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Metabolic syndrome does not affect sustained virologic response of direct-acting antivirals while hepatitis C clearance improves hemoglobin A1c.
AimTo determine whether successful treatment with directacting antivirals (DAA) is associated with improvements in hemoglobin A1c (HbA1c) and if type 2 diabetes mellitus (T2DM) or metabolic syndrome affects sustained virologic response (SVR).MethodsWe performed a retrospective analysis of all hepatitis C virus (HCV) patients at the VA Greater Los Angeles Healthcare System treated with varying DAA therapy between 2014-2016. Separate multivariable logistic regression was performed to determine predictors of HbA1c decrease ≥ 0.5 after DAA treatment and predictors of SVR 12-wk post treatment (SVR12).ResultsA total of 1068 patients were treated with DAA therapy between 2014-2016. The presence of T2DM or metabolic syndrome did not adversely affect SVR12. 106 patients had both HCV and T2DM. Within that cohort, patients who achieved SVR12 had lower mean HbA1c pre treatment (7.35 vs 8.60, P = 0.02), and lower mean HbA1c post-treatment compared to non-responders (6.55 vs 8.61, P = 0.01). The mean reduction in HbA1c after treatment was greater for those who achieved SVR12 than for non-responders (0.79 vs 0.01, P = 0.03). In adjusted models, patients that achieved SVR12 were more likely to have a HbA1c decrease of ≥ 0.5 than those that did not achieve SVR12 (adjusted OR = 7.24, 95%CI: 1.22-42.94).ConclusionIn HCV patients with T2DM, successful treatment with DAA was associated with a significant reduction in HbA1c suggesting that DAA may have a role in improving insulin sensitivity. Furthermore, the presence of T2DM or metabolic syndrome does not adversely affect SVR12 rates in patients treated with DAA
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Rice seed quality development and temperature during late development and maturation
The potential longevity of japonica rice (Oryza sativa L.
subsp. japonica) seed is particularly sensitive to high
temperature – and thus climate change – during
development and maturation. Cultivar Taipei 309 was
grown at 28/208C (12 h/12 h) and then from 19 DAA
(days after 50% anthesis), when seeds were just over
half filled, at 28/208C, 30/228C, 32/248C or 34/268C
(12 h/12 h). Whereas ability to germinate ex planta had
been achieved in almost all seeds by 24 DAA, only half
the population were desiccation tolerant. Desiccation
tolerance continued to increase over the subsequent
28 d, similarly at all four temperatures. Subsequent
longevity, assessed by p50 (period in days to reduce
viability to 50% in hermetic storage at 408C with c. 15%
moisture content), increased progressively at 28/208C
until 38 DAA, and remained constant until the final
harvest (52 DAA). The three warmer temperature
regimes provided similar longevity to 28/208C at any
one harvest, except at 38 DAA where the warmest
(34/268C) was poorer. That temperature regime also
provided greater seed-to-seed variability within each
survival curve. The results confirm that appreciable
improvement in seed quality occurs during seed
development and also subsequent maturation in
japonica rice, but that increase in temperature from
28/208C to 34/268C during late seed filling onwards has
comparatively little effect thereon. Comparison with
previous investigations suggests that seed quality
development may be less sensitive to high temperatures
during late development and maturation than
during the early seed development that precedes it
Directed abelian algebras and their applications to stochastic models
To each directed acyclic graph (this includes some D-dimensional lattices)
one can associate some abelian algebras that we call directed abelian algebras
(DAA). On each site of the graph one attaches a generator of the algebra. These
algebras depend on several parameters and are semisimple. Using any DAA one can
define a family of Hamiltonians which give the continuous time evolution of a
stochastic process. The calculation of the spectra and ground state
wavefunctions (stationary states probability distributions) is an easy
algebraic exercise. If one considers D-dimensional lattices and choose
Hamiltonians linear in the generators, in the finite-size scaling the
Hamiltonian spectrum is gapless with a critical dynamic exponent . One
possible application of the DAA is to sandpile models. In the paper we present
this application considering one and two dimensional lattices. In the one
dimensional case, when the DAA conserves the number of particles, the
avalanches belong to the random walker universality class (critical exponent
). We study the local densityof particles inside large
avalanches showing a depletion of particles at the source of the avalanche and
an enrichment at its end. In two dimensions we did extensive Monte-Carlo
simulations and found .Comment: 14 pages, 9 figure
Nonparametric Bayesian Double Articulation Analyzer for Direct Language Acquisition from Continuous Speech Signals
Human infants can discover words directly from unsegmented speech signals
without any explicitly labeled data. In this paper, we develop a novel machine
learning method called nonparametric Bayesian double articulation analyzer
(NPB-DAA) that can directly acquire language and acoustic models from observed
continuous speech signals. For this purpose, we propose an integrative
generative model that combines a language model and an acoustic model into a
single generative model called the "hierarchical Dirichlet process hidden
language model" (HDP-HLM). The HDP-HLM is obtained by extending the
hierarchical Dirichlet process hidden semi-Markov model (HDP-HSMM) proposed by
Johnson et al. An inference procedure for the HDP-HLM is derived using the
blocked Gibbs sampler originally proposed for the HDP-HSMM. This procedure
enables the simultaneous and direct inference of language and acoustic models
from continuous speech signals. Based on the HDP-HLM and its inference
procedure, we developed a novel double articulation analyzer. By assuming
HDP-HLM as a generative model of observed time series data, and by inferring
latent variables of the model, the method can analyze latent double
articulation structure, i.e., hierarchically organized latent words and
phonemes, of the data in an unsupervised manner. The novel unsupervised double
articulation analyzer is called NPB-DAA.
The NPB-DAA can automatically estimate double articulation structure embedded
in speech signals. We also carried out two evaluation experiments using
synthetic data and actual human continuous speech signals representing Japanese
vowel sequences. In the word acquisition and phoneme categorization tasks, the
NPB-DAA outperformed a conventional double articulation analyzer (DAA) and
baseline automatic speech recognition system whose acoustic model was trained
in a supervised manner.Comment: 15 pages, 7 figures, Draft submitted to IEEE Transactions on
Autonomous Mental Development (TAMD
Analisa korespodensi berganda pada daa berkategori multivariabel
Analisa Korespondensi Berganda pada data Q-variat (Q-2) merupakan suatu pendekatan dalam menganalisa suatu data multivariat. Secara teknis rnetode ini mengolah suatu data berkategori yang diperoleh dari data hasil survey, untuk disajikan dalam bentuk matrik data berkode biner. Matrik data ini kemudian dimampatkan dalam bentuk tabel kontingensi Burt. Kemudian untuk menganalisa hubungan antara variabel-variabelnya, dicari akar-akar karakteristiknya dan vektor karakteristik yang berpadanan dengan suatu nilai karakteristik terbesar. Bentuk hubungan antar variabel ditunjukkan dalam suatu persamaan faktor, yang menggarnbarkan profil vektor bans dan profil vektor kolom dari tabel kontingensi. yang kemudian secara geometris divisualisasikan dalam bidang dimensi dua, dan disini dapat diberikan nilai-nilai koordinat dalam bidang R2. Dicontohkan koordinat pada sumbu ? dan X2 dari persamaan faktor untuk Q=2 variabel.
Multiple Correspondence Analysis of Q-variat data (Q?_2) is the approximation in data analysis of multivariate data. This methode process the categorical data from survey result data to be presented to binary coding of matrix data. The matrix is condensed to butt's contingency table. Analizing the correspondence among variables to be founded eigenvalues and eigenvectors of relative to the largest eigenvalues. The correspondence form among the variables is showed in the factors equation that describe rows and columns vectorprofiles from contingency table, so that to be described in two dimension space and that is gived coordinate values in R2 space. For example, the coordinates in X and A,2 axes from factors equation of Q = 2 variable
Detect-and-Avoid: Flight Test 6 Scripted Encounters Data Analysis
The Unmanned Aircraft System (UAS) in the National Airspace System (NAS) project conducted Flight Test 6 (FT6) in 2019. The ultimate goal of this flight test was to produce data to inform RTCA SC-228's Phase II Minimum Operational Performance Standards (MOPS) for Detect and Avoid (DAA) and Low Size, Weight, and Power Sensors. This report documents the analysis of scripted encounters' data. Scripted encounters own were analyzed and categorized based on the outcome of alert, maneuver guidance, and effectiveness of pilots' maneuver in resolving conflicts. Results indicate that UAS pilots' decisions as well as intruder maneuvers are leading factors that contribute to ineffective DAA maneuvers. Results also show that adding buffers to the DAA's suggested minimum turn angle improves effectiveness of the DAA maneuvers
The Ideal Candidate. Analysis of Professional Competences through Text Mining of Job Offers
The aim of this paper is to propose analytical tools for identifying peculiar aspects of job market for graduates. We propose a strategy for dealing with daa tat have different source and nature
Access and response to direct antiviral agents (DAA) in HIV-HCV co-infected patients in Italy: Data from the Icona cohort
Background Real-life data on access and response to direct antiviral agents (DAA) in HIV-HCV coinfected individuals are lacking. Methods HCV viremic, HIV-positive patients from Icona and Hepaicona cohorts nave to DAA by January 2013 were included. Access and predictors of starting DAA were evaluated. Switches of antiretroviral drugs at starting DAA were described. We calculated sustained virological response (SVR12) in those reaching 12 weeks after end-of-treatment (EOT), and defined treatment failure (TF) as discontinuation of DAA before EOT or non-SVR12. Statistical analyses included Kaplan-Meier curves, univariable and multivariable analyses evaluating predictors of access to DAA and of treatment outcome (non-SVR and TF). Results 2,607 patients included. During a median follow-up of 38 (IQR:30-41) months, 920 (35.3%) patients started DAA. Eligibility for reimbursement was the strongest predictor to access to treatment: 761/1,090 (69.8%) eligible and 159/1,517 (10.5%) non-eligible to DAA reimbursement. Older age, HIV-RNA50 copies/mL were associated to faster DAA initiation, higher CD4 count and HCV-genotype 3 with delayed DAA initiation in those eligible to DAA reimbursement. Up to 28% of patients (36% of those on ritonavir-boosted protease inhibitors, PI/r) underwent antiretroviral (ART) modification at DAA initiation. 545/595 (91.6%) patients reaching EOT achieved SVR12. Overall, TF occurred in 61/606 patients (10.1%), with 11 discontinuing DAA before EOT. Suboptimal DAA was the only independent predictor of both non-SVR12 (AHR 2.52, 95%CI:1.24-5.12) and TF (AHR: 2.19; 95%CI:1.13-4.22). Conclusions Only 35.3% had access to HCV treatment. Despite excellent rates of SVR12 rates (91.6%), only 21% (545/2,607) of our HIV-HCV co-infected patients are cured. © 2017 d'Arminio Monforte et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Vasoconstrictor and Pressor Effects of Des-Aspartate-Angiotensin I in Rat
This study investigated the vasoactive effects of des-aspartate-angiotensin-I (DAA-I) in male Wistar rats on whole body vascular bed, isolated perfused kidneys, and aortic rings. Dose–response curves to DAA-I were compared with those to angiotensin II (Ang II). The Ang II-type-1 (AT1) receptor blocker, losartan, was used to evaluate the role of AT1 receptors in the responses to DAA-I. Studies were also conducted of the responsiveness in aortic rings after endothelium removal, nitric oxide synthase inhibition, or AT2 receptor blockade. DAA-I induced a dose-related systemic pressor response that was shifted to the right compared with Ang II. Losartan markedly attenuated the responsiveness to DAA-I. DAA-I showed a similar pattern in renal vasculature and aortic rings. In aortic rings, removal of endothelium and nitric oxide inhibition increased the sensitivity and maximal response to DAA-I and Ang II. AT2 receptor blockade did not significantly affect the responsiveness to DAA-I. According to these findings, DAA-I increases the systemic blood pressure and vascular tone in conductance and resistance vessels via AT1 receptor activation. This vasoconstrictor effect of DAA-I participates in the homeostatic control of arterial pressure, which can also contribute to the pathogenesis of hypertension. DAA-I may therefore be a potential therapeutic target in cardiovascular disease
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