110 research outputs found
How does gender influence the recognition of cardiovascular risk and adherence to self-care recommendations? : a study in polish primary care
Background:
Studies have shown a correlation between gender and an ability to change lifestyle to reduce the risk of disease. However, the results of these studies are ambiguous, especially where a healthy lifestyle is concerned. Additionally, health behaviors are strongly modified by culture and the environment. Psychological factors also substantially affect engagement with disease-related lifestyle interventions. This study aimed to examine whether there are differences between men and women in the frequency of health care behavior for the purpose of reducing cardiovascular risk (CVR), as well as cognitive appraisal of this type of risk. We also aimed to identify the psychological predictors of engaging in recommended behavior for reducing the risk of cardiovascular disease after providing information about this risk in men and women.
Methods:
A total of 134 consecutive eligible patients in a family practice entered a longitudinal study. At initial consultation, the individual’s CVR and associated health burden was examined, and preventive measures were recommended by the physician. Self-care behavior, cognitive appraisal of risk, and coping styles were then assessed using psychological questionnaires. Six months after the initial data collection, the frequency of subjects’ self-care behavior was examined.
Results:
We found an increase in health care behavior after providing information regarding the rate of CVR in both sexes; this increase was greater for women than for men. Women followed self-care guidelines more often than men, particularly for preventive measures and dietary advice. Women were more inclined to recognize their CVR as a challenge. Coping style, cognitive appraisal, age, level of health behaviors at baseline and CVR values accounted for 48% of the variance in adherence to self-care guidelines in women and it was 52% in men. In women, total risk of CVD values were most important, while in men, cognitive appraisal of harm/loss was most important.
Conclusions:
Different predictors of acquisition of health behavior are encountered in men and women. Our results suggest that gender-adjusted motivation models influencing the recognition process need to be considered to optimize compliance in patients with CVR
ABSTRACTS OF PRESENTATIONS
Second International Conference on African Digital Libraries and Archives, abstracts of presentation
Effect of promoter architecture on the cell-to-cell variability in gene expression
According to recent experimental evidence, the architecture of a promoter,
defined as the number, strength and regulatory role of the operators that
control the promoter, plays a major role in determining the level of
cell-to-cell variability in gene expression. These quantitative experiments
call for a corresponding modeling effort that addresses the question of how
changes in promoter architecture affect noise in gene expression in a
systematic rather than case-by-case fashion. In this article, we make such a
systematic investigation, based on a simple microscopic model of gene
regulation that incorporates stochastic effects. In particular, we show how
operator strength and operator multiplicity affect this variability. We examine
different modes of transcription factor binding to complex promoters
(cooperative, independent, simultaneous) and how each of these affects the
level of variability in transcription product from cell-to-cell. We propose
that direct comparison between in vivo single-cell experiments and theoretical
predictions for the moments of the probability distribution of mRNA number per
cell can discriminate between different kinetic models of gene regulation.Comment: 35 pages, 6 figures, Submitte
Trends and correlates of HIV-1 resistance among subjects failing an antiretroviral treatment over the 2003-2012 decade in Italy
BACKGROUND:
Despite a substantial reduction in virological failures following introduction of new potent antiretroviral therapies in the latest years, drug resistance remains a limitation for the control of HIV-1 infection. We evaluated trends and correlates of resistance in treatment failing patients in a comprehensive database over a time period of relevant changes in prescription attitudes and treatment guidelines.
METHODS:
We analyzed 6,796 HIV-1 pol sequences from 49 centres stored in the Italian ARCA database during the 2003-2012 period. Patients (n = 5,246) with viremia > 200 copies/mL received a genotypic test while on treatment. Mutations were identified from IAS-USA 2013 tables. Class resistance was evaluated according to antiretroviral regimens in use at failure. Time trends and correlates of resistance were analyzed by Cochran-Armitage test and logistic regression models.
RESULTS:
The use of NRTI backbone regimens slightly decreased from 99.7% in 2003-2004 to 97.4% in 2010-2012. NNRTI-based combinations dropped from 46.7% to 24.1%. PI-containing regimens rose from 56.6% to 81.7%, with an increase of boosted PI from 36.5% to 68.9% overtime. In the same reference periods, Resistance to NRTIs, NNRTIs and PIs declined from 79.1% to 40.8%, from 77.8% to 53.8% and from 59.8% to 18.9%, respectively (p < .0001 for all comparisons). Dual NRTI + NNRTI and NRTI + PI resistance decreased from 56.4% to 33.3% and from 36.1% to 10.5%, respectively. Reduced risk of resistance over time periods was confirmed by a multivariate analysis.
CONCLUSIONS:
Mutations associated with NRTIs, NNRTIs and PIs at treatment failure declined overtime regardless of specific class combinations and epidemiological characteristics of treated population. This is likely due to the improvement of HIV treatment, including both last generation drug combinations and prescription guidelines
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Detection of cosmic structures using the bispectrum phase. II. First results from application to cosmic reionization using the Hydrogen Epoch of Reionization Array
Characterizing the epoch of reionization (EoR) at via the
redshifted 21 cm line of neutral Hydrogen (HI) is critical to modern
astrophysics and cosmology, and thus a key science goal of many current and planned low-frequency radio telescopes. The primary challenge to detecting this signal is the overwhelmingly bright foreground emission at these frequencies, placing stringent requirements on the knowledge of the instruments and inaccuracies in analyses. Results from these experiments have largely been limited not by thermal sensitivity but by systematics, particularly caused by the inability to calibrate the instrument to high accuracy. The interferometric bispectrum phase is immune to antenna-based calibration and errors therein, and presents an independent alternative to detect the EoR HI fluctuations while largely avoiding calibration systematics. Here, we provide a demonstration of this technique on a subset of data from the Hydrogen Epoch of Reionization Array (HERA) to place approximate constraints on the IGM brightness temperature. From this limited data, at we infer "" upper limits on the IGM brightness temperature to be "pseudo" mK at Mpc (data-limited) and
"pseudo" mK at
Mpc (noise-limited). The "pseudo" units denote only an approximate and not an exact correspondence to the actual distance scales and brightness temperatures. By propagating models in parallel to the data analysis, we confirm that the dynamic range required to separate the cosmic HI signal from the foregrounds is similar to that in standard approaches, and the power spectrum of the bispectrum phase is still data-limited (at dynamic range) indicating scope for further improvement in sensitivity as the array build-out continues
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Detection of cosmic structures using the bispectrum phase. II. First results from application to cosmic reionization using the Hydrogen Epoch of Reionization Array
Characterizing the epoch of reionization (EoR) at via the
redshifted 21 cm line of neutral Hydrogen (HI) is critical to modern
astrophysics and cosmology, and thus a key science goal of many current and planned low-frequency radio telescopes. The primary challenge to detecting this signal is the overwhelmingly bright foreground emission at these frequencies, placing stringent requirements on the knowledge of the instruments and inaccuracies in analyses. Results from these experiments have largely been limited not by thermal sensitivity but by systematics, particularly caused by the inability to calibrate the instrument to high accuracy. The interferometric bispectrum phase is immune to antenna-based calibration and errors therein, and presents an independent alternative to detect the EoR HI fluctuations while largely avoiding calibration systematics. Here, we provide a demonstration of this technique on a subset of data from the Hydrogen Epoch of Reionization Array (HERA) to place approximate constraints on the IGM brightness temperature. From this limited data, at we infer "" upper limits on the IGM brightness temperature to be "pseudo" mK at Mpc (data-limited) and
"pseudo" mK at
Mpc (noise-limited). The "pseudo" units denote only an approximate and not an exact correspondence to the actual distance scales and brightness temperatures. By propagating models in parallel to the data analysis, we confirm that the dynamic range required to separate the cosmic HI signal from the foregrounds is similar to that in standard approaches, and the power spectrum of the bispectrum phase is still data-limited (at dynamic range) indicating scope for further improvement in sensitivity as the array build-out continues
Imaging and Modeling Data from the Hydrogen Epoch of Reionization Array
We analyze data from the Hydrogen Epoch of Reionization Array. This is the
third in a series of papers on the closure phase delay-spectrum technique
designed to detect the HI 21cm emission from cosmic reionization. We present
the details of the data and models employed in the power spectral analysis, and
discuss limitations to the process. We compare images and visibility spectra
made with HERA data, to parallel quantities generated from sky models based on
the GLEAM survey, incorporating the HERA telescope model. We find reasonable
agreement between images made from HERA data, with those generated from the
models, down to the confusion level. For the visibility spectra, there is broad
agreement between model and data across the full band of MHz. However,
models with only GLEAM sources do not reproduce a roughly sinusoidal spectral
structure at the tens of percent level seen in the observed visibility spectra
on scales MHz on 29 m baselines. We find that this structure is
likely due to diffuse Galactic emission, predominantly the Galactic plane,
filling the far sidelobes of the antenna primary beam. We show that our current
knowledge of the frequency dependence of the diffuse sky radio emission, and
the primary beam at large zenith angles, is inadequate to provide an accurate
reproduction of the diffuse structure in the models. We discuss implications
due to this missing structure in the models, including calibration, and in the
search for the HI 21cm signal, as well as possible mitigation techniques
Understanding the HERA Phase i receiver system with simulations and its impact on the detectability of the EoR delay power spectrum
The detection of the Epoch of Reionization (EoR) delay power spectrum using a
"foreground avoidance method" highly depends on the instrument chromaticity.
The systematic effects induced by the radio-telescope spread the foreground
signal in the delay domain, which contaminates the EoR window theoretically
observable. Applied to the Hydrogen Epoch of Reionization Array (HERA), this
paper combines detailed electromagnetic and electrical simulations in order to
model the chromatic effects of the instrument, and quantify its frequency and
time responses. In particular, the effects of the analogue receiver,
transmission cables, and mutual coupling are included. These simulations are
able to accurately predict the intensity of the reflections occurring in the
150-m cable which links the antenna to the back-end. They also show that
electromagnetic waves can propagate from one dish to another one through large
sections of the array due to mutual coupling. The simulated system time
response is attenuated by a factor after a characteristic delay which
depends on the size of the array and on the antenna position. Ultimately, the
system response is attenuated by a factor after 1400 ns because of the
reflections in the cable, which corresponds to characterizable
-modes above 0.7 at 150 MHz. Thus, this new
study shows that the detection of the EoR signal with HERA Phase I will be more
challenging than expected. On the other hand, it improves our understanding of
the telescope, which is essential to mitigate the instrument chromaticity
Automated Detection of Antenna Malfunctions in Large-N Interferometers: A case study With the Hydrogen Epoch of Reionization Array
We present a framework for identifying and flagging malfunctioning antennas in large radio
interferometers. We outline two distinct categories of metrics designed to detect outliers along known failure
modes of large arrays: cross-correlation metrics, based on all antenna pairs, and auto-correlation metrics, based
solely on individual antennas. We define and motivate the statistical framework for all metrics used, and present
tailored visualizations that aid us in clearly identifying new and existing systematics. We implement these
techniques using data from 105 antennas in the Hydrogen Epoch of Reionization Array (HERA) as a case study.
Finally, we provide a detailed algorithm for implementing these metrics as flagging tools on real data sets
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