200 research outputs found
The Custodial Randall-Sundrum Model: From Precision Tests to Higgs Physics
We reexamine the Randall-Sundrum (RS) model with enlarged gauge symmetry
SU(2)_L x SU(2)_R x U(1)_X x P_LR in the presence of a brane-localized Higgs
sector. In contrast to the existing literature, we perform the Kaluza-Klein
(KK) decomposition within the mass basis, which avoids the truncation of the KK
towers. Expanding the low-energy spectrum as well as the gauge couplings in
powers of the Higgs vacuum expectation value, we obtain analytic formulas which
allow for a deep understanding of the model-specific protection mechanisms of
the T parameter and the left-handed Z-boson couplings. In particular, in the
latter case we explain which contributions escape protection and identify them
with the irreducible sources of P_LR symmetry breaking. We furthermore show
explicitly that no protection mechanism is present in the charged-current
sector confirming existing model-independent findings. The main focus of the
phenomenological part of our work is a detailed discussion of Higgs-boson
couplings and their impact on physics at the CERN Large Hadron Collider. For
the first time, a complete one-loop calculation of all relevant Higgs-boson
production and decay channels is presented, incorporating the effects stemming
from the extended electroweak gauge-boson and fermion sectors.Comment: 74 pages, 13 figures, 3 tables. v2: Matches version published in JHE
NLO QCD bottom corrections to Higgs boson production in the MSSM
We present a calculation of the two-loop bottom-sbottom-gluino contributions
to Higgs boson production via gluon fusion in the MSSM. The calculation is
based on an asymptotic expansion in the masses of the supersymmetric particles,
which are assumed to be much heavier than the bottom quark and the Higgs
bosons. We obtain explicit analytic results that allow for a straightforward
identification of the dominant contributions in the NLO bottom corrections. We
emphasize the interplay between the calculations of the masses and the
production cross sections of the Higgs bosons, discussing sensible choices of
renormalization scheme for the parameters in the bottom/sbottom sector.Comment: 25 pages, 4 figures. v2: references and two figures added, version
published in JHE
Facilitators and barriers to vaccination uptake in pregnancy: A qualitative systematic review.
INTRODUCTION: Vaccination during pregnancy protects both the mother and the foetus from vaccine-preventable diseases. However, uptake of the recommended vaccines (influenza, pertussis, COVID-19) by pregnant women remains low in Europe and the USA. Understanding the reasons for this is crucial to inform strategies to increase vaccination rates in pregnant women. This qualitative systematic review aimed to identify the barriers and facilitators to vaccination against influenza, pertussis/whooping cough and COVID-19 during pregnancy and identify possible strategies to increase vaccination rates. METHODS: We conducted a comprehensive search of electronic databases, including Medline, PsycINFO, CINAHL, Web of Science, WHO database, Embase and grey literature to identify qualitative studies that explored barriers and facilitators to vaccine uptake among pregnant women (PROSPERO CRD42023399488). The search was limited to studies published between 2012 and 2022 conducted in high-income countries with established vaccination programmes during pregnancy. Studies were thematically analysed and underwent quality assessment using the Joanna Briggs Institute validated critical appraisal tool for qualitative research. RESULTS: Out of 2681 articles screened, 28 studies (n = 1573 participants) were eligible for inclusion. Five overarching themes emerged relating to personal, provider and systemic factors. Barriers to vaccine uptake included concerns about vaccine safety and efficacy, lack of knowledge about vaccines' benefits and necessity, fear of adverse effects on the foetus or mother and low perception of disease severity. Facilitators included recommendations from trusted healthcare providers, easy access to vaccination, clear communication on the benefits and safety of vaccination, and positive social influences from family and friends. Strategies for increasing vaccination uptake included strong and proactive vaccine recommendations by trusted healthcare professionals, provision of vaccines during routine antenatal care, and clear and consistent communication about vaccines addressing pregnant women's concerns. CONCLUSION: This review highlights the need for interventions that address the identified barriers to vaccine uptake among pregnant women. Recommendation from a healthcare provider can play a significant role in promoting vaccine uptake, as can clear risk/benefit communication and convenient access to vaccination. Addressing concerns about vaccine safety and providing accurate information about vaccines is also important
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Interventions to increase vaccination against COVID-19, influenza and pertussis during pregnancy: a systematic review and meta-analysis
Background
Pregnant women and their babies face significant risks from three vaccine-preventable diseases: COVID-19, influenza, and pertussis. However, despite these vaccines' proven safety and effectiveness, vaccine uptake during pregnancy remains low.
Methods
We conducted a systematic review (PROSPERO CRD42023399488; January 2012 – December 2022 following PRISMA guidelines) of interventions to increase COVID-19/influenza/pertussis vaccination in pregnancy. We searched nine databases, including grey literature. Two independent investigators extracted data; discrepancies were resolved by consensus. Meta-analyses were conducted using random-effects models to estimate pooled effect sizes. Heterogeneity was assessed using the I2 statistics.
Results
Out of 2681 articles, we identified 39 relevant studies (n=168,262 participants) across nine countries. Fifteen studies (39%) were randomised controlled trials (RCTs); the remainder were observational cohort, quality-improvement or cross-sectional studies. The quality of 18% (7/39) was strong. Pooled results of interventions to increase influenza vaccine uptake (18 effect estimates from 12 RCTs) showed the interventions were effective but had a small effect (Risk ratio = 1.07, 95%CI 1.03, 1.13). However, pooled results of interventions to increase pertussis vaccine uptake (10 effect estimates from six RCTs) showed no clear benefit (Risk ratio = 0.98, 95%CI 0.94, 1.03). There were no relevant RCTs for COVID-19. Interventions addressed the “three Ps”: patient-, provider- and policy-level strategies. At patient level, clear recommendations from healthcare professionals backed by text reminders/written information were strongly associated with increased vaccine uptake, especially tailored face-to-face interventions, which addressed women’s concerns, dispelled myths and highlighted the benefits. Provider-level interventions included educating healthcare professionals about vaccines’ safety and effectiveness and reminders to offer vaccinations routinely. Policy-level interventions included financial incentives, mandatory vaccination data fields in electronic health records, and ensuring easy availability of vaccinations.
Conclusions
Interventions had a small effect on increasing influenza vaccination. Training healthcare providers to promote vaccinations during pregnancy is crucial, and could be enhanced by utilising mobile health technologies
Maternal mortality in the rural Gambia, a qualitative study on access to emergency obstetric care
BACKGROUND: Maternal mortality is the vital indicator with the greatest disparity between developed and developing countries. The challenging nature of measuring maternal mortality has made it necessary to perform an action-oriented means of gathering information on where, how and why deaths are occurring; what kinds of action are needed and have been taken. A maternal death review is an in-depth investigation of the causes and circumstances surrounding maternal deaths. The objectives of the present study were to describe the socio-cultural and health service factors associated with maternal deaths in rural Gambia. METHODS: We reviewed the cases of 42 maternal deaths of women who actually tried to reach or have reached health care services. A verbal autopsy technique was applied for 32 of the cases. Key people who had witnessed any stage during the process leading to death were interviewed. Health care staff who participated in the provision of care to the deceased was also interviewed. All interviews were tape recorded and analyzed by using a grounded theory approach. The standard WHO definition of maternal deaths was used. RESULTS: The length of time in delay within each phase of the model was estimated from the moment the woman, her family or health care providers realized that there was a complication until the decision to seeking or implementing care was made. The following items evolved as important: underestimation of the severity of the complication, bad experience with the health care system, delay in reaching an appropriate medical facility, lack of transportation, prolonged transportation, seeking care at more than one medical facility and delay in receiving prompt and appropriate care after reaching the hospital. CONCLUSION: Women do seek access to care for obstetric emergencies, but because of a variety of problems encountered, appropriate care is often delayed. Disorganized health care with lack of prompt response to emergencies is a major factor contributing to a continued high mortality rate
Effectiveness of psychotherapeutic, pharmacological, and combined treatments for chronic depression: a systematic review (METACHRON)
<p>Abstract</p> <p>Background</p> <p>Chronic depressions represent a substantial part of depressive disorders and are associated with severe consequences. Several studies were performed addressing the effectiveness of psychotherapeutic, pharmacological, and combined treatments for chronic depressions. Yet, a systematic review comparing the effectiveness of multiple treatment options and considering all subtypes of chronic depressions is still missing.</p> <p>Methods/Design</p> <p>Aim of this project is to summarize empirical evidence on efficacy and effectiveness of treatments for chronic depression by means of a systematic review. The primary objectives of the study are to examine, which interventions are effective; to examine, if any differences in effectiveness between active treatment options exist; and to find possible treatment effect modifiers. Psychotherapeutic, pharmacological, and combined treatments will be considered as experimental interventions and no treatment, wait-list, psychological/pharmacological placebo, treatment as usual, and other active treatments will be seen as comparators. The population of patients will include adults with chronic major depression, dysthymia, double depression, or recurrent depression without complete remission between episodes. Outcomes of the analyses are depressive symptoms, associated consequences, adverse events, and study discontinuation. Only randomized controlled trials will be considered.</p> <p>Discussion</p> <p>Given the high prevalence and serious consequences of chronic depression and a considerable amount of existing primary studies addressing the effectiveness of different treatments the present systematic review may be of high relevance. Special attention will be given to the use of current methodological standards. Findings are likely to provide crucial information that may help clinicians to choose the appropriate treatment for chronically depressed patients.</p
NLO QCD corrections to pseudoscalar Higgs production in the MSSM
We present a calculation of the two-loop quark-squark-gluino contributions to
pseudoscalar Higgs boson production via gluon fusion in the MSSM. We regularize
the loop integrals using the Pauli-Villars method, and obtain explicit and
compact analytic results based on an expansion in the heavy particle masses.
Our results - valid when the pseudoscalar Higgs boson is lighter than squarks
and gluinos - can be easily implemented in computer codes for an efficient and
accurate determination of the pseudoscalar production cross section.Comment: 26 pages, 4 figures. v2: comments added in section 3, version
published in JHE
Novel combination of feed enzymes to improve the degradation of Chlorella vulgaris recalcitrant cell wall
Research Areas: Science & TechnologyABSTRACT - In this study, a rational combination of 200 pre-selected Carbohydrate-Active enzymes (CAZymes) and
sulfatases were tested, individually or combined, according to their ability to degrade Chlorella vulgaris
cell wall to access its valuable nutritional compounds. The disruption of microalgae cell walls by a four enzyme mixture (Mix) in comparison with the control, enabled to release up to 1.21g/L of reducing
sugars (p<0.001), led to an eight-fold increase in oligosaccharides release (p<0.001), and reduced
the fuorescence intensity by 47% after staining with Calcofuor White (p<0.001). The Mix treatment
was successful in releasing proteins (p<0.001), some MUFA (p<0.05), and the benefcial 18:3n-3 fatty
acid (p0.05), total carotenoids were
increased in the supernatant (p<0.05) from the Mix treatment, relative to the control. Taken together,
these results indicate that this four-enzyme Mix displays an efective capacity to degrade C. vulgaris cell
wall. Thus, these enzymes may constitute a good approach to improve the bioavailability of C. vulgaris
nutrients for monogastric diets, in particular, and to facilitate the cost-efective use of microalgae by
the feed industry, in general.info:eu-repo/semantics/publishedVersio
Supersymmetric next-to-next-to-leading order corrections to Higgs boson production in gluon fusion
We compute the total cross section for the production of a light CP even
Higgs boson within the framework of supersymmetric QCD up to
next-to-next-to-leading order. Technical subtleties in connection to the
evaluation of three-loop Feynman integrals with many mass scales are discussed
in detail and explicit results for the counterterms of the evanescent couplings
are provided. The new results are applied to several phenomenological scenarios
which are in accordance with the recent discovery at the LHC. In a large part
of the still allowed parameter space the factor of the supersymmetric
theory is close to the one of the Standard Model. However, for the case where
one of the top squarks is light, a deviation of more than 5% in the
next-to-next-to-leading order prediction of the cross section can be observed
where at the same time the predicted Higgs boson mass has a value of about 125
GeV.Comment: 37 page
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