Shocks, Superconvergence, and a Stringy Equivalence Principle

We study propagation of a probe particle through a series of closely situated gravitational shocks. We argue that in any UV-complete theory of gravity the result does not depend on the shock ordering - in other words, coincident gravitational shocks commute. Shock commutativity leads to nontrivial constraints on low-energy effective theories. In particular, it excludes non-minimal gravitational couplings unless extra degrees of freedom are judiciously added. In flat space, these constraints are encoded in the vanishing of a certain "superconvergence sum rule." In AdS, shock commutativity becomes the statement that average null energy (ANEC) operators commute in the dual CFT. We prove commutativity of ANEC operators in any unitary CFT and establish sufficient conditions for commutativity of more general light-ray operators. Superconvergence sum rules on CFT data can be obtained by inserting complete sets of states between light-ray operators. In a planar 4d CFT, these sum rules express (a-c)/c in terms of the OPE data of single-trace operators.Comment: 93 pages plus appendice

Holographic Correlators at Finite Temperature

We consider weakly-coupled QFT in AdS at finite temperature. We compute the holographic thermal two-point function of scalar operators in the boundary theory. We present analytic expressions for leading corrections due to local quartic interactions in the bulk, with an arbitrary number of derivatives and for any number of spacetime dimensions. The solutions are fixed by judiciously picking an ansatz and imposing consistency conditions. The conditions include analyticity properties, consistency with the operator product expansion, and the Kubo-Martin-Schwinger condition. For the case without any derivatives we show agreement with an explicit diagrammatic computation. The structure of the answer is suggestive of a thermal Mellin amplitude. Additionally, we derive a simple dispersion relation for thermal two-point functions which reconstructs the function from its discontinuity.Comment: 28 page

An unexpected infection in loss-of-function mutations in STAT3: malignant alveolar echinococcosis in liver

Loss-of-function (LOF) mutations in signal transducer and activator of transcription 3 (S TAT 3) gene causes autosomal dominant hyper immunoglobulin E syndrome (AD-HIES or Job's Syndrome), a rare and complex primary immunodeficiency (PID) syndrome characterized by increased levels of IgE (>2000 IU/mL), eosinophilia, recurrent staphylococcal skin abscesses, eczema, recurrent pneumonia, skeletal and connective tissue abnormalities. Although bacterial and fungal infections are common in AD-HIES, susceptibility to parasitic infections has not been reported. Alveolar echinococcosis (AE), a zoonosis caused by the growth of the Echinococcus multilocularis (EM) metacestode, mimics slow-growing liver cancer. The mortality rate of AE is very high when it is diagnosed late or undertreated. Here, we report a 14-year-old boy with AE infections of the liver and the lung resulting in liver failure and diagnosed as STAT3-LOF. To our knowledge, the association between these two conditions has not been reported in the literature before

Unusual cause of a painful right testicle in a 16-year-old man: a case report

<p>Abstract</p> <p>Introduction</p> <p>Urgent surgical exploration of the scrotum of a child or teenager who presents with a painful and swollen testicle is paramount if testicular torsion is not to be missed. It is extremely rare for a non-scrotal pathology to present with acute scrotal signs. Here we present such a rare case and emphasize the importance of being aware of this potential clinical pitfall.</p> <p>Case presentation</p> <p>A 16-year-old Caucasian man presented as a surgical emergency with a five to six hour history of a painful, red, and swollen right hemiscrotum. He also complained of vague lower abdominal pain, vomiting, and watery diarrhea. He had a temperature of 38.5°C and a tender, red, and swollen right hemiscrotum. The right testicle appeared elevated. He was mildly tender in his central and upper abdomen and less so in the lower abdomen. No convincing localizing abdominal signs were noted. He had an increased white cell count (15 × 10⁹/L) and C-reactive protein (CRP; 300 mg/L). Urgent right hemiscrotal exploration revealed about 5 ml of pus in the tunica vaginalis and a normal testicle. A right iliac fossa incision identified the cause: a perforated retrocecal appendix. Appendectomy was performed, and both the abdomen and scrotum washed copiously with saline before closure. The patient made an uneventful recovery.</p> <p>Conclusion</p> <p>Acute appendicitis presenting with scrotal signs due to a patent processus vaginalis is an extremely rare clinical entity. To date, fewer than five such cases have been reported in the medical literature. It is, therefore, extremely important to be aware of this unusual clinical scenario, as only a high index of suspicion will enable prompt, successful management of both the appendicitis and the scrotal abscess.</p