Offering the Choice of Self-Administered Oral HIV Testing (CHIVST) among Long-distance Truck Drivers in Kenya: A Trial-based Cost-effectiveness Analysis

Background: Long distance truck drivers (LDTD) are a high-HIV-risk population facing unique healthcare barriers due to continuous travel and irregular schedules, and may require targeted, resource-intensive strategies for HIV-test uptake. We conducted a trial-based cost-effectiveness of CHIVST among LDTD in Kenya. Methods: Effectiveness data came from a randomized-controlled trial of CHIVST (n=150) versus provider-administered testing (n=155). Economic cost data came from the literature and reflected a societal perspective. Generalized Poisson and linear-gamma regression models estimated the effectiveness (relative-risk) and incremental costs (2017 I$), respectively, with incremental effectiveness calculated as the reciprocal of the absolute risk difference and reported as the number needing to receive CHIVST for an additional HIV-test uptake. We reported incremental cost-effectiveness ratios (ICERs), with 95$9,774). Results: HIV-test uptake was 23% more likely for CHIVST versus provider-administered HIVtesting, with six individuals needing to be offered CHIVST for an additional HIV-test uptake (6.25, 95%CI 5.00-8.33). The mean cost per patient was more than double for CHIVST (I$26.56 vs I$10.47). The incremental cost-effectiveness of CHIVST was I$97.21 [95$140. Conclusion: CHIVST is an efficient use of resources compared to provider-administered testing.https://scholarscompass.vcu.edu/gradposters/1114/thumbnail.jp

Phase change indicators for subambient temperatures

Evaluation of organic compounds for temperature indicators for subambient temperature

Improving the Functional Control of Aged Ferroelectrics using Insights from Atomistic Modelling

We provide a fundamental insight into the microscopic mechanisms of the ageing processes. Using large scale molecular dynamics simulations of the prototypical ferroelectric material PbTiO3, we demonstrate that the experimentally observed ageing phenomena can be reproduced from intrinsic interactions of defect-dipoles related to dopant-vacancy associates, even in the absence of extrinsic effects. We show that variation of the dopant concentration modifies the material's hysteretic response. We identify a universal method to reduce loss and tune the electromechanical properties of inexpensive ceramics for efficient technologies.Comment: 6 pages, 3 figure

Josephson Coupling through a Quantum Dot

We derive, via fourth order perturbation theory, an expression for the Josephson current through a gated interacting quantum dot. We analyze our expression for two different models of the superconductor-dot-superconductor (SDS) system. When the matrix elements connecting dot and leads are featureless constants, we compute the Josephson coupling J_c as a function of the gate voltage and Coulomb interaction. In the diffusive dot limit, we compute the probability distribution P(J_c) of Josephson couplings. In both cases, pi junction behavior (J_c < 0) is possible, and is not simply dependent on the parity of the dot occupancy.Comment: 9 pages; 3 encapsulated PostScript figure

Core Formation in Dwarf Halos with Self Interacting Dark Matter: No Fine-Tuning Necessary

We investigate the effect of self-interacting dark matter (SIDM) on the density profiles of $V_{\rm max} \simeq 40~km~s^{-1}$ isolated dwarf dark matter halos -- the scale of relevance for the too big to fail problem (TBTF) -- using very high-resolution cosmological zoom simulations. Each halo has millions of particles within its virial radius. We find that SIDM models with cross sections per unit mass spanning the range \sigma/m = $0.5 - 50$ $cm^2~g^{-1}$ alleviate TBTF and produce constant density cores of size 300-1000 pc, comparable to the half-light radii of $M_\star$ ~ $10^{5-7}$ $M_\odot$ dwarfs. The largest, lowest density cores develop for cross sections in the middle of this range, \sigma/m ~ $5-10~cm^2~g^{-1}$. Our largest SIDM cross section run (\sigma/m = $50~cm^2~g^{-1}$) develops a slightly denser core owing to mild core-collapse behavior, but it remains less dense than the CDM case and retains a constant density core profile. Our work suggests that SIDM cross sections as large or larger than $50~cm^2~g^{-1}$ remain viable on velocity scales of dwarf galaxies ($v_{\rm rms}$ ~ $40~km~s^{-1}$). The range of SIDM cross sections that alleviate TBTF and the cusp/core problem spans at least two orders of magnitude and therefore need not be particularly fine-tuned.Comment: 9 pages, 7 figure

Sweating the small stuff: simulating dwarf galaxies, ultra-faint dwarf galaxies, and their own tiny satellites

We present FIRE/Gizmo hydrodynamic zoom-in simulations of isolated dark matter halos, two each at the mass of classical dwarf galaxies ($M_{\rm vir} \simeq 10^{10} M_{\odot}$) and ultra-faint galaxies ($M_{\rm vir} \simeq 10^9 M_{\odot}$), and with two feedback implementations. The resultant central galaxies lie on an extrapolated abundance matching relation from $M_{\star} \simeq 10^6$ to $10^4 M_{\odot}$ without a break. Every host is filled with subhalos, many of which form stars. Our dwarfs with $M_{\star} \simeq 10^6 M_{\odot}$ each have 1-2 well-resolved satellites with $M_{\star} = 3-200 \times 10^3 M_{\odot}$. Even our isolated ultra-faint galaxies have star-forming subhalos. If this is representative, dwarf galaxies throughout the universe should commonly host tiny satellite galaxies of their own. We combine our results with the ELVIS simulations to show that targeting $\sim 50~ \rm kpc$ regions around nearby isolated dwarfs could increase the chances of discovering ultra-faint galaxies by $\sim 35\%$ compared to random halo pointings, and specifically identify the region around the Phoenix dwarf galaxy as a good potential target. The well-resolved ultra-faint galaxies in our simulations ($M_{\star} \simeq 3 - 30 \times 10^3 M_{\odot}$) form within $M_{\rm peak} \simeq 0.5 - 3 \times 10^9 M_{\odot}$ halos. Each has a uniformly ancient stellar population ($> 10~ \rm Gyr$) owing to reionization-related quenching. More massive systems, in contrast, all have late-time star formation. Our results suggest that $M_{\rm halo} \simeq 5 \times 10^9 M_{\odot}$ is a probable dividing line between halos hosting reionization "fossils" and those hosting dwarfs that can continue to form stars in isolation after reionization.Comment: 12 pages, 6 figures, 1 table, submitted to MNRA

Issues in modern bone histomorphometry

This review reports on proceedings of a bone histomorphometry session conducted at the Fortieth International IBMS Sun Valley Skeletal Tissue Biology Workshop held on August 1, 2010. The session was prompted by recent technical problems encountered in conducting histomorphometry on bone biopsies from humans and animals treated with anti-remodeling agents such as bisphosphonates and RANKL antibodies. These agents reduce remodeling substantially, and thus cause problems in calculating bone remodeling dynamics using in vivo fluorochrome labeling. The tissue specimens often contain few or no fluorochrome labels, and thus create statistical and other problems in analyzing variables such as mineral apposition rates, mineralizing surface and bone formation rates. The conference attendees discussed these problems and their resolutions, and the proceedings reported here summarize their discussions and recommendations

Random tree growth by vertex splitting

We study a model of growing planar tree graphs where in each time step we separate the tree into two components by splitting a vertex and then connect the two pieces by inserting a new link between the daughter vertices. This model generalises the preferential attachment model and Ford's $\alpha$-model for phylogenetic trees. We develop a mean field theory for the vertex degree distribution, prove that the mean field theory is exact in some special cases and check that it agrees with numerical simulations in general. We calculate various correlation functions and show that the intrinsic Hausdorff dimension can vary from one to infinity, depending on the parameters of the model.Comment: 47 page

A law of large numbers approximation for Markov population processes with countably many types

When modelling metapopulation dynamics, the influence of a single patch on the metapopulation depends on the number of individuals in the patch. Since the population size has no natural upper limit, this leads to systems in which there are countably infinitely many possible types of individual. Analogous considerations apply in the transmission of parasitic diseases. In this paper, we prove a law of large numbers for rather general systems of this kind, together with a rather sharp bound on the rate of convergence in an appropriately chosen weighted $\ell_1$ norm.Comment: revised version in response to referee comments, 34 page