162 research outputs found

    Alcohol Use, Trait Anger, and Intimate Partner Violence in College Student Couples

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    Intimate Partner Violence (IPV) is a significant public health problem, and risk for IPV is often highest among young adults. Numerous studies have found alcohol use to temporally precede and increase the risk for IPV perpetration. Trait anger is also associated with greater levels of physical, sexual, and psychological IPV perpetration. Daily diary research using one member of the dyad has found that alcohol is associated with increased physical IPV perpetration among men high, but not low, in levels of trait anger. However, IPV is a dyadic process that is impacted by the behavior of both partners, and little is known about whether alcohol use and trait anger may interact to predict IPV in couples. The present thesis utilized a sample of 181 couples between the ages of 18-25 years old to examine alcohol use/problems and trait anger as predictors of physical, sexual, and psychological IPV perpetration. Data were analyzed using an Actor-Partner Interdependence (APIM) framework, allowing for both actor and partner effects to be examined. Results indicated that actor trait anger was associated with increased levels of psychological IPV perpetration (B = 1.25, p \u3c .001). Both actor alcohol use/problems (ERR = 1.08, 95% CI = 1.01 – 1.16) and actor trait anger (ERR = 1.10, 95% CI = 1.02, 1.17) were associated with increased physical IPV perpetration. A significant interaction (p \u3c .001) between partner alcohol use/problems and partner trait anger predicting sexual IPV perpetration indicated that at high levels of partner trait anger, partner alcohol use/problems were associated with lower levels of actor sexual IPV perpetration (ERR = 0.81, 95% CI = 0.75 – 0.88). On the other hand, at low levels of partner trait anger, partner alcohol use/problems were associated with higher levels of actor sexual IPV perpetration (ERR = 1.08, 95% CI = 1.02 – 1.15). Findings highlight the importance of targeting alcohol use/problems and trait anger to reduce IPV in young adults

    Better Understanding of Resonance through Modeling and Visualization

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    Students encounter cavity resonance and waveguide phenomena in acoustics courses and texts, where the study is usually limited to cases with simple geometries: parallelepipeds, cylinders, and spheres. Long-wavelength approximations help with situations of more complexity, as in the classic Helmholtz resonator. At Kettering University, we are beginning to employ finite element modeling in our acoustics classes to help undergraduates better understand the acoustic modes of actual structures. This approach to the time-independent wave equation (the Helmholtz equation) was first used in a research and measurements class to investigate two classic resonance problems. The first problem was a study of resonance in bottles of various shapes. The second problem, a standard application of the Helmholtz resonator, aimed to control noise in a duct at a single “problem frequency.” Students employed swept-sine tests with their structures to determine acoustic mode frequencies. For some of the bottles, pressure mode shapes were also measured by moving a small microphone. The measurements were then compared to results from a time-harmonic finite element model, and when possible, to predictions based on simplified models (the Helmholtz resonator and cylinders). The dependence of the mode shape on varying cross-section enriched the understanding that the textbooks could deliver. In the noise control problem with a duct and resonator, the interaction of the resonator with standing waves of the duct was made clear through visualization. In particular, the model could simulate an infinite duct—not available in our lab!—to clarify the effect of the Helmholtz resonator. Measurements and models from student work will accompany discussion, and ideas for future implementation in courses will be mentioned

    PHIL photoinjector test line

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    LAL is now equiped with its own platform for photoinjectors tests and Research and Developement, named PHIL (PHotoInjectors at LAL). This facility has two main purposes: push the limits of the photoinjectors performances working on both the design and the associated technology and provide a low energy (MeV) short pulses (ps) electron beam for the interested users. Another very important goal of this machine will be to provide an opportunity to form accelerator physics students, working in a high technology environment. To achieve this goal a test line was realised equipped with an RF source, magnets and beam diagnostics. In this article we will desrcibe the PHIL beamline and its characteristics together with the description of the first two photoinjector realised in LAL and tested: the ALPHAX and the PHIN RF Guns

    A new health care index predicts short term mortality for TB and HIV co-infected people

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    BACKGROUND: Using 2004–2007 TB:HIV Study data from Europe and Latin America, we previously generated a health care index (HCI) for TB and HIV co-infected people. With improvements in diagnostic and management practices, we have now updated the HCI with new data. METHODS: We evaluated nine aspects of health care in Cox proportional hazards models on time from TB diagnosis to death. Kaplan-Meier methods were used to estimate the probability of death by HCI quartile. RESULTS: Of 1396 eligible individuals (72% male, 59% from Eastern Europe), 269 died within 12 months. Use of rifamycin/isoniazid/pyrazinamide-based treatment (HR 0.67, 95% CI 0.50–0.89), TB drug susceptibility testing (DST) and number of active TB drugs (DST + <3 drugs (HR 1.09, 95% CI 0.80–1.48), DST + ≥3 drugs (HR 0.49, 95% CI 0.35–0.70) vs. no DST), recent HIV-RNA measurement (HR 0.64, 95% CI 0.50–0.82) and combination antiretroviral therapy use (HR 0.72, 95% CI 0.53–0.97) were associated with mortality. These factors contributed respectively 5, –1, 8, 5 and 4 to the HCI. Lower HCI was associated with an increased probability of death; 30% (95% CI 26–35) vs. 9% (95% CI 6–13) in the lowest vs. the highest quartile. CONCLUSION: We found five potentially modifiable health care components that were associated with mortality among TB-HIV positive individuals. Validation of our HCI in other TB cohorts could enhance our findings

    Trisomy 21 induces pericentrosomal crowding delaying primary ciliogenesis and mouse cerebellar development.

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    Trisomy 21, the genetic cause of Down syndrome, disrupts primary cilia formation and function, in part through elevated Pericentrin, a centrosome protein encoded on chromosome 21. Yet how trisomy 21 and elevated Pericentrin disrupt cilia-related molecules and pathways, and the in vivo phenotypic relevance remain unclear. Utilizing ciliogenesis time course experiments combined with light microscopy and electron tomography, we reveal that chromosome 21 polyploidy elevates Pericentrin and microtubules away from the centrosome that corral MyosinVA and EHD1, delaying ciliary membrane delivery and mother centriole uncapping essential for ciliogenesis. If given enough time, trisomy 21 cells eventually ciliate, but these ciliated cells demonstrate persistent trafficking defects that reduce transition zone protein localization and decrease sonic hedgehog signaling in direct anticorrelation with Pericentrin levels. Consistent with cultured trisomy 21 cells, a mouse model of Down syndrome with elevated Pericentrin has fewer primary cilia in cerebellar granule neuron progenitors and thinner external granular layers at P4. Our work reveals that elevated Pericentrin from trisomy 21 disrupts multiple early steps of ciliogenesis and creates persistent trafficking defects in ciliated cells. This pericentrosomal crowding mechanism results in signaling deficiencies consistent with the neurological phenotypes found in individuals with Down syndrome

    Differences in response to antiretroviral therapy in HIV-positive patients being treated for tuberculosis in Eastern Europe, Western Europe and Latin America

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    BACKGROUND: Efavirenz-based antiretroviral therapy (ART) regimens are preferred for treatment of adult HIV-positive patients co-infected with tuberculosis (HIV/TB). Few studies have compared outcomes among HIV/TB patients treated with efavirenz or non-efavirenz containing regimens. METHODS: HIV-positive patients aged ≥16 years with a diagnosis of tuberculosis recruited to the TB:HIV study between Jan 1, 2011, and Dec 31, 2013 in 19 countries in Eastern Europe (EE), Western Europe (WE), and Latin America (LA) who received ART concomitantly with TB treatment were included. Patients either received efavirenz-containing ART starting between 15 days prior to, during, or within 90 days after starting tuberculosis treatment, (efavirenz group), or other ART regimens (non-efavirenz group). Patients who started ART more than 90 days after initiation of TB treatment, or who experienced ART interruption of more than 15 days during TB treatment were excluded. We describe rates and factors associated with death, virological suppression, and loss to follow up at 12 months using univariate, multivariate Cox, and marginal structural models to compare the two groups of patients. RESULTS: Of 965 patients (647 receiving efavirenz-containing ART, and 318 a non-efavirenz regimen) 50% were from EE, 28% from WE, and 22% from LA. Among those not receiving efavirenz-containing ART, regimens mainly contained a ritonavir-boosted protease inhibitor (57%), or raltegravir (22%). At 12 months 1.4% of patients in WE had died, compared to 20% in EE: rates of virological suppression ranged from 21% in EE to 61% in WE. After adjusting for potential confounders, rates of death (adjusted Hazard Ratio; aHR, 95%CI: 1.13, 0.72–1.78), virological suppression (aHR, 95%CI: 0.97, 0.76–1.22), and loss to follow up (aHR, 95%CI: 1.17, 0.81–1.67), were similar in patients treated with efavirenz and non-efavirenz containing ART regimens. CONCLUSION: In this large, prospective cohort, the response to ART varied significantly across geographical regions, whereas the ART regimen (efavirenz or non-efavirenz containing) did not impact on the proportion of patients who were virologically-suppressed, lost to follow up or dead at 12 months

    Commissioning of the ALTO 50 MeV electron linac

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    online : http://accelconf.web.cern.ch/AccelConf/e06/PAPERS/MOPLS113.pdfThe ALTO 50 MeV electron linac is dedicated to the production of neutron-rich radioactive nuclei using the photo-fission process and the optimisation of the targetion source system for SPIRAL 2 and EURISOL projects. The accelerator consists of a 3 MeV injector (old test station of LAL, Laboratoire de l'Accélérateur Linéaire d'Orsay), LIL (Linac Injector of LEP) accelerating structure, RF power plant, beam line, control system and diagnostics. Specified and measured beam parameters will be compared to show the performances of the photofission process and eventually other applications

    The Peptidyl Prolyl Isomerase Rrd1 Regulates the Elongation of RNA Polymerase II during Transcriptional Stresses

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    Rapamycin is an anticancer agent and immunosuppressant that acts by inhibiting the TOR signaling pathway. In yeast, rapamycin mediates a profound transcriptional response for which the RRD1 gene is required. To further investigate this connection, we performed genome-wide location analysis of RNA polymerase II (RNAPII) and Rrd1 in response to rapamycin and found that Rrd1 colocalizes with RNAPII on actively transcribed genes and that both are recruited to rapamycin responsive genes. Strikingly, when Rrd1 is lacking, RNAPII remains inappropriately associated to ribosomal genes and fails to be recruited to rapamycin responsive genes. This occurs independently of TATA box binding protein recruitment but involves the modulation of the phosphorylation status of RNAPII CTD by Rrd1. Further, we demonstrate that Rrd1 is also involved in various other transcriptional stress responses besides rapamycin. We propose that Rrd1 is a novel transcription elongation factor that fine-tunes the transcriptional stress response of RNAPII

    Does rapid HIV disease progression prior to combination antiretroviral therapy hinder optimal CD4 + T-cell recovery once HIV-1 suppression is achieved?

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    Objective: This article compares trends in CD4+ T-cell recovery and proportions achieving optimal restoration (>=500 cells/µl) after viral suppression following combination antiretroviral therapy (cART) initiation between rapid and nonrapid progressors. Methods: We included HIV-1 seroconverters achieving viral suppression within 6 months of cART. Rapid progressors were individuals experiencing at least one CD4+ less than 200 cells/µl within 12 months of seroconverters before cART. We used piecewise linear mixed models and logistic regression for optimal restoration. Results: Of 4024 individuals, 294 (7.3%) were classified as rapid progressors. At the same CD4+ T-cell count at cART start (baseline), rapid progressors experienced faster CD4+ T-cell increases than nonrapid progressors in first month [difference (95% confidence interval) in mean increase/month (square root scale): 1.82 (1.61; 2.04)], which reversed to slightly slower increases in months 1–18 [-0.05 (-0.06; -0.03)] and no significant differences in 18–60 months [-0.003 (-0.01; 0.01)]. Percentage achieving optimal restoration was significantly lower for rapid progressors than nonrapid progressors at months 12 (29.2 vs. 62.5%) and 36 (47.1 vs. 72.4%) but not at month 60 (70.4 vs. 71.8%). These differences disappeared after adjusting for baseline CD4+ T-cell count: odds ratio (95% confidence interval) 0.86 (0.61; 1.20), 0.90 (0.38; 2.17) and 1.56 (0.55; 4.46) at months 12, 36 and 60, respectively. Conclusion: Among people on suppressive antiretroviral therapy, rapid progressors experience faster initial increases of CD4+ T-cell counts than nonrapid progressors, but are less likely to achieve optimal restoration during the first 36 months after cART, mainly because of lower CD4+ T-cell counts at cART initiation

    Management of MDR-TB in HIV co-infected patients in Eastern Europe: Results from the TB:HIV study

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    Objectives Mortality among HIV patients with tuberculosis (TB) remains high in Eastern Europe (EE), but details of TB and HIV management remain scarce. Methods In this prospective study, we describe the TB treatment regimens of patients with multi-drug resistant (MDR) TB and use of antiretroviral therapy (ART). Results A total of 105 HIV-positive patients had MDR-TB (including 33 with extensive drug resistance) and 130 pan-susceptible TB. Adequate initial TB treatment was provided for 8% of patients with MDR-TB compared with 80% of those with pan-susceptible TB. By twelve months, an estimated 57.3% (95%CI 41.5\u201374.1) of MDR-TB patients had started adequate treatment. While 67% received ART, HIV-RNA suppression was demonstrated in only 23%. Conclusions Our results show that internationally recommended MDR-TB treatment regimens were infrequently used and that ART use and viral suppression was well below the target of 90%, reflecting the challenging patient population and the environment in which health care is provided. Urgent improvement of management of patients with TB/HIV in EE, in particular for those with MDR-TB, is needed and includes widespread access to rapid TB diagnostics, better access to and use of second-line TB drugs, timely ART initiation with viral load monitoring, and integration of TB/HIV care
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