Accidental Father-to-Son HIV-1 Transmission During the Seroconversion Period

A 4-year-old child born to an HIV-1 seronegative mother was diagnosed with HIV-1, the main risk factor being transmission from the child's father who was seroconverting at the time of the child's birth. In the context of a forensic investigation, we aimed to identify the source of infection of the child and date of the transmission event. Samples were collected from the father and child at two time points about 4 years after the child's birth. Partial segments of three HIV-1 genes (gag, pol, and env) were sequenced and maximum likelihood (ML) and Bayesian methods were used to determine direction and estimate date of transmission. Neutralizing antibodies were determined using a single cycle assay. Bayesian trees displayed a paraphyletic-monophyletic topology in all three genomic regions, with the father's host label at the root, which is consistent with father-to-son transmission. ML trees found similar topologies in gag and pol and a monophyletic-monophyletic topology in env. Analysis of the time of the most recent common ancestor of each HIV-1 gene population indicated that the child was infected shortly after the father. Consistent with the infection history, both father and son developed broad and potent HIV-specific neutralizing antibody responses. In conclusion, the direction of transmission implicated the father as the source of transmission. Transmission occurred during the seroconversion period when the father was unaware of the infection and was likely accidental. This case shows how genetic, phylogenetic, and serological data can contribute for the forensic investigation of HIV transmission.info:eu-repo/semantics/publishedVersio

Prognostic value of plasma pentraxin 3 levels in patients with septic shock admitted to intensive care

Objective: To evaluate the usefulness of a new marker, pentraxin, as a prognostic marker in septic shock patients. Materials and methods: Single-centre prospective observational study that included all consecutive patients 18 years or older who were admitted to the intensive care unit (ICU) with septic shock. Serum levels of procalcitonin (PCT), C reactive protein (CRP) and pentraxin (PTX3) were measured on ICU admission. Results: Seventy-five septic shock patients were included in the study. The best predictors of inhospital mortality were the severity scores: SAPS II (AUC = 0.81), SOFA (AUC = 0.79) and APACHE II (AUC = 0.73). The ROC curve for PTX3 (ng/mL) yielded an AUC of 0.70, higher than the AUC for PCT (0.43) and CRP (0.48), but lower than lactate (0.79). Adding PTX3 to the logistic model increased the predictive capacity in relation to SAPS II, SOFA and APACHE II for in-hospital mortality (AUC 0.814, 0.795, and 0.741, respectively). In crude regression models, significant associations were found between in-hospital mortality and PTX3. This positive association increased after adjusting for age, sex and immunosuppression: adjusted OR T3 for PTX3 = 7.83, 95% CI 1.35?45.49, linear P trend = 0.024. Conclusion: Our results support the prognostic value of a single determination of plasma PTX3 as a predictor of hospital mortality in septic shock patients

Particle creation, classicality and related issues in quantum field theory: II. Examples from field theory

We adopt the general formalism, which was developed in Paper I (arXiv:0708.1233) to analyze the evolution of a quantized time-dependent oscillator, to address several questions in the context of quantum field theory in time dependent external backgrounds. In particular, we study the question of emergence of classicality in terms of the phase space evolution and its relation to particle production, and clarify some conceptual issues. We consider a quantized scalar field evolving in a constant electric field and in FRW spacetimes which illustrate the two extreme cases of late time adiabatic and highly non-adiabatic evolution. Using the time-dependent generalizations of various quantities like particle number density, effective Lagrangian etc. introduced in Paper I, we contrast the evolution in these two limits bringing out key differences between the Schwinger effect and evolution in the de Sitter background. Further, our examples suggest that the notion of classicality is multifaceted and any one single criterion may not have universal applicability. For example, the peaking of the phase space Wigner distribution on the classical trajectory \emph{alone} does not imply transition to classical behavior. An analysis of the behavior of the \emph{classicality parameter}, which was introduced in Paper I, leads to the conclusion that strong particle production is necessary for the quantum state to become highly correlated in phase space at late times.Comment: RevTeX 4; 27 pages; 18 figures; second of a series of two papers, the first being arXiv:0708.1233 [gr-qc]; high resolution figures available from the authors on reques

Particle creation, classicality and related issues in quantum field theory: I. Formalism and toy models

The quantum theory of a harmonic oscillator with a time dependent frequency arises in several important physical problems, especially in the study of quantum field theory in an external background. While the mathematics of this system is straightforward, several conceptual issues arise in such a study. We present a general formalism to address some of the conceptual issues like the emergence of classicality, definition of particle content, back reaction etc. In particular, we parametrize the wave function in terms of a complex number (which we call excitation parameter) and express all physically relevant quantities in terms it. Many of the notions -- like those of particle number density, effective Lagrangian etc., which are usually defined using asymptotic in-out states -- are generalized as time-dependent concepts and we show that these generalized definitions lead to useful and reasonable results. Having developed the general formalism we apply it to several examples. Exact analytic expressions are found for a particular toy model and approximate analytic solutions are obtained in the extreme cases of adiabatic and highly non-adiabatic evolution. We then work out the exact results numerically for a variety of models and compare them with the analytic results and approximations. The formalism is useful in addressing the question of emergence of classicality of the quantum state, its relation to particle production and to clarify several conceptual issues related to this. In Paper II (arXiv:0708.1237), which is a sequel to this, the formalism will be applied to analyze the corresponding issues in the context of quantum field theory in background cosmological models and electric fields.Comment: RevTeX 4; 32 pages; 28 figures; first of a series of two papers, the second being arXiv:0708.1237 [gr-qc]; high resolution figures available from the authors on reques

Ownership and control in a competitive industry

We study a differentiated product market in which an investor initially owns a controlling stake in one of two competing firms and may acquire a non-controlling or a controlling stake in a competitor, either directly using her own assets, or indirectly via the controlled firm. While industry profits are maximized within a symmetric two product monopoly, the investor attains this only in exceptional cases. Instead, she sometimes acquires a noncontrolling stake. Or she invests asymmetrically rather than pursuing a full takeover if she acquires a controlling one. Generally, she invests indirectly if she only wants to affect the product market outcome, and directly if acquiring shares is profitable per se. --differentiated products,separation of ownership and control,private benefits of control

Linear Response, Validity of Semi-Classical Gravity, and the Stability of Flat Space

A quantitative test for the validity of the semi-classical approximation in gravity is given. The criterion proposed is that solutions to the semi-classical Einstein equations should be stable to linearized perturbations, in the sense that no gauge invariant perturbation should become unbounded in time. A self-consistent linear response analysis of these perturbations, based upon an invariant effective action principle, necessarily involves metric fluctuations about the mean semi-classical geometry, and brings in the two-point correlation function of the quantum energy-momentum tensor in a natural way. This linear response equation contains no state dependent divergences and requires no new renormalization counterterms beyond those required in the leading order semi-classical approximation. The general linear response criterion is applied to the specific example of a scalar field with arbitrary mass and curvature coupling in the vacuum state of Minkowski spacetime. The spectral representation of the vacuum polarization function is computed in n dimensional Minkowski spacetime, and used to show that the flat space solution to the semi-classical Einstein equations for n=4 is stable to all perturbations on distance scales much larger than the Planck length.Comment: 22 pages: This is a significantly expanded version of gr-qc/0204083, with two additional sections and two new appendices giving a complete, explicit example of the semi-classical stability criterion proposed in the previous pape

Quantum correlation functions and the classical limit

We study the transition from the full quantum mechanical description of physical systems to an approximate classical stochastic one. Our main tool is the identification of the closed-time-path (CTP) generating functional of Schwinger and Keldysh with the decoherence functional of the consistent histories approach. Given a degree of coarse-graining in which interferences are negligible, we can explicitly write a generating functional for the effective stochastic process in terms of the CTP generating functional. This construction gives particularly simple results for Gaussian processes. The formalism is applied to simple quantum systems, quantum Brownian motion, quantum fields in curved spacetime. Perturbation theory is also explained. We conclude with a discussion on the problem of backreaction of quantum fields in spacetime geometry.Comment: 30 pages, latex; minor changes, added some explanations and refeence

Non-equilibrium dynamics of a thermal plasma in a gravitational field

We introduce functional methods to study the non-equilibrium dynamics of a quantum massless scalar field at finite temperature in a gravitational field. We calculate the Close Time Path (CTP) effective action and, using its formal equivalence with the influence functional, derive the noise and dissipation kernels of the quantum open system in terms of quantities in thermodynamical equilibrium. Using this fact, we formally prove the existence of a Fluctuation-Dissipation Relation (FDR) at all temperatures between the quantum fluctuations of the plasma in thermal equilibrium and the energy dissipated by the external gravitational field. What is new is the identification of a stochastic source (noise) term arising from the quantum and thermal fluctuations in the plasma field, and the derivation of a Langevin-type equation which describes the non-equilibrium dynamics of the gravitational field influenced by the plasma. The back reaction of the plasma on the gravitational field is embodied in the FDR. From the CTP effective action the contribution of the quantum scalar field to the thermal graviton polarization tensor can also be derived and it is shown to agree with other techniques, most notably, Linear Response Theory (LRT). We show the connection between the LRT, which is applicable for near-equilibrium conditions and the functional methods used in this work which are useful for fully non-equilibrium conditions.Comment: Final version published in Phys. Rev.

Realistic multiband k.p approach from ab initio and spin-orbit coupling effects of InAs and InP in wurtzite phase

Semiconductor nanowires based on non-nitride III-V compounds can be synthesized under certain growth conditions to favor the appearance of the wurtzite crystal phase. Despite reports in the literature of ab initio band structures for these wurtzite compounds, we still lack effective multiband models and parameter sets that can be simply used to investigate physical properties of such systems, for instance, under quantum confinement effects. In order to address this deficiency, in this study we calculate the ab initio band structure of bulk InAs and InP in the wurtzite phase and develop an 8 x 8 k . p Hamiltonian to describe the energy bands around the Gamma point. We show that our k . p model is robust and can be fitted to describe the important features of the ab initio band structure. The correct description of the spin-splitting effects that arise due to the lack of inversion symmetry in wurtzite crystals is obtained with the k-dependent spin-orbit term in the Hamiltonian, often neglected in the literature. All the energy bands display a Rashba-like spin texture for the in-plane spin expectation value. We also provide the density of states and the carrier density as functions of the Fermi energy. Alternatively, we show an analytical description of the conduction band, valid close to the Gamma point. The same fitting procedure is applied to the 6 x 6 valence band Hamiltonian. However, we find that the most reliable approach is the 8 x 8 k . p Hamiltonian for both compounds. The k . p Hamiltonians and parameter sets that we develop in this paper provide a reliable theoretical framework that can be easily applied to investigate electronic, transport, optical, and spin properties of InAs- and InP-based nanostructures

Comparative magnetotransport and Tc measurements on kappa-(BEDT-TTF)2Cu(SCN)2 under pressure

We compare magnetotransport measurements under pressure on the organic superconductor $\kappa$-(BEDT-TTF)$_{2}$Cu(SCN)$_{2}$ with different pressure-media and discover that the results are pressure media dependent. This pressure-medium dependence is thought to originate from the difference in thermal contraction between the very soft and highly anisotropic sample and the isotropically contracting, but solid pressure medium, thus resulting in non-hydrostatic pressure on the sample. However, comparison of pressure measurements with different media reveals a pressure-medium independent correlation between the superconducting transition temperature, T$_{\rm c}$, and the size of the quasi 2-dimensional Fermi surface pocket and thus the quasi 2-dimensional carrier density in $\kappa$-(BEDT-TTF)$_{2}$Cu(SCN)$_{2}$. The observed pressure-induced increase in the quasi 2-dimensional carrier density can be interpreted as a transfer of carriers from quasi 1-dimensional Fermi surface sections, reminiscent of a mechanism in cuprate superconductors, where pressure is known to transfer carriers from the insulating charge reservoir layers into the conducting cuprate sheets.Comment: 11 pages, 6 figure