Effects of cognitive behavioral stress management on HIV-1 RNA, CD4 cell counts and psychosocial parameters of HIV-infected persons

OBJECTIVE: To determine the effects of cognitive-behavioral stress management (CBSM) training on clinical and psychosocial markers in HIV-infected persons. METHODS: A randomized controlled trial in four HIV outpatient clinics of 104 HIV-infected persons taking combination antiretroviral therapy (cART), measuring HIV-1 surrogate markers, adherence to therapy and well-being 12 months after 12 group sessions of 2 h CBSM training. RESULTS: Intent-to-treat analyses showed no effects on HIV-1 surrogate markers in the CBSM group compared with the control group: HIV-1 RNA < 50 copies/ml in 81.1% [95% confidence interval (CI), 68.0-90.6] and 74.5% (95% CI, 60.4-85.7), respectively (P = 0.34), and mean CD4 cell change from baseline of 53.0 cells/microl (95% CI, 4.1-101.8) and 15.5 cells/microl (95% CI, -34.3 to 65.4), respectively (P = 0.29). Self-reported adherence to therapy did not differ between groups at baseline (P = 0.53) or at 12 month's post-intervention (P = 0.47). Significant benefits of CBSM over no intervention were observed in mean change of quality of life scores: physical health 2.9 (95% CI, 0.7-5.1) and -0.2 (95% CI, -2.1 to 1.8), respectively (P = 0.05); mental health 4.8 (95% CI, 1.8-7.3) and -0.5 (95% CI, -3.3 to 2.2) (P = 0.02); anxiety -2.1 (95% CI, -3.6 to -1.0) and 0.3 (95% CI, -0.7 to 1.4), respectively (P = 0.002); and depression -2.1 (95% CI, -3.2 to -0.9) and 0.02 (95% CI, -1.0 to 1.1), respectively (P = 0.001). Alleviation of depression and anxiety symptoms were most pronounced among participants with high psychological distress at baseline. CONCLUSION: CBSM training of HIV-infected persons taking on cART does not improve clinical outcome but has lasting effects on quality of life and psychological well-being.

European experience with the second-generation Edwards SAPIEN XT transcatheter heart valve in patients with severe aortic stenosis: 1-year outcomes from the SOURCE XT Registry

OBJECTIVES The SOURCE XT Registry (Edwards SAPIEN XT Aortic Bioprosthesis Multi-Region Outcome Registry) assessed the use and clinical outcomes with the SAPIEN XT (Edwards Lifesciences, Irvine, California) valve in the real-world setting. BACKGROUND Transcatheter aortic valve replacement is an established treatment for high-risk/inoperable patients with severe aortic stenosis. The SAPIEN XT is a balloon-expandable valve with enhanced features allowing delivery via a lower profile sheath. METHODS The SOURCE XT Registry is a prospective, multicenter, post-approval study. Data from 2,688 patients at 99 sites were analyzed. The main outcome measures were all-cause mortality, stroke, major vascular complications, bleeding, and pacemaker implantations at 30-days and 1 year post-procedure. RESULTS The mean age was 81.4 ± 6.6 years, 42.3% were male, and the mean logistic EuroSCORE (European System for Cardiac Operative Risk Evaluation) was 20.4 ± 12.4%. Patients had a high burden of coronary disease (44.2%), diabetes (29.4%), renal insufficiency (28.9%), atrial fibrillation (25.6%), and peripheral vascular disease (21.2%). Survival was 93.7% at 30 days and 80.6% at 1 year. At 30-day follow-up, the stroke rate was 3.6%, the rate of major vascular complications was 6.5%, the rate of life-threatening bleeding was 5.5%, the rate of new pacemakers was 9.5%, and the rate of moderate/severe paravalvular leak was 5.5%. Multivariable analysis identified nontransfemoral approach (hazard ratio [HR]: 1.84; p < 0.0001), renal insufficiency (HR: 1.53; p < 0.0001), liver disease (HR: 1.67; p = 0.0453), moderate/severe tricuspid regurgitation (HR: 1.47; p = 0.0019), porcelain aorta (HR: 1.47; p = 0.0352), and atrial fibrillation (HR: 1.41; p = 0.0014), with the highest HRs for 1-year mortality. Major vascular complications and major/life-threatening bleeding were the most frequently seen complications associated with a significant increase in 1-year mortality. CONCLUSIONS The SOURCE XT Registry demonstrated appropriate use of the SAPIEN XT THV in the first year post-commercialization in Europe. The safety profile is sustained, and clinical benefits have been established in the real-world setting. (SOURCE XT Registry; NCT01238497).

Na 1 Nachlass Max Horkheimer, 648 - "Sociologie Contemporaine" (p. IX 28.1-22a)

Rundfunkvorträge, entworfen von Max Horkheimer und Theodor W. Adorno; gesendet 1953-1954 vom Hessischen Rundfunkt und von Radiodiffusion Francaise; Adorno, Theodor W.: "Einleitung; Entwurf für "Soziologische Excurse"; Typoskript; 6 Blatt; "1. Vortrag [Begriff der Soziologie]"; Typoskript mit eigenhändigen Korrekturen von Max Horkheimer, 6 Blatt ; Typoskript mit eigenhändigen und handschriftlichen Korrekturen, 5 Blatt; "2. Vortrag [Individuum]"; 2 Typoskripte je mit eigenhändigen Korrekturen, je 5 Blatt; "3. Vortrag [Gruppen]"; Typoskript mit eigenhändigen Korrekturen, 7 Blatt; "4. Vortrag [Masse]"; Typoskript mit eigenhändigen Korrekturen von Max Horkheimer und Theodor W. Adorno; "5. Vortrag [Kultur und Zivilisation]"; Entwurf, Typoskript mit eigenhändigen Korrekturen, 6 Blatt; "6. Vortrag [Meinungsforschung]"; Typoskript, 5 Blatt; Typoskript mit eigenhändigen Korrekturen, 6 Blatt; "7. Vortrag [Vorurteil]"; Typoskript, 5 Blatt; Typoskript mit eigenhändigen Korrekturen, 8 Blatt; "8. Vortrag [Ideologie]"; Typoskript, 5 Blatt; Typoskript mit eigenhändigen und handschriftlichen Korrekturen, 8 Blatt; "10. Vortrag [Musiksoziologie]"; Typoskript, 6 Blatt; Typoskript mit eigenhändigen Korrekturen, 8 Blatt; "11. Vortrag [Familiensoziologie]"; Typoskript, 5 Blatt; Typoskript mit eigenhändigen Korrekturen, 10 Blatt; Moeller-Paquet "Resultate der gegenwärtigen Familiensoziologie mit besonderer Berücksichtigung der Stabilitäts- und Instabilitätsfaktore"; Typoskript, 7 Blatt; Typoskript mit handschriftlichen Korrekturen von Max Horkheimer, 3 Blatt; "12. Vortrag [Familiensozioloie]"; 2 Typoskripte, je 5 Blatt; "13. Vortrag"; Zum Problem der Wertfreiheit in den Sozialwissenschaften. Typoskript, 4 Blatt; Typoskript mit eigenhändigen Korrekturen, 8 Blatt (GS 13, S. 25-29); Französische Übersetzungen, teilweise von Wittkopp; Radiodiffusion-Télévision Francais: "Conseil de l'université radiophonique internationale"; Programmheft, 31 Seiten;

Na 1 Nachlass Max Horkheimer, 669 - "Research Project on Anti-Semitism" u.a. (p. IX 121-IX 123)

American Jewish Committee: Meetings of the Advisory Council to Dr. Horkheimer, Sitzungsprotokolle Januar - April 1945, als Typoskripte vervielfältigt, 17 Blatt; Institute of Social Research: "Studies in Antisemitism. A Report on the cooperative project for the study of antisemitism for the year ending March 15, 1944, jointly sponsored by the American Jewish Committee and the Institute of Social Research" (August 1944), a) Typoskript, gebunden, 144 Blatt, b) Typoskript, 144 Blatt; "Report on the Scientific Department of the American Jewish Committee - Dr. Max Horkheimer, Chairman" (January 5, 1945) [1989 von: Hoover Institution, Stanford]: 1. Report, Typoskript (Kopie), 7 Blatt; 2. "Condensed Version of Report for Leidesdorf", Typoskript (Kopie) mit handschriftlichen Korrekturen, 2 Blatt; 3. Memorandum 5.12.1943, Typoskript (Kopie), 1 Blatt; "Meeting of Psychiatrists and Psychoanalysts for Consideration of a Research Project on the Psychology of Antisemitism" Protokoll des Trefffens am 19.4.1945, als Typoskript vervielfältigt, 7 Blatt; "Synopsis of a proposed article on Researches in Antisemitism" (1945): 1. Aufsatz-Entwurd, Typoskript, 8 Blatt, b) Typoskript, 6 Blatt, c) Typoskript, 7 Blatt, d) Typoskript mit handschriftlichen Korrekturen, 7 Blatt, e) Typoskript mit handschriftlichen Korrekturen, 6 Blatt, f) Typoskript mit handschriftlichen Korrekturen und Manuskript, 8 Blatt; 2. L. Sussman: Entwurf, 22.3.1945, Typoskript mit "handschriftlichen Korrekturen, 3 Blatt; 3. "Notes for Dr. Klein re: article in 'Harpers'", Typoskript, 1 Blatt; 4. Harper's Magazine: 1 Brief mit Unterschrift an Max Horkheimer, New York, 8.6.1945, 1 Brief von Max Horkheimer, ohne Ort, 22.5.1945, 2 Blatt;

Na 1 Nachlass Max Horkheimer, 687 - "Experimental Movie Project", "The Police and Minority Groups" u.a. (p. IX 150.1-17 - IX 152.1-2)

"Experimental Movie Project" (1945-46):; 1. "Below the Surface", Drehbuch des Testfilms, a) als Typoskript vervielfältigt, 46 Blatt, b) als Typoskript vervielfältigt, 26 Blatt, c) als Typoskript vervielfältigt, 26 Blatt, d) als Typoskript vervielfältigt, 26 Blatt "Experimental Movie Project" (1945-46): Memoranden zum Test; 2. 'Notes' 25.4.1946, Typoskript, 1 Blatt; 3. "Memorandum on Experimental Movie Project", 19.4.1946. Typoskript, 3 Blatt; 4. "Memorandum re: 'Below the Surface" (Juli 1945). Typoskript, 2 Blatt; 5. Dore Schary und Allen Rivkin: 'Memorandum, Subject: New Suggested Treatment for 'Below the Surface'", 13.7.1945. Typoskript, 2 Blatt; 6. Hans Richter: "Report about the film script 'Below the surface'", 7. u. 8.7.1945, a) Typoskript, 1 Blatt, b) Typoskript, 1 Blatt; 7. Hans Richter: Bestätigung der Vereinbarung mit dem American Jewish Committee, 3.7.1945. Typoskript, 1 Blatt; 8. "Notes and Suggestions re Experimental Motion Picture", Juni 1945. Typoskript, 2 Blatt; 9. Siegfried Kracauer; "Suggestions for the Dialogue" (4.4.1945). Typoskript, 3 Blatt; 10. "Motion Picture", März 1945. Typoskript, 5 Blatt; 11. "Project on a Test film", a) Typoskript, 4 Blatt, b) Typoskript, 5 Blatt; 12. "Memorandum re: 'Below the Surface'", a) Typoskript, 3 Blatt, b) Typoskript mit eigenhändigen Korrekturen von Theodor W. Adorno, 3 Blatt; "Experimental Movie Project" (1945-46): Korrespondenz zum Test-Film-Projekt:; 13. Friedrich Pollock: 1 Brief an Max Horkheimer, Santa Monica, California, 12.10.1945; 14. Theodor W. Adorno: 2 Briefe an Max Horkheimer, Los Angeles und Santa Monica, California, 1945; 15. Joseph M. Proskauer: 1 Brief von Max Horkheimer, o.O., 29.6.1945, 1 Brief mit Unterschrift an Max Horkheimer, o.O., o.D., 3 Blatt; 16. Alexander Hackenschmied, 1 Brief mit Unterschrift an Max Horkheimer, New York, 19.6.1945, 1 Blatt; 17. Gilbert Gabriel: 1 Brief von John Slawson, o.O., 22.3.1945, 2 Blatt; "The Police and Minority Groups" (1946):; 1. "The Police and Minority Groups". Typoskript, 2 Blatt; 2. Robert W. Kenny: "Police and Minority Groups - an Experiment". Als Typoskript vervielfältigt, 17 Blatt; 3. Davis McEntire, Robert B. Powers: "Police Training Bulletin. A Guide to Race Relations for Police Officers", State of California, 1946, 38 Seiten; Max Horkheimer: "Memorandum on a Study of Race Hatred in Post-War Germany" (1946):; 1. Memorandum, a) Typoskript, 8 Blatt, b) Typoskript mit eigenhändigen und handschriftlichen Korrekturen, 6 Blatt, c) Typoskript, 5 Blatt, d) Teilstück, Typoskript mit eigenhändigen Korrekturen, 1 Blatt e) Typoskript mit eigenhändigen Korrekturen, 5 Blatt, f) Teilstück, Typoskript mit handschriftlichen Korrekturen, 2 Blatt, g) Typoskript mit eigenhändigen Korrekturen, 7 Blatt, h) Teilstück, Typoskript mit eigenhändigen Korrekturen und Ergänzungen, 1 Blatt, i) Typoskript, 2 Blatt; 2. Theodor W. Adorno: "Ad Memorandum Neumann", Manuskript, 3 Blatt;

The Austrian Glacier Inventories GI 1 (1969), GI 2 (1998), GI 3 (2006), and GI LIA in ArcGIS (shapefile) format

Glacier inventories provide the basis for further studies on mass balance and volume change, relevant for local hydrological issues as well as for global calculation of sea level rise. In this study, a new Austrian glacier inventory has been compiled, updating data from 1969 (GI 1) and 1998 (GI 2) based on high-resolution lidar digital elevation models (DEMs) and orthophotos dating from 2004 to 2012 (GI 3). To expand the time series of digital glacier inventories in the past, the glacier outlines of the Little Ice Age maximum state (LIA) have been digitalized based on the lidar DEM and orthophotos. The resulting glacier area for GI 3 of 415.11 ± 11.18 km**2 is 44% of the LIA area. The annual relative area losses are 0.3%/yr for the ~119-year period GI LIA to GI 1 with one period with major glacier advances in the 1920s. From GI 1 to GI 2 (29 years, one advance period of variable length in the 1980s) glacier area decreased by 0.6% yr?1 and from GI 2 to GI 3 (10 years, no advance period) by 1.2%/yr. Regional variability of the annual relative area loss is highest in the latest period, ranging from 0.3 to 6.19%/yr. The mean glacier size decreased from 0.69 km**2 (GI 1) to 0.46 km**2 (GI 3), with 47% of the glaciers being smaller than 0.1 km**2 in GI 3 (22%).

Temperature and salinity reconstruction for sediment core GeoB3313-1

We reconstructed changes of temperature, salinity, and productivity within the southern Peru-Chile Current during the last 8000 years from a high-resolution sediment core recovered at 41°S using alkenones, isotope ratios of planktic foraminifera, biogenic opal, and organic carbon. Paleotemperatures and paleosalinities reached maximum values at ~5500 years ago and thereafter declined to modern values, whereas paleoproductivity continuously increased throughout the last 8000 years. We ascribe these long-term Holocene trends primarily to latitudinal shifts of the Antarctic Circumpolar Current (ACC). The concurrence with shifts in the position of the Southern Westerlies points to a common response of atmospheric and oceanographic circulation patterns off southern Chile. Millennial- to centennial-scale fluctuations of paleotemperatures and paleosalinities, on the other hand, lag displacements in the position of the Southern Westerlies but reveal a significant correlation to short-term temperature changes in Antarctica, indicating a high-latitude control of the ACC at these timescales.

Kohler E. y M. Klinkowski. Viruskrankheiten, publicado como el volumen 2, parte 1º del Handbuch Der Pflanzenkrankheiten de P. Sorauer, 784 pág. 326 fgs. Edit. por Paul Parey, Berlín. 1954

Fil: Pontis, Rafael E..

Heavy metal and petroleum product concentrations in waters at the Obskaya 1 drill site

During recent years, the basins of the Kara Sea (Kamennomysskaya, Obskaya, and Chugor'yakhinskaya structures) in the Russian Federation have been considered as promising regions for oil and gas exploration and, simultaneously, as possible paths of relatively cheap pipeline and tanker transportation of hydrocarbons projected for recovery. On the other hand, exploration operations, recovery, and transportation of gas pose a considerable risk of accidents and environmental pollution, which causes a justified concern about the future state of the ecological system of the Gulf of Ob and the adjoining parts of the Kara Sea. Therefore, regular combined environmental investigations (monitoring) are the most important factor for estimating the current state and forecasting the dynamics of the development of estuary systems. The program of investigations (schedule, station network, and measured parameters) is standardized in accordance with the international practice of such work and accounts for the experience of monitoring studies of Russian and foreign researchers. Two measurement sessions were performed during ecological investigations in the region of exploration drilling: at the beginning at final stage of drilling operations and borehole testing; in addition, natural parameters were determined in various parts of the Ob estuary before the beginning of investigations. Hydrophysical and hydrochemical characteristics of the water medium were determined and bottom sediments and water were analyzed for various pollutants (petroleum products, heavy metals, and radionuclides). The forms of heavy-metal occurrence in river and sea waters were determined by the method of continuous multistep filtration, which is based on water component fractionation on membrane filters of various pore sizes. These investigations revealed environmental pollution by chemical substances during the initial stage of drilling operations, when remains of fuels, oils, and solutions could be spilled, and part of the chemical pollutants could enter the environment. Owing to horizontal and vertical turbulent diffusion, wave mixing, and the effect of the general direction of currents in the Ob estuary from south to north, areas are formed with elevated concentrations of the analyzed elements and compounds. However, the concentration levels of chemical pollutants are practically no higher than the maximum admissible concentrations, and their substantial dissipation to the average regional background contents can be expected in the near future. Our investigations allowed us to determine in detail the parameters of anthropogenic pollution in the regions affected by hydrocarbon exploration drilling in the Obskii and Kamennomysskii prospects in the Gulf of Ob and estimate their influence on the ecological state of the basin of the Ob River and the Kara Sea on the whole.