Averaged Energy Inequalities for the Non-Minimally Coupled Classical Scalar Field

The stress energy tensor for the classical non-minimally coupled scalar field is known not to satisfy the point-wise energy conditions of general relativity. In this paper we show, however, that local averages of the classical stress energy tensor satisfy certain inequalities. We give bounds for averages along causal geodesics and show, e.g., that in Ricci-flat background spacetimes, ANEC and AWEC are satisfied. Furthermore we use our result to show that in the classical situation we have an analogue to the phenomenon of quantum interest. These results lay the foundations for analogous energy inequalities for the quantised non-minimally coupled fields, which will be discussed elsewhere.Comment: 8 pages, RevTeX4. Minor typos corrected; version to appear in Phys Rev

Quantum energy inequalities and local covariance II: Categorical formulation

We formulate Quantum Energy Inequalities (QEIs) in the framework of locally covariant quantum field theory developed by Brunetti, Fredenhagen and Verch, which is based on notions taken from category theory. This leads to a new viewpoint on the QEIs, and also to the identification of a new structural property of locally covariant quantum field theory, which we call Local Physical Equivalence. Covariant formulations of the numerical range and spectrum of locally covariant fields are given and investigated, and a new algebra of fields is identified, in which fields are treated independently of their realisation on particular spacetimes and manifestly covariant versions of the functional calculus may be formulated.Comment: 27 pages, LaTeX. Further discussion added. Version to appear in General Relativity and Gravitatio

Bounds on negative energy densities in flat spacetime

We generalise results of Ford and Roman which place lower bounds -- known as quantum inequalities -- on the renormalised energy density of a quantum field averaged against a choice of sampling function. Ford and Roman derived their results for a specific non-compactly supported sampling function; here we use a different argument to obtain quantum inequalities for a class of smooth, even and non-negative sampling functions which are either compactly supported or decay rapidly at infinity. Our results hold in $d$-dimensional Minkowski space ($d\ge 2$) for the free real scalar field of mass $m\ge 0$. We discuss various features of our bounds in 2 and 4 dimensions. In particular, for massless field theory in 2-dimensional Minkowski space, we show that our quantum inequality is weaker than Flanagan's optimal bound by a factor of 3/2.Comment: REVTeX, 13 pages and 2 figures. Minor typos corrected, one reference adde

Fertilizing Irrigated Rotations in the Proposed Oahe Irrigation Area

Some results of an experiment conducted from 1953 through 1962 at the Redfield Development Farm are compiled in this bulletin. The experiment evaluated various fertilizer rates and times of application in two irrigated rotations. Yield results are taken from 1957, 1958, 1960, and 1962. The information gathered prior to 1957 is omitted because one of the rotations was still in the first cycle. Data from 1959 are excluded because insufficient quantities of irrigation water produced uncommonly low crop yields. The 1961 data are discarded since technological difficulties abnormally affected crop yield measurements. Discarding these data is justified as these problems likely would not be encountered by farmers who eventually will irrigate similar soils

Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

Pleomorphic adenoma of the vulva, clinical reminder of a rare occurrence

Pleomorphic adenoma, also known as mixed tumor, is a benign tumor which typically presents as a painless and persistent mass. The majority of pleomorphic adenomas involve the salivary glands, most commonly the parotid gland. Other sites include breast and skin. It is a rare tumor in the vulva. In this article we are reporting a case of pleomorphic adenoma of labia with characteristic pathologic and clinical findings, as reminder of a common benign neoplasm occurring with rare locality

Antiplatelet therapy with aspirin, clopidogrel, and dipyridamole versus clopidogrel alone or aspirin and dipyridamole in patients with acute cerebral ischaemia (TARDIS): a randomised, open-label, phase 3 superiority trial

Background: Intensive antiplatelet therapy with three agents might be more effective than guideline treatment for preventing recurrent events in patients with acute cerebral ischaemia. We aimed to compare the safety and efficacy of intensive antiplatelet therapy (combined aspirin, clopidogrel, and dipyridamole) with that of guideline-based antiplatelet therapy. Methods: We did an international, prospective, randomised, open-label, blinded-endpoint trial in adult participants with ischaemic stroke or transient ischaemic attack (TIA) within 48 h of onset. Participants were assigned in a 1:1 ratio using computer randomisation to receive loading doses and then 30 days of intensive antiplatelet therapy (combined aspirin 75 mg, clopidogrel 75 mg, and dipyridamole 200 mg twice daily) or guideline-based therapy (comprising either clopidogrel alone or combined aspirin and dipyridamole). Randomisation was stratified by country and index event, and minimised with prognostic baseline factors, medication use, time to randomisation, stroke-related factors, and thrombolysis. The ordinal primary outcome was the combined incidence and severity of any recurrent stroke (ischaemic or haemorrhagic; assessed using the modified Rankin Scale) or TIA within 90 days, as assessed by central telephone follow-up with masking to treatment assignment, and analysed by intention to treat. This trial is registered with the ISRCTN registry, number ISRCTN47823388. Findings: 3096 participants (1556 in the intensive antiplatelet therapy group, 1540 in the guideline antiplatelet therapy group) were recruited from 106 hospitals in four countries between April 7, 2009, and March 18, 2016. The trial was stopped early on the recommendation of the data monitoring committee. The incidence and severity of recurrent stroke or TIA did not differ between intensive and guideline therapy (93 [6%] participants vs 105 [7%]; adjusted common odds ratio [cOR] 0·90, 95% CI 0·67–1·20, p=0·47). By contrast, intensive antiplatelet therapy was associated with more, and more severe, bleeding (adjusted cOR 2·54, 95% CI 2·05–3·16, p<0·0001). Interpretation: Among patients with recent cerebral ischaemia, intensive antiplatelet therapy did not reduce the incidence and severity of recurrent stroke or TIA, but did significantly increase the risk of major bleeding. Triple antiplatelet therapy should not be used in routine clinical practice

Are all prognostic factors in parotid gland carcinoma well recognized?

The aim of his study was to assess the treatment results and prognostic factors in patients with parotid gland carcinoma. The material consisted of 109 patients treated surgically, with or without complementary radiotherapy, between 1978 and 2008 (follow-up at least 5-years). 5-year overall and disease-specific survival were observed in 57.0% of the patients and 5-year disease-free survival was achieved in 50.0%. Univariate analysis including ten clinical and pathological features to assess their prognostic value was done. Parapharyngeal space invasion, facial nerve palsy, and high grade of tumor malignancy were the factors with the highest influence on the treatment results, because their presence decreased the chance for recovery 9.8, 9.7, and 8.2 times, respectively. Histologically positive cervical lymph nodes and extraparenchymal extension were the other factors connected with poor prognosis (prognosis worse 6.7 and 5.4 times, respectively). Clinically positive cervical lymph nodes, positive/uncertain microscopic margin, involvement of the deep lobe, or the whole gland increased the risk of treatment failure 3.4, 3.1, and 2.8, respectively. The age ≥60 years and male gender were statistically significant factors, correlated with poor prognosis and decreased chance for recovery 2.4 and 2.6 times. T-status and clinical stage had important influence on 5-year disease-free survival rate because there were significant differences in the treatment results between individual stages. Multivariate analysis proved that the independent prognostic value, among anatomic structures involved by the neoplasm, had mandible, facial nerve, and skin infiltration. Among tumor-related factors, T-stage and grade had the statistically significant influence on treatment results, and stage and lymph nodes metastases among clinical and pathological features. These results confirm the value of actually used TNM classification (2002). Although the parapharyngeal space invasion is a factor, which seems to have a significant, poor prognostic value, it was not included in this classification

On the use of satellite observations to fill gaps in the Halley station total ozone record

Measurements by the Dobson ozone spectrophotometer at the British Antarctic Survey's (BAS) Halley research station form a record of Antarctic total column ozone that dates back to 1956. Due to its location, length, and completeness, the record has been, and continues to be, uniquely important for studies of long-term changes in Antarctic ozone. However, a crack in the ice shelf on which it resides forced the station to abruptly close in February of 2017, leading to a gap of two ozone hole seasons in its historic record. We develop and test a method for filling in the record of Halley total ozone by combining and adjusting overpass data from a range of different satellite instruments. Comparisons to the Dobson suggest that our method reproduces monthly ground-based total ozone values with an average difference of 1.1 ± 6.2 DU for the satellites used to fill in the 2017–2018 gap. We show that our approach more closely reproduces the Dobson measurements than simply using the raw satellite average or data from a single satellite instrument. The method also provides a check on the consistency of the provisional data from the automated Dobson used at Halley after 2018 with earlier manual Dobson data and suggests that there were likely inconsistencies between the two. The filled Halley dataset provides further support that the Antarctic ozone hole is healing, not only during September but also in January