56,709 research outputs found

    People like us…

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    Matthew J. Easterbrook on the psychology of class-based identities, interventions, and injunctions in education.</p

    Hepatitis C: global epidemiology and strategies for control

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    It is estimated that globally there are approximately 100 million persons with serological evidence of current or past HCV infection, and that HCV causes about 700 000 deaths each year. The prevalence of infection is the highest in lower and middle income countries, in which a significant number of past infections were caused by iatrogenic transmission and sub-optimal injection safety. In contrast, in developed countries, infections are caused mainly by high-risk exposures and behaviours among specific populations, such as persons who inject drugs. Recently, new direct antiviral activity (DAA) oral drugs with high rates of cure over short duration, which are well tolerated, have made chronic hepatitis C a curable condition. The extraordinary clinical performance of DAAs and recent substantial price reductions and expansion in access in resource-limited settings has provided new impetus for potential control and elimination of hepatitis C as a public health threat. We review the global epidemiology of HCV and the opportunities for preventative and treatment interventions to achieve global control of HCV infection. We also summarize the key elements of the World Health Organization's first-ever global health sector strategy for addressing the viral hepatitis pandemic

    Status of approved protocols for Easterbrook 1991 study [24].

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    <p>Status of approved protocols for Easterbrook 1991 study <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0066844#pone.0066844-Easterbrook1" target="_blank">[24]</a>.</p

    Measurement of the ratio of prompt χ c to J / ψ production in pp collisions at √s = 7 TeV

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    The prompt production of charmonium χ c and J / ψ states is studied in proton-proton collisions at a centre-of-mass energy of √s = 7 TeV at the Large Hadron Collider. The χ c and J / ψ mesons are identified through their decays χ c → J / ψ γ and J / ψ → μ + μ - using 36 pb - 1 of data collected by the LHCb detector in 2010. The ratio of the prompt production cross-sections for χ c and J / ψ, σ (χ c → J / ψ γ) / σ (J / ψ), is determined as a function of the J / ψ transverse momentum in the range 2 < p T J / ψ < 15 GeV / c. The results are in excellent agreement with next-to-leading order non-relativistic expectations and show a significant discrepancy compared with the colour singlet model prediction at leading order, especially in the low p T J / ψ region

    Letter from Carl Hayden to P. J Moran

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    Letter from Carl T. Hayden to P. J. Moran concerning the alignment of the road to Bright Angel Trail

    Letter from P. J. Moran to Carl Hayden

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    Letter from P. J. Moran to Carl T. Hayden inquiring when construction will begin on the approach road to Bright Angel Trail

    Letter from P. J. Moran to Carl Hayden

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    Letter from P. J. Moran to Carl T. Hayden inquiring when construction will begin on the approach road to Bright Angel Trai

    Telegrams Between Carl Hayden to P. J. Moran, Democratic County Central Committee

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    Telegram from Carl Hayden to P. J. Moran regarding the resignation of W. W. Crosby and his replacement J. R. Eakin

    Impact of HIV-1 viral subtype on disease progression and response to antiretroviral therapy

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    Background. Our intention was to compare the rate of immunological progression prior to antiretroviral therapy (ART) and the virological response to ART in patients infected with subtype B and four non-B HIV-1 subtypes (A, C, D and the circulating recombinant form, CRF02-AG) in an ethnically diverse population of HIV-1-infected patients in south London. Methods. A random sample of 861 HIV-1-infected patients attending HIV clinics at King's and St Thomas' hospitals' were subtyped using an in-house enzyme-linked immunoassay and env sequencing. Subtypes were compared on the rate of CD4 cell decline using a multi-level random effects model. Virological response to ART was compared using the time to virological suppression (&lt; 400 copies/ml) and rate of virological rebound (&gt; 400 copies/ml) following initial suppression. Results. Complete subtype and epidemiological data were available for 679 patients, of whom 357 (52.6%) were white and 230 (33.9%) were black African. Subtype B (n = 394) accounted for the majority of infections, followed by subtypes C (n = 125), A (n = 84), D (n = 51) and CRF02-AG (n = 25). There were no significant differences in rate of CD4 cell decline, initial response to highly active antiretroviral therapy and subsequent rate of virological rebound for subtypes B, A, C and CRF02-AG. However, a statistically significant four-fold faster rate of CD4 decline (after adjustment for gender, ethnicity and baseline CD4 count) was observed for subtype D. In addition, subtype D infections showed a higher rate of virological rebound at six months (70%) compared with subtypes B (45%, p = 0.02), A (35%, p = 0.004) and C (34%, p = 0.01). Conclusions. This is the first study from an industrialized country to show a faster CD4 cell decline and higher rate of subsequent virological failure with subtype D infection. Further studies are needed to identify the molecular mechanisms responsible for the greater virulence of subtype D. © 2010 Easterbrook et al; licensee BioMed Central Ltd
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