Will I? won't I? Why do men who have sex with men present for post-exposure prophylaxis for sexual exposures?

Background: Failures of post-exposure prophylaxis following sexual exposure (PEPSE) to prevent seroconversion have been reported and are often associated with ongoing risk exposure. Understanding why men who have sex with men (MSM) access PEPSE on some occasions and not others may lead to more effective health promotion and disease prevention strategies Methods: A qualitative study design using semi-structured interviews of 15 MSM within 6 months of them initiating PEPSE treatment at an HIV outpatient service in Brighton, UK. Results: PEPSE seeking was motivated by a number of factors: an episode that related to a particular sexual partner and their behaviour; the characteristics of the venue where the risk occurred; the respondent’s state of mind and influences of alcohol and recreational drug use; and their perceived beliefs on the effectiveness of PEPSE. Help was sought in the light of a “one-off” or “unusual” event. Many respondents felt they were less likely to behave in a risky manner following PEPSE. Conclusion: If PEPSE is to be effective as a public health measure, at risk individuals need to be empowered to make improved risk calculations from an increased perception that they could be exposed to HIV if they continue their current behaviour patterns. The concern is that PEPSE was sought by a low number of MSM implying that a greater number are not using the service based on failure to make accurate risk calculations or recognise high-risk scenario

Advanced turbocharger design study program

The advanced Turbocharger Design Study consisted of: (1) the evaluation of three advanced engine designs to determine their turbocharging requirements, and of technologies applicable to advanced turbocharger designs; (2) trade-off studies to define a turbocharger conceptual design and select the engine with the most representative requirements for turbocharging; (3) the preparation of a turbocharger conceptual design for the Curtiss Wright RC2-32 engine selected in the trade-off studies; and (4) the assessment of market impact and the preparation of a technology demonstration plan for the advanced turbocharger

Exploring the movement dynamics of deception

Both the science and the everyday practice of detecting a lie rest on the same assumption: hidden cognitive states that the liar would like to remain hidden nevertheless influence observable behavior. This assumption has good evidence. The insights of professional interrogators, anecdotal evidence, and body language textbooks have all built up a sizeable catalog of non-verbal cues that have been claimed to distinguish deceptive and truthful behavior. Typically, these cues are discrete, individual behaviors—a hand touching a mouth, the rise of a brow—that distinguish lies from truths solely in terms of their frequency or duration. Research to date has failed to establish any of these non-verbal cues as a reliable marker of deception. Here we argue that perhaps this is because simple tallies of behavior can miss out on the rich but subtle organization of behavior as it unfolds over time. Research in cognitive science from a dynamical systems perspective has shown that behavior is structured across multiple timescales, with more or less regularity and structure. Using tools that are sensitive to these dynamics, we analyzed body motion data from an experiment that put participants in a realistic situation of choosing, or not, to lie to an experimenter. Our analyses indicate that when being deceptive, continuous fluctuations of movement in the upper face, and somewhat in the arms, are characterized by dynamical properties of less stability, but greater complexity. For the upper face, these distinctions are present despite no apparent differences in the overall amount of movement between deception and truth. We suggest that these unique dynamical signatures of motion are indicative of both the cognitive demands inherent to deception and the need to respond adaptively in a social context

A Five-year Spectroscopic and Photometric Campaign on the Prototypical alpha Cygni Variable and A-type Supergiant Star Deneb

Deneb is often considered the prototypical A-type supergiant, and is one of the visually most luminous stars in the Galaxy. A-type supergiants are potential extragalactic distance indicators, but the variability of these stars needs to be better characterized before this technique can be considered reliable. We analyzed 339 high resolution echelle spectra of Deneb obtained over the five-year span of 1997 through 2001 as well as 370 Stromgren photometric measurements obtained during the same time frame. Our spectroscopic analysis included dynamical spectra of the H-alpha profile, H-alpha equivalent widths, and radial velocities measured from Si II 6347, 6371. Time-series analysis reveals no obvious cyclic behavior that proceeds through multiple observing seasons, although we found a suspected 40 day period in two, non-consecutive observing seasons. Some correlations are found between photometric and radial velocity data sets, and suggest radial pulsations at two epochs. No correlation is found between the variability of the H-alpha profiles and that of the radial velocities or the photometry. Lucy (1976) found evidence that Deneb was a long period single-lined spectroscopic binary star, but our data set shows no evidence for radial velocity variations caused by a binary companion.Comment: 49 pages, 9 figures, 5 tables, accepted for publication in the Astronomical Journa

Weekend hospitalization and additional risk of death: An analysis of inpatient data

Objective To assess whether weekend admissions to hospital and/or already being an inpatient on weekend days were associated with any additional mortality risk.Design Retrospective observational survivorship study. We analysed all admissions to the English National Health Service (NHS) during the financial year 2009/10, following up all patients for 30 days after admission and accounting for risk of death associated with diagnosis, co-morbidities, admission history, age, sex, ethnicity, deprivation, seasonality, day of admission and hospital trust, including day of death as a time dependent covariate. The principal analysis was based on time to in-hospital death.Participants National Health Service Hospitals in England.Main Outcome Measures 30 day mortality (in or out of hospital).Results There were 14,217,640 admissions included in the principal analysis, with 187,337 in-hospital deaths reported within 30 days of admission. Admission on weekend days was associated with a considerable increase in risk of subsequent death compared with admission on weekdays, hazard ratio for Sunday versus Wednesday 1.16 (95% CI 1.14 to 1.18; P < .0001), and for Saturday versus Wednesday 1.11 (95% CI 1.09 to 1.13; P < .0001). Hospital stays on weekend days were associated with a lower risk of death than midweek days, hazard ratio for being in hospital on Sunday versus Wednesday 0.92 (95% CI 0.91 to 0.94; P < .0001), and for Saturday versus Wednesday 0.95 (95% CI 0.93 to 0.96; P < .0001). Similar findings were observed on a smaller US data set.Conclusions Admission at the weekend is associated with increased risk of subsequent death within 30 days of admission. The likelihood of death actually occurring is less on a weekend day than on a mid-week day

Chandra X-ray Observations of the Quadruply Lensed Quasar RX J0911.4+0551

We present results from X-ray observations of the quadruply lensed quasar RX J0911.4+0551 using data obtained with the Advanced CCD Imaging Spectrometer (ACIS) on board the Chandra X-ray Observatory. The 29 ks observation detects a total of ~404 X-ray photons (0.3 to 7.0 keV) from the four images of the lensed quasar. Deconvolution of the aspect corrected data resolves all four lensed images, with relative positions in good agreement with optical measurements. When compared to contemporaneous optical data, one of the lensed images (component A3) is dimmer by a factor of ~6 in X-rays with respect to the 2 brighter images (components A1 and A2). Spectral fitting for the combined images shows significant intrinsic absorption in the soft (0.2 to 2.4 keV) energy band, consistent with the mini-BAL nature of this quasar, while a comparison with ROSAT PSPC observations from 1990 shows a drop of ~6.5 in the total soft bandpass flux. The observations also detect ~157 X-ray photons arising from extended emission of the nearby cluster (peaked ~42" SW of RXJ0911.4+0551) responsible for the large external shear present in the system. The Chandra observation reveals the cluster emission to be complex and non-spherical, and yields a cluster temperature of kT = 2.3^{+1.8}_{-0.8} keV and a 2.0 to 10 keV cluster luminosity within a 1 Mpc radius of L_X = 7.6_{-0.2}^{+0.6} x 10^{43} ergs/s (error bars denote 90% confidence limits). Our mass estimate of the cluster within its virial radius is 2.3^{+1.8}_{-0.7} x 10^{14} solar, and is a factor of 2 smaller than, although consistent with, previous mass estimates based on the observed cluster velocity dispersion.Comment: 16 pages, 3 figures (figure 1 is color ps). Accepted by Ap

An Improved Experimental Limit on the Electric Dipole Moment of the Neutron

An experimental search for an electric-dipole moment (EDM) of the neutron has been carried out at the Institut Laue-Langevin (ILL), Grenoble. Spurious signals from magnetic-field fluctuations were reduced to insignificance by the use of a cohabiting atomic-mercury magnetometer. Systematic uncertainties, including geometric-phase-induced false EDMs, have been carefully studied. Two independent approaches to the analysis have been adopted. The overall results may be interpreted as an upper limit on the absolute value of the neutron EDM of |d_n| < 2.9 x 10^{-26} e cm (90% CL).Comment: 5 pages, 2 figures. The published PRL is slightly more terse (e.g. no section headings) than this version, due to space constraints. Note a small correction-to-a-correction led to an adjustment of the final limit from 3.0 to 2.9 E-26 e.cm compared to the first version of this preprin

On the exactly solvable pairing models for bosons

We propose the new exactly solvable model for bosons corresponding to the attractive pairing interaction. Using the electrostatic analogy, the solution of this model in thermodynamic limit is found. The transition from the superfluid phase with the Bose condensate and the Bogoliubov - type spectrum of excitations in the weak coupling regime to the incompressible phase with the gap in the excitation spectrum in the strong coupling regime is observed.Comment: 19 page