2,368 research outputs found
Efficacy of HIV/STI behavioral interventions for heterosexual African American men in the United States: a meta-analysis
This meta-analysis estimates the overall efficacy of HIV prevention interventions to reduce HIV sexual risk behaviors and sexually transmitted infections (STIs) among heterosexual African American men. A comprehensive search of the literature published during 1988–2008 yielded 44 relevant studies. Interventions significantly reduced HIV sexual risk behaviors and STIs. The stratified analysis for HIV sexual risk behaviors indicated that interventions were efficacious for studies specifically targeting African American men and men with incarceration history. In addition, interventions that had provision/referral of medical services, male facilitators, shorter follow-up periods, or emphasized the importance of protecting family and significant others were associated with reductions in HIV sexual risk behaviors. Meta-regression analyses indicated that the most robust intervention component is the provision/referral of medical services. Findings indicate that HIV interventions for heterosexual African American men might be more efficacious if they incorporated a range of health care services rather than HIV/STI-related services alone
Influence of optical standing waves on the femtosecond laser-induced forward transfer of transparent thin films
The effects of the formation of an optical standing wave during femtosecond laser-induced forward transfer of transparent films is analyzed using a numerical interference model. The dependence of the intensity distribution on a number of easily controllable experimental parameters is investigated. Results of the model are compared to experimental studies of the transfer of gadolinium gallium oxide (GdGaO) with a polymer sacrificial layer. The model allows us to explain the observed variation in deposit morphology with the size of the air gap, and why forward transfer of the GdGaO was possible below the ablation thresholds of polymer and oxide
Does the low prevalence affect the sample size of interventional clinical trials of rare diseases? An analysis of data from the aggregate analysis of clinicaltrials.gov
Background
Clinical trials are typically designed using the classical frequentist framework to constrain type I and II error rates. Sample sizes required in such designs typically range from hundreds to thousands of patients which can be challenging for rare diseases. It has been shown that rare disease trials have smaller sample sizes than non-rare disease trials. Indeed some orphan drugs were approved by the European Medicines Agency based on studies with as few as 12 patients. However, some studies supporting marketing authorisation included several hundred patients. In this work, we explore the relationship between disease prevalence and other factors and the size of interventional phase 2 and 3 rare disease trials conducted in the US and/or EU. We downloaded all clinical trials from Aggregate Analysis of ClinialTrials.gov (AACT) and identified rare disease trials by cross-referencing MeSH terms in AACT with the list from Orphadata. We examined the effects of prevalence and phase of study in a multiple linear regression model adjusting for other statistically significant trial characteristics.
Results
Of 186941 ClinicalTrials.gov trials only 1567 (0.8%) studied a single rare condition with prevalence information from Orphadata. There were 19 (1.2%) trials studying disease with prevalence <1/1,000,000, 126 (8.0%) trials with 1–9/1,000,000, 791 (50.5%) trials with 1–9/100,000 and 631 (40.3%) trials with 1–5/10,000. Of the 1567 trials, 1160 (74%) were phase 2 trials. The fitted mean sample size for the rarest disease (prevalence <1/1,000,000) in phase 2 trials was the lowest (mean, 15.7; 95% CI, 8.7–28.1) but were similar across all the other prevalence classes; mean, 26.2 (16.1–42.6), 33.8 (22.1–51.7) and 35.6 (23.3–54.3) for prevalence 1–9/1,000,000, 1–9/100,000 and 1–5/10,000, respectively. Fitted mean size of phase 3 trials of rarer diseases, <1/1,000,000 (19.2, 6.9–53.2) and 1–9/1,000,000 (33.1, 18.6–58.9), were similar to those in phase 2 but were statistically significant lower than the slightly less rare diseases, 1–9/100,000 (75.3, 48.2–117.6) and 1-5/10,000 (77.7, 49.6–121.8), trials.
Conclusions
We found that prevalence was associated with the size of phase 3 trials with trials of rarer diseases noticeably smaller than the less rare diseases trials where phase 3 rarer disease (prevalence <1/100,000) trials were more similar in size to those for phase 2 but were larger than those for phase 2 in the less rare disease (prevalence ≥1/100,000) trials
The Catalytic Mechanism of a Natural Diels-Alderase Revealed in Molecular Detail
The Diels-Alder reaction, a [4 + 2] cycloaddition of a conjugated diene to a dienophile, is one of the most powerful reactions in synthetic chemistry. Biocatalysts capable of unlocking new and efficient Diels-Alder reactions would have major impact. Here we present a molecular-level description of the reaction mechanism of the spirotetronate cyclase AbyU, an enzyme shown here to be a bona fide natural Diels-Alderase. Using enzyme assays, X-ray crystal structures, and simulations of the reaction in the enzyme, we reveal how linear substrate chains are contorted within the AbyU active site to facilitate a transannular pericyclic reaction. This study provides compelling evidence for the existence of a natural enzyme evolved to catalyze a Diels-Alder reaction and shows how catalysis is achieved
Hysteresis phenomenon in turbulent convection
Coherent large-scale circulations of turbulent thermal convection in air have
been studied experimentally in a rectangular box heated from below and cooled
from above using Particle Image Velocimetry. The hysteresis phenomenon in
turbulent convection was found by varying the temperature difference between
the bottom and the top walls of the chamber (the Rayleigh number was changed
within the range of ). The hysteresis loop comprises the one-cell
and two-cells flow patterns while the aspect ratio is kept constant (). We found that the change of the sign of the degree of the anisotropy of
turbulence was accompanied by the change of the flow pattern. The developed
theory of coherent structures in turbulent convection (Elperin et al. 2002;
2005) is in agreement with the experimental observations. The observed coherent
structures are superimposed on a small-scale turbulent convection. The
redistribution of the turbulent heat flux plays a crucial role in the formation
of coherent large-scale circulations in turbulent convection.Comment: 10 pages, 9 figures, REVTEX4, Experiments in Fluids, 2006, in pres
Forward to the past: reinventing intelligence-led policing in Britain
Drawing on archival, secondary material and primary research, this paper examines 'Total Policing', the strategy recently adopted by London's Metropolitan Police. It situates that analysis within a critical examination of other innovative policing strategies previously employed in Britain. It argues that the prospects for Total Policing depend upon the resolution of long-standing problems such as: the inadequacy and inefficiency of local intelligence work; the paucity of evidence for the success of commanders' previous efforts to harness together the component parts of their forces in pursuit of a single mission; and, above all, a seeming inability to learn the lessons of the past. © 2013 © 2013 Taylor & Francis
Breeding biology and conservation of the Marsh Seedeater Sporophila palustris
El Capuchino Pecho Blanco Sporophila palustris es uno de los capuchinos menos conocidos y uno de los más amenazados. Sus poblaciones reproductivas son locales, fragmentadas y ocurren en el nordeste de Argentina, sudeste de Brasil y en Uruguay. Presentamos datos reproductivos describiendo nidos y huevos, comportamiento (incluyendo cortejo, nidificación, incubación y cuidado parental), sitios de anidación y datos sobre alimentación. El Capuchino Pecho Blanco nidifica en pastizales altos y húmedos en buen estado de conservación. Estos hábitats en general se han convertido en áreas ganaderas. Las principales amenazas son sobrepastoreo, uso generalizado del fuego, drenaje de humedales, reemplazo total del hábitat por pasturas y forestaciones y captura ilegal. La mayoría de los sitios se localizan en AICAs, pero sólo uno en Brasil y otro en Argentina se encuentran protegidos. Finalmente, proponemos una serie de medidas que contribuyen a la preservación del Capuchino Pecho Blanco y de otras aves amenazadas que conviven con este.The Marsh Seedeater Sporophila palustris is one of the most endangered and least known of the capuchino seedeaters. Breeding populations are patchy, occurring in north-east Argentina,southern Brazil, and Uruguay. We present data on the breeding biology of the species, and describe nests and eggs, behaviour (including courtship, nesting, incubation and parental care), breeding sites and food items. Marsh Seedeaters breed in well-preserved grasslands with wet soils and tall vegetation. In general, these habitats are used for extensive livestock ranching. Main threats are overgrazing, widespread use of fire, conversion of grasslands to pastures of exotic grasses and rice fields, afforestation, and illegal trapping. Most breeding sites are located in Important Bird Areas, but only one in Brazil and one in Argentina are protected. We propose a series of actions to promote the conservation of Marsh Seedeaters and other endangered birds that coexist in grassland habitats.Fil: Vizentin Bugoni, Jefferson. Universidade Estadual de Campinas; Brasil;Fil: Areta, Juan Ignacio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Salta. Instituto de Bio y Geociencias del Noroeste Argentino; Argentina;Fil: Di Giacomo, Alejandro G.. Asociación Ornitológica del Plata. Aves Argentinas. Departamento de Conservación; Argentina;Fil: Di Giacomo, Adrian Santiago. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Ecología, Genética y Evolución. Laboratorio de Ecología y Comportamiento Animal; Argentina;Fil: Jacobs, Fernando. Universidade Federal de Pelotas. Instituto de Biologia. Departamento de Zoologia e Genética; Brasil;Fil: Afonso Coimbra, Marco A.. Universidade Federal de Pelotas. Instituto de Biologia. Núcleo de Reabilitação da Fauna Silvestre e Centro de Triagem de Animais Silvestres; Brasil;Fil: Dias, Rafael A.. Universidade Católica de Pelotas. Laboratório de Biologia e Ecologia de Cordados. Setor de Ornitologia; Brasil
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