156 research outputs found
The Strong Protective Effect of Circumcision against Cancer of the Penis
Male circumcision protects against cancer of the penis, the invasive form of which is a devastating disease confined almost exclusively to uncircumcised men. Major etiological factors are phimosis, balanitis, and high-risk types of human papillomavirus (HPV), which are more prevalent in the glans penis and coronal sulcus covered by the foreskin, as well as on the penile shaft, of uncircumcised men. Circumcised men clear HPV infections more quickly. Phimosis (a constricted foreskin opening impeding the passage of urine) is confined to uncircumcised men, in whom balanitis (affecting 10%) is more common than in circumcised men. Each is strongly associated with risk of penile cancer. These findings have led to calls for promotion of male circumcision, especially in infancy, to help reduce the global burden of penile cancer. Even more relevant globally is protection from cervical cancer, which is 10-times more common, being much higher in women with uncircumcised male partners. Male circumcision also provides indirect protection against various other infections in women, along with direct protection for men from a number of genital tract infections, including HIV. Given that adverse consequences of medical male circumcision, especially when performed in infancy, are rare, this simple prophylactic procedure should be promoted
Vortex states in 2D superconductor at high magnetic field in a periodic pinning potential
The effect of a periodic pinning array on the vortex state in a 2D
superconductor at low temperatures is studied within the framework of the
Ginzburg-Landau approach. It is shown that attractive interaction of vortex
cores to a commensurate pin lattice stabilizes vortex solid phases with long
range positional order against violent shear fluctuations. Exploiting a simple
analytical method, based on the Landau orbitals description, we derive a rather
detailed picture of the low temperatures vortex state phase diagram. It is
predicted that for sufficiently clean samples application of an artificial
periodic pinning array would enable one to directly detect the intrinsic shear
stiffness anisotropy characterizing the ideal vortex lattice.Comment: 8 pages, 5 figure
Uganda's HIV Prevention Success: The Role of Sexual Behavior Change and the National Response
There has been considerable interest in understanding what may have led to Uganda's dramatic decline in HIV prevalence, one of the world's earliest and most compelling AIDS prevention successes. Survey and other data suggest that a decline in multi-partner sexual behavior is the behavioral change most likely associated with HIV decline. It appears that behavior change programs, particularly involving extensive promotion of âzero grazingâ (faithfulness and partner reduction), largely developed by the Ugandan government and local NGOs including faith-based, womenâs, people-living-with-AIDS and other community-based groups, contributed to the early declines in casual/multiple sexual partnerships and HIV incidence and, along with other factors including condom use, to the subsequent sharp decline in HIV prevalence. Yet the debate over âwhat happened in Ugandaâ continues, often involving divisive abstinence-versus-condoms rhetoric, which appears more related to the culture wars in the USA than to African social reality
A Surprising Prevention Success: Why Did the HIV Epidemic Decline in Zimbabwe?
Daniel Halperin and colleagues examine reasons for the remarkable decline in HIV in Zimbabwe, in the context of severe social, political, and economic disruption
Collective Particle Flow through Random Media
A simple model for the nonlinear collective transport of interacting
particles in a random medium with strong disorder is introduced and analyzed. A
finite threshold for the driving force divides the behavior into two regimes
characterized by the presence or absence of a steady-state particle current.
Below this threshold, transient motion is found in response to an increase in
the force, while above threshold the flow approaches a steady state with motion
only on a network of channels which is sparse near threshold. Some of the
critical behavior near threshold is analyzed via mean field theory, and
analytic results on the statistics of the moving phase are derived. Many of the
results should apply, at least qualitatively, to the motion of magnetic bubble
arrays and to the driven motion of vortices in thin film superconductors when
the randomness is strong enough to destroy the tendencies to lattice order even
on short length scales. Various history dependent phenomena are also discussed.Comment: 63 preprint pages plus 6 figures. Submitted to Phys Rev
Male circumcision, religion, and infectious diseases: an ecologic analysis of 118 developing countries
BACKGROUND: Both religious practices and male circumcision (MC) have been associated with HIV and other sexually-transmitted infectious diseases. Most studies have been limited in size and have not adequately controlled for religion, so these relationships remain unclear. METHODS: We evaluated relationships between MC prevalence, Muslim and Christian religion, and 7 infectious diseases using country-specific data among 118 developing countries. We used multivariate linear regression to describe associations between MC and cervical cancer incidence, and between MC and HIV prevalence among countries with primarily sexual HIV transmission. RESULTS: Fifty-three, 14, and 51 developing countries had a high (>80%), intermediate (20â80%), and low (<20%) MC prevalence, respectively. In univariate analyses, MC was associated with lower HIV prevalence and lower cervical cancer incidence, but not with HSV-2, syphilis, nor, as expected, with Hepatitis C, tuberculosis, or malaria. In multivariate analysis after stratifying the countries by religious groups, each categorical increase of MC prevalence was associated with a 3.65/100,000 women (95% CI 0.54-6.76, p = 0.02) decrease in annual cervical cancer incidence, and a 1.84-fold (95% CI 1.36-2.48, p < 0.001) decrease in the adult HIV prevalence among sub-Saharan African countries. In separate multivariate analyses among non-sub-Saharan African countries controlling for religion, higher MC prevalence was associated with a 8.94-fold (95% CI 4.30-18.60) decrease in the adult HIV prevalence among countries with primarily heterosexual HIV transmission, but not, as expected, among countries with primarily homosexual or injection drug use HIV transmission (p = 0.35). CONCLUSION: Male circumcision was significantly associated with lower cervical cancer incidence and lower HIV prevalence in sub-Saharan Africa, independent of Muslim and Christian religion. As predicted, male circumcision was also strongly associated with lower HIV prevalence among countries with primarily heterosexual HIV transmission, but not among countries with primarily homosexual or injection drug use HIV transmission. These findings strengthen the reported biological link between MC and some sexually transmitted infectious diseases, including HIV and cervical cancer
Electron spin dynamics in quantum dots and related nanostructures due to hyperfine interaction with nuclei
We review and summarize recent theoretical and experimental work on electron
spin dynamics in quantum dots and related nanostructures due to hyperfine
interaction with surrounding nuclear spins. This topic is of particular
interest with respect to several proposals for quantum information processing
in solid state systems. Specifically, we investigate the hyperfine interaction
of an electron spin confined in a quantum dot in an s-type conduction band with
the nuclear spins in the dot. This interaction is proportional to the square
modulus of the electron wave function at the location of each nucleus leading
to an inhomogeneous coupling, i.e. nuclei in different locations are coupled
with different strength. In the case of an initially fully polarized nuclear
spin system an exact analytical solution for the spin dynamics can be found.
For not completely polarized nuclei, approximation-free results can only be
obtained numerically in sufficiently small systems. We compare these exact
results with findings from several approximation strategies.Comment: 26 pages, 9 figures. Topical Review to appear in J. Phys.: Condens.
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Meta-analysis of genome-wide association studies from the CHARGE consortium identifies common variants associated with carotid intima media thickness and plaque
Carotid intima media thickness (cIMT) and plaque determined by ultrasonography are established measures of subclinical atherosclerosis that each predicts future cardiovascular disease events. We conducted a meta-analysis of genome-wide association data in 31,211 participants of European ancestry from nine large studies in the setting of the Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) Consortium. We then sought additional evidence to support our findings among 11,273 individuals using data from seven additional studies. In the combined meta-analysis, we identified three genomic regions associated with common carotid intima media thickness and two different regions associated with the presence of carotid plaque (P < 5 Ă 10 -8). The associated SNPs mapped in or near genes related to cellular signaling, lipid metabolism and blood pressure homeostasis, and two of the regions were associated with coronary artery disease (P < 0.006) in the Coronary Artery Disease Genome-Wide Replication and Meta-Analysis (CARDIoGRAM) consortium. Our findings may provide new insight into pathways leading to subclinical atherosclerosis and subsequent cardiovascular events
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