Pattern of skin disease in Ethiopian HIV‐infected patients on combination antiretroviral therapy: A cross‐sectional study in a dermatology referral hospital

Abstract Background More than 90% of human immunodeficiency virus (HIV)‐infected patients will develop at least one type of skin disorder during the course of the disease. The prevalence and severity of skin disease commonly seen in HIV‐infected patients has decreased in the era of combination antiretroviral therapy (cART). Few studies in Ethiopia have shown the magnitude of skin problems among adult patients on cART. The aim of this study is to describe the pattern of skin disease among adult patients who are on cART. Methods Cross‐sectional observational study at ALERT Hospital from April 2018 to November 2018. Patterns of clinically diagnosed skin diseases were summarized descriptively. Result A total of 572 patients were evaluated. In total, 412 (72%) were female and the mean age of study participants was 40 (SD = 10.4). The median CD4 count at the time of diagnosis and start of cART were 178 (R 5‐2000) and 168 cells/μl (R 5‐1327), respectively. The mean duration of cART was 8 (SD = 3) years. 89.3% of patients were on first line and 7% on second line of cART regimen. Noninfectious inflammatory skin disorders (40.9%) were the most common concomitant diagnosis followed by infectious diseases (34.9%), infestation (7.7%), pigmentary disorders (6.3%) and cutaneous drug eruption (0.7%), respectively. Among the inflammatory skin disorders, 56.5% presented with eczema. One patient had Kaposi sarcoma. Conclusion Noninfectious inflammatory skin disorders are the most common concomitant skin disease in HIV‐infected patients, with eczema being most prevalent. Infectious skin diseases were also common presentations. In our study, AIDS‐defining skin conditions were rare

Developing a Holistic Fire Risk Assessment Framework for Building Construction Sites in Hong Kong

Amongst all types of construction accidents, industrial practitioners tend to pay less attention to the prevention of fires at construction sites.  Although fires may not occur frequently on construction sites, statistics show that when they do, the consequences are very serious; involving fatalities, injuries, serious project delays and financial loss.  There are many reasons why fires occur on sites, but a simple lack of awareness of the risks of fire is a major contributor.  Fire risk assessment is not commonly performed on sites.  Hence, it is believed that an appropriate assessment method for evaluating potential fire risk is required in order to improve the awareness of fire risk on construction sites.  This paper reports on the key findings of a research project which aims to develop a comprehensive, objective, reliable, and practical fire risk assessment framework for building construction sites based in Hong Kong.  A comprehensive list of those factors (or conditions) which may constitute a fire risk was compiled using desktop research and structured face-to-face interviews with experienced site personnel.  This list of factors was then used to develop a questionnaire survey form and the Reliability Interval Method (RIM) was used to analyse the survey results and determine the relative importance and rankings of the various fire risk factors at a broad level and risk sub-factors at a detailed level.  It was found that the fire risk factor of “Fire Services Equipment and Installations” has the greatest impact on construction site fire safety, with “Means of Escape in Case of Fire” being the second, and “Attitude of Main Contractor towards Fire Safety” being the third.  In fact, it is the main contractor who plays the pivotal role in maintaining construction site fire safety, which is in line with the high ranking given to the fire risk factor of “Attitude of Main Contractor towards Fire Safety”.  The proposed fire risk assessment framework can be used to develop a useful checklist for assessing the overall level of fire risk for a construction site, and to identify any areas needing improvement.  Although the fire risk assessment framework was developed locally in Hong Kong, the research methodology could be replicated in other countries to produce similar frameworks for international comparison.  Such an extension would aid the understanding of the management of fire risk on construction sites and help discover differences between countries

Spinodal Decomposition and the Tomita Sum Rule

The scaling properties of a phase-ordering system with a conserved order parameter are studied. The theory developed leads to scaling functions satisfying certain general properties including the Tomita sum rule. The theory also gives good agreement with numerical results for the order parameter scaling function in three dimensions. The values of the associated nonequilibrium decay exponents are given by the known lower bounds.Comment: 15 pages, 6 figure

Temporal Effects of Agent Aggregation in the Dynamics of Multiagent Systems

We propose a model of multiagent systems whose agents have a tendency to balance their decisions in time. We find phase transitions to oscillatory behavior, explainable by the aggregation of agents into two groups. On a longer time scale, we find that the aggregation of smart agents is able to explain the lifetime distribution of epochs to 8 decades of probability.Comment: 7 pages, 5 figure

Bilayer Membrane in Confined Geometry: Interlayer Slide and Steric Repulsion

We derived free energy functional of a bilayer lipid membrane from the first principles of elasticity theory. The model explicitly includes position-dependent mutual slide of monolayers and bending deformation. Our free energy functional of liquid-crystalline membrane allows for incompressibility of the membrane and vanishing of the in-plane shear modulus and obeys reflectional and rotational symmetries of the flat bilayer. Interlayer slide at the mid-plane of the membrane results in local difference of surface densities of the monolayers. The slide amplitude directly enters free energy via the strain tensor. For small bending deformations the ratio between bending modulus and area compression coefficient, Kb/KA, is proportional to the square of monolayer thickness, h. Using the functional we performed self-consistent calculation of steric potential acting on bilayer between parallel confining walls separated by distance 2d. We found that temperature-dependent curvature at the minimum of confining potential is enhanced four times for a bilayer with slide as compared with a unit bilayer. We also calculate viscous modes of bilayer membrane between confining walls. Pure bending of the membrane is investigated, which is decoupled from area dilation at small amplitudes. Three sources of viscous dissipation are considered: water and membrane viscosities and interlayer drag. Dispersion has two branches. Confinement between the walls modifies the bending mode with respect to membrane in bulk solution. Simultaneously, inter-layer slipping mode, damped by viscous drag, remains unchanged by confinement.Comment: 23 pages,3 figures, pd

A monte-carlo floating-point unit for self-validating arithmetic

Monte-Carlo arithmetic is a form of self-validating arith-metic that accounts for the effect of rounding errors. We have implemented a floating point unit that can perform ei-ther IEEE 754 or Monte-Carlo floating point computation, allowing hardware accelerated validation of results during execution. Experiments show that our approach has a mod-est hardware overhead and allows the propagation of round-ing error to be accurately estimated

Children's Time With Fathers in Intact Families

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73550/1/j.1741-3737.2001.00136.x.pd

Overall time evolution in phase-ordering kinetics

The phenomenology from the time of the quench to the asymptotic behavior in the phase-ordering kinetics of a system with conserved order parameter is investigated in the Bray-Humayun model and in the Cahn-Hilliard-Cook model. From the comparison of the structure factor in the two models the generic pattern of the overall time evolution, based on the sequence ``early linear - intermediate mean field - late asymptotic regime'' is extracted. It is found that the time duration of each of these regimes is strongly dependent on the wave vector and on the parameters of the quench, such as the amplitude of the initial fluctuations and the final equilibrium temperature. The rich and complex crossover phenomenology arising as these parameters are varied can be accounted for in a simple way through the structure of the solution of the Bray-Humayun model.Comment: RevTeX, 14 pages, 18 figures, to appear in Phys. Rev.

Condensation vs. phase-ordering in the dynamics of first order transitions

The origin of the non commutativity of the limits $t \to \infty$ and $N \to \infty$ in the dynamics of first order transitions is investigated. In the large-N model, i.e. $N \to \infty$ taken first, the low temperature phase is characterized by condensation of the large wave length fluctuations rather than by genuine phase-ordering as when $t \to \infty$ is taken first. A detailed study of the scaling properties of the structure factor in the large-N model is carried out for quenches above, at and below T_c. Preasymptotic scaling is found and crossover phenomena are related to the existence of components in the order parameter with different scaling properties. Implications for phase-ordering in realistic systems are discussed.Comment: 15 pages, 13 figures. To be published in Phys. Rev.