948 research outputs found
Gauge invariant reduction to the light-front
The problem of constructing gauge invariant currents in terms of light-cone
bound-state wave functions is solved by utilising the gauging of equations
method. In particular, it is shown how to construct perturbative expansions of
the electromagnetic current in the light-cone formalism, such that current
conservation is satisfied at each order of the perturbation theory.Comment: 12 pages, revtex
Preferences for HIV testing services among men who have sex with men in the UK: A discrete choice experiment.
BACKGROUND: In the UK, approximately 4,200 men who have sex with men (MSM) are living with HIV but remain undiagnosed. Maximising the number of high-risk people testing for HIV is key to ensuring prompt treatment and preventing onward infection. This study assessed how different HIV test characteristics affect the choice of testing option, including remote testing (HIV self-testing or HIV self-sampling), in the UK, a country with universal access to healthcare. METHODS AND FINDINGS: Between 3 April and 11 May 2017, a cross-sectional online-questionnaire-based discrete choice experiment (DCE) was conducted in which respondents who expressed an interest in online material used by MSM were asked to imagine that they were at risk of HIV infection and to choose between different hypothetical HIV testing options, including the option not to test. A variety of different testing options with different defining characteristics were described so that the independent preference for each characteristic could be valued. The characteristics included where each test is taken, the sampling method, how the test is obtained, whether infections other than HIV are tested for, test accuracy, the cost of the test, the infection window period, and how long it takes to receive the test result. Participants were recruited and completed the instrument online, in order to include those not currently engaged with healthcare services. The main analysis was conducted using a latent class model (LCM), with results displayed as odds ratios (ORs) and probabilities. The ORs indicate the strength of preference for one characteristic relative to another (base) characteristic. In total, 620 respondents answered the DCE questions. Most respondents reported that they were white (93%) and were either gay or bisexual (99%). The LCM showed that there were 2 classes within the respondent sample that appeared to have different preferences for the testing options. The first group, which was likely to contain 86% of respondents, had a strong preference for face-to-face tests by healthcare professionals (HCPs) compared to remote testing (OR 6.4; 95% CI 5.6, 7.4) and viewed not testing as less preferable than remote testing (OR 0.10; 95% CI 0.09, 0.11). In the second group, which was likely to include 14% of participants, not testing was viewed as less desirable than remote testing (OR 0.56; 95% CI 0.53, 0.59) as were tests by HCPs compared to remote testing (OR 0.23; 95% CI 0.15, 0.36). In both classes, free remote tests instead of each test costing £30 was the test characteristic with the largest impact on the choice of testing option. Participants in the second group were more likely to have never previously tested and to be non-white than participants in the first group. The main study limitations were that the sample was recruited solely via social media, the study advert was viewed only by people expressing an interest in online material used by MSM, and the choices in the experiment were hypothetical rather than observed in the real world. CONCLUSIONS: Our results suggest that preferences in the context we examined are broadly dichotomous. One group, containing the majority of MSM, appears comfortable testing for HIV but prefers face-to-face testing by HCPs rather than remote testing. The other group is much smaller, but contains MSM who are more likely to be at high infection risk. For these people, the availability of remote testing has the potential to significantly increase net testing rates, particularly if provided for free
Methods and protocols for incremental exercise testing in tetraplegia, using arm-crank ergometry assisted by Functional Electrical Stimulation
Cervical spinal cord injury (SCI) leads to tetraplegia, with paralysis and loss of sensation in the upper and lower limbs. The associated sedentary lifestyle results in an increased risk of cardiovascular disease. To address this, we require the design of exercise modalities aimed
specifically at tetraplegia and methods to assess their efficacy.
This paper describes methods for arm-crank ergometry (ACE) assisted by Functional Electrical Stimulation (FES) applied to the biceps and triceps. The instrumented ergometer
enables work-rate control during exercise, implemented here for incremental exercise testing during FES-ACE. Detailed protocols for the tests are given.
Experimental data collected during exercise tests with tetraplegic volunteers are provided to illustrate the feasibility of the proposed approach to testing and data analysis. Incremental tests enabled calculation of peak power output and peak oxygen uptake.
We propose that the high-precision exercise testing protocols described here are appropriate to assess the efficacy of the novel exercise modality, FES-ACE, in tetraplegia
Generalized parton distributions for dynamical equation models
We show how generalized parton distributions (GPDs) can be determined in the
case where hadrons are described in terms of their partonic degrees of freedom
through solutions of dynamical equations. We demonstrate our approach on the
example of two-quark bound states described by the Bethe-Salpeter equation, and
three-quark bound states described by three- and four-dimensional Faddeev-like
equations. Within the model of strong interactions defined by the dynamical
equations, all possible mechanisms contributing to the GPDs are taken into
account, and all GPD sum rules are satisfied automatically. The formulation is
general and can be applied to determine generalized quark distributions,
generalized gluon distributions, transition GPDs, nucleon distributions in
nuclei, etc. Our approach is based on the gauging of equations method.Comment: 23 pages, 9 figures, revtex4, feynm
Toy Model for Pion Production II: The role of three-particle singularities
The influence of three-particle breakup singularities on s-wave meson
production in nucleon-nucleon collisions is studied within the distorted wave
Born approximation. This study is based on a simple scalar model for the
two-nucleon interaction and the production mechanism. An algorithm for the
exact numerical treatment of the inherent three-body cuts, together with its
straightforward implementation is presented. It is also shown that two
often-used approximations to avoid the calculation of the three-body breakup
are not justified. The possible impact on pion production observables is
discussed.Comment: 14 pages, 6 figure
Is weak temperature dependence of electron dephasing possible?
The first-principle theory of electron dephasing by disorder-induced two
state fluctuators is developed. There exist two mechanisms of dephasing. First,
dephasing occurs due to direct transitions between the defect levels caused by
inelastic electron-defect scattering. The second mechanism is due to violation
of the time reversal symmetry caused by time-dependent fluctuations of the
scattering potential. These fluctuations originate from an interaction between
the dynamic defects and conduction electrons forming a thermal bath. The first
contribution to the dephasing rate saturates as temperature decreases. The
second contribution does not saturate, although its temperature dependence is
rather weak, . The quantitative estimates based on the
experimental data show that these mechanisms considered can explain the weak
temperature dependence of the dephasing rate in some temperature interval.
However, below some temperature dependent on the model of dynamic defects the
dephasing rate tends rapidly to zero. The relation to earlier studies of the
dephasing caused by the dynamical defects is discussed.Comment: 14 pages, 6 figures, submitted to PR
Intimate partner violence, depression, and sexual behaviour among gay, bisexual and other men who have sex with men in the PROUD trial.
BACKGROUND: Little is known about the prevalence and correlates of intimate partner violence (IPV) among gay, bisexual and other men who have sex with men (GBMSM) in the UK. The aim of this study was to investigate the prevalence of IPV, associations of socio-economic and psychosocial factors with IPV, and the association of IPV with depression and sexual behaviour, among GBMSM in the PROUD trial of pre-exposure prophylaxis (PrEP). METHODS: PROUD enrolled 544 HIV-negative participants in England from 2012 to 2014; participants were randomised to immediate or deferred PrEP. This analysis included 436 GBMSM who had IPV data at month-12 and/or 24. Prevalence of IPV victimization and perpetration (lifetime, and in the past year) was assessed at these time-points. Generalized estimating equations were used to investigate associations with IPV, using pooled data from both time-points. RESULTS: At month-12 (N = 410), 44.9% of men reported ever being a victim of IPV, 15.6% in the last year, and 19.5% reported ever perpetrating IPV, 7.8% in the last year. At month-24 (N = 333), the corresponding prevalence was 40.2 and 14.7% for lifetime and past year IPV victimization and 18.0 and 6.9% for lifetime and past year IPV perpetration. IPV prevalence did not differ by randomised arm. Men reporting internalized homophobia and sexualized drug use were more likely to report IPV. Lifetime and last year experience of IPV victimization and perpetration were strongly associated with depressive symptoms (PHQ-9 ≥ 10) (adjusted for socio-demographics: lifetime IPV victimization PR 2.57 [95% CI: 1.71, 3.86]; past year IPV victimization PR 2.93 [95% CI: 1.96, 4.40]; lifetime IPV perpetration PR 2.87 [95% CI: 1.91, 4.32]; past year IPV perpetration PR 3.47 [95% CI: 2.13, 5.64], p < 0.001 for all); IPV was not consistently associated with measures of condomless anal sex or high partner numbers. CONCLUSIONS: GBMSM at high-risk of HIV who are seeking/taking PrEP may experience a high burden of IPV, which may be linked to depression. Training on awareness of and enquiry for IPV among GBMSM in sexual health clinics is recommended. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT02065986 . Registered 19 February 2014 (retrospectively registered)
Threshold neutral pion photoproduction off the tri-nucleon to O(q^4)
We calculate electromagnetic neutral pion production off tri-nucleon bound
states (3H, 3He) at threshold in chiral nuclear effective field theory to
fourth order in the standard heavy baryon counting. We show that the fourth
order two-nucleon corrections to the S-wave multipoles at threshold are very
small. This implies that a precise measurement of the S-wave cross section for
neutral pion production off 3He allows for a stringent test of the chiral
perturbation theory prediction for the S-wave electric multipole E_{0+}^{pi0
n}.Comment: 17 pages, 5 figures, title changed, final version to appear in EPJA.
arXiv admin note: substantial text overlap with arXiv:1103.340
The molecular epidemiology of human immunodeficiency virus type 1 in six cities in Britain and Ireland
The authors sequenced the p17 coding regions of the gag gene from 211 patients infected either through injecting drug use (IDU) or by sexual intercourse between men from six cities in Scotland, N. England, N. Ireland, and the Republic of Ireland. All sequences were of subtype 5. Phylogenetic analysis revealed substantial heterogeneity in the sequences from homosexual men. In contrast, sequence from over 80% of IDUs formed a relatively tight cluster, distinct both from those of published isolates and of the gay men. There was no large-scale clustering of sequences by city in either risk group, although a number of close associations between pairs of individuals were observed. From the known date of the HIV-1 epidemic among IDUs in Edinburgh, the rate of sequence divergence at synonymous sites is estimated to be about 0.8%. On this basis it has been estimated that the date of divergence of the sequences among homosexual men to be about 1975, which may correspond to the origin of the B subtype epidemic
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