Outcomes and costs of blunt trauma in England and Wales

Background Trauma represents an important public health concern in the United Kingdom, yet the acute costs of blunt trauma injury have not been documented and analysed in detail. Knowledge of the overall costs of trauma care, and the drivers of these costs, is a prerequisite for a cost-conscious approach to improvement in standards of trauma care, including evaluation of the cost-effectiveness of new healthcare technologies. Methods Using the Trauma Audit Research Network database, we examined patient records for persons aged 18 years and older hospitalised for blunt trauma between January 2000 and December 2005. Patients were stratified by the Injury Severity Score (ISS). Results A total of 35,564 patients were identified; 60% with an ISS of 0 to 9, 17% with an ISS of 10 to 16, 12% with an ISS of 17 to 25, and 11% with an ISS of 26 to 75. The median age was 46 years and 63% of patients were men. Falls were the most common cause of injury (50%), followed by road traffic collisions (33%). Twenty-nine percent of patients were admitted to critical care for a median length of stay of 4 days. The median total hospital length of stay was 9 days, and 69% of patients underwent at least one surgical procedure. Seven percent of the patients died before discharge, with the highest proportion of deaths among those in the ISS 26–75 group (32%). The mean hospital cost per person was £9,530 (± 11,872). Costs varied significantly by Glasgow Coma Score, ISS, age, cause of injury, type of injury, hospital mortality, grade and specialty of doctor seen in the accident and emergency department, and year of admission. Conclusion The acute treatment costs of blunt trauma in England and Wales vary significantly by injury severity and survival, and public health initiatives that aim to reduce both the incidence and severity of blunt trauma are likely to produce significant savings in acute trauma care. The largest component of acute hospital cost is determined by the length of stay, and measures designed to reduce length of admissions are likely to be the most effective in reducing the costs of blunt trauma care

On the asymptotic acoustic-mode phase in red-giant stars and its dependence on evolutionary state

Asteroseismic investigations based on the wealth of data now available,in particular from the CoRoT and Kepler missions, require a good understanding of the relation between the observed quantities and the properties of the underlying stellar structure. Kallinger et al. 2012 found a relation between their determination of the asymptotic phase of radial oscillations in evolved stars and the evolutionary state, separating ascending-branch red giants from helium-burning stars in the `red clump'. Here we provide a detailed analysis of this relation, which is found to derive from differences between these two classes of stars in the thermodynamic state of the convective envelope. There is potential for distinguishing red giants and clump stars based on the phase determined from observations that are too short to allow distinction based on determination of the period spacing for mixed modes. The analysis of the phase may also point to a better understanding of the potential for using the helium-ionization-induced acoustic glitch to determine the helium abundance in the envelopes of these stars.Comment: MNRAS, in the pres

Casimir energy density in closed hyperbolic universes

The original Casimir effect results from the difference in the vacuum energies of the electromagnetic field, between that in a region of space with boundary conditions and that in the same region without boundary conditions. In this paper we develop the theory of a similar situation, involving a scalar field in spacetimes with compact spatial sections of negative spatial curvature.Comment: 10 pages. Contribution to the "Fifth Alexander Friedmann International Seminar on Gravitation and Cosmology," Joao Pessoa, Brazil, 2002. Revised version, with altered Abstract and one new referenc

Hawking Radiation for Non-minimally Coupled Matter from Generalized 2D Black Hole Models

It is well known that spherically symmetric reduction of General Relativity (SSG) leads to non-minimally coupled scalar matter. We generalize (and correct) recent results to Hawking radiation for a class of dilaton models which share with the Schwarzschild black hole non-minimal coupling of scalar fields and the basic global structure. An inherent ambiguity of such models (if they differ from SSG) is discussed. However, for SSG we obtain the rather disquieting result of a negative Hawking flux at infinity, if the usual recipe for such calculations is applied.Comment: 8 page

What Fraction of Boron-8 Solar Neutrinos arrive at the Earth as a nu_2 mass eigenstate?

We calculate the fraction of B^8 solar neutrinos that arrive at the Earth as a nu_2 mass eigenstate as a function of the neutrino energy. Weighting this fraction with the B^8 neutrino energy spectrum and the energy dependence of the cross section for the charged current interaction on deuteron with a threshold on the kinetic energy of the recoil electrons of 5.5 MeV, we find that the integrated weighted fraction of nu_2's to be 91 \pm 2 % at the 95% CL. This energy weighting procedure corresponds to the charged current response of the Sudbury Neutrino Observatory (SNO). We have used SNO's current best fit values for the solar mass squared difference and the mixing angle, obtained by combining the data from all solar neutrino experiments and the reactor data from KamLAND. The uncertainty on the nu_2 fraction comes primarily from the uncertainty on the solar delta m^2 rather than from the uncertainty on the solar mixing angle or the Standard Solar Model. Similar results for the Super-Kamiokande experiment are also given. We extend this analysis to three neutrinos and discuss how to extract the modulus of the Maki-Nakagawa-Sakata mixing matrix element U_{e2} as well as place a lower bound on the electron number density in the solar B^8 neutrino production region.Comment: 23 pages, 8 postscript figures, latex. Dedicated to the memory of John Bahcall who championed solar neutrinos for many lonely year

Dynamics of Fractal Solids

We describe the fractal solid by a special continuous medium model. We propose to describe the fractal solid by a fractional continuous model, where all characteristics and fields are defined everywhere in the volume but they follow some generalized equations which are derived by using integrals of fractional order. The order of fractional integral can be equal to the fractal mass dimension of the solid. Fractional integrals are considered as an approximation of integrals on fractals. We suggest the approach to compute the moments of inertia for fractal solids. The dynamics of fractal solids are described by the usual Euler's equations. The possible experimental test of the continuous medium model for fractal solids is considered.Comment: 12 pages, LaTe

Proposed Search For The Detection Of Gravitational Waves From Eccentric Binary Black Holes

Most compact binary systems are expected to circularize before the frequency of emitted gravitational waves (GWs) enters the sensitivity band of the ground based interferometric detectors. However, several mechanisms have been proposed for the formation of binary systems, which retain eccentricity throughout their lifetimes. Since no matched-filtering algorithm has been developed to extract continuous GW signals from compact binaries on orbits with low to moderate values of eccentricity, and available algorithms to detect binaries on quasicircular orbits are suboptimal to recover these events, in this paper we propose a search method for detection of gravitational waves produced from the coalescences of eccentric binary black holes (eBBH). We study the search sensitivity and the false alarm rates on a segment of data from the second joint science run of LIGO and Virgo detectors, and discuss the implications of the eccentric binary search for the advanced GW detectors

Comment on: ``Trace anomaly of dilaton coupled scalars in two dimensions''

The trace anomaly for nonminimally coupled scalars in spherically reduced gravity obtained by Bousso and Hawking (hep-th/9705236) is incorrect. We explain the reasons for the deviations from our correct (published) result which is supported by several other recent papers.Comment: 2 page