognition capacities. Additional analyses revealed that their face perception impairments were related to their deficits in visual-spatial processing. Thus, our results do not support the claim that the impairments in face processing observed in TS are related to difficulties in social cognition. Rather, our data point to the possibility that face perception difficulties in TS stem from visual-spatial impairments and may not be specific to faces.

Algorithms on ensemble quantum computers.

In ensemble (or bulk) quantum computation, all computations are performed on an ensemble of computers rather than on a single computer. Measurements of qubits in an individual computer cannot be performed; instead, only expectation values (over the complete ensemble of computers) can be measured. As a result of this limitation on the model of computation, many algorithms cannot be processed directly on such computers, and must be modified, as the common strategy of delaying the measurements usually does not resolve this ensemble-measurement problem. Here we present several new strategies for resolving this problem. Based on these strategies we provide new versions of some of the most important quantum algorithms, versions that are suitable for implementing on ensemble quantum computers, e.g., on liquid NMR quantum computers. These algorithms are Shor's factorization algorithm, Grover's search algorithm (with several marked items), and an algorithm for quantum fault-tolerant computation. The first two algorithms are simply modified using a randomizing and a sorting strategies. For the last algorithm, we develop a classical-quantum hybrid strategy for removing measurements. We use it to present a novel quantum fault-tolerant scheme. More explicitly, we present schemes for fault-tolerant measurement-free implementation of Toffoli and σ(z)(») as these operations cannot be implemented "bitwise", and their standard fault-tolerant implementations require measurement.

Quantum key distribution with classical Bob.

Secure key distribution among two remote parties is impossible when both are classical, unless some unproven computation-complexity assumptions are made, such as the difficulty of factorizing large numbers. On the other hand, a secure key distribution is possible when both parties are quantum. What is possible when only one party (Alice) is quantum, yet the other (Bob) has only classical capabilities? We present a protocol with this constraint and prove its robustness against attacks: we prove that any attempt of an adversary to obtain information necessarily induces some errors that the legitimate users could notice.

Methods for scalable optical quantum computation.

We propose a scalable method for implementing linear optics quantum computation using the "linked-state" approach. Our method avoids the two-dimensional spread of errors occurring in the preparation of the linked state. Consequently, a proof is given for the scalability of this modified linked-state model, and an exact expression for the efficiency of the method is obtained. Moreover, a considerable improvement in the efficiency, relative to the original linked-state method, is achieved. The proposed method is applicable to Nielsen's optical "cluster-state" approach as well.

Physical limits of heat-bath algorithmic cooling.

Simultaneous near-certain preparation of qubits (quantum bits) in their ground states is a key hurdle in quantum computing proposals as varied as liquid-state NMR and ion traps. "Closed-system" cooling mechanisms are of limited applicability due to the need for a continual supply of ancillas for fault tolerance, and to the high initial temperatures of some systems. "Open-system" mechanisms are therefore required. We describe a new, efficient initialization procedure for such open systems. With this procedure, an n-qubit device that is originally maximally mixed, but is in contact with a heat bath of bias epsilon>>2(-n), can be almost perfectly initialized. This performance is optimal due to a newly discovered threshold effect: for bias epsilon<<2(-n) no cooling procedure can, even in principle (running indefinitely without any decoherence), significantly initialize even a single qubit.

Algorithmic cooling and scalable NMR quantum computers.

We present here algorithmic cooling (via polarization heat bath)-a powerful method for obtaining a large number of highly polarized spins in liquid nuclear-spin systems at finite temperature. Given that spin-half states represent (quantum) bits, algorithmic cooling cleans dirty bits beyond the Shannon's bound on data compression, by using a set of rapidly thermal-relaxing bits. Such auxiliary bits could be implemented by using spins that rapidly get into thermal equilibrium with the environment, e.g., electron spins. Interestingly, the interaction with the environment, usually a most undesired interaction, is used here to our benefit, allowing a cooling mechanism. Cooling spins to a very low temperature without cooling the environment could lead to a breakthrough in NMR experiments, and our "spin-refrigerating" method suggests that this is possible. The scaling of NMR ensemble computers is currently one of the main obstacles to building larger-scale quantum computing devices, and our spin-refrigerating method suggests that this problem can be resolved.