60,410 research outputs found

    Structure, (governance) and health: An unsolicited response

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    Background: In a recently published article, it was suggested that governance was the significant structural factor affecting the epidemiology of HIV. This suggestion was made notwithstanding the observed weak correlation between governance and HIV prevalence (r = .2). Unfortunately, the paper raised but left unexamined the potentially more important questions about the relationship between the broader health of populations and structural factors such as the national economy and physical infrastructure. Methods: Utilizing substantially the same data sources as the original article, the relationship between population health (healthy life expectancy) and three structural factors (access to improved water, GDP per capita, and governance) were examined in each of 176 countries. Results: Governance was found to be significantly correlated with population health, as were GDP per capita, and access to improved water. They were also found to be significantly correlated with each other. Conclusion: The findings are discussed with reference to the growing interest in structural factors as an explanation for population health outcomes, and the relatively weak relationship between governance and HIV prevalence

    Variational Principles for Stochastic Soliton Dynamics

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    We develop a variational method of deriving stochastic partial differential equations whose solutions follow the flow of a stochastic vector field. As an example in one spatial dimension we numerically simulate singular solutions (peakons) of the stochastically perturbed Camassa-Holm (CH) equation derived using this method. These numerical simulations show that peakon soliton solutions of the stochastically perturbed CH equation persist and provide an interesting laboratory for investigating the sensitivity and accuracy of adding stochasticity to finite dimensional solutions of stochastic partial differential equations (SPDE). In particular, some choices of stochastic perturbations of the peakon dynamics by Wiener noise (canonical Hamiltonian stochastic deformations, or CH-SD) allow peakons to interpenetrate and exchange order on the real line in overtaking collisions, although this behaviour does not occur for other choices of stochastic perturbations which preserve the Euler-Poincar\'e structure of the CH equation (parametric stochastic deformations, or P-SD), and it also does not occur for peakon solutions of the unperturbed deterministic CH equation. The discussion raises issues about the science of stochastic deformations of finite-dimensional approximations of evolutionary PDE and the sensitivity of the resulting solutions to the choices made in stochastic modelling.Comment: 21 pages, 15 figures -- 2nd versio

    Novel growth mechanism of epitaxial graphene on metals

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    HIV, Stigma, and Rates of Infection: A Rumour without Evidence

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    The modern concept of a social stigma comes from the work of American sociologist Erving Goffman, who described it as a response to a deeply discrediting attribute that devalues the person [1]. In the medical literature, stigma is almost inevitably written about in terms of adverse social sequelae of a disease—such as leprosy, tuberculosis, epilepsy, schizophrenia, or filariasis [2–6]—or a physical characteristic or functional loss, such as obesity, deafness, or paraplegia [7–9]. The consequences of stigma range from moderate opprobrium at one end of the spectrum to death [10]

    Multisymplectic formulation of fluid dynamics using the inverse map

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    We construct multisymplectic formulations of fluid dynamics using the inverse of the Lagrangian path map. This inverse map, the ‘back-to-labels’ map, gives the initial Lagrangian label of the fluid particle that currently occupies each Eulerian position. Explicitly enforcing the condition that the fluid particles carry their labels with the flow in Hamilton's principle leads to our multisymplectic formulation. We use the multisymplectic one-form to obtain conservation laws for energy, momentum and an infinite set of conservation laws arising from the particle relabelling symmetry and leading to Kelvin's circulation theorem. We discuss how multisymplectic numerical integrators naturally arise in this approach.</p

    Socioeconomic inequalities in access to health care: Examining the case of Burkina Faso

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    Copyright @ 2011 Johns Hopkins University PressThe past decade has recorded remarkable interest in socioeconomic inequalities in health care. A multivariate analysis of the World Health Survey data for Burkina Faso was conducted using STATA. This included questions on household economic factors, perceived need, and access to health care. Poverty was defined using Principal Components Analysis. There was no significant difference in perceived need on the basis of poverty or gender. The less poor accessed health care more than the poor, but this difference was significant only among males. Respondents who lived in urban areas accessed health care more than those in rural areas, but this difference was significant only among females. We argue that health care financing arrangements affect self-reported need and access to health care. Even when they perceive need, the poor do not access care, probably because of cost, exacerbated by non-availability of readily accessible health care facilities

    Precise service level agreements

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    SLAng is an XML language for defining service level agreements, the part of a contract between the client and provider of an Internet service that describes the quality attributes that the service is required to possess. We define the semantics of SLAng precisely by modelling the syntax of the language in UML, then embedding the language model in an environmental model that describes the structure and behaviour of services. The presence of SLAng elements imposes behavioural constraints on service elements, and the precise definition of these constraints using OCL constitutes the semantic description of the language. We use the semantics to define a notion of SLA compatibility, and an extension to UML that enables the modelling of service situations as a precursor to analysis, implementation and provisioning activities
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