No reliable baseline predictors of response to PEG-IFN have been identified to date, but certain studies have identified satisfactory predictors of post-PEG-IFN response using on-treatment serological markers, mostly HBsAg levels. In particular, in HBeAg-negative CHB patients mostly with genotype D a lack of

decline in HBsAg levels and a lack of decrease in HBV DNA levels 2 log10 copies/ml at week-12 has a nearly 100% negative predictive value for SVR off-treatment and is now recommended as a stopping rule for early discontinuation of ineffective PEG-IFN. Prolonging PEG-IFN therapy to 96weeks seems to provide higher SVR rates but the application and efficacy of this approach requires further study. The combination of PEG-IFN with NAs, mostly lamivudine, has not resulted in any therapeutic benefit so far, but newer combined approaches with PEG-IFN and NA(s) are currently under study.”
“Many tropical tree species have population structures GSK2879552 research buy that exhibit strong recruitment failure. While the presence of adult trees indicates that appropriate

regeneration conditions occurred in the past, it is often unclear why small individuals are absent. Knowing how, when and where these tree species PX-478 concentration regenerate provides insights into their life history characteristics. Based on tree age distributions inferences can be made on past forest dynamics and information is obtained that is important for forest management. We used tree-ring analyses to obtain tree ages and reconstruct bigger than 200 years of estimated establishment rates in a sparsely regenerating population of Afzelia xylocarpa (Fabaceae), a light-demanding and long-lived canopy tree species. We sampled all 85 Afzelia trees bigger than 5 cm diameter at breast height (dbh) in a 297-ha plot in a seasonal tropical forest in the Huai Kha Khaeng (HKK) Wildlife Sanctuary, western Thailand. The age distribution

of the sampled Afzelia trees revealed two distinct recruitment peaks centred around 1850 and 1950. The presence of distinct age cohorts provides a strong indication of disturbance-mediated recruitment. Additionally we found three lines of evidence supporting this interpretation. (I) Similarly aged trees were spatially aggregated up to similar to 500 EPZ 6438 m, a scale larger than single tree-fall gaps. (2) High juvenile growth rates (5-10 mm dbh year(-1)) of extant small and large trees indicate that recruitment took place under open conditions. (3) A significant positive correlation between tree age and local canopy height indicates that trees recruited in low-canopy forest patches. Likely causes of these severe canopy disturbances include windstorms and ground fires, which are common in the region. In addition, successful establishment seems to be favoured by wetter climate conditions, as the estimated establishment rate was correlated to the Palmer Drought Severity Index (PDSI).