574 research outputs found
Die Bedeutung der angiographischen Darstellung der grossen Korpervenen im Rahmen der Strahlentherapie
Stability of bicontinuous cubic phases in ternary amphiphilic systems with spontaneous curvature
We study the phase behavior of ternary amphiphilic systems in the framework
of a curvature model with non-vanishing spontaneous curvature. The amphiphilic
monolayers can arrange in different ways to form micellar, hexagonal, lamellar
and various bicontinuous cubic phases. For the latter case we consider both
single structures (one monolayer) and double structures (two monolayers). Their
interfaces are modeled by the triply periodic surfaces of constant mean
curvature of the families G, D, P, C(P), I-WP and F-RD. The stability of the
different bicontinuous cubic phases can be explained by the way in which their
universal geometrical properties conspire with the concentration constraints.
For vanishing saddle-splay modulus , almost every phase considered
has some region of stability in the Gibbs triangle. Although bicontinuous cubic
phases are suppressed by sufficiently negative values of the saddle-splay
modulus , we find that they can exist for considerably lower
values than obtained previously. The most stable bicontinuous cubic phases with
decreasing are the single and double gyroid structures since
they combine favorable topological properties with extreme volume fractions.Comment: Revtex, 23 pages with 10 Postscript files included, to appear in J.
Chem. Phys. 112 (6) (February 2000
Challenges of Loss to Follow-up in Tuberculosis Research.
In studies evaluating methods for diagnosing tuberculosis (TB), follow-up to verify the presence or absence of active TB is crucial and high dropout rates may significantly affect the validity of the results. In a study assessing the diagnostic performance of the QuantiFERON®-TB Gold In-Tube test in TB suspect children in Tanzania, factors influencing patient adherence to attend follow-up examinations and reasons for not attending were examined. In 160 children who attended and 102 children who did not attend scheduled 2-month follow-up baseline health characteristics, demographic data and risk factors for not attending follow-up were determined. Qualitative interviews were used to understand patient and caretakers reasons for not returning for scheduled follow-up. Being treated for active tb in the dots program (OR: 4.14; 95% CI:1.99-8.62;p-value<0.001) and receiving money for the bus fare (OR:129; 95% CI 16->100;P-value<0.001) were positive predictors for attending follow-up at 2 months, and 21/85(25%) of children not attending scheduled follow-up had died. Interviews revealed that limited financial resources, i.e. lack of money for transportation and poor communication, were related to non-adherence. Patients lost to follow-up is a potential problem for TB research. Receiving money for transportation to the hospital and communication is crucial for adherence to follow-up conducted at a study facility. Strategies to ensure follow-up should be part of any study protocol
Assessing the psychometric and ecometric properties of neighborhood scales using adolescent survey data from urban and rural Scotland
This work was supported by NHS Health Scotland and the University of St Andrews.Background: Despite the well-established need for specific measurement instruments to examine the relationship between neighborhood conditions and adolescent well-being outcomes, few studies have developed scales to measure features of the neighborhoods in which adolescents reside. Moreover, measures of neighborhood features may be operationalised differently by adolescents living in different levels of urban/rurality. This has not been addressed in previous studies. The objectives of this study were to: 1) establish instruments to measure adolescent neighborhood features at both the individual and neighborhood level, 2) assess their psychometric and ecometric properties, 3) test for invariance by urban/rurality, and 4) generate neighborhood level scores for use in further analysis. Methods: Data were from the Scottish 2010 Health Behaviour in School-aged Children Survey, which included an over-sample of rural adolescents. The survey responses of interest came from questions designed to capture different facets of the local area in which each respondent resided. Intermediate data zones were used as proxies for neighborhoods. Internal consistency was evaluated by Cronbach’s alpha. Invariance was examined using confirmatory factor analysis. Multilevel models were used to estimate ecometric properties and generate neighborhood scores. Results: Two constructs labeled neighborhood social cohesion and neighborhood disorder were identified. Adjustment was made to the originally specified model to improve model fit and measures of invariance. At the individual level, reliability was .760 for social cohesion and .765 for disorder, and between .524 and .571 for both constructs at the neighborhood level. Individuals in rural areas experienced greater neighborhood social cohesion and lower levels of neighborhood disorder compared with those in urban areas. Conclusions: The scales are appropriate for measuring neighborhood characteristics experienced by adolescents across urban and rural Scotland, and can be used in future studies of neighborhoods and health. However, trade-offs between neighborhood sample size and reliability must be considered.Publisher PDFPeer reviewe
Weak Lensing from Space I: Instrumentation and Survey Strategy
A wide field space-based imaging telescope is necessary to fully exploit the
technique of observing dark matter via weak gravitational lensing. This first
paper in a three part series outlines the survey strategies and relevant
instrumental parameters for such a mission. As a concrete example of hardware
design, we consider the proposed Supernova/Acceleration Probe (SNAP). Using
SNAP engineering models, we quantify the major contributions to this
telescope's Point Spread Function (PSF). These PSF contributions are relevant
to any similar wide field space telescope. We further show that the PSF of SNAP
or a similar telescope will be smaller than current ground-based PSFs, and more
isotropic and stable over time than the PSF of the Hubble Space Telescope. We
outline survey strategies for two different regimes - a ``wide'' 300 square
degree survey and a ``deep'' 15 square degree survey that will accomplish
various weak lensing goals including statistical studies and dark matter
mapping.Comment: 25 pages, 8 figures, 1 table, replaced with Published Versio
Analysis of 1321 Eubacterium rectale genomes from metagenomes uncovers complex phylogeographic population structure and subspecies functional adaptations
Funding This work was supported by NIH NHGRI grant R01HG005220, NIDDK grant R24DK110499, NIDDK grant U54DE023798, and CMIT grant 6935956 to C.H., and by the European Research Council (ERC-STG project MetaPG-716575), MIUR “Futuro in Ricerca” RBFR13EWWI_001, the European Union (H2020-SFS-2018-1 project MASTER-818368 and H2020-SC1-BHC project ONCOBIOME-825410), and the National Cancer Institute of the National Institutes of Health (1U01CA230551) to N.S. Further support was provided by the Programma Ricerca Budget prestazioni Eurac 2017 of the Province of Bolzano, Italy to F.M., and by the EU-H2020 (DiMeTrack-707345) to E.P. and N.S. D.B., S.H.D., P.L., A.W.W. and The Rowett Institute received core funding support from the Scottish Government Rural and Environmental Sciences and Analytical Services (SG-RESAS). Availability of data and materials All datasets used in this study are publicly available and matched with their respective PMID (Additional file 5). The high-quality E. rectale MAGs in fasta format and a metadata file are available at http://segatalab.cibio.unitn.it/data/Erectale_Karcher_et_al.html and in the following Zenodo repository: https://doi.org/10.5281/zenodo.3763191 [80]. The two new isolate genomes L2–21 and T3BWe13 have been uploaded to NCBI and can be found in RefSeq under the accession numbers GCF_008122485.1 [81] and GCF_008123415.1 [82], respectively.Peer reviewedPublisher PD
A Trial of Early Antiretrovirals and Isoniazid Preventive Therapy in Africa
BACKGROUND: In sub-Saharan Africa, the burden of human immunodeficiency virus (HIV)-associated tuberculosis is high. We conducted a trial with a 2-by-2 factorial design to assess the benefits of early antiretroviral therapy (ART), 6-month isoniazid preventive therapy (IPT), or both among HIV-infected adults with high CD4+ cell counts in Ivory Coast. METHODS: We included participants who had HIV type 1 infection and a CD4+ count of less than 800 cells per cubic millimeter and who met no criteria for starting ART according to World Health Organization (WHO) guidelines. Participants were randomly assigned to one of four treatment groups: deferred ART (ART initiation according to WHO criteria), deferred ART plus IPT, early ART (immediate ART initiation), or early ART plus IPT. The primary end point was a composite of diseases included in the case definition of the acquired immunodeficiency syndrome (AIDS), non-AIDS-defining cancer, non-AIDS-defining invasive bacterial disease, or death from any cause at 30 months. We used Cox proportional models to compare outcomes between the deferred-ART and early-ART strategies and between the IPT and no-IPT strategies. RESULTS: A total of 2056 patients (41% with a baseline CD4+ count of ≥500 cells per cubic millimeter) were followed for 4757 patient-years. A total of 204 primary end-point events were observed (3.8 events per 100 person-years; 95% confidence interval [CI], 3.3 to 4.4), including 68 in patients with a baseline CD4+ count of at least 500 cells per cubic millimeter (3.2 events per 100 person-years; 95% CI, 2.4 to 4.0). Tuberculosis and invasive bacterial diseases accounted for 42% and 27% of primary end-point events, respectively. The risk of death or severe HIV-related illness was lower with early ART than with deferred ART (adjusted hazard ratio, 0.56; 95% CI, 0.41 to 0.76; adjusted hazard ratio among patients with a baseline CD4+ count of ≥500 cells per cubic millimeter, 0.56; 95% CI, 0.33 to 0.94) and lower with IPT than with no IPT (adjusted hazard ratio, 0.65; 95% CI, 0.48 to 0.88; adjusted hazard ratio among patients with a baseline CD4+ count of ≥500 cells per cubic millimeter, 0.61; 95% CI, 0.36 to 1.01). The 30-month probability of grade 3 or 4 adverse events did not differ significantly among the strategies. CONCLUSIONS: In this African country, immediate ART and 6 months of IPT independently led to lower rates of severe illness than did deferred ART and no IPT, both overall and among patients with CD4+ counts of at least 500 cells per cubic millimeter. (Funded by the French National Agency for Research on AIDS and Viral Hepatitis; TEMPRANO ANRS 12136 ClinicalTrials.gov number, NCT00495651.)
Supernova / Acceleration Probe: A Satellite Experiment to Study the Nature of the Dark Energy
The Supernova / Acceleration Probe (SNAP) is a proposed space-based
experiment designed to study the dark energy and alternative explanations of
the acceleration of the Universe's expansion by performing a series of
complementary systematics-controlled measurements. We describe a
self-consistent reference mission design for building a Type Ia supernova
Hubble diagram and for performing a wide-area weak gravitational lensing study.
A 2-m wide-field telescope feeds a focal plane consisting of a 0.7
square-degree imager tiled with equal areas of optical CCDs and near infrared
sensors, and a high-efficiency low-resolution integral field spectrograph. The
SNAP mission will obtain high-signal-to-noise calibrated light-curves and
spectra for several thousand supernovae at redshifts between z=0.1 and 1.7. A
wide-field survey covering one thousand square degrees resolves ~100 galaxies
per square arcminute. If we assume we live in a cosmological-constant-dominated
Universe, the matter density, dark energy density, and flatness of space can
all be measured with SNAP supernova and weak-lensing measurements to a
systematics-limited accuracy of 1%. For a flat universe, the
density-to-pressure ratio of dark energy can be similarly measured to 5% for
the present value w0 and ~0.1 for the time variation w'. The large survey area,
depth, spatial resolution, time-sampling, and nine-band optical to NIR
photometry will support additional independent and/or complementary dark-energy
measurement approaches as well as a broad range of auxiliary science programs.
(Abridged)Comment: 40 pages, 18 figures, submitted to PASP, http://snap.lbl.go
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