Unquenched flavor and tropical geometry in strongly coupled Chern-Simons-matter theories

We study various aspects of the matrix models calculating free energies and Wilson loop observables in supersymmetric Chern-Simons-matter theories on the three-sphere. We first develop techniques to extract strong coupling results directly from the spectral curve describing the large N master field. We show that the strong coupling limit of the gauge theory corresponds to the so-called tropical limit of the spectral curve. In this limit, the curve degenerates to a planar graph, and matrix model calculations reduce to elementary line integrals along the graph. As an important physical application of these tropical techniques, we study N=3 theories with fundamental matter, both in the quenched and in the unquenched regimes. We calculate the exact spectral curve in the Veneziano limit, and we evaluate the planar free energy and Wilson loop observables at strong coupling by using tropical geometry. The results are in agreement with the predictions of the AdS duals involving tri-Sasakian manifoldsComment: 32 pages, 7 figures. v2: small corrections, added an Appendix on the relation with the approach of 1011.5487. v3: further corrections and clarifications, final version to appear in JHE

Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified