Poor diet quality is associated with low CD4 count and anemia and predicts mortality among antiretroviral therapy-naive HIV-positive adults in Uganda.

BACKGROUND: We assessed the association between dietary diversity and CD4 count, moderate anemia, and mortality among 876 antiretroviral therapy-naive people living with HIV/AIDS infection (PLHIV) in Uganda. METHODS: Participants were interviewed and followed for an average of 21.6 months. Dietary diversity was measured using the Individual Dietary Diversity Score (IDDS) (range, 0-12) and summarized into an overall measure and disaggregated into nutrient-rich food groups (range, 0-7), cereals, roots, and tubers (range, 0\x{2013} 2); and oils, fats, sugars, and condiments (range, 0\x{2013} 3). We determined the cross-sectional associations between dietary diversity and (1) immunosuppression (CD4 count ≤ 350 cells/μL) and (2) moderate anemia (hemoglobin 350 CD4 cells per microliter, but not those with CD4 count ≤350 cells per microliter, consumption of nutrient-rich food groups was associated with a lower odds of moderate anemia (adjusted odds ratio, 0.57; 95% CI: 0.34 to 0.96). During follow-up, 48 participants (5.6%) died (mortality rate of 3.1 per 100 person-years). IDDS was inversely associated with mortality [adjusted hazard ratio, 0.76; 95% CI: 0.63 to 0.91]. CONCLUSION: These results suggest that diet quality is an important determinant of HIV disease severity and mortality in antiretroviral therapy-naive PLHIV

Spin-spin Correlation in Some Excited States of Transverse Ising Model

We consider the transverse Ising model in one dimension with nearest-neighbour interaction and calculate exactly the longitudinal spin-spin correlation for a class of excited states. These states are known to play an important role in the perturbative treatment of one-dimensional transverse Ising model with frustrated second-neighbour interaction. To calculate the correlation, we follow the earlier procedure of Wu, use Szego's theorem and also use Fisher-Hartwig conjecture. The result is that the correlation decays algebraically with distance ($n$) as $1/\surd n$ and is oscillatory or non-oscillatory depending on the magnitude of the transverse field.Comment: 5 pages, 1 figur

TRAVELING THROUGH TIME AND SPACE: SARAMAGO, CERVANTES AND THE CHIVALRIC TRADITION

This article traces José Saramago’s mobilization of the Cervantes’ Don Quijote (1605) in A Jangada de Pedra (1986), an act that, at first glance, seems to invoke a shared Iberian literary heritage. I argue, however, that in fact Saramago problematizes any notion of being that is necessarily connected to territory. I trace Saramago’s mobilization of Spanish literary patrimony, arguing that Saramago effectively dissolves all sense of borders, homeland and nation, eschews modernity and positions his novel in a European context, not simply a Portuguese or Iberian one. Through the lens of cosmopolitanism, I argue that Saramago questions ideas of home, of truth, and of knowledge, rewriting the medieval chivalric in the form of a modern-day travel narrative

Hard hexagon partition function for complex fugacity

We study the analyticity of the partition function of the hard hexagon model in the complex fugacity plane by computing zeros and transfer matrix eigenvalues for large finite size systems. We find that the partition function per site computed by Baxter in the thermodynamic limit for positive real values of the fugacity is not sufficient to describe the analyticity in the full complex fugacity plane. We also obtain a new algebraic equation for the low density partition function per site.Comment: 49 pages, IoP styles files, lots of figures (png mostly) so using PDFLaTeX. Some minor changes added to version 2 in response to referee report

Integrability vs non-integrability: Hard hexagons and hard squares compared

In this paper we compare the integrable hard hexagon model with the non-integrable hard squares model by means of partition function roots and transfer matrix eigenvalues. We consider partition functions for toroidal, cylindrical, and free-free boundary conditions up to sizes $40\times40$ and transfer matrices up to 30 sites. For all boundary conditions the hard squares roots are seen to lie in a bounded area of the complex fugacity plane along with the universal hard core line segment on the negative real fugacity axis. The density of roots on this line segment matches the derivative of the phase difference between the eigenvalues of largest (and equal) moduli and exhibits much greater structure than the corresponding density of hard hexagons. We also study the special point $z=-1$ of hard squares where all eigenvalues have unit modulus, and we give several conjectures for the value at $z=-1$ of the partition functions.Comment: 46 page

Form factor expansion of the row and diagonal correlation functions of the two dimensional Ising model

We derive and prove exponential and form factor expansions of the row correlation function and the diagonal correlation function of the two dimensional Ising model

Facility-based delivery in the context of Zimbabwe's HIV epidemic--missed opportunities for improving engagement with care: a community-based serosurvey.

BackgroundIn developing countries, facility-based delivery is recommended for maternal and neonatal health, and for prevention of mother-to-child HIV transmission (PMTCT). However, little is known about whether or not learning one's HIV status affects one's decision to deliver in a health facility. We examined this association in Zimbabwe.MethodsWe analyzed data from a 2012 cross-sectional community-based serosurvey conducted to evaluate Zimbabwe's accelerated national PMTCT program. Eligible women (≥16 years old and mothers of infants born 9-18 months before the survey) were randomly sampled from the catchment areas of 157 health facilities in five of ten provinces. Participants were interviewed about where they delivered and provided blood samples for HIV testing.ResultsOverall 8796 (77 %) mothers reported facility-based delivery; uptake varied by community (30-100%). The likelihood of facility-based delivery was not associated with maternal HIV status. Women who self-reported being HIV-positive before delivery were as likely to deliver in a health facility as women who were HIV-negative, irrespective of when they learned their status - before (adjusted prevalence ratio (PRa) = 1.04, 95% confidence interval (CI) = 1.00-1.09) or during pregnancy (PRa = 1.05, 95% CI = 1.01-1.09). Mothers who had not accessed antenatal care or tested for HIV were most likely to deliver outside a health facility (69%). Overall, however 77% of home deliveries occurred among women who had accessed antenatal care and were HIV-tested.ConclusionsUptake of facility-based delivery was similar among HIV-infected and HIV-uninfected mothers, which was somewhat unexpected given the substantial technical and financial investment aimed at retaining HIV-positive women in care in Zimbabwe

The Impact of Heavy Load Carrying on Musculoskeletal Pain and Disability Among Women in Shinyanga Region, Tanzania.

BackgroundHeavy load carrying has been associated with musculoskeletal discomfort (MSD) and disability. However, there is a lack of research investigating this association in resource-constrained settings where heavy load carrying by women is common.ObjectivesWe assessed the impact of heavy load carrying on musculoskeletal pain and disability among women in Shinyanga Region, Tanzania, in an exploratory cross-sectional study.MethodsEligible participants were a convenience sample of women, at least 18 years of age, who passed a study recruitment site carrying a load. We collected information on load-carrying practices, including frequency and time spent carrying water, wood, agricultural products, coal, sand, or rocks, and measured the weight of the load carried at the time. Outcomes included self-reported MSDs, defined as experiencing pain lasting >3 days in the neck, head, back, knees, feet and/or ankles within the last 1 year, and related disability. Using multivariable logistic regression we assessed for associations between load carrying exposures and MSDs and disability.FindingsResults showed a high prevalence of MSDs across the body regions assessed and evidence to suggest a relationship of back pain and related disability with several measures of load-carrying, including duration, frequency, and weight. Multivariable analyses revealed associations of increased load carrying exposures with low back pain (LBP) and related disability, including statistically significant increases in odds of LBP with increasing weight, total duration of load carrying/week and cumulative loads/week.ConclusionsFindings indicate a substantial burden of MSDs and disability in this population of women who carry heavy loads daily. The extent of discomfort and disability increased with increasing exposure to various load-carrying measures, especially for LBP. Larger epidemiologic studies that definitively assess relationships of load carrying with MSDs and disability are warranted