Quantum corrections in Higgs inflation: the real scalar case

We present a critical discussion of quantum corrections, renormalisation, and the computation of the beta functions and the effective potential in Higgs inflation. In contrast with claims in the literature, we find no evidence for a disagreement between the Jordan and Einstein frames, even at the quantum level. For clarity of discussion we concentrate on the case of a real scalar Higgs. We first review the classical calculation and then discuss the back reaction of gravity. We compute the beta functions for the Higgs quartic coupling and non-minimal coupling constant. Here, the mid-field regime is non-renormalisable, but we are able to give an upper bound on the 1-loop corrections to the effective potential. We show that, in computing the effective potential, the Jordan and Einstein frames are compatible if all mass scales are transformed between the two frames. As such, it is consistent to take a constant cutoff in either the Jordan or Einstein frame, and both prescriptions yield the same result for the effective potential. Our results are extended to the case of a complex scalar Higgs.Comment: 28 pages, 1 figure. v2: minor changes, updated references, published versio

Nutrient and Microbial Movement from Seasonally-Used Septic Systems

Unanswered seasonal vacation communities present unique problems for on-site sewage disposal. Seasonal occupancy may promote the transmission of contaminants to groundwater due to incomplete formation of a biological clogging mat in the soil absorption system. Groundwater surrounding three seasonally-used septic systems was monitored to determine the movement and attenuation of nitrogen, phosphorus and two bacterial indicators of human fecal contamination, fecal coliforms and Clostridium perfringens. Nitrate-N concentrations were often three to four-fold greater than the drinking water standard at wells 6 m from the soil absorption systems. Minimal phosphorus migration occurred from these systems. Although more than 1.5 m of unsaturated soil separated the bottom of the soil absorption system from the groundwater, elevated numbers of both bacterial indicators were observed in groundwater at both 2 m and 6 m away from the absorption systems. Biological clogging mats, which are considered to be critical for even distribution of wastewater within a drainfield, were not ground when the systems were excavated at the end of summer occupancy. Siting seasonally-used shoreline septic systems may require improved effluent distribution to achieve wastewater renovation

Economic analysis of pandemic influenza mitigation strategies for five pandemic severity categories

BACKGROUND: The threat of emergence of a human-to-human transmissible strain of highly pathogenic influenza A(H5N1) is very real, and is reinforced by recent results showing that genetically modified A(H5N1) may be readily transmitted between ferrets. Public health authorities are hesitant in introducing social distancing interventions due to societal disruption and productivity losses. This study estimates the effectiveness and total cost (from a societal perspective, with a lifespan time horizon) of a comprehensive range of social distancing and antiviral drug strategies, under a range of pandemic severity categories. METHODS: An economic analysis was conducted using a simulation model of a community of ~30,000 in Australia. Data from the 2009 pandemic was used to derive relationships between the Case Fatality Rate (CFR) and hospitalization rates for each of five pandemic severity categories, with CFR ranging from 0.1% to 2.5%. RESULTS: For a pandemic with basic reproduction number R(0) = 1.8, adopting no interventions resulted in total costs ranging from $441 per person for a pandemic at category 1 (CFR 0.1$8,550 per person at category 5 (CFR 2.5%). For severe pandemics of category 3 (CFR 0.75%) and greater, a strategy combining antiviral treatment and prophylaxis, extended school closure and community contact reduction resulted in the lowest total cost of any strategy, costing $1,584 per person at category 5. This strategy was highly effective, reducing the attack rate to 5%. With low severity pandemics costs are dominated by productivity losses due to illness and social distancing interventions, whereas higher severity pandemic costs are dominated by healthcare costs and costs arising from productivity losses due to death. CONCLUSIONS: For pandemics in high severity categories the strategies with the lowest total cost to society involve rigorous, sustained social distancing, which are considered unacceptable for low severity pandemics due to societal disruption and cost

A Case of Catecholaminergic Polymorphic Ventricular Tachycardia

Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a familial cardiac arrhythmia that is related to RYR2 or CASQ2 gene mutation. It occurs in patients with structurally normal heart and causes exercise-emotion-triggered syncope and sudden cardiac death. We experienced a case of CPVT in an 11 year-old female patient who was admitted for sudden cardiovascular collapse. The initial electrocardiogram (ECG) on emergency department revealed ventricular fibrillation. After multiple defibrillations, sinus rhythm was restored. However, recurrent ventricular fibrillation occurred during insertion of nasogastric tube without sedation in coronary care unit. On ECG monitoring, bidirectional ventricular tachycardia occurred with sinus tachycardia and then degenerated into ventricular fibrillation. To our knowledge, there has been no previous case report of CPVT triggered by sinus tachycardia in Korea. Therefore, we report the case as well as a review of the literature

A no-go for no-go theorems prohibiting cosmic acceleration in extra dimensional models

A four-dimensional effective theory that arises as the low-energy limit of some extra-dimensional model is constrained by the higher dimensional Einstein equations. Steinhardt & Wesley use this to show that accelerated expansion in our four large dimensions can only be transient in a large class of Kaluza-Klein models that satisfy the (higher dimensional) null energy condition [1]. We point out that these no-go theorems are based on a rather ad-hoc assumption on the metric, without which no strong statements can be made.Comment: 20 page

The cost-effectiveness of trivalent and quadrivalent influenza vaccination in communities in South Africa, Vietnam and Australia

BACKGROUND: To inform national healthcare authorities whether quadrivalent influenza vaccines (QIVs) provide better value for money than trivalent influenza vaccines (TIVs), we assessed the cost-effectiveness of TIV and QIV in low-and-middle income communities based in South Africa and Vietnam and contrasted these findings with those from a high-income community in Australia. METHODS: Individual based dynamic simulation models were interfaced with a health economic analysis model to estimate the cost-effectiveness of vaccinating 15% of the population with QIV or TIV in each community over the period 2003-2013. Vaccination was prioritized for HIV-infected individuals, before elderly aged 65+ years and young children. Country or region-specific data on influenza-strain circulation, clinical outcomes and costs were obtained from published sources. The societal perspective was used and outcomes were expressed in International$(I$) per quality-adjusted life-year (QALY) gained. RESULTS: When compared with TIV, we found that QIV would provide a greater reduction in influenza-related morbidity in communities in South Africa and Vietnam as compared with Australia. The incremental cost-effectiveness ratio of QIV versus TIV was estimated at I$4183/QALY in South Africa, I$1505/QALY in Vietnam and I$80,966/QALY in Australia. CONCLUSIONS: The cost-effectiveness of QIV varied between communities due to differences in influenza epidemiology, comorbidities, and unit costs. Whether TIV or QIV is the most cost-effective alternative heavily depends on influenza B burden among subpopulations targeted forvaccination in addition to country-specific willingness-to-pay thresholds and budgetary impact