Current dark matter annihilation constraints from CMB and low-redshift data

Updated constraints on the dark matter cross section and mass are presented combining cosmic microwave background (CMB) power spectrum measurements from Planck, WMAP9, ACT, and SPT as well as several low-redshift data sets (BAO, HST, and supernovae). For the CMB data sets, we combine WMAP9 temperature and polarization data for l ≤ 431 with Planck temperature data for 432 ≤ l ≤ 2500, ACT and SPT data for l > 2500, and Planck CMB four-point lensing measurements. We allow for redshift-dependent energy deposition from dark matter annihilation by using a “universal" energy absorption curve. We also include an updated treatment of the excitation, heating, and ionization energy fractions and provide an updated deposition efficiency factors (f[subscript eff]) for 41 different dark matter models. Assuming perfect energy deposition (f[subscript eff] = 1) and a thermal cross section, dark matter masses below 26 GeV are excluded at the 2σ level. Assuming a more generic efficiency of f[subscript eff] = 0.2, thermal dark matter masses below 5 GeV are disfavored at the 2σ level. These limits are a factor of ∼2 improvement over those from WMAP9 data alone. These current constraints probe, but do not exclude, dark matter as an explanation for reported anomalous indirect detection observations from AMS-02/PAMELA and the Fermi gamma-ray inner-Galaxy data. They also probe relevant models that would explain anomalous direct detection events from CDMS, CRESST, CoGeNT, and DAMA, as originating from a generic thermal weakly interacting massive particle. Projected constraints from the full Planck release should improve the current limits by another factor of ∼2 but will not definitely probe these signals. The proposed CMB Stage IV experiment will more decisively explore the relevant regions and improve upon the Planck constraints by another factor of ∼2.Stony Brook University-Brookhaven National Laboratory (Research Initiatives Seed Grant 37298, Project 1111593)United States. Dept. of Energy (Cooperative Research Agreement Contract DE-FG02-05ER41360

Superradiant scattering from a hydrodynamic vortex

We show that sound waves scattered from a hydrodynamic vortex may be amplified. Such superradiant scattering follows from the physical analogy between spinning black holes and hydrodynamic vortices. However a sonic horizon analogous to the black hole event horizon does not exist unless the vortex possesses a central drain, which is challenging to produce experimentally. In the astrophysical domain, superradiance can occur even in the absence of an event horizon: we show that in the hydrodynamic analogue, a drain is not required and a vortex scatters sound superradiantly. Possible experimental realization in dilute gas Bose-Einstein condensates is discussed.Comment: 10 pages, 1 figur

Sommerfeld Enhancement of DM Annihilation: Resonance Structure, Freeze-Out and CMB Spectral Bound

In the last few years there has been some interest in WIMP Dark Matter models featuring a velocity dependent cross section through the Sommerfeld enhancement mechanism, which is a nonrelativistic effect due to massive bosons in the dark sector. In the first part of this article, we find analytic expressions for the boost factor for three different model potentials, the Coulomb potential, the spherical well and the spherical cone well and compare with the numerical solution of the Yukawa potential. We find that the resonance pattern of all the potentials can be cast into the same universal form. In the second part of the article we perform a detailed computation of the Dark Matter relic density for models having Sommerfeld enhancement by solving the Boltzmann equation numerically. We calculate the expected distortions of the CMB blackbody spectrum from WIMP annihilations and compare these to the bounds set by FIRAS. We conclude that only a small part of the parameter space can be ruled out by the FIRAS observations.Comment: 15 pages, 15 figures, version accepted by JCA

Test-retest reliability of the Health Literacy Questionnaire (HLQ-Br) in Brazilian carers of older people

The rapid aging of the Brazilian population is seeing people living longer but with comorbidities more common in older people and higher dependence in activities of daily living. Due to these factors, support from formal and informal carers is needed more frequently. Many informal carers are family members who manage the health of the older person they are caring for, including accompanying them to medical appointments and advocating for them when they are hospitalized1,2. As such, carers of older people often have a key role in accessing, understanding and supporting the implementation of health-related recommendations for the older person they provide care for..

Cosmology and Fermion Confinement in a Scalar-Field-Generated Domain Wall Brane in Five Dimensions

We consider a brane generated by a scalar field domain wall configuration in 4+1 dimensions, interpolating, in most cases, between two vacua of the field. We study the cosmology of such a system in the cases where the effective four-dimensional brane metric is de Sitter or anti de Sitter, including a discussion of the bulk coordinate singularities present in the de-Sitter case. We demonstrate that a scalar field kink configuration can support a brane with dS$_4$ cosmology, despite the presence of coordinate singularities in the metric. We examine the trapping of fermion fields on the domain wall for nontrivial brane cosmology.Comment: 29 pages, 12 figures; minor changes, accepted by JHE

Hearing the voices of older adult patients: processes and findings to inform health services research

Background Clinical academic research and service improvement is planned using Patient and Public Involvement and Engagement (PPIE) but older PPIE participants are consulted less often due to the perception that they are vulnerable or hard to engage. Objectives To consult frail older adults about a recently adopted service, discharge to assess (D2A), and to prioritise services improvements and research topics associated with the design and delivery of discharge from hospital. To use successive PPIE processes to enable a permanent PPIE panel to be established. Participants Following guidance from an established hospital PPI panel 27 older adult participants were recruited. Participants from Black, Asian and Minority Ethnic (BAME) communities, affluent and non-affluent areas and varied social circumstances were included. Methods Focus groups and individual interviews were conducted in participants own homes or nearby social venues. Results Priorities for discharge included remaining independent despite often feeling lonely at home; to remain in hospital if needed; and for services to ensure effective communication with families. The main research priority identified was facilitating independence, whilst establishing a permanent PPIE panel involving older adults was viewed favourably. Conclusions Taking a structured approach to PPIE enabled varied older peoples’ voices to express their priorities and concerns into early discharge from hospital, as well as enabling the development of health services research into hospital discharge planning and management. Older people as participants identified research priorities after reflecting on their experiences. Listening and reflection enabled researchers to develop a new “Community PPIE Elders Panel” to create an enduring PPIE infrastructure for frail older housebound people to engage in research design, development and dissemination

Protocol for a randomised controlled trial of an outreach support program for family carers of older people discharged from hospital

Background: Presentations to hospital of older people receiving family care at home incur substantial costs for patients, families, and the health care system, yet there can be positive carer outcomes when systematically assessing/addressing their support needs, and reductions in older people's returns to hospital attributed to appropriate discharge planning. This study will trial the Further Enabling Care at Home program, a 2-week telephone outreach initiative for family carers of older people returning home from hospital. Hypotheses are that the program will (a) better prepare families to sustain their caregiving role and (b) reduce patients' re-presentations/readmissions to hospital, and/or their length of stay; also that reduced health system costs attributable to the program will outweigh costs of its implementation. Methods/Design: In this randomised controlled trial, family carers of older patients aged 70+ discharged from a Medical Assessment Unit in a Western Australian tertiary hospital, plus the patients themselves, will be recruited at discharge (N = 180 dyads). Carers will be randomly assigned (block allocation, assessors blinded) to receive usual care (control) or the new program (intervention). The primary outcome is the carer's self-reported preparedness for caregiving (Preparedness for Caregiving Scale administered within 4 days of discharge, 2-3 weeks post-discharge, 6 weeks post-discharge). To detect a clinically meaningful change of two points with 80 % power, 126 carers need to complete the study. Patients' returns to hospital and subsequent length of stay will be ascertained for a minimum of 3 months after the index admission. Regression analyses will be used to determine differences in carer and patient outcomes over time associated with the group (intervention or control). Data will be analysed using an Intention to Treat approach. A qualitative exploration will examine patients' and their family carers' experiences of the new program (interviews) and explore the hospital staff's perceptions (focus groups). Process evaluation will identify barriers to, and facilitators of, program implementation. A comprehensive economic evaluation will determine cost consequences. Discussion: This study investigates a novel approach to identifying and addressing family carers' needs following discharge from hospital of the older person receiving care. If successful, the program has potential to be incorporated into routine post-discharge support. Trial registration: Australian and New Zealand Clinical Trial Registry: ACTRN12614001174673

Sommerfeld Enhancement from Multiple Mediators

We study the Sommerfeld enhancement experienced by a scattering object that couples to a tower of mediators. This can occur in, e.g., models of secluded dark matter when the mediator scale is generated naturally by hidden-sector confinement. Specializing to the case of a confining CFT, we show that off-resonant values of the enhancement can be increased by ~ 20% for cases of interest when (i) the (strongly-coupled) CFT admits a weakly-coupled dual description and (ii) the conformal symmetry holds up to the Planck scale. Larger enhancements are possible for lower UV scales due to an increase in the coupling strength of the tower.Comment: 17p, 2 figures; v2 JHEP version (inconsequential typo fixed, references added

Massive amplitudes on the Coulomb branch of N=4 SYM

We initiate a systematic study of amplitudes with massive external particles on the Coulomb-branch of N=4 super Yang Mills theory: 1) We propose that (multi-)soft-scalar limits of massless amplitudes at the origin of moduli space can be used to determine Coulomb-branch amplitudes to leading order in the mass. This is demonstrated in numerous examples. 2) We find compact explicit expressions for several towers of tree-level amplitudes, including scattering of two massive W-bosons with any number of positive helicity gluons, valid for all values of the mass. 3) We present the general structure of superamplitudes on the Coulomb branch. For example, the n-point "MHV-band" superamplitude is proportional to a Grassmann polynomial of mixed degree 4 to 12, which is uniquely determined by supersymmetry. We find explicit tree-level superamplitudes for this MHV band and for other simple sectors of the theory. 4) Dual conformal generators are constructed, and we explore the dual conformal properties of the simplest massive amplitudes. Our compact expressions for amplitudes and superamplitudes should be of both theoretical and phenomenological interest; in particular the tree-level results carry over to truncations of the theory with less supersymmetry.Comment: 29 pages, 1 figur