Spectral asymmetry for bag boundary conditions

We give an expression, in terms of boundary spectral functions, for the spectral asymmetry of the Euclidean Dirac operator in two dimensions, when its domain is determined by local boundary conditions, and the manifold is of product type. As an application, we explicitly evaluate the asymmetry in the case of a finite-length cylinder, and check that the outcome is consistent with our general result. Finally, we study the asymmetry in a disk, which is a non-product case, and propose an interpretation.Comment: Some minor changes. To appear in Journal of Physics A: Mathematical and Genera

On Self-Dual Gravity I

(One typo corrected and one incorrect statement removed. Extra details on conserved quantities and symmetry algebras added).Comment: 17 pages, Latex, DAMTP-R92/4

A TQFT associated to the LMO invariant of three-dimensional manifolds

We construct a Topological Quantum Field Theory (in the sense of Atiyah) associated to the universal finite-type invariant of 3-dimensional manifolds, as a functor from the category of 3-dimensional manifolds with parametrized boundary, satisfying some additional conditions, to an algebraic-combinatorial category. It is built together with its truncations with respect to a natural grading, and we prove that these TQFTs are non-degenerate and anomaly-free. The TQFT(s) induce(s) a (series of) representation(s) of a subgroup ${\cal L}_g$ of the Mapping Class Group that contains the Torelli group. The N=1 truncation produces a TQFT for the Casson-Walker-Lescop invariant.Comment: 28 pages, 13 postscript figures. Version 2 (Section 1 has been considerably shorten, and section 3 has been slightly shorten, since they will constitute a separate paper. Section 4, which contained only announce of results, has been suprimated; it will appear in detail elsewhere. Consequently some statements have been re-numbered. No mathematical changes have been made.

Casimir energy of massive MIT fermions in a Bohm-Aharonov background

We study the effect of a background flux string on the vacuum energy of massive Dirac fermions in 2+1 dimensions confined to a finite spatial region through MIT boundary conditions. We treat two admissible self-adjoint extensions of the Hamiltonian and compare the results. In particular, for one of these extensions, the Casimir energy turns out to be discontinuous at integer values of the flux.Comment: 16 pages, 3 figure

Reducible connections and non-local symmetries of the self-dual Yang-Mills equations

We construct the most general reducible connection that satisfies the self-dual Yang-Mills equations on a simply connected, open subset of flat $\mathbb{R}^4$. We show how all such connections lie in the orbit of the flat connection on $\mathbb{R}^4$ under the action of non-local symmetries of the self-dual Yang-Mills equations. Such connections fit naturally inside a larger class of solutions to the self-dual Yang-Mills equations that are analogous to harmonic maps of finite type.Comment: AMSLatex, 15 pages, no figures. Corrected in line with the referee's comments. In particular, restriction to simply-connected open sets now explicitly stated. Version to appear in Communications in Mathematical Physic

From Spinor Geometry to Complex General Relativity

An attempt is made of giving a self-contained (although incomplete) introduction to holomorphic ideas in general relativity, following work over the last thirty years by several authors. The main topics are complex manifolds, two-component spinor calculus, conformal gravity, alpha-planes in Minkowski space-time, alpha-surfaces and twistor geometry, anti-self-dual space-times and Penrose transform, spin-3/2 potentials, heaven spaces and heavenly equations.Comment: With kind permission from Springer Science and Business Media to use material in the first 5 sections taken from the 1995 Kluwer book "Complex General Relativity" by G. Esposito. In the revised version, 11 References have been adde

Casimir Energies for Spherically Symmetric Cavities

A general calculation of Casimir energies --in an arbitrary number of dimensions-- for massless quantized fields in spherically symmetric cavities is carried out. All the most common situations, including scalar and spinor fields, the electromagnetic field, and various boundary conditions are treated with care. The final results are given as analytical (closed) expressions in terms of Barnes zeta functions. A direct, straightforward numerical evaluation of the formulas is then performed, which yields highly accurate numbers of, in principle, arbitrarily good precision.Comment: 18 pages, LaTeX, sub. Ann. Phy

Global overview of the management of acute cholecystitis during the COVID-19 pandemic (CHOLECOVID study)

Background: This study provides a global overview of the management of patients with acute cholecystitis during the initial phase of the COVID-19 pandemic. Methods: CHOLECOVID is an international, multicentre, observational comparative study of patients admitted to hospital with acute cholecystitis during the COVID-19 pandemic. Data on management were collected for a 2-month study interval coincident with the WHO declaration of the SARS-CoV-2 pandemic and compared with an equivalent pre-pandemic time interval. Mediation analysis examined the influence of SARS-COV-2 infection on 30-day mortality. Results: This study collected data on 9783 patients with acute cholecystitis admitted to 247 hospitals across the world. The pandemic was associated with reduced availability of surgical workforce and operating facilities globally, a significant shift to worse severity of disease, and increased use of conservative management. There was a reduction (both absolute and proportionate) in the number of patients undergoing cholecystectomy from 3095 patients (56.2 per cent) pre-pandemic to 1998 patients (46.2 per cent) during the pandemic but there was no difference in 30-day all-cause mortality after cholecystectomy comparing the pre-pandemic interval with the pandemic (13 patients (0.4 per cent) pre-pandemic to 13 patients (0.6 per cent) pandemic; P = 0.355). In mediation analysis, an admission with acute cholecystitis during the pandemic was associated with a non-significant increased risk of death (OR 1.29, 95 per cent c.i. 0.93 to 1.79, P = 0.121). Conclusion: CHOLECOVID provides a unique overview of the treatment of patients with cholecystitis across the globe during the first months of the SARS-CoV-2 pandemic. The study highlights the need for system resilience in retention of elective surgical activity. Cholecystectomy was associated with a low risk of mortality and deferral of treatment results in an increase in avoidable morbidity that represents the non-COVID cost of this pandemic