399 research outputs found
Drug resistance and viral tropism in HIV-1 subtype C-infected patients in KwaZulu-Natal, South Africa: implications for future treatment options
Article approval pendingDrug resistance poses a significant challenge for the successful application of highly active antiretroviral therapy (HAART) globally. Furthermore, emergence of HIV-1 isolates that preferentially use CXCR4 as a coreceptor for cell entry, either as a consequence of natural viral evolution or HAART use, may compromise the efficacy of CCR5 antagonists as alternative antiviral therapy
Length of sick leave – Why not ask the sick-listed? Sick-listed individuals predict their length of sick leave more accurately than professionals
BACKGROUND: The knowledge of factors accurately predicting the long lasting sick leaves is sparse, but information on medical condition is believed to be necessary to identify persons at risk. Based on the current practice, with identifying sick-listed individuals at risk of long-lasting sick leaves, the objectives of this study were to inquire the diagnostic accuracy of length of sick leaves predicted in the Norwegian National Insurance Offices, and to compare their predictions with the self-predictions of the sick-listed. METHODS: Based on medical certificates, two National Insurance medical consultants and two National Insurance officers predicted, at day 14, the length of sick leave in 993 consecutive cases of sick leave, resulting from musculoskeletal or mental disorders, in this 1-year follow-up study. Two months later they reassessed 322 cases based on extended medical certificates. Self-predictions were obtained in 152 sick-listed subjects when their sick leave passed 14 days. Diagnostic accuracy of the predictions was analysed by ROC area, sensitivity, specificity, likelihood ratio, and positive predictive value was included in the analyses of predictive validity. RESULTS: The sick-listed identified sick leave lasting 12 weeks or longer with an ROC area of 80.9% (95% CI 73.7–86.8), while the corresponding estimates for medical consultants and officers had ROC areas of 55.6% (95% CI 45.6–65.6%) and 56.0% (95% CI 46.6–65.4%), respectively. The predictions of sick-listed males were significantly better than those of female subjects, and older subjects predicted somewhat better than younger subjects. Neither formal medical competence, nor additional medical information, noticeably improved the diagnostic accuracy based on medical certificates. CONCLUSION: This study demonstrates that the accuracy of a prognosis based on medical documentation in sickness absence forms, is lower than that of one based on direct communication with the sick-listed themselves
Recommended from our members
Beam Energy and Centrality Dependence of Direct-Photon Emission from Ultrarelativistic Heavy-Ion Collisions.
The PHENIX collaboration presents first measurements of low-momentum (0.41 GeV/c) direct-photon yield dN_{γ}^{dir}/dη is a smooth function of dN_{ch}/dη and can be well described as proportional to (dN_{ch}/dη)^{α} with α≈1.25. This scaling behavior holds for a wide range of beam energies at the Relativistic Heavy Ion Collider and the Large Hadron Collider, for centrality selected samples, as well as for different A+A collision systems. At a given beam energy, the scaling also holds for high p_{T} (>5 GeV/c), but when results from different collision energies are compared, an additional sqrt[s_{NN}]-dependent multiplicative factor is needed to describe the integrated-direct-photon yield
Azimuthal Angle Correlations for Rapidity Separated Hadron Pairs in d+Au Collisions at sqrt(s_NN) = 200 GeV
We report on two-particle azimuthal angle correlations between charged
hadrons at forward/backward (deuteron/gold going direction) rapidity and
charged hadrons at mid-rapidity in deuteron-gold (d+Au) and proton-proton (p+p)
collisions at sqrt(s_NN) = 200 GeV. Jet structures are observed in the
correlations which we quantify in terms of the conditional yield and angular
width of away side partners. The kinematic region studied here samples partons
in the gold nucleus carrying nucleon momentum fraction x~0.1 to x~0.01. Within
this range, we find no x dependence of the jet structure in d+Au collisions.Comment: 330 authors, 6 pages text, 4 figures, no tables. Submitted to Phys.
Rev. Lett. Plain text data tables for the points plotted in figures for this
and previous PHENIX publications are (or will be) publicly available at
http://www.phenix.bnl.gov/papers.htm
Centrality dependence of charged hadron production in deuteron+gold and nucleon+gold collisions at sqrt(s_NN)=200 GeV
We present transverse momentum (p_T) spectra of charged hadrons measured in
deuteron-gold and nucleon-gold collisions at \sqrts = 200 GeV for four
centrality classes. Nucleon-gold collisions were selected by tagging events in
which a spectator nucleon was observed in one of two forward rapidity
detectors. The spectra and yields were investigated as a function of the number
of binary nucleon-nucleon collisions, \nu, suffered by deuteron nucleons. A
comparison of charged particle yields to those in p+p collisions show that the
yield per nucleon-nucleon collision saturates with \nu for high momentum
particles. We also present the charged hadron to neutral pion ratios as a
function of p_T.Comment: 330 authors, 15 pages text, 16 figures, 3 tables. Submitted to Phys.
Rev. Lett. v2 has minor changes to reflect revisions during review process.
Plain text data tables for the points plotted in figures for this and
previous PHENIX publications are (or will be) publicly available at
http://www.phenix.bnl.gov/papers.htm
Nuclear Modification Factors for Hadrons At Forward and Backward Rapidities in Deuteron-Gold Collisions at sqrt(s_NN) = 200 GeV
We report on charged hadron production in deuteron-gold reactions at
sqrt(s_NN) = 200 GeV. Our measurements in the deuteron-direction cover 1.4 <
eta < 2.2, referred to as forward rapidity, and in the gold-direction -2.0 <
eta < -1.4, referred to as backward rapidity, and a transverse momentum range
p_T = 0.5-4.0 GeV/c. We compare the relative yields for different deuteron-gold
collision centrality classes. We observe a suppression relative to binary
collision scaling at forward rapidity, sensitive to low momentum fraction (x)
partons in the gold nucleus, and an enhancement at backward rapidity, sensitive
to high momentum fraction partons in the gold nucleus.Comment: 330 authors, 6 pages text, 4 figures, REVTeX4. Published in Physical
Review Letters. Minor changes over previous version in response to referee
and editor comments, plus updating of references. Plain text data tables for
the points plotted in figures for this and previous PHENIX publications are
publicly available at http://www.phenix.bnl.gov/papers.htm
High-pT pi^zero Production with Respect to the Reaction Plane in Au + Au Collisions at sqrt(s_NN) = 200 GeV
Measurements of the azimuthal anisotropy of high-\pT neutral pion neutral
pion production in Au+Au collisions at sqrt(s_NN) = 200 GeV by the PHENIX
experiment are presented. The data included in this paper were collected during
the 2004 RHIC running period and represent approximately an order of magnitude
increase in the number of analyzed events relative to previously published
results. Azimuthal angle distributions of pi^0s detected in the PHENIX
electromagnetic calorimeters are measured relative to the reaction plane
determined event-by-event using the forward and backward beam-beam counters.
Amplitudes of the second Fourier component (v_2) of the angular distributions
are presented as a function of pi^0 transverse momentum p_T for different bins
in collision centrality. Measured reaction plane dependent pi^0 yields are used
to determine the azimuthal dependence of the pi^0 suppression as a function of
p_T, R_AA (Delta phi,p_T). A jet-quenching motivated geometric analysis is
presented that attempts to simultaneously describe the centrality dependence
and reaction plane angle dependence of the pi^0 suppression in terms of the
path lengths of hypothetical parent partons in the medium. This set of results
allows for a detailed examination of the influence of geometry in the collision
region, and of the interplay between collective flow and jet-quenching effects
along the azimuthal axis.Comment: 344 authors, 35 pages text, RevTeX-4, 24 figures, 8 tables. Submitted
to Physical Review
Regional Management Units for Marine Turtles: A Novel Framework for Prioritizing Conservation and Research across Multiple Scales
Background: Resolving threats to widely distributed marine megafauna requires definition of the geographic distributions of both the threats as well as the population unit(s) of interest. In turn, because individual threats can operate on varying spatial scales, their impacts can affect different segments of a population of the same species. Therefore, integration of multiple tools and techniques - including site-based monitoring, genetic analyses, mark-recapture studies and telemetry - can facilitate robust definitions of population segments at multiple biological and spatial scales to address different management and research challenges. Methodology/Principal Findings: To address these issues for marine turtles, we collated all available studies on marine turtle biogeography, including nesting sites, population abundances and trends, population genetics, and satellite telemetry. We georeferenced this information to generate separate layers for nesting sites, genetic stocks, and core distributions of population segments of all marine turtle species. We then spatially integrated this information from fine-to coarse-spatial scales to develop nested envelope models, or Regional Management Units (RMUs), for marine turtles globally. Conclusions/Significance: The RMU framework is a solution to the challenge of how to organize marine turtles into units of protection above the level of nesting populations, but below the level of species, within regional entities that might be on independent evolutionary trajectories. Among many potential applications, RMUs provide a framework for identifying data gaps, assessing high diversity areas for multiple species and genetic stocks, and evaluating conservation status of marine turtles. Furthermore, RMUs allow for identification of geographic barriers to gene flow, and can provide valuable guidance to marine spatial planning initiatives that integrate spatial distributions of protected species and human activities. In addition, the RMU framework - including maps and supporting metadata - will be an iterative, user-driven tool made publicly available in an online application for comments, improvements, download and analysis
Jet Structure from Dihadron Correlations in d+Au collisions at sqrt(s_NN) = 200 GeV
Dihadron correlations at high transverse momentum in d+Au collisions at
sqrt(s_NN) = 200 GeV at midrapidity are measured by the PHENIX experiment at
the Relativistic Heavy Ion Collider (RHIC). From these correlations we extract
several structural characteristics of jets; the root-mean-squared (RMS)
transverse momentum of fragmenting hadrons with respect to the jet
sqrt(), the mean sine-squared angle between the scattered partons
, and the number of particles produced within the dijet that are
associated with a high-p_T particle (dN/dx_E distributions). We observe that
the fragmentation characteristics of jets in d+Au collisions are very similar
to those in p+p collisions and that there is also little dependence on the
centrality of the d+Au collision. This is consistent with the nuclear medium
having little influence on the fragmentation process. Furthermore, there is no
statistically significant increase in the value of from p+p to
d+Au collisions. This constrains the amount of multiple scattering that partons
undergo in the cold nuclear medium before and after a hard-collision.Comment: 330 authors, 30 pages text, RevTeX4, 42 figures, 20 tables. Submitted
to Physical Review C. Plain text data tables for the points plotted in
figures for this and previous PHENIX publications are (or will be) publicly
available at http://www.phenix.bnl.gov/papers.htm
Transverse-energy distributions at midrapidity in , Au, and AuAu collisions at --200~GeV and implications for particle-production models
Measurements of the midrapidity transverse energy distribution, d\Et/d\eta,
are presented for , Au, and AuAu collisions at
GeV and additionally for AuAu collisions at
and 130 GeV. The d\Et/d\eta distributions are first
compared with the number of nucleon participants , number of
binary collisions , and number of constituent-quark participants
calculated from a Glauber model based on the nuclear geometry. For
AuAu, \mean{d\Et/d\eta}/N_{\rm part} increases with , while
\mean{d\Et/d\eta}/N_{qp} is approximately constant for all three energies.
This indicates that the two component ansatz, , which has been used to represent
distributions, is simply a proxy for , and that the term
does not represent a hard-scattering component in distributions. The
distributions of AuAu and Au are then calculated from
the measured distribution using two models that both reproduce
the AuAu data. However, while the number-of-constituent-quark-participant
model agrees well with the Au data, the additive-quark model does not.Comment: 391 authors, 24 pages, 19 figures, and 15 Tables. Submitted to Phys.
Rev. C. Plain text data tables for the points plotted in figures for this and
previous PHENIX publications are publicly available at
http://www.phenix.bnl.gov/papers.htm
- …