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11.
Louise Balfour Johanna N. Spaans Dean Fergusson Harold Huff Edward J. Mills Charles J. la Porte Sharon Walmsley Neera Singhal Ron Rosenes Nancy Tremblay M. John Gill Hugues Loemba Brian Conway Anita Rachlis Edward Ralph Mona Loutfy Ranjeeta Mallick Rika Moorhouse D. William Cameron 《PloS one》2014,9(1)
Introduction
The MAINTAIN study is an on-going RCT comparing high-dose micronutrient and anti-oxidant supplementation versus recommended daily allowance (RDA) vitamins in slowing HIV immune deficiency progression in ART-naïve people with HIV infection.Objective
We planned analysis of the first 127 participants to determine the baseline prevalence of serum micronutrient deficiencies and correlates, as well as tolerance and adherence to study interventions.Methods
Participants receive eight capsules twice daily of 1) high-dose or 2) RDA supplements for two years and are followed-up quarterly for measures of immune deficiency progression, safety and tolerability. Regression analysis was used to identify correlates of micronutrient levels at baseline. Adherence was measured by residual pill count, self-report using the General Treatment Scale (GTS) and short-term recall HIV Adherence Treatment Scale (HATS).Results
Prior micronutrient supplementation (within 30 days) was 27% at screening and 10% of study population, and was not correlated with baseline micronutrient levels. Low levels were frequent for carotene (24%<1 nmol/L), vitamin D (24%<40 nmol/L) and serum folate (20%<15 nmol/L). The proportion with B12 deficiency (<133 pmol/L) was 2.4%. Lower baseline levels of B12 correlated lower baseline CD4 count (r = 0.21, p = 0.02) with a 21 pmol/L reduction in B12 per 100 cells/µL CD4. Vitamin D levels were higher in men (p<0.001). After a median follow-up of 1.63 years, there were 19 (15%) early withdrawals from the study treatment. Mean treatment adherence using pill count was 88%. Subjective adherence by the GTS was 81% and was moderately but significantly correlated with pill count (r = 0.29, p<0.001). Adherence based on short-term recall (HATS) was >80% in 75% of participants.Conclusion
Micronutrient levels in asymptomatic HIV+ persons are in keeping with population norms, but micronutrient deficiencies are frequent. Adherence levels are high, and will permit a valid evaluation of treatment effects.Trial Registration
ClinicalTrials.gov NCT00798772相似文献12.
Aspects of the Phænogamic Vegetation of Rodriguez,with Descriptions of new Plants from the Island. 下载免费PDF全文
I. Bayley Balfour D.Sc. F.L.S. 《Botanical journal of the Linnean Society. Linnean Society of London》1877,16(89):7-25
As regards the history of its flora, the island of Rodriguez bears a striking resemblance to St. Helena. We read of the latter island that fire, goats, and finally introduced foreign plants well nigh exterminated the indigenous flora; and the same causes have operated and, I regret to say, are still operating in Rodriguez. The result is that the primitive vegetation has been in great part destroyed, leaving the island a field for the rank and rapid growth of common tropical weeds. The old and luxuriant vegetation of two hundred years ago—thus quaintly described by Leguat*, “We could hardly take our eyes off from the little mountains of which the island entirely consists; they are so richly spread with great and tall trees,” and, again, “‘Tis as I have hinted, composed of lovely hills covered all with fine trees whose perpetual verdure is entirely charming”—has now, to a large extent, disappeared, and is represented by only a few species, many of which are confined to the more unfrequented and less accessible places. It is indeed difficult to recognize in the barren and arid Rodriguez of the present day the “little Eden,”“lovely isle,”“earthly paradise” of Leguat. The flora, as it now exists, is an exceedingly fragmentary one; it is therefore a matter of some difficulty to determine its exact limits and to draw conclusions as to its affinities with the floras of other oceanic islands and of adjacent continents. This is the more to be regretted, as, from the geographical position of the island and the physical condition of climate to which it is subject, its flora might be expected, whether taken singly or as part of that of the Mascarene group, to contribute very important data towards the solution of the problem of the distribution of plant‐life in that region. The following general statements may, however, be made:— 相似文献
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Hassan S Sainz IM Khan MM Bradford HN Isordia-Salas I Kashem SW Sartor RB Colman RW 《American journal of physiology. Heart and circulatory physiology》2007,292(6):H2959-H2965
High-molecular-weight kininogen (HK) and its domain 3 (D3) exhibit anticoagulant properties and inhibit platelet activation at low thrombin concentration in vitro. We hypothesized that the rapid occlusive thrombosis in HK-deficient (HKd) rats following endothelial injury of the aorta results from enhanced platelet aggregation by thrombin. The effects of D3 (G235-M357) or D3-derived peptides on thrombosis in vivo were tested. D3 and its exon 7C terminal peptide (E7CP, K270-Q292), expressed as glutathione S-transferase (GST) fusion proteins (GST-D3, GST-E7CP), or GST alone, as well as cleaved HK (HKa) or synthetic peptide E7CP, were infused intravenously 10 min before endothelial injury. Blood flow was reduced down to 10% of baseline flow within 28 +/- 5.2 min by a platelet-fibrin thrombus in GST-treated HKd rats compared with >240 min in GST-treated normal HK rats (wild type). GST-D3, GST-E7CP, HKa, or E7CP infusion prolonged the flow time to 233, >240, 223, and >240 min, respectively, in HKd rats. When GST-E7CP was infused 10 min after the injury, blood flow was maintained for >240 min. Thrombin-antithrombin concentrations were elevated by injury in HKd rats receiving GST from 35 to 55 microg/l and decreased with GST-E7CP, HKa, or E7CP reconstitution to 40, 15, and 9 microg/l, respectively. We conclude that HKd rats are prothrombotic and that HKa, kininogen D3, and its fragment E7CP modulate arterial thrombosis after endothelial injury. 相似文献
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Andrew Balfour 《BMJ (Clinical research ed.)》1915,1(2829):528-529
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Andrew Balfour 《BMJ (Clinical research ed.)》1926,1(3413):929-932
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