Human Papillomavirus (HPV) is known to cause dysplasia and cancer. In cervical disease, there are documented differences in prevalence of HPV genotypes among racial/ethnic groups. Little is known ...about prevalence of HPV genotypes in anal dysplasia. This study aimed to evaluate association between HPV genotypes and race/ethnicity in a racially heterogenous population with anal dysplasia.
This was a single-institution retrospective review of patients treated for anal dysplasia between 2008 and 2019. HPV genotype, obtained via anal swab testing, was recorded as HPV 16, HPV 18, or other non-16/18 high-risk (HR) HPV genotypes. Univariate and multivariate logistic regression analyses were used to evaluate the association between patient factors and HPV genotype.
Of 517 patients meeting inclusion criteria, 46.8% identified as White, 37.1% as Black, 13.2% as Hispanic, and 2.9% as other/unknown. Race/ethnicity (P = 0.016) and sex (P < 0.001) were significantly associated with differences in prevalence of HPV genotypes. Black (odds ratio 1.56, 95% confidence interval 1.00-2.44) and male (odds ratio 2.35, 95% confidence interval 1.42-3.92) patients were significantly more likely to have non-16/18 HR HPV genotypes.
In a racially and socioeconomically diverse cohort of patients with anal dysplasia, Black race and male sex were associated with increased likelihood of infection with a non-16/18 HR HPV genotype. Many of these genotypes are not covered by currently available vaccines. Further study is warranted to evaluate anal HPV genotypes in a larger cohort, as this may have important implications in HPV vaccination and anal dysplasia screening efforts.
Human papillomavirus is a common sexually transmitted infection that may affect the oropharynx, genitalia, or anus. Some strains of this virus may cause bulky growths around the anus known as giant ...anal condylomas. These can become large, disfiguring, and may cause bleeding, as well as difficulty with defecation and hygiene. Surgical management is usually necessary for large condylomas, whereas office-based procedures are common for smaller lesions. It is unclear why some develop large anal margin tumors, whereas others develop limited disease. The aim of the present study was to evaluate for risk factors that may play a role in the development of extensive disease warranting operative management.
A retrospective chart review of patients seen within the Anal Dysplasia Clinic at the Medical College of Wisconsin was undertaken. Clinic encounters for patients with anogenital condyloma were abstracted for demographic information, operative interventions, Human Immunodeficiency Virus status, and smoking history to determine risk factors that predicted operative intervention for giant anal condylomas.
A total of 239 patients met inclusion criteria; 211 (88.3%) were male and 28 (11.7%) were female. Racial makeup of the cohort included 49% Caucasian, 38.9% African-American, 9.2% Hispanic, and 2.9% were identified as another ethnicity. One hundred forty-three patients (60.1%) were current or past smokers. One hundred ninety-eight (82.8%) patients tested positive for human immunodeficiency virus (HIV), whereas 41 (17.2%) were negative. Multiple linear regression identified only African-American race as predictive of greater disease burden.
African-American race was associated with increased size of anal condyloma. As the size of anal condylomas increase, management shifts from topical treatments to operative intervention. This is the first study to correlate race with burden of disease in the general population.
We present TeV gamma-ray observations of the Crab Nebula, the standard reference source in ground-based gamma-ray astronomy, using data from the High Altitude Water Cherenkov (HAWC) Gamma-Ray ...Observatory. In this analysis we use two independent energy estimation methods that utilize extensive air shower variables such as the core position, shower angle, and shower lateral energy distribution. In contrast, the previously published HAWC energy spectrum roughly estimated the shower energy with only the number of photomultipliers triggered. This new methodology yields a much-improved energy resolution over the previous analysis and extends HAWC's ability to accurately measure gamma-ray energies well beyond 100 TeV. The energy spectrum of the Crab Nebula is well fit to a log-parabola shape with emission up to at least 100 TeV. For the first estimator, a ground parameter that utilizes fits to the lateral distribution function to measure the charge density 40 m from the shower axis, the best-fit values are (TeV cm2 s)−1, , and . For the second estimator, a neural network that uses the charge distribution in annuli around the core and other variables, these values are (TeV cm2 s)−1, , and β = 0.06 0.01 0.02. The first set of uncertainties is statistical; the second set is systematic. Both methods yield compatible results. These measurements are the highest-energy observation of a gamma-ray source to date.
We analyze the Sun as a source for the indirect detection of dark matter through a search for gamma rays from the solar disk. Capture of dark matter by elastic interactions with the solar nuclei ...followed by annihilation to long-lived mediators can produce a detectable gamma-ray flux. We search 3 years of data from the High Altitude Water Cherenkov (HAWC) observatory and find no statistically significant detection of TeV gamma-ray emission from the Sun. Using this, we constrain the spin-dependent elastic scattering cross section of dark matter with protons for dark matter masses above 1 TeV, assuming a sufficiently long-lived mediator. The results complement constraints obtained from Fermi-LAT observations of the Sun and together cover WIMP masses between 4 and 106 GeV . In the optimal scenario, the cross-section constraints for mediator decays to gamma rays can be as strong as ∼ 10−45 cm2 , which is more than 4 orders of magnitude stronger than current direct-detection experiments for a 1 TeV dark matter mass. The cross-section constraints at higher masses are even better, nearly 7 orders of magnitude better than the current direct-detection constraints for a 100 TeV dark matter mass. This demonstration of sensitivity encourages detailed development of theoretical models in light of these powerful new constraints.
We demonstrate suppression and enhancement of spontaneous parametric down-conversion via quantum interference with two weak fields from a local oscillator (LO). Effectively, pairs of LO photons ...up-convert with high efficiency for appropriate phase settings, exhibiting an effective nonlinearity enhanced by at least 10 orders of magnitude. This constitutes a two-photon switch and promises to be applicable to a wide variety of quantum nonlinear optical phenomena.
Because of the high energies and long distances to the sources, astrophysical observations provide a unique opportunity to test possible signatures of Lorentz invariance violation (LIV). Superluminal ...LIV enables the decay of photons at high energy. The high altitude water Cherenkov (HAWC) observatory is among the most sensitive gamma-ray instruments currently operating above 10 TeV. HAWC finds evidence of 100 TeV photon emission from at least four astrophysical sources. These observations exclude, for the strongest of the limits set, the LIV energy scale to 2.2×10^{31} eV, over 1800 times the Planck energy and an improvement of 1 to 2 orders of magnitude over previous limits.
We present the detection of very-high-energy gamma-ray emission above 100 TeV from HAWC J2227+610 with the High-Altitude Water Cherenov Gamma-Ray Observatory (HAWC) observatory. Combining our ...observations with previously published results by the Very Energetic Radiation Imaging Telescope Array System (VERTIAS), we interpret the gamma-ray emission from HAWC J2227+610 as emission from protons with a lower limit in their cutoff energy of 800 TeV. The most likely source of the protons is the associated supernova remnant G106.3+2.7, making it a good candidate for a Galactic PeVatron. However, a purely leptonic origin of the observed emission cannot be excluded at this time.
Laser beam quality is a key parameter for both industry and science. However, the most common measure, the M 2 parameter, requires numerous intensity spatial-profiles for its determination. This is ...particularly inconvenient for modelling the impact of photonic devices on M 2 , such as metalenses and thin-film stacks, since models typically output a single electric field spatial-profile. Such a profile is also commonly determined in experiments from e.g., Shack-Hartmann sensors, shear plates, or off-axis holography. We introduce and test the validity and limitations of an explicit method to calculate M 2 from a single electric field spatial-profile of the beam in any chosen transverse plane along the propagation direction.
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