Implementation and Operational Research: Risk Charts to Guide Targeted HIV-1 Viral Load Monitoring of ART: Development and Validation in Patients From Resource-Limited Settings.

BACKGROUND HIV-1 RNA viral load (VL) testing is recommended to monitor antiretroviral therapy (ART) but not available in many resource-limited settings. We developed and validated CD4-based risk charts to guide targeted VL testing. METHODS We modeled the probability of virologic failure up to 5 years of ART based on current and baseline CD4 counts, developed decision rules for targeted VL testing of 10%, 20%, or 40% of patients in 7 cohorts of patients starting ART in South Africa, and plotted cutoffs for VL testing on colour-coded risk charts. We assessed the accuracy of risk chart-guided VL testing to detect virologic failure in validation cohorts from South Africa, Zambia, and the Asia-Pacific. RESULTS In total, 31,450 adult patients were included in the derivation and 25,294 patients in the validation cohorts. Positive predictive values increased with the percentage of patients tested: from 79% (10% tested) to 98% (40% tested) in the South African cohort, from 64% to 93% in the Zambian cohort, and from 73% to 96% in the Asia-Pacific cohort. Corresponding increases in sensitivity were from 35% to 68% in South Africa, from 55% to 82% in Zambia, and from 37% to 71% in Asia-Pacific. The area under the receiver operating curve increased from 0.75 to 0.91 in South Africa, from 0.76 to 0.91 in Zambia, and from 0.77 to 0.92 in Asia-Pacific. CONCLUSIONS CD4-based risk charts with optimal cutoffs for targeted VL testing maybe useful to monitor ART in settings where VL capacity is limited.

The Effectiveness of Art Therapy in Decreasing Depressive Symptomology: A Meta-Analysis

Art therapy is an increasingly popular treatment modality with various mental health professionals; however, despite its increasing popularity and utilization, the field suffers from a continued lack of empirically validated studies that demonstrate its effectiveness. Thus, this study performed a meta-analysis on studies that utilized therapeutic art interventions with depressive symptoms in order to produce an overall effect size (ES) regarding the effectiveness of art therapy on depression. Additionally, this study attempted to determine moderating factors that might influence the magnitude of the ES. The present meta-analysis included 18 published and unpublished studies that produced a significant (p=0.001) ES of -1.10 (95% Confidence Interval (CI) of -1.64 to -0.56), thus demonstrating that art therapy has a large effect on the reduction of depression-related symptoms in participants. The results of this analysis are comparable to other meta-analyses of psychotherapeutic treatments for depression (Mazzucchelli, Kane, & Rees, 2009; Gloaguen, Cottraux, Cucherat, & Blackburn, 1998; Cuijper, van Straten, Andersson, & van Oppen, 2008). This study also covers clinically relevant issues regarding treating depression with art therapy and makes recommendations for further research.

Art influences on Mark Z. Danielewski's House of Leaves and Los Angeles's influence on Johnny Truant

"...is a novel that combines literature and art to create a unique postmodern object. It was published just over a decade ago, and in that time numerous scholars and students have written papers and articles on it. Within these articles, the themes are usually about deconstruction, the house as a digital object, the house's lack of homeliness, or characters who claim authorial presence. Danielewski distance himself from that role. The house and its impossible labyrinth are the central feature of the book. A house should provide stability, but this house shifts its rooms and walls at random. A house should protect its occupants, but this one kills people. This house links itself into an infinite amount of information through its use of the internet as an influence and a stylistic device, but it has nothing but an absence in its very foundation, an empty labyrinth with an unseen monster."

Promoting interculturalism through art education : a case study Portugal and Latvia

This study examines art student’s awareness, understanding and practices of intercultural art education in higher institution of art. Specifically, the research focused on Art Academy of Latvia, Riga. The purpose was to promote “interculturalism’’ among students and to acquaint them with the knowledge and skills of developing and reflecting on their cultural values and that of others’. For 10 weeks, 7 students in the Art Academy of Latvia explored the Traditional African Ceramics. My research included data gathered from student questionnaires, class discussions, interviews, observations, student artwork and photographs from their personal activities. I likewise took note of the students’ practical works and their approach to African-based ceramics. First, in literature review, I discuss my purpose of study, why the study is important, limitations, statements of problem, and further research. Secondly, I examine culture and paradigms of cultures, comprehensive context of the African history and traditions of the African ceramics, the importance of intercultural art education. Then, I describe how the case study in Latvia was carried out among 7 participants’ who are students from 2nd year – masters’ level. The case study involved 7 students from the department of graphics, glass, ceramics and painting with the aim of promoting intercultural learning among art students. The case study reveals participants’ attitude towards intercultural education and reveal the importance of intercultural education in higher institutions of art as well as other institutions of learning. Although the participants were positive attitude towards other culture, the study reveals that creating awareness through intercultural art and exposing students to other culture enhances their creativity ability to explore other culture and they are more likely to be opened in sharing their experiences and their cultural perspective. Experiencing culture based- art create awareness of other cultures

Field experiences with floating breakwaters in the eastern United States /

In the past 10 years, the use of floating breakwaters as temporary coastal structures has become increasingly widespread in the United States as an inexpensive means for suppressing waves. However, as with any new technology, there have been many failures and a substantial number of imaginative, successful innovations. One of the chief problems contributing to the failure rate has been a lack of awareness by designers of reliable, up-to-date technical information. As part of a large research effort to remedy this problem, a survey was conducted on field experience with floating breakwaters in the Eastern United States. Results of the survey confirmed that state-of-the-art technical literature is not being properly disseminated. Structures built according to early design manuals were shown to have failed before the completion of their design life. Conversely, floating breakwaters built to the standards set by recent research have fared well and show promise of meeting their design golas. The weakest areas of the present technology are flotation and the anchoring systems. It is recommended that a concentrated research effort be directed toward these problem areas; it is also recommended that the monitoring of state-of-the-art projects continue. (Author).

Recent international activity in cooperative vehicle-highway automation systems /

This report summarizes the current state of the art in cooperative vehicle-highway automation systems in Europe and Asia based on a series of meetings, demonstrations, and site visits, combined with the results of literature review. This review covers systems that provide drivers with a range of automation capabilities, from driver assistance to fully automated driving, with an emphasis on cooperative systems that involve active exchanges of information between the vehicles and the roadside and among separate vehicles. The trends in development and deployment of these systems are examined by country, and the similarities and differences relative to the U.S. situation are noted, leading toward recommendations for future U.S. action. The Literature Review on Recent International Activity in Cooperative Vehicle-Highway Automation Systems is published separately as FHWA-HRT-13-025.

With the ears of strangers; the Mexican in American literature.

Rev. ed. (c1977) published under title: Mexico and the Hispanic Southwest in American literature.

Manual of classical literature /

Includes bibliographical references and indexes.

Die entwickelung des putto in der plastik der frührenaissance.

Lebenslauf.

Japan [and China] ; its history, arts and literature /

Spine title: Japan and China.

Estimations in criticism,

v. 1. Poets and poetry: Introductory note. Hartley Coleridge. William Cowper. Percy Bysshe Shelley. John Milton. Art in English poetry.--v. 2. Prose writers: Edward Gibbon. Thomas Babington Macaulay. The Waverley novels. Charles Dickens. Lady Mary Wortley Montagu. Sterne and Thackeray. Index.

Insurgent Testimonies : Witnessing Colonial Trauma in Modern and Anglophone Literature /

This book examines testimony in the works of Rebecca West, Joseph Conrad, E.M. Forster, H.G. de Lisser, V.S Reid, and Ngũgi wa Thiong’o, and argues that disruptions to imperial and national power and the legal and legal responses they inspired shape the formal practices of modernist and Anglophone literature. This title was made Open Access by libraries from around the world through Knowledge Unlatched.

Alienation Effects : Performance and Self-Management in Yugoslavia, 1945-89 /

Jakovljevic considers the concept of theatricality as central to understanding the events that took place in Yugoslavia. He examines the country’s trials, state ceremonies and festivals, army maneuvers, propaganda, and pop culture as “rehearsals and temporary enactments of an ideologically formulated future.”.

The conservative principle in our literature : an address before the literary societies of the Hamilton Literary and Theological Institution, Madison County, N.Y. /

Mode of access: Internet.