The Universe as a topological defect

Four-dimensional Einstein's General Relativity is shown to arise from a gauge theory for the conformal group, SO(4,2). The theory is constructed from a topological dimensional reduction of the six-dimensional Euler density integrated over a manifold with a four-dimensional topological defect. The resulting action is a four-dimensional theory defined by a gauged Wess-Zumino-Witten term. An ansatz is found which reduces the full set of field equations to those of Einstein's General Relativity. When the same ansatz is replaced in the action, the gauged WZW term reduces to the Einstein-Hilbert action. Furthermore, the unique coupling constant in the action can be shown to take integer values if the fields are allowed to be analytically continued to complex values.Comment: 18 pages, LaTex, 4 figures. Title of the published version changed to "Universe as a Topological defect" by the journa

Who's minding the shop? The role of Canadian research ethics boards in the creation and uses of registries and biobanks

<p>Abstract</p> <p>Background</p> <p>The amount of research utilizing health information has increased dramatically over the last ten years. Many institutions have extensive biobank holdings collected over a number of years for clinical and teaching purposes, but are uncertain as to the proper circumstances in which to permit research uses of these samples. Research Ethics Boards (REBs) in Canada and elsewhere in the world are grappling with these issues, but lack clear guidance regarding their role in the creation of and access to registries and biobanks.</p> <p>Methods</p> <p>Chairs of 34 REBS and/or REB Administrators affiliated with Faculties of Medicine in Canadian universities were interviewed. Interviews consisted of structured questions dealing with diabetes-related scenarios, with open-ended responses and probing for rationales. The two scenarios involved the development of a diabetes registry using clinical encounter data across several physicians' practices, and the addition of biological samples to the registry to create a biobank.</p> <p>Results</p> <p>There was a wide range of responses given for the questions raised in the scenarios, indicating a lack of clarity about the role of REBs in registries and biobanks. With respect to the creation of a registry, a minority of sites felt that consent was not required for the information to be entered into the registry. Whether patient consent was required for information to be entered into the registry and the duration for which the consent would be operative differed across sites. With respect to the creation of a biobank linked to the registry, a majority of sites viewed biobank information as qualitatively different from other types of personal health information. All respondents agreed that patient consent was needed for blood samples to be placed in the biobank but the duration of consent again varied.</p> <p>Conclusion</p> <p>Participants were more attuned to issues surrounding biobanks as compared to registries and demonstrated a higher level of concern regarding biobanks. As registries and biobanks expand, there is a need for critical analysis of suitable roles for REBs and subsequent guidance on these topics. The authors conclude by recommending REB participation in the creation of registries and biobanks and the eventual drafting of comprehensive legislation.</p

Revised list of Diptera of Jamaica

p. 421-449 ; 24 cm.Includes bibliographical references

International Guillain-Barré Syndrome Outcome Study (IGOS): protocol of a prospective observational cohort study on clinical and biological predictors of disease course and outcome in Guillain-Barré syndrome

Guillain-Barré syndrome (GBS) is an acute polyradiculoneuropathy with a highly variable clinical presentation, course, and outcome. The factors that determine the clinical variation of GBS are poorly understood which complicates the care and treatment of individual patients. The protocol of the ongoing International GBS Outcome Study (IGOS), a prospective, observational, multi-centre cohort study that aims to identify the clinical and biological determinants and predictors of disease onset, subtype, course and outcome of GBS is presented here. Patients fulfilling the diagnostic criteria for GBS, regardless of age, disease severity, variant forms, or treatment, can participate if included within two weeks after onset of weakness. Information about demography, preceding infections, clinical features, diagnostic findings, treatment, course and outcome is collected. In addition, cerebrospinal fluid and serial blood samples for serum and DNA is collected at standard time points. The original aim was to include at least 1000 patients with a follow-up of 1-3 years. Data are collected via a web-based data entry system and stored anonymously. IGOS started in May 2012 and by January 2017 included more than 1400 participants from 143 active centres in 19 countries across 5 continents. The IGOS data/biobank is available for research projects conducted by expertise groups focusing on specific topics including epidemiology, diagnostic criteria, clinimetrics, electrophysiology, antecedent events, antibodies, genetics, prognostic modelling, treatment effects and long-term outcome of GBS. The IGOS will help to standardize the international collection of data and biosamples for future research of GBS. ClinicalTrials.gov Identifier: NCT01582763

ChemDiverse : a chemistry careers activity showcasing diversity

Women, ethnic minority and less affluent groups are widely under-represented in chemistry, a problem that is observed at all levels but begins before college matriculation takes place. The importance of representation and humanization of scientists is crucial. Despite limited progress over recent decades poor visibility of role models from under-represented groups remains problematic, emphasizing the importance of initiatives to positively introduce them in classroom settings. Through profiles of under-represented “success stories” from academia and industry, the ChemDiverse project was developed to encourage under-represented groups to pursue the chemical sciences at higher education level by providing teachers with an easy and structured way of encouraging Scottish high school students into Science, technology, engineering, and mathematics (STEM) higher education. Based on survey feedback from teachers at participating schools, it is a well-formulated project which is easy to implement within the context of the Scottish Curriculum for Excellence

Guillain-Barré syndrome: a century of progress

In 1916, Guillain, Barré and Strohl reported on two cases of acute flaccid paralysis with high cerebrospinal fluid protein levels and normal cell counts — novel findings that identified the disease we now know as Guillain–Barré syndrome (GBS). 100 years on, we have made great progress with the clinical and pathological characterization of GBS. Early clinicopathological and animal studies indicated that GBS was an immune-mediated demyelinating disorder, and that severe GBS could result in secondary axonal injury; the current treatments of plasma exchange and intravenous immunoglobulin, which were developed in the 1980s, are based on this premise. Subsequent work has, however, shown that primary axonal injury can be the underlying disease. The association of Campylobacter jejuni strains has led to confirmation that anti-ganglioside antibodies are pathogenic and that axonal GBS involves an antibody and complement-mediated disruption of nodes of Ranvier, neuromuscular junctions and other neuronal and glial membranes. Now, ongoing clinical trials of the complement inhibitor eculizumab are the first targeted immunotherapy in GBS

A Lovelock black hole bestiary

We revisit the study of (A)dS black holes in Lovelock theories. We present a new tool that allows to attack this problem in full generality. In analyzing maximally symmetric Lovelock black holes with non-planar horizon topologies many distinctive and interesting features are observed. Among them, the existence of maximally symmetric vacua do not supporting black holes in vast regions of the space of gravitational couplings, multi-horizon black holes, and branches of solutions that suggest the existence of a rich diagram of phase transitions. The appearance of naked singularities seems unavoidable in some cases, raising the question about the fate of the cosmic censorship conjecture in these theories. There is a preferred branch of solutions for planar black holes, as well as non-planar black holes with high enough mass or temperature. Our study clarifies the role of all branches of solutions, including asymptotically dS black holes, and whether they should be considered when studying these theories in the context of AdS/CFT.Comment: 40 pages, 16 figures; v2: references added and minor amendments; v3: title changed to improve its accuracy and general reorganization of the results to ameliorate their presentatio

Alternatives to project-specific consent for access to personal information for health research: Insights from a public dialogue

<p>Abstract</p> <p>Background</p> <p>The role of consent for research use of health information is contentious. Most discussion has focused on when project-specific consent may be waived but, recently, a broader range of consent options has been entertained, including broad opt-in for multiple studies with restrictions and notification with opt-out. We sought to elicit public values in this matter and to work toward an agreement about a common approach to consent for use of personal information for health research through deliberative public dialogues.</p> <p>Methods</p> <p>We conducted seven day-long public dialogues, involving 98 participants across Canada. Immediately before and after each dialogue, participants completed a fixed-response questionnaire rating individuals' support for 3 approaches to consent in the abstract and their consent choices for 5 health research scenarios using personal information. They also rated how confident different safeguards made them feel that their information was being used responsibly.</p> <p>Results</p> <p>Broad opt-in consent for use of personal information garnered the greatest support in the abstract. When presented with specific research scenarios, no one approach to consent predominated. When profit was introduced into the scenarios, consent choices shifted toward greater control over use. Despite lively and constructive dialogues, and considerable shifting in opinion at the individual level, at the end of the day, there was no substantive aggregate movement in opinion. Personal controls were among the most commonly cited approaches to improving people's confidence in the responsible use of their information for research.</p> <p>Conclusion</p> <p>Because no one approach to consent satisfied even a simple majority of dialogue participants and the importance placed on personal controls, a mechanism should be developed for documenting consent choice for different types of research, including ways for individuals to check who has accessed their medical record for purposes other than clinical care. This could be done, for example, through a web-based patient portal to their electronic health record. Researchers and policy makers should continue to engage the public to promote greater public understanding of the research process and to look for feasible alternatives to existing approaches to project-specific consent for observational research.</p

Nitrogen deposition and its contribution to nitrogen cycling and associated soil processes

Human activity has greatly perturbed the nitrogen cycle through increased fixation by legumes, by energy and fertilizer production, and by the mobilization of N from long-term storage pools. This extra reactive N is readily transported through the environment, and there is increasing evidence that it is changing ecosystems through eutrophication and acidification. Rothamsted Experimental Station, UK has been involved in research on N cycling in ecosystems since its inception in 1843. Measurements of precipitation composition at Rothamsted, made since 1853, show an increase of nitrate and ammonium N in precipitation from 1 and 3 kg N ha(-1) yr(-1) respectively, in 1855 to a maximum of 8 and 10 kg N ha(-1) yr(-1) in 1980, decreasing to 4 and 5 kg N ha(-1) y(-1) today. Nitrogen inputs via dry deposition do, however, remain high. Recent measurements with diffusion tubes and filter packs show large concentrations of nitrogen dioxide of c. 20 mu g m(-3) in winter and c. 10 mu g m(-3) in summer; the difference is linked to the use of central heating, and with variations in wind direction and pollutant source. Concentrations of nitric acid and particulate N exhibit maxima of 1.5 and 2 mu g m(-3) in summer and winter, respectively. Concentrations of ammonia are small, barely rising above 1 mu g m(-3). Taking deposition velocities from the literature gives a total deposition of all measured N species to winter cereals of 43.3 kg N ha(-1) yr(-1), 84 % as oxidized species, 79 % dry deposited. The fate of this N deposited to the very long-term Broadbalk Continuous Wheat Experiment at Rothamsted has been simulated using the SUNDIAL N-cycling model: at equilibrium, after 154 yr of the experiment and with N deposition increasing from c. 10 kg ha(-1) yr(-1) in 1843 to 45 kg ha(-1) yr(-1) today, c. 5 % is leached, 12% is denitrified, 30% immobilized in the soil organic matter and 53 % taken off in the crop. The 'efficiency of use' of the deposited N decreases, and losses and immobilization increase as the amount of fertilizer N increases. The deposited N itself, and the acidification that is associated with it (from the nitric acid, ammonia and ammonium), has reduced the number of plant species on the 140-yr-old Park Grass hay meadow. It has also reduced methane oxidation rates in soil by c. 15 % under arable land and 30 % under woodland, and has caused N saturation of local woodland ecosystems: nitrous oxide emission rates of up to 1.4 kg ha(-1) yr(-1) are equivalent to those from arable land receiving > 200 kg N ha(-1) yr(-1), and in proportion to the excess N deposited; measurements of N cycling processes and pools using N-15 pool dilution techniques show a large nitrate pool and enhanced rates of nitrification relative to immobilization. Ratios of gross nitrification:gross immobilization might prove to be good indices of N saturation

Diagnosis and management of Guillain–Barré syndrome in ten steps

Guillain–Barré syndrome (GBS) is a rare, but potentially fatal, immune-mediated disease of the peripheral nerves and nerve roots that is usually triggered by infections. The incidence of GBS can therefore increase during outbreaks of infectious diseases, as was seen during the Zika virus epidemics in 2013 in French Polynesia and 2015 in Latin America. Diagnosis and management of GBS can be complicated as its clinical presentation and disease course are heterogeneous, and no international clinical guidelines are currently available. To support clinicians, especially in the context of an outbreak, we have developed a globally applicable guideline for the diagnosis and management of GBS. The guideline is based on current literature and expert consensus, and has a ten-step structure to facilitate its use in clinical practice. We first provide an introduction to the diagnostic criteria, clinical variants and differential diagnoses of GBS. The ten steps then cover early recognition and diagnosis of GBS, admission to the intensive care unit, treatment indication and selection, monitoring and treatment of disease progression, prediction of clinical course and outcome, and management of complications and sequelae