53 research outputs found

    The Deconfinement Phase Transition in One-Flavour QCD

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    We present a study of the deconfinement phase transition of one-flavour QCD, using the multiboson algorithm. The mass of the Wilson fermions relevant for this study is moderately large and the non-hermitian multiboson method is a superior simulation algorithm. Finite size scaling is studied on lattices of size 83×48^3\times 4, 123×412^3\times 4 and 163×416^3\times 4. The behaviours of the peak of the Polyakov loop susceptibility, the deconfinement ratio and the distribution of the norm of the Polyakov loop are all characteristic of a first-order phase transition for heavy quarks. As the quark mass decreases, the first-order transition gets weaker and turns into a crossover. To investigate finite size scaling on larger spatial lattices we use an effective action in the same universality class as QCD. This effective action is constructed by replacing the fermionic determinant with the Polyakov loop identified as the most relevant Z(3) symmetry breaking term. Higher-order effects are incorporated in an effective Z(3)-breaking field, hh, which couples to the Polyakov loop. Finite size scaling determines the value of hh where the first order transition ends. Our analysis at the end - point, heph_{ep}, indicates that the effective model and thus QCD is consistent with the universality class of the three dimensional Ising model. Matching the field strength at the end point, heph_{ep}, to the κ\kappa values used in the dynamical quark simulations we estimate the end point, κep\kappa_{ep}, of the first-order phase transition. We find κep0.08\kappa_{ep}\sim 0.08 which corresponds to a quark mass of about 1.4 GeV .Comment: LaTex, 25 pages, 18 figure

    Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

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    BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700
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