SO(3) "Nuclear Physics" with ultracold Gases

An ab initio calculation of nuclear physics from Quantum Chromodynamics (QCD), the fundamental SU(3) gauge theory of the strong interaction, remains an outstanding challenge. Here, we discuss the emergence of key elements of nuclear physics using an SO(3) lattice gauge theory as a toy model for QCD. We show that this model is accessible to state-of-the-art quantum simulation experiments with ultracold atoms in an optical lattice. First, we demonstrate that our model shares characteristic many-body features with QCD, such as the spontaneous breakdown of chiral symmetry, its restoration at finite baryon density, as well as the existence of few-body bound states. Then we show that in the one-dimensional case, the dynamics in the gauge invariant sector can be encoded as a spin S=3/2 Heisenberg model, i.e., as quantum magnetism, which has a natural realization with bosonic mixtures in optical lattices, and thus sheds light on the connection between non-Abelian gauge theories and quantum magnetism.Comment: 34 pages, 9 figure

An ideal toy model for confining, walking and conformal gauge theories: the O(3) sigma model with theta-term

A toy model is proposed for four dimensional non-abelian gauge theories coupled to a large number of fermionic degrees of freedom. As the number of flavors is varied the gauge theory may be confining, walking or conformal. The toy model mimicking this feature is the two dimensional O(3) sigma model with a theta-term. For all theta the model is asymptotically free. For small theta the model is confining in the infra red, for theta = pi the model has a non-trivial infra red fixed point and consequently for theta slightly below pi the coupling walks. The first step in investigating the notoriously difficult systematic effects of the gauge theory in the toy model is to establish non-perturbatively that the theta parameter is actually a relevant coupling. This is done by showing that there exist quantities that are entirely given by the total topological charge and are well defined in the continuum limit and are non-zero, despite the fact that the topological susceptibility is divergent. More precisely it is established that the differences of connected correlation functions of the topological charge (the cumulants) are finite and non-zero and consequently there is only a single divergent parameter in Z(theta) but otherwise it is finite. This divergent constant can be removed by an appropriate counter term rendering the theory completely finite even at theta > 0.Comment: 9 pages, 2 figures, minor modification, references adde

Morbidity and mortality after anaesthesia in early life: results of the European prospective multicentre observational study, neonate and children audit of anaesthesia practice in Europe (NECTARINE)

Background: Neonates and infants requiring anaesthesia are at risk of physiological instability and complications, but triggers for peri-anaesthetic interventions and associations with subsequent outcome are unknown. Methods: This prospective, observational study recruited patients up to 60 weeks' postmenstrual age undergoing anaesthesia for surgical or diagnostic procedures from 165 centres in 31 European countries between March 2016 and January 2017. The primary aim was to identify thresholds of pre-determined physiological variables that triggered a medical intervention. The secondary aims were to evaluate morbidities, mortality at 30 and 90 days, or both, and associations with critical events. Results: Infants (n=5609) born at mean (standard deviation [SD]) 36.2 (4.4) weeks postmenstrual age (35.7% preterm) underwent 6542 procedures within 63 (48) days of birth. Critical event(s) requiring intervention occurred in 35.2% of cases, mainly hypotension (>30% decrease in blood pressure) or reduced oxygenation (SpO2 <85%). Postmenstrual age influenced the incidence and thresholds for intervention. Risk of critical events was increased by prior neonatal medical conditions, congenital anomalies, or both (relative risk [RR]=1.16; 95% confidence interval [CI], 1.04–1.28) and in those requiring preoperative intensive support (RR=1.27; 95% CI, 1.15–1.41). Additional complications occurred in 16.3% of patients by 30 days, and overall 90-day mortality was 3.2% (95% CI, 2.7–3.7%). Co-occurrence of intraoperative hypotension, hypoxaemia, and anaemia was associated with increased risk of morbidity (RR=3.56; 95% CI, 1.64–7.71) and mortality (RR=19.80; 95% CI, 5.87–66.7). Conclusions: Variability in physiological thresholds that triggered an intervention, and the impact of poor tissue oxygenation on patient's outcome, highlight the need for more standardised perioperative management guidelines for neonates and infants. Clinical trial registration: NCT02350348

Difficult tracheal intubation in neonates and infants. NEonate and Children audiT of Anaesthesia pRactice IN Europe (NECTARINE): a prospective European multicentre observational study

Background: Neonates and infants are susceptible to hypoxaemia in the perioperative period. The aim of this study was to analyse interventions related to anaesthesia tracheal intubations in this European cohort and identify their clinical consequences. Methods: We performed a secondary analysis of tracheal intubations of the European multicentre observational trial (NEonate and Children audiT of Anaesthesia pRactice IN Europe [NECTARINE]) in neonates and small infants with difficult tracheal intubation. The primary endpoint was the incidence of difficult intubation and the related complications. The secondary endpoints were the risk factors for severe hypoxaemia attributed to difficult airway management, and 30 and 90 day outcomes. Results: Tracheal intubation was planned in 4683 procedures. Difficult tracheal intubation, defined as two failed attempts of direct laryngoscopy, occurred in 266 children (271 procedures) with an incidence (95% confidence interval [CI]) of 5.8% (95% CI, 5.1e6.5). Bradycardia occurred in 8% of the cases with difficult intubation, whereas a significant decrease in oxygen saturation (SpO2<90% for 60 s) was reported in 40%. No associated risk factors could be identified among comorbidities, surgical, or anaesthesia management. Using propensity scoring to adjust for confounders, difficult anaesthesia tracheal intubation did not lead to an increase in 30 and 90 day morbidity or mortality. Conclusions: The results of the present study demonstrate a high incidence of difficult tracheal intubation in children less than 60 weeks post-conceptual age commonly resulting in severe hypoxaemia. Reassuringly, the morbidity and mortality at 30 and 90 days was not increased by the occurrence of a difficult intubation event. Clinical trial registration: NCT02350348

Morbidity and mortality after anaesthesia in early life: results of the European prospective multicentre observational study, neonate and children audit of anaesthesia practice in Europe (NECTARINE)

BACKGROUND: Neonates and infants requiring anaesthesia are at risk of physiological instability and complications, but triggers for peri-anaesthetic interventions and associations with subsequent outcome are unknown. METHODS: This prospective, observational study recruited patients up to 60 weeks' postmenstrual age undergoing anaesthesia for surgical or diagnostic procedures from 165 centres in 31 European countries between March 2016 and January 2017. The primary aim was to identify thresholds of pre-determined physiological variables that triggered a medical intervention. The secondary aims were to evaluate morbidities, mortality at 30 and 90 days, or both, and associations with critical events. RESULTS: Infants (n=5609) born at mean (standard deviation [sd]) 36.2 (4.4) weeks postmenstrual age (35.7% preterm) underwent 6542 procedures within 63 (48) days of birth. Critical event(s) requiring intervention occurred in 35.2% of cases, mainly hypotension (>30% decrease in blood pressure) or reduced oxygenation (SpO2 <85%). Postmenstrual age influenced the incidence and thresholds for intervention. Risk of critical events was increased by prior neonatal medical conditions, congenital anomalies, or both (relative risk [RR]=1.16; 95% confidence interval [CI], 1.04–1.28) and in those requiring preoperative intensive support (RR=1.27; 95% CI, 1.15–1.41). Additional complications occurred in 16.3% of patients by 30 days, and overall 90-day mortality was 3.2% (95% CI, 2.7–3.7%). Co-occurrence of intraoperative hypotension, hypoxaemia, and anaemia was associated with increased risk of morbidity (RR=3.56; 95% CI, 1.64–7.71) and mortality (RR=19.80; 95% CI, 5.87–66.7). CONCLUSIONS: Variability in physiological thresholds that triggered an intervention, and the impact of poor tissue oxygenation on patient's outcome, highlight the need for more standardised perioperative management guidelines for neonates and infants

Establishing the time of initial human occupation of Liang Bua, western Flores, Indonesia

Liang Bua, a limestone cave in western Flores, has an archaeological and faunal sequence known to span the last 95 ka and is the type-site for a small-bodied hominid species, Homo floresiensis. This paper describes the geomorphic history of this significant site, and presents numerical ages for key events as determined by thermo luminescence dating of sediments (using a dual-aliquot regenerative-dose protocol) and uranium-series dating of flowstones. Our age estimates indicate that Liang Bua existed as a subterranean chamber by 400 ka ago. It was subsequently exposed by the incision of the Wae Racang River, which invaded the cave around 190 ka and deposited an upward-fining sequence of water-rolled boulders and cobbles. The latter conglomerate was partially reworked around 130 ka ago and was capped by flowstones at 100 ka. The conglomerate also contains stone artefacts, which implies that the occupation of the surrounding area is at least as old as the time of emplacement of the conglomerate. After 190 ka, a complex sequence of erosion and deposition led to the accumulation of at least 11 m of sediment in the front chamber of the cave, which proved suitable for hominid occupation. Such geochronological and geomorphological information is extremely valuable for interpreting the archaeological record at Liang Bua and its wider significance. (c) 2006 Elsevier Ltd. All rights reserved