Neurocognitive function in HIV infected patients on antiretroviral therapy

OBJECTIVE To describe factors associated with neurocognitive (NC) function in HIV-positive patients on stable combination antiretroviral therapy. DESIGN We undertook a cross-sectional analysis assessing NC data obtained at baseline in patients entering the Protease-Inhibitor-Monotherapy-Versus-Ongoing-Triple therapy (PIVOT) trial. MAIN OUTCOME MEASURE NC testing comprised of 5 domains. Raw results were z-transformed using standard and demographically adjusted normative datasets (ND). Global z-scores (NPZ-5) were derived from averaging the 5 domains and percentage of subjects with test scores >1 standard deviation (SD) below population means in at least two domains (abnormal Frascati score) calculated. Patient characteristics associated with NC results were assessed using multivariable linear regression. RESULTS Of the 587 patients in PIVOT, 557 had full NC results and were included. 77% were male, 68% Caucasian and 28% of Black ethnicity. Mean (SD) baseline and nadir CD4+ lymphocyte counts were 553(217) and 177(117) cells/µL, respectively, and HIV RNA was <50 copies/mL in all. Median (IQR) NPZ-5 score was -0.5 (-1.2/-0) overall, and -0.3 (-0.7/0.1) and -1.4 (-2/-0.8) in subjects of Caucasian and Black ethnicity, respectively. Abnormal Frascati scores using the standard-ND were observed in 51%, 38%, and 81%, respectively, of subjects overall, Caucasian and Black ethnicity (p<0.001), but in 62% and 69% of Caucasian and Black subjects using demographically adjusted-ND (p = 0.20). In the multivariate analysis, only Black ethnicity was associated with poorer NPZ-5 scores (P<0.001). CONCLUSIONS In this large group of HIV-infected subjects with viral load suppression, ethnicity but not HIV-disease factors is closely associated with NC results. The prevalence of abnormal results is highly dependent on control datasets utilised. TRIAL REGISTRY ClinicalTrials.gov, NCT01230580

10Kin1day: a bottom-up neuroimaging initiative

We organized 10Kin1day, a pop-up scientific event with the goal to bring together neuroimaging groups from around the world to jointly analyze 10,000+ existing MRI connectivity datasets during a 3-day workshop. In this report, we describe the motivation and principles of 10Kin1day, together with a public release of 8,000+ MRI connectome maps of the human brain

10Kin1day: A Bottom-Up Neuroimaging Initiative.

We organized 10Kin1day, a pop-up scientific event with the goal to bring together neuroimaging groups from around the world to jointly analyze 10,000+ existing MRI connectivity datasets during a 3-day workshop. In this report, we describe the motivation and principles of 10Kin1day, together with a public release of 8,000+ MRI connectome maps of the human brain

The MALSF synthesis study in the central and eastern English Channel

The need for effective stewardship of the marine environment through integrated management, balancing the requirements for development and exploitation with nature conservation and legislation, has been widely recognised. However, implementing such a strategy requires a significant knowledge of the nature of the sea bed. Acquiring such knowledge in the central and eastern English Channel (Figure 1) has been a focus of the Marine Aggregate Levy Sustainability Fund (MALSF) since 2005. The MALSF has funded a series of surveys to acquire high resolution data and its subsequent interpretation, along with other data, using a multi-disciplinary approach including geologists, biologists and archaeologists. This has produced a great deal of beneficial cooperation and interaction between these disciplines and enhanced the quality of the interpretations and results

Traumatic brain injury recorded in the UK Joint Theatre Trauma Registry among the UK Armed Forces

OBJECTIVES: To use the UK Joint Theatre Trauma Registry (UK-JTTR) to identify service personnel sustaining traumatic brain injury (TBI) in recent conflicts and to examine injury characteristics, outcomes, and severity measures predictive of survival. SETTING: Operations HERRICK (Afghanistan) and TELIC (Iraq). DESIGN: The UK-JTTR records data for every UK service person either killed on operations or treated by Defence Medical Services after a trauma call, including those evacuated for inpatient care following traumatic injury. UK-JTTR data were retrospectively analyzed to identify those who sustained TBI. MAIN MEASURES: The Mayo system was used to define TBI. Glasgow Coma Scale score, injury severity score, new injury severity score, trauma injury severity score, abbreviated injury scale, and a severity characterization of trauma were used to predict survival. RESULTS: In total, 464 UK service personnel sustained TBI, representing 19% of the 2440 casualties in Afghanistan and Iraq, recorded in the UK-JTTR. Most TBI casualties had moderate-severe TBI (402, 87%). There were 181 (39%) survivors, 56% of these received neurorehabilitation. Improvised explosive devices accounted for 55% of TBIs sustained in Afghanistan and 31% of TBIs in Iraq. Logistic regression analyses were performed using the 412 cases (149 survivors: 263 fatalities) with scores on all severity measures. The best-fitting model was based on trauma injury severity score. A trauma injury severity score more than 11.13 indicates a more than 95% probability of survival. CONCLUSION: This is the first study of UK combat TBIs between 2003 and 2011. Almost 1 in 5 UK service personnel recorded in the UK-JTTR had TBI; most were moderate-severe. However, mild TBI is likely to be underrepresented in the UK-JTTR. These findings may be used to plan future rehabilitation needs, as almost half the survivors did not receive neurorehabilitation

Electrostatically driven coassembly of a diblock copolymer and an oppositely charged homopolymer in aqueous solutions

Voets IJK, van der Burgh S, Farago B, et al. Electrostatically driven coassembly of a diblock copolymer and an oppositely charged homopolymer in aqueous solutions. Macromolecules. 2007;40(23):8476-8482.Electrostatically driven coassembly of poly(acrylic acid)-block-poly(acrylamide), PAA-b-PAAm, and poly(2-methylvinylpyridinium iodide), P2MVP, leads to formation of micelles in aqueous solutions. Light scattering and small angle neutron scattering experiments have been performed to study the effect of concentration and length of the corona block (N-PAAm = 97, 208, and 417) on micellar characteristics. Small angle neutron scattering curves were analyzed by generalized indirect Fourier transformation and model fitting. All scattering curves could be well described with a combination of a form factor for polydisperse spheres in combination with a hard sphere structure factor for the highest concentrations. Micellar aggregation numbers, shape, and internal structure are relatively independent of concentration for C-p < 23.12 g L-1. The Guinier radius, average micellar radius, hydrodynamic radius, and polydispersity were found to increase with increasing N-PAAm. Micellar mass and aggregation number were found to decrease with increasing N-PAAm