Scaling Laws for e+e−e^+ e^- Linear Colliders

Design studies of a future TeV e+e- Linear Collider (TLC) are presently being made by five major laboratories within the framework of a world-wide collaboration. A figure of merit is defined which enables an objective comparison of these different designs. This figure of merit is shown to depend only on a small number of parameters. General scaling laws for the main beam parameters and linac parameters are derived and prove to be very effective when used as guidelines to optimize the linear collider design. By adopting appropriate parameters for beam stability, the figure of merit becomes nearly independent of accelerating gradient and RF frequency of the accelerating structures. In spite of the strong dependence of the wake-fields with frequency, the single bunch emittance preservation during acceleration along the linac is also shown to be independent of the RF frequency when using equivalent trajectory correction schemes. In this situation, beam acceleration using high frequency structures becomes very advantageous because it enables high accelerating fields to be obtained, which reduces the overall length and consequently the total cost of the linac

Acute hospitalisation needs of adults admitted to public facilities in the Cape Town Metro district

INTRODUCTION: Public health care delivery in South Africa aims to provide equitable access at the most appropriate level of care. We studied to what extent the acute health care needs of adults admitted to public hospitals in the Cape Town Metropole were being appropriately met. METHODS: A retrospective study was conducted of the hospital records of adults admitted to medical beds in public hospitals in Cape Town between August and November 2008. Intensive care unit patients were not included. RESULTS: Of 802 beds in use, the estimated occupancy was at least 95%. The average time elapsed since admission was 7.9 days; 94.3% of medical admissions were acute; 45% were severely to critically ill on admission; and co-morbid disease was present in 78.1%. Of all admissions, 31.9% were HIV-positive, and 17% had active tuberculosis. At least 396 (51.6%) patients were deemed to have required specialist or subspecialist consultation to expedite appropriate care; 386 (50.3%) accessed the appropriate level of medical care required; 339 (44.2%) accessed a more sophisticated level of care than required; and 42 (5.5%) did not access an adequate level of care. CT scan and ultrasound accounted for 59% of all restricted tests done. CONCLUSIONS: Our findings support the plan to provide more primary care hospital facilities in the metropolitan area. Most patients needing specialised care are accessing such care, and most patients accessing a higher level of care than needed can be addressed by ensuring that they first access primary care and are referred according to protocols

VetCompass Australia: A National Big Data Collection System for Veterinary Science

VetCompass Australia is veterinary medical records-based research coordinated with the global VetCompass endeavor to maximize its quality and effectiveness for Australian companion animals (cats, dogs, and horses). Bringing together all seven Australian veterinary schools, it is the first nationwide surveillance system collating clinical records on companion-animal diseases and treatments. VetCompass data service collects and aggregates real-time, clinical records for researchers to interrogate, delivering sustainable and cost-effective access to data from hundreds of veterinary practitioners nationwide. Analysis of these clinical records will reveal geographical and temporal trends in the prevalence of inherited and acquired diseases, identify frequently prescribed treatments, revolutionize clinical auditing, help the veterinary profession to rank research priorities, and assure evidence-based companion-animal curricula in veterinary schools. VetCompass Australia will progress in three phases: (1) roll-out of the VetCompass platform to harvest Australian veterinary clinical record data; (2) development and enrichment of the coding (data-presentation) platform; and (3) creation of a world-first, real-time surveillance interface with natural language processing (NLP) technology. The first of these three phases is described in the current article. Advances in the collection and sharing of records from numerous practices will enable veterinary professionals to deliver a vastly improved level of care for companion animals that will improve their quality of life

Coupled-Bunch Beam Breakup due to Resistive-Wall Wake

The coupled-bunch beam breakup problem excited by the resistive wall wake is formulated. An approximate analytic method of finding the asymptotic behavior of the transverse bunch displacement is developed and solved.Comment: 8 page

A 30 GHz 5-TeV Linear Collider

We present parameters for a linear collider with a $3$ to $5$ TeV center-of-mass energy that utilizes conventional rf technology operating at a frequency around 30 GHz. We discuss the scaling laws and assumed limitations that lead to the parameters described and we compare the merits and liabilities of different technological options including rf power source, accelerator structure, and final focus system design. Finally, we outline the components of the collider while specifying the required alignment and construction tolerances

Detection of human papillomavirus DNA with in situ hybridisation in oral squamous carcinoma in a rural black population

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Suicidal ideation and attempt among South African medical students

International data reveal that medical students are at higher risk of attempting suicide than the general population. We aimed to determine the prevalence of suicidal ideation and attempt among South African medical students from three universities and identify key predisposing risk factors. Data were collected via a questionnaire to medical students on demographics, mental health history, depressive symptoms, suicidal ideation and attempt. A total of 874 medical students from three universities were enrolled. We found a high prevalence of suicidal ideation (32.3%) and suicidal attempt (6.9%), which is three times higher than the general age-appropriate South African population. Simple screening questionnaires can identify such students, enabling universities to provide targeted and improved support for at-risk students

Variation in Emission and Absorption Lines and Continuum Flux by Orbital Phase in Vela X-1

High resolution spectral studies were undertaken at orbital phases 0, 0.25 and 0.5 on the high-mass X-ray binary (HMXB) Vela X-1 using archival Chandra data. We present (a) the first detailed analysis of the multiple strong narrow emission lines present in phase 0.5 (b) an analysis of the absorption of the continuum in phase 0.5, and (c) the first detection of narrow emission and absorption lines in phase 0.25. Multiple fluorescent and H-and He-like emission lines in the band 1.6 - 20 Angstrom in eclipse are partially obscured at phase 0.25 by the X-ray continuum. The phase 0.25 spectrum displays 3 triplets, 2 with a blue-shifted resonance (r) line in absorption and the intercombination (i) and forbidden (f) lines in emission, and shows in absorption other blue-shifted lines seen in emission in eclipse. At phase 0.5 the soft X-ray continuum diminishes revealing an "eclipse-like" spectrum, however line flux values are around 13-fold those in eclipse. We conclude the narrow emission lines in Vela X-1 become apparent when the continuum is blocked from line of sight, either by eclipse or by scattering and/or absorption from a wake or cloud. The H-and He-like lines arise in warm photoionised regions in the stellar wind, while the fluorescent lines (including a Ni K alpha line) are produced in cooler clumps of gas outside these regions. Absorption of the 5-13 Angstrom continuum at phase 0.5 may be caused by an accretion wake comprised of dense stagnant photoionized plasma inside a Stromgren zone. Multiple fluorescent emission lines may be a common feature of the supergiant category of HMXBs.Comment: 29 pages, 7 figures, accepted for publication in the Astronomical Journa

Prolonged treatment of COVID-19 pneumonia with high-flow nasal oxygen: A story of oxygen and resilience

The COVID-19 pandemic has placed significant strain on the oxygen delivery infrastructure of health facilities in resource-constrained health systems. In this case report, we describe a patient with severe COVID-19 pneumonia who was managed with high-flow nasal oxygen for 40 days, with an eventual successful outcome. We discuss the oxygen delivery infrastructure needed to offer this intervention, as well as the psychosocial impact on those undergoing treatment

Prevalence and outcome of delirium among acute general medical inpatients in Cape Town, South Africa

Background. Delirium is a common, serious, underdiagnosed condition in medical and surgical inpatients with acute conditions. It is associated with increased risk of mortality and morbidity. Data of geriatric cohorts are largely limited to developed countries.Objectives. To describe prevalence, risk factors and outcomes of delirium among general medical patients admitted to two hospitals in Cape Town, South Africa.Methods. This was a prospective cohort study of patients with acute conditions admitted to a general medical inpatient service in secondary- and tertiary-level public hospitals in the Metro West area of Cape Town. Patients ≥18 years of age were recruited daily from all acute medical admissions. Patients were excluded if they were aphasic or their Glasgow coma scale was <8/15. Delirium was diagnosed using the validated confusion assessment method (CAM) tool and performed by trained neuropsychologists. Demographic data were collected by a clinical team and short- and long-term mortality data were obtained using linkage analysis of hospitalised patients and routinely collected provincial death certification records.Results. The median age of inpatients was 51 (interquartile range 36 - 65) years, 29% were HIV-infected and the overall prevalence of delirium was 12.3%. Multivariate predictors of delirium included the presence of an indwelling urinary catheter (odds ratio (OR) 4.47; confidence interval (CI) 2.43 - 8.23), admission with a central nervous system disease (OR 4.34; CI 2.79 - 7.90), pre-existing cognitive impairment (OR 3.02; CI 1.22 - 7.43) and immobility (OR 1.88; CI 1.01 - 3.51). HIV infection was not associated with increased risk of delirium. Delirium was associated with an increased risk of inhospital (delirium v. no delirium: 29% v. 12%; p<0.01) and 12-month (30% v. 20%; p<0.01) mortality, as well as increased length of hospital stay (7 days v. 5 days; p<0.01).Conclusions. In this cohort of medical inpatients (relatively young and with a high HIV prevalence) 1 of 8 (12.3%) patients was delirious. Delirium was associated with adverse outcomes. Delirium risk factors in this young cohort were similar to those in geriatric cohorts in developed countries, and neither HIV nor opportunistic infections increased risk