Rapid tranquillisation for agitated patients in emergency psychiatric rooms: a randomised trial of midazolam versus haloperidol plus promethazine

OBJECTIVE: To compare two widely used drug treatments for people with aggression or agitation due to mental illness. DESIGN: Pragmatic, randomised clinical trial. SETTING: Three psychiatric emergency rooms in Rio de Janeiro, Brazil. SUBJECTS: 301 aggressive or agitated people. INTERVENTIONS: Open treatment with intramuscular midazolam or intramuscular haloperidol plus promethazine. MAIN OUTCOME MEASURES: Patients tranquil or sedated at 20 minutes. Secondary outcomes: patients tranquil or asleep by 40, 60, and 120 minutes; restrained or given extra drugs within 2 hours; severe adverse events; another episode of agitation or aggression; needing extra visits from doctor during first 24 hours; overall antipsychotic load in first 24 hours; and not discharged by two weeks

Cross-Correlation Studies with CMB Polarization Maps

The free-electron population during the reionized epoch rescatters CMB temperature quadrupole and generates a now well-known polarization signal at large angular scales. While this contribution has been detected in the temperature-polarization cross power spectrum measured with WMAP data, due to the large cosmic variance associated with anisotropy measurements at tens of degree angular scales only limited information related to reionization, such as the optical depth to electron scattering, can be extracted. The inhomogeneities in the free-electron population lead to an additional secondary polarization anisotropy contribution at arcminute scales. While the fluctuation amplitude, relative to dominant primordial fluctuations, is small, we suggest that a cross-correlation between arcminute scale CMB polarization data and a tracer field of the high redshift universe, such as through fluctuations captured by the 21 cm neutral Hydrogen background or those in the infrared background related to first proto-galaxies, may allow one to study additional details related to reionization. For this purpose, we discuss an optimized higher order correlation measurement, in the form of a three-point function, including information from large angular scale CMB temperature anisotropies in addition to arcminute scale polarization signal related to inhomogeneous reionization. We suggest that the proposed bispectrum can be measured with a substantial signal-to-noise ratio and does not require all-sky maps of CMB polarization or that of the tracer field. A measurement such as the one proposed may allow one to establish the epoch when CMB polarization related to reionization is generated and to address if the universe was reionized once or twice.Comment: 13 pages, 7 figures; Version in press with Phys. Rev.

Gravitational lensing as a contaminant of the gravity wave signal in CMB

Gravity waves (GW) in the early universe generate B-type polarization in the cosmic microwave background (CMB), which can be used as a direct way to measure the energy scale of inflation. Gravitational lensing contaminates the GW signal by converting the dominant E polarization into B polarization. By reconstructing the lensing potential from CMB itself one can decontaminate the B mode induced by lensing. We present results of numerical simulations of B mode delensing using quadratic and iterative maximum-likelihood lensing reconstruction methods as a function of detector noise and beam. In our simulations we find the quadratic method can reduce the lensing B noise power by up to a factor of 7, close to the no noise limit. In contrast, the iterative method shows significant improvements even at the lowest noise levels we tested. We demonstrate explicitly that with this method at least a factor of 40 noise power reduction in lensing induced B power is possible, suggesting that T/S=10^-6 may be achievable in the absence of sky cuts, foregrounds, and instrumental systematics. While we do not find any fundamental lower limit due to lensing, we find that for high-sensitivity detectors residual lensing noise dominates over the detector noise.Comment: 6 pages, 2 figures, submitted to PR

Energy Conditions in f(G)f(G) Modified Gravity with Non-minimal Coupling to Matter

In this paper we study a model of modified gravity with non-minimal coupling between a general function of the Gauss-Bonnet invariant, $f(G)$, and matter Lagrangian from the point of view of the energy conditions. Such model has been introduced in Ref. [21] for description of early inflation and late-time cosmic acceleration. We present the suitable energy conditions for the above mentioned model and then, we use the estimated values of the Hubble, deceleration and jerk parameters to apply the obtained energy conditions to the specific class of modified Gauss-Bonnet models.Comment: 12 pages, no figur, Accepted for publication in Astrophysics and Space Scienc

A mathematical analysis of the evolution of perturbations in a modified Chaplygin gas model

One approach in modern cosmology consists in supposing that dark matter and dark energy are different manifestations of a single `quartessential' fluid. Following such idea, this work presents a study of the evolution of perturbations of density in a flat cosmological model with a modified Chaplygin gas acting as a single component. Our goal is to obtain properties of the model which can be used to distinguish it from another cosmological models which have the same solutions for the general evolution of the scale factor of the universe, without the construction of the power spectrum. Our analytical results, which alone can be used to uniquely characterize the specific model studied in our work, show that the evolution of the density contrast can be seen, at least in one particular case, as composed by a spheroidal wave function. We also present a numerical analysis which clearly indicates as one interesting feature of the model the appearence of peaks in the evolution of the density constrast.Comment: 21 pages, accepted for publication in General Relativity and Gravitatio

The generalized second law for the interacting generalized Chaplygin gas model

We investigate the validity of the generalized second law (GSL) of gravitational thermodynamics in a non-flat FRW universe containing the interacting generalized Chaplygin gas with the baryonic matter. The dynamical apparent horizon is assumed to be the boundary of the universe. We show that for the interacting generalized Chaplygin gas as a unified candidate for dark matter (DM) and dark energy (DE), the equation of state parameter can cross the phantom divide. We also present that for the selected model under thermal equilibrium with the Hawking radiation, the GSL is always satisfied throughout the history of the universe for any spatial curvature, independently of the equation of state of the interacting generalized Chaplygin gas model.Comment: 8 page

Magnetic Field Amplification in Galaxy Clusters and its Simulation

We review the present theoretical and numerical understanding of magnetic field amplification in cosmic large-scale structure, on length scales of galaxy clusters and beyond. Structure formation drives compression and turbulence, which amplify tiny magnetic seed fields to the microGauss values that are observed in the intracluster medium. This process is intimately connected to the properties of turbulence and the microphysics of the intra-cluster medium. Additional roles are played by merger induced shocks that sweep through the intra-cluster medium and motions induced by sloshing cool cores. The accurate simulation of magnetic field amplification in clusters still poses a serious challenge for simulations of cosmological structure formation. We review the current literature on cosmological simulations that include magnetic fields and outline theoretical as well as numerical challenges.Comment: 60 pages, 19 Figure

Theory and Applications of Non-Relativistic and Relativistic Turbulent Reconnection

Realistic astrophysical environments are turbulent due to the extremely high Reynolds numbers. Therefore, the theories of reconnection intended for describing astrophysical reconnection should not ignore the effects of turbulence on magnetic reconnection. Turbulence is known to change the nature of many physical processes dramatically and in this review we claim that magnetic reconnection is not an exception. We stress that not only astrophysical turbulence is ubiquitous, but also magnetic reconnection itself induces turbulence. Thus turbulence must be accounted for in any realistic astrophysical reconnection setup. We argue that due to the similarities of MHD turbulence in relativistic and non-relativistic cases the theory of magnetic reconnection developed for the non-relativistic case can be extended to the relativistic case and we provide numerical simulations that support this conjecture. We also provide quantitative comparisons of the theoretical predictions and results of numerical experiments, including the situations when turbulent reconnection is self-driven, i.e. the turbulence in the system is generated by the reconnection process itself. We show how turbulent reconnection entails the violation of magnetic flux freezing, the conclusion that has really far reaching consequences for many realistically turbulent astrophysical environments. In addition, we consider observational testing of turbulent reconnection as well as numerous implications of the theory. The former includes the Sun and solar wind reconnection, while the latter include the process of reconnection diffusion induced by turbulent reconnection, the acceleration of energetic particles, bursts of turbulent reconnection related to black hole sources as well as gamma ray bursts. Finally, we explain why turbulent reconnection cannot be explained by turbulent resistivity or derived through the mean field approach.Comment: 66 pages, 24 figures, a chapter of the book "Magnetic Reconnection - Concepts and Applications", editors W. Gonzalez, E. N. Parke

Equation of State of Oscillating Brans-Dicke Scalar and Extra Dimensions

We consider a Brans-Dicke scalar field stabilized by a general power law potential with power index $n$ at a finite equilibrium value. Redshifting matter induces oscillations of the scalar field around its equilibrium due to the scalar field coupling to the trace of the energy momentum tensor. If the stabilizing potential is sufficiently steep these high frequency oscillations are consistent with observational and experimental constraints for arbitrary value of the Brans-Dicke parameter $\omega$. We study analytically and numerically the equation of state of these high frequency oscillations in terms of the parameters $\omega$ and $n$ and find the corresponding evolution of the universe scale factor. We find that the equation of state parameter can be negative and less than -1 but it is not related to the evolution of the scale factor in the usual way. Nevertheless, accelerating expansion is found for a certain parameter range. Our analysis applies also to oscillations of the size of extra dimensions (the radion field) around an equilibrium value. This duality between self-coupled Brans-Dicke and radion dynamics is applicable for $\omega= -1 + 1/D$ where D is the number of extra dimensions.Comment: 10 two-column pages, RevTex4, 8 figures. Added clarifying discussions, new references. Accepted in Phys. Rev. D (to appear

Search for antihelium in cosmic rays

The Alpha Magnetic Spectrometer (AMS) was flown on the space shuttle Discovery during flight STS-91 in a 51.7 degree orbit at altitudes between 320 and 390 km. A total of 2.86 * 10^6 helium nuclei were observed in the rigidity range 1 to 140 GV. No antihelium nuclei were detected at any rigidity. An upper limit on the flux ratio of antihelium to helium of < 1.1 * 10^-6 is obtained.Comment: 18 pages, Latex, 9 .eps figure