Laser-driven inertial ion focusing

A Hohlraum-like configuration is proposed for realizing a simple compact source for neutrons. A laser pulse enters a tiny thin-shelled hollow-sphere target through a small opening and is self-consistently trapped in the cavity. The electrons in the inner shell-wall region are expelled by the light pressure. The resulting space-charge field compresses the local ions into a thin layer that becomes strongly heated. An inward expansion of ions into the shell cavity then occurs, resulting in the formation at the cavity center of a hot spot of ions at high density and temperature, similar to that in inertial electrostatic confinement.

Statistical and econometric analysis of the treatment of HIV/AIDS

The epidemic of HIV/AIDS in the United States is constantly changing and evolving, starting from patient zero to now an estimated 650,000 to 900,000 Americans infected. The nature and course of HIV changed dramatically with the introduction of antiretrovirals. This discourse examines many different facets of HIV from the beginning where there wasn't any treatment for HIV until the present era of highly active antiretroviral therapy (HAART). By utilizing statistical analysis of clinical data, this paper examines where we were, where we are and projections as to where treatment of HIV/AIDS is headed.

Chapter Two describes the datasets that were used for the analyses. The primary database utilized was collected by myself from an outpatient HIV clinic. The data included dates from 1984 until the present. The second database was from the Multicenter AIDS Cohort Study (MACS) public dataset. The data from the MACS cover the time between 1984 and October 1992. Comparisons are made between both datasets.

Chapter Three discusses where we were. Before the first anti-HIV drugs (called antiretrovirals) were approved, there was no treatment to slow the progression of HIV. The first generation of antiretrovirals, reverse transcriptase inhibitors such as AZT (zidovudine), DDI (didanosine), DDC (zalcitabine), and D4T (stavudine) provided the first treatment for HIV. The first clinical trials showed that these antiretrovirals had a significant impact on increasing patient survival. The trials also showed that patients on these drugs had increased CD4+ T cell counts. Chapter Three examines the distributions of CD4 T cell counts. The results show that the estimated distributions of CD4 T cell counts are distinctly non-Gaussian. Thus distributional assumptions regarding CD4 T cell counts must be taken, into account when performing analyses with this marker. The results also show the estimated CD4 T cell distributions for each disease stage: asymptomatic, symptomatic and AIDS are non-Gaussian. Interestingly, the distribution of CD4 T cell counts for the asymptomatic period is significantly below that of the CD4 T cell distribution for the uninfected population suggesting that even in patients with no outward symptoms of HIV infection, there exists high levels of immunosuppression.

Chapter Four discusses where we are at present. HIV quickly grew resistant to reverse transcriptase inhibitors which were given sequentially as mono or dual therapy. As resistance grew, the positive effects of the reverse transcriptase inhibitors on CD4 T cell counts and survival dissipated. As the old era faded a new era characterized by a new class of drugs and new technology changed the way that we treat HIV-infected patients. Viral load assays were able to quantify the levels of HIV RNA in the blood. By quantifying the viral load, one now had a faster, more direct way to test antiretroviral regimen efficacy. Protease inhibitors, which attacked a different region of HIV than reverse transcriptase inhibitors, when used in combination with other antiretroviral agents were found to dramatically and significantly reduce the HIV RNA levels in the blood. Patients also experienced significant increases in CD4 T cell counts. For the first time in the epidemic, there was hope. It was hypothesized that with HAART, viral levels could be kept so low that the immune system as measured by CD4 T cell counts would be able to recover. If these viral levels could be kept low enough, it would be possible for the immune system to eradicate the virus. The hypothesis of immune reconstitution, that is bringing CD4 T cell counts up to levels seen in uninfected patients, is tested in Chapter Four. It was found that for these patients, there was not enough of a CD4 T cell increase to be consistent with the hypothesis of immune reconstitution.

In Chapter Five, the effectiveness of long-term HAART is analyzed. Survival analysis was conducted on 213 patients on long-term HAART. The primary endpoint was presence of an AIDS defining illness. A high level of clinical failure, or progression to an endpoint, was found.

Chapter Six yields insights into where we are going. New technology such as viral genotypic testing, that looks at the genetic structure of HIV and determines where mutations have occurred, has shown that HIV is capable of producing resistance mutations that confer multiple drug resistance. This section looks at resistance issues and speculates, ceterus parabis, where the state of HIV is going. This section first addresses viral genotype and the correlates of viral load and disease progression. A second analysis looks at patients who have failed their primary attempts at HAART and subsequent salvage therapy. It was found that salvage regimens, efforts to control viral replication through the administration of different combinations of antiretrovirals, were not effective in 90 percent of the population in controlling viral replication. Thus, primary attempts at therapy offer the best change of viral suppression and delay of disease progression. Documentation of transmission of drug-resistant virus suggests that the public health crisis of HIV is far from over. Drug resistant HIV can sustain the epidemic and hamper our efforts to treat HIV infection. The data presented suggest that the decrease in the morbidity and mortality due to HIV/AIDS is transient. Deaths due to HIV will increase and public health officials must prepare for this eventuality unless new treatments become available. These results also underscore the importance of the vaccine effort.

The final chapter looks at the economic issues related to HIV. The direct and indirect costs of treating HIV/AIDS are very high. For the first time in the epidemic, there exists treatment that can actually slow disease progression. The direct costs for HAART are estimated. It is estimated that the direct lifetime costs for treating each HIV infected patient with HAART is between $353,000 to $598,000 depending on how long HAART prolongs life. If one looks at the incremental cost per year of life saved it is only $101,000. This is comparable with the incremental costs per year of life saved from coronary artery bypass surgery.

Policy makers need to be aware that although HAART can delay disease progression, it is not a cure and HIV is not over. The results presented here suggest that the decreases in the morbidity and mortality due to HIV are transient. Policymakers need to be prepared for the eventual increase in AIDS incidence and mortality. Costs associated with HIV/AIDS are also projected to increase. The cost savings seen recently have been from the dramatic decreases in the incidence of AIDS defining opportunistic infections. As patients who have been on HAART the longest start to progress to AIDS, policymakers and insurance companies will find that the cost of treating HIV/AIDS will increase.

复振幅光瞳滤波器的三维超分辨性能研究

超分辨技术中现有的纯振幅型或纯相位型光瞳滤波器，大部分只能实现轴向或横向超分辨而不能实现三维超分辨，三维超分辨在三维成像系统中有着重要的作用。因此为提高成像系统中的三维分辨能力，设计了一种复振幅光瞳滤波器，并对其三维超分辨性能进行了研究。详细分析了该光瞳滤波器的第一区半径和透射率对施特雷尔比、轴向和横向超分辨因子以及旁瓣能量的影响。通过一系列的模拟证明，借助于复振幅光瞳滤波器可以实现三维超分辨。该滤波器的优点是容易实现三维超分辨，且有比较高的施特雷尔比，缺点是三维超分辨的实现总是伴随着旁瓣能量的增加，但可

Effects of the frequency chirp on the fields of a chirped Gaussian pulse passing through a hard-edged aperture

Based on the Huygens-Fresnel diffraction integral and Fourier transform, propagation expression of a chirped Gaussian pulse passing through a hard-edged aperture is derived. Intensity distributions of the pulse with different frequency chirp in the near-field and far-field are analyzed in detail by numerical calculations. In the near-field, amplitudes of the intensity peaks generated by the modulation of the hard-edged aperture decrease with increasing the frequency chirp, which results in the improving of the beam uniformity. A physical explanation for the smoothing effect brought by increasing the frequency chirp is given. The smoothing effect is achieved not only in the pulse with Gaussian transverse profile but also in the pulse with Hermite-Gaussian transverse profile when the frequency chirp increases. (C) 2005 Elsevier B.V. All rights reserved.

Inmigración, familia y empleo. Estrategias familiares en los inicios de la industrialización, Pamplona (1840-1930)

Dónde, con quién y de qué vivir son cuestiones clave a la hora de explicar las estrategias familiares, y también los ejes de este libro. Tras explicitar sus premisas teóricas y plantear las líneas generales en la evolución de la ciudad, Iruñea-Pamplona, el libro se estructura en tres capítulos que analizan cada una de las estas preguntas. Por un lado, el autor constata la importancia de la inmigración y analiza las lógicas familiares que guían estos movimientos, así como su influencia en la realidad lingüística urbana. En segundo lugar estudia las diferencias sociales en la formación de los hogares, apreciando un fortalecimiento de la familia obrera en los inicios de la industrialización. Por último se centra en la participación de los diferentes miembros de la familia en el mercado laboral, prestando especial atención al empleo femenino, los valores de género subyacentes y la feminización de la pobreza. Se trata de una investigación sobre estrategias familiares, que también pretende reflexionar sobre el papel de los valores familiares en el mantenimiento del orden social.

Calculations of bond dissociation energies and dipole moments in energetic materials using density-functional methods

We compare the effectiveness of six exchange/correlation functional combinations (Becke/Lee, Yang and Parr; Becke-3/Lee, Yang and Parr; Becke/Perdew-Wang 91; Becke-3/Perdew-Wang 91; Becke/Perdew 86; Becke-3/Perdew 86) for computing C-N, O-O and N-NO2 dissociation energies and dipole moments of five compounds. The studied compounds are hexabydro-1,3,5-trinitro-1,3,5-triazine (RDX), dimethylnitramine, cyanogen, nitromethane and ozone. The Becke-3/Perdew 86 in conjunction with 6-31G

Investigation on upconversion luminescence in Er3+/Yb3+ codoped tellurite glasses and fibers

The upconversion properties of Er3+/Yb3+ codoped tellurite glasses and glass fibers with D-shape cladding under 980 mu excitation were investigated. Intense emission bands centered at 531, 546 and 658 nm corresponding to the transitions Er3+: H-2(11/2) -> I-4(15/2) , S-4(3/2) -> I-4(15/2) and F-4(9/2) -> I-4(15/2), respectively, were observed at room temperature. Compared with that in Er3+/Yb3+ codoped tellurite bulk glass, the upconversion luminescence becomes more efficient in the fiber geometry. The dependence of upconversion intensities on fiber geometry and possible upconversion mechanism are discussed and evaluated. The presented Er3+/Yb3+ codoped tellurite fibers with intense upconversion luminescence can be used as potential host materials for upconversion fiber lasers. (c) 2005 Elsevier B.V. All rights reserved.

Avaliação da idade e maturação óssea em crianças cardiopatas

O estudo do crescimento e desenvolvimento é essencial para a Ortodontia, pois cada criança possui um padrão único. Na presença de doenças sistêmicas como as cardiopatias, um exame mais detalhado deve ser feito, uma vez que estas podem alterar o crescimento e desenvolvimento. Um dos métodos mais utilizados nesta avaliação é a análise da calcificação dos ossos da mão e punho. Porém, as modificações no tamanho e forma das vértebras cervicais vêm sendo muito utilizadas nas últimas décadas pelo fato de ser realizada em radiografias cefalométricas laterais, rotineiramente utilizadas no diagnóstico ortodôntico. Inicialmente, os objetivos deste trabalho foram verificar a correlação entre os métodos de obtenção da idade óssea e dos estágios de maturação óssea que utilizam os indicadores presentes na região de mão e punho e os presentes nas vértebras cervicais em um grupo de crianças cardiopatas e não cardiopatas. A partir da correlação positiva e significativa, utilizou-se o método das vértebras cervicais para comparar a idade óssea, a diferença entre idade óssea e cronológica e os estágios de maturação óssea entre crianças cardiopatas e não cardiopatas. A amostra foi formada por 120 crianças com idades entre 4,83 a 14,66 anos, atendidas no Ambulatório de Pediatria do Hospital Universitário Pedro Ernesto. Entre estas, 73 eram cardiopatas, todas portadoras de cardiopatias congênitas cianóticas e 47 não cardiopatas, que faziam apenas acompanhamento de rotina, com idades médias de 9,3 e 8,9 anos respectivamente. A idade e maturação óssea foram verificadas através de radiografias cefalométricas laterais e carpais. A determinação da idade óssea foi realizada pelo método de Mito et al. nas radiografias cefalométricas laterais e pelo método de Greulich e Pyle nas radiografias carpais. E, os estágios de maturação óssea foram obtidos pelo método de Hassel e Farman nas radiografias cefalométricas laterais e pelo método de Singer nas radiografias carpais. A correlação entre os métodos de obtenção da idade óssea e dos estágios de maturação óssea apresentou valores positivos e significativos; tanto para o grupo cardiopata, com r = 0,478 (p<0,001) para idade óssea e r = 0,616 (p<0,001) para os estágios de maturação óssea, quanto para o grupo não cardiopata, com r = 0,366 (p=0,024) para idade óssea e r = 0,613 (p<0,001) para os estágios de maturação óssea. As idades ósseas não apresentaram diferença significativa entre os grupos (p=0,394). As diferenças entre as idades cronológicas e ósseas não apresentaram diferença significativa tanto no grupo cardiopata (p=0,418), quanto para o grupo não cardiopata (p=0,143). Também não foram encontradas diferenças significativas entre os grupos quando avaliada a quantidade de crianças que apresentavam idade óssea atrasada em relação à idade cronológica (p=0,395). O mesmo ocorreu quando avaliados os gêneros masculino (p = 0,060) e feminino (p = 0,313). A distribuição da amostra pelos estágios de maturação óssea não apresentou diferenças significativas entre os grupos (p=0,447). Os resultados do presente trabalho sugerem que a cardiopatia congênita, nesta faixa etária avaliada, não altera o padrão de maturação óssea analisado pelas vértebras cervicais.

Efficiency improvement of organic light-emitting diodes using 8-hydroxy-quinolinato lithium as an electron injection layer

Organic light-emitting diodes (OLEDs) using tris-(8-hydroxy-quinolinato) aluminum (Alq(3)) as an emitter, 8-hydroxy-quinolinato lithium (Liq) as an electron injection layer, were prepared. Experimental results show that the efficiency of device with Liq is three times higher than that without Liq. The device using Liq as an injection layer is less sensitive in efficiency to the Liq thickness than that using LiF. In addition to the Alq3 based devices, Liq is also very effective as an electron injection layer for 4,4'-bis(2,2-diphenylvinyl)-1,1'-biphenyl based blue OLED and poly (2-methoxy,5-(2-ethyl-hexyloxy)-1,4-phenylenevinylene) based orange polymer OLED. (c) 2004 Elsevier B.V. All rights reserved.