AIM:To examined the efficacy and safety of treatment with boceprevir,PEGylated-interferon and ribavirin(PR)in hepatitis c virus genotype 1(HcVGT1) PR treatmentfailures in ***:The Boceprevir Named-Patient Program provi...
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AIM:To examined the efficacy and safety of treatment with boceprevir,PEGylated-interferon and ribavirin(PR)in hepatitis c virus genotype 1(HcVGT1) PR treatmentfailures in ***:The Boceprevir Named-Patient Program provided boceprevir to HcVGT1 PR *** physicians were invited to contribute data from their patients:baseline characteristics,ontreatment responses,sustained virological response at week 12(SVR12),and safety were collected and *** analysis was performed to determine predictors of ***:150 patients were enrolled from Australia,Malaysia,Singapore and Thailand(Asians = 86,caucasians = 63).Overall SVR12 was 61%(Asians= 59.3%,caucasians = 63.5%).SVR12 was higher in relapsers(78%) compared with non-responders(34%).On-treatment responses predicted SVR,with undetectable HcVRNA at week 4,8 and 12 leading to SVR12 s of 100%,87%,and 82%respectively,and detectable HcVRNA at week 4,8 and 12,leading to SVR12 s of 58%,22%and 6%*** patients were similar to caucasian patients with regards to on-treatment *** with cirrhosis(n= 69) also behaved in the same manner with regards to on-treatment *** with the IL28 B cc genotype(80%) had higher SVRs than those with the cT/TT(56%) genotype(P = 0.010).Multivariate analysis showed that TW8 and TW12 responses were independent predictors of *** adverse events occurred in 18.6%:sepsis(2%),decompensation(2.7%) and blood transfusion(14%).Discontinuations occurred in 30.7%,with 18.6%fulfilling stopping ***:Boceprevir can be used successfully in PR treatment failures with a SVR12 > 80%if they have good on-treatment responses;however,discontinuations occurred in 30%because of virological failure or adverse events.
Not only is chronic hepatitis c virus(HcV) infection a major public health problem,but also it can cause hepatocellular carcinoma and,more rarely,nonHodgkin's *** characteristics mean that HcV is the only virus in...
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Not only is chronic hepatitis c virus(HcV) infection a major public health problem,but also it can cause hepatocellular carcinoma and,more rarely,nonHodgkin's *** characteristics mean that HcV is the only virus infecting humans that is able to cause two different *** fine pathogenetic and molecular mechanisms by which HcV induces these two malignancies are not completely *** the last decade,it has been shown that microRNAs(miRNAs),a class of 21-23-nucleotide molecules modulating posttranscriptional gene expression,make an important contribution to the pathogenesis of several cancers and are also considered highly promising ***,we briefly describe the current knowledge about microRNAs' involvement in HcV-related molecular *** decided to focus our attention on studies fully conducted on ex vivo samples with this specific etiology,and on cultured cell lines partially or completely expressing the HcV *** of the results reported in this review are controversial,possibly because of methodological issues,differences in sampling size and features,and ethnicity of *** is certain is that miRNAs play a remarkable role in regulating gene expression during oncogenetic processes and in viral infection.A clear understanding of their effects is fundamental to elucidating the mechanisms underlying virus-induced malignancies.
Due to the progressive aging of the hepatitis c virus(HcV) population which have acquired the infection during its maximum spread after the Second World War, the management of the elderly HcV-infected patient is emerg...
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Due to the progressive aging of the hepatitis c virus(HcV) population which have acquired the infection during its maximum spread after the Second World War, the management of the elderly HcV-infected patient is emerging as a hot topic. Unfortunately, although it is recognized that the progression of HcV-related liver disease gets faster with aging, and that even extrahepatic manifestations of HcV infection are probably worse in the elderly, till now, treatment attempts in this population have been significantly limited by the wellknown contraindications and side effects of interferon(IFN). The arrival of several new anti-HcV drugs, and the possibility to combine them in safe and effective anti-viral regimens, is relighting the hope of a cure for many elderly patients who had been cut out of IFN-based treatments. However, although these new regimens will be certainly more manageable, it should be underscored that IFN-free doesn't mean free from any contraindication or side-effect. Moreover, one issue which promises to become central is that of the possible interactions between antiviral therapy and the multiple drugs frequently assumed by elderly patients because of comorbidities. In this review, we will revise the epidemiology pointing to HcV as an infection of the elderly, the evidences that HcV harms the health of the aged patient more than that of the young one, and the available experiences of HcV treatment in the elderly with the "old" IFN-based regimens and with the newer drugs. We will conclude that the availability of IFNfree regimens should prompt us to change our mind and consider a significantly larger number of possible candidates among elderly patients, who would take significant advantage from viral eradication. Rather than the anagraphic age, drug-drug interactions and, mainly in case of economic restrictions, an evaluation of life expectancy dependent on liver disease with respect to that dependent on comorbidities, are likely to be the key issues g
In an era of great achievements in liver transplantation, hepatitis c viral infection(HcV) remains an unsolved problem. As a leading indication for liver transplantation in Western countries, HcV poses a significant b...
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In an era of great achievements in liver transplantation, hepatitis c viral infection(HcV) remains an unsolved problem. As a leading indication for liver transplantation in Western countries, HcV poses a significant burden both before and after transplantation. Post-transplant disease recurrence occurs in nearly all patients with detectable pretransplant viremia, compromising the lifesaving significance of transplantation. Many factors involving the donor, recipient and virus have beenevaluated throughout the literature, although few have been fully elucidated and implemented in actual clinical practice. Antiviral therapy has been recognized as a cornerstone of HcV infection control; however, experience and success are diminished following transplantation in a challenging cohort of patients with liver cirrhosis. current therapeutic protocols surpass those used previously, both in sustained viral response and side-effect profile. In this article we review the most relevant and contemporary scientific evidence regarding hepatitis c infection and liver transplantation, with special attention dedicated to novel, more efficient and safer antiviral regimens.
In this paper, natural convection heat transfer has been analyzed for a c -shaped cavity filled with ferrofluid. cobalt-kerosene ferrofluid is selected here for different solid volume fractions ( φ = 0 ...
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In this paper, natural convection heat transfer has been analyzed for a c -shaped cavity filled with ferrofluid. cobalt-kerosene ferrofluid is selected here for different solid volume fractions ( φ = 0 ∼ 0.15). Galerkin weighted residual method is applied to obtain the numerical solution. Simulations are carried out for a wide range of Rayleigh ( Ra = 10 3 ∼ 10 7 ) and Hartmann ( Ha = 0 ∼ 100) numbers for both the ferrofluid and the plain fluid. From this work, it is found that higher Rayleigh number enhances the heat transfer rate significantly, whereas presence of magnetic field tries to retard convection. Moreover, addition of 15% solid volume fraction of nanoparticle can augment the heat transfer rate up to 52.65% at moderate Rayleigh number compared to the base fluid. By an optimization of these parameters, effective heat transfer control equipment can be developed. Results are interpreted on the basis of streamline and isotherm patterns, and average Nusselt number of the heated wall and average fluid temperature of the cavity.
High-level synthesis (HLS) is becoming an increasingly important part of the computing landscape, even in safety-critical domains where correctness is key. As such, HLS tools are increasingly relied upon. But are they...
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ISBN:
(纸本)9781450382182
High-level synthesis (HLS) is becoming an increasingly important part of the computing landscape, even in safety-critical domains where correctness is key. As such, HLS tools are increasingly relied upon. But are they trustworthy?We have subjected three widely used HLS tools - LegUp, Xilinx Vivado HLS, and the Intel HLS compiler - to a rigorous fuzzing campaign using thousands of random, valid c programs that we generated using a modified version of the csmith tool. For each c program, we compiled it to a hardware design using the HLS tool under test and checked whether that hardware design generates the same output as an executable generated by the Gcccompiler. When discrepancies arose between Gcc and the HLS tool under test, we reduced the c program to a minimal example in order to zero in on the potential bug. Our testing campaign has revealed that all three HLS tools can be made either to crash or to generate wrong code when given valid c programs, and thereby underlines the need for these increasingly trusted tools to be more rigorously engineered. Out of 6700 test cases, we found 272 programs that failed in at least one tool, out of which we were able to discern at least 6 unique bugs.
This paper aims at the development of an approach integrating the fuzzy logic strategy for a therapeutic hepatitis c virus dynamics optimal control problem. To test the efficiency of this strategy, the authors propose...
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This paper aims at the development of an approach integrating the fuzzy logic strategy for a therapeutic hepatitis c virus dynamics optimal control problem. To test the efficiency of this strategy, the authors propose a numerical comparison with the direct method by taking the values of determinant parameters of this disease for people administrating the drugs. The results are in good agreement with experimental data.
Seven new c 14 -polyacetylene glucosides codonopilodiynosides A–G ( 1 – 7 ) were isolated from an aqueous extract of the codonopsis pilosula roots. Their structures were determined by spectroscopic and chemical meth...
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Seven new c 14 -polyacetylene glucosides codonopilodiynosides A–G ( 1 – 7 ) were isolated from an aqueous extract of the codonopsis pilosula roots. Their structures were determined by spectroscopic and chemical methods as (–)-(5 S ,6 E ,12 E )-tetradeca-6,12-dien-8,10-diyn-1,5,14-triol 5- O -β- d -glucopyranoside ( 1 ), (–)-(5 S ,6 E ,12 E )-tetradeca-6,12-dien-8,10-diyn-1,5,14-triol 5- O -β- d -glucopyranosyl-(1″ → 2′)-β- d -glucopyranoside ( 2 ), (–)-(5 S ,6 E ,12 E )-tetradeca-6,12-dien-8,10-diyn-1,5,14-triol 5,14-di- O -β- d -glucopyranoside ( 3 ), (–)-(5 S ,6 E )-tetradeca-6-en-8,10-diyn-1,5,14-triol 5- O -β- d -glucopyranoside ( 4 ), (–)-(5 S ,6 E ,12 E )-tetradeca-6,12-dien-8,10-diyn-1,5-diol 5- O -β- d -glucopyranosyl-(1″ → 2′)-β- d -glucopyranoside ( 5 ), (–)-(6 S ,4 E ,12 E )-tetradeca-4,12-dien-8,10-diyn-1,6-diol 6- O -β- d -glucopyranosyl-(1″ → 2′)-β- d -glucopyranoside ( 6 ), and (–)-(5 S ,6 E )-tetradeca-6-en-1,5-epoxy-8,10-diyn-14-ol 14- O -β- d -glucopyranosyl-(1″ → 2′)-β- d -glucopyranoside ( 7 ), respectively. The absolute configurations of 1 – 7 were assigned by enzymatic hydrolysis followed by isolation of glucose and aglycones ( 1a and 4a – 7a ), and subsequent comparison of specific rotation, TLc, and 1 H NMR data of the glucose with an authentic sugar sample and application of modified Mosher's method based on the MPA determination rule of Δδ RS values for 1a and 4a, and Δδ S values for 6a . The configuration of 7 was assigned by electroniccircular dichroism calculations based on the quantum-mechanical time-dependent density functional theory.
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