1,634 research outputs found
Task shifting and integration of HIV care into primary care in South Africa: The development and content of the streamlining tasks and roles to expand treatment and care for HIV (STRETCH) intervention
Background: Task shifting and the integration of human immunodeficiency virus (HIV) care into primary care services have been identified as possible strategies for improving access to antiretroviral treatment (ART). This paper describes the development and content of an intervention involving these two strategies, as part of the Streamlining Tasks and Roles to Expand Treatment and Care for HIV (STRETCH) pragmatic randomised controlled trial. Methods: Developing the intervention: The intervention was developed following discussions with senior management, clinicians, and clinic staff. These discussions revealed that the establishment of separate antiretroviral treatment services for HIV had resulted in problems in accessing care due to the large number of patients at ART clinics. The intervention developed therefore combined the shifting from doctors to nurses of prescriptions of antiretrovirals (ARVs) for uncomplicated patients and the stepwise integration of HIV care into primary care services. Results: Components of the intervention: The intervention consisted of regulatory changes, training, and guidelines to support nurse ART prescription, local management teams, an implementation toolkit, and a flexible, phased introduction. Nurse supervisors were equipped to train intervention clinic nurses in ART prescription using outreach education and an integrated primary care guideline. Management teams were set up and a STRETCH coordinator was appointed to oversee the implementation process. Discussion: Three important processes were used in developing and implementing this intervention: active participation of clinic staff and local and provincial management, educational outreach to train nurses in intervention sites, and an external facilitator to support all stages of the intervention rollout
Centrality dependence of charged hadron production in deuteron+gold and nucleon+gold collisions at sqrt(s_NN)=200 GeV
We present transverse momentum (p_T) spectra of charged hadrons measured in
deuteron-gold and nucleon-gold collisions at \sqrts = 200 GeV for four
centrality classes. Nucleon-gold collisions were selected by tagging events in
which a spectator nucleon was observed in one of two forward rapidity
detectors. The spectra and yields were investigated as a function of the number
of binary nucleon-nucleon collisions, \nu, suffered by deuteron nucleons. A
comparison of charged particle yields to those in p+p collisions show that the
yield per nucleon-nucleon collision saturates with \nu for high momentum
particles. We also present the charged hadron to neutral pion ratios as a
function of p_T.Comment: 330 authors, 15 pages text, 16 figures, 3 tables. Submitted to Phys.
Rev. Lett. v2 has minor changes to reflect revisions during review process.
Plain text data tables for the points plotted in figures for this and
previous PHENIX publications are (or will be) publicly available at
http://www.phenix.bnl.gov/papers.htm
Jet Structure from Dihadron Correlations in d+Au collisions at sqrt(s_NN) = 200 GeV
Dihadron correlations at high transverse momentum in d+Au collisions at
sqrt(s_NN) = 200 GeV at midrapidity are measured by the PHENIX experiment at
the Relativistic Heavy Ion Collider (RHIC). From these correlations we extract
several structural characteristics of jets; the root-mean-squared (RMS)
transverse momentum of fragmenting hadrons with respect to the jet
sqrt(), the mean sine-squared angle between the scattered partons
, and the number of particles produced within the dijet that are
associated with a high-p_T particle (dN/dx_E distributions). We observe that
the fragmentation characteristics of jets in d+Au collisions are very similar
to those in p+p collisions and that there is also little dependence on the
centrality of the d+Au collision. This is consistent with the nuclear medium
having little influence on the fragmentation process. Furthermore, there is no
statistically significant increase in the value of from p+p to
d+Au collisions. This constrains the amount of multiple scattering that partons
undergo in the cold nuclear medium before and after a hard-collision.Comment: 330 authors, 30 pages text, RevTeX4, 42 figures, 20 tables. Submitted
to Physical Review C. Plain text data tables for the points plotted in
figures for this and previous PHENIX publications are (or will be) publicly
available at http://www.phenix.bnl.gov/papers.htm
Azimuthal Angle Correlations for Rapidity Separated Hadron Pairs in d+Au Collisions at sqrt(s_NN) = 200 GeV
We report on two-particle azimuthal angle correlations between charged
hadrons at forward/backward (deuteron/gold going direction) rapidity and
charged hadrons at mid-rapidity in deuteron-gold (d+Au) and proton-proton (p+p)
collisions at sqrt(s_NN) = 200 GeV. Jet structures are observed in the
correlations which we quantify in terms of the conditional yield and angular
width of away side partners. The kinematic region studied here samples partons
in the gold nucleus carrying nucleon momentum fraction x~0.1 to x~0.01. Within
this range, we find no x dependence of the jet structure in d+Au collisions.Comment: 330 authors, 6 pages text, 4 figures, no tables. Submitted to Phys.
Rev. Lett. Plain text data tables for the points plotted in figures for this
and previous PHENIX publications are (or will be) publicly available at
http://www.phenix.bnl.gov/papers.htm
Double Helicity Asymmetry in Inclusive Mid-Rapidity neutral pion Production for Polarized p+p Collisions at sqrt(s)=200 GeV
We present a measurement of the double longitudinal spin asymmetry in
inclusive pi^0 production in polarized proton-proton collisions at sqrt(s)=200
GeV. The data were taken at the Relativistic Heavy Ion Collider with average
beam polarizations of 26%. The measurements are the first of a program to study
the longitudinal spin structure of the proton, using strongly interacting
probes, at collider energies. The asymmetry is presented for transverse momenta
1-5 GeV/c at mid-rapidity, where next-to-leading order perturbative quantum
chromodynamic (NLO pQCD) calculations describe the unpolarized cross section
well. The observed asymmetry is small and is compared with a NLO pQCD
calculation with a range of polarized gluon distributions.Comment: 326 authors, 6 pages text, RevTeX, 3 figures, 1 table. To be
submitted to PRL. Plain text data tables for the points plotted in figures
for this and previous PHENIX publications are (or will be) publicly available
at http://www.phenix.bnl.gov/papers.htm
High-pT pi^zero Production with Respect to the Reaction Plane in Au + Au Collisions at sqrt(s_NN) = 200 GeV
Measurements of the azimuthal anisotropy of high-\pT neutral pion neutral
pion production in Au+Au collisions at sqrt(s_NN) = 200 GeV by the PHENIX
experiment are presented. The data included in this paper were collected during
the 2004 RHIC running period and represent approximately an order of magnitude
increase in the number of analyzed events relative to previously published
results. Azimuthal angle distributions of pi^0s detected in the PHENIX
electromagnetic calorimeters are measured relative to the reaction plane
determined event-by-event using the forward and backward beam-beam counters.
Amplitudes of the second Fourier component (v_2) of the angular distributions
are presented as a function of pi^0 transverse momentum p_T for different bins
in collision centrality. Measured reaction plane dependent pi^0 yields are used
to determine the azimuthal dependence of the pi^0 suppression as a function of
p_T, R_AA (Delta phi,p_T). A jet-quenching motivated geometric analysis is
presented that attempts to simultaneously describe the centrality dependence
and reaction plane angle dependence of the pi^0 suppression in terms of the
path lengths of hypothetical parent partons in the medium. This set of results
allows for a detailed examination of the influence of geometry in the collision
region, and of the interplay between collective flow and jet-quenching effects
along the azimuthal axis.Comment: 344 authors, 35 pages text, RevTeX-4, 24 figures, 8 tables. Submitted
to Physical Review
Nuclear Modification Factors for Hadrons At Forward and Backward Rapidities in Deuteron-Gold Collisions at sqrt(s_NN) = 200 GeV
We report on charged hadron production in deuteron-gold reactions at
sqrt(s_NN) = 200 GeV. Our measurements in the deuteron-direction cover 1.4 <
eta < 2.2, referred to as forward rapidity, and in the gold-direction -2.0 <
eta < -1.4, referred to as backward rapidity, and a transverse momentum range
p_T = 0.5-4.0 GeV/c. We compare the relative yields for different deuteron-gold
collision centrality classes. We observe a suppression relative to binary
collision scaling at forward rapidity, sensitive to low momentum fraction (x)
partons in the gold nucleus, and an enhancement at backward rapidity, sensitive
to high momentum fraction partons in the gold nucleus.Comment: 330 authors, 6 pages text, 4 figures, REVTeX4. Published in Physical
Review Letters. Minor changes over previous version in response to referee
and editor comments, plus updating of references. Plain text data tables for
the points plotted in figures for this and previous PHENIX publications are
publicly available at http://www.phenix.bnl.gov/papers.htm
Transverse-energy distributions at midrapidity in , Au, and AuAu collisions at --200~GeV and implications for particle-production models
Measurements of the midrapidity transverse energy distribution, d\Et/d\eta,
are presented for , Au, and AuAu collisions at
GeV and additionally for AuAu collisions at
and 130 GeV. The d\Et/d\eta distributions are first
compared with the number of nucleon participants , number of
binary collisions , and number of constituent-quark participants
calculated from a Glauber model based on the nuclear geometry. For
AuAu, \mean{d\Et/d\eta}/N_{\rm part} increases with , while
\mean{d\Et/d\eta}/N_{qp} is approximately constant for all three energies.
This indicates that the two component ansatz, , which has been used to represent
distributions, is simply a proxy for , and that the term
does not represent a hard-scattering component in distributions. The
distributions of AuAu and Au are then calculated from
the measured distribution using two models that both reproduce
the AuAu data. However, while the number-of-constituent-quark-participant
model agrees well with the Au data, the additive-quark model does not.Comment: 391 authors, 24 pages, 19 figures, and 15 Tables. Submitted to Phys.
Rev. C. Plain text data tables for the points plotted in figures for this and
previous PHENIX publications are publicly available at
http://www.phenix.bnl.gov/papers.htm
Transverse momentum and centrality dependence of dihadron correlations in Au+Au collisions at sqrt(s_NN)=200 GeV: Jet-quenching and the response of partonic matter
Azimuthal angle \Delta\phi correlations are presented for charged hadrons
from dijets for 0.4 < p_T < 10 GeV/c in Au+Au collisions at sqrt(s_NN) = 200
GeV. With increasing p_T, the away-side distribution evolves from a broad to a
concave shape, then to a convex shape. Comparisons to p+p data suggest that the
away-side can be divided into a partially suppressed "head" region centered at
Delta\phi ~ \pi, and an enhanced "shoulder" region centered at Delta\phi ~ \pi
+/- 1.1. The p_T spectrum for the "head" region softens toward central
collisions, consistent with the onset of jet quenching. The spectral slope for
the "shoulder" region is independent of centrality and trigger p_T, which
offers constraints on energy transport mechanisms and suggests that the
"shoulder" region contains the medium response to energetic jets.Comment: 420 authors from 58 institutions, 6 pages, 4 figures. Submitted to
Physical Review Letters. Plain text data tables for the points plotted in
figures for this and previous PHENIX publications are (or will be) publicly
available at http://www.phenix.bnl.gov/papers.htm
A Detailed Study of High-pT Neutral Pion Suppression and Azimuthal Anisotropy in Au+Au Collisions at \sqrt{s_{NN}} = 200 GeV
Measurements of neutral pion production at midrapidity in sqrt(s_NN) = 200
GeV Au+Au collisions as a function of transverse momentum, p_T, collision
centrality, and angle with respect to reaction plane are presented. The data
represent the final pi^0 results from the PHENIX experiment for the first RHIC
Au+Au run at design center-of-mass-energy. They include additional data
obtained using the PHENIX Level-2 trigger with more than a factor of three
increase in statistics over previously published results for p_T > 6 GeV/c. We
evaluate the suppression in the yield of high-p_T pi^0's relative to point-like
scaling expectations using the nuclear modification factor R_AA. We present the
p_T dependence of R_AA for nine bins in collision centrality. We separately
integrate R_AA over larger p_T bins to show more precisely the centrality
dependence of the high-p_T suppression. We then evaluate the dependence of the
high-p_T suppression on the emission angle \Delta\phi of the pions with respect
to event reaction plane for 7 bins in collision centrality. We show that the
yields of high-p_T pi^0's vary strongly with \Delta\phi, consistent with prior
measurements. We show that this variation persists in the most peripheral bin
accessible in this analysis. For the peripheral bins we observe no suppression
for neutral pions produced aligned with the reaction plane while the yield of
pi^0's produced perpendicular to the reaction plane is suppressed by more than
a factor of 2. We analyze the combined centrality and \Delta\phi dependence of
the pi^0 suppression in different p_T bins using different possible
descriptions of parton energy loss dependence on jet path-length averages to
determine whether a single geometric picture can explain the observed
suppression pattern.Comment: 330 authors, pages text, RevTeX4, figures, tables. Submitted to
Physical Review C. Plain text data tables for the points plotted in figures
for this and previous PHENIX publications are (or will be) publicly available
at http://www.phenix.bnl.gov/papers.htm
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