Constraining the Power Spectrum using Clusters

(Shortened Abstract). We analyze a redshift sample of Abell/ACO clusters and compare them with numerical simulations based on the truncated Zel'dovich approximation (TZA), for a list of eleven dark matter (DM) models. For each model we run several realizations, on which we estimate cosmic variance effects. We analyse correlation statistics, the probability density function, and supercluster properties from percolation analysis. As a general result, we find that the distribution of galaxy clusters provides a constraint only on the shape of the power spectrum, but not on its amplitude: a shape parameter 0.18 < \Gamma < 0.25 and an effective spectral index at 20Mpc/h in the range [-1.1,-0.9] are required by the Abell/ACO data. In order to obtain complementary constraints on the spectrum amplitude, we consider the cluster abundance as estimated using the Press--Schechter approach, whose reliability is explicitly tested against N--body simulations. We conclude that, of the cosmological models considered here, the only viable models are either Cold+Hot DM ones with \Omega_\nu = [0.2-0.3], better if shared between two massive neutrinos, and flat low-density CDM models with \Omega_0 = [0.3-0.5].Comment: 37 pages, Latex file, 9 figures; New Astronomy, in pres

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries