Social inequalities and cardiovascular disease in South Asians

The epidemiological transition provides a temporal framework for thinking about the decline of infectious disease and the rise in cardiovascular and other chronic diseases.1 In Europe, the transition began in the late 19th century with improved sanitation and housing, and controls on food adulteration. Continuing public health measures such as vaccination2 contributed to the steep rise in life expectancy during the 20th century, paralleled by a sharp increase in the prevalence of cardiovascular disease (CVD). In South Asia, the epidemiological transition is taking place against a background of economic globalisation that has greatly increased the size of the urban poor and middle classes, at the same time leaving many millions to continue living on the land at subsistence level. Development is socially and regionally uneven, and so too are the common causes of morbidity and mortality. There is a double burden of disease in the countries of South Asia, characterised by a combination of pandemic infectious disease and high rates of cardiovascular disease. That India’s burden of coronary disease was approaching a similar magnitude to that of the established market economies was demonstrabed as long ago as 1990.

TITAN's Digital RFQ Ion Beam Cooler and Buncher, Operation and Performance

We present a description of the Radio Frequency Quadrupole (RFQ) ion trap built as part of the TITAN facility. It consists of a gas-filled, segmented, linear Paul trap and is the first stage of the TITAN setup with the purpose of cooling and bunching radioactive ion beams delivered from ISAC-TRIUMF. This is the first such device to be driven digitally, i.e., using a high voltage ($V_{pp} = \rm{400 \, V}$), wide bandwidth ($0.2 < f < 1.2 \, \rm{MHz}$) square-wave as compared to the typical sinusoidal wave form. Results from the commissioning of the device as well as systematic studies with stable and radioactive ions are presented including efficiency measurements with stable $^{133}$Cs and radioactive $^{124, 126}$Cs. A novel and unique mode of operation of this device is also demonstrated where the cooled ion bunches are extracted in reverse mode, i.e., in the same direction as previously injected.Comment: 34 pages, 17 figure

Large violation of Bell inequalities with low entanglement

In this paper we obtain violations of general bipartite Bell inequalities of order $\frac{\sqrt{n}}{\log n}$ with $n$ inputs, $n$ outputs and $n$-dimensional Hilbert spaces. Moreover, we construct explicitly, up to a random choice of signs, all the elements involved in such violations: the coefficients of the Bell inequalities, POVMs measurements and quantum states. Analyzing this construction we find that, even though entanglement is necessary to obtain violation of Bell inequalities, the Entropy of entanglement of the underlying state is essentially irrelevant in obtaining large violation. We also indicate why the maximally entangled state is a rather poor candidate in producing large violations with arbitrary coefficients. However, we also show that for Bell inequalities with positive coefficients (in particular, games) the maximally entangled state achieves the largest violation up to a logarithmic factor.Comment: Reference [16] added. Some typos correcte

Non-Abelian Brane Worlds: The Heterotic String Story

We discuss chiral supersymmetric compactifications of the SO(32) heterotic string on Calabi-Yau manifolds equipped with direct sums of stable bundles with structure group U(n). In addition we allow for non-perturbative heterotic five-branes. These models are S-dual to Type I compactifications with D9- and D5-branes, which by themselves are mirror symmetric to general intersecting D6-brane models. For the construction of concrete examples we consider elliptically fibered Calabi-Yau manifolds with SU(n) bundles given by the spectral cover construction. The U(n) bundles are obtained via twisting by line bundles. We present a four-generation Pati-Salam and a three-generation Standard-like model.Comment: 29 pages, 7 tables, LATEX; v2: refs adde

Behavioural and physiological correlates of impulsivity in the domestic dog (Canis familiaris)

Impulsivity is a trait related to inhibitory control which is expressed in a range of behaviours. Impulsive individuals show a decreased ability to tolerate delay of reinforcement, and more impulsive behaviour has been linked to decreased levels of serotonin and dopamine in a number of species. In domestic dogs, impulsivity is implicated in problem behaviours that result from a lack of self control, but currently there are no published studies that assess behavioural and physiological measures of impulsivity in relation to this trait. Impulsivity scores were calculated for 41 dogs using an owner-report assessment, the Dog Impulsivity Assessment Scale (DIAS). Twenty-three of these subjects completed an operant choice task based on a delayed reward paradigm, to assess their tolerance to delay of reinforcement. High Pressure Liquid Chromatography (HPLC) with Fluorometric Detection was used to detect levels of the metabolites of serotonin (5-HIAA) and dopamine (HVA) in the urine of 17 of the subjects. Higher impulsivity scores were found to be significantly correlated with more impulsive behaviour (reduced tolerance to delay of reinforcement) in the behaviour tests and lower levels of urinary 5-HIAA and 5-HIAA/HVA ratio. The results demonstrate convergent validity between impulsivity (as assessed by the DIAS) and behavioural and physiological parameters

City-wide wastewater genomic surveillance through the successive emergence of SARS-CoV-2 Alpha and Delta variants

Genomic surveillance of SARS-CoV-2 has provided a critical evidence base for public health decisions throughout the pandemic. Sequencing data from clinical cases has helped to understand disease transmission and the spread of novel variants. Genomic wastewater surveillance can offer important, complementary information by providing frequency estimates of all variants circulating in a population without sampling biases. Here we show that genomic SARS-CoV-2 wastewater surveillance can detect fine-scale differences within urban centres, specifically within the city of Liverpool, UK, during the emergence of Alpha and Delta variants between November 2020 and June 2021. Furthermore, wastewater and clinical sequencing match well in the estimated timing of new variant rises and the first detection of a new variant in a given area may occur in either clinical or wastewater samples. The study's main limitation was sample quality when infection prevalence was low in spring 2021, resulting in a lower resolution of the rise of the Delta variant compared to the rise of the Alpha variant in the previous winter. The correspondence between wastewater and clinical variant frequencies demonstrates the reliability of wastewater surveillance. However, discrepancies in the first detection of the Alpha variant between the two approaches highlight that wastewater monitoring can also capture missing information, possibly resulting from asymptomatic cases or communities less engaged with testing programmes, as found by a simultaneous surge testing effort across the city

Contemporary use of devices in chronic heart failure in the Netherlands

Aims: Despite previous surveys regarding device implantation rates in heart failure (HF), insight into the real-world management with devices is scarce. Therefore, we investigated device implantation rates in HF with reduced left ventricular ejection fraction (LVEF) in 34 Dutch centres. Methods and results: A cross-sectional outpatient registry was conducted in 6666 patients with LVEF < 50% and with information about device implantation available [74 (66–81) years of age; 64% male]. Patients were classified into conventional pacemakers (PM, n = 562), implantable cardioverter defibrillato

Path Integral Monte Carlo Approach to the U(1) Lattice Gauge Theory in (2+1) Dimensions

Path Integral Monte Carlo simulations have been performed for U(1) lattice gauge theory in (2+1) dimensions on anisotropic lattices. We extractthe static quark potential, the string tension and the low-lying "glueball" spectrum.The Euclidean string tension and mass gap decrease exponentially at weakcoupling in excellent agreement with the predictions of Polyakov and G{\" o}pfert and Mack, but their magnitudes are five times bigger than predicted. Extrapolations are made to the extreme anisotropic or Hamiltonian limit, and comparisons are made with previous estimates obtained in the Hamiltonian formulation.Comment: 12 pages, 16 figure

Geometric K-Homology of Flat D-Branes

We use the Baum-Douglas construction of K-homology to explicitly describe various aspects of D-branes in Type II superstring theory in the absence of background supergravity form fields. We rigorously derive various stability criteria for states of D-branes and show how standard bound state constructions are naturally realized directly in terms of topological K-cycles. We formulate the mechanism of flux stabilization in terms of the K-homology of non-trivial fibre bundles. Along the way we derive a number of new mathematical results in topological K-homology of independent interest.Comment: 45 pages; v2: References added; v3: Some substantial revision and corrections, main results unchanged but presentation improved, references added; to be published in Communications in Mathematical Physic