Fluctuating geometries, q-observables, and infrared growth in inflationary spacetimes

Infrared growth of geometrical fluctuations in inflationary spacetimes is investigated. The problem of gauge-invariant characterization of growth of perturbations, which is of interest also in other spacetimes such as black holes, is addressed by studying evolution of the lengths of curves in the geometry. These may either connect freely falling "satellites," or wrap non-trivial cycles of geometries like the torus, and are also used in diffeomorphism- invariant constructions of two-point functions of field operators. For spacelike separations significantly exceeding the Hubble scale, no spacetime geodesic connects two events, but one may find geodesics constrained to lie within constant-time spatial slices. In inflationary geometries, metric perturbations produce significant and growing corrections to the lengths of such geodesics, as we show in both quantization on an inflating torus and in standard slow-roll inflation. These become large, signaling breakdown of a perturbative description of the geometry via such observables, and consistent with perturbative instability of de Sitter space. In particular, we show that the geodesic distance on constant time slices during inflation becomes non-perturbative a few e-folds after a given scale has left the horizon, by distances \sim 1/H^3 \sim RS, obstructing use of such geodesics in constructing IR-safe observables based on the spatial geometry. We briefly discuss other possible measures of such geometrical fluctuations.Comment: 33 pages, 2 figures, latex; v2: typos corrected, references improve

de Sitter limit of inflation and nonlinear perturbation theory

We study the fourth order action of the comoving curvature perturbation in an inflationary universe in order to understand more systematically the de Sitter limit in nonlinear cosmological perturbation theory. We derive the action of the curvature perturbation to fourth order in the comoving gauge, and show that it vanishes sufficiently fast in the de Sitter limit. By studying the de Sitter limit, we then extrapolate to the n'th order action of the comoving curvature perturbation and discuss the slow-roll order of the n-point correlation function.Comment: 14 pages, 1 figure; typos corrected and discussion of tensor modes adde

A new diagrammatic representation for correlation functions in the in-in formalism

In this paper we provide an alternative method to compute correlation functions in the in-in formalism, with a modified set of Feynman rules to compute loop corrections. The diagrammatic expansion is based on an iterative solution of the equation of motion for the quantum operators with only retarded propagators, which makes each diagram intrinsically local (whereas in the standard case locality is the result of several cancellations) and endowed with a straightforward physical interpretation. While the final result is strictly equivalent, as a bonus the formulation presented here also contains less graphs than other diagrammatic approaches to in-in correlation functions. Our method is particularly suitable for applications to cosmology.Comment: 14 pages, matches the published version. includes a modified version of axodraw.sty that works with the Revtex4 clas

Lead Sources in Human Diet in Greenland

Although blood lead levels have declined in Greenland, they are still elevated despite the fact that lead levels in the Greenland environment are very low. Fragments of lead shot in game birds have been suggested as an important source of dietary exposure, and meals of sea birds, particularly eider, contain high concentrations of lead. In a cross-sectional population survey in Greenland in 1993–1994, blood lead adjusted for age and sex was found to be associated with the reported consumption of sea birds. Participants reporting less than weekly intake of sea birds had blood lead concentrations of approximately 75 μg/L, whereas those who reported eating sea birds several times a week had concentrations of approximately 110 μg/L, and those who reported daily intake had concentrations of 170 μg/L (p = 0.01). Blood lead was not associated with dietary exposure to other local or imported food items

On the divergences of inflationary superhorizon perturbations

We discuss the infrared divergences that appear to plague cosmological perturbation theory. We show that within the stochastic framework they are regulated by eternal inflation so that the theory predicts finite fluctuations. Using the $\Delta N$ formalism to one loop, we demonstrate that the infrared modes can be absorbed into additive constants and the coefficients of the diagrammatic expansion for the connected parts of two and three-point functions of the curvature perturbation. As a result, the use of any infrared cutoff below the scale of eternal inflation is permitted, provided that the background fields are appropriately redefined. The natural choice for the infrared cutoff would of course be the present horizon; other choices manifest themselves in the running of the correlators. We also demonstrate that it is possible to define observables that are renormalization group invariant. As an example, we derive a non-perturbative, infrared finite and renormalization point independent relation between the two-point correlators of the curvature perturbation for the case of the free single field.Comment: 12 page

The Kramers-Moyal Equation of the Cosmological Comoving Curvature Perturbation

Fluctuations of the comoving curvature perturbation with wavelengths larger than the horizon length are governed by a Langevin equation whose stochastic noise arise from the quantum fluctuations that are assumed to become classical at horizon crossing. The infrared part of the curvature perturbation performs a random walk under the action of the stochastic noise and, at the same time, it suffers a classical force caused by its self-interaction. By a path-interal approach and, alternatively, by the standard procedure in random walk analysis of adiabatic elimination of fast variables, we derive the corresponding Kramers-Moyal equation which describes how the probability distribution of the comoving curvature perturbation at a given spatial point evolves in time and is a generalization of the Fokker-Planck equation. This approach offers an alternative way to study the late time behaviour of the correlators of the curvature perturbation from infrared effects.Comment: 27 page

Consultation on UTUC, Stockholm 2018 aspects of risk stratification: long-term results and follow-up

Purpose: To summarize current knowledge on upper urinary tract carcinoma (UTUC) regarding risk stratification, long-term results, and follow-up. Methods: A scoping review approach was applied to search literature in Pubmed, Web of Science, and Embase. Consensus was reached through discussions at Consultation on UTUC, September 2018, Stockholm. Results: To optimize oncological outcome considering both cancer-specific survival (CSS) and overall survival (OS), it is essential to identify pre- and postoperative prognostic factors. In low-risk UTUC, kidney-sparing surgery (KSS) and radical nephroureterectomy (RNU) offer equivalent CSS, whereas RNU may result in poorer OS due to nephron loss. For more aggressive tumours, undergrading can lead to insufficient treatment. The strongest prognostic factors are tumour stage and grade. Determining grade is best achieved by ureterorenoscopy (URS) with focal samples, biopsy and cytology. Staging is more difficult but can be indirectly achieved by multiphase computed tomography urography (CTU) or tumour grade determined by cytology and histopathology. Patients treated with KSS should be monitored closely with regular follow-ups (URS and CTU). Conclusion: KSS should be offered in low-risk UTUC when feasible, whereas RNU is the treatment of choice in organ-confined high-risk UTUC. Intravesical recurrence (IVR) is common after RNU, but a single postoperative dose of mitomycin instillation decreases IVR. Endourological management has high local and bladder recurrence rates; however, its effect on CSS or overall survival OS is unclear. RNU is associated with significant risk of chronic kidney disease. Careful selection of patients and risk stratification are mandatory, and patients should be followed according to strict protocols

Semiclassical relations and IR effects in de Sitter and slow-roll space-times

We calculate IR divergent graviton one-loop corrections to scalar correlators in de Sitter space, and show that the leading IR contribution may be reproduced via simple semiclassical consistency relations. One can likewise use such semiclassical relations to calculate leading IR corrections to correlators in slow-roll inflation. The regulated corrections shift the tensor/scalar ratio and consistency relation of single field inflation, and non-gaussianity parameters averaged over very large distances. For inflation of sufficient duration, for example arising from a chaotic inflationary scenario, these corrections become of order unity. First-order corrections of this size indicate a breakdown of the perturbative expansion, and suggest the need for a non-perturbative description of the corresponding regime. This is analogous to a situation argued to arise in black hole evolution, and to interfere with a sharp perturbative calculation of "missing information" in Hawking radiation.Comment: 32 pages, 2 figures; v2: running of spectral index included and other minor changes; v3: minor changes to agree with published versio

Nonlocality vs. complementarity: a conservative approach to the information problem

A proposal for resolution of the information paradox is that "nice slice" states, which have been viewed as providing a sharp argument for information loss, do not in fact do so as they do not give a fully accurate description of the quantum state of a black hole. This however leaves an information *problem*, which is to provide a consistent description of how information escapes when a black hole evaporates. While a rather extreme form of nonlocality has been advocated in the form of complementarity, this paper argues that is not necessary, and more modest nonlocality could solve the information problem. One possible distinguishing characteristic of scenarios is the information retention time. The question of whether such nonlocality implies acausality, and particularly inconsistency, is briefly addressed. The need for such nonlocality, and its apparent tension with our empirical observations of local quantum field theory, may be a critical missing piece in understanding the principles of quantum gravity.Comment: 11 pages of text and figures, + references. v2 minor text. v3 small revisions to match final journal versio

Enhancing the tensor-to-scalar ratio in simple inflation

We show that in theories with a nontrivial kinetic term the contribution of the gravitational waves to the CMB fluctuations can be substantially larger than that is naively expected in simple inflationary models. This increase of the tensor-to-scalar perturbation ratio leads to a larger B-component of the CMB polarization, thus making the prospects for future detection much more promising. The other important consequence of the considered model is a higher energy scale of inflation and hence higher reheating temperature compared to a simple inflation.Comment: 9 pages, 1 figure and references are added, discussion is slightly extended, published versio