TB recurrence is defined as a new episode of bacteriologically positive TB in a patient previously declared successfully completed treatment. Our study objective was to identify risk factors of recurrence among HIV-infected and HIV-uninfected TB patients. Based on a population-based TB/HIV surveillance database of Chiang Rai Province, Thailand, a retrospective cohort of TB patients with successful completions of treatment between 1997 and 2008 was constructed. Poisson regression was used to model independent effects of risk factors. TB recurrence rates were 5.4/1,000 PYs and 9.7/1,000 PYs for HIV-uninfected and infected TB patients, respectively. We identified that among HIV-uninfected patients, older age, being hilltribe, being prisoners, were at higher risk of recurrence. While among HIV-infected patients, younger age, being male, and having been cured from initial episode were associated with higher recurrence rates. Targeted, practical preventive and treatment strategies for those patients need to be implemented to lower the TB recurrence rates. / Epidemiology

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Eighty-four patients who were endoscopically confirmed to have healed duodenal ulcers were entered into this 1 year, double-blind, placebo-controlled trial of sucralfate, lg twice daily, in the prevention of duodenal ulcer recurrence. Patients remained in the study until recurrence of ulceration was endoscopically confirmed. Sixty-one patients could be evaluated for efficacy of treatment. Within 6 months, 23 of 31 placebo patients (74%) and 6 of 30 sucralfate patients (20%) had ulcer recurrence. At 12 months, 25 of 31 placebo patients (80%) and 8 of 30 receiving sucralfate (27%) had ulcer recurrence. The lower rate of ulcer recurrence in patients receiving sucralfate was significant (p = 0.0001). Survival curves also showed that sucralfate was significantly more effective in preventing relapse (p = 0.0001). Three patients were judged as experiencing drug-related side effects, two of which were in the placebo group. The results indicate that sucralfate is significantly more effective than placebo in the prevention of recurrence of duodenal ulcer disease.

Achieving an understanding of the nature of monogenetic volcanic fields depends on identification of the spatial and temporal patterns of volcanism in these fields, and their relationships to structures mapped in the shallow crust and inferred in the deep crust and mantle through interpretation of geochemical, radiometric and geophysical data. We investigate the spatial and temporal distributions of volcanism in the Abu Monogenetic Volcano Group, Southwest Japan. E-W elongated volcano distribution, which is identified by a nonparametric kernel method, is found to be consistent with the spatial extent of P-wave velocity anomalies in the lower crust and upper mantle, supporting the idea that the spatial density map of volcanic vents reflects the geometry of a mantle diapir. Estimated basalt supply to the lower crust is constant. This observation and the spatial distribution of volcanic vents suggest stability of magma productivity and essentially constant two-dimensional size of the source mantle diapir. We mapped conduits, dike segments, and sills in the San Rafael sub-volcanic field, Utah, where the shallowest part of a Pliocene magmatic system is exceptionally well exposed. The distribution of conduits matches the major features of dike distribution, including development of clusters and distribution of outliers. The comparison of San Rafael conduit distribution and the distributions of volcanoes in several recently active volcanic fields supports the use of statistical models, such as nonparametric kernel methods, in probabilistic hazard assessment for distributed volcanism. We developed a new recurrence rate calculation method that uses a Monte Carlo procedure to better reflect and understand the impact of uncertainties of radiometric age determinations on uncertainty of recurrence rate estimates for volcanic activity in the Abu, Yucca Mountain Region, and Izu-Tobu volcanic fields. Results suggest that the recurrence rates of volcanic fields can change by more than one order of magnitude on time scales of several hundred thousand to several million years. This suggests that magma generation rate beneath volcanic fields may change over these time scales. Also, recurrence rate varies more than one order of magnitude between these volcanic fields, consistent with the idea that distributed volcanism may be influenced by both the rate of magma generation and the potential for dike interaction during ascent.