Eligibility for bariatric surgery among adults in England: analysis of a national cross-sectional survey.

This study aimed to determine the number eligible for bariatric surgery and their sociodemographic characteristics.We used Health Survey for England 2006 data, representative of the non-institutionalized English population.The number of people eligible for bariatric surgery in England based on national guidance is unknown. The UK National Institute for Health and Clinical Excellence criteria for eligibility are those with body mass index (BMI) 35-40 kg/m(2) with at least one comorbidity potentially improved by losing weight or a BMI > 40 kg/m(2).Of 13,742 adult respondents (≥18 years), we excluded participants with invalid BMI (n = 2103), comorbidities (n = 2187) or sociodemographic variables (n = 27) data, for a final study sample of 9425 participants.The comorbidities examined were hypertension, type 2 diabetes, stroke, coronary heart disease and osteoarthritis. Sociodemographic variables assessed included age, sex, employment status, highest educational qualification, social class and smoking status.5.4% (95% CI 5.0-5.9) of the non-institutionalized adult population in England could meet criteria for having bariatric surgery after accounting for survey weights. Those eligible were more likely than the general population to be women (60.1% vs. 39.9%, p<0.01), retired (22.4% vs. 12.8% p<0.01), and have no formal educational qualifications (35.7% vs. 21.3%, p<0.01).The number of adults potentially eligible for bariatric surgery in England (2,147,683 people based on these results and 2006 population estimates) far exceeds previous estimates of eligibility. In view of the sociodemographic characteristics of this group, careful resource allocation is required to ensure equitable access on the basis of need

Abundance analyses of helium-rich subluminous B stars

The connection between helium-rich hot subdwarfs of spectral types O and B (He-sdB) has been relatively unexplored since the latter were found in significant numbers in the 1980's. In order to explore this connection further, we have analysed the surface composition of six He-sdB stars, including LB 1766, LB 3229, SB 21 (= Ton-S 137 = BPS 29503-0009), BPS 22940-0009, BPS 29496-0010, and BPS 22956-0094. Opacity-sampled line-blanketed model atmospheres have been used to derive atmospheric properties and elemental abundances. All the stars are moderately metal-poor compared with the Sun ([Fe/H] ~ -0.5). Four stars are nitrogen-rich, two of these are carbon-rich, and at least four appear to be neon-rich. The data are insufficient to rule out binarity in any of the sample. The surface composition and locus of the N-rich He-sdBs are currently best explained by the merger of two helium white dwarfs, or possibly by the merger of a helium white dwarf with a post-sdB white dwarf. C-rich He-sdBs require further investigation.Comment: Accepted 2010 July

Pool boiling on modified surfaces using R-123

This article has been made available through the Brunel Open Access Publishing Fund.Saturated pool boiling of R-123 was investigated for five horizontal copper surfaces modified by different treatments, namely, an emery-polished surface, a fine sandblasted surface, a rough sandblasted surface, an electron beam-enhanced surface, and a sintered surface. Each 40-mm-diameter heating surface formed the upper face of an oxygen-free copper block, electrically heated by embedded cartridge heaters. The experiments were performed from the natural convection regime through nucleate boiling up to the critical heat flux, with both increasing and decreasing heat flux, at 1.01 bar, and additionally at 2 bar and 4 bar for the emery-polished surface. Significant enhancement of heat transfer with increasing surface modification was demonstrated, particularly for the electron beam-enhanced and sintered surfaces. The emery-polished and sandblasted surface results are compared with nucleate boiling correlations and other published data. © 2014 Syed W. Ahmad, John S. Lewis, Ryan J. McGlen, and Tassos G. Karayiannis Published with license by Taylor & Francis

THE ASEAN-5 FUTURE CURRENCY: MAASTRICHT CRITERIA

In this recent decade, many of the economists and policymakers attempted to investigate the suitability of the East Asian region to form a currency union and based on the European countries experience as a benchmark. This study aims to investigate the long-run real convergence in GDP per capita growth among Malaysia, Thailand, Singapore, Indonesia, and the Philippines, over 1978 to 2004. The Dickey-Fuller (DF) and Augmented Dickey-Fuller (ADF) unit root tests were conducted at first difference of GDP per capita for each country; the results demonstrated that all countries GDP per capita are stationary at first difference. The results of the Bound Testing Approach (Auto-Regression Distributed Lag (ARDL)) indicated that there is a long run relationship between variables in the Maastricht Criteria. The results showed that interest rate, inflation rate and the debt ratio experience that negative relationship to the GDP per capita. However, the exchange rate and surplus (or deficit) ratio shown the positive related to the GDP per capita. Therefore, the findings showed the ASEAN 5 countries have fulfilled the Maastricht Criteria with consistent to expected sign(s) except for Singapore’ exchange rate and Indonesia’s debt ratio. Hence, those ASEAN 5 countries in this study have potential to form a single currency.Monetary Union (MU), Bound Test (ARDL), Maastricht Criteria, Single Currency

Effectiveness of the ADEC as a level 2 screening test for young children with suspected autism spectrum disorders in a clinical setting

Background The Autism Detection in Early Childhood (ADEC) is a clinician-administered, Level 2 screening tool. A retrospective file audit was used to investigate its clinical effectiveness. Method Toddlers referred to an Australian child development service between 2008 and 2010 (N?=?53, M age?=?32.2 months) were screened with the ADEC. Their medical records were reviewed in 2013 when their mean age was 74.5 months, and the original ADEC screening results were compared with later diagnostic outcomes. Results The ADEC had good sensitivity (87.5%) and moderate specificity (62%). Three behaviours predicted autism spectrum disorders (ASDs): response to name, gaze switching, and gaze monitoring (p???.001). Conclusions The ADEC shows promise as a screening tool that can discriminate between young children with ASDs and those who have specific communication disorders or developmental delays that persist into middle childhood but who do not meet the criteria for ASDs

Transition from Baryon- to Meson-Dominated Freeze Out -- Early Decoupling around 30 A GeV?

The recently discovered sharp peak in the excitation function of the K+/pi+ ratio around 30 A GeV in relativistic heavy-ion collisions is discussed in the framework of the Statistical Model. In this model, the freeze-out of an ideal hadron gas changes from a situation where baryons dominate to one with mainly mesons. This transition occurs at a temperature T = 140 MeV and baryon chemical potential mu(B) = 410 MeV corresponding to an energy of sqrt(s) = 8.2 GeV. The calculated maximum in the K+/pi+ ratio is, however, much less pronounced than the one observed by the NA49 Collaboration. The smooth increase of the K-/pi- ratio with incident energy and the shape of the excitation functions of the Lambda/pi+, Xi-/pi+ and Omega/pi ratios all exhibiting maxima at different incident energies, is consistent with the presently available experimental data. The measured K+/pi+ ratio exceeds the calculated one just at the incident energy when the freeze-out condition is changing. We speculate that at this point freeze-out might occur in a modified way. We discuss a scenario of an early freeze-out which indeed increases K+/pi+ ratio while most other particle ratios remain essentially unchanged. Such an early freeze-out is supported by results from HBT studies.Comment: 8 pages, 5 figures, SQM2006 conference, Los Angeles, March 200

Scaling of the CKM Matrix in the 5D MSSM

We discuss a five-dimensional Minimal Supersymmetric Standard Model compactified on a $S^1/Z_2$ orbifold, looking at, in particular, the one-loop evolution equations of the Yukawa couplings for the quark sector and various flavor observables. Different possibilities for the matter fields are discussed, that is, where they are in the bulk or localised to the brane. The two possibilities give rise to quite different behaviours. By studying the implications of the evolution with the renormalisation group of the Yukawa couplings and of the flavor observables we find that, for a theory that is valid up to the unification scale, the case where fields are localised to the brane, with a large $\tan\beta$, would be more easily distinguishable from other scenarios.Comment: 12 pages, 8 figures, Extra comments adde