Inflationary Perturbations: the Cosmological Schwinger Effect

This pedagogical review aims at presenting the fundamental aspects of the theory of inflationary cosmological perturbations of quantum-mechanical origin. The analogy with the well-known Schwinger effect is discussed in detail and a systematic comparison of the two physical phenomena is carried out. In particular, it is demonstrated that the two underlying formalisms differ only up to an irrelevant canonical transformation. Hence, the basic physical mechanisms at play are similar in both cases and can be reduced to the quantization of a parametric oscillator leading to particle creation due to the interaction with a classical source: pair production in vacuum is therefore equivalent to the appearance of a growing mode for the cosmological fluctuations. The only difference lies in the nature of the source: an electric field in the case of the Schwinger effect and the gravitational field in the case of inflationary perturbations. Although, in the laboratory, it is notoriously difficult to produce an electric field such that pairs extracted from the vacuum can be detected, the gravitational field in the early universe can be strong enough to lead to observable effects that ultimately reveal themselves as temperature fluctuations in the Cosmic Microwave Background. Finally, the question of how quantum cosmological perturbations can be considered as classical is discussed at the end of the article.Comment: 49 pages, 6 figures, to appear in a LNP volume "Inflationary Cosmology

7th Drug hypersensitivity meeting: part two

No abstract availabl

A Comprehensive Pan-Cancer Molecular Study of Gynecologic and Breast Cancers

We analyzed molecular data on 2,579 tumors from The Cancer Genome Atlas (TCGA) of four gynecological types plus breast. Our aims were to identify shared and unique molecular features, clinically significant subtypes, and potential therapeutic targets. We found 61 somatic copy-number alterations (SCNAs) and 46 significantly mutated genes (SMGs). Eleven SCNAs and 11 SMGs had not been identified in previous TCGA studies of the individual tumor types. We found functionally significant estrogen receptor-regulated long non-coding RNAs (lncRNAs) and gene/lncRNA interaction networks. Pathway analysis identified subtypes with high leukocyte infiltration, raising potential implications for immunotherapy. Using 16 key molecular features, we identified five prognostic subtypes and developed a decision tree that classified patients into the subtypes based on just six features that are assessable in clinical laboratories. By performing molecular analyses of 2,579 TCGA gynecological (OV, UCEC, CESC, and UCS) and breast tumors, Berger et al. identify five prognostic subtypes using 16 key molecular features and propose a decision tree based on six clinically assessable features that classifies patients into the subtypes

Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Geometric phase shift sensitivity in an area chirped array of atom interferometers

Measuring geometric phase shifts has various applications in both quantum and classical interferometry such as measuring acceleration, distances, rotation and magnetic flux. Theoretical analysis of coupled ring arrays has been shown to be a promising design for creating small inertial rotation sensors on atom chips. In this paper we build on the theoretical models of transmission of matter waves through an area chirped array of ring interferometers to determine phase regions of the transmission that exhibit high sensitivity to geometric phase shifts,these regions are indicated by sharp transmission resonances. We calculate the slopes of transmission resonances for a range of values for two parameters, the chirp factor γ and the product of the wave number and ring circumference kL, we look at the behavior of the slopes of these transmission resonances for defined ranges of kL and γ to see in search of transmission resonances with extreme slopes. We find transmission resonances with sensitivities to geometric phase shifts that exceed those found in previous models of area chirped arrays by several orders of magnitude. The area chirp is applied such that the geometric phase shifts (θGP) in each ring of the array can be expressed in terms of the geometric phase shift in the reference ring of the array, this enables the transmission function T(θGP) to be calculated in terms of the phase shift of a single ring. We investigate T(θGP) for various ring sizes, wave numbers, and chirp factor and look for values of these parameters that lead to sharp transmission resonances in T(θGP). We calculate the sensitivities of rotation via the Sagnac effect and magnetic flux via Aharonov Bohm effect based on the sensitivity of the transmission resonances found in our transmission functions

Tissue engineered cartilage integration to live and devitalized cartilage : a study by reflectance mode confocal microscopy and standard histology

This study investigated the in vivo formation of engineering cartilage within living or devitalized cartilage discs using reflectance mode confocal microscopy and conventional light microscopy. Pig articular chondrocytes were suspended in fibrin glue and placed between two cartilage discs. Four experimental groups were prepared: in groups 1 and 2, the cell-hydrogel composite was placed between two live or between two devitalized cartilage discs, respectively; in groups 3 and 4, acellular fibrin glue was placed between two live or between two devitalized cartilage discs, respectively. Samples were implanted in the back of nude mice and analyzed after 2, 5, and 8 weeks. Results showed that engineered cartilage seems to grow more homogenously when the cell-seeded gel was placed between devitalized cartilages than when it was placed between live cartilage matrices. Confocal microscopy provides valuable information on the integration of tissue-engineered cartilage with native tissue and could be useful for nondestructive imaging in vivo

CRISPR/Cas9 targeted inactivation of the kauniolide synthase in chicory results in accumulation of costunolide and its conjugates in taproots

Chicory taproots accumulate sesquiterpene lactones lactucin, lactucopicrin, and 8-deoxylactucin, predominantly in their oxalated forms. The biosynthetic pathway for chicory sesquiterpene lactones has only partly been elucidated; the enzymes that convert farnesyl pyrophosphate to costunolide have been described. The next biosynthetic step of the conversion of costunolide to the tricyclic structure, guaianolide kauniolide, has so far not been elucidated in chicory. In this work three putative kauniolide synthase genes were identified in chicory named CiKLS1, CiKLS2, and CiKLS3. Their activity to convert costunolide to kauniolide was demonstrated in vitro using yeast microsome assays. Next, introduction of CRISPR/Cas9 reagents into chicory protoplasts was used to inactivate multiple chicory KLS genes and several chicory lines were successfully regenerated. The inactivation of the kauniolide synthase genes in chicory by the CRISPR/Cas9 approach resulted in interruption of the sesquiterpene lactone biosynthesis in chicory leaves and taproots. In chicory taproots, but not in leaves, accumulation of costunolide and its conjugates was observed to high levels, namely 1.5 mg/g FW. These results confirmed that all three genes contribute to STL accumulation, albeit to different extent. These observations demonstrate that three genes oriented in tandem on the chicory genome encode kauniolide synthases that initiate the conversion of costunolide toward the sesquiterpene lactones in chicory