Distribution of Energy-Momentum in a Schwarzschild-Quintessence Space-time Geometry

An analysis of the energy-momentum localization for a four-dimensional\break Schwarzschild black hole surrounded by quintessence is presented in order to provide expressions for the distributions of energy and momentum. The calculations are performed by using the Landau-Lifshitz and Weinberg energy-momentum complexes. It is shown that all the momenta vanish, while the expression for the energy depends on the mass $M$ of the black hole, the state parameter $w_{q}$ and the normalization factor $c$. The special case of $w_{q}=-2/3$ is also studied, and two limiting cases are examined.Comment: 9 page

Effects of thermal fluctuations on the thermodynamics of modified Hayward black hole

In this work, we analyze the effects of thermal fluctuations on the thermodynamics of a modified Hayward black hole. These thermal fluctuations will produce correction terms for various thermodynamic quantities like entropy, pressure, inner energy and specific heats. We also investigate the effect of these correction terms on the first law of thermodynamics. Finally, we study the phase transition for the modified Hayward black hole. It is demonstrated that the modified Hayward black hole is stable even after the thermal fluctuations are taken into account, as long as the event horizon is larger than a certain critical value.Comment: 13 pages, 4 Figures. Accepted for publication in EPJ

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised