Quadratic Time-dependent Quantum Harmonic Oscillator

We present a Lie algebraic approach to a Hamiltonian class covering driven, parametric quantum harmonic oscillators where the parameter set -- mass, frequency, driving strength, and parametric pumping -- is time-dependent. Our unitary-transformation-based approach provides a solution to the general quadratic time-dependent quantum harmonic model. As an example, we show an analytic solution to the periodically driven quantum harmonic oscillator without the rotating wave approximation; it works for any given detuning and coupling strength regime. For the sake of completeness, we provide an analytic solution to the historical Caldirola--Kanai quantum harmonic oscillator that, in a suitable reference frame, is just a time-independent parametric quantum harmonic oscillator.Comment: 22 pages, 4 figure

Study of the Effects of Thermal Annealing on the Optical Band Gap of Nanocrystalline CoO Thin Films Prepared by Chemical Bath Deposition.

Nanocrystalline films of cobalt oxide have been prepared on glass slides by chemical bath deposition process. For deposition of CoO thin films, cobaltous chloride [CoCl2.6H2O] was used as cationic and ammonia [NH3] as anionic precursor in aqueous medium. In this process NaOH was used as complexing agent. X-ray diffraction, scanning electron microscopic [SEM] analysis have been used to study the films’ crystal structures, optical and solid state properties. We hereby present the effects of thermal annealing on the optical band gap of CoO thin films. The optical transition in the films is direct one. For the as- deposited film, the band gap is 2.1eV. This later decreased to 2.08eV, so that increased thermal annealing reduces the optical band gap of CoO. However,the energy gap cannot be said to be dependent on the annealing temperatures. These films could be used as  photovoltaic cells, sensors light emitting diodes and also in biomedical imaging. Key Words: Nanocrystalline CoO, Chemical Bath Deposition, Band Gap and                               Thermal Annealing

Symphysiotomy in Zimbabwe; Postoperative Outcome, Width of the Symphysis Joint, and Knowledge, Attitudes and Practice among Doctors and Midwives

BACKGROUND: Obstructed labour remains one of the leading causes of maternal and foetal death and morbidity in poorly resourced areas of the world, where the 24 hours availability of a caesarean section (CS) cannot be guaranteed, and the CS related mortality rate is still high. In these settings, reinstatement of symphysiotomy has been advocated. The objectives were, in1994; to study perioperative and long-term complications of symphysiotomy and compare them to those related to CS for similar indications, in 1996; to measure the symphyseal width after symphysiotomy and compare it to that after normal vaginal delivery, and, in 1998; to assess knowledge, attitudes and practice related to symphysiotomy among doctors and midwives in Zimbabwe. METHODS AND FINDINGS: Thirty-four women who had undergone symphysiotomy and 29 women who had undergone a CS for obstructed labour were interviewed. The symphyseal widths of 19 women with a previous symphysiotomy were compared to that of 92 women with previous normal vaginal deliveries, using ultrasound technique. Forty-one doctors and 39 midwives, in three central hospitals and seven district hospitals in Zimbabwe, were interviewed about symphysiotomy. None of the 34 women reported serious soft tissue injuries or infections post symphysiotomy. Long-term complications after symphysiotomy do not differ notably from those after CS for similar indications. The intra-articular width of the symphysis pubis is increased after a symphysiotomy. Seventy-nine of the 80 interviewed health care workers knew about symphysiotomy. One obstetrician had performed symphysiotomies. Two-thirds of the participants considered symphysiotomy an obsolete and second-class operation, but lifesaving and appropriate in remote areas of Zimbabwe. Ten of 13 midwives in remote areas wanted to carry out symphysiotomies themselves. CONCLUSIONS: No severe complications due to symphysiotomy were revealed in this study. The results suggest that a modest permanent enlargement of the pelvis post symphysiotomy (together with the absence of a scarred uterus) may facilitate subsequent vaginal delivery. Doctors and midwives working in district hospitals have a more positive attitude to symphysiotomies than the colleagues in central hospitals. Obstetricians (who would have to do the teaching), working in the large urban hospitals almost exclude symphysiotomy as an alternative management in Zimbabwe

The Uptake of Integrated Perinatal Prevention of Mother-to-Child HIV Transmission Programs in Low- and Middle-Income Countries: A Systematic Review

BACKGROUND: The objective of this review was to assess the uptake of WHO recommended integrated perinatal prevention of mother-to-child transmission (PMTCT) of HIV interventions in low- and middle-income countries. METHODS AND FINDINGS: We searched 21 databases for observational studies presenting uptake of integrated PMTCT programs in low- and middle-income countries. Forty-one studies on programs implemented between 1997 and 2006, met inclusion criteria. The proportion of women attending antenatal care who were counseled and who were tested was high; 96% (range 30-100%) and 81% (range 26-100%), respectively. However, the overall median proportion of HIV positive women provided with antiretroviral prophylaxis in antenatal care and attending labor ward was 55% (range 22-99%) and 60% (range 19-100%), respectively. The proportion of women with unknown HIV status, tested for HIV at labor ward was 70%. Overall, 79% (range 44-100%) of infants were tested for HIV and 11% (range 3-18%) of them were HIV positive. We designed two PMTCT cascades using studies with outcomes for all perinatal PMTCT interventions which showed that an estimated 22% of all HIV positive women attending antenatal care and 11% of all HIV positive women delivering at labor ward were not notified about their HIV status and did not participate in PMTCT program. Only 17% of HIV positive antenatal care attendees and their infants are known to have taken antiretroviral prophylaxis. CONCLUSION: The existing evidence provides information only about the initial PMTCT programs which were based on the old WHO PMTCT guidelines. The uptake of counseling and HIV testing among pregnant women attending antenatal care was high, but their retention in PMTCT programs was low. The majority of women in the included studies did not receive ARV prophylaxis in antenatal care; nor did they attend labor ward. More studies evaluating the uptake in current PMTCT programs are urgently needed

An assessment of orofacial clefts in Tanzania

<p>Abstract</p> <p>Background</p> <p>Clefts of the lip (CL), the palate (CP), or both (CLP) are the most common orofacial congenital malformations found among live births, accounting for 65% of all head and neck anomalies. The frequency and pattern of orofacial clefts in different parts of the world and among different human groups varies widely. Generally, populations of Asian or Native American origin have the highest prevalence, while Caucasian populations show intermediate prevalence and African populations the lowest. To date, little is known regarding the epidemiology and pattern of orofacial clefts in Tanzania.</p> <p>Methods</p> <p>A retrospective descriptive study was conducted at Bugando Medical Centre to identify all children with orofacial clefts that attended or were treated during a period of five years. Cleft lip and/or palate records were obtained from patient files in the Hospital's Departments of Surgery, Paediatrics and medical records. Age at presentation, sex, region of origin, type and laterality of the cleft were recorded. In addition, presence of associated congenital anomalies or syndromes was recorded.</p> <p>Results</p> <p>A total of 240 orofacial cleft cases were seen during this period. Isolated cleft lip was the most common cleft type followed closely by cleft lip and palate (CLP). This is a departure from the pattern of clefting reported for Caucasian and Asian populations, where CLP or isolated cleft palate is the most common type. The distribution of clefts by side showed a statistically significant preponderance of the left side (43.7%) (χ²= 92.4, p < 0.001), followed by the right (28.8%) and bilateral sides (18.3%). Patients with isolated cleft palate presented at very early age (mean age 1.00 years, SE 0.56). Associated congenital anomalies were observed in 2.8% of all patients with orofacial clefts, and included neural tube defects, Talipes and persistent ductus arteriosus.</p> <p>Conclusions</p> <p>Unilateral orofacial clefts were significantly more common than bilateral clefts; with the left side being the most common affected side. Most of the other findings did not show marked differences with orofacial cleft distributions in other African populations.</p

THE SHARING OF COSTS AND BENEFITS OF REGIONAL ECONOMIC INTEGRATION IN THE ECONOMIC COMMUNITY OF WEST AFRICAN STATES (ECOWAS)

The objective of this paper was to compare the distributions of costs and benefits of economic integration in the Economic Community of West African States (ECOWAS). In other words, it sought to evaluate whether the distribution of benefits corresponded to the distribution of costs among the member states of ECOWAS over the study period, 1975-2014. The cost of interest in this study was the contribution of each member state to the budget of ECOWAS while the benefit of interest was the level of intra-ECOWAS exports of each member state. To facilitate the evaluation, the distribution of percentages of member states’ contribution to budgetary revenues were calculated and tabulated. Similarly, the ratios of intra-ECOWAS exports to GDP and total exports of member states were calculated and tabulated. The findings revealed that (i) Nigeria accounted for 77-82 per cent of ECOWAS budgets, followed by Cote d’Ivoire with 4-4.6 per cent, Ghana with 3-6.3 per cent and Senegal with about 2.0 per cent; (ii) in terms of the distribution of the ratio of intra-ECOWAS exports to total exports of member states, Nigeria’s performance was 4.4 per cent as against Cote d’Ivoire’s 28.2 per cent, Ghana’s 6.6 per cent, Guinea’s 26.8 per cent, Niger’s 22.7 per cent and Senegal’s 20.3 per cent; (iii) overall, the distribution of benefits was not consistent with the distribution of costs of integration; and (iv) responsible for the non-correspondence between the distributions of costs and benefits of integration was the adoption of a common currency by the members of the West African Economic and Monetary Union (WAEMU). It was recommended that the sources of fund be increased and the same percentage coefficient of contribution be adopted for all member states to make for equity and continued existence of ECOWAS. Differences in member states’ contributions to ECOWAS budgets should come from differences in the tax base.&nbsp;&nbsp;&nbsp