Evidence for a persistent, major excess in all cause admissions to hospital in children with type-1 diabetes: results from a large Welsh national matched community cohort study

OBJECTIVES: To estimate the excess in admissions associated with type1 diabetes in childhood. DESIGN: Matched-cohort study using anonymously linked hospital admission data. SETTING: Brecon Group Register of new cases of childhood diabetes in Wales linked to hospital admissions data within the Secure Anonymised Information Linkage Databank. POPULATION: 1577 Welsh children (aged between 0 and 15 years) from the Brecon Group Register with newly-diagnosed type-1 diabetes between 1999–2009 and 7800 population controls matched on age, sex, county, and deprivation, randomly selected from the local population. MAIN OUTCOME MEASURES: Difference in all-cause hospital admission rates, 30-days post-diagnosis until 31 May 2012, between participants and controls. RESULTS: Children with type-1 diabetes were followed up for a total of 12 102 person years and were at 480% (incidence rate ratios, IRR 5.789, (95% CI 5.34 to 6.723), p<0.0001) increased risk of hospital admission in comparison to matched controls. The highest absolute excess of admission was in the age group of 0–5 years, with a 15.4% (IRR 0.846, (95% CI 0.744 to 0.965), p=0.0061) reduction in hospital admissions for every 5-year increase in age at diagnosis. A trend of increasing admission rates in lower socioeconomic status groups was also observed, but there was no evidence of a differential rate of admissions between men and women when adjusted for background risk. Those receiving outpatient care at large centres had a 16.1% (IRR 0.839, (95% CI 0.709 to 0.990), p=0.0189) reduction in hospital admissions compared with those treated at small centres. CONCLUSIONS: There is a large excess of hospital admissions in paediatric patients with type-1 diabetes. Rates are highest in the youngest children with low socioeconomic status. Factors influencing higher admission rates in smaller centres (eg, “out of hours resources”) need to be explored with the aim of targeting modifiable influences on admission rates

Gravitino constraints on models of neutrino masses and leptogenesis

In the supersymmetric extensions of the standard model, neutrino masses and leptogenesis requires existence of new particles. We point out that if these particles with lepton number violating interactions have standard model gauge interactions, then they may not be created after reheating because of the gravitino problem. This will rule out all existing models of neutrino masses and leptogenesis, except the one with right-handed singlet neutrinos.Comment: 12 pages latex file with one postscript figur

Coastal agricultural landscapes: Mapping and understanding grazing intensity on Welsh saltmarshes

Coastal wetlands such as saltmarshes support local communities and industries through ecosystem services and benefit the well-being of local communities in many regions of the world. Along sheltered temperate and sub-tropical coastlines, saltmarshes provide coastal protection, provision of recreational space and wildlife habitat. Those in northwest Europe provide a valuable resource for local agricultural communities through livestock grazing. Following the departure of the UK from the EU and the related potential changes to agricultural policies and markets, it is timely to evaluate the status of saltmarsh livestock grazing. In particular, knowledge of grazing patterns, policy futures and stakeholder perceptions are required to support traditional cultural practice and the ecological status of saltmarshes. This study focuses on the devolved UK nation of Wales, as it has a strong traditional agricultural and pastoral economy, and a landscape of significant conservation value. Yet there are substantial evidence and knowledge gaps regarding livestock grazing and its saltmarsh impact. We present the first map showing the spatial distribution of saltmarsh grazing practice in the UK. Drawing on insights gathered through an expert workshop and interviews with saltmarsh landowners and managers across Wales (N = 35), the paper discusses the challenges and benefits of coastal grazing on saltmarshes, highlighting the diverse values, personal connection and sense of identity associated with marshes. Interviews reveal deep rooted social and cultural values attributed to saltmarshes by the rural coastal community. The study illustrates the need for an integrated approach to management of saltmarshes, accounting for the social, cultural, economic, and environmental values within decision-making

Protecting the primordial baryon asymmetry in the seesaw model compatible with WMAP and KamLAND

We require that the primordial baryon asymmetry is not washed out in the seesaw model compatible with the recent results of WMAP and the neutrino oscillation experiments including the first results of KamLAND. We find that only the case of the normal neutrino mass hierarchy with an approximate $L_{e}$-symmetry satisfies the requirement. We further derive, depending on the signs of neutrino mass eigenvalues, three types of neutrino mass matrixes, where the values of each element are rather precisely fixed.Comment: 21pages; added reference

Model for fermion mass matrices and the origin of quark-lepton symmetry

Several phenomenological features of fermion masses and mixings can be accounted for by a simple model for fermion mass matrices, which suggests an underlying U(2) horizontal symmetry. In this context, it is also proposed how an approximate quark-lepton symmetry can be achieved without unified gauge theories.Comment: 12 pages, RevTex. Minor changes, some references adde

Sensitivity of the g-mode frequencies to pulsation codes and their parameters

From the recent work of the Evolution and Seismic Tools Activity (ESTA, Lebreton et al. 2006; Monteiro et al. 2008), whose Task 2 is devoted to compare pulsational frequencies computed using most of the pulsational codes available in the asteroseismic community, the dependence of the theoretical frequencies with non-physical choices is now quite well fixed. To ensure that the accuracy of the computed frequencies is of the same order of magnitude or better than the observational errors, some requirements in the equilibrium models and the numerical resolutions of the pulsational equations must be followed. In particular, we have verified the numerical accuracy obtained with the Saclay seismic model, which is used to study the solar g-mode region (60 to 140$\mu$Hz). We have compared the results coming from the Aarhus adiabatic pulsation code (ADIPLS), with the frequencies computed with the Granada Code (GraCo) taking into account several possible choices. We have concluded that the present equilibrium models and the use of the Richardson extrapolation ensure an accuracy of the order of $0.01 \mu Hz$ in the determination of the frequencies, which is quite enough for our purposes.Comment: 10 pages, 5 figures, accepted in Solar Physic

Leptogenesis and neutrino parameters

We calculate the baryonic asymmetry of the universe in the baryogenesis-via-leptogenesis framework, assuming first a quark-lepton symmetry and then a charged-neutral lepton symmetry. We match the results with the experimentally favoured range. In the first case all the oscillation solutions to the solar neutrino problem, except the large mixing matter solution, can lead to the allowed range, but with fine tuning of the parameters. In the second case the general result is quite similar. Some related theoretical hints are discussed.Comment: RevTex, 21 pages with 8 figure

Four Light Neutrinos in Singular Seesaw Mechanism with Abelian Flavor Symmetry

The four light neutrino scenario, which explains the atmosphere, solar and LSND neutrino experiments, is studied in the framework of the seesaw mechanism. By taking both the Dirac and Majorana mass matrix of neutrinos to be singular, the four neutrino mass spectrum consisting of two almost degenerate pairs separated by a mass gap $\sim 1$ eV is naturally generated. Moreover the right-handed neutrino Majorana mass can be at $\sim 10^{14}$ GeV scale unlike in the usual singular seesaw mechanism. Abelian flavor symmetry is used to produce the required neutrino mass pattern. A specific example of the flavor charge assignment is provided to show that maximal mixings between the $\nu_\mu-\nu_\tau$ and $\nu_e-\nu_s$ are respectively attributed to the atmosphere and solar neutrino anomalies while small mixing between two pairs to the LSND results. The implication in the other fermion masses is also discussed.Comment: Firnal version to appear in PR

Seesaw mechanism, baryon asymmetry and neutrinoless double beta decay

A simplified but very instructive analysis of the seesaw mechanism is here performed. Assuming a nearly diagonal Dirac neutrino mass matrix, we study the forms of the Majorana mass matrix of right-handed neutrinos, which reproduce the effective mass matrix of left-handed neutrinos. As a further step, the important effect of a non diagonal Dirac neutrino mass matrix is explored. The corresponding implications for the baryogenesis via leptogenesis and for the neutrinoless double beta decay are reviewed. We propose two distinct models where the baryon asymmetry is enhanced.Comment: 21 pages, RevTex. Revise