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HBV vaccine was introduced into the Expanded Programme on Immunization (EPI) in Senegal and Cameroon in 2005. We conducted a cross-sectional study in both countries to assess the HBV immune protection among children. All consecutive children under 4 years old, hospitalized for any reason between May 2009 and May 2010, with an immunisation card and a complete HBV vaccination, were tested for anti-HBs and anti-HBc. A total of 242 anti-HBc-negative children (128 in Cameroon and 114 in Senegal) were considered in the analysis. The prevalence of children with anti-HBs ≥ 10 IU/L was higher in Cameroon with 92% (95% CI: 87%-97%) compared to Senegal with 58% (95% CI: 49%-67%), (p<0.001). The response to vaccination in Senegal was lower in 2006-2007 (43%) than in 2008-2009 (65%), (p = 0.028). Our results, although not based on a representative sample of Senegalese or Cameroonian child populations, reveal a significant problem in vaccine response in Senegal. This response problem extends well beyond hepatitis B: the same children who have not developed an immune response to the HBV vaccine are also at risk for diphtheria, tetanus, pertussis (DTwP) and Haemophilus influenzae type b (Hib). Field biological monitoring should be carried out regularly in resource-poor countries to check quality of the vaccine administered.  相似文献   
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Objectives

To assess the impact of long-term combined antiretroviral therapy (cART) on HIV-RNA and HIV-DNA levels in cervicovaginal secretions of HIV-1-infected women with sustained undetectable plasma RNA viral load (PVL); to explore factors predictive of residual viral shedding; and to evaluate the risk of heterosexual transmission.

Methods

Women with undetectable PVL (<50 copies/mL) for >6 months were included in this cross-sectional study. HIV-RNA and HIV-DNA were measured in blood and cervicovaginal lavage fluid (CVL). Women were systematically tested for genital infections. The risk of transmission to male partners during unprotected intercourse was estimated.

Results

Eighty-one women composed the study population: all had HIV-RNA <40 copies/mL in CVL. HIV-DNA was detectable in CVL of 29/78 patients (37%). There was a weak positive correlation between HIV-DNA levels in PBMCs and CVL (r = 0.20; p = 0.08). In multivariate analysis, two factors were associated with HIV-DNA detection in CVL: previous AIDS-defining illnesses (OR = 11; 95%CI = 2–61) and current residual viremia (20<PVL<50 cp/mL) (OR = 3.4; 95%CI = 1.1–10.9). Neither the classes of cART regimen nor the presence of genital bacterial or fungal colonization were associated with HIV-DNA detection in CVL. Twenty-eight percent of the women had unprotected intercourse with their regular HIV-seronegative male partner, for between 8 and 158 months. None of their male partners became infected, after a total of 14 000 exposures.

Conclusion

In our experience, HIV-RNA was undetectable in the genital tract of women with sustained control of PVL on cART. HIV-DNA shedding persisted in about one third of cases, with no substantial evidence of residual infectiousness.  相似文献   
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The interactions of three bis(amide) ligands derived from tartaric acid with copper (II) were investigated in aqueous solution by a combination of potentiometry, UV-vis spectrophotometry, electron paramagnetic resonance (EPR), and mass spectrometry. The formation constants of the complexes were measured and their relative structures were reported. The sites of complexation of these ligands are investigated based mostly on their electronic and EPR spectra and on the comparison with the behaviour of some analog compounds.  相似文献   
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Energy localization, via modulation instability, is addressed in a modified twist-opening model of DNA with solvent interactions. The Fourier expansion method is used to reduce the complex roto-torsional equations of the system to a set of discrete coupled nonlinear Schrödinger equations, which are used to perform the analytical investigation of modulation instability. We find that the instability criterion is highly influenced by the solvent parameters. Direct numerical simulations, performed on the generic model, further confirm our analytical predictions, as solvent interactions bring about highly localized energy patterns. These patterns are also shown to be robust under thermal fluctuations.  相似文献   
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Two new cobalt(II) complexes of symmetric hexadentate mixed-ligand N,O [1,12-bis(2-pyridyl)-5,8-dioxa-2,11-diazadodecane (pydado)] and N,S [1,12-bis(2-pyridyl)-5,8-dithia-2,11-diazadodecane (pydadt)] donor atoms have been synthesized as perchlorate salts. The crystal structures show that [Co(pydado)](ClO4)2 · H2O (1) crystallizes in the triclinic space group and [Co(pydadt)](ClO4)2 (2) crystallizes in the monoclinic space group P21/c. The cation [Co(pydado)]2+ is pseudo-octahedral with the two pyridyl groups in trans position. However, in [Co(pydadt)]2+ complex, the size of thioether sulfur atoms imposes a distorted octahedral geometry; the pyridyl groups and the sulfur atoms are in trans position. The reaction of the complex 2 and hydrogen peroxide resulted to the oxidation of CoII into CoIII and the thioether groups of the ligand to sulfinate groups with elimination of the central ethylenic group of pydadt. Thus, complex 2 was converted to bis[3-(2-pyridylmethylamino)ethanesulfinate] cobalt(III) complex (3) {[Co(pynso)2](ClO4) · 0.5H2O}. The X-ray crystal structure reveals that the compound 3 crystallizes in the triclinic space group with the same donor atoms (Npyridyl, Namine and S) belonging to the two ligands in cis-position. In aqueous solution, the stability constants of the Co(II) chelates with these two ligands, determined by potentiometry, show the formation of [Co(LH)]3+ and [CoL]2+ species in all cases. The chelating power of pydadt ligand is slightly greater than that of pydado.  相似文献   
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Two new cobalt(III) complexes of symmetric hexadentate ligand with N6 [1,10-bis(2-picolinamide)-4,7-diazadecane (pycdpnen)] and N4S2 [1,8-bis(2-picolinamide)-3,6-dithiaoctane (pycdadt)] donor set atoms have been synthesized as perchlorate salts and characterized by spectroscopic methods. All two ligands with strong-field pyridylcarboxamido N donor stabilize Co(III) as demonstrated by the facile oxidation of the cobalt center. The structures of [Co(pycdpnenH−2)](ClO4) (1) and [Co(pycdadtH−2)](ClO4) · H2O (2) investigated by COSY, HMBC, HMQC and NOESY NMR studies show that compounds 1 and 2 have the same geometrical configuration. The X-ray analysis reveals that complex 2 crystallizes in a orthorhombic space group Pccn. The cation [Co(pycdadtH−2)]+ is distorted octahedral with the two pyridyl groups in cis position.  相似文献   
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Three new compounds are reported with the tetradentate ligand (N,N′-bis(2-Pyridylmethyl)-1,3-propanediamine) (abbreviated as pypn), two mononuclear compounds i.e. [Co(pypn)(C2O4)](ClO4) (1), [Mn(pypn)(C2O4)](ClO4) (2) and one dinuclear compound [Ni2(pypn)2(C2O4)](ClO4)2(C2H6O)1/4(H2O) (3). In the Co(III) and Mn(II) complexes the oxalate behaves as bidentate ligand, chelating the metal in the O,O′ mode, whereas in the Ni(II) compound the oxalate behaves as tetradentate ligand binding each Ni(II) ion by two oxygen atoms and bridging the two metallic centers.The synthesis, X-ray crystal structure of all three compounds and their spectroscopic properties are presented in detail. The geometry around the Co3+, Mn3+, Ni2+ ions is essentially octahedrally based, while the stabilization of the crystal lattice in all cases is maintained by interesting hydrogen bond systems.  相似文献   
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Plasma Physics Reports - A theoretical investigation is made to study the properties of dust–acoustic (DA) waves, and corresponding dust–acoustic rogue waves (DARWs) in a magnetized...  相似文献   
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