Hospital service use for young people with chronic health conditions : a population-based matched retrospective cohort study

Aim: This study aims to identify the hospitalised morbidity associated with three common chronic health conditions among young people using a population-based matched cohort. Methods: A population-level matched case-comparison retrospective cohort study of young people aged ≤18 years hospitalised with asthma, type 1 diabetes (T1D) or epilepsy during 2005–2018 in New South Wales, Australia using linked birth, health and mortality records. The comparison cohort was matched on age, sex and residential postcode. Adjusted rate ratios (ARR) were calculated by sex and age group. Results: There were 65 055 young people hospitalised with asthma, 6648 with epilepsy, and 2209 with T1D. Young people with epilepsy (ARR 10.95; 95% confidence interval (CI) 9.98–12.02), T1D (ARR 8.64; 95% CI 7.72–9.67) or asthma (ARR 4.39; 95% CI 4.26–4.53) all had a higher risk of hospitalisation than matched peers. Admission risk was highest for males (ARR 11.00; 95% CI 9.64–12.56) and females with epilepsy (ARR 10.83; 95% CI 9.54–12.29) compared to peers. The highest admission risk by age group was for young people aged 10–14 years (ARR 5.50; 95% CI 4.77–6.34) living with asthma, children aged ≤4 years (ARR 12.68; 95% CI 11.35–14.17) for those living with epilepsy, and children aged 5–9 years (ARR 9.12; 95% CI 7.69–10.81) for those living with T1D compared to peers. Conclusions: The results will guide health service planning and highlight opportunities for better management of chronic health conditions, such as further care integration between acute, primary and community health services for young people

Impact of chronic health conditions and injury on school performance and health outcomes in New South Wales, Australia : a retrospective record linkage study protocol

Introduction: Children who have sustained a serious injury or who have a chronic health condition, such as diabetes or epilepsy, may have their school performance adversely impacted by the condition, treatment of the condition and/or time away from school. Examining the potential adverse impact requires the identification of children most likely to be affected and the use of objective measures of education performance. This may highlight educational disparities that could be addressed with learning support. This study aims to examine education performance, school completion and health outcomes of children in New South Wales (NSW), Australia, who were hospitalised with an injury or a chronic health condition compared with children who have not been hospitalised for these conditions. Method and analysis This research will be a retrospective population-level case-comparison study of hospitalised injured or chronically ill children (ie, diabetes, epilepsy, asthma or mental health conditions) aged ≤18 years in NSW, Australia, using linked health and education administrative data collections. It will examine the education performance, school completion and health outcomes of children who have been hospitalised in NSW with an injury or a chronic health condition compared with children randomly drawn from the NSW population (matched on gender, age and residential postcode) who have not been hospitalised for these conditions. Ethics and dissemination The study received ethics approval from the NSW Population Health Services Research Ethics Committee (2018HRE0904). Findings from the research will be published in peer-reviewed journals and presented at scientific conferences

Centrality dependence of charged-particle pseudorapidity distributions from d+Au collisions at sqrt(s_{NN})=200 GeV

Charged-particle pseudorapidity densities are presented for the d+Au reaction at sqrt{s_{NN}}=200 GeV with -4.2 <= eta <= 4.2$. The results, from the BRAHMS experiment at RHIC, are shown for minimum-bias events and 0-30%, 30-60%, and 60-80% centrality classes. Models incorporating both soft physics and hard, perturbative QCD-based scattering physics agree well with the experimental results. The data do not support predictions based on strong-coupling, semi-classical QCD. In the deuteron-fragmentation region the central 200 GeV data show behavior similar to full-overlap d+Au results at sqrt{s_{NN}}=19.4 GeV.Comment: 4 pages, 3figures; expanded discussion of uncertainties; added 60-80% centrality range; added additional discussion on centrality selection bia

Scanning the phases of QCD with BRAHMS

BRAHMS has the ability to study relativistic heavy ion collisions from the final freeze-out of hadrons all the way back to the initial wave-function of the gold nuclei. This is accomplished by studying hadrons with a very wide range of momenta and angles. In doing so we can scan various phases of QCD, from a hadron gas, to a quark gluon plasma and perhaps to a color glass condensate.Comment: 8 pages, 6 figures, proceedings of plenary talk at Quark Matter 2004 conferenc

High Pt Hadron Spectra at High Rapidity

We report the measurement of charged hadron production at different pseudo-rapidity values in deuteron+gold as well as proton+proton collisions at $sqrt{s_{NN}}$ = 200GeV at RHIC. The nuclear modification factors $R_{dAu}$ and $R_{cp}$ are used to investigate new behaviors in the deuteron+gold system as function of rapidity and the centrality of the collisions respectively.Comment: Nine pages 4 figures to be published in the QM2004 Proceedings, typos corrected and one reference adde

Evolution of the nuclear modification factors with rapidity and centrality in d+Au collisions at $\sqrt{s_{NN}} = 200 GeV

We report on a study of the transverse momentum dependence of nuclear modification factors $R_{dAu}$ for charged hadrons produced in deuteron + gold collisions at $\sqrt{s_{NN}}= 200$GeV, as a function of collision centrality and of the pseudorapidity ($\eta = 0,1,2.2,3.2$) of the produced hadrons. We find significant and systematic decrease of $R_{dAu}$ with increasing rapidity. The midrapidity enhancement and the forward rapidity suppression are more pronounced in central collisions relative to peripheral collisions. These results are relevant to the study of the possible onset of gluon saturation at RHIC energies.Comment: Four pages, four figures. Published in PRL. Figures 1 and 2 have been updated, and several changes made to the tex

Recent Results from the BRAHMS Experiment

We present recent results obtained by the BRAHMS experiment at the Relativistic Heavy Ion Collider (RHIC) for the systems of Au + Au and Cu + Cu at \rootsnn{200} and at 62.4 GeV, and p + p at \rootsnn{200}. Nuclear modification factors for Au + Au and Cu + Cu collisions are presented. Analysis of anti-particle to particle ratios as a function of rapidity and collision energy reveal that particle populations at the chemical freeze-out stage for heavy-ion reactions at and above SPS energies are controlled by the baryon chemical potential. From the particle spectra we deduce significant radial expansion ($\beta \approx$ 0.75), as expected for systems created with a large initial energy density. We also measure the elliptic flow parameter $v_2$ versus rapidity and \ptn. We present rapidity dependent $p/\pi$ ratios within $0 < y < 3$ for Au + Au and Cu + Cu at \rootsnn{200}. \Raa is found to increase with decreasing collision energy, decreasing system size, and when going towards more peripheral collisions. However, \Raa shows only a very weak dependence on rapidity (for $0 < y < 3.2$), both for pions and protons.Comment: 16 pages and 14 figures, proceedings for plenary talk at Quark Matter 2005, Budapest, Hungar

Nuclear Modification Factor for Charged Pions and Protons at Forward Rapidity in Central Au+Au Collisions at 200 GeV

We present spectra of charged pions and protons in 0-10% central Au+Au collisions at $\sqrt{s_{NN}}=200$ GeV at mid-rapidity ($y=0$) and forward pseudorapidity ($\eta=2.2$) measured with the BRAHMS experiment at RHIC. The spectra are compared to spectra from p+p collisions at the same energy scaled by the number of binary collisions. The resulting nuclear modification factors for central Au+Au collisions at both $y=0$ and $\eta=2.2$ exhibit suppression for charged pions but not for (anti-)protons at intermediate $p_T$. The $\bar{p}/\pi^-$ ratios have been measured up to $p_T\sim 3$ GeV/$c$ at the two rapidities and the results indicate that a significant fraction of the charged hadrons produced at intermediate $p_T$ range are (anti-)protons at both mid-rapidity and $\eta = 2.2$

The New Physics at RHIC. From Transparency to High pt_t Suppression

Heavy ion collisions at RHIC energies (Au+Au collisions at $\sqrt{s_{NN}}=200$ GeV) exhibit significant new features as compared to earlier experiments at lower energies. The reaction is characterized by a high degree of transparency of the collisions partners leading to the formation of a baryon-poor central region. In this zone, particle production occurs mainly from the stretching of the color field. The initial energy density is well above the one considered necessary for the formation of the Quark Gluon Plasma, QGP. The production of charged particles of various masses is consistent with chemical and thermal equilibrium. Recently, a suppression of the high transverse momentum component of hadron spectra has been observed in central Au+Au collisions. This can be explained by the energy loss experienced by leading partons in a medium with a high density of unscreened color charges. In contrast, such high $p_t$ jets are not suppressed in d+Au collisions suggesting that the high $p_t$ suppression is not due to initial state effects in the ultrarelativistic colliding nuclei.Comment: 15 pages, 11 figures. to appear in Nucl. Physics A. Invited talk at 'Nucleus-Nucleus Collisions 2003' conference, Mosco

Cholesterol transfer via endoplasmic reticulum contacts mediates lysosome damage repair

Lysosome integrity is essential for cell viability, and lesions in lysosome membranes are repaired by the ESCRT machinery. Here, we describe an additional mechanism for lysosome repair that is activated independently of ESCRT recruitment. Lipidomic analyses showed increases in lysosomal phosphatidylserine and cholesterol after damage. Electron microscopy demonstrated that lysosomal membrane damage is rapidly followed by the formation of contacts with the endoplasmic reticulum (ER), which depends on the ER proteins VAPA/B. The cholesterol-binding protein ORP1L was recruited to damaged lysosomes, accompanied by cholesterol accumulation by a mechanism that required VAP-ORP1L interactions. The PtdIns 4-kinase PI4K2A rapidly produced PtdIns4P on lysosomes upon damage, and knockout of PI4K2A inhibited damage-induced accumulation of ORP1L and cholesterol and led to the failure of lysosomal membrane repair. The cholesterol-PtdIns4P transporter OSBP was also recruited upon damage, and its depletion caused lysosomal accumulation of PtdIns4P and resulted in cell death. We conclude that ER contacts are activated on damaged lysosomes in parallel to ESCRTs to provide lipids for membrane repair, and that PtdIns4P generation and removal are central in this response.Peer reviewe