Hamiltonian Dynamics of Linearly Polarized Gowdy Models Coupled to Massless Scalar Fields

The purpose of this paper is to analyze in detail the Hamiltonian formulation for the compact Gowdy models coupled to massless scalar fields as a necessary first step towards their quantization. We will pay special attention to the coupling of matter and those features that arise for the three-handle and three-sphere topologies that are not present in the well studied three torus case -in particular the polar constraints that come from the regularity conditions on the metric. As a byproduct of our analysis we will get an alternative understanding, within the Hamiltonian framework, of the appearance of initial and final singularities for these models.Comment: Final version to appear in Classical and Quantum Gravit

Unitary evolution of free massless fields in de Sitter space-time

We consider the quantum dynamics of a massless scalar field in de Sitter space-time. The classical evolution is represented by a canonical transformation on the phase space for the field theory. By studying the corresponding Bogoliubov transformations, we show that the symplectic map that encodes the evolution between two instants of time cannot be unitarily implemented on any Fock space built from a SO(4)-symmetric complex structure. We will show also that, in contrast with some effectively lower dimensional examples arising from Quantum General Relativity such as Gowdy models, it is impossible to find a time dependent conformal redefinition of the massless scalar field leading to a quantum unitary dynamics.Comment: 20 pages. Comments and references adde

Quantization of Midisuperspace Models

We give a comprehensive review of the quantization of midisuperspace models. Though the main focus of the paper is on quantum aspects, we also provide an introduction to several classical points related to the definition of these models. We cover some important issues, in particular, the use of the principle of symmetric criticality as a very useful tool to obtain the required Hamiltonian formulations. Two main types of reductions are discussed: those involving metrics with two Killing vector fields and spherically symmetric models. We also review the more general models obtained by coupling matter fields to these systems. Throughout the paper we give separate discussions for standard quantizations using geometrodynamical variables and those relying on loop quantum gravity inspired methods.Comment: To appear in Living Review in Relativit

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Factors associated to perceived stress in hospital workers in a psychiatric hospital in Spain during COVID-19

Background: Health workers enduring the COVID-19 pandemic could be at risk of psychological stress. This study aimed to 1) measure the levels of perceived stress by workers at a psychiatric hospital in Barcelona, Spain, 2) to identify demographic or occupational factors related to a higher risk of perceiving greater stress, and 3) to examine the use of the psychological support service offered to hospital employees as well as to identify potential barriers and preferences regarding access to this service. Methods: All hospital workers were invited to participate in a cross-sectional, observational study. An anonymous online survey was employed to administer the 14-item Perceived Stress Scale (PSS) as a measurement of perceived stress. A multiple-choice questionnaire gathering participants’ sociodemographic and occu- pational data was also included. The relationship between sociode- mographic/occupational variables and the PSS score was analyzed by using t test or one-factor ANOVAs. In addition, all sociodemogra- phic/occupational variables were included in a single linear additive model with the total PSS score as the dependent variable. Results: Two hundred and forty-nine workers participated in the survey. The median PSS score was 24 IQR: (10.25). Associations between higher levels of perceived stress and difficulties in work-fa- mily balance, having faced discrimination, and female gender were found. A protective association between perceiving current role as important and lower perceived stress was also detected. Although 34% of participants recognized a personal need for psychological support, only 2% had contacted the in-house psychological support service. Issues regarding lack of time or scheduling difficulties were one of the main reported barriers reducing access to psychological support. Conclusion: Health workers are at risk of facing stress during the COVID-19 pandemic. Risk factors for higher stress include fe- male gender and also the potentially modifiable sociodemographic variables mentioned above

Impact of COVID-19 on Diagnostic Cardiac Procedural Volume in Oceania: The IAEA Non-Invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Objectives: The INCAPS COVID Oceania study aimed to assess the impact caused by the COVID-19 pandemic on cardiac procedure volume provided in the Oceania region. Methods: A retrospective survey was performed comparing procedure volumes within March 2019 (pre-COVID-19) with April 2020 (during first wave of COVID-19 pandemic). Sixty-three (63) health care facilities within Oceania that perform cardiac diagnostic procedures were surveyed, including a mixture of metropolitan and regional, hospital and outpatient, public and private sites, and 846 facilities outside of Oceania. The percentage change in procedure volume was measured between March 2019 and April 2020, compared by test type and by facility. Results: In Oceania, the total cardiac diagnostic procedure volume was reduced by 52.2% from March 2019 to April 2020, compared to a reduction of 75.9% seen in the rest of the world (p&lt;0.001). Within Oceania sites, this reduction varied significantly between procedure types, but not between types of health care facility. All procedure types (other than stress cardiac magnetic resonance [CMR] and positron emission tomography [PET]) saw significant reductions in volume over this time period (p&lt;0.001). In Oceania, transthoracic echocardiography (TTE) decreased by 51.6%, transoesophageal echocardiography (TOE) by 74.0%, and stress tests by 65% overall, which was more pronounced for stress electrocardiograph (ECG) (81.8%) and stress echocardiography (76.7%) compared to stress single-photon emission computerised tomography (SPECT) (44.3%). Invasive coronary angiography decreased by 36.7% in Oceania. Conclusion: A significant reduction in cardiac diagnostic procedure volume was seen across all facility types in Oceania and was likely a function of recommendations from cardiac societies and directives from government to minimise spread of COVID-19 amongst patients and staff. Longer term evaluation is important to assess for negative patient outcomes which may relate to deferral of usual models of care within cardiology