Effectiveness of highly active antiretroviral therapy in HIV-positive children: evaluation at 12 months in a routine program in Cambodia.

OBJECTIVE: Increasing access to highly active antiretroviral therapy to reach all those in need in developing countries (scale up) is slowly expanding to HIV-positive children, but documented experience remains limited. We aimed to describe the clinical, immunologic, and virologic outcomes of pediatric patients with >12 months of highly active antiretroviral therapy in 2 routine programs in Cambodia. METHODS: Between June 2003 and March 2005, 212 children who were younger than 13 years started highly active antiretroviral therapy. Most patients started a standard first-line regimen of lamivudine, stavudine, and nevirapine, using split adult fixed-dosage combinations. CD4 percentage and body weight were monitored routinely. A cross-sectional virologic analysis was conducted in January 2006; genotype resistance testing was performed for patients with a detectable viral load. RESULTS: Mean age of the subjects was 6 years. Median CD4 percentage at baseline was 6. Survival was 92% at 12 months and 91% at 24 months; 13 patients died, and 4 were lost to follow-up. A total of 81% of all patients had an undetectable viral load. Among the patients with a detectable viral load, most mutations were associated with resistance to lamivudine and non-nucleoside reverse-transcriptase inhibitor drugs. Five patients had developed extensive antiretroviral resistance. Being an orphan was found to be a predictor of virologic failure. CONCLUSIONS: This study provides additional evidence of the effectiveness of integrating HIV/AIDS care with highly active antiretroviral therapy for children in a routine setting, with good virologic suppression and immunologic recovery achieved by using split adult fixed-dosage combinations. Viral load monitoring and HIV genotyping are valuable tools for the clinical follow-up of the patients. Orphans should receive careful follow-up and extra support

A Composite Chiral Pair of Rotational Bands in the odd-A Nucleus 135Nd

High-spin states in 135Nd were populated with the 110Pd(30Si,5n)135Nd reaction at a 30Si bombarding energy of 133 MeV. Two Delta(I)=1 bands with close excitation energies and the same parity were observed. These bands are directly linked by Delta(I)=1 and Delta(I)=2 transitions. The chiral nature of these two bands is confirmed by comparison with three-dimensional tilted axis cranking calculations. This is the first observation of a three-quasiparticle chiral structure and established the primarily geometric nature of this phenomenon.Comment: 10 pages, 5 figures (1 in color), 1 table, submitted to Physics Review Letters, written in REVTEX4 forma

Lifetime measurements of Triaxial Strongly Deformed bands in 163^{163}Tm

With the Doppler Shift Attenuation Method, quadrupole transition moments, $Q_t$, were determined for the two recently proposed Triaxial Strongly Deformed (TSD) bands in $^{163}$Tm. The measured $Q_t$ moments indicate that the deformation of these bands is larger than that of the yrast, signature partners. However, the measured values are smaller than those predicted by theory. This observation appears to be valid for TSD bands in several nuclei of the regionComment: 8 pages, 5 figures. Submitted to Physical Review

Evolution and biogeography of the Pavetteae tribe

With over 700 species, the Pavetteae are one o f the largest tribes in the subfamily Dialypetalanthoideae (formerly: Ixoroideae). Pavetteae representatives are characterized by a high morphological variation, especially regarding the reproductive characters (e.g., number of seeds per fruit, seed type and placentation). Representatives of the tribe occur throughout the Paleotropics in humid and dry vegetation types. In the Asian-Pacific región ca 300 species are currently described whereas on continental Africa and Madagascar (and Western Indian Ocean Islands) ca 350 and ca 80 species are present, respectively. Recently many new genera have been recognized among the Malagasy Pavetteae species (e.g. Tulearia). In addition, it is clear that within the paleotropical genus Tarenna there will be a split into different genera. Not only is the taxonomic history of the tribe rather complicated, also the biogeographical history and evolutionary patterns of the tribe remain understudied to date. Molecular phylogenetics combined with age inference methods, diversificaron analyses and ancestral area reconstruction clearly indicate that current diversity of the Pavetteae is the result of several dispersal events within the Paleotropical region. Moreover, several shifts in ecological preference have likely driven the evolutionary history within the Pavetteae

Direct current control of three magnon scattering processes in spin-valve nanocontacts

We have investigated the generation of spin waves in the free layer of an extended spin-valve structure with a nano-scaled point contact driven by both microwave and direct electric current using Brillouin light scattering microscopy. Simultaneously with the directly excited spin waves, strong nonlinear effects are observed, namely the generation of eigenmodes with integer multiple frequencies (2 \emph{f}, 3 \emph{f}, 4 \emph{f}) and modes with non-integer factors (0.5 \emph{f}, 1.5 \emph{f}) with respect to the excitation frequency \emph{f}. The origin of these nonlinear modes is traced back to three magnon scattering processes. The direct current influence on the generation of the fundamental mode at frequency \emph{f} can be related to the spin-transfer torque, while the efficiency of three-magnon-scattering processes is controlled by the Oersted field as an additional effect of the direct current

Fusion-Fission of 16O+197Au at Sub-Barrier Energies

The recent discovery of heavy-ion fusion hindrance at far sub-barrier energies has focused much attention on both experimental and theoretical studies of this phenomenon. Most of the experimental evidence comes from medium-heavy systems such as Ni+Ni to Zr+Zr, for which the compound system decays primarily by charged-particle evaporation. In order to study heavier systems, it is, however, necessary to measure also the fraction of the decay that goes into fission fragments. In the present work we have, therefore, measured the fission cross section of 16O+197Au down to unprecedented far sub-barrier energies using a large position sensitive PPAC placed at backward angles. The preliminary cross sections will be discussed and compared to earlier studies at near-barrier energies. No conclusive evidence for sub-barrier hindrance was found, probably because the measurements were not extended to sufficiently low energies.Comment: Fusion06 - Intl. Conf. on Reaction Mechanisms and Nuclear Structure at the Coulomb Barrier, San Servolo, Venezia, Italy, March 19-223, 2006 5 pages, 4 figure

Single and vertically coupled type II quantum dots in a perpendicular magnetic field: exciton groundstate properties

The properties of an exciton in a type II quantum dot are studied under the influence of a perpendicular applied magnetic field. The dot is modelled by a quantum disk with radius $R$, thickness $d$ and the electron is confined in the disk, whereas the hole is located in the barrier. The exciton energy and wavefunctions are calculated using a Hartree-Fock mesh method. We distinguish two different regimes, namely $d<<2R$ (the hole is located at the radial boundary of the disk) and $d>>2R$ (the hole is located above and below the disk), for which angular momentum $(l)$ transitions are predicted with increasing magnetic field. We also considered a system of two vertically coupled dots where now an extra parameter is introduced, namely the interdot distance $d_{z}$. For each $l_{h}$ and for a sufficient large magnetic field, the ground state becomes spontaneous symmetry broken in which the electron and the hole move towards one of the dots. This transition is induced by the Coulomb interaction and leads to a magnetic field induced dipole moment. No such symmetry broken ground states are found for a single dot (and for three vertically coupled symmetric quantum disks). For a system of two vertically coupled truncated cones, which is asymmetric from the start, we still find angular momentum transitions. For a symmetric system of three vertically coupled quantum disks, the system resembles for small $d_{z}$ the pillar-like regime of a single dot, where the hole tends to stay at the radial boundary, which induces angular momentum transitions with increasing magnetic field. For larger $d_{z}$ the hole can sit between the disks and the $l_{h}=0$ state remains the groundstate for the whole $B$-region.Comment: 11 pages, 16 figure