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  • 1995-1999  (2)
  • Acquired immune deficiency syndrome  (1)
  • Apomorphine
  • Polymer and Materials Science
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European journal of epidemiology 14 (1998), S. 595-603 
    ISSN: 1573-7284
    Keywords: Acquired immune deficiency syndrome ; Bias ; Reporting delays ; Statistical models
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In many industrialized countries, infection with the human immunodeficiency virus (HIV) is one of the leading causes of mortality in adult persons below age 45. The incidence of the acquired immunodeficiency syndrome (AIDS) from surveillance systems is the most common indicator to compare the situation of the HIV-epidemic in different geographic regions or countries. Due to reporting delays, AIDS diagnoses in recent years are incompletely reported and need to be estimated. In this study, we analyze reporting delays in Switzerland and Spain for the period from 1988 to mid-1995 and estimate the number of AIDS diagnoses per year. A descriptive analysis for Switzerland shows increasing reporting delays in recent years. Then, a Bayesian generalized linear model on reverse-time hazards is used to model time trends of the reporting delay distribution. The model shows that in recent years (i) for Switzerland reporting delays became longer and yearly AIDS incidence might continue to increase, and (ii) for Spain, reporting delays became considerably shorter resulting in too large estimates of yearly AIDS incidence if stationarity of reporting delays is assumed. Critical issues of modeling non-stationarity of the reporting system are discussed and it is emphasized that estimates of recent AIDS incidence can be biased significantly if time trends of reporting are ignored – as in the example of Switzerland and Spain, this may severely distort comparisons of the AIDS epidemic in different countries.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Hoboken, NJ : Wiley-Blackwell
    Journal of Biomedical Materials Research 29 (1995), S. 1349-1362 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: This article reports the production of a surgical implant meeting several specific requirements such as biocompatibility, biodegradability, macroporosity, and flexibility. Porosity was controlled by an original method consisting of the aggregation of calibrated poly-D,L-lactide microparticles. The size of the interstices between the aggregated microspheres was in a direct relationship to the microsphere diameter. A first approach was based on coating the microspheres with poly(vinyl alcohol) followed by chemically crosslinking the coating layers that were in mutual contact. This method was disregarded because of the acute cytotoxicity of glutaraldehyde used as the crosslinking agent, the absence of macroporosity, and the complete lack of flexibility. A physical technique of aggregation was then tested, which relied on the plasticization of poly-D,L-lactide microspheres with triethylcitrate to the point where microspheres strongly adhered to each other when they were in contact. This method has proved to be straightforward and definitely superior to the chemical approach, particularly with respect to cytotoxicity, control of macroporosity, and flexibility. A polymer support was thus successfully produced which was biodegradable, macroporous (interconnected pores of 10-100 μm in diameter), and flexible. This potential medical device is presently being used for neuronal transplantation in the central nervous system. © 1995 John Wiley & Sons, Inc.
    Additional Material: 18 Ill.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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