On RR couplings on D-branes at order O(α′2)O(\alpha'^2)

Recently, it has been found that there are couplings of the RR field strength $F^{(p)}$ and the B-field strength $H$ on the world volume of D$_p$-branes at order ${\cal O}(\alpha'^2)$. These couplings which have both world-volume and transverse indices, are invariant under the linear T-duality transformations. Consistency with the nonlinear T-duality indicates that the RR field strength $F^{(p)}$ in these couplings should be replaced by ${\cal F}^{(p)}=d{\cal C}^{(p-1)}$ where ${\cal C}=e^{B}C$. This replacement, however, reproduces some non-gauge invariant terms. On the other hand, the nonlinear terms are invariant under the linear T-duality transformations at the level of two B-fields. This allows one to remove some of the nonlinear terms in ${\cal F}^{(p)}$. We fix this by comparing the nonlinear couplings with the S-matrix element of one RR and two NSNS vertex operators. Our results indicate that in the expansion of ${\cal F}^{(p)}$ one should keep only the B-field gauge invariant terms, e.g. $B\wedge dC^{(p-3)}$ where both indices of B-field lie along the brane. Moreover, in this case one should replace $B$ with $B+2\pi\alpha'f$ to have the $B$-field gauge invariance.Comment: 23 pages, Latex file, 1 figure; v2:typos corrected, to appear in JHE

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

Two-loop scattering amplitudes from ambitwistor strings: from genus two to the nodal Riemann sphere

We derive from ambitwistor strings new formulae for two-loop scattering amplitudes in supergravity and super-Yang-Mills theory, with any number of particles. We start by constructing a formula for the type II ambitwistor string amplitudes on a genus-two Riemann surface, and then study the localisation of the moduli space integration on a degenerate limit, where the genus-two surface turns into a Riemann sphere with two nodes. This leads to scattering amplitudes in supergravity, expressed in the formalism of the two-loop scattering equations. For super-Yang-Mills theory, we import `half' of the supergravity result, and determine the colour dependence by considering a current algebra on the nodal Riemann sphere, thereby completely specifying the two-loop analogue of the Parke-Taylor factor, including non-planar contributions. We also present in appendices explicit expressions for the Szego kernels and the partition functions for even spin structures, up to the relevant orders in the degeneration parameters, which may be useful for related investigations in conventional superstring theory.Comment: 66 pages plus appendices, 14 figures. v2: small changes, published version. v3: typos fixed in appendix

Congruence and trajectories of device-measured and self-reported physical activity during therapy for early breast cancer

Purpose: This study examines congruence between self-reported and device-measured physical activity data in women with early breast cancer and compares trajectories under different treatments. Methods: Women with non-metastatic breast cancer were recruited before primary therapy. In four weeks distributed over six months after treatment start, patients reported time spent on work, transport, chores and sports via diary and wore Garmin super R vivofit 3 accelerometers to assess steps taken. Associations between these measures and agreement regarding guideline adherence were tested with Spearman's Correlation Coefficient and Weighted Kappa statistic. Effects of time and treatment were evaluated using mixed analyses of variance. Results: Ninety-nine participants (median age = 50) were treated with adjuvant (N= 23), neoadjuvant (N= 21) or without chemotherapy (N= 55). Coherence between self-report and device data was strong (r = 0.566). Agreement about reaching recommendations was only 'fair' (kappa coefficient = 0.321 and 0.249, resp.). Neither treatment or week nor their interaction had effects on step counts (all p > 0.05). Self-reported activity time was lower for patients with chemotherapy than for those without (adjuvant: increment = 69min, p= 0.006, neoadjuvant: increment = 45min, p= 0.038) and lower in week 18 than in week 3 ( increment = 43min, p= 0.010). Conclusion: Results show that consumer-grade activity monitors and self-reports correlate but show different perspectives on physical activity in breast cancer patients. In general, patients perceive some decline regardless of primary treatment regimen. Those affected should be offered assistance to gain the benefits of activity. Accelerometers may help professionals to identify these individuals and patients to verify appraisal of their activity levels