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Effect of therapy switch on time to second-line antiretroviral treatment failure in HIV-infected patients

Background: Switch from first line antiretroviral therapy (ART) to second-line ART is common in clinical practice. However, there is limited knowledge of to which extent different reason for therapy switch are associated with differences in long-term consequences and sustainability of the second line ART. Material and methods: Data from 869 patients with 14601 clinical visits between 1999–2014 wer

Self-Reported Discrimination in Health-Care Settings Based on Recognizability as Transgender : A Cross-Sectional Study Among Transgender U.S. Citizens

Discrimination has long been tied to health inequality. Rejected by families and communities because of their gender identity and gender-role behavior, transgender individuals are often socially marginalized. This study aimed to assess discrimination in health-care settings among persons self-identifying as transgender in the U.S. in relation to their recognizability as transgender, operationalize

Parents’ Experiences of Having a Baby With a Congenital Heart Defect and the Child’s Heart Surgery

The incidence of children born with congenital heart disease is 1%. Congenital heart disease is among the birth defects that lead to the longest hospital stays, and children with congenital heart disease often require frequent hospitalization and several heart operations, along with lifelong follow-up visits. This study aims to describe parents’ experiences when their child has a heart defect and

Adsorption and charge transfer interactions of bi-isonicotinic acid on Ag(111)

The adsorption and charge transfer dynamics of the organic molecule bi-isonicotinic acid (4,4-dicarboxy-2,2-bipyridine) on single crystal Ag(111) has been studied using synchrotron radiation-based photoemission, x-ray absorption, and resonant core spectroscopies. Measurements for multilayer and monolayer coverage are used to determine the nature of the molecule-surface interactions and the molecul

One for all, or all for oneself? Governance cultures in regional public transport planning

Due to the fragmented organizational landscape characterizing public transport, it is important to study and explore how regional governance of public transport adapts to national institutional reforms. By employing the term ‘governance cultures’ to a comparative case study of regional public transport planning in Sweden, we contribute to theories of governance by cultural sensitization. Combining

A pragmatic, phase III, multisite, double-blind, placebo-controlled, parallel-Arm, dose increment randomised trial of regular, low-dose extended-release morphine for chronic breathlessness : Breathlessness, Exertion and Morphine Sulfate (BEAMS) study protocol

Introduction Chronic breathlessness is highly prevalent and distressing to patients and families. No medication is registered for its symptomatic reduction. The strongest evidence is for regular, low-dose, extended-release (ER) oral morphine. A recent large phase III study suggests the subgroup most likely to benefit have chronic obstructive pulmonary disease (COPD) and modified Medical Research C

Adaptive temperature regulation in the little bird in winter : predictions from a stochastic dynamic programming model

Several species of small birds are resident in boreal forests where environmental temperatures can be −20 to −30 °C, or even lower, in winter. As winter days are short, and food is scarce, winter survival is a challenge for small endothermic animals. A bird of this size will have to gain almost 10% of its lean body mass in fat every day to sustain overnight metabolism. Birds such as parids (titmic

Kinematics for unilateral constraints in multibody dynamics

This paper is concerned with the kinematics of unilateral constraints in multibody dynamics. These constraints are related to the contact between parts and the principle of impenetrability of matter and have the property that they may be active, in which case they give rise to constraint forces, or passive, in which case they do not give rise to constraint forces. In order to check whether the con

Estimating Global Burden of Disease due to congenital anomaly : An analysis of European data

Objective To validate the estimates of Global Burden of Disease (GBD) due to congenital anomaly for Europe by comparing infant mortality data collected by EUROCAT registries with the WHO Mortality Database, and by assessing the significance of stillbirths and terminations of pregnancy for fetal anomaly (TOPFA) in the interpretation of infant mortality statistics. Design, setting and outcome measur

A new GIS landscape classification method for rain/snow temperature thresholds in surface based models

Landscape air temperature thresholds (TA) and percent misclassified precipitation (error) for 12 years of meteorological observations from 40 stations across the Scandinavian Peninsula were derived and compared using both manual and geographic information system (GIS) landscape classification methods. Dew-point, wet-bulb, and wet bulb 0.5 were also tested. Both classification methods used the foll

Visual cues of oviposition sites and spectral sensitivity of Cydia strobilella L.

We investigated whether the spruce seed moth (Cydia strobilella L., Tortricidae: Grapholitini), an important pest in seed orchards of Norway spruce (Picea abies (L.) Karst.), can make use of the spectral properties of its host when searching for flowers to oviposit on. Spectral measurements showed that the flowers, and the cones they develop into, differ from a background of P. abies needles by a

Review of IS security policy compliance : Toward the building blocks of an IS asecurity theory

An understanding of insider threats in information systems (IS) is important to help address one of the dangers lurking within organizations. This article provides a review of the literature on insider compliance (and failure of compliance) with information systems' policies in order to understand the status of IS research regarding negligent and malicious insiders. We begin by defining the terms,

A conceptual framework for governing and managing key flows in a source-to-sea continuum

Current approaches to environmental protection and development on land, along rivers and coastal zones, and in marine environments are struggling to effectively promote sustainability. This is partly due to limited understanding of how ecosystems are linked, and partly due to fragmented governance and management arrangements in the continuum from source to sea that hinders cooperation and strategi

Spiders feeding on earthworms revisited : Consumption of giant earthworms in the tropics

Predation on earthworms is common in some generalist predator species, as for example several ground beetle species (Coleoptera: Carabidae) that frequently feed on earthworms. In spiders (Araneae), however, such behavior is far less well documented. A survey of reports on spiders feeding on earthworms yielded a total of 44 naturally occurring predation events. Spiders from 14 families were observe