Analog integrated circuit design techniques for high-speed signal processing in communications systems

This work presents design techniques for the implementation of high-speed analog integrated circuits for wireless and wireline communications systems. Limitations commonly found in high-speed switched-capacitor (SC) circuits used for intermediate frequency (IF) filters in wireless receivers are explored. A model to analyze the aliasing effects due to periodical non-uniform individual sampling, a technique used in high-Q high-speed SC filters, is presented along with practical expressions that estimate the power of the generated alias components. The results are verified through circuit simulation of a 10.7MHz bandpass SC filter in TSMC 0.35mu-m CMOS technology. Implications on the use of this technique on the design of IF filters are discussed. To improve the speed at which SC networks can operate, a continuous-time common-mode feedback (CMFB) with reduced loading capacitance is proposed. This increases the achievable gain-bandwidth product (GBW) of fully-differential ampli- fiers. The performance of the CMFB is demonstrated in the implementation of a second-order 10.7MHz bandpass SC filter and compared with that of an identical filter using the conventional switched-capacitor CMFB (SC-CMFB). The filter using the continuous-time CMFB reduces the error due to finite GBW and slew rate to less than 1% for clock frequencies up to 72MHz while providing a dynamic range of 59dB and a PSRR- > 22dB. The design of high-speed transversal equalizers for wireline transceivers requires the implementation of broadband delay lines. A delay line based on a third-order linear-phase filter is presented for the implementation of a fractionally-spaced 1Gb/s transversal equalizer. Two topologies for a broadband summing node which enable the placement of the parasitic poles at the output of the transversal equalizer beyond 650MHz are presented. Using these cells, a 5-tap 1Gb/s equalizer was implemented in TSMC 0.35mu-m CMOS technology. The results show a programmable frequency response able to compensate up to 25dB loss at 500MHz. The eye-pattern diagrams at 1Gb/s demonstrate the equalization of 15 meters and 23 meters of CAT5e twistedpair cable, with a vertical eye-opening improvement from 0% (before the equalizer) to 58% (after the equalizer) in the second case. The equalizer consumes 96mW and an area of 630mu-m x 490mu-m

Relative equilibria for the generalized rigid body

This paper gives necessary and sufficient conditions for the (n-dimensional) generalized free rigid body to be in a state of relative equilibrium. The conditions generalize those for the case of the three-dimensional free rigid body, namely that the body is in relative equilibrium if and only if its angular velocity and angular momentum align, that is, if the body rotates about one of its principal axes. For the n-dimensional rigid body in the Manakov formulation, these conditions have a similar interpretation. We use this result to state and prove a generalized Saari’s Conjecture (usually stated for the N-body problem) for the special case of the generalized rigid body

Relative Equilibria for the Generalized Rigid Body

This paper gives necessary and sufficient conditions for the (n-dimensional) generalized free rigid body to be in a state of relative equilibrium. The conditions generalize those for the case of the three-dimensional free rigid body, namely that the body is in relative equilibrium if and only if its angular velocity and angular momentum align, that is, if the body rotates about one of its principal axes. For the n-dimensional rigid body in the Manakov formulation, these conditions have a similar interpretation. We use this result to state and prove a generalized Saari’s Conjecture (usually stated for the N-body problem) for the special case of the generalized rigid body

CO2 Sequestration Potential of Texas Low-Rank Coals

Injection of CO{sub 2} in coalbeds is a plausible method of reducing atmospheric emissions of CO{sub 2}, and it can have the additional benefit of enhancing methane recovery from coal. Most previous studies have evaluated the merits of CO{sub 2} disposal in high-rank coals. The objective of this research was to determine the technical and economic feasibility of CO{sub 2} sequestration in, and enhanced coalbed methane (ECBM) recovery from, low-rank coals in the Texas Gulf Coast area. Our research included an extensive coal characterization program, including acquisition and analysis of coal core samples and well transient test data. We conducted deterministic and probabilistic reservoir simulation and economic studies to evaluate the effects of injectant fluid composition (pure CO{sub 2} and flue gas), well spacing, injection rate, and dewatering on CO{sub 2} sequestration and ECBM recovery in low-rank coals of the Calvert Bluff formation of the Texas Wilcox Group. Shallow and deep Calvert Bluff coals occur in two, distinct, coalbed gas petroleum systems that are separated by a transition zone. Calvert Bluff coals < 3,500 ft deep are part of a biogenic coalbed gas system. They have low gas content and are part of a freshwater aquifer. In contrast, Wilcox coals deeper than 3,500 ft are part of a thermogenic coalbed gas system. They have high gas content and are part of a saline aquifer. CO{sub 2} sequestration and ECBM projects in Calvert Bluff low-rank coals of East-Central Texas must be located in the deeper, unmineable coals, because shallow Wilcox coals are part of a protected freshwater aquifer. Probabilistic simulation of 100% CO{sub 2} injection into 20 feet of Calvert Bluff coal in an 80-acre 5-spot pattern indicates that these coals can store 1.27 to 2.25 Bcf of CO{sub 2} at depths of 6,200 ft, with an ECBM recovery of 0.48 to 0.85 Bcf. Simulation results of flue gas injection (87% N{sub 2}-13% CO{sub 2}) indicate that these same coals can store 0.34 to 0.59 Bcf of CO{sub 2} with an ECBM recovery of 0.68 to 1.20 Bcf. Economic modeling of CO{sub 2} sequestration and ECBM recovery indicates predominantly negative economic indicators for the reservoir depths (4,000 to 6,200 ft) and well spacings investigated, using natural gas prices ranging from $2 to$12 per Mscf and CO{sub 2} credits based on carbon market prices ranging from $0.05 to$1.58 per Mscf CO{sub 2} ($1.00 to$30.00 per ton CO{sub 2}). Injection of flue gas (87% N{sub 2} - 13% CO{sub 2}) results in better economic performance than injection of 100% CO{sub 2}. CO{sub 2} sequestration potential and methane resources in low-rank coals of the Lower Calvert Bluff formation in East-Central Texas are significant. The potential CO{sub 2} sequestration capacity of the coals ranges between 27.2 and 49.2 Tcf (1.57 and 2.69 billion tons), with a mean value of 38 Tcf (2.2 billion tons), assuming a 72.4% injection efficiency. Estimates of recoverable methane resources range between 6.3 and 13.6 Tcf, with a mean of 9.8 Tcf, assuming a 71.3% recovery factor. Moderate increases in gas prices and/or carbon credits could generate attractive economic conditions that, combined with the close proximity of many CO{sub 2} point sources near unmineable coalbeds, could enable commercial CO{sub 2} sequestration and ECBM projects in Texas low-rank coals. Additional studies are needed to characterize Wilcox regional methane coalbed gas systems and their boundaries, and to assess potential of other low-rank coal beds. Results from this study may be transferable to other low-rank coal formations and regions

Performance of symptom-based tuberculosis screening among people living with HIV: Not as great as hoped

OBJECTIVE: The objective of the present study was to determine the diagnostic performance of the symptom-based tuberculosis (TB) screening questionnaire recommended by WHO for people living with HIV (PLWH) in resource-limited settings, among adults off and on antiretroviral therapy (ART). DESIGN: Cross-sectional study at two HIV clinics in South Africa. METHODS: A total of 825 PLWH completed the screening questionnaire and underwent investigations [chest radiography (CXR) and microbiologic testing of sputa]. A positive screen was defined as presence of cough, fever, night sweats, or weight loss. Pulmonary tuberculosis (PTB) was defined as sputum smear positive for acid-fast bacilli or growth of Mycobacterium tuberculosis. RESULTS: Of 737 participants with at least one diagnostic sputum specimen, PTB was diagnosed in 31 of 522 (5.9%) on ART, and 34 of 215 (15.8%) not on ART. The questionnaire missed 15 of 31 (48.4%) PTB cases on ART, and three of 34 (8.8%) not on ART. Among participants on ART, post-test probability of PTB diagnosis (95% confidence interval) was 6.8% (4.0-10.9%) if screening positive, and 5.2% (2.9-8.4%) if screening negative, whereas among participants not on ART, post-test probabilities were 20.3% (14.2-27.5%) and 4.8% (1.0-13.5%), respectively. Among participants diagnosed with PTB, those on ART were significantly less likely to screen positive (adjusted odds ratio 0.04, 95% confidence interval: 0.01-0.39). In both groups (ART and no ART), screening was more sensitive when CXR was incorporated. CONCLUSION:: For case detection and exclusion of PTB, the WHO-recommended questionnaire performed adequately among PLWH not on ART, and poorly among those on ART. Further research is needed to identify feasible and effective TB screening strategies for PLWH in resource-limited settings. © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

Knowledge of cervical tuberculosis lymphadenitis and its treatment in pastoral communities of the Afar region, Ethiopia

<p>Abstract</p> <p>Background</p> <p>Infection with <it>Mycobacterium bovis </it>(Mb) predominantly causes cervical TB lymphadenitis (TBL). Raw milk is considered the main source of Mb infection and raw milk is a major food source for Afar pastoralists. The aim of this study was to assess Afar pastoralists' knowledge concerning cervical TBL and its treatment.</p> <p>Methods</p> <p>A community-based cross-sectional survey involving 818 interviewees was conducted in two districts of the Afar Region, Ethiopia. In addition, two focus group discussions (FGDs) were conducted in each of the study areas, one with men and the other with women.</p> <p>Results</p> <p>Of the 818 interviewees [357 (43.6%) females and 461 (56.4%) males], 742 (90.7%) reported that they had knowledge of cervical TBL, mentioning that swelling(s) on the neck resulting in a lesion and scar are common symptoms. However, only 11 (1.5%) individuals mentioned that bacteria or germs are the causative agents of TBL. Three interviewees and a male discussant mentioned drinking raw milk as the cause of TBL. A considerable proportion (34.2%) of the interviewees and almost all the discussants suggested herbal medicine as an effective treatment. Male study participants were 1.82 times more likely to have overall knowledge of TBL than female study participants (adjusted OR, 1.82; 95% CI, 1.32 to 2.51, p < 0.001).</p> <p>Conclusion</p> <p>The pastoral community members in the study areas had little biomedical knowledge of the cause, the source of infection and the transmission route of cervical TBL. Furthermore, most community members believed that herbal medicines are the most effective treatment for TBL. Therefore, TB control programs in the Afar Region require the incorporation of public health education introducing current biomedical knowledge of the disease. In addition, further studies are important to elucidate which medicinal plants are used by Afar pastoralists to treat TBL.</p

Prevalence of Tuberculosis, HIV and Respiratory Symptoms in Two Zambian Communities: Implications for Tuberculosis Control in the Era of HIV

The original publication is available at http:/www.plosone.orgBackground: The Stop TB Partnership target for tuberculosis is to have reduced the prevalence of tuberculosis by 50% comparing 2015 to 1990. This target is challenging as few prevalence surveys have been conducted, especially in high burden tuberculosis and HIV countries. Current tuberculosis control strategies in high HIV prevalent settings are therefore based on limited epidemiological evidence and more evidence is needed from community-based surveys to inform improved policy formulation. Methods and Findings: 8044 adults were sampled from 2 sub-districts (wards) in Lusaka province, Zambia. Questionnaires were used to screen for symptoms, respiratory samples were obtained for culture and oral secretions collected for HIV testing. 79 individuals were found to have Mycobacterium tuberculosis in their sputum, giving an adjusted overall prevalence of tuberculosis of 870/100,000 (95% CI 570-1160/100,000). The adjusted overall prevalence of HIV was 28.61% (95% CI 26.04-31.19). HIV- infection was significantly associated with prevalent tuberculosis (Adj OR 2.3, 95% CI 1.42-3.74) and the population attributable fraction of HIV for prevalent tuberculosis was 36%. Symptoms such as prolonged cough (adj OR 12.72, 95% CI 7.05-22.94) and fever (Adj OR 2.04, 95%CI 1.23-3.39), were associated with prevalent tuberculosis, but 8 (10%) individuals with prevalent tuberculosis denied having any symptoms at all and only 34 (43%) would have been classified as a TB suspect by current guidelines. Conclusions: Undiagnosed tuberculosis is a challenge for tuberculosis control and new approaches are needed if we are to reach international targets. Epidemiological studies can inform screening algorithms for both detection and prevention of active tuberculosis. © 2009 Ayles et al.Funding for this study came from the Bill and Melinda Gates Foundation as part of the Consortium to Respond Effectively to the AIDS-TB Epidemic (CREATE) project (Grant to Johns Hopkins University 19790.01) and from the Foundation for New Diagnostics (FIND). (Publishers' Versio

Diagnosis of Tuberculosis by an Enzyme-Linked Immunospot Assay for Interferon-γ

*National Taiwan University Hospital, Taipei, Taiwan

Factors associated with low cure rate of tuberculosis in remote poor areas of Shaanxi Province, China: a case control study

<p>Abstract</p> <p>Background</p> <p>The directly observed therapy-short course (DOTS) strategy was introduced in Shaanxi province, China to improve tuberculosis (TB) control by means of improved case detection (target: > = 70%) and treatment success rates (target: > = 85%) in new smear positive (SS+) TB patients. At a provincial level the targets were both reached in 2005. However in 30 (28%) out of 107 counties of Shaanxi province the cure rate was below 85%. This study aimed to investigate patient and treatment characteristics associated with non-cure after tuberculosis (TB) treatment in these counties.</p> <p>Methods</p> <p>In this case-control study, new smear positive TB cases in 30 counties with a cure rate <85% were included. Cured patients were compared to non-cured patients using logistic regression analysis to assess determinants for non-cure.</p> <p>Results</p> <p>Of the 659 patients included, 153 (23.2%) did not have cure as treatment outcome. Interruption of treatment was most strongly associated with non-cure (OR = 8.7, 95% CI 3.9-18.4). Other independent risk factors were co-morbidity, low education level, lack of appetite as an initial symptom of TB disease, diagnosis of TB outside of the government TB control institutes, missing sputum re-examinations during treatment, and not having a treatment observer. Twenty-six percent of patients did not have a treatment observer. The non-cure rate was better for those with a doctor (odds ratio (OR) 0.38, 95% confidence interval (CI) 0.17-0.88) as treatment observer than for those with a family member (OR 0.62, 95%CI 0.37-1.03). The main reason for interrupted treatment mentioned by patients was presence of adverse effects during treatment (46.5%).</p> <p>Conclusions</p> <p>Interruption of treatment was most strongly associated with non-cure. Although treatment observation by medical staff is preferred, in order to diminish the proportion of patients who do not have a treatment observer and thereby reduce the proportion of patients who interrupt treatment, we suggest making it possible for family members, after sufficient training, to be treatment observers in remote areas where it is logistically difficult to have village doctors observe treatment for all patients.</p

Diversity of Mycobacterium tuberculosis genotypes circulating in Ndola, Zambia

<p>Abstract</p> <p>Background</p> <p>Tuberculosis (TB) is one of the major public health problems in Zambia. However, information about lineages of <it>M. tuberculosis </it>complex (MTBC) isolates useful for epidemiology investigations is unknown. In this study, we investigated the diversity of MTBC isolates from Ndola, a typical Zambian urbanized city with a documented high HIV prevalence.</p> <p>Methods</p> <p>This was part of a prospective cohort study in subjects with sputum smear-positive pulmonary TB. Spoligotyping was used to genotype the MTBC isolates and establish the circulating lineages. The 15-locus Mycobacterial Interspersed Repetitive Units - Variable Number Tandem Repeats (MIRU-VNTR) typing was used to study recent transmission.</p> <p>Results</p> <p>A total of 98 different spoligotypes were identified among 273 MTBC isolates. The majority (64.8%) of the isolates belonged to 9 known families, while 96 (35.2%) of the isolates were orphans. While LAM (41.8%) was the largest spoligotype family observed, most of the isolates (87.7%) belonging to the SAF1 family, with a significant portion coming from the T (13.6%), and X (5.9%) families. A few isolates (3.6%) belonged to the CAS, EAI, H, S, X1-LAM9 or U families. MIRU-VNTR typing was highly discriminatory (h = 0.988) among the 156 isolates tested in our sample, and increased the discrimination among 82 SAF1 isolates from 6 to 46 distinct patterns. In addition, 3.2% (5/156) of cases with available MIRU-VNTR results harbored more than one MTBC strain.</p> <p>Conclusions</p> <p>Our findings show a limited diversity of MTBC in Ndola with a high clustering rate (37.7%), which indicates that recent transmission plays an appreciable role in the dynamics of TB disease in this setting. This conclusion emphasizes the importance of early diagnosis and timely treatment. The results also confirm that MIRU-VNTR typing is suitable for studying the molecular epidemiology of TB in Ndola.</p