Browsing by Author "Cao, Y"
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Item Open Access Clinical epidemiology and outcome of HIV-associated talaromycosis in Guangdong, China, during 2011-2017.(HIV medicine, 2020-12) Ying, RS; Le, T; Cai, WP; Li, YR; Luo, CB; Cao, Y; Wen, CY; Wang, SG; Ou, X; Chen, WS; Chen, SZ; Guo, PL; Chen, M; Guo, Y; Tang, XP; Li, LHObjectives
Talaromycosis is an invasive mycosis endemic to Southeast Asia. This study aimed to investigate the epidemiology, clinical features and prognostic factors of HIV-associated talaromycosis in Guangdong, China.Methods
We retrospectively evaluated HIV patients hospitalized with histopathology- or culture-confirmed talaromycosis between 2011 and 2017. Factors associated with poor prognosis were identified using logistic regression.Results
Overall, 1079 patients with HIV-associated talaromycosis were evaluated. Both the number and prevalence of talaromycosis among HIV admissions increased from 125 and 15.7% in 2011 to 253 and 18.8% in 2017, respectively, reflecting the increase in HIV admissions. Annual admissions peaked during the rainy season between March and August. Common clinical manifestations included fever (85.6%), peripheral lymphadenopathy (72.3%), respiratory symptoms (60.8%), weight loss (49.8%), skin lesions (44.5%) and gastrointestinal symptoms (44.3%). Common laboratory abnormalities were hypoalbuminaemia (98.6%), anaemia (95.6%), elevated aspartate aminotransferase level (AST) (76.9%), elevated alkaline phosphatase level (55.8%) and thrombocytopenia (53.7%). The median CD4 count was 9 cells/μL. Talaromyces marneffei was isolated from blood and bone marrow cultures of 66.6% and 74.5% of patients, respectively. The rate increased to 86.6% when both cultures were performed concurrently. At discharge, 14% of patients showed worsening conditions or died. Leucocytosis, thrombocytopenia, elevated AST, total bilirubin, creatinine and azole monotherapy independently predicted poor prognosis.Conclusions
The incidence of HIV-associated talaromycosis has increased in Guangdong with the high HIV burden in China. Skin lesions were seen in less than half of patients. Induction therapy with azole alone is associated with higher mortality. Findings from this study should help to improve treatment of the disease.Item Open Access Complexity of randomized algorithms for underdamped Langevin dynamicsCao, Y; Lu, J; Wang, LWe establish an information complexity lower bound of randomized algorithms for simulating underdamped Langevin dynamics. More specifically, we prove that the worst $L^2$ strong error is of order $\Omega(\sqrt{d}\, N^{-3/2})$, for solving a family of $d$-dimensional underdamped Langevin dynamics, by any randomized algorithm with only $N$ queries to $\nabla U$, the driving Brownian motion and its weighted integration, respectively. The lower bound we establish matches the upper bound for the randomized midpoint method recently proposed by Shen and Lee [NIPS 2019], in terms of both parameters $N$ and $d$.Item Open Access Lindblad equation and its semi-classical limit of the Anderson-Holstein model(2017-04-23) Cao, Y; Lu, JFor multi-level open quantum system, the interaction between different levels could pose challenge to understand the quantum system both analytically and numerically. In this work, we study the approximation of the dynamics of the Anderson-Holstein model, as a model of multi-level open quantum system, by Redfield and Lindblad equations. Both equations have a desirable property that if the density operators for different levels is diagonal initially, they remain to be diagonal for any time. Thanks to this nice property, the semi-classical limit of both Redfield and Lindblad equations could be derived explicitly; the resulting classical master equations share similar structures of transport and hopping terms. The Redfield and Lindblad equations are also compared from the angle of time dependent perturbation theory.