Interacting photon-baryon fluid, warm dark matter and the first acoustic peak

The Reduced Relativistic Gas (RRG) model was introduced by A. Sakharov in 1965 for deriving the cosmic microwave background (CMB) spectrum. It was recently reinvented by some of us to achieve an interpolation between the radiation and dust epochs in the evolution of the Universe. This model circumvents the complicated structure of the Boltzmann-Einstein system of equations and admits a transparent description of warm-dark-matter effects. It is extended here to include, on a phenomenological basis, an out-of-equilibrium interaction between radiation and baryons which is supposed to account for relevant aspects of pre-recombination physics in a simplified manner. Furthermore, we use the tight-coupling approximation to explore the influence of both this interaction and of the RRG warmness parameter on the anisotropy spectrum of the CMB. The predictions of the model are very similar to those of the {\Lambda}CDM model if both the interaction and the dark-matter warmness parameters are of the order of $10^{-4}$ or smaller. As far as the warmness parameter is concerned, this is in good agreement with previous estimations on the basis of results from structure formation.Comment: 10 pages and 4 figure

Quantum corrections to gravity and their implications for cosmology and astrophysics

The quantum contributions to the gravitational action are relatively easy to calculate in the higher derivative sector of the theory. However, the applications to the post-inflationary cosmology and astrophysics require the corrections to the Einstein-Hilbert action and to the cosmological constant, and those we can not derive yet in a consistent and safe way. At the same time, if we assume that these quantum terms are covariant and that they have relevant magnitude, their functional form can be defined up to a single free parameter, which can be defined on the phenomenological basis. It turns out that the quantum correction may lead, in principle, to surprisingly strong and interesting effects in astrophysics and cosmology.Comment: 15 pages, LaTeX, WS style, contribution to the Proceedings of the QFEXT-2011 conference in the Centro de Ciencias de Benasque Pedro Pasqual, Spai

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially