Sustained heavy ethanol drinking is a common problem globally and ethanol is one of the most abused drugs among individuals of different socio-economic status including the HIV-infected patients on antiretroviral drug...Sustained heavy ethanol drinking is a common problem globally and ethanol is one of the most abused drugs among individuals of different socio-economic status including the HIV-infected patients on antiretroviral drugs. Ethanol is reward drug and a CNS depressant especially at high doses. The study determined the effect of sustained heavy ethanol drinking by HIV-infected patients on d4T/3TC/NVP regimen on CD4+ cell counts in Uganda using WHO AUDIT tool and chronic alcohol-use biomarkers. A case control study using repeated measures design with serial measurements model was used. The patients on stavudine (d4T) 30 mg, lamivudine (3TC) 150 mg and nevirapine (NVP) 200 mg and chronic alcohol use were recruited. A total of 41 patients (20 in alcohol group and 21 in control group) were screened for chronic alcohol use by WHO AUDIT tool and chronic alcohol use biomarkers. They were followed up for 9 months with blood sampling done at 3 months intervals. CD4+ cell count was determined using Facscalibur Flow Cytometer system. Results were then sorted by alcohol-use biomarkers (GGT, MCV and AST/ ALT ratio). Data were analysed using SAS 2003 version 9.1 statistical package with repeated measures fixed model and the means were compared using student t-test. The mean CD4+ cell counts in all the groups were lower than the reference ranges at baseline and gradually increased at 3, 6 and 9 months of follow-up. The mean CD4+ cell counts were higher in the control group as compared to the chronic alcohol use group in both WHO AUDIT tool group and chronic alcohol-use biomarkers group though there was no significant difference (p > 0.05). Chronic alcohol use slightly lowers CD4+ cell count in HIV-infected patients on d4T/3TC/NVP treatment regimen.展开更多
A new scintillating fiber detector inside magnetic shielding tube was designed and assembled for use in the next round of fusion experiments in the experimental advanced superconducting tokamak to provide D–T neutron...A new scintillating fiber detector inside magnetic shielding tube was designed and assembled for use in the next round of fusion experiments in the experimental advanced superconducting tokamak to provide D–T neutron yield with time resolution.In this study,Geant4 simulations were used to obtain the pulse height spectra for ideal signals produced when detecting neutrons and gamma rays of multiple energies.One of the main sources of interference was found to be low-energy neutrons below 10–5 MeV,which can generate numerous secondary particles in the detector components,such as the magnetic shielding tube,leading to high-amplitude output signals.To address this issue,a compact thermal neutron shield containing a 1-mm Cd layer outside the magnetic shielding tube and a 5-mm inner Pb layer was specifically designed.Adverse effects on the measurement of fast neutrons and the shielding effect on gamma rays were considered.This can suppress the height of the signals caused by thermal neutrons to a level below the height corresponding to neutrons above 4 MeV because the yield of the latter is used for detector calibration.In addition,the detector has relatively flat sensitivity curves in the fast neutron region,with the intrinsic detection efficiencies(IDEs)of approximately 40%.For gamma rays with energies that are not too high(<8 MeV),the IDEs of the detector are only approximately 20%,whereas for gamma rays below 1 MeV,the response curve cuts off earlier in the low-energy region,which is beneficial for avoiding counting saturation and signal accumulation.展开更多
文摘Sustained heavy ethanol drinking is a common problem globally and ethanol is one of the most abused drugs among individuals of different socio-economic status including the HIV-infected patients on antiretroviral drugs. Ethanol is reward drug and a CNS depressant especially at high doses. The study determined the effect of sustained heavy ethanol drinking by HIV-infected patients on d4T/3TC/NVP regimen on CD4+ cell counts in Uganda using WHO AUDIT tool and chronic alcohol-use biomarkers. A case control study using repeated measures design with serial measurements model was used. The patients on stavudine (d4T) 30 mg, lamivudine (3TC) 150 mg and nevirapine (NVP) 200 mg and chronic alcohol use were recruited. A total of 41 patients (20 in alcohol group and 21 in control group) were screened for chronic alcohol use by WHO AUDIT tool and chronic alcohol use biomarkers. They were followed up for 9 months with blood sampling done at 3 months intervals. CD4+ cell count was determined using Facscalibur Flow Cytometer system. Results were then sorted by alcohol-use biomarkers (GGT, MCV and AST/ ALT ratio). Data were analysed using SAS 2003 version 9.1 statistical package with repeated measures fixed model and the means were compared using student t-test. The mean CD4+ cell counts in all the groups were lower than the reference ranges at baseline and gradually increased at 3, 6 and 9 months of follow-up. The mean CD4+ cell counts were higher in the control group as compared to the chronic alcohol use group in both WHO AUDIT tool group and chronic alcohol-use biomarkers group though there was no significant difference (p > 0.05). Chronic alcohol use slightly lowers CD4+ cell count in HIV-infected patients on d4T/3TC/NVP treatment regimen.
基金supported by the University Synergy Innovation Program of Anhui Province(No.GXXT-2022-001)the Institute of Energy,Hefei Comprehensive National Science Center(Anhui Energy Laboratory)under Grant No.21KZS205 and 21KZL401the Comprehensive Research Facility for Fusion Technology Program of China(No.2018-000052-73-01-001228).
文摘A new scintillating fiber detector inside magnetic shielding tube was designed and assembled for use in the next round of fusion experiments in the experimental advanced superconducting tokamak to provide D–T neutron yield with time resolution.In this study,Geant4 simulations were used to obtain the pulse height spectra for ideal signals produced when detecting neutrons and gamma rays of multiple energies.One of the main sources of interference was found to be low-energy neutrons below 10–5 MeV,which can generate numerous secondary particles in the detector components,such as the magnetic shielding tube,leading to high-amplitude output signals.To address this issue,a compact thermal neutron shield containing a 1-mm Cd layer outside the magnetic shielding tube and a 5-mm inner Pb layer was specifically designed.Adverse effects on the measurement of fast neutrons and the shielding effect on gamma rays were considered.This can suppress the height of the signals caused by thermal neutrons to a level below the height corresponding to neutrons above 4 MeV because the yield of the latter is used for detector calibration.In addition,the detector has relatively flat sensitivity curves in the fast neutron region,with the intrinsic detection efficiencies(IDEs)of approximately 40%.For gamma rays with energies that are not too high(<8 MeV),the IDEs of the detector are only approximately 20%,whereas for gamma rays below 1 MeV,the response curve cuts off earlier in the low-energy region,which is beneficial for avoiding counting saturation and signal accumulation.
