176 research outputs found
Second T = 3/2 state in B and the isobaric multiplet mass equation
Recent high-precision mass measurements and shell model calculations~[Phys.
Rev. Lett. {\bf 108}, 212501 (2012)] have challenged a longstanding explanation
for the requirement of a cubic isobaric multiplet mass equation for the lowest
isospin quartet. The conclusions relied upon the choice of the
excitation energy for the second state in B, which had two
conflicting measurements prior to this work. We remeasured the energy of the
state using the reaction and significantly disagree
with the most recent measurement. Our result supports the contention that
continuum coupling in the most proton-rich member of the quartet is not the
predominant reason for the large cubic term required for nuclei
Greater Weight Gain in Treatment-naive Persons Starting Dolutegravir-based Antiretroviral Therapy
Background
Recent studies have reported weight gain in virologically suppressed persons living with human immunodeficiency virus (PLWH) switched from older antiretroviral therapy (ART) to newer integrase strand transfer inhibitor (INSTI)–based regimens. In this study, we investigated whether weight gain differs among treatment-naive PLWH starting INSTI-based regimens compared to other ART regimens.
Methods
Adult, treatment-naive PLWH in the Vanderbilt Comprehensive Care Clinic cohort initiating INSTI-, protease inhibitor (PI)–, and nonnucleoside reverse transcriptase inhibitor (NNRTI)–based ART between January 2007 and June 2016 were included. We used multivariable linear mixed-effects models to generate marginal predictions of weights over time, adjusting for baseline clinical and demographic characteristics. We used restricted cubic splines to relax linearity assumptions and bootstrapping to generate 95% confidence intervals.
Results
Among 1152 ART-naive PLWH, 351 initiated INSTI-based regimens (135 dolutegravir, 153 elvitegravir, and 63 raltegravir), 86% were male, and 49% were white. At ART initiation, median age was 35 years, body mass index was 25.1 kg/m2, and CD4+ T-cell count was 318 cells/μL. Virologic suppression at 18 months was similar between different ART classes. At all examined study time points, weight gain was highest among PLWH starting dolutegravir. At 18 months, PLWH on dolutegravir gained 6.0 kg, compared to 2.6 kg for NNRTIs (P < .05), and 0.5 kg for elvitegravir (P < .05). PLWH starting dolutegravir also gained more weight at 18 months compared to raltegravir (3.4 kg) and PIs (4.1 kg), though these differences were not statistically significant.
Conclusions
Treatment-naive PLWH starting dolutegravir-based regimens gained significantly more weight at 18 months than those starting NNRTI-based and elvitegravir-based regimens
Drug Use and Receipt of Highly Active Antiretroviral Therapy among HIV-Infected Persons in Two U.S. Clinic Cohorts
Drug use and receipt of highly active antiretroviral therapy (HAART) were assessed in HIV-infected persons from the Comprehensive Care Center (CCC; Nashville, TN) and Johns Hopkins University HIV Clinic (JHU; Baltimore, MD) between 1999 and 2005.Participants with and without injection drug use (IDU) history in the CCC and JHU cohorts were evaluated. Additional analysis of persons with history of IDU, non-injection drug use (NIDU), and no drug use from CCC were performed. Activity of IDU and NIDU also was assessed for the CCC cohort. HAART use and time on HAART were analyzed according to drug use category and site of care.1745 persons were included from CCC: 268 (15%) with IDU history and 796 (46%) with NIDU history. 1977 persons were included from JHU: 731 (35%) with IDU history. Overall, the cohorts differed in IDU risk factor rates, age, race, sex, and time in follow-up. In multivariate analyses, IDU was associated with decreased HAART receipt overall (OR = 0.61, 95% CI: [0.45-0.84] and OR = 0.58, 95% CI: [0.46-0.73], respectively for CCC and JHU) and less time on HAART at JHU (0.70, [0.55-0.88]), but not statistically associated with time on HAART at CCC (0.78, [0.56-1.09]). NIDU was independently associated with decreased HAART receipt (0.62, [0.47-0.81]) and less time on HAART (0.66, [0.52-0.85]) at CCC. These associations were not altered significantly whether patients at CCC were categorized according to historical drug use or drug use during the study period.Persons with IDU history from both clinic populations were less likely to receive HAART and tended to have less cumulative time on HAART. Effects of NIDU were similar to IDU at CCC. NIDU without IDU is an important contributor to HAART utilization
The relationship between adverse neighborhood socioeconomic context and HIV continuum of care outcomes in a diverse HIV clinic cohort in the Southern United States
Retention in care and viral suppression are critical to delaying HIV progression and reducing transmission. Neighborhood socioeconomic context (NSEC) may affect HIV care receipt. We therefore assessed NSEC's impact on retention and viral suppression in a diverse HIV clinical cohort. HIV-positive adults with ≥1 visit at the Vanderbilt Comprehensive Care Clinic and 5-digit ZIP code tabulation area (ZCTA) information between 2008 and 2012 contributed. NSEC z-score indices used neighborhood-level socioeconomic indicators for poverty, education, labor-force participation, proportion of males, median age, and proportion of residents of black race by ZCTA. Retention was defined as ≥2 HIV care visits per calendar year, >90 days apart. Viral suppression was defined as an HIV-1 RNA <200 copies/mL at last measurement per calendar year. Modified Poisson regression was used to estimate risk ratios (RR) and 95% confidence intervals (CI). Among 2272 and 2541 adults included for retention and viral suppression analyses, respectively, median age and CD4 count at enrollment were approximately 38 (1st and 3rd quartile: 30, 44) years and 351 (176, 540) cells/μL, respectively, while 24% were female, and 39% were black. Across 243 ZCTAs, median NSEC z-score was 0.09 (-0.66, 0.48). Overall, 79% of person-time contributed was retained and 74% was virally suppressed. In adjusted models, NSEC was not associated with retention, though being in the 4th vs. 1st NSEC quartile was associated with lack of viral suppression (RR = 0.88; 95% CI: 0.80-0.97). Residing in the most adverse NSEC was associated with lack of viral suppression. Future studies are needed to confirm this finding
Study of proton-unbound states in relevant for the reaction in novae
Background: The nucleosynthesis of several proton-rich nuclei is determined
by radiative proton-capture reactions on unstable nuclei in nova explosions.
One such reaction is , which links the
NeNa and MgAl cycles in oxygen-neon (ONe) novae.
Purpose: To extract resonance
strengths from a study of proton-unbound states in , produced
via the Mg(He,) reaction.
Methods: A beam of ions at 50.7 MeV was used to produce
the states of interest in Al. Proton-triton angular correlations were
measured with a QDD magnetic spectrometer and a silicon detector array,
located at iThemba LABS, South Africa.
Results: We measured the excitation energies of the four lowest
proton-unbound states in Al and place lower-limits on
values for these four states. Together with USD-C shell-model calculations of
partial gamma widths, the experimental data are also used to determine
resonance strengths for the three lowest
resonances.
Conclusions: The energy of the dominant first
resonance is determined to be keV, with a resonance
strength meV
Percepção ambiental de docentes e discentes da rede de ensino público superior do município de Parintins - CESP/ UEA.
As questões ambientais são pautas das arenas de discussão locais e globais. Todos reconhecem que o nosso ambiente está sendo devastado, pois são constantes as notícias vinculadas na mídia falada e escrita sobre mudanças climáticas, poluição de rios e do ar, destruição da floresta, extinção de espécies, esgotamento dos recursos minerais. A importância da pesquisa em percepção ambiental para o planejamento ambiental é uma ação coordenada para minimizar estes impactos antrópicos negativos gerados por nossas ações ao ambiente. "Uma das dificuldades para a proteção dos ecossistemas naturais está na existência de diferenças nas percepções dos valores e da importância dos mesmos entre indivíduos de culturas diferentes ou de grupos sócio-econômicos que desempenham funções, no plano social. Neste cenário, caracterizar o conhecimento e a percepção ambiental dos atores envolvidos, docentes e discentes da rede de ensino público (superior) do município de Parintins, instigando-os através de abordagem participativa na construção de estratégias e ações transformadoras, pode ajudar a clarear os passos a serem trilhados na expectativa de implantação de um programa de educação ambiental com começo, meio e fim
Levantamento da produção de hortaliças no município de Parintins na feira da Paraíba.
O trabalho teve como objetivo realizar um levantamento sobre a olericultura na cidade de Parintins-Am especialmente na Feira da Paraíba na rua do mesmo nome
Characterization of the proposed 4-α cluster state candidate in O 16
The O16(α,α′) reaction was studied at θlab=0 at an incident energy of Elab=200 MeV using the K600 magnetic spectrometer at iThemba LABS. Proton decay and α decay from the natural parity states were observed in a large-acceptance silicon strip detector array at backward angles. The coincident charged-particle measurements were used to characterize the decay channels of the 06+ state in O16 located at Ex=15.097(5) MeV. This state is identified by several theoretical cluster calculations to be a good candidate for the 4-α cluster state. The results of this work suggest the presence of a previously unidentified resonance at Ex≈15 MeV that does not exhibit a 0+ character. This unresolved resonance may have contaminated previous observations of the 06+ state
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