Plano de la ciudad de Puerto Real, en la isla de la Jamaica.

Scale ca. 1:3,300.

Mortality in patients with HIV-1 infection starting antiretroviral therapy in South Africa, Europe, or North America: a collaborative analysis of prospective studies.

BACKGROUND High early mortality in patients with HIV-1 starting antiretroviral therapy (ART) in sub-Saharan Africa, compared to Europe and North America, is well documented. Longer-term comparisons between settings have been limited by poor ascertainment of mortality in high burden African settings. This study aimed to compare mortality up to four years on ART between South Africa, Europe, and North America. METHODS AND FINDINGS Data from four South African cohorts in which patients lost to follow-up (LTF) could be linked to the national population register to determine vital status were combined with data from Europe and North America. Cumulative mortality, crude and adjusted (for characteristics at ART initiation) mortality rate ratios (relative to South Africa), and predicted mortality rates were described by region at 0-3, 3-6, 6-12, 12-24, and 24-48 months on ART for the period 2001-2010. Of the adults included (30,467 [South Africa], 29,727 [Europe], and 7,160 [North America]), 20,306 (67%), 9,961 (34%), and 824 (12%) were women. Patients began treatment with markedly more advanced disease in South Africa (median CD4 count 102, 213, and 172 cells/µl in South Africa, Europe, and North America, respectively). High early mortality after starting ART in South Africa occurred mainly in patients starting ART with CD4 count <50 cells/µl. Cumulative mortality at 4 years was 16.6%, 4.7%, and 15.3% in South Africa, Europe, and North America, respectively. Mortality was initially much lower in Europe and North America than South Africa, but the differences were reduced or reversed (North America) at longer durations on ART (adjusted rate ratios 0.46, 95% CI 0.37-0.58, and 1.62, 95% CI 1.27-2.05 between 24 and 48 months on ART comparing Europe and North America to South Africa). While bias due to under-ascertainment of mortality was minimised through death registry linkage, residual bias could still be present due to differing approaches to and frequency of linkage. CONCLUSIONS After accounting for under-ascertainment of mortality, with increasing duration on ART, the mortality rate on HIV treatment in South Africa declines to levels comparable to or below those described in participating North American cohorts, while substantially narrowing the differential with the European cohorts. Please see later in the article for the Editors' Summary.

Sermones pulcherrimi : manuscript, [between 1400 and 1450]

Contains Henricus de Friemar's Sermones de tempore (sometimes attributed to his son of the same name) and extracts of Gerardus de Fracheto's Vitae fratrum ordinis praedicatorum, among other sermons, glosses, and an index arranged by subject.

Schachzabelbuch : manuscript, [ca. 1390]-1408

Schachzabelbuch (ff. 1-87r; incomplete at the beginning) -- Heil- und Segenssprüche (87r-88v) -- Tageszeiten (89r-144v) -- Kalender (145r-159v) -- Heil- und Segenssprüche (160r-v).

Abiel Holmes's book: bought Decem'r 23'd anno domini 1780 : manuscript, 1780-1783 and undated

Commonplace book containing excerpts on religion, philosophy, geometry and other subjects; with two fold-out tables, one concerning the "partition of sciences" and the other "grand divisions of Europe."

Commonplace book : manuscript, [16--]

Notes concerning verses of the Bible, and moral and religious issues.

Letter of attorney, 1767

Document empowering John Harvey and Samuel Johnston to act as Barker's representatives to recover a debt from the estate of Dr. John Craven of North Carolina and to settle Barker's affairs and dispose of his property in North Carolina. Dated 23 May 1767.

Letter to Samuel Dexter, 13 November 1796

Letter regarding a bankruptcy case, later heard by the U.S. Supreme Court in 1797 (3 Dallas 369; Emory v. Greenough) and the upcoming national election.

Letter to John Worthington: 13 August 1791

Letter to Worhtington, a Springfield, Massachusetts lawyer, regarding tax on a meeting house near Pittsfield, Massachusetts and public support for ministers.

Capt. Weeks his answers to interogatorys on oath ... ca. 1738

Weeks (of Greenland, N.H.) was accused of concealing and embezzling items from his late son's estate. Document is signed: William Parker reg.

[ Property act], 1787

Copy of act pertaining to taking of property for failure to pay taxes. Signed: Alexander Martin and John Sitgreaves.

The royal charter of King Charles the Second to William Penn, esquire, proprietor of the province of Pennsylvania, 1701

A copy of the charter giving William Penn land in the colonies. Also contains Penn's "Frame of the Government of Pennsylvania in America", the laws he established, and the charter of the city of Philadelphia.

Manual of navigation : manuscript, [1697?]

Consists of lessons on various computations (ff. 1-4), geometry (5-10), and navigation (11-74), mostly in the form of problems and solutions.

Un receuil: containing painting, penmanship, algebra and pieces selected from various authors in prose and verse, with a few pieces in French with their translation / by Phebe Folger of Nantucket : manuscript, 1797-1806

Written mostly in a copperplate hand in black ink, and illustrated with watercolor drawings.

Mathematical notebook attributed to Thaddeus Mason Harris, ca. 1787

Hardcover notebook containing handwritten transcriptions of rules, cases, and examples from 18th century mathematical texts. The author and purpose of the volume is unclear, though it has been connected with Thaddeus Mason Harris (Harvard AB 1787). Most of the entries include questions and related answers, suggesting the notebook was used as a manuscript textbook and workbook. The extracts appear to be copied from John Dean's " Practical arithmetic" (published in 1756 and 1761), Daniel Fenning's "The young algebraist's companion" (published in multiple editions beginning in 1750), and Martin Clare's "Youth's introduction to trade and business" (extracts first included in 1748 edition).