382 research outputs found
Crescimento inicial de pinhão-manso sob efeito de calagem e adubação, em solos de Mato Grosso do Sul.
bitstream/item/66215/1/32010.pdfFERTBIO
When to start antiretroviral therapy: The need for an evidence base during early HIV infection
Background
Strategies for use of antiretroviral therapy (ART) have traditionally focused on providing treatment to persons who stand to benefit immediately from initiating the therapy. There is global consensus that any HIV+ person with CD4 counts less than 350 cells/μl should initiate ART. However, it remains controversial whether ART is indicated in asymptomatic HIV-infected persons with CD4 counts above 350 cells/μl, or whether it is more advisable to defer initiation until the CD4 count has dropped to 350 cells/μl. The question of when the best time is to initiate ART during early HIV infection has always been vigorously debated. The lack of an evidence base from randomized trials, in conjunction with varying degrees of therapeutic aggressiveness and optimism tempered by the risks of drug resistance and side effects, has resulted in divided expert opinion and inconsistencies among treatment guidelines. Discussion
On the basis of recent data showing that early ART initiation reduces heterosexual HIV transmission, some countries are considering adopting a strategy of universal treatment of all HIV+ persons irrespective of their CD4 count and whether ART is of benefit to the individual or not, in order to reduce onward HIV transmission. Since ART has been found to be associated with both short-term and long-term toxicity, defining the benefit:risk ratio is the critical missing link in the discussion on earlier use of ART. For early ART initiation to be justified, this ratio must favor benefit over risk. An unfavorable ratio would argue against using early ART. Summary
There is currently no evidence from randomized controlled trials to suggest that a strategy of initiating ART when the CD4 count is above 350 cells/μl (versus deferring initiation to around 350 cells/μl) results in benefit to the HIV+ person and data from observational studies are inconsistent. Large, clinical endpoint-driven randomized studies to determine the individual health benefits versus risks of earlier ART initiation are sorely needed.
The counter-argument to this debate topic can be freely accessed here:
http://www.biomedcentral.com/1741-7015/11/147 webcite
Quasi-Two-Dimensional Dynamics of Plasmas and Fluids
In the lowest order of approximation quasi-twa-dimensional dynamics of planetary atmospheres and of plasmas in a magnetic field can be described by a common convective vortex equation, the Charney and Hasegawa-Mirna (CHM) equation. In contrast to the two-dimensional Navier-Stokes equation, the CHM equation admits "shielded vortex solutions" in a homogeneous limit and linear waves ("Rossby waves" in the planetary atmosphere and "drift waves" in plasmas) in the presence of inhomogeneity. Because of these properties, the nonlinear dynamics described by the CHM equation provide rich solutions which involve turbulent, coherent and wave behaviors. Bringing in non ideal effects such as resistivity makes the plasma equation significantly different from the atmospheric equation with such new effects as instability of the drift wave driven by the resistivity and density gradient. The model equation deviates from the CHM equation and becomes coupled with Maxwell equations. This article reviews the linear and nonlinear dynamics of the quasi-two-dimensional aspect of plasmas and planetary atmosphere starting from the introduction of the ideal model equation (CHM equation) and extending into the most recent progress in plasma turbulence.U. S. Department of Energy DE-FG05-80ET-53088Ministry of Education, Science and Culture of JapanFusion Research Cente
Canonical description of ideal magnetohydrodynamic flows and integrals of motion
In the framework of the variational principle the canonical variables
describing ideal magnetohydrodynamic (MHD) flows of general type (i.e., with
spatially varying entropy and nonzero values of all topological invariants) are
introduced. The corresponding complete velocity representation enables us not
only to describe the general type flows in terms of single-valued functions,
but also to solve the intriguing problem of the ``missing'' MHD integrals of
motion. The set of hitherto known MHD local invariants and integrals of motion
appears to be incomplete: for the vanishing magnetic field it does not reduce
to the set of the conventional hydrodynamic invariants. And if the MHD analogs
of the vorticity and helicity were discussed earlier for the particular cases,
the analog of Ertel invariant has been so far unknown. It is found that on the
basis of the new invariants introduced a wide set of high-order invariants can
be constructed. The new invariants are relevant both for the deeper insight
into the problem of the topological structure of the MHD flows as a whole and
for the examination of the stability problems. The additional advantage of the
proposed approach is that it enables one to deal with discontinuous flows,
including all types of possible breaks.Comment: 16 page
Limit theorems for von Mises statistics of a measure preserving transformation
For a measure preserving transformation of a probability space
we investigate almost sure and distributional convergence
of random variables of the form where (called the \emph{kernel})
is a function from to and are appropriate normalizing
constants. We observe that the above random variables are well defined and
belong to provided that the kernel is chosen from the projective
tensor product with We establish a form of the individual ergodic theorem for such
sequences. Next, we give a martingale approximation argument to derive a
central limit theorem in the non-degenerate case (in the sense of the classical
Hoeffding's decomposition). Furthermore, for and a wide class of
canonical kernels we also show that the convergence holds in distribution
towards a quadratic form in independent
standard Gaussian variables . Our results on the
distributional convergence use a --\,invariant filtration as a prerequisite
and are derived from uni- and multivariate martingale approximations
Multidimensional Gaussian sums arising from distribution of Birkhoff sums in zero entropy dynamical systems
A duality formula, of the Hardy and Littlewood type for multidimensional
Gaussian sums, is proved in order to estimate the asymptotic long time behavior
of distribution of Birkhoff sums of a sequence generated by a skew
product dynamical system on the torus, with zero Lyapounov
exponents. The sequence, taking the values , is pairwise independent
(but not independent) ergodic sequence with infinite range dependence. The
model corresponds to the motion of a particle on an infinite cylinder, hopping
backward and forward along its axis, with a transversal acceleration parameter
. We show that when the parameter is rational then all
the moments of the normalized sums , but the second, are
unbounded with respect to n, while for irrational , with bounded
continuous fraction representation, all these moments are finite and bounded
with respect to n.Comment: To be published in J. Phys.
Interleukin-2 therapy in patients with HIV infection
BACKGROUND
Used in combination with antiretroviral therapy, subcutaneous recombinant interleukin-2 raises CD4+ cell counts more than does antiretroviral therapy alone. The clinical implication of these increases is not known.
METHODS
We conducted two trials: the Subcutaneous Recombinant, Human Interleukin-2 in HIV-Infected Patients with Low CD4+ Counts under Active Antiretroviral Therapy (SILCAAT) study and the Evaluation of Subcutaneous Proleukin in a Randomized International Trial (ESPRIT). In each, patients infected with the human immunodeficiency virus (HIV) who had CD4+ cell counts of either 50 to 299 per cubic millimeter (SILCAAT) or 300 or more per cubic millimeter (ESPRIT) were randomly assigned to receive interleukin-2 plus antiretroviral therapy or antiretroviral therapy alone. The interleukin-2 regimen consisted of cycles of 5 consecutive days each, administered at 8-week intervals. The SILCAAT study involved six cycles and a dose of 4.5 million IU of interleukin-2 twice daily; ESPRIT involved three cycles and a dose of 7.5 million IU twice daily. Additional cycles were recommended to maintain the CD4+ cell count above predefined target levels. The primary end point of both studies was opportunistic disease or death from any cause.
RESULTS
In the SILCAAT study, 1695 patients (849 receiving interleukin-2 plus antiretroviral therapy and 846 receiving antiretroviral therapy alone) who had a median CD4+ cell count of 202 cells per cubic millimeter were enrolled; in ESPRIT, 4111 patients (2071 receiving interleukin-2 plus antiretroviral therapy and 2040 receiving antiretroviral therapy alone) who had a median CD4+ cell count of 457 cells per cubic millimeter were enrolled. Over a median follow-up period of 7 to 8 years, the CD4+ cell count was higher in the interleukin-2 group than in the group receiving antiretroviral therapy alone--by 53 and 159 cells per cubic millimeter, on average, in the SILCAAT study and ESPRIT, respectively. Hazard ratios for opportunistic disease or death from any cause with interleukin-2 plus antiretroviral therapy (vs. antiretroviral therapy alone) were 0.91 (95% confidence interval [CI], 0.70 to 1.18; P=0.47) in the SILCAAT study and 0.94 (95% CI, 0.75 to 1.16; P=0.55) in ESPRIT. The hazard ratios for death from any cause and for grade 4 clinical events were 1.06 (P=0.73) and 1.10 (P=0.35), respectively, in the SILCAAT study and 0.90 (P=0.42) and 1.23 (P=0.003), respectively, in ESPRIT.
CONCLUSIONS
Despite a substantial and sustained increase in the CD4+ cell count, as compared with antiretroviral therapy alone, interleukin-2 plus antiretroviral therapy yielded no clinical benefit in either study. (ClinicalTrials.gov numbers, NCT00004978 [ESPRIT] and NCT00013611 [SILCAAT study].
Development of singularities for the compressible Euler equations with external force in several dimensions
We consider solutions to the Euler equations in the whole space from a
certain class, which can be characterized, in particular, by finiteness of
mass, total energy and momentum. We prove that for a large class of right-hand
sides, including the viscous term, such solutions, no matter how smooth
initially, develop a singularity within a finite time. We find a sufficient
condition for the singularity formation, "the best sufficient condition", in
the sense that one can explicitly construct a global in time smooth solution
for which this condition is not satisfied "arbitrary little". Also compactly
supported perturbation of nontrivial constant state is considered. We
generalize the known theorem by Sideris on initial data resulting in
singularities. Finally, we investigate the influence of frictional damping and
rotation on the singularity formation.Comment: 23 page
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