272 research outputs found
Los servicios de referencia a través del correo electrónico en la biblioteca pública
Although more and more libraries are offering electronic mail reference services, little information about these services has been reported. We conducted and exploratory survey to examine public library e-mail reference services and the patrons who use them. Data collection techniques included a questionnaire mailed to participating libraries and a Web-based questionnaire completed by library patrons. Data gathered included: (1) information on the provision and administration of e-mail reference services provided by public libraries across the United States; (2) characteristics of public library email reference patrons and their satisfaction with the service they received; and (3) classification of email reference questions received by public libraries. Characteristics of the e-mail reference services varied considerably, but the patrons, citing ease and convenience as the major reasons for using such services, were mostly satisfied with what they received
HIV Protease Inhibitors: Advances in Therapy and Adverse Reactions, Including Metabolic Complications
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/90068/1/phco.19.4.281.30937.pd
Mycobacterium avium complex immune reconstitution inflammatory syndrome: Long term outcomes
Abstract
Background
To describe long term outcomes of Mycobacterium avium complex (MAC) immune reconstitution inflammatory syndrome (IRIS).
Methods
Cases of MAC IRIS were retrospectively identified at four HIV clinics (Michigan, Maryland, Rhode Island, and Indiana) from 1996–2004. Patients were included if they were initially diagnosed with AIDS and found to have evidence of focal MAC infection documented by tissue culture or PCR after initiating HAART, and at least 6 months of follow up.
Results
Among the 20 patients included, the mean age was 40 years, mean CD4 cell count was 24/mm3 at pretreatment baseline and 100/mm3 at time of MAC IRIS diagnosis. Sites of disease included lymph nodes (15 patients [8 peripheral, 8 abdominal and 1 peripheral and abdominal]), gastrointestinal tract (7) and liver (3). Sixteen patients (80%) responded to treatment and were disease free after a mean of 17.4 months of therapy for MAC IRIS; IRIS therapy was withdrawn in 6 without relapse. Four patients (non-responder group) had persistent or relapsing disease despite 27 months of ongoing MAC IRIS treatment. At the time of resolution or last follow-up, the mean CD4 cell count and viral load was 143/mm3 and 7,000 c/mL for responders, and 65/mm3 and 17,000 c/mL for non-responders, respectively. Most patients with peripheral adenopathy were responders (7/8; 88%); many with abdominal adenopathy (4/8; 50%) were nonresponders.
Conclusion
The majority of patients with MAC IRIS eventually responded to treatment. Our sample size was not adequate to perform statistical analysis, but there was a tendency towards adequate CD4 response to HAART and peripheral rather than intraabdominal adenopathy among responders.http://deepblue.lib.umich.edu/bitstream/2027.42/112767/1/12967_2007_Article_210.pd
Investigation of thermal and magnetic properties of defects in a spin-gap compound NaV2O5
The specific heat, magnetic susceptibility and ESR signals of a Na-deficient
vanadate Na_xV_2O_5 (x=1.00 - 0.90) were studied in the temperature range 0.07
- 10 K, well below the transition point to a spin-gap state. The contribution
of defects provided by sodium vacancies to the specific heat was observed. It
has a low temperature part which does not tend to zero till at least 0.3 K and
a high temperature power-like tail appears above 2 K. Such dependence may
correspond to the existence of local modes and correlations between defects in
V-O layers. The magnetic measurements and ESR data reveal S=1/2 degrees of
freedom for the defects, with their effective number increasing in temperature
and under magnetic field. The latter results in the nonsaturating magnetization
at low temperature. No long-range magnetic ordering in the system of defects
was found. A model for the defects based on electron jumps near vacancies is
proposed to explain the observed effects. The concept of a frustrated
two-dimensional correlated magnet induced by the defects is considered to be
responsible for the absence of magnetic ordering.Comment: 6 pages, 8 figure
The Inter-organizational Business Case in ES Implementations: Exploring the Impact of Coordination Structures and Their Properties
Developing the business case (BC) for an inter-organizational network is a major challenge. Factors like competition and differences in semantics between actors influence the stakeholders’ willingness to share information necessary for the BC development. In this paper we develop an exploratory framework showing the effect that coordination structure and project scope have on the development of a shared BC. We defined several coordination properties, such as competition, decision making location and decision power that mitigate this effect. We applied the framework in a case study where a BC is developed for an inter-organizational network. Our findings show that current BC development methods need to be re-stated and complemented by extra tools and interventions to support stakeholders in the inter-organizational specific setting
Multiple Front Propagation Into Unstable States
The dynamics of transient patterns formed by front propagation in extended
nonequilibrium systems is considered. Under certain circumstances, the state
left behind a front propagating into an unstable homogeneous state can be an
unstable periodic pattern. It is found by a numerical solution of a model of
the Fr\'eedericksz transition in nematic liquid crystals that the mechanism of
decay of such periodic unstable states is the propagation of a second front
which replaces the unstable pattern by a another unstable periodic state with
larger wavelength. The speed of this second front and the periodicity of the
new state are analytically calculated with a generalization of the marginal
stability formalism suited to the study of front propagation into periodic
unstable states. PACS: 47.20.Ky, 03.40.Kf, 47.54.+rComment: 12 page
Distribution of DHPS Mutations Among ITS Subtypes of P. carinii f. sp. hominis
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/92387/1/j.1550-7408.2001.tb00481.x.pd
Sulfa Use, Dihydropteroate Synthase Mutations, and Pneumocystis jirovecii Pneumonia
Meta-analysis shows increased risk for DHPS mutations in patients exposed to sulfa prophylaxis for PCP, but clinical relevance of mutations is not known
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