Duality and Axionic Weak Gravity

The axionic weak gravity conjecture predicts the existence of instantons whose actions are less than their charges in appropriate units. We show that the conjecture is satisfied for the axion-dilaton-gravity system if we assume duality constraints on the higher derivative corrections in addition to positivity bounds which follow from unitarity, analyticity, and locality of UV scattering amplitudes. On the other hand, the conjecture does not follow if we assume the positivity bounds only. This presents an example where derivation of the weak gravity conjecture requires more detailed UV information than the consistency of scattering amplitudes.Comment: 17 pages, 4 figures, version published in PRD: comments added and typos fixed, generalised arguments in section 2.2, results unchange

Convolutional Neural Networks in Tomographic Image Enhancement

Convolutional Neural Networks have seen a huge rise in popularity in image applications. They have been used in medical imaging contexts to enhance the overall quality of the digital representation of the patient's scanned body region and have been very useful when dealing with limited-angle tomographic data. In this thesis, a particular type of convolutional neural network called Unet will be used as the starting point to explore the effectiveness of different networks in enhancing tomographic image reconstructions. We will first make minor tweaks to the 2-dimensional convolutional network and train it on two different datasets. After that, we will take advantage of the shape of the reconstructions we are considering to extend the convolutions to the third dimension. The scanner layout that has been considered for projecting and reconstructing volumes in this thesis indeed consits of a cone-beam geometry, whose output is a volume that approximates the original scanned object. We will then discuss the results in order to try to understand if the proposed solutions could be viable approaches for enhancing tomographic images

Self-Binding Energies in AdS

The Positive Binding Conjecture is a proposed formulation of the Weak Gravity Conjecture appropriate to Anti de-Sitter (AdS) space. It proposes that in a consistent gravitational theory, with a $U(1)$ gauge symmetry, there must exist a charged particle with non-negative self-binding energy. In order to formulate this as a constraint on a given effective theory, we calculate the self-binding energy for a charged particle in AdS$_4$ and AdS$_5$. In particular, we allow it to couple to an additional scalar field of arbitrary mass. Unlike the flat-space case, even when the scalar field is massive it contributes significantly to the binding energy, and therefore is an essential component of the conjecture. In AdS$_5$, we give analytic expressions for the self-binding energy for the cases when the scalar field is massless and when it saturates the Breitenlohner-Freedman (BF) bound, and in AdS$_4$ when it is massless. We show that the massless case reproduces the flat-space expressions in the large AdS radius limit, and that both analytic cases lead to vanishing total self-binding energy for BPS particles in example supersymmetric models. For other masses of the scalar we give numerical expressions for its contribution to the self-binding energy.Comment: 31 pages, 3 figure

Compact G2 holonomy spaces from SU(3) structures

We construct novel classes of compact G2 spaces from lifting type IIA flux backgrounds with O6 planes. There exists an extension of IIA Calabi-Yau orientifolds for which some of the D6 branes (required to solve the RR tadpole) are dissolved in $F_2$ fluxes. The backreaction of these fluxes deforms the Calabi-Yau manifold into a specific class of SU(3)-structure manifolds. The lift to M-theory again defines compact G2 manifolds, which in case of toroidal orbifolds are a twisted generalisation of the Joyce construction. This observation also allows a clear identification of the moduli space of a warped compactification with fluxes. We provide a few explicit examples, of which some can be constructed from T-dualising known IIB orientifolds with fluxes. Finally we discuss supersymmetry breaking in this context and suggest that the purely geometric picture in M-theory could provide a simpler setting to address some of the consistency issues of moduli stabilisation and de Sitter uplifting.Comment: 32 pages; v2. minor changes and corrections, version accepted on JHE

Classification Systems for Knee Osteochondritis Dissecans: A Systematic Review

Objective Aim of this systematic review was to describe all classification systems for knee osteochondritis dissecans (OCD) lesions, evaluating their accuracy and reliability, as well as their use in the literature on knee OCD. Design A systematic review of the literature was performed in July 2021 on PubMed, WebOfScience, and Cochrane Collaboration (library) to describe all published classification systems for knee OCD lesions and quantify the use of these classifications in the literature. Results Out of 1,664 records, 30 studies on 33 OCD classifications systems were identified, describing 11 radiographic, 13 MRI, and 9 arthroscopic classifications. The search included 193 clinical studies applying at least one OCD classification, for a total of 7,299 knee OCD cases. Radiographic classifications were applied to 35.8%, MRI to 35.2%, and arthroscopic classifications to 64.2% of the included studies. Among these, in the last two decades, the International Cartilage Repair Society's (ICRS) arthroscopic classification was the most described approach in studies on knee OCD. Overall, there is a lack of data on accuracy and reliability of the available systems. Conclusions Several classifications are available, with ICRS being the most used system over the time period studied. Arthroscopy allows to confirm lesion stability, but noninvasive imaging approaches are the first line to guide patient management. Among these, radiographic classifications are still widely used, despite being partially superseded by MRI, because of its capability to detect the earliest disease stages and to distinguish stable from unstable lesions, and thus to define the most suitable conservative or surgical approach to manage patients affected by knee OCD

Prospective double-blind randomised controlled trial protocol comparing bone marrow aspirate concentrate intra-articular injection combined with subchondral injection versus intra-articular injection alone for the treatment of symptomatic knee osteoarthritis

Introduction: Subchondral and intra-articular injections of bone marrow aspirate concentrate (BMAC) showed promising results for knee osteoarthritis (OA) patients. To date, there is no evidence to demonstrate whether the combination of these treatments provides higher benefits than the intra-articular injection alone. Methods and analysis: Eighty-six patients with symptomatic knee OA (aged between 40 and 70 years) are randomised to BMAC intra-articular injection combined with subchondral BMAC injection or BMAC intra-articular injection alone in a ratio of 1:1. The primary outcome is the total Western Ontario and McMaster Universities Osteoarthritis Index, the secondary outcomes are the International Knee Documentation Committee Subjective and Objective Knee Evaluation Form, the Tegner activity scale, the EuroQol-Visual Analogue Scale, and the health questionnaire European Quality of Life Five Dimension score. Additional CT and MRI evaluations are performed at the baseline assessment and at the final 12-month follow-up. The hypothesis is that the combined injections provide higher knee pain and function improvement compared with BMAC intra-articular injection alone. The primary analysis follows an intention to treat principle. Ethics and dissemination: The study protocol has been approved by the Emilia Wide Area Ethical Committee of the Emilia-Romagna Region (CE-AVEC), Bologna, Italy. Written informed consent is obtained from all the participants. Findings of this study will be disseminated through peer-reviewed publications and conference presentations. Protocol version: Version 1 (14 May 2018). Trial registration number: NCT03876795

Higher 90-Day Mortality after Surgery for Hip Fractures in Patients with COVID-19: A Case-Control Study from a Single Center in Italy

The mortality of hip fracture (HF) patients is increased by concomitant COVID-19; however, evidence is limited to only short follow-up. A retrospective matched case-control study was designed with the aim to report the 90-day mortality and determine the hazard ratio (HR) of concomitant HF and COVID-19 infection. Cases were patients hospitalized for HF and diagnosed with COVID-19. Controls were patients hospitalized for HF not meeting the criteria for COVID-19 diagnosis and were individually matched with each case through a case-control (1:3) matching algorithm. A total of 89 HF patients were treated during the study period, and 14 of them were diagnosed as COVID-19 positive (overall 15.7%). Patients' demographic, clinical, and surgical characteristics were similar between case and control groups. At 90 days after surgery, 5 deaths were registered among the 14 COVID-19 cases (35.7%) and 4 among the 42 HF controls (9.5%). COVID-19-positive cases had a higher risk of mortality at 30 days (HR = 4.51; p = 0.0490) and 90 days (HR = 4.50; p = 0.025) with respect to controls. Patients with concomitant HF and COVID-19 exhibit high perioperative mortality, which reaches a plateau of nearly 30-35% after 30 to 45 days and is stable up to 90 days. The mortality risk is more than four-fold higher in patients with COVID-19

The efficacy of a web-based gambling intervention program for high school students: A preliminary randomized study

Early onset in adolescent gambling involvement can be a precipitator of later gambling problems. The aim of the present study was to test the preliminary efficacy of a web-based gambling intervention program for students within a high school-based setting. Students attending a high school in Italy (N=168) participated in the present study (58% male–age, M=15.01; SD=0.60). Twelve classes were randomly assigned to one of two conditions: intervention ( N=6; 95 students) and control group (N=6; 73 students). Both groups received personalized feedback and then the intervention group received online training (interactive activities) for three weeks. At a two-month follow-up, students in the intervention group reported a reduction in gambling problems relative to those in the control group. However, there were no differences in gambling frequency, gambling expenditure, and attitudes toward the profitability of gambling between the two groups. In addition, frequent gamblers (i.e., those that gambled at least once a week at baseline) showed reductions in gambling problems and gambling frequency post- intervention. Frequent gamblers that only received personalized feedback showed significantly less realistic attitudes toward the profitability of gambling post-intervention. The present study is the first controlled study to test the preliminary efficacy of a web-based gambling intervention program for students within a high school-based setting. The results indicate that a brief web-based intervention delivered in the school setting may be a potentially promising strategy for a low-threshold, low-cost, preventive tool for at-risk gambling high school students