7,373 research outputs found

    A quantum group version of quantum gauge theories in two dimensions

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    For the special case of the quantum group SLq(2,C) (q=expπi/r, r3)SL_q (2,{\bf C})\ (q= \exp \pi i/r,\ r\ge 3) we present an alternative approach to quantum gauge theories in two dimensions. We exhibit the similarities to Witten's combinatorial approach which is based on ideas of Migdal. The main ingredient is the Turaev-Viro combinatorial construction of topological invariants of closed, compact 3-manifolds and its extension to arbitrary compact 3-manifolds as given by the authors in collaboration with W. Mueller.Comment: 6 pages (plain TeX

    Population Differences in Death Rates in HIV-Positive Patients with Tuberculosis.

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    SETTING: Randomised controlled clinical trial of Mycobacterium vaccae vaccination as an adjunct to anti-tuberculosis treatment in human immunodeficiency virus (HIV) positive patients with smear-positive tuberculosis (TB) in Lusaka, Zambia, and Karonga, Malawi. OBJECTIVE: To explain the difference in mortality between the two trial sites and to identify risk factors for death among HIV-positive patients with TB. DESIGN: Information on demographic, clinical, laboratory and radiographic characteristics was collected. Patients in Lusaka (667) and in Karonga (84) were followed up for an average of 1.56 years. Cox proportional hazard analyses were used to assess differences in survival between the two sites and to determine risk factors associated with mortality during and after anti-tuberculosis treatment. RESULTS: The case fatality rate was 14.7% in Lusaka and 21.4% in Karonga. The hazard ratio for death comparing Karonga to Lusaka was 1.47 (95% confidence interval [CI] 0.9-2.4) during treatment and 1.76 (95%CI 1.0-3.0) after treatment. This difference could be almost entirely explained by age and more advanced HIV disease among patients in Karonga. CONCLUSION: It is important to understand the reasons for population differences in mortality among patients with TB and HIV and to maximise efforts to reduce mortality

    Trends and measurement of HIV prevalence in northern Malawi.

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    BACKGROUND: Most data on HIV prevalence in Malawi come from antenatal clinic (ANC) surveillance and are, therefore, subject to bias. OBJECTIVES: HIV prevalence and risk factors were measured using population-based data to assess the accuracy of ANC surveillance and changes in prevalence and risk factors for HIV over time. METHODS: HIV prevalence was measured in 1988-1993 and 1998-2001 in community controls from case-control studies of mycobacterial disease in Karonga District, Malawi. ANC surveillance studies in the district began in 1999. RESULTS: Age and area-standardized HIV prevalence in women aged 15-49 years in the community was 3.9% in 1988-1990, 12.5% in 1991-1993 and 13.9% in 1998-2001. For men, HIV prevalence was 3.7%, 9.2% and 11.4% in the same periods. In 1988-1993, HIV positivity was associated with occupations other than farming, with increased schooling and being born outside Karonga District. In 1998-2001, non-farmers were still at higher risk but the other associations were not seen. The age- and area-adjusted HIV prevalence in the ANC in 1999-2001 was 9.2%. The underestimate can be explained largely by marriage and mobility. Reduced fertility in HIV-positive individuals was demonstrated in both ANC and community populations. A previously recommended parity-based adjustment gave an estimated female HIV prevalence of 15.0%. CONCLUSIONS: HIV prevalence has increased and continues to be higher in non-farmers. The increase is particularly marked in those with no education. ANC surveillance underestimated HIV prevalence in the female population in all but the youngest age group. Although there were differences in sociodemographic factors, a parity-based adjustment gave a reasonable estimate of female HIV prevalence

    Use of antenatal clinic surveillance to assess the effect of sexual behavior on HIV prevalence in young women in Karonga district, Malawi.

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    BACKGROUND: Antenatal clinic (ANC) surveillance is the primary source of HIV prevalence estimates in low-resource settings. In younger women, prevalence approximates incidence. Sexual behavior monitoring to explain HIV distribution and trends is seldom attempted in ANC surveys. We explore the use of marital history in ANC surveillance as a proxy for sexual behavior. METHODS: Five ANC clinics in a rural African district participated in surveillance from 1999 to 2004. Unlinked anonymous HIV testing and marital history interviews (including age at first sex and socioeconomic variables) were conducted. Data on women aged <25 years were analyzed. RESULTS: Inferred sexual exposure before marriage and after first marriage increased the adjusted odds of infection with HIV by more than 0.1 for each year of exposure. Increasing years within a first marriage did not increase HIV risk. After adjusting for age, women in more recent birth cohorts were less likely to be infected. CONCLUSIONS: Marital status is useful behavioral information and can be collected in ANC surveys. Exposure in an ongoing first marriage did not increase the odds of infection with HIV in this age group. HIV prevalence decreased over time in young women. ANC surveillance programs should develop proxy sexual behavior questions, particularly in younger women

    Analog Computer Research

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    Contains reports on three research projects

    Numerical Simulation of Vortex Crystals and Merging in N-Point Vortex Systems with Circular Boundary

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    In two-dimensional (2D) inviscid incompressible flow, low background vorticity distribution accelerates intense vortices (clumps) to merge each other and to array in the symmetric pattern which is called ``vortex crystals''; they are observed in the experiments on pure electron plasma and the simulations of Euler fluid. Vortex merger is thought to be a result of negative ``temperature'' introduced by L. Onsager. Slight difference in the initial distribution from this leads to ``vortex crystals''. We study these phenomena by examining N-point vortex systems governed by the Hamilton equations of motion. First, we study a three-point vortex system without background distribution. It is known that a N-point vortex system with boundary exhibits chaotic behavior for N\geq 3. In order to investigate the properties of the phase space structure of this three-point vortex system with circular boundary, we examine the Poincar\'e plot of this system. Then we show that topology of the Poincar\'e plot of this system drastically changes when the parameters, which are concerned with the sign of ``temperature'', are varied. Next, we introduce a formula for energy spectrum of a N-point vortex system with circular boundary. Further, carrying out numerical computation, we reproduce a vortex crystal and a vortex merger in a few hundred point vortices system. We confirm that the energy of vortices is transferred from the clumps to the background in the course of vortex crystallization. In the vortex merging process, we numerically calculate the energy spectrum introduced above and confirm that it behaves as k^{-\alpha},(\alpha\approx 2.2-2.8) at the region 10^0<k<10^1 after the merging.Comment: 30 pages, 11 figures. to be published in Journal of Physical Society of Japan Vol.74 No.

    Analog Computer Research

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    Contains reports on two research projects

    Inherited epidermolysis bullosa

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    Inherited epidermolysis bullosa (EB) encompasses a number of disorders characterized by recurrent blister formation as the result of structural fragility within the skin and selected other tissues. All types and subtypes of EB are rare; the overall incidence and prevalence of the disease within the United States is approximately 19 per one million live births and 8 per one million population, respectively. Clinical manifestations range widely, from localized blistering of the hands and feet to generalized blistering of the skin and oral cavity, and injury to many internal organs. Each EB subtype is known to arise from mutations within the genes encoding for several different proteins, each of which is intimately involved in the maintenance of keratinocyte structural stability or adhesion of the keratinocyte to the underlying dermis. EB is best diagnosed and subclassified by the collective findings obtained via detailed personal and family history, in concert with the results of immunofluorescence antigenic mapping, transmission electron microscopy, and in some cases, by DNA analysis. Optimal patient management requires a multidisciplinary approach, and revolves around the protection of susceptible tissues against trauma, use of sophisticated wound care dressings, aggressive nutritional support, and early medical or surgical interventions to correct whenever possible the extracutaneous complications. Prognosis varies considerably and is based on both EB subtype and the overall health of the patient
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