Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

2014

Discipline
Institution
Keyword
Publication
Publication Type
File Type

Articles 1831 - 1860 of 25850

Full-Text Articles in Entire DC Network

Evidence And Extrapolation: Mechanisms For Regulating Off-Label Uses Of Drugs And Devices, Ryan Abbott, Ian Ayres Dec 2014

Evidence And Extrapolation: Mechanisms For Regulating Off-Label Uses Of Drugs And Devices, Ryan Abbott, Ian Ayres

Duke Law Journal

A recurring, foundational issue for evidence-based regulation is deciding whether to extend governmental approval from an existing use with sufficient current evidence of safety and efficacy to a novel use for which such evidence is currently lacking. This "extrapolation" issue arises in the medicines context when an approved drug or device that is already being marketed is being considered (1) for new conditions (such as off-label diagnostic categories), (2) for new patients (such as new subpopulations), (3) for new dosages or durations, or (4) as the basis for approving a related drug or device (such as a generic or biosimilar …


Role Of Epistasis In Alzheimer's Disease Genetics, Mark T. Ebbert Dec 2014

Role Of Epistasis In Alzheimer's Disease Genetics, Mark T. Ebbert

Theses and Dissertations

Alzheimer's disease is a complex neurodegenerative disease whose basic etiology and genetic structure remains elusive, despite decades of intensive investigation. To date, the significant genetic markers identified have no obvious functional effects, and are unlikely to play a role in Alzheimer's disease etiology, themselves. These markers are likely linked to other genetic variations, rare or common. Regardless of what causal mutations are found, research has demonstrated that no single gene determines Alzheimer's disease development and progression. It is clear that Alzheimer's disease development and progression are based on a set of interactions between genes and environmental variables. This dissertation focuses …


Microvascular Function In Metabolically Healthy Groups Differing In Bmi And Waist Circumference, Nathan R. Earl Dec 2014

Microvascular Function In Metabolically Healthy Groups Differing In Bmi And Waist Circumference, Nathan R. Earl

Theses and Dissertations

BACKGROUND: Microvascular dysfunction (MD: impaired performance of blood flow, tissue perfusion, blood pressure, etc.) is one of the earliest stages in the progression of various chronic diseases. OBJECTIVE: The aim of this study was to determine if a difference in microvascular function existed between two metabolically healthy groups that differed in BMI and waist circumference. DESIGN: This study employed a causal comparative design, with two groups: I) normal weight (n =14, BMI 28 kg/m2). METHODS: Microvascular function was assessed by measuring skin blood flow (SkBF) using laser Doppler flowmetry during postocclusive reactive hyperemia (PORH). The area under the SkBF time …


Targeted Sequencing Of Plant Genomes , Mark D. Huynh Dec 2014

Targeted Sequencing Of Plant Genomes , Mark D. Huynh

Theses and Dissertations

Next-generation sequencing (NGS) has revolutionized the field of genetics by providing a means for fast and relatively affordable sequencing. With the advancement of NGS, whole- genome sequencing (WGS) has become more commonplace. However, sequencing an entire genome is still not cost effective or even beneficial in all cases. In studies that do not require a whole-genome survey, WGS yields lower sequencing depth and sequencing of uninformative loci. Targeted sequencing utilizes the speed and low cost of NGS while providing deeper coverage for desired loci. This thesis applies targeted sequencing to the genomes of two different, non-model plants, Artemisia tridentate (sagebrush) …


Extent Of Cysteine Modification Of Snap-25 In Vitro, Alex Mcgregor Dabell Dec 2014

Extent Of Cysteine Modification Of Snap-25 In Vitro, Alex Mcgregor Dabell

Theses and Dissertations

Exocytosis, the fusion of a vesicle to a cellular membrane, involves a protein named SNAP-25. This protein, containing two alpha helices connected with a linker region, is localized to the cell membrane via palmitic acids attached to the cysteine residues of its linker region in a process called palmitoylation. Are cysteine residues of the SNAP-25 linker region palmitoylated in an ordered manner and to a particular extent? The answer to this question may give insight into the regulated nature of exocytosis. While it is generally accepted that SNAP-25 must be palmitoylated in order to perform its exocytotic functions, the details …


Reconciliation Ecology: A New Paradigm For Advancing Creation Care, Dave P. Warners, Michael Ryskamp, Randall Van Dragt Dec 2014

Reconciliation Ecology: A New Paradigm For Advancing Creation Care, Dave P. Warners, Michael Ryskamp, Randall Van Dragt

University Faculty Publications and Creative Works

Current global environmental challenges—species loss, overconsumption, climate change, and others—have not been countered in the faith community with a response worthy of their signifi cance. While the prevailing faith-based creation-care paradigm, environmental stewardship, has been invaluable in moving us beyond the utilitarian notion of “dominion,” the stewardship concept does not suffi ciently emphasize our embedded, dependent relationship with the creation. To better represent our creationcare responsibilities, we propose a new paradigm based on a model of servanthood and informed by the concept of reconciliation ecology, which focuses on mending broken relationships between human beings and nonhuman creation. Drawing from the …


Internationalisation And Curriculum Development: Why And How?, Pj Magne Dec 2014

Internationalisation And Curriculum Development: Why And How?, Pj Magne

Plymouth Institute of Education

Today’s globally interconnected world offers a vast array of new opportunities, but has simultaneously created a need for greater intercultural understanding (Koehne, 2006). This article provides a rationale for the role that Higher Education must play in preparing students for the global market place. It outlines the scope of the ‘internationalisation’ agenda within Higher Education and goes on to explore the notion of what it means to ‘internationalise the curriculum’. The article offers an approach to curriculum development which uses a gap analysis tool (developed by the author) and discussion across disciplinary teams. A series of short case studies demonstrate …


Ultraviolet Radiation And Cyanobacteria, Rp Rastogi, Rp Sinha, Sh Moh, Tk Lee, Et Al Dec 2014

Ultraviolet Radiation And Cyanobacteria, Rp Rastogi, Rp Sinha, Sh Moh, Tk Lee, Et Al

School of Biological and Marine Sciences

Cyanobacteria are the dominant photosynthetic prokaryotes from an ecological, economical, or evolutionary perspective, and depend on solar energy to conduct their normal life processes. However, the marked increase in solar ultraviolet radiation (UVR) caused by the continuous depletion of the stratospheric ozone shield has fueled serious concerns about the ecological consequences for all living organisms, including cyanobacteria. UV-B radiation can damage cellular DNA and several physiological and biochemical processes in cyanobacterial cells, either directly, through its interaction with certain biomolecules that absorb in the UV range, or indirectly, with the oxidative stress exerted by reactive oxygen species. However, cyanobacteria have …


Modelling Storm Response On Gravel Beaches Using Xbeach-G, G Masselink, R Mccall, T Poate, Geer P Van Dec 2014

Modelling Storm Response On Gravel Beaches Using Xbeach-G, G Masselink, R Mccall, T Poate, Geer P Van

School of Biological and Marine Sciences

No abstract provided.


Medical School Watercooler Newsletter- November 30, 2014, Lindsey Lyle Nov 2014

Medical School Watercooler Newsletter- November 30, 2014, Lindsey Lyle

Watercooler Newsletter

This is the November 30, 2014 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents Include:

  • USA Hospitals Host Holiday Celebrations
  • Dr. Troy Stevens Appointed Lenoir Louise Locke Chair of Physiology and Cell Biology
  • Biomedical Librarians Receive Certification as Consumer Health Specialists
  • Med School Café - Expert Advice for the Community


Admissions Report - Detailed Data - November 2014, Office Of Institutional Research & Effectiveness, Wright State University Nov 2014

Admissions Report - Detailed Data - November 2014, Office Of Institutional Research & Effectiveness, Wright State University

Admissions Reports

Detailed report of applicants to Wright State including data on county of residency, intended major, and ethnicity for Fall Semester 2015.


Mississippi Teacher Corps Helps Transform A School Culture, Mary Stanton Knight Nov 2014

Mississippi Teacher Corps Helps Transform A School Culture, Mary Stanton Knight

University of Mississippi News

Video: North Panola High School receives B grade


Determinants Of Multimorbidity Among The Elderly Population In Indonesia, Yeni Mahwati Nov 2014

Determinants Of Multimorbidity Among The Elderly Population In Indonesia, Yeni Mahwati

Kesmas

Multimorbiditas adalah kehadiran dua atau lebih penyakit kronis pada satu orang. Prevalensi multimorbiditas meningkat dengan usia, terutama pada lanjut usia (lansia). Penelitian ini bertujuan untuk mengetahui prevalensi dan determinan multimorbiditas pada lansia di Indonesia. Data diambil dari survei keempat Indonesian Family Life Survey (IFLS) yang diadakan pada tahun 2007. IFLS adalah survei sosial ekonomi dan kesehatan longitudinal di Indonesia. Sampel yang digunakan dalam analisis adalah 2.960 lansia (³ 60 tahun). Regresi logistik dilakukan untuk menentukan prevalensi dan determinan multimorbiditas pada lansia. Hasil penelitian menunjukkan prevalensi multimorbiditas sebesar 15,8%, dengan prevalensi lebih tinggi pada lansia yang overweight/obesitas, tingkat pendidikan rendah, tidak …


Indigenous Tree Uses, Use-Values And Impact Of Human Population On Forest Size, Structure And Species Richness In Uluguru, Morogoro, Tanzania, David Sylvester Kacholi Nov 2014

Indigenous Tree Uses, Use-Values And Impact Of Human Population On Forest Size, Structure And Species Richness In Uluguru, Morogoro, Tanzania, David Sylvester Kacholi

Tanzania Journal of Science

This study assessed tree uses and use-values as well as impacts of human population on the forest size, species richness, basal area and stand density in the Uluguru forests in Morogoro Region. Interview with locals on the tree uses were done using structured questionnaires and use-value analysis techniques were used in analysing data. Trees with a diameter at breast height ≥ 10 cm measured at 1.3 m above the ground were sampled from a total of 114 plots of 20 m x 20 m (0.04 ha) from the seven forests. A total of 42 species belonging to 20 families were …


Determination Of Radon Gas And Respirable Ore Dust Concentrations In The Underground Merelani Tanzanite Mines, Evarist M. Kahuluda, Ismael N. Makundi Nov 2014

Determination Of Radon Gas And Respirable Ore Dust Concentrations In The Underground Merelani Tanzanite Mines, Evarist M. Kahuluda, Ismael N. Makundi

Tanzania Journal of Science

This study has estimated the concentrations of radon gas and respirable ore dust in the Merelani underground tanzanite mines. Two different portable monitors were used to measure the radon gas and respirable ore dust concentrations, respectively. The mean radon gas concentrations (disintegrations per second per cubic meter) ranged from 40.1 Bq/m3 to 4.2 x 103 Bq/m3 with the geometric mean of 118.4 Bq/m3 which is below the ICRP workplace guidance level of 500 - 1500 Bq/m3. The estimated mean annual effective dose (D) was 1.6 mSv which is significantly lower than the external exposure annual effective dose of 20 mSv …


Spatial Patterns Of Zooplankton Distribution And Abundance In Relation To Phytoplankton, Fish Catch And Some Water Quality Parameters At Shirati Bay, Lake Victoria-Tanzania, Revania K. Waya, Samwel M. Limbu, Godfrey W. Ngupula, Chacha J. Mwita, Yunus D. Mgaya Nov 2014

Spatial Patterns Of Zooplankton Distribution And Abundance In Relation To Phytoplankton, Fish Catch And Some Water Quality Parameters At Shirati Bay, Lake Victoria-Tanzania, Revania K. Waya, Samwel M. Limbu, Godfrey W. Ngupula, Chacha J. Mwita, Yunus D. Mgaya

Tanzania Journal of Science

Spatial patterns and abundance of zooplankton in aquatic habitats are important determinants for production of fish species, invertebrates and availability of phytoplankton. Weekly monitoring for zooplankton abundance was conducted in Shirati Bay, Lake Victoria, to explore their spatial patterns in relation to phytoplankton, fish catch and some water quality parameters. The vertical distribution of zooplankton was generally higher close to the bottom as compared to surface waters of the lake. Zooplankton vertical distribution positively correlated with water transparency (r = 0.680, p = 0.011). The horizontal abundance of zooplankton was not significantly different amongst the three stations (p = 0.5143). …


Efek Samping Obat Terhadap Kepatuhan Pengobatan Antiretroviral Orang Dengan Hiv/Aids, Fachri Latif, Ida Leida Maria, Muhammad Syafar Nov 2014

Efek Samping Obat Terhadap Kepatuhan Pengobatan Antiretroviral Orang Dengan Hiv/Aids, Fachri Latif, Ida Leida Maria, Muhammad Syafar

Kesmas

Tingkat kepatuhan pengobatan antiretroviral di Indonesia sangat rendah, yaitu 40 - 70%, yang masih di bawah target nasional dengan tingkat kepatuhan 95%. Berbeda dengan rata-rata nasional, Puskesmas Jumpandang Baru justru memiliki tingkat kepatuhan pengobatan antiretroviral pasien HIV/AIDS di atas 95%. Penelitian ini bertujuan untuk menganalisis faktor yang paling berpengaruh terhadap kepatuhan pengobatan antiretroviral orang dengan HIV/AIDS (ODHA). Jenis penelitian bersifat observasional analitik dengan pendekatan potong lintang. Populasi penelitian adalah 121 ODHA yang aktif menjalani pengobatan antiretroviral di Puskesmas Jumpandang Baru yang dipilih dengan menggunakan teknik exhaustive sampling. Sampel dalam penelitian ini adalah 121 sampel. Penelitian dilakukan pada 22 April hingga …


Patent Claim Interpretation Review: Deference Or Correction Driven?, Christopher A. Cotropia Nov 2014

Patent Claim Interpretation Review: Deference Or Correction Driven?, Christopher A. Cotropia

BYU Law Review

This Article examines the Federal Circuit’s review of claim constructions by lower tribunals to determine whether the Federal Circuit defers to lower court constructions or is making its own, independent determination as to the “correct” construction and ultimate result in the case.

The data collected from 2010 to 2013 indicates that the Federal Circuit affirms about 75% of lower court claim interpretations. While this finding is itself surprising, even more surprising is that these reviews do not appear to be driven by deference. Instead, the Federal Circuit is less likely to correct constructions that resulted in a patentee loss below, …


The Creation Of Hipaa Culture: Prioritizing Privacy Paranoia Over Patient Care, Jessica Jardine Wilkes Nov 2014

The Creation Of Hipaa Culture: Prioritizing Privacy Paranoia Over Patient Care, Jessica Jardine Wilkes

BYU Law Review

No abstract provided.


Analysis Of Body Shapes Among Barbus Trimaculatus, Barbus Paludinosus And Barbus Jacksonii (Actinopterygii: Cyprinidae) From Malagarasi And Pangani River Basins Based On Geometric Morphometric Method, Chacha J. Mwita, B.G. Kamugisha Nov 2014

Analysis Of Body Shapes Among Barbus Trimaculatus, Barbus Paludinosus And Barbus Jacksonii (Actinopterygii: Cyprinidae) From Malagarasi And Pangani River Basins Based On Geometric Morphometric Method, Chacha J. Mwita, B.G. Kamugisha

Tanzania Journal of Science

This study analyzed variability in body shapes among the small Barbus species of the family Cyprinidae currently occurring in the Malagarasi and Pangani River basins years after uplift of the east African topology. Fish specimens were collected from Songati, Muumbara and Nyamagoma within the Malagarasi River basin; Hale and Pangani fall located on Pangani River. It was found that although the landmarks were placed at the same anatomical regions, significant body shapes variations existed. The relative warps analysis for Barbus trimaculatus and Barbus jacksonii populations from Malagarasi and Pangani wetlands revealed intra-locality variations as for populations from other African countries. …


Determination Of Radioactivity In Maize And Mung Beans Grown In The Neighborhood Of Minjingu Phosphate Mine, Tanzania, Leonid L. Nkuba, Najat K. Mohammed Nov 2014

Determination Of Radioactivity In Maize And Mung Beans Grown In The Neighborhood Of Minjingu Phosphate Mine, Tanzania, Leonid L. Nkuba, Najat K. Mohammed

Tanzania Journal of Science

Two staple foods (maize and mung beans) which were cultivated in Minjingu village, where there are phosphate deposits in Tanzania, were collected directly from the farms. The activity concentrations of 226Ra, 228Th and 40K were determined in the maize and mung beans samples using γ-ray spectrometry employing HPGe detector of relative efficiency of 51.0%. The mean radioactivity levels in the food samples were found to be 21.01 ± 0.8  Bq/kg (mung beans), 25.6 ± 0.7  Bq/kg (maize) for 226Ra, 62.6 ± 1.1 Bq/kg (mung beans), 72.9 ± 1.0  Bq/kg (maize) for 228Th  and 542.9 ± 8.6 Bq/kg (mung beans), 434.6 …


The Impacts Of Anthropogenic Activities On The Vegetation Communities And Structure In The Western Part Of Rungwe Forest Reserve, Tanzania, Joseph Mwakosya, Cosmas Mligo Nov 2014

The Impacts Of Anthropogenic Activities On The Vegetation Communities And Structure In The Western Part Of Rungwe Forest Reserve, Tanzania, Joseph Mwakosya, Cosmas Mligo

Tanzania Journal of Science

Rungwe Forest Reserve is among the degraded southern Tanzania tropical montane forests. It was investigated the effects of illegal anthropogenic activities on the plant community structure on the western part of Rungwe mountain forest reserve. The study area was classified into three levels of disturbance (least disturbed, moderately disturbed and highly disturbed) and transect method was used to collect data. Two clusters (clusters A and B) of plant communities based on Two Way Indicator Species Analysis (TWINSPAN) were found. Cluster A included communities from the least and moderate disturbed sites and cluster B had plant communities from the highly disturbed …


Using Unmanned Aerial Vehicles And "Structure From Motion" Software To Monitor Coastal Erosion In Southeast Florida, Conor Maguire Nov 2014

Using Unmanned Aerial Vehicles And "Structure From Motion" Software To Monitor Coastal Erosion In Southeast Florida, Conor Maguire

Open Access Theses

Coastal Erosion poses a significant threat to several coastal communities in Florida. Ecosystem managers are tasked with both protecting the community from storm events and preserving the natural ecosystems found in the coastal zone. The most widely utilized method for shoreline protection in Florida is beach renourishment. Beach renourishment projects are difficult to track with regularity because the methods used to monitor and measure coastal erosion are cost-prohibitive. Current methods of coastal erosion tracking include Terrestrial Laser Scanning, airborne- Light Detection and Ranging (LiDAR) scans, and Real Time Kinematic Global Positioning Surveys. These methods are time consuming and resource intensive. …


A Community Conversation On Adolescent Pregnancy And Parenting Services: Networks Of Support, Gatekeepers To Care, And Non-Compulsory Fathering In A Black Urban Community, Tamara G.J. Leech, Elizabeth A. Adams, Marci Bounds Littlefield Nov 2014

A Community Conversation On Adolescent Pregnancy And Parenting Services: Networks Of Support, Gatekeepers To Care, And Non-Compulsory Fathering In A Black Urban Community, Tamara G.J. Leech, Elizabeth A. Adams, Marci Bounds Littlefield

Journal of Health Disparities Research and Practice

This study employed Community-Based Participatory Research (CBPR) methods to document needs and capacity around adolescent pregnancy and parenting in one predominately Black, low-income urban community. Using an iterative focus group method, we engaged 60 participants in a two-day community conversation. Quantitative data from an enrollment questionnaire and qualitative transcripts of the discussions are analyzed. Our results indicate that the community’s greatest capacity lies in a network of women. Men tend to participate in parenting more holistically once formal paternity is established. Neighborhood women typically introduce adolescents to prenatal care, so delays in revealing the pregnancy to them serves as a …


Exploration Of Preterm Birth Rates Using The Public Health Exposome Database And Computational Analysis Methods, Anne D. Kershenbaum, Michael A. Langston, Robert S. Levine, Arnold M. Saxton, Tonny J. Oyana, Barbara J. Kilbourne, Gary L. Rogers, Lisaann S. Gittner, Suzanne H. Baktash, Patricia Matthews-Juarez, Paul D. Juarez Nov 2014

Exploration Of Preterm Birth Rates Using The Public Health Exposome Database And Computational Analysis Methods, Anne D. Kershenbaum, Michael A. Langston, Robert S. Levine, Arnold M. Saxton, Tonny J. Oyana, Barbara J. Kilbourne, Gary L. Rogers, Lisaann S. Gittner, Suzanne H. Baktash, Patricia Matthews-Juarez, Paul D. Juarez

Sociology Faculty Research

Recent advances in informatics technology has made it possible to integrate, manipulate, and analyze variables from a wide range of scientific disciplines allowing for the examination of complex social problems such as health disparities. This study used 589 county-level variables to identify and compare geographical variation of high and low preterm birth rates. Data were collected from a number of publically available sources, bringing together natality outcomes with attributes of the natural, built, social, and policy environments. Singleton early premature county birth rate, in counties with population size over 100,000 persons provided the dependent variable. Graph theoretical techniques were used …


Breathing Life Into Fisheries Stock Assessments With Citizen Science, David V. Fairclough, Jamin I. Brown, B J. Carlish, Brett M. Crisafulli, Ian S. Keay Nov 2014

Breathing Life Into Fisheries Stock Assessments With Citizen Science, David V. Fairclough, Jamin I. Brown, B J. Carlish, Brett M. Crisafulli, Ian S. Keay

Fisheries Research Articles

Citizen science offers a potentially cost-effective way for researchers to obtain large data sets over large spatial scales. However, it is not used widely to support biological data collection for fisheries stock assessments. Overfishing of demersal fishes along 1,000 km of the west Australian coast led to restrictive management to recover stocks. This diminished opportunities for scientists to cost-effectively monitor stock recovery via fishery-dependent sampling, particularly of the recreational fishing sector. As fishery-independent methods would be too expensive and logistically-challenging to implement, a citizen science program, Send us your skeletons (SUYS), was developed. SUYS asks recreational fishers to voluntarily donate …


Sulfates Hydrating Bulk Soil In The Martian Low And Middle Latitudes, S. Karunatillake, J. J. Wray, O. Gasnault, S. M. Mclennan, A. D. Rogers, S. W. Squyres, W. V. Boynton, J. R. Skok, L. Ojha, N. Olsen Nov 2014

Sulfates Hydrating Bulk Soil In The Martian Low And Middle Latitudes, S. Karunatillake, J. J. Wray, O. Gasnault, S. M. Mclennan, A. D. Rogers, S. W. Squyres, W. V. Boynton, J. R. Skok, L. Ojha, N. Olsen

Faculty Publications

© 2014. American Geophysical Union. All Rights Reserved. The evidence for sulfate-bearing strata, across Late-Noachian to Amazonian eons, suggests a central role for sulfates in acidity and salinity of Martian paleofluids and the planet's habitability. However, details remain unclear owing to shallow sampling and the limited ability of visible/near-infrared spectroscopy to distinguish among some sulfates. Using chemical data from the Mars Odyssey gamma ray spectrometer, including the sulfur map of Mars, we confirm the possibility of hydrous sulfates acting as key hydrates throughout the southern midlatitudinal soil at decimeter depths. An H2O:S molar ratio between 2.4 and 4.0 for 80% …


November 28-29, 2014, Vs. Omaha, University Of North Dakota Nov 2014

November 28-29, 2014, Vs. Omaha, University Of North Dakota

UND Athletics Publications: Men's Hockey

Program for the November 28-29, 2014, Subway Holiday Classic series against the Omaha Mavericks.


An Efficient Algorithm To Explore Liquid Association On A Genome-Wide Scale, Tina Gunderson, Yen Yi Ho Nov 2014

An Efficient Algorithm To Explore Liquid Association On A Genome-Wide Scale, Tina Gunderson, Yen Yi Ho

Faculty Publications

Background: The growing wealth of public available gene expression data has made the systemic studies of how genes interact in a cell become more feasible. Liquid association (LA) describes the extent to which coexpression of two genes may vary based on the expression level of a third gene (the controller gene). However, genome-wide application has been difficult and resource-intensive. We propose a new screening algorithm for more efficient processing of LA estimation on a genome-wide scale and apply its use to a data set. Results: On a test subset of the data, the fast screening algorithm achieved >99.8 agreement with …


Emerging Antiretroviral Drug Resistance In Sub-Saharan Africa: Novel Affordable Technologies Are Needed To Provide Resistance Testing For Individual And Public Health Benefits, Gert U. Van Zyl, Lisa M. Frenkel, Michael Chung, Wolfgang Preiser, John W. Mellors, Jean B. Nachega Nov 2014

Emerging Antiretroviral Drug Resistance In Sub-Saharan Africa: Novel Affordable Technologies Are Needed To Provide Resistance Testing For Individual And Public Health Benefits, Gert U. Van Zyl, Lisa M. Frenkel, Michael Chung, Wolfgang Preiser, John W. Mellors, Jean B. Nachega

Internal Medicine, East Africa

In industrialized countries, viral load monitoring and genotypic antiretroviral drug resistance testing (GART) play an important role in the selection of initial and subsequent combination antiretroviral therapy (cART) regimens. In contrast, resource constraints in Africa limit access to assays that could detect virologic failure, transmitted drug resistance (TDR) and acquired drug resistance to cART. This has adverse consequences for both individual and public health. Although the further roll-out of antiretrovirals for prevention, including preexposure prophylaxis (PrEP) and universal test and treat (UTT) strategies, could reduce HIV-1 incidence, these strategies may increase TDR [1,2]. Here, we present arguments that the scale …