Factors of Failure of Community Interventions of PMTCT Activities in Haut Katanga in the Democratic Republic of Congo

The objective of the study was to identify the failure factors of community interventions in terms of HIV activities in the province of Haut-Katanga during the year 2016. Materials and Methods: The study was phenomenological of the factors, carried out in Haut Katanga. All health facilities (FOSAs) having integrated the prevention of transmission of HIV infection from mother to child (PMTCT) were included in the study. The collection was carried out through individual semi-structured interviews with PMTCT focal points, mentor mothers and people living with HIV (PLWHA) cared for in some of these health facilities (FOSAs). The number of participants was determined by the saturation of responses. Nvivo v.11 software was used for the analyses. The data of each woman was handled confidentially. The authorization of the ethics committee of the University of Kinshasa ESP/CE091/2015, the free and written consent, was obtained before collecting the information. Results: It was observed the socio-cultural factors of success and failure of the interventions: the social fear generated by contradictory messages in the sensitization of the community;the lack of an obvious strategy for the involvement of the partner;the weak coordination of community care activities between the central office of the health zone;the FOSA and the community worker: low interest in community care evidenced by weak accountability of FOSAs, community and program providers in this regard;that relates to community activities;coordination of care between care units;overload of the staff in charge of activities within the health structure and their low motivation;the low communication time devoted to people living with HIV in the FOSAs. Conclusion: The study shows that interventions that can improve the quality and outcomes of prevention of mother-to-child transmission of HIV (PMTCT) services can be directly linked to the program itself, as well as come from another or the community, which generally remains the weak link in which efforts are even less noticeable, at least as far as PMTCT is concerned. Integrating care data for the mother-child couple improve the continuum of services between the different care units as well as the quality of data management.

A study of grid failure mode drivers and methods for accelerated life testing of a 30cm diameter ion thruster

In view of the high cost caused by the 1:1 lifetime verification test of ion thrusters,the lifetime acceleration test should be considered.This work uses the PIC-MCC(Particle-in-Cell MonteCarlo Collision)method to analyze the five failure factors that lead to the failure of the accelerator grid of a 30 cm diameter ion thruster under the working mode of 5 k W.Meanwhile,the acceleration stress levels corresponding to different failure factors are obtained.The results show that background pressure has the highest stress level on the grid's erosion.The accelerator grid aperture's mass sputtering rate under the rated vacuum degree(1×10^(-4)Pa)of 5 k W work mode is 8.78 times that of the baseline vacuum degree(1×10^(-6)Pa),and the mass sputtering rate under worse vacuum degree(5×10^(-3)Pa)is 5.08 times that of 1×10^(-4)Pa.Under the influence of the other four failure factors,namely,the voltage of the accelerator grid,upstream plasma density,the screen grid voltage and mass utilization efficiency,the mass sputtering rates of the accelerator grid hole are 2.32,2.67,1.98 and 2.51 times those of the accelerator grid hole under baseline condition,respectively.The ion sputtering results of two 30 cm diameter ion thrusters(both installed with new grids assembly)after working for 1000 h show that the mass sputtering rate of the accelerator grid hole under vacuum conditions of 5×10^(-3)Pa is 4.54 times that under the condition of 1×10^(-4)Pa,and the comparison error between simulation results and test results of acceleration stress is about 10%.In the subsequent ion thruster lifetime verification,the working vacuum degree can be adjusted according to the acceleration stress level of background pressure,so as to shorten the test time and reduce the test cost.

Analyzing risk factors for postoperative acute renal failure requiring dialysis after valve surgery

Objective To evaluate risk factors for postoperative acute renal failure requiring dialysis (ARF-D) after hear valve surgery. Methods Adult patients (age≤18 years) underwent valve surgery with preoperative serum creati nine 【 300 μmol / L were included between January 2005 and December 2008. Fifty patients developed ARF-D

THE NEW CRITERIA OF ELASTIC AND FATIGUE FAILURE IN THE COMPONENT OF COMPLEX STRESS STATES

In this paper, a total criterion on elastic and fatigue failure in complex stress, that is. octahedral stress strength theory on dynamic and static states on the basis of studying modern and classic strength theories. At the same time, an analysis of an independent and fairly comprehensive theoretical system is set up. It gives generalized failure factor by 36 materials and computative theory of the 11 states of complex stresses on a point, and derives the operator equation on generalized allowable strength and a computative method for a total equation can be applied to dynamic and static states. It is illustrated that the method has a good exactness through computation of eight examples of engineering. Therefore, the author suggests applying it to engineering widely.