2,156 research outputs found

    Quantum Phase Transition in the Sub-Ohmic Spin-Boson Model: Extended Coherent-state Approach

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    We propose a general extended coherent state approach to the qubit (or fermion) and multi-mode boson coupling systems. The application to the spin-boson model with the discretization of a bosonic bath with arbitrary continuous spectral density is described in detail, and very accurate solutions can be obtained. The quantum phase transition in the nontrivial sub-Ohmic case can be located by the fidelity and the order-parameter critical exponents for the bath exponents s<1/2s<1/2 can be correctly given by the fidelity susceptibility, demonstrating the strength of the approach.Comment: 4 pages, 3 figure

    Partially reconfigurable TVWS transceiver for use in UK and US markets

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    With more and more countries opening up sections of unlicensed spectrum for use by TV White Space (TVWS) devices, the prospect of building a device capable of operating in more than one world region is appealing. The difficulty is that the locations of TVWS bands within the radio spectrum are not globally harmonised. With this problem in mind, the purpose of this paper is to present a TVWS transceiver design which is capable of being reconfigured to operate in both the UK and US spectrum. We present three different configurations: one covering the UK TVWS spectrum and the remaining two covering the various locations of the US TVWS bands

    No spin-localization phase transition in the spin-boson model without local field

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    We explore the spin-boson model in a special case, i.e., with zero local field. In contrast to previous studies, we find no possibility for quantum phase transition (QPT) happening between the localized and delocalized phases, and the behavior of the model can be fully characterized by the even or odd parity as well as the parity breaking, instead of the QPT, owned by the ground state of the system. Our analytical treatment about the eigensolution of the ground state of the model presents for the first time a rigorous proof of no-degeneracy for the ground state of the model, which is independent of the bath type, the degrees of freedom of the bath and the calculation precision. We argue that the QPT mentioned previously appears due to unreasonable treatment of the ground state of the model or of the infrared divergence existing in the spectral functions for Ohmic and sub-Ohmic dissipations.Comment: 5 pages, 1 figure. Comments are welcom

    Treatment-seeking rates in malaria endemic countries

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    BACKGROUND: The proportion of individuals who seek treatment for fever is an important quantity in understanding access to and use of health systems, as well as for interpreting data on disease incidence from routine surveillance systems. For many malaria endemic countries (MECs), treatment-seeking information is available from national household surveys. The aim of this paper was to assemble sub-national estimates of treatment-seeking behaviours and to predict national treatment-seeking measures for all MECs lacking household survey data. METHODS: Data on treatment seeking for fever were obtained from Demographic and Health Surveys, Malaria Indicator Surveys and Multiple Cluster Indicator Surveys for every MEC and year that data were available. National-level social, economic and health-related variables were gathered from the World Bank as putative covariates of treatment-seeking rates. A generalized additive mixed model (GAMM) was used to estimate treatment-seeking behaviours for countries where survey data were unavailable. Two separate models were developed to predict the proportion of fever cases that would seek treatment at (1) a public health facility or (2) from any kind of treatment provider. RESULTS: Treatment-seeking data were available for 74 MECs and modelled for the remaining 24. GAMMs found that the percentage of pregnant women receiving prenatal care, vaccination rates, education level, government health expenditure, and GDP growth were important predictors for both categories of treatment-seeking outcomes. Treatment-seeking rates, which varied both within and among regions, revealed that public facilities were not always the primary facility type used. CONCLUSIONS: Estimates of treatment-seeking rates show how health services are utilized and help correct reported malaria case numbers to obtain more accurate measures of disease burden. The assembled and modelled data demonstrated that while treatment-seeking rates have overall increased over time, access remains low in some malaria endemic regions and utilization of government services is in some areas limited

    A semi-Markov model for stroke with piecewise-constant hazards in the presence of left, right and interval censoring.

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    This paper presents a parametric method of fitting semi-Markov models with piecewise-constant hazards in the presence of left, right and interval censoring. We investigate transition intensities in a three-state illness-death model with no recovery. We relax the Markov assumption by adjusting the intensity for the transition from state 2 (illness) to state 3 (death) for the time spent in state 2 through a time-varying covariate. This involves the exact time of the transition from state 1 (healthy) to state 2. When the data are subject to left or interval censoring, this time is unknown. In the estimation of the likelihood, we take into account interval censoring by integrating out all possible times for the transition from state 1 to state 2. For left censoring, we use an Expectation-Maximisation inspired algorithm. A simulation study reflects the performance of the method. The proposed combination of statistical procedures provides great flexibility. We illustrate the method in an application by using data on stroke onset for the older population from the UK Medical Research Council Cognitive Function and Ageing Study

    PAR12: PROSPECTIVE USE OF WEB BASED TECHNOLOGY TO EVALUATE HEALTH OUTCOMES IN A LARGE COHORT OF SEVERE OR DIFFICULT TO TREAT ASTHMATICS

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    Multi-mode entanglement of N harmonic oscillators coupled to a non-Markovian reservoir

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    Multi-mode entanglement is investigated in the system composed of NN coupled identical harmonic oscillators interacting with a common environment. We treat the problem very general by working with the Hamiltonian without the rotating-wave approximation and by considering the environment as a non-Markovian reservoir to the oscillators. We invoke an NN-mode unitary transformation of the position and momentum operators and find that in the transformed basis the system is represented by a set of independent harmonic oscillators with only one of them coupled to the environment. Working in the Wigner representation of the density operator, we find that the covariance matrix has a block diagonal form that it can be expressed in terms of multiples of 3×33\times 3 and 4×44\times 4 matrices. This simple property allows to treat the problem to some extend analytically. We illustrate the advantage of working in the transformed basis on a simple example of three harmonic oscillators and find that the entanglement can persists for long times due to presence of constants of motion for the covariance matrix elements. We find that, in contrast to what one could expect, a strong damping of the oscillators leads to a better stationary entanglement than in the case of a weak damping.Comment: 21 pages, 4 figure

    Voluntary Medical Male Circumcision: An Introduction to the Cost, Impact, and Challenges of Accelerated Scaling Up

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    Catherine Hankins, Steven Forsythe, and Emmanuel Njeuhmeli provide an overview of the “Voluntary Medical Male Circumcision for HIV Prevention: The Cost, Impact, and Challenges of Accelerated Scale-Up in Southern and Eastern Africa” Collection, calling for leadership and vision to help halt the HIV epidemic

    Male Circumcision in the General Population of Kisumu, Kenya: Beliefs about Protection, Risk Behaviors, HIV, and STIs

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    Using a population-based survey we examined the behaviors, beliefs, and HIV/HSV-2 serostatus of men and women in the traditionally non-circumcising community of Kisumu, Kenya prior to establishment of voluntary medical male circumcision services. A total of 749 men and 906 women participated. Circumcision status was not associated with HIV/HSV-2 infection nor increased high risk sexual behaviors. In males, preference for being or becoming circumcised was associated with inconsistent condom use and increased lifetime number of sexual partners. Preference for circumcision was increased with understanding that circumcised men are less likely to become infected with HIV

    Identification of complex health interventions suitable for evaluation: development and validation of the 8-step scoping framework

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    Background: There is extensive literature on the methodology of evaluation research and the development and evaluation of complex interventions but little guidance on the formative stages before evaluation and how to work with partner organizations that wish to have their provision evaluated. It is important to be able to identify suitable projects for evaluation from a range of provision and describe the steps required, often with academic institutions working in partnership with external organizations, in order to set up an evaluation. However, research evaluating programs or interventions rarely discusses these stages. Objective: This study aimed to extend work on evaluability assessment and pre-evaluation planning by proposing an 8-Step Scoping Framework to enable the appraisal of multiple programs in order to identify interventions suitable for evaluation. We aimed to add to the literature on evaluability assessment and more recent evaluation guidance by describing the processes involved in working with partner organizations. Methods: This paper documents the steps required to identify multiple complex interventions suitable for process and outcome evaluation. The steps were developed using an iterative approach by working alongside staff in a local government organization, to build an evidence base to demonstrate which interventions improve children’s outcomes. The process of identifying suitable programs for evaluation, thereby establishing the pre-evaluation steps, was tested using all Flying Start provision. Results: The 8-Step Scoping Framework was described using the example of the local government organization Flying Start to illustrate how each step contributes to finding projects suitable for process and outcome evaluation: (1) formulating overarching key questions that encompass all programs offered by an organization, (2) gaining an in-depth understanding of the work and provision of an organization and engaging staff, (3) completing a data template per project/program offered, (4) assessing the robustness/validity of data across all programs, (5) deciding on projects suitable for evaluation and those requiring additional data, (6) negotiating with chosen project leads, both within and outside the organization, (7) developing individual project evaluation protocols, and (8) applying for ethical approval from the university and partner organization. Conclusions: This paper describes the processes involved in identifying suitable projects for evaluation. It adds to the existing literature on the assessment of specific programs suitable for evaluation and guidance for conducting evaluations by establishing the formative steps required to identify suitable programs from a range of provision. This scoping framework particularly relates to academic partners and organizations tasked with delivering evidence-based services designed to meet local needs. The steps identified have been described in the context of early years provision but can be applied to a range of community-based evaluations, or more generally, to cases where an academic partner is working with external stakeholders to identify projects suitable for academic evaluation
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