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This study investigated the rate of human papillomavirus (HPV) persistence, associated risk factors, and predictors of cytological alteration outcomes in a cohort of human immunodeficiency virus-infected pregnant women over an 18-month period. HPV was typed through L1 gene sequencing in cervical smears collected during gestation and at 12 months after delivery. Outcomes were defined as nonpersistence (clearance of the HPV in the 2nd sample), re-infection (detection of different types of HPV in the 2 samples), and type-specific HPV persistence (the same HPV type found in both samples). An unfavourable cytological outcome was considered when the second exam showed progression to squamous intraepithelial lesion or high squamous intraepithelial lesion. Ninety patients were studied. HPV DNA persistence occurred in 50% of the cases composed of type-specific persistence (30%) or re-infection (20%). A low CD4+T-cell count at entry was a risk factor for type-specific, re-infection, or HPV DNA persistence. The odds ratio (OR) was almost three times higher in the type-specific group when compared with the re-infection group (OR = 2.8; 95% confidence interval: 0.43-22.79). Our findings show that bonafide (type-specific) HPV persistence is a stronger predictor for the development of cytological abnormalities, highlighting the need for HPV typing as opposed to HPV DNA testing in the clinical setting.  相似文献   
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Investigations on the photodynamic action of psoralens with DNA were performed, using experimental techniques of fluorescence lifetime and NMR-CIDNP, as well as SCF-MO and CNDO molecular orbital calculations. It has been shown that the formation of a biradical through the triplet state is the decisive step for psoralen dimer formation, as well as for cyclobutane addition with thymine, while singlet oxygen production is responsible for enzyme inactivation (e.g., lysozyme and trypsin). The molecular orbital calculations, in agreement with experimental results, indicate that the differences in biological effectivity of different psoralens are based on variations in triplet formation probability.  相似文献   
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Biological Invasions - The population dynamics and impacts of non-native species often change following their initial establishment, with impacts either increasing or decreasing over time. The...  相似文献   
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Our studies have revealed a number of unexpected characteristics of the immature cardiovascular system of the infant rat. Sympathetic and parasympathetic divisions of the autonomic system appear to have different timetables for the development of tonic and phasic activities. These different timetables of development result in unusual physiological organizations at particular stages in postnatal life. We have described some of the features of one of these: the infant rat's cardiac rate responses in the second week after birth include a high resting rate, decreased rates in response to several (but not all) forms of activation, and two forms of phasic activity, a bradycardia and a tachycardia, that are related to naturally occurring behavioral states and have not been described in adults. The nature of this age-specific autonomic organization was explored further and found to be embedded in the infant's relationship with its mother and in her role as a supplier of nutrient in particular. The mechanisms by which nutrient intake regulates autonomic cardiovascular control during this stage of life have been partially explored by analytic experiments and the results are described along with the possible adaptive value of this regulatory system.  相似文献   
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