On the Spectral Behavior and Normalization of a Resonance-Free and High-Frequency Stable Integral Equation

The combined field integral equation (CFIE) used for solving scattering and radiation problems, although a resonance-free formulation, suffers from an ill-conditioning that strongly depends on the frequency and discretization density, both in the low- and high-frequency regime, resulting in slow convergence rates for iterative solvers. This work presents a new preconditioning scheme for the CFIE that cures the low-and the high-frequency as well as the dense discretization breakdown. The new preconditioner for the CFIE is based on a spherical harmonics analysis and the proper regularization with Helmholtz-type operators. Numerical results have been obtained to prove the effectiveness of this new formulation in real scenarios

On the Fast Direct Solution of a Preconditioned Electromagnetic Integral Equation

This work presents a fast direct solver strategy for electromagnetic integral equations in the high-frequency regime. The new scheme relies on a suitably preconditioned combined field formulation and results in a single skeleton form plus identity equation. This is obtained after a regularization of the elliptic spectrum through the extraction of a suitably chosen equivalent circulant problem. The inverse of the system matrix is then obtained by leveraging the Woodbury matrix identity, the low-rank representation of the extracted part of the operator, and fast circulant algebra yielding a scheme with a favorable complexity and suitable for the solution of multiple right-hand sides. Theoretical considerations are accompanied by numerical results both of which are confirming and showing the practical relevance of the newly developed scheme

Malaria in Cambodia : a retrospective analysis of a changing epidemiology 2006-2019

Background: In Cambodia, malaria persists with changing epidemiology and resistance to antimalarials. This study aimed to describe how malaria has evolved spatially from 2006 to 2019 in Cambodia. Methods: We undertook a secondary analysis of existing malaria data from all government healthcare facilities in Cambodia. The epidemiology of malaria was described by sex, age, seasonality, and species. Spatial clusters at the district level were identified with a Poisson model. Results: Overall, incidence decreased from 7.4 cases/1000 population in 2006 to 1.9 in 2019. The decrease has been drastic for females, from 6.7 to 0.6/1000. Adults aged 15-49 years had the highest malaria incidence among all age groups. The proportion of Plasmodium (P.) falciparum + Mixed among confirmed cases declined from 87.9% (n = 67,489) in 2006 to 16.6% (n = 5290) in 2019. Clusters of P. falciparum + Mixed and P. vivax + Mixed were detected in forested provinces along all national borders. Conclusions: There has been a noted decrease in P. falciparum cases in 2019, suggesting that an intensification plan should be maintained. A decline in P. vivax cases was also noted, although less pronounced. Interventions aimed at preventing new infections of P. vivax and relapses should be prioritized. All detected malaria cases should be captured by the national surveillance system to avoid misleading trends

Access to community-based HIV services among transgender women in Cambodia: Findings from a national survey

10.1186/s12939-019-0974-6International Journal for Equity in Health1817

Exploring the determinants of distress health financing in Cambodia

Borrowing is a common coping strategy for households to meet healthcare costs in countries where social health protection is limited or non-existent. Borrowing with interest, hereinafter termed distress health financing or distress financing, can push households into heavy indebtedness and exacerbate the financial consequences of healthcare costs. We investigated distress health financing practices and associated factors among Cambodian households, using primary data from a nationally representative household survey of 5000 households. Multivariate logistic regression was used to determine factors associated with distress health financing. Results showed that 28.1% of households consuming healthcare borrowed to pay for that healthcare with 55% of these subjected to distress financing. The median loan was US$125 (US$200 for loans with interest and US$75 for loans without interest). Approximately 50.6% of healthcare-related loans were to pay for the costs of outpatient care in the past month, 45.8% for inpatient care and 3.6% for preventive care in the past 12 months. While the average period to pay off the loan was 8 months, 78% of households were still indebted from loans taken over 12 months before the survey. Distress financing is strongly associated with household poverty - the poorer the household the more likely it is to borrow, fall into debt and unable to pay off the debt - even for members of the health equity funds, a national scheme designed to improve financial access to health services for the poor. Other determinants of distress financing were household size, use of inpatient care and outpatient consultations with private providers or with both private and public providers. In order to ensure effective financial risk protection, Cambodia should establish a more comprehensive and effective social health protection scheme that provides maximum population coverage and prioritizes services for populations at risk of distress financing, especially poorer and larger households

On the Fast Direct Solution of a Preconditioned Electromagnetic Integral Equation

This work presents a fast direct solver strategy for electromagnetic integral equations in the high-frequency regime. The new scheme relies on a suitably preconditioned combined field formulation and results in a single skeleton form plus identity equation. This is obtained after a regularization of the elliptic spectrum through the extraction of a suitably chosen equivalent circulant problem. The inverse of the system matrix is then obtained by leveraging the Woodbury matrix identity, the low-rank representation of the extracted part of the operator, and fast circulant algebra yielding a scheme with a favorable complexity and suitable for the solution of multiple right-hand sides. Theoretical considerations are accompanied by numerical results both of which are confirming and showing the practical relevance of the newly developed scheme