2,091 research outputs found
Paradoxical reactions and immune reconstitution inflammatory syndrome in tuberculosis
The coalescence of the HIV-1 and tuberculosis (TB) epidemics in Sub-Saharan Africa has had a significant
and negative impact on global health. The availability of effective antimicrobial treatment for both HIV-1
(in the form of highly active antiretroviral therapy (HAART)) and TB (with antimycobacterial agents) has
the potential to mitigate the associated morbidity and mortality. However, the use of both HAART and
antimycobacterial therapy is associated with the development of inflammatory paradoxical syndromes
after commencement of therapy. These include paradoxical reactions (PR) and immune reconstitution
inflammatory syndromes (IRIS), conditions that complicate mycobacterial disease in HIV seronegative
and seropositive individuals. Here, we discuss case definitions for PR and IRIS, and explore how advances
in identifying the risk factors and immunopathogenesis ofthese conditions informs our understanding of
their shared underlying pathogenesis. We propose that both PR and IRIS are characterized by the
triggering of exaggerated inflammation in a setting of immunocompromise and antigen loading, via the
reversal of immunosuppression by HAART and/or antimycobacterials. Further understanding of the
molecular basis of this pathogenesis may pave the way for effective immunotherapies for the treatment
of PR and IRIS
Quantum networks reveal quantum nonlocality
The results of local measurements on some composite quantum systems cannot be
reproduced classically. This impossibility, known as quantum nonlocality,
represents a milestone in the foundations of quantum theory. Quantum
nonlocality is also a valuable resource for information processing tasks, e.g.
quantum communication, quantum key distribution, quantum state estimation, or
randomness extraction. Still, deciding if a quantum state is nonlocal remains a
challenging problem. Here we introduce a novel approach to this question: we
study the nonlocal properties of quantum states when distributed and measured
in networks. Using our framework, we show how any one-way entanglement
distillable state leads to nonlocal correlations. Then, we prove that
nonlocality is a non-additive resource, which can be activated. There exist
states, local at the single-copy level, that become nonlocal when taking
several copies of it. Our results imply that the nonlocality of quantum states
strongly depends on the measurement context.Comment: 4 + 3 pages, 4 figure
Efficacy of an intensive outpatient rehabilitation program in alcoholism: Predictors of outcome 6 months after treatment
Treatment of alcohol-dependent patients was primarily focused on inpatient settings in the past decades. The efficacy of these treatment programs has been evaluated in several studies and proven to be sufficient. However, with regard to the increasing costs in public healthcare systems, questions about alternative treatment strategies have been raised. Meanwhile, there is growing evidence that outpatient treatment might be comparably effective as inpatient treatment, at least for subgroups of alcohol dependents. On that background, the present study aimed to evaluate the efficacy of a high-structured outpatient treatment program in 103 alcohol-dependent patients. 74 patients (72%) terminated the outpatient treatment regularly. At 6 months' follow-up, 95% patients were successfully located and personally re-interviewed. Analyses revealed that 65 patients (64%) were abstinent at the 6-month follow-up evaluation and 37 patients ( 36%) were judged to be non-abstinent. Pretreatment variables which were found to have a negative impact (non-abstinence) on the 6-month outcome after treatment were a higher severity of alcohol dependence measured by a longer duration of alcohol dependence, a higher number of prior treatments and a stronger alcohol craving (measured by the Obsessive Compulsive Drinking Scale). Further patients with a higher degree of psychopathology measured by the Beck Depression Inventory (depression) and State-Trait Anxiety Inventory (anxiety) relapsed more often. In summary, results of this study indicate a favorable outcome of socially stable alcohol-dependent patients and patients with a lower degree of depression, anxiety and craving in an intensive outpatient rehabilitation program
Electric Field Effects on Graphene Materials
Understanding the effect of electric fields on the physical and chemical
properties of two-dimensional (2D) nanostructures is instrumental in the design
of novel electronic and optoelectronic devices. Several of those properties are
characterized in terms of the dielectric constant which play an important role
on capacitance, conductivity, screening, dielectric losses and refractive
index. Here we review our recent theoretical studies using density functional
calculations including van der Waals interactions on two types of layered
materials of similar two-dimensional molecular geometry but remarkably
different electronic structures, that is, graphene and molybdenum disulphide
(MoS). We focus on such two-dimensional crystals because of they
complementary physical and chemical properties, and the appealing interest to
incorporate them in the next generation of electronic and optoelectronic
devices. We predict that the effective dielectric constant () of
few-layer graphene and MoS is tunable by external electric fields (). We show that at low fields ( V/\AA)
assumes a nearly constant value 4 for both materials, but increases at
higher fields to values that depend on the layer thickness. The thicker the
structure the stronger is the modulation of with the electric
field. Increasing of the external field perpendicular to the layer surface
above a critical value can drive the systems to an unstable state where the
layers are weakly coupled and can be easily separated. The observed dependence
of on the external field is due to charge polarization driven by
the bias, which show several similar characteristics despite of the layer
considered.Comment: Invited book chapter on Exotic Properties of Carbon Nanomatter:
Advances in Physics and Chemistry, Springer Series on Carbon Materials.
Editors: Mihai V. Putz and Ottorino Ori (11 pages, 4 figures, 30 references
Behavioural stress responses predict environmental perception in European sea bass (Dicentrarchus labrax)
Individual variation in the response to environmental challenges depends partly on innate reaction norms, partly on experience-based cognitive/emotional evaluations that individuals make of the situation. The goal of this study was to investigate whether pre-existing differences in behaviour predict the outcome of such assessment of environmental cues, using a conditioned place preference/avoidance (CPP/CPA) paradigm. A comparative vertebrate model (European sea bass, Dicentrarchus labrax) was used, and ninety juvenile individuals were initially screened for behavioural reactivity using a net restraining test. Thereafter each individual was tested in a choice tank using net chasing as aversive stimulus or exposure to familiar conspecifics as appetitive stimulus in the preferred or non preferred side respectively (called hereafter stimulation side). Locomotor behaviour (i.e. time spent, distance travelled and swimming speed in each tank side) of each individual was recorded and analysed with video software. The results showed that fish which were previously exposed to appetitive stimulus increased significantly the time spent on the stimulation side, while aversive stimulus led to a strong decrease in time spent on the stimulation side. Moreover, this study showed clearly that proactive fish were characterised by a stronger preference for the social stimulus and when placed in a putative aversive environment showed a lower physiological stress responses than reactive fish. In conclusion, this study showed for the first time in sea bass, that the CPP/CPA paradigm can be used to assess the valence (positive vs. negative) that fish attribute to different stimuli and that individual behavioural traits is predictive of how stimuli are perceived and thus of the magnitude of preference or avoidance behaviour.European Commission [265957]; Portuguese Fundacao para a Ciencia e Tecnologia (FCT) [FRH/BPD/72952/2010]; FCT [SFRH/BD/80029/2011
A prospective cohort study of digital cushion and corium thickness. Part 2: Does thinning of the digital cushion and corium lead to lameness and claw horn disruption lesions?
The aim of this study was to determine whether a decrease in thickness of the sole soft tissues (SST) beneath the flexor tuberosity of the distal phalanx (i.e., the digital cushion and corium) predisposed a claw to develop claw horn disruption lesions (CHDL) or a leg to lameness. Data were analyzed from a longitudinal study of 179 cows, which had been examined at 5 assessment points −8, +1, +9, +17, and +29 wk relative to their first, second, third, or fourth calving. At each assessment point, SST were measured using ultrasonography. Additional assessment point data included sole lesions and back fat thickness (BFT), and cows had been locomotion scored every 2 wk from calving. One hundred fifty-eight cows completed the study. Separate logistic regression survival analyses were constructed to assess the outcomes, either lameness on a leg or CHDL on a claw; combinations of lameness and lesions were tested as outcomes. Cow level variables tested included farm and lactation number. Variables were tested describing previous SST thickness, minimum previous SST thickness, BFT, and change in either variable between prior assessment points. Prior lesions/lameness strongly predicted repeat cases and the final models had the outcome first lesion or lameness on a claw or leg. In the reported lameness models, lameness was defined as a leg being recorded as lame twice within 3 consecutive scores, and in the reported lesion models, lesion was defined as the first presence of either a sole ulcer or a severe sole hemorrhage on a claw. Thin SST increased the likelihood of lesion occurrence; thin SST on the lateral claw predicted subsequent lameness on a leg. Thin BFT and thinning of BFT between previous assessment points increased the likelihood of future lesion occurrence. Thin SST and thinning of BFT had additional effects on the likelihood of lesion occurrence, suggesting that BFT and sole SST had independent effects on lesion occurrence. However, change in SST thickness between assessment points did not influence the likelihood of future lesions or lameness. This suggests that thin SST were not simply a result of depletion of body fat and challenges the theory that thinning of the digital cushion with body fat mobilization leads to CHDL. Other possible mechanisms by which SST become thin are discussed and could include changes in integrity of the suspensory apparatus with physiological events
Engaging with community researchers for exposure science: lessons learned from a pesticide biomonitoring study
A major challenge in biomonitoring studies with members of the general public is ensuring their continued involvement throughout the necessary length of the research. The paper presents evidence on the use of community researchers, recruited from local study areas, as a mechanism for ensuring effective recruitment and retention of farmer and resident participants for a pesticides biomonitoring study. The evidence presented suggests that community researchers' abilities to build and sustain trusting relationships with participants enhanced the rigour of the study as a result of their on-the-ground responsiveness and flexibility resulting in data collection beyond targets expected
Epistemic and Ontic Quantum Realities
Quantum theory has provoked intense discussions about its interpretation since its pioneer days. One of the few scientists who have been continuously engaged in this development from both physical and philosophical perspectives is Carl Friedrich von Weizsaecker. The questions he posed were and are inspiring for many, including the authors of this contribution. Weizsaecker developed Bohr's view of quantum theory as a theory of knowledge. We show that such an epistemic perspective can be consistently complemented by Einstein's ontically oriented position
Qubit portrait of the photon-number tomogram and separability of two-mode light states
In view of the photon-number tomograms of two-mode light states, using the
qubit-portrait method for studying the probability distributions with infinite
outputs, the separability and entanglement detection of the states are studied.
Examples of entangled Gaussian state and Schr\"{o}dinger cat state are
discussed.Comment: 20 pages, 6 figures, TeX file, to appear in Journal of Russian Laser
Researc
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