Frailty exists in younger adults admitted as surgical emergency leading to adverse outcomes

Background: Frailty is prevalent in the older adult population (≥65 years of age) and results in adverse outcomes in the emergency general surgical population. Objective: To determine whether frailty exists in the younger adult emergency surgical population (<65 years) and what influence frailty may have on patient related outcomes. Design: Prospective observational cohort study. Setting: Emergency general surgical admissions. Participants: All patients ≥40 years divided into 2 groups: younger adults (40-64.9 years) and older adult comparative group (≥65). Measurements: Over a 6-month time frame the following data was collected: demographics; Scottish Index of Multiple Deprivation (SIMD); blood markers; multi-morbidities, polypharmacy and cognition. Frailty was assessed by completion of the Canadian Study of Health and Ageing (CSHA). Each patient was followed up for 90 days to allow determination of length of stay, re-admission and mortality. Results: 82 young adults were included and the prevalence of frailty was 16% (versus older adults 38%; p=0.001) and associated with: multi-morbidity; poly-pharmacy; cognitive impairment; and deprivation. Frailty in older adults was only significantly associated with increasing age. Conclusions: This novel study has found that frailty exists in 16% of younger adults admitted to emergency general surgical units, potentially leading to adverse short and long-term outcomes. Strategies need to be developed that identify and treat frailty in this vulnerable younger adult population

Strong CP violation and the neutron electric dipole form factor

We calculate the neutron electric dipole form factor induced by the CP violating theta-term of QCD, within a perturbative chiral quark model which includes pion and kaon clouds. On this basis we derive the neutron electric dipole moment and the electron-neutron Schiff moment. From the existing experimental upper limits on the neutron electric dipole moment we extract constraints on the theta-parameter and compare our results with other approaches.Comment: 18 pages, 2 figures, accepted for publication in Phys. Atom. Nuc

Neutron Beta Decay Studies with Nab

Precision measurements in neutron beta decay serve to determine the coupling constants of beta decay and allow for several stringent tests of the standard model. This paper discusses the design and the expected performance of the Nab spectrometer.Comment: Submitted to Proceedings of the Conference CIPANP12, St.Petersburg, Florida, May 201

Composite nucleons in scalar and vector mean-fields

We emphasize that the composite structure of the nucleon may play quite an important role in nuclear physics. It is shown that the momentum-dependent repulsive force of second order in the scalar field, which plays an important role in Dirac phenomenology, can be found in the quark-meson coupling (QMC) model, and that the properties of nuclear matter are well described through the quark-scalar density in a nucleon and a self-consistency condition for the scalar field. The difference between theories of point-like nucleons and composite ones may be seen in the change of the $\omega$-meson mass in nuclear matter if the composite nature of the nucleon suppresses contributions from nucleon-antinucleon pair creation.Comment: 10 page