QED representation for the net of causal loops

The present work tackles the existence of local gauge symmetries in the setting of Algebraic Quantum Field Theory (AQFT). The net of causal loops, previously introduced by the authors, is a model independent construction of a covariant net of local C*-algebras on any 4-dimensional globally hyperbolic space-time, aimed to capture structural properties of any reasonable quantum gauge theory. Representations of this net can be described by causal and covariant connection systems, and local gauge transformations arise as maps between equivalent connection systems. The present paper completes these abstract results, realizing QED as a representation of the net of causal loops in Minkowski space-time. More precisely, we map the quantum electromagnetic field Fμν, not free in general, into a representation of the net of causal loops and show that the corresponding connection system and the local gauge transformations find a counterpart in terms of Fμν

The universal algebra of the electromagnetic field III. Static charges and emergence of gauge fields

A universal C*-algebra of gauge invariant operators is presented, describing the electromagnetic field as well as operations creating pairs of static electric charges having opposite signs. Making use of Gauss’ law, it is shown that the string-localized operators, which necessarily connect the charges, induce outer automorphisms of the algebra of the electromagnetic field. Thus they carry additional degrees of freedom which cannot be created by the field. It reveals the fact that gauge invariant operators encode information about the presence of non-observable gauge fields underlying the theory. Using the Gupta-Bleuler formalism, concrete implementations of the outer automorphisms by exponential functions of the gauge fields are presented. These fields also appear in unitary operators inducing the time translations in the resulting representations of the universal algebra

Effects of mixed of a ketogenic diet in overweight and obese women with polycystic ovary syndrome

Polycystic ovary syndrome (PCOS) is a commonly occurring endocrine disorder characterized by hirsutism, anovulation, and polycystic ovaries. Often comorbid with insulin resistance, dyslipidemia, and obesity, it also carries significant risk for the development of cardiovascular and metabolic sequelae, including diabetes and metabolic syndrome. The relationship between central obesity and the development of insulin resistance is widely verified. Adipose tissue excess and the coexistent dysregulation of adipocyte functions directly contribute to the pathogenesis of the metabolic complications observed in women with PCOS. In the light of these evidence, the most therapeutic option prescribed to obese women with PCOS, regardless of the phenotype e from the severity of clinical expression, is lifestyle correction by diet and physical activity. The aim of this study is to evaluate the beneficial effects of ketogenic diet in 17 obese women with PCOS. Our results showed that the ketogenic diet inducing therapeutic ketosis, improves the anthropometric and many biochemical parameters such as LH, FSH, SHBG, insulin sensitivity and HOMA index. In addition, it induces a reduction in androgenic production, whereas the contextual reduction of fat mass reduced the acyclic production of estrogens deriving from the aromatization in the adipose tissue of the androgenic excess, with an improvement of the LH/FSH ratio. This is the first study on the effects of the ketogenic diet on PCOS, however, further studies are needed to elucidate the mechanism underlying ketogenic diet effects

Why Me? To Be an Ultra-Responder to Antiplatelet Therapy: A Case Report

Background: Platelet function testing is a valid tool to investigate the clinical response to antiplatelet therapy in different clinical settings; in particular, it might supply helpful information in patients with cerebrovascular disease. Oral antiplatelet treatment, such as Aspirin (ASA) and Clopidogrel, is the gold standard in secondary stroke prevention of non-cardiogenic ischemic stroke; conversely, its application as a primary prevention therapy is not routinely recommended in patients with vascular risk factors. Multiple electrode platelet aggregometry (MEA) impedance aggregometer is a validated device to test platelet inhibition induced by ASA or Clopidogrel. Case Report: We report the case of a 78-year-old patient without relevant clinical history, taking ASA as primary prevention strategy, who was admitted for sudden onset of dysarthria and left facial hyposthenia during physical effort. Brain CT revealed two small subcortical bilateral spontaneous intracranial hemorrhages. Platelet aggregometry with MEA performed upon admission revealed a very strong platelet inhibition induced by ASA (result of the ASPI Test was 5 U, consistent with an ultra-responsiveness to ASA, and the cutoff value of correct responsiveness is <40 U). MRI at longitudinal follow-up revealed the presence of two small cavernous angioma underlying hemorrhagic spots. Conclusion: The evaluation of platelet reactivity in stroke patients undergoing antiplatelet therapies, not commonly performed in clinical practice, could be useful to optimize prevention strategies; the verification of the biological effectiveness of ASA or Clopidogrel could be a valid tool in the definition of each patient's risk profile, particularly in patients with cerebrovascular disease known to be at increased risk for both hemorrhagic and thrombotic complications

Trade-off between photovoltaic systems installation and agricultural practices on arable lands: An environmental and socio-economic impact analysis for Italy

The paper introduces and discusses an open-source spatial-based model (called r.green.solar) able to quantify the energy production from solar photovoltaic (PV) ground-mounted panels. Socio-economic and environmental impacts can be evaluated by the model. The model starts from the theoretical quantity of solar PV potential energy and estimates a reduction of total amount of energy based on legal, technical, recommended and economic constraints. Model outputs were used for a trade-off analysis between energy production and traditional crops for food/feed cultivation on not irrigated arable land. The model was tested at regional level for a Mediterranean context (Italy). The results confirm that the economic profitability of PV systems follows a north-south gradient, but the main impacts are related to local peculiarities – such as the disposal of not irrigated arable land and the presence of constraints, in particular the landscape maintenance, the morphological variables and the specialization index – and crop yields. © 2016 Elsevier Ltd. All rightsreserved

Middle cerebral artery ischemic stroke and COVID-19: a case report

We present a clinical case of a patient with SARS-CoV-2 infection and respiratory symptoms, complicated with a pro-thrombotic state involving multiple vascular territories and concomitant interleukin-6 increase. This case underlines the possibility to develop a COVID-19-related coagulopathy

Cross-sectional survey on BNT162b2 mRNA COVID-19 vaccine serious adverse events in children 5 to 11 years of age. A monocentric experience

Objective: Our aim was to evaluate the safety of COVID-19 vaccine in children resident in the Latina Local Health Authority. Methods: We conducted a telephone survey among children aged 5–11 years receiving BNT162b2 mRNA COVID-19 vaccine between December 15 and 21. The main outcomes included the presence of allergic reactions or anaphylaxis, adverse events after 24–48 h, 7 and 20 days of taking the first and second doses of medications, and documented SARS-CoV-2 infection after vaccination. The information obtained was automatically linked to a spreadsheet and analyzed. Results: 569 children were enrolled. The mean age was 114 ± 4.24 months; there were 251 males in the study. The vaccine showed a favorable safety profile; no anaphylaxis or serious adverse events were reported. The most common symptoms both after the first and second dose were injection site reactions, asthenia, and headache. Injection site reactions were more frequent after the first dose (p = 0.01), while systemic symptoms were more frequent after the second dose (p = 0.022). These symptoms were more frequent in patients with comorbidities (p = 0.0159). Conclusion: Our findings confirm the safety of COVID-19 vaccine in children younger 11 years and could be useful to promote its diffusion in pediatric ages in order to achieve “herd immunity” and prevent the virus’s circulation