365 research outputs found

    Modelling imperfect adherence to HIV induction therapy

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    Abstract Background Induction-maintenance therapy is a treatment regime where patients are prescribed an intense course of treatment for a short period of time (the induction phase), followed by a simplified long-term regimen (maintenance). Since induction therapy has a significantly higher chance of pill fatigue than maintenance therapy, patients might take drug holidays during this period. Without guidance, patients who choose to stop therapy will each be making individual decisions, with no scientific basis. Methods We use mathematical modelling to investigate the effect of imperfect adherence during the inductive phase. We address the following research questions: 1. Can we theoretically determine the maximal length of a possible drug holiday and the minimal number of doses that must subsequently be taken while still avoiding resistance? 2. How many drug holidays can be taken during the induction phase? Results For a 180 day therapeutic program, a patient can take several drug holidays, but then has to follow each drug holiday with a strict, but fairly straightforward, drug-taking regimen. Since the results are dependent upon the drug regimen, we calculated the length and number of drug holidays for all fifteen protease-sparing triple-drug cocktails that have been approved by the US Food and Drug Administration. Conclusions Induction therapy with partial adherence is tolerable, but the outcome depends on the drug cocktail. Our theoretical predictions are in line with recent results from pilot studies of short-cycle treatment interruption strategies and may be useful in guiding the design of future clinical trials

    Environmental assessment for the Satellite Power System (SPS): Studies of honey bees exposed to 2.45 GHz continuous wave electromagnetic energy

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    Post treatment brood development was normal and teratological effects were not detected at exposures of 3 to 50 mw sq cm for 30 minutes. Post treatment survival, longevity, orientation, navigation, and memory of adult bees were also normal after exposures of 3 to 50 mw sq cm for 30 minutes. Post treatment longevity of confined bees in the laboratory was normal after exposures of 3 to 50 mw sq cm for 24 hours. Thermoregulation of brood nest, foraging activity, brood rearing, and social interaction were not affected by chronic exposure to 1 mw sq cm during 28 days. In dynamic behavioral bioassays the frequency of entry and duration of activity of unrestrained, foraging adult bees was identical in microwave exposed areas versus control areas

    Air Force Institute of Technology Research Report 2016

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    This Research Report presents the FY16 research statistics and contributions of the Graduate School of Engineering and Management (EN) at AFIT. AFIT research interests and faculty expertise cover a broad spectrum of technical areas related to USAF needs, as reflected by the range of topics addressed in the faculty and student publications listed in this report. In most cases, the research work reported herein is directly sponsored by one or more USAF or DOD agencies. AFIT welcomes the opportunity to conduct research on additional topics of interest to the USAF, DOD, and other federal organizations when adequate manpower and financial resources are available and/or provided by a sponsor. In addition, AFIT provides research collaboration and technology transfer benefits to the public through Cooperative Research and Development Agreements (CRADAs)

    Analysis of spacecraft anomalies

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    The anomalies from 316 spacecraft covering the entire U.S. space program were analyzed to determine if there were any experimental or technological programs which could be implemented to remove the anomalies from future space activity. Thirty specific categories of anomalies were found to cover nearly 85 percent of all observed anomalies. Thirteen experiments were defined to deal with 17 of these categories; nine additional experiments were identified to deal with other classes of observed and anticipated anomalies. Preliminary analyses indicate that all 22 experimental programs are both technically feasible and economically viable

    Investigations in the design and analysis of key-stream generators

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    LYMPHOCYTE-MEDIATED INFLAMM-AGING IN THE HORSE

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    Senior horses (≥20 years) exhibit inflamm-aging, or chronic, low-grade inflammation that occurs systemically with aging, similarly to humans. Inflamm-aging has previously been characterized in the horse in circulation as well as specifically being mediated by lymphocytes and monocytes. In humans, inflamm-aging has been associated with increased morbidity and mortality. However, in the horse, relatively little about inflamm-aging is known regarding clinical effects or factors influencing severity. The contribution of lymphocytes to inflamm-aging of senior horses was examined, specifically through determining the relationships of inflamm-aging with various other health parameters, effects of seasonality, and the extent to which inflamm-aging can be modulated by anti-inflammatory phytonutrient curcumin. The overall hypothesis of this research is that lymphocyte-mediated inflamm-aging of the senior horse is associated with various factors including season, endocrine function, body composition, and nutritional status, and may be modulated by polyphenol curcumin. The effect of season on lymphocyte-mediated inflamm-aging was examined, and senior horses exhibited elevated inflammation compared to adult horse as expected, while also exhibiting changes in inflammatory cytokine production and gene expression throughout the year. In addition to season, pituitary pars intermedia dysfunction (PPID), a common endocrinopathy in senior horses that is associated with immunosuppression, was examined in a group of senior horses to determine any effects on degree of inflamm-aging. Results indicated no significant differences between age-matched PPID and non-PPID horses for lymphocyte-mediated inflammatory cytokine production or gene expression. The immunosuppressive aspect of PPID does not appear to be associated with the degree of lymphocyte-mediated inflammation of the aged horse. Additionally, an expansive correlative study was undertaken to determine relationships between inflamm-aging and basal nutritional status, body composition, age, and PPID within a similarly-managed senior horse population. Results showed various relationships between inflammatory markers and nutritional status, particularly yielding positive associations with serum folate and with serum fatty acids C22:2n6c and C22:5n3c. Inflammation was also associated with age itself but was not associated with body composition parameters and showed mild association with PPID (and serum inflammatory C-reactive protein). As a whole, this study demonstrates that nutritional status can be associated with inflammatory markers. Similarly, many phytonutrients have exhibited anti-inflammatory properties, which may be beneficial to the senior horse exhibiting inflamm-aging. Specifically, the effects of polyphenols including curcuminoids, resveratrol, quercetin, pterostilbene, and hydroxypterostilbene on lymphocyte production of inflammatory cytokines by senior horses were examined in vitro and found to significantly reduce inflammation similarly to common non-steroidal anti-inflammatory drugs. This study led to the in vivo investigation of the effectiveness of curcumin in modulating chronic inflammation of the senior horse. No significant differences were seen between groups receiving curcumin and placebo for the various inflammatory parameters, which may be due to the dose or low bioavailability of curcumin. As a whole, this research provides further understanding of factors associated with inflamm-aging of the senior horse

    Cyber Security

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    This open access book constitutes the refereed proceedings of the 16th International Annual Conference on Cyber Security, CNCERT 2020, held in Beijing, China, in August 2020. The 17 papers presented were carefully reviewed and selected from 58 submissions. The papers are organized according to the following topical sections: access control; cryptography; denial-of-service attacks; hardware security implementation; intrusion/anomaly detection and malware mitigation; social network security and privacy; systems security
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