Life-Expectancy Disparities Among Adults With HIV in the United States and Canada: The Impact of a Reduction in Drug- and Alcohol-Related Deaths Using the Lives Saved Simulation Model.

Improvements in life expectancy among people living with human immunodeficiency virus (PLWH) receiving antiretroviral treatment in the United States and Canada might differ among key populations. Given the difference in substance use among key populations and the current opioid epidemic, drug- and alcohol-related deaths might be contributing to the disparities in life expectancy. We sought to estimate life expectancy at age 20 years in key populations (and their comparison groups) in 3 time periods (2004-2007, 2008-2011, and 2012-2015) and the potential increase in expected life expectancy with a simulated 20% reduction in drug- and alcohol-related deaths using the novel Lives Saved Simulation model. Among 92,289 PLWH, life expectancy increased in all key populations and comparison groups from 2004-2007 to 2012-2015. Disparities in survival of approximately a decade persisted among black versus white men who have sex with men and people with (vs. without) a history of injection drug use. A 20% reduction in drug- and alcohol-related mortality would have the greatest life-expectancy benefit for black men who have sex with men, white women, and people with a history of injection drug use. Our findings suggest that preventing drug- and alcohol-related deaths among PLWH could narrow disparities in life expectancy among some key populations, but other causes of death must be addressed to further narrow the disparities

138Ba(d,α)^{138}{\rm Ba}(d,\alpha) study of states in 136Cs^{136}{\rm Cs}: Implications for new physics searches with xenon detectors

We used the $^{138}$Ba$(d,\alpha)$ reaction to carry out an in-depth study of states in $^{136}$Cs, up to around 2.5~MeV. In this work, we place emphasis on hitherto unobserved states below the first $1^+$ level, which are important in the context of solar neutrino and fermionic dark matter (FDM) detection in large-scale xenon experiments. We identify for the first time candidate metastable states in $^{136}$Cs, which would allow a real-time detection of solar neutrino and FDM events in xenon detectors, with high background suppression. Our results are also compared with shell-model calculations performed with three Hamiltonians that were previously used to evaluate the nuclear matrix element (NME) for $^{136}$Xe neutrinoless double beta decay. We find that one of these Hamiltonians, which also systematically underestimates the NME compared to the others, dramatically fails to describe the observed low-energy $^{136}$Cs spectrum, while the other two show reasonably good agreement

Characterization of the proposed 4-α cluster state candidate in O 16

The O16(α,α′) reaction was studied at θlab=0 at an incident energy of Elab=200 MeV using the K600 magnetic spectrometer at iThemba LABS. Proton decay and α decay from the natural parity states were observed in a large-acceptance silicon strip detector array at backward angles. The coincident charged-particle measurements were used to characterize the decay channels of the 06+ state in O16 located at Ex=15.097(5) MeV. This state is identified by several theoretical cluster calculations to be a good candidate for the 4-α cluster state. The results of this work suggest the presence of a previously unidentified resonance at Ex≈15 MeV that does not exhibit a 0+ character. This unresolved resonance may have contaminated previous observations of the 06+ state

Observation of the 0+ 2 and γ bands in 98Ru, and shape coexistence in the Ru isotopes

Excited states in 98Ru were investigated using γ-ray spectroscopy following the β-decay of 98Rh, and via the 100Ru(p,t) reaction. Combining the results from the two experiments, two states were revised to have spin-parity of 4+ and subsequently assigned to the 02+ and “γ” bands, respectively. The observed structures in 98Ru are suggested to be deformed and rotational, rather than spherical and vibrational, and fit well into the systematics of these excitations in the Ru isotopes. The 02+ excitation is suggested as a shape coexisting configuration. This observation eliminates some of the last remaining candidates for nearly harmonic vibrational nuclei in the Z≈50 region. Beyond-mean-field calculations are presented that support shape coexistence throughout the Ru isotopes with N=52–62, and suggest a smooth evolution of the shape