2,863 research outputs found
Late-stage diagnosis of HIV infection in Brazilian children: evidence from two national cohort studies
This study analyzed data from two consecutive retrospective cohort samples (1983 to 1998 and 1999 to 2002) of Brazilian children with AIDS (N = 1,758) through mother-to-child-transmission. Late-stage diagnosis (CDC category C) was investigated in relation to the following variables: year of birth, year of HIV diagnosis, and time periods related to changes in government treatment guidelines. Late-stage diagnosis occurred in 731 (41.6%) of cases and was more prevalent in infants under 12 months of age. The rate of late-stage diagnosis decreased from 48% to 36% between the two periods studied. We also observed a reduction in the proportion of late-stage diagnoses and the time lapse between HIV diagnosis and ART initiation. A significant association was found between timely diagnosis and having been born in recent years (OR = 0.62; p = 0.009) and year of HIV diagnosis (OR = 0.72; p = 0.002/OR = 0.62; p < 0.001). Infants under the age of 12 months were more likely to be diagnosed at a late stage than older children (OR = 1.70; p = 0.004). Despite advances, there is a need to improve the effectiveness of policies and programs focused on improving early diagnosis and management of HIV/AIDS
An approach to computing downward closures
The downward closure of a word language is the set of all (not necessarily
contiguous) subwords of its members. It is well-known that the downward closure
of any language is regular. While the downward closure appears to be a powerful
abstraction, algorithms for computing a finite automaton for the downward
closure of a given language have been established only for few language
classes.
This work presents a simple general method for computing downward closures.
For language classes that are closed under rational transductions, it is shown
that the computation of downward closures can be reduced to checking a certain
unboundedness property.
This result is used to prove that downward closures are computable for (i)
every language class with effectively semilinear Parikh images that are closed
under rational transductions, (ii) matrix languages, and (iii) indexed
languages (equivalently, languages accepted by higher-order pushdown automata
of order 2).Comment: Full version of contribution to ICALP 2015. Comments welcom
Persistence of Diophantine flows for quadratic nearly-integrable Hamiltonians under slowly decaying aperiodic time dependence
The aim of this paper is to prove a Kolmogorov-type result for a
nearly-integrable Hamiltonian, quadratic in the actions, with an aperiodic time
dependence. The existence of a torus with a prefixed Diophantine frequency is
shown in the forced system, provided that the perturbation is real-analytic and
(exponentially) decaying with time. The advantage consists of the possibility
to choose an arbitrarily small decaying coefficient, consistently with the
perturbation size.Comment: Several corrections in the proof with respect to the previous
version. Main statement unchange
Sacroiliac joint radiographic progression - speed and determinants
Non-radiographic axial spondyloarthritis (nr-axSpA) and radiographic axial spondyloarthritis (r-axSpA) are considered to be different spectra of the same disease. Accumulating data suggest a low transition rate from nr-axSpA to r-axSpA in patients with early disease and identify inflammation, smoking and HLA-B27 positivity as factors associated with transition
Energy- and flux-budget (EFB) turbulence closure model for the stably stratified flows. Part I: Steady-state, homogeneous regimes
We propose a new turbulence closure model based on the budget equations for
the key second moments: turbulent kinetic and potential energies: TKE and TPE
(comprising the turbulent total energy: TTE = TKE + TPE) and vertical turbulent
fluxes of momentum and buoyancy (proportional to potential temperature).
Besides the concept of TTE, we take into account the non-gradient correction to
the traditional buoyancy flux formulation. The proposed model grants the
existence of turbulence at any gradient Richardson number, Ri. Instead of its
critical value separating - as usually assumed - the turbulent and the laminar
regimes, it reveals a transition interval, 0.1< Ri <1, which separates two
regimes of essentially different nature but both turbulent: strong turbulence
at Ri<<1; and weak turbulence, capable of transporting momentum but much less
efficient in transporting heat, at Ri>1. Predictions from this model are
consistent with available data from atmospheric and lab experiments, direct
numerical simulation (DNS) and large-eddy simulation (LES).Comment: 40 pages, 6 figures, Boundary-layer Meteorology, resubmitted, revised
versio
Optically trapped bacteria pairs reveal discrete motile response to control aggregation upon cell–cell approach
Aggregation of bacteria plays a key role in the formation of many biofilms. The critical first step is cell–cell approach, and yet the ability of bacteria to control the likelihood of aggregation during this primary phase is unknown. Here, we use optical tweezers to measure the force between isolated Bacillus subtilis cells during approach. As we move the bacteria towards each other, cell motility (bacterial swimming) initiates the generation of repulsive forces at bacterial separations of ~3 μm. Moreover, the motile response displays spatial sensitivity with greater cell–cell repulsion evident as inter-bacterial distances decrease. To examine the environmental influence on the inter-bacterial forces, we perform the experiment with bacteria suspended in Tryptic Soy Broth, NaCl solution and deionised water. Our experiments demonstrate that repulsive forces are strongest in systems that inhibit biofilm formation (Tryptic Soy Broth), while attractive forces are weak and rare, even in systems where biofilms develop (NaCl solution). These results reveal that bacteria are able to control the likelihood of aggregation during the approach phase through a discretely modulated motile response. Clearly, the force-generating motility we observe during approach promotes biofilm prevention, rather than biofilm formation
Opportunistic illnesses in Brazilian children with AIDS: results from two national cohort studies, 1983-2007
<p>Abstract</p> <p>Background</p> <p>HAART has significantly reduced AIDS-related morbidity in children. However, limited evidence is available from developing countries regarding patterns of opportunistic illnesses. We describe these events and their associated factors in children with AIDS in Brazil.</p> <p>Methods</p> <p>This study is based on two representative retrospective multi-center cohorts including a total 1,859 children with AIDS, infected via mother-to-child transmission (MTCT), between 1983-2002. Opportunistic illnesses were described and analyzed over time. The association of demographic, clinical and operational data with the occurrence of opportunistic diseases was assessed.</p> <p>Results</p> <p>In total, 1,218 (65.5%) had at least one event of an opportunistic disease. Variables significantly associated with occurrence of these events included: region of residence (OR 2.68-11.33, as compared to the Northern region), age < 1 year at diagnosis (OR 2.56, 95% CI 1.81-3.61, p < 0.001), and non-performance of MTCT prevention measures (OR 1.58, 95% CI 1.21-2.07, p < 0.001). Protective factors included year of HIV diagnosis in the HAART era (OR 0.34, 95% CI 0.15-0.76, p = 0.009) and ART use (OR 0.58, 95% CI 0.44-0.77, p < 0.001). In both periods bacterial infections represented the most common opportunistic events (58.6 vs. 34.7%; p < 0.001), followed by <it>Pneumocystis jirovecii </it>pneumonia (21.9 vs. 13.2%; p < 0.001), and bacterial meningitis/sepsis (16.8 vs. 7.4%; p < 0.001).</p> <p>Conclusions</p> <p>Despite the significant reduction in recent years, opportunistic illnesses are still common in Brazilian children with AIDS in the HAART era, especially bacterial diseases. The data reinforce the need for scaling up prevention of MTCT, early diagnosis of infection, and improvement of comprehensive pediatric care.</p
The Kondo effect in ferromagnetic atomic contacts
Iron, cobalt and nickel are archetypal ferromagnetic metals. In bulk,
electronic conduction in these materials takes place mainly through the and
electrons, whereas the magnetic moments are mostly in the narrow
-electron bands, where they tend to align. This general picture may change
at the nanoscale because electrons at the surfaces of materials experience
interactions that differ from those in the bulk. Here we show direct evidence
for such changes: electronic transport in atomic-scale contacts of pure
ferromagnets (iron, cobalt and nickel), despite their strong bulk
ferromagnetism, unexpectedly reveal Kondo physics, that is, the screening of
local magnetic moments by the conduction electrons below a characteristic
temperature. The Kondo effect creates a sharp resonance at the Fermi energy,
affecting the electrical properties of the system;this appears as a Fano-Kondo
resonance in the conductance characteristics as observed in other artificial
nanostructures. The study of hundreds of contacts shows material-dependent
lognormal distributions of the resonance width that arise naturally from Kondo
theory. These resonances broaden and disappear with increasing temperature,
also as in standard Kondo systems. Our observations, supported by calculations,
imply that coordination changes can significantly modify magnetism at the
nanoscale. Therefore, in addition to standard micromagnetic physics, strong
electronic correlations along with atomic-scale geometry need to be considered
when investigating the magnetic properties of magnetic nanostructures.Comment: 7 pages, 5 figure
Exercise therapy in adults with serious mental illness: a systematic review and meta-analysis
Background: Individuals with serious mental illness are at a higher risk of physical ill health. Mortality rates are at least twice those of the general population with higher levels of cardiovascular disease, metabolic disease, diabetes, and respiratory illness. Although genetics may have a role in the physical health problems of these patients, lifestyle and environmental factors such as levels of smoking, obesity, poor diet, and low levels of physical activity also play a prominent part.<p></p>
Objective: To conduct a systematic review and meta-analysis of randomised controlled trials comparing the effect of exercise interventions on individuals with serious mental illness.<p></p>
Methods: Searches were made in Ovid MEDLINE, Embase, CINAHL, PsycINFO, Biological Abstracts on Ovid, and The Cochrane Library (January 2009, repeated January 2013) through to February 2013.<p></p>
Results: Eight RCTs were identified in the systematic search. Six compared exercise versus usual care. One study assessed the effect of a cycling programme versus muscle strengthening and toning exercises. The final study compared the effect of adding specific exercise advice and motivational skills to a simple walking programme. Exercise programmes were noted by their heterogeneity in terms of the type of exercise intervention, setting, and outcome measures. The review found that exercise improved levels of exercise activity (n=13, standard mean difference [SMD] 1.81, CI 0.44 to 3.18, p = 0.01). No beneficial effect was found on negative (n = 84, SMD = -0.54, CI -1.79 to 0.71, p = 0.40) or positive symptoms of schizophrenia (n = 84, SMD = -1.66, CI -3.78 to 0.45, p = 0.12). No change was found on body mass index compared with usual care (n= 151, SMD = -0.24, CI -0.56 to 0.08, p = 0.14), or body weight (n = 77, SMD = 0.13, CI -0.32 to 0.58, p = 0.57).
No beneficial effect was found on anxiety and depressive symptoms (n = 94, SMD = -0.26, CI -0.91 to 0.39, p = 0.43), or quality of life in respect of physical and mental domains. One RCT measured the effect of exercise on exercise intensity, attendance, and persistence at a programme. No significant effect was found on these measures.<p></p>
Conclusions: This systematic review showed that exercise therapies can lead to a modest increase in levels of exercise activity but overall there was no noticeable change for symptoms of mental health, body mass index, and body weight.<p></p>
Quantum phase transition in a single-molecule quantum dot
Quantum criticality is the intriguing possibility offered by the laws of
quantum mechanics when the wave function of a many-particle physical system is
forced to evolve continuously between two distinct, competing ground states.
This phenomenon, often related to a zero-temperature magnetic phase transition,
can be observed in several strongly correlated materials such as heavy fermion
compounds or possibly high-temperature superconductors, and is believed to
govern many of their fascinating, yet still unexplained properties. In contrast
to these bulk materials with very complex electronic structure, artificial
nanoscale devices could offer a new and simpler vista to the comprehension of
quantum phase transitions. This long-sought possibility is demonstrated by our
work in a fullerene molecular junction, where gate voltage induces a crossing
of singlet and triplet spin states at zero magnetic field. Electronic tunneling
from metallic contacts into the quantum dot provides here the
necessary many-body correlations to observe a true quantum critical behavior.Comment: 8 pages, 5 figure
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