100 research outputs found
DB1 DEVELOPMENT AND VALIDATION OF A MODEL TO PREDICT VIROLOGIC FAILURE USING ADMINISTRATIVE CLAIMS
PSY43 USE OF PRESCRIPTION PHARMACOTHERAPY IN PATIENTS WITH FIBROMYALGIA : EVIDENCE OF UNMET NEEDS?
Cost-effectiveness of atazanavir-ritonavir versus lopinavir-ritonavir in HIV patients initiating first-line antiretroviral therapy
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Interannual variation in global-scale net primary production: Testing model estimates
Testing estimates of yearâtoâyear variation in global net primary production (NPP) poses some challenges. Largeâscale, multiyear records of production are not readily available for natural systems but are for agricultural systems. We use records of agricultural yields at selected sites to test NPP estimates produced by CASA, a globalâscale production model driven by both meteorological data and the satelliteâderived normalized difference vegetation index (NDVI). We also test estimates produced by the Miami model, which has underlain several analyses of biosphere response to interannual changes in climate. In addition, we test estimates against tree ring data for one boreal site for which data from both coniferous and deciduous species were available. The agricultural tests demonstrate that CASA can reasonably estimate interannual variation in production. The Miami model estimates variation more poorly. However, differences in NDVIâprocessing algorithms substantially affect CASA's estimates of interannual variation. Of the four versions tested, the FASIR NDVI most closely reproduced yield data and showed the least correlation with changes in equatorial crossing time of the National Oceanic and Atmospheric Administration satellites. One issue raised is the source of the positive trends evident in CASA's NDVIâbased estimates of global NPP. The existence of these trends is consistent with potential stimulation of terrestrial production by factors such as CO2 enrichment, N fertilization, or temperature warming, but the magnitude of the global trends seen is significantly greater than suggested by constraints imposed by atmospheric fluxes
Adherence to Antiretroviral Treatment and Correlation with Risk of Hospitalization among Commercially Insured HIV Patients in the United States
Purpose: A lower daily pill burden may improve adherence to antiretroviral treatment (ART) and clinical outcomes in patients with human immunodeficiency virus (HIV). This study assessed differences in adherence using the number of pills taken per day, and evaluated how adherence correlated with hospitalization. Methodology: Commercially insured patients in the LifeLink database with an HIV diagnosis (International Classification of Diseases, 9th Revision, Clinical Modification code 042.xx) between 6/1/2006 and 12/31/2008 and receipt of a complete ART regimen were selected for inclusion. Patients were grouped according to their daily pill count and remained on ART for at least 60 days. Outcomes included adherence and rates of hospitalization. Adherence was measured as the proportion of days between the start and end of the regimen in which the patient maintained supply of all initiated ART components. Logistic regressions assessed the relationship between pills per day, adherence, and hospitalization, controlling for demographics, comorbidities, and ART-naĂŻve (vs. experienced) status. Results: 7,073 patients met the study inclusion criteria, and 33.4%, 5.8%, and 60.8 % received an ART regimen comprising one, two, or three or more pills per day, respectively. Regression analysis showed patients receiving a single pill per day were significantly more likely to reach a 95 % adherence threshold versus patients receiving three or more pills per day (odds ratio [OR] = 1.59; P,0.001). Regardless of the number of pills received per day, patients were over 40 % less likely to have
Obtaining Parsimonious Hydraulic Conductivity Fields Using Head and Transport Observations: A Bayesian Geostatistical Parameter Estimation Approach
Flow path delineation is a valuable tool for interpreting the subsurface hydrogeochemical environment. Different types of data, such as groundwater flow and transport, inform different aspects of hydrogeologic parameter values (hydraulic conductivity in this case) which, in turn, determine flow paths. This work combines flow and transport information to estimate a unified set of hydrogeologic parameters using the Bayesian geostatistical inverse approach. Parameter flexibility is allowed by using a highly parameterized approach with the level of complexity informed by the data. Despite the effort to adhere to the ideal of minimal a priori structure imposed on the problem, extreme contrasts in parameters can result in the need to censor correlation across hydrostratigraphic bounding surfaces. These partitions segregate parameters into facies associations. With an iterative approach in which partitions are based on inspection of initial estimates, flow path interpretation is progressively refined through the inclusion of more types of data. Head observations, stable oxygen isotopes (18O/16O ratios), and tritium are all used to progressively refine flow path delineation on an isthmus between two lakes in the Trout Lake watershed, northern Wisconsin, United States. Despite allowing significant parameter freedom by estimating many distributed parameter values, a smooth field is obtained
Resilience and Vulnerability of Northern Regions to Social and Environmental Change
The arctic tundra and boreal forest were once considered
the last frontiers on earlh because of their vast expanses
remote from agriculturaland-use change and industrial
development. These regions are now, however, experiencing
environmental and social changes that are as rapid
as those occurring anywhere on eadh. This paper summarizes
the role of northern regions in the global system
and provides a blueprint for assessing the factors that govern
their sensitivity to social and environmental chanqe
Is the northern high-latitude land-based CO2 sink weakening?
Author Posting. © American Geophysical Union, 2011. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Global Biogeochemical Cycles 25 (2011): GB3018, doi:10.1029/2010GB003813.Studies indicate that, historically, terrestrial ecosystems of the northern high-latitude region may have been responsible for up to 60% of the global net land-based sink for atmospheric CO2. However, these regions have recently experienced remarkable modification of the major driving forces of the carbon cycle, including surface air temperature warming that is significantly greater than the global average and associated increases in the frequency and severity of disturbances. Whether Arctic tundra and boreal forest ecosystems will continue to sequester atmospheric CO2 in the face of these dramatic changes is unknown. Here we show the results of model simulations that estimate a 41 Tg C yrâ1 sink in the boreal land regions from 1997 to 2006, which represents a 73% reduction in the strength of the sink estimated for previous decades in the late 20th century. Our results suggest that CO2 uptake by the region in previous decades may not be as strong as previously estimated. The recent decline in sink strength is the combined result of (1) weakening sinks due to warming-induced increases in soil organic matter decomposition and (2) strengthening sources from pyrogenic CO2 emissions as a result of the substantial area of boreal forest burned in wildfires across the region in recent years. Such changes create positive feedbacks to the climate system that accelerate global warming, putting further pressure on emission reductions to achieve atmospheric stabilization targets.This study was supported through grants
provided as part of the Arctic System Science Program (NSF OPPâ
0531047), the North American Carbon Program (NASA NNG05GD25G),
and the Bonanza Creek LongâTerm Ecological Program (funded jointly by
NSF grant DEBâ0423442 and USDA Forest Service, Pacific Northwest
Research Station grant PNW01âJV11261952â231)
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