HIV risk: is it possible to dissuade people from having unsafe sex?

The cumulative number of human immunodeficiency virus (HIV) infections worldwide has reached 60 million in little over 30 years. HIV continues to spread despite a detailed understanding of the manner in which it spreads and measures which can prevent spread. Some governments have been highly successful in containing the spread of HIV through blood products and from mother to child and among injecting drug users. Lack of political will, lack of resources or challenges to widely accepted scientific evidence have held back similar interventions in other countries. It has proved much more difficult to reduce the sexual transmission of HIV in both high and low income countries. A wide range of strategies has been identified but it remains unclear which strategies deserve priority and what methods of promoting them have the greatest effect.There is ample evidence that awareness of HIV and changes in sexual behaviour have occurred widely but the penetration of information remains poor in some vulnerable groups especially adolescents and women in poorer countries. Further obstacles face those who have information about the risk.The subordinate position of women and a desire for large families are important obstacles to condom negotiation and use. Urbanization, poverty, conflict and declining public services all exacerbate unsafe sexual behaviour.We argue that so-called ‘structural’ interventions directed at these wider contexts of unsafe behaviour merit greater attention. Such approaches have the added benefit of being less susceptible to ‘risk compensation’ which has the potential to undermine strategies directed at reducing the transmission efficiency of HIV

Baffling of fluid sloshing in cylindrical tanks Final report

Annular baffle for damping liquid oscillations in partially filled cylindrical tan

Scaling and data collapse for the mean exit time of asset prices

We study theoretical and empirical aspects of the mean exit time of financial time series. The theoretical modeling is done within the framework of continuous time random walk. We empirically verify that the mean exit time follows a quadratic scaling law and it has associated a pre-factor which is specific to the analyzed stock. We perform a series of statistical tests to determine which kind of correlation are responsible for this specificity. The main contribution is associated with the autocorrelation property of stock returns. We introduce and solve analytically both a two-state and a three-state Markov chain models. The analytical results obtained with the two-state Markov chain model allows us to obtain a data collapse of the 20 measured MET profiles in a single master curve.Comment: REVTeX 4, 11 pages, 8 figures, 1 table, submitted for publicatio

A nonlinear analysis for sloshing forces and moments on a cylindrical tank

Sloshing forces and moments on cylindrical tank - integration of nonlinear force equation

An approximate nonlinear analysis of the stability of sloshing modes under transla- tional and rotational excitation

Nonlinear analysis of sloshing mode stability under translational and rotational excitatio

Identification of Coulomb blockade and macroscopic quantum tunneling by noise

The effects of Macroscopic Quantum Tunneling (MQT) and Coulomb Blockade (CB) in Josephson junctions are of considerable significance both for the manifestations of quantum mechanics on the macroscopic scale and potential technological applications. These two complementary effects are shown to be clearly distinguishable from the associated noise spectra. The current noise is determined exactly and a rather sharp crossover between flux noise in the MQT and charge noise in the CB regions is found as the applied voltage is changed. Related results hold for the voltage noise in current-biased junctions.Comment: 6 pages, 3 figures, epl.cls include

System characterization of positive real conditions

Necessary and sufficient conditions for positive realness in terms of state space matrices are presented under the assumption of complete controllability and complete observability of square systems with independent inputs. As an alternative to the positive real lemma and to the s-domain inequalities, these conditions provide a recursive algorithm for testing positive realness which result in a set of simple algebraic conditions. By relating the positive real property to the associated variational problem, a unified derivation of necessary and sufficient conditions for optimality of both singular and nonsingular problems is derived

The role of stereotactic radiosurgery in the multimodal management of growth hormone–secreting pituitary adenomas

Growth hormone (GH)–secreting pituitary adenomas represent a common source of GH excess in patients with acromegaly. Whereas surgical extirpation of the culprit lesion is considered first-line treatment, as many as 19% of patients develop recurrent symptoms due to regrowth of previously resected adenomatous tissue or to continued growth of the surgically inaccessible tumor. Although medical therapies that suppress GH production can be effective in the management of primary and recurrent acromegaly, these therapies are not curative, and lifelong treatment is required for hormonal control. Stereotactic radiosurgery has emerged as an effective adjunctive treatment modality, and is an appealing alternative to conventional fractionated radiation therapy. The authors reviewed the growing body of literature concerning the role of radiosurgical procedures in the treatment armamentarium of acromegaly, and identified more than 1350 patients across 45 case series. In this review, the authors report that radiosurgery offers true hormonal normalization in 17% to 82% of patients and tumor growth control in 37% to 100% of cases across all series, while minimizing adverse complications. As a result, stereotactic radiosurgery represents a safe and effective treatment option in the multimodal management of primary or recurrent acromegaly secondary to GH-secreting pituitary adenomas

Phase space dynamics of overdamped quantum systems

The phase space dynamics of dissipative quantum systems in strongly condensed phase is considered. Based on the exact path integral approach it is shown that the Wigner transform of the reduced density matrix obeys a time evolution equation of Fokker-Planck type valid from high down to very low temperatures. The effect of quantum fluctuations is discussed and the accuracy of these findings is tested against exact data for a harmonic system.Comment: 7 pages, 2 figures, to appear in Euro. Phys. Let