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Investigating the impact of poverty on colonization and infection with drug-resistant organisms in humans: a systematic review
Background
Poverty increases the risk of contracting infectious diseases and therefore exposure to antibiotics. Yet there is lacking evidence on the relationship between income and non-income dimensions of poverty and antimicrobial resistance. Investigating such relationship would strengthen antimicrobial stewardship interventions.
Methods
A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, Ovid, MEDLINE, EMBASE, Scopus, CINAHL, PsychINFO, EBSCO, HMIC, and Web of Science databases were searched in October 2016. Prospective and retrospective studies reporting on income or non-income dimensions of poverty and their influence on colonisation or infection with antimicrobial-resistant organisms were retrieved. Study quality was assessed with the Integrated quality criteria for review of multiple study designs (ICROMS) tool.
Results
Nineteen articles were reviewed. Crowding and homelessness were associated with antimicrobial resistance in community and hospital patients. In high-income countries, low income was associated with Streptococcus pneumoniae and Acinetobacter baumannii resistance and a seven-fold higher infection rate. In low-income countries the findings on this relation were contradictory. Lack of education was linked to resistant S. pneumoniae and Escherichia coli. Two papers explored the relation between water and sanitation and antimicrobial resistance in low-income settings.
Conclusions
Despite methodological limitations, the results suggest that addressing social determinants of poverty worldwide remains a crucial yet neglected step towards preventing antimicrobial resistance
Partonic description of a supersymmetric p-brane
We consider supersymmetric extensions of a recently proposed partonic
description of a bosonic p-brane which reformulates the Nambu-Goto action as an
interacting multi-particle action with Filippov-Lie algebra gauge symmetry. We
construct a worldline supersymmetric action by postulating, among others, a
p-form fermion. Demanding a local worldline supersymmetry rather than the full
worldvolume supersymmetry, we circumvent a known no-go theorem against the
construction of a Ramond-Neveu-Schwarz supersymmetric action for a p-brane of
p>1. We also derive a spacetime supersymmetric Green-Schwarz extension from the
preexisting kappa-symmetric action.Comment: 1+16 pages, no figure; References added and Concluding section
expanded. Final version to appear in JHE
Positivity, entanglement entropy, and minimal surfaces
The path integral representation for the Renyi entanglement entropies of
integer index n implies these information measures define operator correlation
functions in QFT. We analyze whether the limit , corresponding
to the entanglement entropy, can also be represented in terms of a path
integral with insertions on the region's boundary, at first order in .
This conjecture has been used in the literature in several occasions, and
specially in an attempt to prove the Ryu-Takayanagi holographic entanglement
entropy formula. We show it leads to conditional positivity of the entropy
correlation matrices, which is equivalent to an infinite series of polynomial
inequalities for the entropies in QFT or the areas of minimal surfaces
representing the entanglement entropy in the AdS-CFT context. We check these
inequalities in several examples. No counterexample is found in the few known
exact results for the entanglement entropy in QFT. The inequalities are also
remarkable satisfied for several classes of minimal surfaces but we find
counterexamples corresponding to more complicated geometries. We develop some
analytic tools to test the inequalities, and as a byproduct, we show that
positivity for the correlation functions is a local property when supplemented
with analyticity. We also review general aspects of positivity for large N
theories and Wilson loops in AdS-CFT.Comment: 36 pages, 10 figures. Changes in presentation and discussion of
Wilson loops. Conclusions regarding entanglement entropy unchange
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