Preparation of High Activity Admixture from Steel Slag,Phosphate Slag and Limestone Powder

The problem of low disposal and utilization rate of bulk industrial solid waste needs to be solved.In this paper,a high-activity admixture composed of steel slag-phosphate slag-limestone powder was proposed for most of the solid waste with low activity and a negative impact on concrete workability,combining the characteristics of each solid waste.The paper demonstrates the feasibility and explains the principle of the composite system in terms of water requirement of standard consistency,setting time,workability,and mechanical properties,combined with the composition of the phases,hydration temperature,and microscopic morphology.The results showed that the steel slag:phosphate slag:limestone=5:2:3 gave the highest activity of the composite system,over 92%.Besides,the composite system had no significant effect on water demand and setting time compared to cement,and it could significantly increase the 7 and 28 d activity of the system.The composite system delayed the exothermic hydration of the cement and reduced the exothermic heat but had no effect on the hydration products.Therefore,the research in this paper dramatically improved the solid waste dissipation in concrete,reduced the amount of cement in concrete and positively responded to the national slogan of carbon neutral and peaking.

Preparation and characterization of amorphous boron powder with high activity

The amorphous boron powders with high activity were prepared by the high-energy ball milling-combustion synthesis method. The effects of the milling rate and milling time on the crystallinity, microscopic morphology and reactivity of amorphous boron powder were studied. The results show that the crystallinity of amorphous nano-boron powder is only 22.5%, and its purity reaches 92.86%. The high-energy ball milling can significantly refine boron powder particle sizes, whose average particle sizes are smaller than 50 nm, and specific surface areas are of up to 70.03 m2/g. When the transmission electron beam irradiates the samples, they rapidly melt. It can be seen that the monomer amorphous boron size is less than 30 nm from the specimen melting traces, which indicates that the samples have high reactivity.

Preparation of amorphous nano-boron powder with high activity by combustion synthesis

The preparation process of amorphous nanometer boron powders through combustion synthesis was investigated, and the effects of the reactant ratio, the heating agent and the milling rate on the activity and particle size of amorphous boron powders were studied. The results show that the boron powders exist in the form of an amorphous phase which has the crystallinity lower than 30.4%, and the panicle size of boron powder decreases with an increase of the high-energy ball milling rate. The purity of amorphous boron powder is 94.8% and panicle sizes are much smaller than 100 nm when the mass ratio of B2O3/Mg/KClO3 is 100：105：17 and the ball milling time is 20 min with the milling rate of 300 r/min. At the same time, the amorphous boron nano-fibers appear in the boron powders.

To explore patients’ perceptions about motivators and barriers of adherence to highly active antiretroviral therapy among people living with HIV: A qualitative study

Objective:For people living with HIV(PLHIV),strict adherence to highly active antiretroviral therapy(HAART)is the key to effective treatment and retention in human immunodeficiency virus(HIV)care.There are many factors which promote or halt the antiretroviral therapy(ART)adherence practices.Therefore,the present study aimed to examine the HAART adherence levels and to explore patients’views about barriers and facilitators to HIV treatment adherence.Methods:Semi-structured interviews were conducted among 15 PLHIV at the ART clinic of Dr.Ram Manohar Lohia Hospital,New Delhi.Interviews were audio-recorded in the local Hindi language,and bilingual experts(English and Hindi)transcribed verbatim.Qualitative data were coded for themes and subthemes and analyzed using a phenomenological approach as per thematic content analysis.Results:Feeling of hopelessness,delayed ART initiation,difficult initial phase of ART,forget to take ART on time,fear of disclosure of HIV diagnosis,lack of privacy and negative social support,and impact of lockdown due to COVID-19 were revealed as significant barriers to ART adherence.At the same time,commitment to raise and educate children,ART to increase life span,maintain oneself to be physically fit and healthy,only a single pill per day,very supportive counselors and health-care professionals,and hope to give birth to a healthy child were identified as facilitators of HIV retention.Conclusion:Understanding patient’s perception about ART adherence,its motivational and barrier factors which are directly affecting ART adherence and retention of PLHIV in HIV treatment and follow-ups are of utmost importance to improve ART adherence during HIV patient care services.

Highly Active and Stable Ni_2P/SiO_2 Catalyst for Hydrogenation of C_9 Petroleum Resin

Catalytic hydrogenation is an appropriate method for the improvement of C9 petroleum resin（C9PR） quality. In this study, the Ni2P/SiO2（containing 10% of Ni） catalyst prepared by the temperature-programmed reduction（TPR） method was used for hydrogenation of C9 petroleum resins. The effect of reaction conditions on catalytic performance was studied, and the results showed that the optimum reaction temperature, pressure and liquid hourly space velocity（LHSV） was 250 ℃, 6.0 MPa, and 1.0 h-1, respectively. The bromine numbers of hydrogenated products were maintained at low values（250 mg Br/100g） within 300h, showing the high activity and stability of Ni2P/SiO2 catalyst. The fresh and spent catalysts were characterized by X-ray diffraction（XRD）, BET surface area（BET） analysis, scanning electron microscopy（SEM）, transmission electron microscopy（TEM）, Fourier transform infrared（FTIR） pyridine adsorption, and X-ray photoelectron spectroscopy（XPS）. Compared with the traditional sulfurated-Ni W catalysts, Ni2P possessed globe-like structure instead of layered structure like the active phase of Ni WS, thereof exposing more active sites, which were responsible for the high activity of Ni2P/SiO2 catalyst. The stability of Ni2P/SiO2 catalyst was probably attributed to its high sulfur tolerance, antisintering, anti-coking and carbon-resistance ability. These properties might be further ascribed to the special Ni-P-S surface phase, high thermal stability of Ni2P nanoparticles and weak surface acidity for the Ni2P/SiO2 catalyst.

Hepatitis C virus eradication in people living with human immunodeficiency virus:Where are we now?

Hepatitis C virus(HCV)/human immunodeficiency virus(HIV)co-infection still involves 2.3 million patients worldwide of the estimated 37.7 million living with HIV,according to World Health Organization.People living with HIV(PLWH)are six times greater affected by HCV,compared to HIV negative ones;the greater prevalence is encountered among people who inject drugs and men who have sex with men:the risk of HCV transmission through sexual contact in this setting can be increased by HIV infection.These patients experience a high rate of chronic hepatitis,which if left untreated progresses to end-stage liver disease and hepato-cellular carcinoma(HCC)HIV infection increases the risk of mother to child vertical transmission of HCV.No vaccination against both infections is still available.There is an interplay between HIV and HCV infections.Treatment of HCV is nowadays based on direct acting antivirals(DAAs),HCV treatment plays a key role in limiting the progression of liver disease and reducing the risk of HCC development in mono-and coinfected individuals,especially when used at an early stage of fibrosis,reducing liver disease mortality and morbidity.Since the sustained virological response at week 12 rates were observed in PLWH after HCV eradication,the AASLD has revised its simplified HCV treatment algorithm to also include individuals living with HIV.HCV eradication can determine dyslipidemia,since HCV promotes changes in serum lipid profiles and may influence lipid metabolism.In addition to these apparent detrimental effects on the lipid profile,the efficacy of DAA in HCV/HIV patients needs to be considered in light of its effects on glucose metabolism mediated by improvements in liver function.The aim of the present editorial is to describe the advancement in HCV treatment among PLWH.

Template-assisted synthesis of hierarchically porous Co3O4 with enhanced oxygen evolution activity

Oxygen evolution reaction（OER） is one of the most important reactions in the energy storage devices such as metal–air batteries and unitized regenerative fuel cells（URFCs）. However, the kinetically sluggishness of OER and the high prices as well as the scarcity of the most active precious metal electrocatalysts are the major bottleneck in these devices. Developing low-cost non-precious metal catalysts with high activity and stability for OER is highly desirable. A facile, in situ template method combining the dodecyl benzene sulfuric acid sodium（SDBS） assisted hydrothermal process with subsequent high-temperature treatment was developed to prepare porous Co3O4 with improved surface area and hierarchical porous structure as precious catalysts alternative for oxygen evolution reaction（OER）. Due to the unique structure, the as-prepared catalyst shows higher electrocatalytic activity than Co3O4 prepared by traditional thermal-decomposition method（noted as Co3O4-T） and commercial IrO2 catalyst for OER in 0.1M KOH aqueous solution. Moreover, it displays improved stability than Co3O4-T. The results demonstrate a highly efficient, scalable, and low cost method for developing highly active and stable OER electrocatalysts in alkaline solutions.

The Effect Evaluation of Highly Active Antiretroviral Therapy to Patients with AIDS in Hubei Province of China

The effects of highly active antiretroviral therapy （HAART） to patients with AIDS in Hubei province of China were investigated in order to provide scientific evidence to reinforce the management of HAART. Self-made questionnaires and descriptive method of epidemiology were used to collect and describe the changes of clinical symptoms, HIV RIgA concentration, and immune function of patients with AIDS. After HAART, the effective rate of fever, cough, diarrhea, lymphadenectasis, weight loss, tetter, debility and fimgous infection was 92.4%, 90.85%, 92.91%, 90.73%, 93.69%, 89.04%, 92.34%, and 83.1%, respectively. Of 117 patients with detected HIV RNA concentration, 41.03% had declined over 0.5 log, and 52.99% less than 0.5 log. CD4^＋T cell count was obviously increased： the average number after HAART for 3 or 6 months was 237μL （26-755μL） and 239μL （17-833μL）, respectively HAART can improve AIDS patients＇ clinical symptoms, reduce HIV RNA concentration, and maintain immune function. It is very important for the effectiveness of HAART to raise clinical adherence of pa- tients with AIDS and have a persistent surveillance.

T-CELL RESPONSE OF ADVANCED AIDS PATIENTS AFTER HIGHLY ACTIVE ANTIRETROVIRAL THERAPY

Objective To investigate the response on late stage Chinese AIDS patients after highly active antiretroviral therapy （HAART）. Methods From October 2002 to March 2004, 20 cases of late stage Chinese AIDS patients were selected to participate in this opened and randomised study, we purposely chose those with CD4＋ T cell counts 〈 100/mm^3. All of them had one or two opportunistic infections and none had been treated with anti-HIV drugs. All patients were tested with CD4＋ （naive CD4＋ T cell defined by CD45RA＋ and CD62L＋, memory CD4＋ T cell defined by CD45RA-）, CD8＋ T cell, plasma HIV viral load, and clinical manifestations on before, during, and after HAART （5 different regimes） on 1, 3, 6, 9, and 12 months. Before HAART mean CD4＋ T cell counts were 32 ± 31 （range 2-91）/mm^3, and plasma HIV viral load were 5.07 ± 0.85（range 2.04-5.70） log copies/mL. In 1 month＇s time patients treated with HAAT had mean CD4＋ and CD8＋ T cell counts increasing rapidly. After 1 month the increasing speed turned to slow down, but HIV viral load decreased predominantly within the first 3 months. The major part of increasing CD4＋ T cells were memory CD4＋ T cells, as for naive CD4＋ T cells increasing low and slow. Clinical symptoms and signs improved, and opportunistic infections reduced. The quality of life will be far much better than before. Each patient was followed for 12 months, and had finished 12 months＇ HAAT. Conclusion This is the first report in China that late stage Chinese AIDS patients after HAART could have their immune reconstitution. The regular pattern is similar to what had been reported in Western countries and also in China. So it is worth to treat late stage Chinese AIDS patients with HAAT.

New Activated Carbon with High Thermal Conductivity and Its Microwave Regeneration Performance

Using a walnut shellas a carbon source and ZnCl_2 as an activating agent,we resolved the temperature gradient problems of activated carbon in the microwave desorption process.An appropriate amount of silicon carbide was added to prepare the composite activated carbon with high thermalconductivity while developing VOC adsorption-microwave regeneration technology.The experimentalresults show that the coefficient of thermalconductivity of SiC-AC is three times as much as those of AC and SY-6.When microwave power was 480 W in its microwave desorption,the temperature of the bed thermaldesorption was 10 ℃ to 30 ℃ below that of normalactivated carbon prepared in our laboratory.The toluene desorption activation energy was 16.05 k J·mol^（-1）,which was 15% less than the desorption activation energy of commercialactivated carbon.This study testified that the process could maintain its high adsorption and regeneration desorption performances.

Carbon Foam Anode Modified by Urea and Its Higher Electrochemical Performance in Marine Benthic Microbial Fuel Cell

Electrode materials have an important effect on the property of microbial fuel cell(MFC). Carbon foam is utilized as an anode and further modified by urea to improve its performance in marine benthic microbial fuel cell(BMFC) with higher voltage and output power. The electrochemical properties of plain carbon foam(PC) and urea-modified carbon foam(UC) are measured respectively. Results show that the UC obtains better wettability after its modification and higher anti-polarization ability than the PC. A novel phenomenon has been found that the electrical potential of the modified UC anode is nearly 100 m V lower than that of the PC, reaching-570 ±10 m V(vs. SCE), and that it also has a much higher electron transfer kinetic activity, reaching 9399.4 m W m-2, which is 566.2-fold higher than that from plain graphite anode(PG). The fuel cell containing the UC anode has the maximum power density(256.0 m W m-2) among the three different BMFCs. Urea would enhance the bacteria biofilm formation with a more diverse microbial community and maintain more electrons, leading to a lower anodic redox potential and higher power output. The paper primarily analyzes why the electrical potential of the modified anode becomes much lower than that of others after urea modification. These results can be utilized to construct a novel BMFC with higher output power and to design the conditioner of voltage booster with a higher conversion ratio. Finally, the carbon foam with a bigger pore size would be a potential anodic material in conventional MFC.

Numerical Simulation of the Relationship between the Anomaly of Subtropical High over East Asia and the Convective Activities in the Western Tropical Pacific

In this paper, a close relationship between the intraseasonal variation of subtropical high over East Asia and the convective activities around the South China Sea and the Philippines is analysed from OLR data.This relationship is studied by using the theory of wave propagating in a slowly varying medium and by using a quasi-geoslrophic, linear, spherical model and the IAP-GCM, respectively. The results show that when the SST is warming around the western tropical Pacific or the Philippines, the convective activities are intensified around the Philippines. As a consequence, the subtropical high will be intensified over East Asia. The computed results also show that when the anomaly of convective activities are caused around the Philippines, a teleconnection pattern of circulation anomalies will be caused over South Asia, East Asia and North America.

An Assessment of the Level of Knowledge of HIV-Infected Patients about Highly Active Antireteroviral Therapy and Waiting Times and Their Influence on Antiretroviral Therapy Adherence at a Primary Healthcare Centre of South Africa

Objectives： The study assessed if the level of knowledge of HIV-infected about HAART and waiting-times in the PHC （primary healthcare） clinic have an influence on antiretroviral adherence. Methods： A descriptive-cross-sectional study was conducted in South Africa. Data collected uses a standardized-questionnaire and face-to-face-exit interviews. Pill-count technique was performed and a value of≥ 95% acceptable. Data were analysed using SPSS. Univariate-factors associated with poor-adherence to knowledge about HAART and waiting times were assessed using ANOVA and p ≤ 0.05 considered statistically significant. Key findings： Of 86 enrolled, 63（73.3%） were females and 23（26.7%） males, with mean-age （± SD） of 35.6（±9.6） years and on HAART for 35.5（± 31.8） months ranging from 1-137. Of these, 27（31.40%） and 25（29.07%） were on WHO stages 2 and 3 respectively. Adherence-rates computed from 32 patients, 23（71.9%） revealed poor adherence-rates. The level of knowledge about HAART in terms of names of tablets, correct-dose, frequency, adverse-effects had no influence on ARV-adherence （p _〉 0.05）. Of 23 non-compliant, 10 （40%） gave the reason of drugs-unavailability, 7（30%） adverse-effects, 5（20%） drugs＇ complexity, and 1（10%） too busy to take them. Waiting areas associated with poor ARV-adherence were reception （p = 0.028）, doctors （p = 0.027）, while nurse＇s station （p = 0.29） and pharmacy （p = 0.43） revealed acceptable ARV-adherence.

Cytomegalovirus retinitis in the highly active anti-retroviral therapy era

Cytomegalovirus(CMV)retinitis is an opportunistic infection that has traditionally affected those who have HIV/AIDS or immunosuppressed individuals.CMV retinitis previously infected one-third of AIDS patients in the pre-highly active antiretroviral therapy(HAART)era,but since HAART,Western countries have seen an 80%decrease in the incidence of the disease.More recently,CMV retinitis has been reported in patients who are immunosuppressed,often due to chemotherapy or immunomodulatory medications.The diagnosis of CMV retinitis is often suspected based on clinical findings,with polymerase chain reaction for confirmation of CMV,especially in atypical cases.Highly active antiretroviral therapy and anti-CMV medications(systemic or local)remain the mainstay of treatment.However,for those who are not responsive to HAART,CMV retinitis remains a challenge,and can still lead to significant vision loss.Moreover,a regimen of anti-CMV medications can sometimes lead to viral resistance or organ toxicity.Complications such as immune recovery retinitis and rhegmatogenous retinal detachments continue to threaten the vision of patients who develop CMV retinitis.These complications can arise following initiation of treatment or if patients show disease progression.Proper vision screening for CMV retinitis in immunosuppressed patients at-risk is necessary for early detection and treatment.

Ni/Mo_2 N as a Highly Active Hydrodenitrogenation Catalyst

The catalysts were prepared by the temperature programmed reaction (TPR) of MoO3 with NH3 at various temperatures in the range of 573K～973K, and their hydrodenitrogenation (HDN) activities were tested in situ.It is shown that molybdenum nitrid(Mo2N) was formed above 923K and its intermediate MoO2 formed at about 573～623K under the rapid (5K/min.) TPR conditions.Mo2N is the most active species for pyridine HDN among MoO3,MoO2,MoS2,and Mo2N. Moreover,it can be promoted by adding Ni component.It is shown that the Ni/Mo2N catalyst prepared by adding some NiO into the precursor MoO3 has a steady HDN activity Which is far higher than that of the commercial sulfided NiMo/Al2O3(HR346) catalyst.

Preparation and Properties of Ultra-fine Chromium Carbonization of High Performance Mechanical Activation

The preparation of hydroxyl chromium oxide by hydrogen reduction of disodium chromate and particulate hydroxyl mechanical activation features were studied. Then with self-made hydroxyl chromium as the raw material, a direct reduction and carburization process was used to prepare ultra-fine chromium carbonization. Through SEM and XRD, the high performance mechanical activation, key coefficients, microstructure, hardness and wear-resisting property were investigated. The results reveal that suitable mechanical activation and carbon reducing carbonization temperature, carbonization time, carbon content are beneficial to obtaining ultra-fine chromium carbonization. Typically, when the time of high performance grinding is 5 min, the carbon reducing temperature is 1100 ℃, the carbon reducing time is 1h, the carbon content is 28%, and finally the particle size of chromium carbide powder is 1 μm. Under this condition of preparation of ultra-fine chromium carbide, both the hardness and wear resistance are better than those in the industrialization of chromium carbide coating.

Autoimmune hepatitis in a patient infected by HIV-1 and under highly active antiretroviral treatment:Case report and literature review

Liver disease has recently been described as an im-portant cause of morbidity and mortality in patientsinfected with human immunodeficiency virus （HIV）.Liver test changes are useful surrogates of the burdenof liver disease. Previous studies have shown that trans-aminase elevations are frequent among these patients.The cause of those changes is harder to establish inHIV-patients. We present a 61-year-old caucasian male,diagnosed with HIV type 1 infection since 1998, underhighly active antiretroviral treatment （HAART）, withvirological suppression and immunological recovery.He presented in a follow-up laboratory workup highvalues of transaminases, arthralgia at the hip joints and hepatomegaly. Liver function tests were normal. Theantibodies to hepatitis viruses were negative. However,autoimmune study and liver biopsy were compatible with autoimmune hepatitis （AIH）. The AIH is a rare di-agnosis in HIV-infected patients perhaps because the elevation of transaminases and changes in liver function tests are often associated to HAART or to other possible liver diseases, namely viral hepatitis and non-alcoholic steatohepatitis. The diagnosis may be underestimated. There are no specifc recommendations available for the treatment of HIV-associated AIH although the immuno-supression with slower tapering seems the most reason-able approach.

Highly Active Anhydrous Potassium Fluoride

Highly active anhydrous potassium fluoride has many uses. Its good performance is demonstrated in high activity, high recovery, low consumption and the low emission of accessory substances during the process of organic fluorination. Moreover. there is no need to use an expensive intertransferable catalyst in the process of fluorination. Under the same conditions and within the same time limit, the fluorination rate of the product is 97% while that of ordinary anhydrous potassium fluoride is 58%. The product, developed recently by the Shenyang Chemical Research Institute, can remain in a state of superfine powder for a long time in air

Factors Affecting Adherence to Highly Active Antiretroviral Therapy among Patients Attending Public Healthcare Facility

The research focused on factors associated with poor adherence to HAART （highly active antiretroviral therapy） among HIV/AIDS. A descriptive cross sectional study was conducted using a standardized questionnaire and face-to-face exit interviews to collect data. Pill-counts were performed and computed adherence rate of ≥ 95% was considered acceptable. Data were analyzed using SPSS 21.0. Univariate factors associated with poor dherence to HAART were assessed with ANOVA （analysis of variance） and logistic regression model excluded confounders determining independent predictors of poor adherence. A P ≤ 0.05 was statistical significant. Of 102 HIV-infected on HAART for 24.68 ± 20.5 months, 83.3% were females and 16.7% males. The mean age （± SD） was 35.09 ± 9.3 years. Univariate factors associated with poor adherence to HAART were： CD4 count 〉 350 cells/mm3 0（2 = 46; P = 0.05）, age 〉 35 years 0（2 = 28.75; P = 0.011）, primary educational background （χ2 = 9.18; P = 0.027）, HAART regimen 1A-TDF （χ2 = 14.37; P = 0.003）, and 〉 4 combined tablets （χ2 = 11.87; P = 0.001）. There was a linear correlation between age and primary educational background （r = 0.538; P 〈 0.001）. After adjusting for univariate confounders, primary educational background （P = 0.020） and 〉 4 combined tablets （P = 0.026） were identified as independent predictors of poor adherence to HAART. Although there is an increase number of HIV-infected receiving HAART, these findings have shown that many of these will not adhere to their treatment once they improve clinically. This could be due to lack of education and complexity of combined ARVs with other drugs.

Thermal Activation Analyses of Dynamic FractureToughness of High Strength Low Alloy Steels

A formula is derived for determining the influence of temperature and loading rate on dynamic fracture toughness of a high strength low alloy steel (HQ785C) from thermal activation analysis of the experimental results of three-point bend specimens as well as introducing an Arrhenius formula. It is shown that the results obtained by the given formula are in good agreement with the experimental ones in the thermal activation region. The present method is also valuable to describe the relationship between dynamic fracture toughness and temperature and loading rate of other high strength low alloy steels.