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OBJECTIVES: We describe the process by which a PICU and a PICU care team were incorporated into a hospital-wide ICU care model during the coronavirus disease 2019 pandemic. DESIGN: A descriptive, retrospective report from a single-center PICU. SETTING: Twenty-three bed, quaternary PICU, within an 862-bed hospital. PATIENTS: Critically ill adults, with coronavirus disease 2019-related disease. INTERVENTIONS: ICU care provided by pediatric intensivists with training and support from medical intensivists. MEASUREMENTS AND MAIN RESULTS: Within the context of the institution's comprehensive effort to centralize and systematize care for adults with severe coronavirus disease 2019 disease, the PICU was transitioned to an adult coronavirus disease 2019 critical care unit. Nurses and physicians underwent just-in-time training over 3 days and 2 weeks, respectively. Medical ICU physicians and nurses provided oversight for care and designated hospital-based teams were available for procedures and common adult emergencies. Over a 7-week period, the PICU cared for 60 adults with coronavirus disease 2019-related critical illness. Fifty-three required intubation and mechanical ventilation for a median of 18 days. Eighteen required renal replacement therapy and 17 died. CONCLUSIONS: During the current and potentially in future pandemics, where critical care resources are limited, pediatric intensivists and staff can be readily utilized to meaningfully contribute to the care of critically ill adults.

It is shown that the four trefoil solitons that are described by the irreducible representations D^{3/2}_{mm'} of the quantum algebra SL_q(2) (and that may be identified with the four families of elementary fermions (e,\mu,\tau;\nu_e\nu_\mu\nu_\tau;d,s,b;u,c,t) may be built out of three preons, chosen from two charged preons with charges (1/3,-1/3) and two neutral preons. These preons are Lorentz spinors and are described by the D^{1/2}_{mm'} representation of SL_q(2). There are also four bosonic preons described by the D^1_{mm'} and D^0_{00} representations of SL_q(2). The knotted standard theory may be replicated at the preon level and the conjectured particles are in principle indirectly observable., Comment: LaTex document; 12 pages; 4 tables

We attempt to go beyond the standard electroweak theory by replacing SU(2) with its q-deformation: SU_q(2). This step introduces new degrees of freedom that we interpret as indicative of non-locality and as a possible basis for a solitonic model of the elementary particles. The solitons are conjectured to be knotted flux tubes labelled by the irreducible representations of SU_q(2), an alglebra which is not only closely related to the standard theory but also plays an underlying role in the description of knots. Each of the four families of elementary fermions is conjectured to be represented by one of the four possible trefoils. The three individual fermions belonging to any family are then assumed to occupy the three lowest states in the excitation spectrum of the local trefoil for that family. One finds a not unreasonable variation of q among the lepton and quark families. The model in its present form predicts a fourth generation of fermions as well as a neutrino mass spectrum. The model may be refined depending on whether or not the fourth generation is found., 10 pages, Latex file; changed content