Injection drug use and patterns of highly active antiretroviral therapy use: an analysis of ALIVE, WIHS, and MACS cohorts

<p>Abstract</p> <p>Background</p> <p>Sustained use of antiretroviral therapy has been consistently shown to be one of the primary predictors of long-term effectiveness. Switching and discontinuation reflect patient and provider decisions that may limit future treatment options. In this study, we utilize data reported at semi-annual study visits from three prospective cohort studies, the AIDS Link to IntraVenous Exposure (ALIVE), the Women's Interagency HIV Study (WIHS), and the Multicenter AIDS Cohort Study (MACS), to investigate determinants of HAART modification with a particular focus on reported injection drug use (IDU).</p> <p>Methods</p> <p>Longitudinal data collected between 1996 and 2004 contributed from 2,266 participants (37% with a reported history of IDU) who reported initiating their first HAART regimen during follow-up were utilized. Separate proportional-hazards models were used to identify factors measured prior to HAART-initiation associated with the time to first HAART discontinuation and first switch of components of HAART among continuous HAART users.</p> <p>Results</p> <p>The use of PI- vs. NNRTI-based regimens among HAART users with and without any history of IDU was similar over follow-up. The median time to a first report of discontinuation of HAART was 1.1 years for individuals with a history of IDU but 2.5 years for those without a history of IDU and multivariate analyses confirmed overall that individuals with a history of IDU were at greater risk for HAART discontinuation (adj RH = 1.24, 95% CI: 1.03–1.48). However, when restricting to data contributed after 1999, there was no longer any significant increased risk (adj RH = 1.05, 95% CI: 0.81–1.36). After adjusting for pre-HAART health status and prior ARV exposure, individuals who were ethnic/racial minorities, reported an annual income < $10,000/year, and were not employed were at significantly greater risk for HAART discontinuation. The median time to a first change in HAART regimen was approximately 1.5 years after first HAART report and was not elevated among those with a history of IDU (adj RH = 1.09, 95% CI: 0.89–1.34).</p> <p>Conclusion</p> <p>Our analyses demonstrate that injection drug use by itself does not appear to be an independent risk factor for HAART switching or discontinuation in more recent years. However, as continued HAART use is of paramount importance for long-term control of HIV infection, efforts to improve maintenance to therapy among disadvantaged and minority populations remain greatly needed.</p

Impact of Root Herbivory on Grassland Community Structure: From Landscape to Microscale

Root herbivores are an important functional group in grassland ecosystems. Whilst there is a plethora of information on their impact as pests in productive grassland, few studies of their impact on biodiversity in upland grassland have been made. Root herbivores act in a number of ways, they reduce host plant biomass, alter root architecture, change root exudation patterns and increase water stress in the plant. Root herbivores may change above ground plant diversity, both through direct removal of plant species and through reduction in competitive ability of some species, through their feeding. In addition, we postulate that root herbivores affect soil microbial communities through changes in root exudation

Soil Biodiversity, Root Herbivory and Carbon and Nitrogen Cycling in Grassland Soils

This paper describes research on the relationships between grassland management practices and the diversity of biological communities in soil. Observations are being made in field trials with applications of nitrogen and lime and of insecticide to an original diverse sward and to a single species grass re-seed. The treatments are designed to produce different degrees of diversity in communities of soil animals and microbes. Assessments are being made over three years of the effects on the populations, activity and diversity of root-feeding animals, arbuscular mycorrhizal fungi, soil bacteria, fungi and micro fauna, including nonplant feeding nematodes. Associated laboratory experiments assess the effects of root herbivores with different feeding sites and mechanisms on the quality and quantity of rhizosphere deposition and it relationship to microbial communities. In this way, we shall develop an understanding of the relationships between root-herbivory and soil biodiversity and between of biodiversity and soil energy and nutrient transformations

An iterative approach to precondition inference using constrained Horn clauses

We present a method for automatic inference of conditions on the initial states of a program that guarantee that the safety assertions in the program are not violated. Constrained Horn clauses (CHCs) are used to model the program and assertions in a uniform way, and we use standard abstract interpretations to derive an over-approximation of the set of unsafe initial states. The precondition then is the constraint corresponding to the complement of that set, under-approximating the set of safe initial states. This idea of complementation is not new, but previous attempts to exploit it have suffered from the loss of precision. Here we develop an iterative specialisation algorithm to give more precise, and in some cases optimal safety conditions. The algorithm combines existing transformations, namely constraint specialisation, partial evaluation and a trace elimination transformation. The last two of these transformations perform polyvariant specialisation, leading to disjunctive constraints which improve precision. The algorithm is implemented and tested on a benchmark suite of programs from the literature in precondition inference and software verification competitions.Comment: Paper presented at the 34nd International Conference on Logic Programming (ICLP 2018), Oxford, UK, July 14 to July 17, 2018 18 pages, LaTe

Selectivity and functional diversity in arbuscular mycorrhizas of co-occurring fungi and plants from a temperate deciduous woodland

1 The arbuscular mycorrhizal (AM) fungi colonizing plants at a woodland site in North Yorkshire (UK) have been characterized from the roots of five plant species (Rubus fruticosus agg. L., Epilobium angustifolium L., Acer pseudoplatanus L., Ajuga reptans L. and Glechoma hederacea L.), and identified using small-subunit rRNA (SSUrRNA) gene amplification and sequencing. 2 Interactions between five plant species from the site and four co-occurring glomalean fungi were investigated in artificial one-to-one AM symbioses. Three of the fungi were isolated from the site; the fourth was a culture genetically similar to a taxon found at the site. Phosphorus uptake and growth responses were compared with non-mycorrhizal controls. 3 Individual fungi colonized each plant with different spatial distribution and intensity. Some did not colonize at all, indicating incompatibility under the conditions used in the experiments. 4 Glomus hoi consistently occupied a large proportion of root systems and outperformed the other fungi, improving P uptake and enhancing the growth of four out of the five plant species. Only G. hoi colonized and increased P uptake in Acer pseudoplatanus, the host plant with which it associates almost exclusively under field conditions. Colonization of all plant species by Scutellospora dipurpurescens was sparse, and beneficial to only one of the host plants (Teucrium scorodonia). Archaeospora trappei and Glomus sp. UY1225 had variable effects on the host plants, conferring a range of P uptake and growth benefits on Lysimachia nummularia and T. scorodonia, increasing P uptake whilst not affecting biomass in Ajuga reptans and Glechoma hederacea, and failing to form mycorrhizas with A. pseudoplatanus. 5 These experimental mycorrhizas show that root colonization, symbiont compatibility and plant performance vary with each fungus-plant combination, even when the plants and fungi naturally co-exist. 6 We provide evidence of physical and functional selectivity in AM. The small number of described AM fungal species (154) has been ascribed to their supposed lack of host specificity, but if the selectivity we have observed is the general rule, then we may predict that many more, probably hard-to-culture glomalean species await discovery, or that members of species as currently perceived may be physiologically or functionally distinct

Molecular diversity of arbuscular mycorrhizal fungi and patterns of host association over time and space in a tropical forest

We have used molecular techniques to investigate the diversity and distribution of the arbuscular mycorrhizal (AM) fungi colonizing tree seedling roots in the tropical forest on Barro Colorado Island (BCI), Republic of Panama. In the first year, we sampled newly emergent seedlings of the understory treelet Faramea occidentalis and the canopy emergent Tetragastris panamensis, from mixed seedling carpets at each of two sites. The following year we sampled surviving seedlings from these cohorts. The roots of 48 plants were analysed using AM fungal-specific primers to amplify and clone partial small subunit (SSU) ribosomal RNA gene sequences. Over 1300 clones were screened for random fragment length polymorphism (RFLP) variation and 7% of these were sequenced. Compared with AM fungal communities sampled from temperate habitats using the same method, the overall diversity was high, with a total of 30 AM fungal types identified. Seventeen of these types have not been recorded previously, with the remainder being similar to types reported from temperate habitats. The tropical mycorrhizal population showed significant spatial heterogeneity and nonrandom associations with the different hosts. Moreover there was a strong shift in the mycorrhizal communities over time. AM fungal types that were dominant in the newly germinated seedlings were almost entirely replaced by previously rare types in the surviving seedlings the following year. The high diversity and huge variation detected across time points, sites and hosts, implies that the AM fungal types are ecologically distinct and thus may have the potential to influence recruitment and host composition in tropical forests