32 research outputs found

    Early infant HIV-1 diagnosis programs in resource-limited settings: opportunities for improved outcomes and more cost-effective interventions

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    Early infant diagnosis (EID) of HIV-1 infection confers substantial benefits to HIV-infected and HIV-uninfected infants, to their families, and to programs providing prevention of mother-to-child transmission (PMTCT) services, but has been challenging to implement in resource-limited settings. In order to correctly inform parents/caregivers of infant infection status and link HIV-infected infants to care and treatment, a 'cascade' of events must successfully occur. A frequently cited barrier to expansion of EID programs is the cost of the required laboratory assays. However, substantial implementation barriers, as well as personnel and infrastructure requirements, exist at each step in the cascade. In this update, we review challenges to uptake at each step in the EID cascade, highlighting that even with the highest reported levels of uptake, nearly half of HIV-infected infants may not complete the cascade successfully. We next synthesize the available literature about the costs and cost effectiveness of EID programs; identify areas for future research; and place these findings within the context of the benefits and challenges to EID implementation in resource-limited settings

    Outer membrane protein folding from an energy landscape perspective

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    The cell envelope is essential for the survival of Gram-negative bacteria. This specialised membrane is densely packed with outer membrane proteins (OMPs), which perform a variety of functions. How OMPs fold into this crowded environment remains an open question. Here, we review current knowledge about OFMP folding mechanisms in vitro and discuss how the need to fold to a stable native state has shaped their folding energy landscapes. We also highlight the role of chaperones and the β-barrel assembly machinery (BAM) in assisting OMP folding in vivo and discuss proposed mechanisms by which this fascinating machinery may catalyse OMP folding

    Interactive Generation of Calligraphic Trajectories from Gaussian Mixtures

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    The chapter presents an approach for the interactive definition of curves and motion paths based on Gaussian mixture model (GMM) and optimal control. The input of our method is a mixture of multivariate Gaussians defined by the user, whose centers define a sparse sequence of key-points, and whose covariances define the precision required to pass through these key-points. The output is a dynamical system generating curves that are natural looking and reflect the kinematics of a movement, similar to that produced by human drawing or writing. In particular, the stochastic nature of the GMM combined with optimal control is exploited to generate paths with natural variations, which are defined by the user within a simple interactive interface. Several properties of the Gaussian mixture are exploited in this application. First, there is a direct link between multivariate Gaussian distributions and optimal control formulations based on quadratic objective functions (linear quadratic tracking), which is exploited to extend the GMM representation to a controller. We then exploit the option of tying the covariances in the GMM to modulate the style of the calligraphic trajectories. The approach is tested to generate curves and traces that are geometrically and dynamically similar to the ones that can be seen in art forms such as calligraphy or graffiti
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