57 research outputs found

    Non-AIDS defining cancers in the D:A:D Study-time trends and predictors of survival : a cohort study

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    BACKGROUND:Non-AIDS defining cancers (NADC) are an important cause of morbidity and mortality in HIV-positive individuals. Using data from a large international cohort of HIV-positive individuals, we described the incidence of NADC from 2004-2010, and described subsequent mortality and predictors of these.METHODS:Individuals were followed from 1st January 2004/enrolment in study, until the earliest of a new NADC, 1st February 2010, death or six months after the patient's last visit. Incidence rates were estimated for each year of follow-up, overall and stratified by gender, age and mode of HIV acquisition. Cumulative risk of mortality following NADC diagnosis was summarised using Kaplan-Meier methods, with follow-up for these analyses from the date of NADC diagnosis until the patient's death, 1st February 2010 or 6 months after the patient's last visit. Factors associated with mortality following NADC diagnosis were identified using multivariable Cox proportional hazards regression.RESULTS:Over 176,775 person-years (PY), 880 (2.1%) patients developed a new NADC (incidence: 4.98/1000PY [95% confidence interval 4.65, 5.31]). Over a third of these patients (327, 37.2%) had died by 1st February 2010. Time trends for lung cancer, anal cancer and Hodgkin's lymphoma were broadly consistent. Kaplan-Meier cumulative mortality estimates at 1, 3 and 5 years after NADC diagnosis were 28.2% [95% CI 25.1-31.2], 42.0% [38.2-45.8] and 47.3% [42.4-52.2], respectively. Significant predictors of poorer survival after diagnosis of NADC were lung cancer (compared to other cancer types), male gender, non-white ethnicity, and smoking status. Later year of diagnosis and higher CD4 count at NADC diagnosis were associated with improved survival. The incidence of NADC remained stable over the period 2004-2010 in this large observational cohort.CONCLUSIONS:The prognosis after diagnosis of NADC, in particular lung cancer and disseminated cancer, is poor but has improved somewhat over time. Modifiable risk factors, such as smoking and low CD4 counts, were associated with mortality following a diagnosis of NADC

    Mensch und Verkehr

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    Seleção para aumento de produtividade e qualidade de frutos em abobrinha 'Piramoita' comparando dois métodos de melhoramento Selection for fruit yield and quality in 'Piramoita' summer squash comparing two breeding methods

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    Este trabalho teve por objetivo comparar dois métodos de melhoramento quanto à seleção visando ao aumento de produtividade e qualidade de frutos na cv. Piramoita. Foram realizados três ciclos de seleção recorrente, com seleção de progênies autofecundadas (S1) e recombinação das melhores progênies para obtenção das populações melhoradas no primeiro (SR-1), segundo (SR-2) e terceiro (SR-3) ciclos. No método do "Single Seed Descent" (SSD) as plantas foram autofecundadas por cinco gerações até a obtenção e avaliação de progênies S5. As nove melhores progênies foram selecionadas obtendo-se progênies endogâmicas selecionadas (SSD-1 a SSD-9) e essas progênies também foram intercruzadas para se obter a população P-SSD. Todas as populações obtidas (SR-1, SR-2, SR-3, P-SSD, SSD-1 a SSD-9), juntamente com a população original (cv. Piramoita), totalizando 14 tratamentos, foram avaliadas em um experimento em blocos ao acaso, com seis repetições e cinco plantas por parcela. As características avaliadas foram: produção de frutos (número e massa) total e comercial, massa média de fruto comercial e taxa de frutos comerciais. Foram obtidos aumentos crescentes de produção de frutos comerciais com os ciclos de seleção recorrente, sendo a população SR-3 superior à 'Piramoita' para número de frutos por planta. Foi obtida uma progênie por SSD melhor que a população inicial e tão produtiva quanto à população SR-3. Deste modo, o método SSD pode vir a ser ótima alternativa no melhoramento genético de abobrinha, sem a necessidade de avaliação e seleção de progênies a cada safra, apenas quando essas já estiverem praticamente homozigotas.<br>The objective of this work was to compare two breeding methods to improve fruit yield and quality in 'Piramoita' summer squash. Three cycles of recurrent selection were made, with evaluation and selection of S1 progenies and recombination of plants from selected progenies to obtain improved populations after one (SR-1), two (SR-2) and three (SR-3) cycles. In the single seed descent (SSD), plants were selfed for five generations untill obtention and evaluation of S5 progenies. The nine best progenies were selected to obtain nine endogamous progenies (SSD-1 to SSD-9) and they were, also, inter-crossed to obtain a improved population by SSD (P-SSD). All obtained populations (SR-1, SR-2, SR-3, P-SSD, SSD-1 to SSD-9) and the original one (cv. Piramoita), resulting 14 treatments, were evaluated in a randomized block design, with six replications and five plants per plot. The following characteristics were evaluated: number and weight of fruits per plant, total and commercial, mean fruit weight and rate of commercial fruits. Improvements were obtained with increased commercial fruit yield along the recurrent selection cycles, and SR-3 population was superior to 'Piramoita' regarding fruit number per plant. It was obtained a SSD progeny better than the original population and as productive as SR-3 population. SSD method is a good alternative for summer squash breeding, allowing evaluation and selection of progenies, only when the progenies are practically homozygous rather than each year

    Accelerated aging and seedling field emergence in soybean Envelhecimento acelerado e emergência de plântulas de soja em campo

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    Information regarding the relationship between laboratory seed vigor testing and seedling field emergence is very important to estimate seed performance after sowing and help producers adopt the best procedures to improve stand establishment. The objective of the present study was to relate accelerated aging (AA) test results to soybean [Glycine max (L.) Merrill] seedling field emergence results based on data obtained over three agricultural years. The following evaluations were made: seed water content, standard germination, accelerated aging, electrical conductivity, and seedling field emergence. There was a close association between planting environmental conditions, seed physiological quality and seedling field emergence. The most accurate predictions were obtained for AA values > 90%, when field emergence was higher than 80% (r² = 0.90). Based on the results it was concluded that the AA test provided an accurate estimate of field emergence of soybean seedlings. However, as seedbed environmental conditions became less favorable, the ability of the AA test to estimate field performance significantly decreased.<br>Informações sobre a relação entre resultados de testes de vigor conduzidos em laboratório e da emergência de plântulas em campo são fundamentais para a tomada de decisões pelos produtores de sementes. O presente trabalho teve por objetivo verificar a associação entre os resultados do teste de envelhecimento acelerado e a emergência de plântulas de soja [Glycine max (L.) Merrill] em campo, em diferentes safras agrícolas e épocas de semeadura. Assim, foram efetuadas as seguintes avaliações: determinação do grau de umidade das sementes; testes de germinação, de envelhecimento acelerado e de condutividade elétrica, bem como emergência de plântulas em campo. A estimativa mais precisa do desempenho das plântulas em campo foi verificada numa faixa de valores de envelhecimento acelerado > 90%, estimando emergência em campo superior a 80% (r² = 0,90). O teste de envelhecimento acelerado permitiu avaliar a emergência de plântulas de soja em campo. No entanto, à medida que as condições ambientais do local de semeadura foram desviando-se das mais adequadas, a eficiência decresceu
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