Adherence as a predictor of the development of class-specific resistance mutations: the Swiss HIV Cohort Study.

BACKGROUND: Non-adherence is one of the strongest predictors of therapeutic failure in HIV-positive patients. Virologic failure with subsequent emergence of resistance reduces future treatment options and long-term clinical success. METHODS: Prospective observational cohort study including patients starting new class of antiretroviral therapy (ART) between 2003 and 2010. Participants were naïve to ART class and completed ≥1 adherence questionnaire prior to resistance testing. Outcomes were development of any IAS-USA, class-specific, or M184V mutations. Associations between adherence and resistance were estimated using logistic regression models stratified by ART class. RESULTS: Of 314 included individuals, 162 started NNRTI and 152 a PI/r regimen. Adherence was similar between groups with 85% reporting adherence ≥95%. Number of new mutations increased with increasing non-adherence. In NNRTI group, multivariable models indicated a significant linear association in odds of developing IAS-USA (odds ratio (OR) 1.66, 95% confidence interval (CI): 1.04-2.67) or class-specific (OR 1.65, 95% CI: 1.00-2.70) mutations. Levels of drug resistance were considerably lower in PI/r group and adherence was only significantly associated with M184V mutations (OR 8.38, 95% CI: 1.26-55.70). Adherence was significantly associated with HIV RNA in PI/r but not NNRTI regimens. CONCLUSION: Therapies containing PI/r appear more forgiving to incomplete adherence compared with NNRTI regimens, which allow higher levels of resistance, even with adherence above 95%. However, in failing PI/r regimens good adherence may prevent accumulation of further resistance mutations and therefore help to preserve future drug options. In contrast, adherence levels have little impact on NNRTI treatments once the first mutations have emerged.

Audit report on the Iowa Department of Workforce Development for the year ended June 30, 2006

Audit report on the Iowa Department of Workforce Development for the year ended June 30, 2006

Report on the Iowa Department of Economic Development for the year ended June 30, 2007

Report on the Iowa Department of Economic Development for the year ended June 30, 2007

Iowa Department of Economic Development Performance Plan, FY 2009

Agency Performance Plan, Iowa Department of Economic Development

Iowa Department of Economic Development Strategic Plan, 2004

This report outlines the strategic plan for Iowa Department of Economic Development, goals and mission.

Report on the Iowa Department of Workforce Development for the year ended June 30, 2007

Report on the Iowa Department of Workforce Development for the year ended June 30, 2007

Genetic and hormonal regulation of cambial development.

The stems and roots of most dicot plants increase in diameter by radial growth, due to the activity of secondary meristems. Two types of meristems function in secondary plant body formation: the vascular cambium, which gives rise to secondary xylem and phloem, and the cork cambium, which produces a bark layer that replaces the epidermis and protects the plant stem from mechanical damage and pathogens. Cambial development, the initiation and activity of the vascular cambium, leads to an accumulation of wood, the secondary xylem tissue. The thick, cellulose-rich cell walls of wood provide a source of cellulose and have the potential to be used as a raw material for sustainable and renewable energy production. In this review, we will discuss what is known about the mechanisms regulating the cambium and secondary tissue development.

Productivity growth and the exchange rate regime: The role of financial development

This paper offers empirical evidence that a country's choice of exchange rate regime can have a signifficant impact on its medium-term rate of productivity growth. Moreover, the impact depends critically on the country's level of financial development, its degree of market regulation, and its distance from the global technology frontier. We illustrate how each of these channels may operate in a simple stylized growth model in which real exchange rate uncertainty exacerbates the negative investment e¤ects of domestic credit market constraints. The empirical analysis is based on an 83 country data set spanning the years 1960-2000. Our approach delivers results that are in striking contrast to the vast existing empirical exchange rate literature, which largely finds the effects of exchange rate volatility on real activity to be relatively small and insignificant.

Notes on the geographic distribution and subspecific taxonomy of Sais rosalia (Cramer) (Lepidoptera, Nymphalidae, Ithomiini), including the first records in Paraguay

Notes on the geographic distribution and subspecific taxonomy of Sais rosalia (Cramer) (Lepidoptera, Nymphalidae, Ithomiini), including the first records in Paraguay. This paper provides comments on the subspecific taxonomy and geographic distribution of Sais rosalia (Cramer, 1779) (Lepidoptera, Nymphalidae, Ithomiini), as well as an up-to-date distributional map, complemented with unpublished distributional data based on specimens deposited in the Coleção Entomológica Pe. Jesus S. Moure, Curitiba, Brazil and the Museo de Historia Natural, Lima, Peru. The following synonyms are proposed: Sais rosalia camariensis Haensch, 1905 syn. rev. as junior subjective synonym of Papilio rosalia Cramer, 1779 and Sais rosalia brasiliensis Talbot, 1928 syn. rev. as junior subjective synonym of Sais rosalia rosalinde Weymer, 1890. Additionally, the first country records of Sais rosalia in Paraguay, including the southernmost record of the species, are documented.

Targeted Small Business News from the Iowa Department of Economic Development

2009, Volume 2, Number 2

Report on the Iowa Department of Economic Development for the year ended June 30, 2008

Report on the Iowa Department of Economic Development for the year ended June 30, 2008

Report on the Iowa Department of Workforce Development for the year ended June 30, 2008

Report on the Iowa Department of Workforce Development for the year ended June 30, 2008

Department of Economic Development, FY 2007

These Facts sheets have been developed to provide a multitude of information about executive branch agencies/departments on a single sheet of paper. The Facts provides general information, contact information, workforce data, leave & benefits information, and affirmative action data. This is the most recent update of information for the fiscal year 2007.

Department of Economic Development, FY 2008

These Facts sheets have been developed to provide a multitude of information about executive branch agencies/departments on a single sheet of paper. The Facts provides general information, contact information, workforce data, leave & benefits information, and affirmative action data. This is the most recent update of information for the fiscal year 2007.