Further results on non-diagonal Bianchi type III vacuum metrics

We present the derivation, for these vacuum metrics, of the Painlev\'e VI equation first obtained by Christodoulakis and Terzis, from the field equations for both minkowskian and euclidean signatures. This allows a complete discussion and the precise connection with some old results due to Kinnersley. The hyperk\"ahler metrics are shown to belong to the Multi-Centre class and for the cases exhibiting an integrable geodesic flow the relevant Killing tensors are given. We conclude by the proof that for the Bianchi B family, excluding type III, there are no hyperk\"ahler metrics.Comment: 21 pages, no figure

Seizure first aid training for people with Epilepsy (SAFE) frequently attending emergency departments and their significant others : results of a UK multi-centre randomised controlled pilot trial

Objective To determine the feasibility and optimal design of a randomised controlled trial (RCT) of Seizure First Aid Training For Epilepsy (SAFE). Design Pilot RCT with embedded microcosting. Setting Three English hospital emergency departments (EDs). Participants Patients aged ≥16 with established epilepsy reporting ≥2 ED visits in the prior 12 months and their significant others (SOs). Interventions Patients (and their SOs) were randomly allocated (1:1) to SAFE plus treatment-as-usual (TAU) or TAU alone. SAFE is a 4-hour group course. Main outcome measures Two criteria evaluated a definitive RCT’s feasibility: (1) ≥20% of eligible patients needed to be consented into the pilot trial; (2) routine data on use of ED over the 12 months postrandomisation needed securing for ≥75%. Other measures included eligibility, ease of obtaining routine data, availability of self-report ED data and comparability, SAFE’s effect and intervention cost. Results Of ED attendees with a suspected seizure, 424 (10.6%) patients were eligible; 53 (12.5%) patients and 38 SOs consented. Fifty-one patients (and 37 SOs) were randomised. Routine data on ED use at 12 months were secured for 94.1% patients. Self-report ED data were available for 66.7% patients. Patients reported more visits compared with routine data. Most (76.9%) patients randomised to SAFE received it and no related serious adverse events occurred. ED use at 12 months was lower in the SAFE+TAU arm compared with TAU alone, but not significantly (rate ratio=0.62, 95% CI 0.33 to 1.17). A definitive trial would need ~674 patient participants and ~39 recruitment sites. Obtaining routine data was challenging, taking ~8.5 months. Conclusions In satisfying only one predetermined ‘stop/go’ criterion, a definitive RCT is not feasible. The low consent rate in the pilot trial raises concerns about a definitive trial’s finding’s external validity and means it would be expensive to conduct. Research is required into how to optimise recruitment from the target population

Can induced gravity isotropize Bianchi I, V, or IX Universes?

We analyze if Bianchi I, V, and IX models in the Induced Gravity (IG) theory can evolve to a Friedmann--Roberson--Walker (FRW) expansion due to the non--minimal coupling of gravity and the scalar field. The analytical results that we found for the Brans-Dicke (BD) theory are now applied to the IG theory which has $\omega \ll 1$ ($\omega$ being the square ratio of the Higgs to Planck mass) in a cosmological era in which the IG--potential is not significant. We find that the isotropization mechanism crucially depends on the value of $\omega$. Its smallness also permits inflationary solutions. For the Bianch V model inflation due to the Higgs potential takes place afterwads, and subsequently the spontaneous symmetry breaking (SSB) ends with an effective FRW evolution. The ordinary tests of successful cosmology are well satisfied.Comment: 24 pages, 5 figures, to be published in Phys. Rev. D1

Whole-genome sequencing reveals host factors underlying critical COVID-19

Critical COVID-19 is caused by immune-mediated inflammatory lung injury. Host genetic variation influences the development of illness requiring critical care1 or hospitalization2,3,4 after infection with SARS-CoV-2. The GenOMICC (Genetics of Mortality in Critical Care) study enables the comparison of genomes from individuals who are critically ill with those of population controls to find underlying disease mechanisms. Here we use whole-genome sequencing in 7,491 critically ill individuals compared with 48,400 controls to discover and replicate 23 independent variants that significantly predispose to critical COVID-19. We identify 16 new independent associations, including variants within genes that are involved in interferon signalling (IL10RB and PLSCR1), leucocyte differentiation (BCL11A) and blood-type antigen secretor status (FUT2). Using transcriptome-wide association and colocalization to infer the effect of gene expression on disease severity, we find evidence that implicates multiple genes—including reduced expression of a membrane flippase (ATP11A), and increased expression of a mucin (MUC1)—in critical disease. Mendelian randomization provides evidence in support of causal roles for myeloid cell adhesion molecules (SELE, ICAM5 and CD209) and the coagulation factor F8, all of which are potentially druggable targets. Our results are broadly consistent with a multi-component model of COVID-19 pathophysiology, in which at least two distinct mechanisms can predispose to life-threatening disease: failure to control viral replication; or an enhanced tendency towards pulmonary inflammation and intravascular coagulation. We show that comparison between cases of critical illness and population controls is highly efficient for the detection of therapeutically relevant mechanisms of disease

Effects of time of year and reproductive state on the proliferation and keratinisation of bovine hoof cells

Cell proliferation and protein synthesis (keratinisation) were measured in vitro in hoof biopsy samples taken from two groups of seven heifers, the first calving in the winter and the second in the summer. Both parameters were significantly higher in summer than in winter irrespective of the heifers' reproductive state. The mean (se) measure of the rate of protein synthesis was 199 (27) dpm/microg DNA/hour in summer and 4 (1) dpm/microg DNA/hour in winter, and the equivalent values for cell proliferation (measured as DNA synthesis) were 375 (56) dpm/microg DNA/hour and 17 (4) dpm/microg DNA/hour. Changes around parturition depended on the time of the year. In the winter-calving heifers, the rates of proliferation and keratinisation increased significantly after calving from 22.3 (7.2) to 70.4 (16.6) and from 2.1 (0.7) to 12.4 (2.8) dpm/microg DNA/hour, respectively. In the summer-calving heifers, proliferation decreased from 388.2 (91.0) to 66.7 (9.6) dpm/microg DNA/hour but the rate of keratinisation did not change. Lesion scores and locomotion scores deteriorated after parturition, especially in the winter-calving group. The hooves were harder in summer than winter but their hardness was not affected by the heifers' reproductive state

Comparison of Brachial Artery Pressure and Derived Central Pressure in the Measurement of Abdominal Aortic Aneurysm Distensibility

AbstractObjective AAA distensibility (Ep, β) may predict growth and risk of rupture. However, distensibility measurements based on brachial rather than central pressure may be inaccurate. Our aim was to compare AAA distensibility using non-invasive brachial and derived central aortic pressure. Design brachial and central pressures were measured prospectively by automated sphygmomanometry (Omron) and pulse wave analysis (SphygmoCor) respectively. AAA distensibility was calculated using brachial (Epb, βb) and central (Epc, βc) pressures by ultrasonic echo-tracking (Diamove). Twenty-eight patients (18 males) were selected on a first come basis from a larger study of AAA patients. There were no exclusion criteria, so 54% had cardiac dysfunction (MI, angina) and 14% were hypertensive (BP>140/90 mmHg). Results median (IQR) age was 74 (70–77) years, median AAA (IQR) diameter was 44 (40–51) mm. Central and brachial systolic pressures were significantly different, [140 (121–153) vs 144 (130–164) mmHg respectively, p≤0.01]. Central and brachial diastolic pressures were not significantly different [76 (72–86) vs 76 (71–86) mmHg respectively, p=0.5]. Epc(3.0, [2.2–4.9]) and βc(22.2 [15.5–33.2]) were significantly lower than Epb(3.6, [2.4–5.1] 105Nm−2) and βb(24.7 [17.1–33.0] a.uall p<0.001. Brachial and central derived distensibility remained significantly different after adjusting for age and diameter (p<0.001). Conclusion the use of brachial pressure leads to a small, systematic overestimate of Ep (18%) and β (11%) independent of age and AAA diameter. This systematic error will not bias follow-up of changes in distensibility

Optimized wavefunctions for quantum Monte Carlo studies of atoms and solids

Wavefunctions for the homogeneous electron gas, a germanium pseudo-solid, and a germanium pseudo-atom are optimized using the method of variance minimization. New forms for the Jastrow factor which are convenient to optimize and may be evaluated rapidly are devised and tested and we stress the advantages of using expressions which are linear in the variable parameters. For each system studied we have performed variational and diffusion quantum Monte Carlo calculations to test the accuracy of the optimized wavefunctions. The results of our study are very promising for future applications of quantum Monte Carlo methods to real materials. Typeset using REVT E X I. INTRODUCTION The optimization of approximate many-body wavefunctions is central to the development of quantum Monte Carlo (QMC) techniques. In the variational quantum Monte Carlo (VMC) method [1,2] the energy is calculated as the expectation value of the Hamiltonian with an approximate wavefunction, the multi-dimensional integ..