74 research outputs found

    Hypothetical questionnaires may overestimate willingness to participate in HIV cure research: Comparison of a cross-sectional survey to actual willingness to participate in an HIV cure study in the Netherlands

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    Objective: Little is known about willingness among people living with HIV (PLHIV) to participate in HIV cure research in the Netherlands. We compared results of a cross-sectional questionnaire assessing hypothetical willingness to actual willingness among PLHIV to take part in a clinical HIV cure trial. Methods: Between March and June 2018, PLHIV visiting the outpatient clinic of a university hospital in the Netherlands were asked to complete a questionnaire about HIV cure research. Results were compared to the number of PLHIV willing to take part in an actual HIV cure study at the same center during an overlapping time period. Results: In total, 165 participants, predominantly male (80%) from Western European countries (61%) completed the questionnaire. The majority would participate in cure research (n ¼ 111, 67%). Separately, actual willingness among PLHIV to participate in an HIV cure study was addressed in 312 cases. Apart from gender (96% male), baseline characteristics were comparable. Less than half expressed actual willingness to participate in the study (n ¼ 135, 43%). Conclusions: Hypothetical willingness to participate in cure-related research was high among PLHIV who completed the questionnaire. Actual willingness among eligible PLHIV to take part in an HIV cure study was much lower. Our findings show that questionnaires may overestimate willingness to part

    Plasma lipid profiles discriminate bacterial from viral infection in febrile children.

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    Funder: NIHR Imperial BRCFever is the most common reason that children present to Emergency Departments. Clinical signs and symptoms suggestive of bacterial infection are often non-specific, and there is no definitive test for the accurate diagnosis of infection. The 'omics' approaches to identifying biomarkers from the host-response to bacterial infection are promising. In this study, lipidomic analysis was carried out with plasma samples obtained from febrile children with confirmed bacterial infection (n = 20) and confirmed viral infection (n = 20). We show for the first time that bacterial and viral infection produces distinct profile in the host lipidome. Some species of glycerophosphoinositol, sphingomyelin, lysophosphatidylcholine and cholesterol sulfate were higher in the confirmed virus infected group, while some species of fatty acids, glycerophosphocholine, glycerophosphoserine, lactosylceramide and bilirubin were lower in the confirmed virus infected group when compared with confirmed bacterial infected group. A combination of three lipids achieved an area under the receiver operating characteristic (ROC) curve of 0.911 (95% CI 0.81 to 0.98). This pilot study demonstrates the potential of metabolic biomarkers to assist clinicians in distinguishing bacterial from viral infection in febrile children, to facilitate effective clinical management and to the limit inappropriate use of antibiotics

    Plasma lipid profiles discriminate bacterial from viral infection in febrile children

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    Fever is the most common reason that children present to Emergency Departments. Clinical signs and symptoms suggestive of bacterial infection ar

    New age-determination method based on fast growth rate of Cape hake Merluccius capensis in Namibia

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    Namibia’s most important commercial fisheries resource, the shallow-water Cape hake Merluccius capensis, is currently assessed using statistical catch-at-age analysis. Age data obtained from otoliths constitute an important data component of this model. Recent age-validation studies of M. capensis showed that growth was previously underestimated. We investigated this new fast-growth hypothesis (FGH) by using measurements and counts of translucent zones (T1 to T14, from otolith core to edge) on two survey otolith samples covering the entire range of fish lengths. We compared three hypotheses of periodicity of otolith zone formation and show that, if all zones are counted, T2 (at 9.0 mm otolith length), T5, T8, T11 and T14 are most likely to be annuli. A conversion from the slow-growth-hypothesis (SGH, currently used) age data was calculated as: FGH age group = round (0.41[SGH age group] + 0.25), and this formula should be applied to compute and test updated catch-at-age data in a future hake stock assessment. Additional adjustment for the hake stock assessment following the FGH, such as the timing of recruitment in winter and catches in summer, should be considered in future assessments. Keywords: age validation, annual age determination, fast-growth hypothesis, Merluccius paradoxus, otolith length, slow-growth hypothesi

    Stock separation of the shallow-water hake Merluccius capensis in the Benguela ecosystem using otolith shape analysis

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    The fishing industry is an important economic sector in Namibia and South Africa, with the shallow-water hake Merluccius capensis being an important target species. Recent genetic studies of M. capensis found two stocks in the Benguela Current Large Marine Ecosystem, one in the north (17–29° S) and one in the south (29–36° S), and a proposed mixed stock in the Orange River area (around 29° S). The present study investigated the use of otolith shape analysis for purposes of stock-structure analysis of M. capensis.  Merluccius capensis otolith samples were collected during demersal-trawl surveys along the Benguela, for the years 1992, 2004 and 2005. Different years were selected to investigate temporal stability in otolith shape in the northern Benguela. A total of 1 628 otolithimages were analysed using the shapeR library in R. Otolith shape was analysed using wavelet transformation, and ANOVA-like permutation tests indicated no significant differences between the northern (17°31′–25°29′ S) and central (25°30′–29°05′ S) Benguela for all years but showed significant differences between the northern and southern (29°05′–35°50′ S) Benguela. This study therefore demonstrated that otolith shape could be used for stock discrimination of M. capensis. It confirmed one stock of M. capensis in the northern and central Benguela and another in the southern Benguela, which supports the current, separate management approach for this species. It also showed some differences in otolith shape from the 1990s to the 2000s, which could be explained by increased movement of the southern Benguela stock to the northern Benguela and increased hybridisation in the later years. Keywords: fishery management units, imaging techniques, otolith morphometrics, package ‘shapeR’, stock identification, stock  structure, wavelet metho

    Diastolic Heart Failure

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    THE SUSTAINABILITY DEVELOPMENT STATUS OF PIGS LIVESTOCK ON TRADITIONAL FISHERY HOUSEHOLD IN NEMBRALA VILLAGE OF ROTE NDAO ISLAND

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    This study aims to determine the status of corporate sustainability on a pig livestock in the village of fishermen household in Rote Ndao Island. Data were analyzed using the approach of Multi-Dimensional Scaling. The analysis showed that the index of business continuity in domestic swine alternative fishing for ecological dimension of 30.82% with a status less sustainable, legal and institutional dimensions of 36.61% with less sustainable status, infrastructure and technology dimensions of 63.87% with continuous sufficient status, social and cultural dimensions of culture by 65.83% with sustained sufficient status, and economic dimensions of 79.71% with a sustainable status. The results of this study can be concluded importance of business continuity alternatives that contribute to the welfare of traditional fishermen in Nembrala, the regency of Rote Ndao
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