General relativistic spinning fluids with a modified projection tensor

An energy-momentum tensor for general relativistic spinning fluids compatible with Tulczyjew-type supplementary condition is derived from the variation of a general Lagrangian with unspecified explicit form. This tensor is the sum of a term containing the Belinfante-Rosenfeld tensor and a modified perfect-fluid energy-momentum tensor in which the four-velocity is replaced by a unit four-vector in the direction of fluid momentum. The equations of motion are obtained and it is shown that they admit a Friedmann-Robertson-Walker space-time as a solution.Comment: Submitted to General Relativity and Gravitatio

Age and the distribution of major injury across a national trauma system

Background Trauma places a significant burden on healthcare services, and its management impacts greatly on the injured patient. The demographic of major trauma is changing as the population ages, increasingly unveiling gaps in processes of managing older patients. Key to improving patient care is the ability to characterise current patient distribution. Objectives There is no contemporary evidence available to characterise how age impacts on trauma patient distribution at a national level. Through an analysis of the Trauma Audit Research Network (TARN) database, we describe the nature of Major Trauma in England since the configuration of regional trauma networks, with focus on injury distribution, ultimate treating institution and any transfer in-between. Methods The TARN database was analysed for all patients presenting from April 2012 to the end of October 2017 in NHS England. Results About 307,307 patients were included, of which 63.8% presented directly to a non-specialist hospital (trauma unit (TU)). Fall from standing height in older patients, presenting and largely remaining in TUs, dominates the English trauma caseload. Contrary to perception, major trauma patients currently are being cared for in both specialist (major trauma centres (MTCs)) and non-specialist (TU) hospitals. Paediatric trauma accounts for <5% of trauma cases and is focussed on paediatric MTCs. Conclusions Within adult major trauma patients in England, mechanism of injury is dominated by low level falls, particularly in older people. These patients are predominately cared for in TUs. This work illustrates the reality of current care pathways for major trauma patients in England in the recently configured regional trauma networks

Chiral rings and GSO projection in Orbifolds

The GSO projection in the twisted sector of orbifold background is sometimes subtle and incompatible descriptions are found in literatures. Here, from the equivalence of partition functions in NSR and GS formalisms, we give a simple rule of GSO projection for the chiral rings of string theory in \C^r/\Z_n, $r=1,2,3$. Necessary constructions of chiral rings are given by explicit mode analysis.Comment: 24 page

MHV Rules for Higgs Plus Multi-Gluon Amplitudes

We use tree-level perturbation theory to show how non-supersymmetric one-loop scattering amplitudes for a Higgs boson plus an arbitrary number of partons can be constructed, in the limit of a heavy top quark, from a generalization of the scalar graph approach of Cachazo, Svrcek and Witten. The Higgs boson couples to gluons through a top quark loop which generates, for large top mass, a dimension-5 operator H tr G^2. This effective interaction leads to amplitudes which cannot be described by the standard MHV rules; for example, amplitudes where all of the gluons have positive helicity. We split the effective interaction into the sum of two terms, one holomorphic (selfdual) and one anti-holomorphic (anti-selfdual). The holomorphic interactions give a new set of MHV vertices -- identical in form to those of pure gauge theory, except for momentum conservation -- that can be combined with pure gauge theory MHV vertices to produce a tower of amplitudes with more than two negative helicities. Similarly, the anti-holomorphic interactions give anti-MHV vertices that can be combined with pure gauge theory anti-MHV vertices to produce a tower of amplitudes with more than two positive helicities. A Higgs boson amplitude is the sum of one MHV-tower amplitude and one anti-MHV-tower amplitude. We present all MHV-tower amplitudes with up to four negative-helicity gluons and any number of positive-helicity gluons (NNMHV). These rules reproduce all of the available analytic formulae for Higgs + n-gluon scattering (n<=5) at tree level, in some cases yielding considerably shorter expressions.Comment: 34 pages, 8 figures; v2, references correcte

On 'Light' Fermions and Proton Stability in 'Big Divisor' D3/D7 Swiss Cheese Phenomenology

Building up on our earlier work [1,2], we show the possibility of generating "light" fermion mass scales of MeV-GeV range (possibly related to first two generations of quarks/leptons) as well as eV (possibly related to first two generations of neutrinos) in type IIB string theory compactified on Swiss-Cheese orientifolds in the presence of a mobile space-time filling D3-$brane restricted to (in principle) stacks of fluxed D7-branes wrapping the "big" divisor \Sigma_B. This part of the paper is an expanded version of the latter half of section 3 of a published short invited review [3] written up by one of the authors [AM]. Further, we also show that there are no SUSY GUT-type dimension-five operators corresponding to proton decay, as well as estimate the proton lifetime from a SUSY GUT-type four-fermion dimension-six operator to be 10^{61} years. Based on GLSM calculations in [1] for obtaining the geometric Kaehler potential for the "big divisor", using further the Donaldson's algorithm, we also briefly discuss in the first of the two appendices, obtaining a metric for the Swiss-Cheese Calabi-Yau used, that becomes Ricci flat in the large volume limit.Comment: v2: 1+25 pages, Title modified and text thoroughly expanded including a brief discussion on obtaining Ricci-flat Swiss Cheese Calabi-Yau metrics using the Donaldson's algorithm, references added, to appear in EPJ

A proposal for reducing maximum target doses of drugs for psychosis: Reviewing dose-response literature

YesBackground: Presently, there is limited guidance on the maximal dosing of psychosis drugs that is based on effectiveness rather than safety or toxicity. Current maximum dosing recommendations may far exceed the necessary degree of dopamine D2 receptor blockade required to treat psychosis. This may lead to excess harm through cognitive impairment and side effects. Aims: This analysis aimed to establish guidance for prescribers by optimally dosing drugs for psychosis based on efficacy and benefit. Methods: We used data from two dose–response meta-analyses and reviewed seven of the most prescribed drugs for psychosis in the UK. Where data were not available, we used appropriate comparison techniques based on D2 receptor occupancy to extrapolate our recommendations. Results: We found that the likely threshold dose for achieving remission of psychotic symptoms was often significantly below the currently licensed dose for these drugs. We therefore recommend that clinicians are cautious about exceeding our recommended doses. Individual factors, however, should be accounted for. We outline potentially relevant factors including age, ethnicity, sex, smoking status and pharmacogenetics. Additionally, we recommend therapeutic drug monitoring as a tool to determine individual pharmacokinetic variation. Conclusions: In summary, we propose a new set of maximum target doses for psychosis drugs based on efficacy. Further research through randomised controlled trials should be undertaken to evaluate the effect of reducing doses from current licensing maximums or from doses that are above our recommendations. However, dose reductions should be implemented in a manner that accounts for and reduces the effects of drug withdrawal

The metallic state in disordered quasi-one-dimensional conductors

The unusual metallic state in conjugated polymers and single-walled carbon nanotubes is studied by dielectric spectroscopy (8--600 GHz). We have found an intriguing correlation between scattering time and plasma frequency. This relation excludes percolation models of the metallic state. Instead, the carrier dynamics can be understood in terms of the low density of delocalized states around the Fermi level, which arises from the competion between disorder-induced localization and interchain-interactions-induced delocalization.Comment: 4 pages including 4 figure

A proposal for reducing maximum target doses of drugs for psychosis: Reviewing dose–response literature

Background: Presently, there is limited guidance on the maximal dosing of psychosis drugs that is based on effectiveness rather than safety or toxicity. Current maximum dosing recommendations may far exceed the necessary degree of dopamine D2 receptor blockade required to treat psychosis. This may lead to excess harm through cognitive impairment and side effects. Aims: This analysis aimed to establish guidance for prescribers by optimally dosing drugs for psychosis based on efficacy and benefit. Methods: We used data from two dose–response meta-analyses and reviewed seven of the most prescribed drugs for psychosis in the UK. Where data were not available, we used appropriate comparison techniques based on D2 receptor occupancy to extrapolate our recommendations. Results: We found that the likely threshold dose for achieving remission of psychotic symptoms was often significantly below the currently licensed dose for these drugs. We therefore recommend that clinicians are cautious about exceeding our recommended doses. Individual factors, however, should be accounted for. We outline potentially relevant factors including age, ethnicity, sex, smoking status and pharmacogenetics. Additionally, we recommend therapeutic drug monitoring as a tool to determine individual pharmacokinetic variation. Conclusions: In summary, we propose a new set of maximum target doses for psychosis drugs based on efficacy. Further research through randomised controlled trials should be undertaken to evaluate the effect of reducing doses from current licensing maximums or from doses that are above our recommendations. However, dose reductions should be implemented in a manner that accounts for and reduces the effects of drug withdrawal

Global Fluctuation Spectra in Big Crunch/Big Bang String Vacua

We study Big Crunch/Big Bang cosmologies that correspond to exact world-sheet superconformal field theories of type II strings. The string theory spacetime contains a Big Crunch and a Big Bang cosmology, as well as additional ``whisker'' asymptotic and intermediate regions. Within the context of free string theory, we compute, unambiguously, the scalar fluctuation spectrum in all regions of spacetime. Generically, the Big Crunch fluctuation spectrum is altered while passing through the bounce singularity. The change in the spectrum is characterized by a function $\Delta$, which is momentum and time-dependent. We compute $\Delta$ explicitly and demonstrate that it arises from the whisker regions. The whiskers are also shown to lead to ``entanglement'' entropy in the Big Bang region. Finally, in the Milne orbifold limit of our superconformal vacua, we show that $\Delta\to 1$ and, hence, the fluctuation spectrum is unaltered by the Big Crunch/Big Bang singularity. We comment on, but do not attempt to resolve, subtleties related to gravitational backreaction and light winding modes when interactions are taken into account.Comment: 68 pages, 1 figure; typos correcte