612 research outputs found
The International Legal Status of Formosa1
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68790/2/10.1177_106591295701000203.pd
Interstellar H^+_3: possible detection of the 1_(10)→1_(11) transition of H_2D^+
An interstellar line has been detected in emission at the expected submillimeter wavelength of the 1_(10)→1_(11) transition of H_(2)D^+, the deuterated version of the primary ion (H^(+)_(3)) in the favored ion-molecule reaction scheme for interstellar gas phase chemistry. The strength of the line is in approximate agreement with the theoretically anticipated H_(2)D^+ abundance
Signature of small rings in the Raman spectra of normal and compressed amorphous silica: A combined classical and ab initio study
We calculate the parallel (VV) and perpendicular (VH) polarized Raman spectra
of amorphous silica. Model SiO2 glasses, uncompressed and compressed, were
generated by a combination of classical and ab initio molecular-dynamics
simulations and their dynamical matrices were computed within the framework of
the density functional theory. The Raman scattering intensities were determined
using the bond-polarizability model and a good agreement with experimental
spectra was found. We confirm that the modes associated to the fourfold and
threefold rings produce most of the Raman intensity of the D1 and D2 peaks,
respectively, in the VV Raman spectra. Modifications of the Raman spectra upon
compression are found to be in agreement with experimental data. We show that
the modes associated to the fourfold rings still exist upon compression but do
not produce a strong Raman intensity, whereas the ones associated to the
threefold rings do. This result strongly suggests that the area under the D1
and D2 peaks is not directly proportional to the concentration of small rings
in amorphous SiO2.Comment: 21 pages, 8 figures. Phys. Rev. B, in pres
Energy coupling in short pulse laser solid interactions and its impact for space debris removal
Significant advances have been made over the last decade to improve the performance, efficiency, and contrast of high peak and average power laser systems, driven by their use in a wide variety of fields, from the industrial to the scientific. As the contrast of the lasers has improved, interactions with contrasts of 1012 are now routinely undertaken. At such high contrasts, there is negligible preplasma formation and the ionized surface layer created by subpicosecond-duration pulses typically forms a highly reflective "plasma mirror" capable of reflecting between 70% and 90% of the incident energy. Although such interactions are of significant interest for applications such as harmonic source production and to enable the underlying physics to be studied, their low absorption can limit their usefulness for applications such as space debris removal
Self-reported side effects and adherence to antiretroviral therapy in HIV-infected pregnant women under option B+: a prospective study
BACKGROUND: Antiretroviral therapy (ART) regimens containing efavirenz (EFV) are recommended as part of universal ART for pregnant and breastfeeding women. EFV may have appreciable side effects (SE), and ART adherence in pregnancy is a major concern, but little is known about ART SE and associations with adherence in pregnancy. METHODS: We investigated the distribution of patient-reported SE (based on Division of AIDS categories) and the association of SE with missed ART doses in a cohort of 517 women starting EFV+3TC/FTC+TDF during pregnancy. In analysis, SE were considered in terms of their overall frequency, by systems category, and by latent classes. RESULTS: Overall 97% of women reported experiencing at least one SE after ART initiation, with 48% experiencing more than five SE. Gastrointestinal, central nervous system, systemic and skin SE were reported by 81%, 85%, 79% and 31% of women, respectively, with considerable overlap across groups. At least one missed dose was reported by 32% of women. In multivariable models, ART non-adherence was associated with systemic SE compared to other systems categories, and measures of the overall burden of SE experienced were most strongly associated with missed ART doses. CONCLUSION: These data demonstrate very high levels of SE in pregnant women initiating EFV-based ART and a strong association between SE burden and ART adherence. ART regimens with reduced SE profiles may enhance adherence, and as countries expand universal ART for all adult patients, counseling must include preparation for ART SE
Microwave induced forward scattering and Luttinger liquid interferences in magnetically confined quantum wires
We report on the photoresistance of a magnetic quantum wire obtained by applying a gradient of magnetic
field to a two-dimensional electron gas. Electron transmission through the magnetic wire increases by an
order of magnitude under microwave irradiation and exhibits frequency dependent magneto-oscillations as a
function of the in plane magnetic field. Both results are fully consistent with microwave coupled Luttinger
liquid edge channels which interfere at two pinning sites in the fashion of a Mach–Zehnder interferometer
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Integration of postpartum healthcare services for HIV-infected women and their infants in South Africa: A randomised controlled trial
Background
As the number of HIV-infected women initiating lifelong antiretroviral therapy (ART) during pregnancy increases globally, concerns have emerged regarding low levels of retention in HIV services and suboptimal adherence to ART during the postpartum period. We examined the impact of integrating postpartum ART for HIV+ mothers alongside infant follow-up within maternal and child health (MCH) services in Cape Town, South Africa.
Methods and findings
We conducted a randomised trial among HIV+ postpartum women aged ≥18 years who initiated ART during pregnancy in the local antenatal care clinic and were breastfeeding when screened before 6 weeks postpartum. We compared an integrated postnatal service among mothers and their infants (the MCH-ART intervention) to the local standard of care (control)—immediate postnatal referral of HIV+ women on ART to general adult ART services and their infants to separate routine infant follow-up. Evaluation data were collected through medical records and trial measurement visits scheduled and located separately from healthcare services involved in either arm. The primary trial outcome was a composite endpoint of women’s retention in ART care and viral suppression (VS) (viral load < 50 copies/ml) at 12 months postpartum; secondary outcomes included duration of any and exclusive breastfeeding, mother-to-child HIV transmission, and infant mortality. Between 5 June 2013 and 10 December 2014, a total of 471 mother–infant pairs were enrolled and randomised (mean age, 28.6 years; 18% nulliparous; 57% newly diagnosed with HIV in pregnancy; median duration of ART use at randomisation, 18 weeks). Among 411 women (87%) with primary endpoint data available, 77% of women (n = 155) randomised to the MCH-ART intervention achieved the primary composite outcome of retention in ART services with VS at 12 months postpartum, compared to 56% of women (n = 117) randomised to the control arm (absolute risk difference, 0.21; 95% CI: 0.12–0.30; p < 0.001). The findings for improved retention in care and VS among women in the MCH-ART intervention arm were consistent across subgroups of participants according to demographic and clinical characteristics. The median durations of any breastfeeding and exclusive breastfeeding were longer in women randomised to the intervention versus control arm (6.9 versus 3.0 months, p = 0.006, and 3.0 versus 1.4 months, p < 0.001, respectively). For the infants, overall HIV-free survival through 12 months of age was 97%: mother-to-child HIV transmission was 1.2% overall (n = 4 and n = 1 transmissions in the intervention and control arms, respectively), and infant mortality was 1.9% (n = 6 and n = 3 deaths in the intervention and control arms, respectively), and these outcomes were similar by trial arm. Interpretation of these findings should be qualified by the location of this study in a single urban area as well as the self-reported nature of breastfeeding outcomes.
Conclusions
In this study, we found that integrating ART services into the MCH platform during the postnatal period was a simple and effective intervention, and this should be considered for improving maternal and child outcomes in the context of HIV
A coding and non-coding transcriptomic perspective on the genomics of human metabolic disease
Genome-wide association studies (GWAS), relying on hundreds of thousands of individuals, have revealed > 200 genomic loci linked to metabolic disease (MD). Loss of insulin sensitivity (IS) is a key component of MD and we hypothesized that discovery of a robust IS transcriptome would help reveal the underlying genomic structure of MD. Using 1,012 human skeletal muscle samples, detailed physiology and a tissue-optimized approach for the quantification of coding (> 18,000) and non-coding (> 15,000) RNA (ncRNA), we identified 332 fasting IS-related genes (CORE-IS). Over 200 had a proven role in the biochemistry of insulin and/or metabolism or were located at GWAS MD loci. Over 50% of the CORE-IS genes responded to clinical treatment; 16 quantitatively tracking changes in IS across four independent studies (P = 0.0000053: negatively: AGL, G0S2, KPNA2, PGM2, RND3 and TSPAN9 and positively: ALDH6A1, DHTKD1, ECHDC3, MCCC1, OARD1, PCYT2, PRRX1, SGCG, SLC43A1 and SMIM8). A network of ncRNA positively related to IS and interacted with RNA coding for viral response proteins (P < 1 × 10−48), while reduced amino acid catabolic gene expression occurred without a change in expression of oxidative-phosphorylation genes. We illustrate that combining in-depth physiological phenotyping with robust RNA profiling methods, identifies molecular networks which are highly consistent with the genetics and biochemistry of human metabolic disease
Does the book have a future?
Advances in technology have produced a range of devices on which a book can be read, from an e‐book reader to a tablet or phone. E‐books have the advantages that a reader can take a sizeable selection when traveling, read backlit text, and enlarge the type size to suit. The book exists in both printed and digital form, as p‐book and e‐book. Digital technology has also revolutionized the production of printed books. Digital printing, as opposed to traditional offset printing, enables genuine print on demand as well as short runs. This facility has less relevance to the world of mass‐market paperbacks, where large print runs mean that the benefits of offset printing still apply, but it is of great interest to most publishers and those who want to self‐publish. In fact, more books are published than ever before, and there has been a boom in self‐publishing
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