6,436 research outputs found
Approach to Fungal Infections in Human Immunodeficiency Virus-Infected Individuals Pneumocystis and Beyond
Many fungi cause pulmonary disease in HIV-infected patients. Major pathogens include
Pneumocystis jirovecii, Cryptococcus neoformans, Aspergillus species, Histoplasma capsulatum,
Coccidioides species, Blastomyces dermatitidis, Paracoccidioides brasiliensis, Talaromyces
marneffei, and Emmonsia species. Because symptoms are frequently non-specific, a high index of
suspicion for fungal infection is required for diagnosis. Clinical manifestations of fungal infection
in HIV-infected patients frequently depend on the degree of immunosuppression and the CD4
+ TH
cell count. Establishing definitive diagnosis is important because treatments differ. Primary and
secondary prophylaxis depends on CD4+ TH cell counts as well as geographic location and local
prevalence of disease
Room temperature plasmon laser by total internal reflection
Plasmon lasers create and sustain intense and coherent optical fields below
light's diffraction limit with the unique ability to drastically enhance
light-matter interactions bringing fundamentally new capabilities to
bio-sensing, data storage, photolithography and optical communications.
However, these important applications require room temperature operation, which
remains a major hurdle. Here, we report a room temperature semiconductor
plasmon laser with both strong cavity feedback and optical confinement to
1/20th of the wavelength. The strong feedback arises from total internal
reflection of surface plasmons, while the confinement enhances the spontaneous
emission rate by up to 20 times.Comment: 8 Page, 2 Figure
A contextualização como estruturante curricular na educação em ciências : uma discussão a partir dos documentos oficiaisbra sileiros e artigos especializados
As Diretrizes e Bases da Educação Nacional desencadearam políticas educacionais para a redefinição do Ensino Médio no Brasil. Como parte dessa política, os Parâmetros Curriculares Nacionais incorporam a contextualização como princípio curricular central. Empregando análise de conteúdo,analisamos artigos de periódicos que atribuem diferentes sentidos para a contextualização no Ensino de Ciências. Com a construção de categorias inspiradas na análise vigotskiana, dimensionamos o conteúdo da contextualização como sentido epistemológico/cognitivo, ético e híbridos destes dois.Encontramos a preponderância de um hibridismo entre uma contextualização que busca dar um sentido cognitivo ao conhecimento e uma contextualização que busca um sentido ético, articulação nem sempre presentes de forma explicita nos documentos oficiais
Mechanisms of Psychological Distress following War in the Former Yugoslavia: The Role of Interpersonal Sensitivity
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.This study was funded by a grant from the European Commission, contract number INCO-CT-2004-509176. AN was supported by a Clinical Early Career Research Fellowship (113295) and a Project Grant (104288
Low Resistance Polycrystalline Diamond Thin Films Deposited by Hot Filament Chemical Vapour Deposition
Polycrystalline diamond thin films with outgrowing diamond (OGD) grains were deposited onto silicon wafers using a hydrocarbon gas (CH4) highly diluted with H2 at low pressure in a hot filament chemical vapour deposition (HFCVD) reactor with a range of gas flow rates. X-ray diffraction (XRD) and SEM showed polycrystalline diamond structure with a random orientation. Polycrystalline diamond films with various textures were grown and (111) facets were dominant with sharp grain boundaries. Outgrowth was observed in flowerish character at high gas flow rates. Isolated single crystals with little openings appeared at various stages at low gas flow rates. Thus, changing gas flow rates had a beneficial influence on the grain size, growth rate and electrical resistivity. CVD diamond films gave an excellent performance for medium film thickness with relatively low electrical resistivity and making them potentially useful in many industrial applications
Environmental Risk Factors for Pneumocystis Pneumonia Hospitalizations in HIV Patients
Background. Pneumocystis pneumonia (PcP) is the second leading cause of morbidity and mortality in human immunodeficiency virus (HIV)–infected patients in the United States. Although the host risk factors for the development of PcP are well established, the environmental (climatological, air pollution) risk factors are poorly understood. The major goal of this study was to determine the environmental risk factors for admissions of HIV-positive patients with PcP to a single medical center. / Methods. Between 1997 and 2008, 457 HIV-positive patients with microscopically confirmed PcP were admitted to the San Francisco General Hospital. A case-crossover design was applied to identify environmental risk factors for PcP hospitalizations. Climatological and air pollution data were collected from the Environmental Protection Agency and Weather Warehouse databases. Conditional logistic regression was used to evaluate the association of each environmental factor and PcP hospital admission. / Results. Hospital admissions were significantly more common in the summer than in the other seasons. Increases in temperature and sulfur dioxide levels were independently associated with hospital admissions for PcP, but the effects of sulfur dioxide were modified by increasing carbon monoxide levels. / Conclusions. This study identifies both climatological and air pollution constituents as independent risk factors for hospitalization of HIV-positive patients with PcP in San Francisco. Thus, the environmental effects on PcP are more likely complex than previously thought. Further studies are needed to understand how these factors exert their effects and to determine if these factors are associated with PcP in other geographic locations
Discrete element modelling and cavity expansion analysis of cone penetration testing
This paper uses the discrete element method (DEM) in three dimensions to simulate cone penetration testing (CPT) of granular materials in a calibration chamber. Several researchers have used different numerical techniques such as strain path methods and finite element methods to study CPT problems. The DEM is a useful alternative tool for studying cone penetration problems because of its ability to provide micro mechanical insight into the behaviour of granular materials and cone penetration resistance. A 30° chamber segment and a particle refinement method were used for the simulations. Giving constant mass to each particle in the sample was found to reduce computational time significantly, without significantly affecting tip resistance. The effects of initial sample conditions and particle friction coefficient on tip resistance are investigated and found to have an important effect on the tip resistance. Biaxial test simulations using DEM are conducted to obtain the basic granular material properties for obtaining CPT analytical solutions based on continuum mechanics. Macro properties of the samples for different input micro parameters are presented and used to obtain the analytical CPT results. Comparison between the numerical simulations and analytical solutions show good agreement
Postglacial expansion of the arctic keystone copepod calanus glacialis
Calanus glacialis, a major contributor to zooplankton biomass in the Arctic shelf seas, is a key link between primary production and higher trophic levels that may be sensitive to climate warming. The aim of this study was to explore genetic variation in contemporary populations of this species to infer possible changes during the Quaternary period, and to assess its population structure in both space and time. Calanus glacialis was sampled in the fjords of Spitsbergen (Hornsund and Kongsfjorden) in 2003, 2004, 2006, 2009 and 2012. The sequence of a mitochondrial marker, belonging to the ND5 gene, selected for the study was 1249 base pairs long and distinguished 75 unique haplotypes among 140 individuals that formed three main clades. There was no detectable pattern in the distribution of haplotypes by geographic distance or over time. Interestingly, a Bayesian skyline plot suggested that a 1000-fold increase in population size occurred approximately 10,000 years before present, suggesting a species expansion after the Last Glacial Maximum.GAME from the National Science Centre, the Polish Ministry of Science and Higher Education Iuventus Plus [IP2014 050573]; FCT-PT [CCMAR/Multi/04326/2013]; [2011/03/B/NZ8/02876
New insights into the classification and nomenclature of cortical GABAergic interneurons.
A systematic classification and accepted nomenclature of neuron types is much needed but is currently lacking. This article describes a possible taxonomical solution for classifying GABAergic interneurons of the cerebral cortex based on a novel, web-based interactive system that allows experts to classify neurons with pre-determined criteria. Using Bayesian analysis and clustering algorithms on the resulting data, we investigated the suitability of several anatomical terms and neuron names for cortical GABAergic interneurons. Moreover, we show that supervised classification models could automatically categorize interneurons in agreement with experts' assignments. These results demonstrate a practical and objective approach to the naming, characterization and classification of neurons based on community consensus
TEAD and YAP regulate the enhancer network of human embryonic pancreatic progenitors.
The genomic regulatory programmes that underlie human organogenesis are poorly understood. Pancreas development, in particular, has pivotal implications for pancreatic regeneration, cancer and diabetes. We have now characterized the regulatory landscape of embryonic multipotent progenitor cells that give rise to all pancreatic epithelial lineages. Using human embryonic pancreas and embryonic-stem-cell-derived progenitors we identify stage-specific transcripts and associated enhancers, many of which are co-occupied by transcription factors that are essential for pancreas development. We further show that TEAD1, a Hippo signalling effector, is an integral component of the transcription factor combinatorial code of pancreatic progenitor enhancers. TEAD and its coactivator YAP activate key pancreatic signalling mediators and transcription factors, and regulate the expansion of pancreatic progenitors. This work therefore uncovers a central role for TEAD and YAP as signal-responsive regulators of multipotent pancreatic progenitors, and provides a resource for the study of embryonic development of the human pancreas
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