121 research outputs found

    Thin-shell wormholes from charged black holes in generalized dilaton-axion gravity

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    This paper discusses a new type of thin-shell wormhole constructed by applying the cut-and-paste technique to two copies of a charged black hole in generalized dilaton-axion gravity, which was inspired by low-energy string theory. After analyzing various aspects of this thin-shell wormhole, we discuss its stability to linearized spherically symmetric perturbations.Comment: Minor changes, 6 pages, 4 figures. Accepted for publication in Gen. Rel. Gra

    Thin-shell wormholes with a generalized Chaplygin gas in Einstein-Born-Infeld theory

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    We construct spherically symmetric thin-shell wormholes supported by a generalized Chaplygin gas in Born-Infeld electrodynamics coupled to Einstein gravity, and we analyze their stability under radial perturbations. For different values of the Born-Infeld parameter and the charge, we compare the results with those obtained in a previous work for Maxwell electrodynamics. The stability region in the parameter space reduces and then disappears as the value of the Born-Infeld parameter is modified in the sense of a larger departure from Maxwell theory.Comment: 9 pages, 6 figures; v2: improved versio

    Thin-shell wormholes from regular charged black holes

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    We investigate a new thin-shell wormhole constructed by surgically grafting two regular charged black holes arising from the action using nonlinear electrodynamics coupled to general relativity. The stress-energy components within the shell violate the null and weak energy conditions but obey the strong energy condition. We study the stability in two ways: (i) taking a specific equation of state at the throat and (ii) analyzing the stability to linearized spherically symmetric perturbations about a static equilibrium solution. Various other aspects of this thin-shell wormhole are also analyzed.Comment: 8 pages and 19 figure

    Thin-shell wormholes from black holes with dilaton and monopole fields

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    We provide a new type of thin-shell wormhole from the black holes with dilaton and monopole fields. The dilaton and monopole that built the black holes may supply fuel to construct the wormholes. Several characteristics of this thin-shell wormhole have been discussed. Finally, we discuss the stability of the thin-shell wormholes with a "phantom-like" equation of state for the exotic matter at the throat.Comment: 6 pages and 3 figures, some typos are corrected and accepted in Int.J.Theor.Phy

    Stability of Non-asymptotically flat thin-shell wormholes in generalized dilaton-axion gravity

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    We construct a new type of thin-shell wormhole for non-asymptotically flat charged black holes in generalized dilaton-axion gravity inspired by low-energy string theory using cut-and-paste technique. We have shown that this thin shell wormhole is stable. The most striking feature of our model is that the total amount of exotic matter needed to support the wormhole can be reduced as desired with the suitable choice of the value of a parameter. Various other aspects of thin-shell wormhole are also analyzed.Comment: 15 pages and 11 figures. Minor revisions have been done. Accepted in Int.J.Theor.Phy

    Global surveillance of cancer survival 1995-2009: analysis of individual data for 25,676,887 patients from 279 population-based registries in 67 countries (CONCORD-2)

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    BACKGROUND: Worldwide data for cancer survival are scarce. We aimed to initiate worldwide surveillance of cancer survival by central analysis of population-based registry data, as a metric of the effectiveness of health systems, and to inform global policy on cancer control. METHODS: Individual tumour records were submitted by 279 population-based cancer registries in 67 countries for 25·7 million adults (age 15-99 years) and 75,000 children (age 0-14 years) diagnosed with cancer during 1995-2009 and followed up to Dec 31, 2009, or later. We looked at cancers of the stomach, colon, rectum, liver, lung, breast (women), cervix, ovary, and prostate in adults, and adult and childhood leukaemia. Standardised quality control procedures were applied; errors were corrected by the registry concerned. We estimated 5-year net survival, adjusted for background mortality in every country or region by age (single year), sex, and calendar year, and by race or ethnic origin in some countries. Estimates were age-standardised with the International Cancer Survival Standard weights. FINDINGS: 5-year survival from colon, rectal, and breast cancers has increased steadily in most developed countries. For patients diagnosed during 2005-09, survival for colon and rectal cancer reached 60% or more in 22 countries around the world; for breast cancer, 5-year survival rose to 85% or higher in 17 countries worldwide. Liver and lung cancer remain lethal in all nations: for both cancers, 5-year survival is below 20% everywhere in Europe, in the range 15-19% in North America, and as low as 7-9% in Mongolia and Thailand. Striking rises in 5-year survival from prostate cancer have occurred in many countries: survival rose by 10-20% between 1995-99 and 2005-09 in 22 countries in South America, Asia, and Europe, but survival still varies widely around the world, from less than 60% in Bulgaria and Thailand to 95% or more in Brazil, Puerto Rico, and the USA. For cervical cancer, national estimates of 5-year survival range from less than 50% to more than 70%; regional variations are much wider, and improvements between 1995-99 and 2005-09 have generally been slight. For women diagnosed with ovarian cancer in 2005-09, 5-year survival was 40% or higher only in Ecuador, the USA, and 17 countries in Asia and Europe. 5-year survival for stomach cancer in 2005-09 was high (54-58%) in Japan and South Korea, compared with less than 40% in other countries. By contrast, 5-year survival from adult leukaemia in Japan and South Korea (18-23%) is lower than in most other countries. 5-year survival from childhood acute lymphoblastic leukaemia is less than 60% in several countries, but as high as 90% in Canada and four European countries, which suggests major deficiencies in the management of a largely curable disease. INTERPRETATION: International comparison of survival trends reveals very wide differences that are likely to be attributable to differences in access to early diagnosis and optimum treatment. Continuous worldwide surveillance of cancer survival should become an indispensable source of information for cancer patients and researchers and a stimulus for politicians to improve health policy and health-care systems

    Tracking development assistance for health and for COVID-19 : a review of development assistance, government, out-of-pocket, and other private spending on health for 204 countries and territories, 1990-2050

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    Background The rapid spread of COVID-19 renewed the focus on how health systems across the globe are financed, especially during public health emergencies. Development assistance is an important source of health financing in many low-income countries, yet little is known about how much of this funding was disbursed for COVID-19. We aimed to put development assistance for health for COVID-19 in the context of broader trends in global health financing, and to estimate total health spending from 1995 to 2050 and development assistance for COVID-19 in 2020. Methods We estimated domestic health spending and development assistance for health to generate total health-sector spending estimates for 204 countries and territories. We leveraged data from the WHO Global Health Expenditure Database to produce estimates of domestic health spending. To generate estimates for development assistance for health, we relied on project-level disbursement data from the major international development agencies' online databases and annual financial statements and reports for information on income sources. To adjust our estimates for 2020 to include disbursements related to COVID-19, we extracted project data on commitments and disbursements from a broader set of databases (because not all of the data sources used to estimate the historical series extend to 2020), including the UN Office of Humanitarian Assistance Financial Tracking Service and the International Aid Transparency Initiative. We reported all the historic and future spending estimates in inflation-adjusted 2020 US,2020US, 2020 US per capita, purchasing-power parity-adjusted USpercapita,andasaproportionofgrossdomesticproduct.Weusedvariousmodelstogeneratefuturehealthspendingto2050.FindingsIn2019,healthspendinggloballyreached per capita, and as a proportion of gross domestic product. We used various models to generate future health spending to 2050. Findings In 2019, health spending globally reached 8. 8 trillion (95% uncertainty interval [UI] 8.7-8.8) or 1132(11191143)perperson.Spendingonhealthvariedwithinandacrossincomegroupsandgeographicalregions.Ofthistotal,1132 (1119-1143) per person. Spending on health varied within and across income groups and geographical regions. Of this total, 40.4 billion (0.5%, 95% UI 0.5-0.5) was development assistance for health provided to low-income and middle-income countries, which made up 24.6% (UI 24.0-25.1) of total spending in low-income countries. We estimate that 54.8billionindevelopmentassistanceforhealthwasdisbursedin2020.Ofthis,54.8 billion in development assistance for health was disbursed in 2020. Of this, 13.7 billion was targeted toward the COVID-19 health response. 12.3billionwasnewlycommittedand12.3 billion was newly committed and 1.4 billion was repurposed from existing health projects. 3.1billion(22.43.1 billion (22.4%) of the funds focused on country-level coordination and 2.4 billion (17.9%) was for supply chain and logistics. Only 714.4million(7.7714.4 million (7.7%) of COVID-19 development assistance for health went to Latin America, despite this region reporting 34.3% of total recorded COVID-19 deaths in low-income or middle-income countries in 2020. Spending on health is expected to rise to 1519 (1448-1591) per person in 2050, although spending across countries is expected to remain varied. Interpretation Global health spending is expected to continue to grow, but remain unequally distributed between countries. We estimate that development organisations substantially increased the amount of development assistance for health provided in 2020. Continued efforts are needed to raise sufficient resources to mitigate the pandemic for the most vulnerable, and to help curtail the pandemic for all. Copyright (C) 2021 The Author(s). Published by Elsevier Ltd.Peer reviewe
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