3,214 research outputs found
Current conservation in two-dimensional AC-transport
The electric current conservation in a two-dimensional quantum wire under a
time dependent field is investigated. Such a conservation is obtained as the
global density of states contribution to the emittance is balanced by the
contribution due to the internal charge response inside the sample. However
when the global partial density of states is approximately calculated using
scattering matrix only, correction terms are needed to obtain precise current
conservation. We have derived these corrections analytically using a specific
two-dimensional system. We found that when the incident energy is near the
first subband, our result reduces to the one-dimensional result. As
approaches to the -th subband with , the correction term diverges. This
explains the systematic deviation to precise current conservation observed in a
previous numerical calculation.Comment: 12 pages Latex, submitted to Phys. Rev.
Multicentre RCT and economic evaluation of a psychological intervention together with a leaflet to reduce risk behaviour amongst men who have sex with men (MSM) prescribed post-exposure prophylaxis for HIV following sexual exposure (PEPSE): A protocol
Background: Post-exposure prophylaxis (PEP) following sexual exposure to HIV has been recommended as a method of preventing HIV infection in the UK. Men who have sex with men (MSM) are the group most affected by HIV in the UK and their sexual risk taking behaviour is reported to be increasing. One-to-one behavioural interventions, such as motivational interviewing (MI) have been recommended to reduce HIV in high risk groups. The Information, Motivation and Behavioral skills (IMB) model has been shown to provide a good basis for understanding and predicting HIV-relevant health behaviour and health behaviour change, however the IMB has yet to be applied to PEP after risky sexual exposure. The primary aim of this trial is to examine the impact of MI augmented with information provision and behavioural skills building (informed by the IMB Model), over and above usual care, on risky sexual behaviour in MSM prescribed PEP after potential sexual exposure. A secondary aim of this research is to examine the impact of the intervention on adherence to PEP. This study will also provide estimates of the cost-effectiveness of the intervention.
Methods: A manualised parallel group randomised controlled trial with economic evaluation will be conducted. The primary outcome is the proportion of risky sexual practices. Secondary outcomes include: i) Levels of adherence to PEP treatment; ii) Number of subsequent courses of PEP; iii) Levels of motivation to avoid risky sexual behaviours; iv) Levels of HIV risk-reduction information/knowledge; v) Levels of risk reduction behavioural skills; vi) Diagnosis of anal gonorrhoea, Chlamydia and/or HIV. 250 participants will be asked to self-complete a questionnaire at four time points during the study (at 0,3,6,12 months). The intervention will consist of a two-session, fixed duration, telephone administered augmented MI intervention based on the IMB model. A newly developed treatment manual will guide the selection of persuasive communication strategies as appropriate for each participant and will be based on underlying change mechanisms specified by the IMB theoretical framework. Information provision and skills building will also be included in the intervention package through the use of information leaflets and tailored action plans. Fidelity of intervention delivery will be assessed.
Discussion: The results from this NIHR funded study will identify whether it is appropriate and cost-effective to intervene using one-to-one telephone calls with MSM seeking PEP. If the intervention is effective, further work will be needed on training staff to deliver the intervention competently
On the Schoenberg Transformations in Data Analysis: Theory and Illustrations
The class of Schoenberg transformations, embedding Euclidean distances into
higher dimensional Euclidean spaces, is presented, and derived from theorems on
positive definite and conditionally negative definite matrices. Original
results on the arc lengths, angles and curvature of the transformations are
proposed, and visualized on artificial data sets by classical multidimensional
scaling. A simple distance-based discriminant algorithm illustrates the theory,
intimately connected to the Gaussian kernels of Machine Learning
Teaching Writing: a situated dynamic
publication-status: Publishedtypes: ArticleThe paper is theoretically grounded in Cultural Historical Activity Theory (CHAT) which holds that human development is founded within participation in social and cultural practices. In particular, the teaching of literacy is shaped not only by the curriculum as designated by policy makers and the institution in which it is located but also by the individuals’ understanding of what literacy and learning involves and how they act to achieve their goals. The paper explores data from a project that investigated the relationship between classroom talk and the teaching of writing in six early years classrooms. Participants’ own understandings of teaching and learning need to be taken into account by researchers and policy makers. CHAT has been used to explore the dynamic relationship between activity at societal, institutional and individual levels. It is argued that researchers and policy makers need to take account of the wider socio-cultural context in planning and evaluating curriculum development initiatives
Phase transition in spin systems with various types of fluctuations
Various types ordering processes in systems with large fluctuation are overviewed. Generally, the so-called order–disorder phase transition takes place in competition between the interaction causing the system be ordered and the entropy causing a random disturbance. Nature of the phase transition strongly depends on the type of fluctuation which is determined by the structure of the order parameter of the system. As to the critical property of phase transitions, the concept “universality of the critical phenomena” is well established. However, we still find variety of features of ordering processes. In this article, we study effects of various mechanisms which bring large fluctuation in the system, e.g., continuous symmetry of the spin in low dimensions, contradictions among interactions (frustration), randomness of the lattice, quantum fluctuations, and a long range interaction in off-lattice systems
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Attitudes of People in the UK with HIV Who Are Antiretroviral (ART) Naïve to Starting ART at High CD4 Counts for Potential Health Benefit or to Prevent HIV Transmission
Objective
To assess if a strategy of early ART to prevent HIV transmission is acceptable to ART naïve people with HIV with high CD4 counts.
Design
ASTRA is a UK multicentre, cross sectional study of 3258 HIV outpatients in 2011/12. A self-completed questionnaire collected sociodemographic, behavioral and health data, and attitudes to ART; CD4 count was recorded from clinical records.
Methods
ART naïve participants with CD4 ≥350 cells/µL (n = 281) were asked to agree/disagree/undecided with the statements (i) I would want to start treatment now if this would slightly reduce my risk of getting a serious illness, and (ii) I would want to start treatment now if this would make me less infectious to a sexual partner, even if there was no benefit to my own health.
Results
Participants were 85% MSM, 76% white, 11% women. Of 281 participants, 49.5% and 45.2% agreed they would start ART for reasons (i) and (ii) respectively; 62.6% agreed with either (i) or (ii); 12.5% agreed with neither; 24.9% were uncertain. Factors independently associated (p<0.1) with agreement to (i) were: lower CD4, more recent HIV diagnosis, physical symptoms, not being depressed, greater financial hardship, and with agreement to (ii) were: being heterosexual, more recent HIV diagnosis, being sexually active.
Conclusions
A strategy of starting ART at high CD4 counts is likely to be acceptable to the majority of HIV-diagnosed individuals. Almost half with CD4 >350 would start ART to reduce infectiousness, even if treatment did not benefit their own health. However a significant minority would not like to start ART either for modest health benefit or to reduce infectivity. Any change in approach to ART initiation must take account of individual preferences. Transmission models of potential benefit of early ART should consider that ART uptake may be lower than that seen with low CD4 counts
Combining Clinical and Epidemiologic Features for Early Recognition of SARS
Early recognition and rapid initiation of infection control precautions are currently the most important strategies for controlling severe acute respiratory syndrome (SARS). No rapid diagnostic tests currently exist that can rule out SARS among patients with febrile respiratory illnesses. Clinical features alone cannot with certainty distinguish SARS from other respiratory illnesses rapidly enough to inform early management decisions. A balanced approach to screening that allows early recognition of SARS without unnecessary isolation of patients with other respiratory illnesses will require clinicians not only to look for suggestive clinical features but also to routinely seek epidemiologic clues suggestive of SARS coronavirus exposure. Key epidemiologic risk factors include 1) exposure to settings where SARS activity is suspected or documented, or 2) in the absence of such exposure, epidemiologic linkage to other persons with pneumonia (i.e., pneumonia clusters), or 3) exposure to healthcare settings. When combined with clinical findings, these epidemiologic features provide a possible strategic framework for early recognition of SARS
Helicity Modulus and Fluctuating Type II Superconductors: Elastic Approximation and Numerical Simulations
We develop the helicity modulus as a criterion for superconducting order in
the mixed phase of a fluctuating type II superconductor. We show that there is
a duality relation between this helicity modulus and the superfluid density of
a system of analog 2D bosons. We show that the vortex line lattice exhibits a
perfect Meissner effect with respect to a shearing perturbation of the applied
magnetic field, and this becomes our creterion for "longitudinal
superconductivity" parallel to the applied field. We present arguments based on
the 2D boson analogy, as well as the results of numerical simulations, that
suggest that longitudinal superconductivity can persist into the vortex line
liquid state for systems of finite thickness, comparable to those commonly
found in experiments.Comment: 63 pages, 22 postscript figure
Maternal Feeding Practices Become More Controlling After and Not Before Excessive Rates of Weight Gain
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/93708/1/oby.2009.54.pd
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