Background: In Nigeria, adolescents and young people (AYP) aged 10 - 24, comprise 22.3% of the population and with HIV prevalence of 3.5%. The AYP living with HIV enrolled at the 68 NARHY, Lagos reflects the national ...Background: In Nigeria, adolescents and young people (AYP) aged 10 - 24, comprise 22.3% of the population and with HIV prevalence of 3.5%. The AYP living with HIV enrolled at the 68 NARHY, Lagos reflects the national challenges with poor viral suppression. The OTZ program aligns with the UNAIDS 95-95-95 goals. It seeks to empower AYPLHIV to be in charge of their treatment and commit to triple zero outcomeszero missed appointments, zero missed drugs, and zero viral loads. The purpose of the study was to assess the impact of the OTZ program on viral load suppression among members of the adolescent club in 68 NARHY, Lagos. Method: A cross-sectional retrospective study to evaluate the impact of the OTZ program on the viral load of 53 AYP enrolled in the OTZ program between March 2019 to December 2019 was analyzed. The Percentage of viral load suppression before enrollment compared with 6 and 12 months after enrollment into the OTZ program. The AYP is grouped into 10 - 14, 15 - 19, and 20 - 24 years. Activities conducted were peer driven monthly meetings with the AYP during which the adolescents interacted on issues relating to improving their treatment outcomes, healthcare workers reviewed their clinical status, viral load result, provider peer counseling, and caregivers engagement to support adherence to medication and ARV refills. Results: Before OTZ, 81% aged 10 - 14 years, 75% aged 15 - 19 years, and 25% aged 20 - 24 years were virally suppressed (VL less than 1000 copies/ml). Six months after enrollment, 94% were virally suppressed95% aged 10 - 14 years, 96% aged 15 - 19 years, and 66% aged 20-24 years. Twelve months after enrollment, 96% of AYP were virally suppressed100% aged 10-14 years, 93% aged 15 - 19 years, and 100% aged 20 - 24 years. Males viral load (VL) suppression improved from 79% to 96% and 92%, while females VL suppression improved from 69% to 93% and 100% at 6 and 12 months respectively. Conclusion: The OTZ activities contributed to improved viral load suppression in the AYP of the facility.展开更多
The iteration maps of Euler family for finding zeros of an operatorf in Banach spaces is defined as the partial sum of Taylor expansion of the local inversef z -1 off atz. The unified convergence theorem is establishe...The iteration maps of Euler family for finding zeros of an operatorf in Banach spaces is defined as the partial sum of Taylor expansion of the local inversef z -1 off atz. The unified convergence theorem is established for the iterations of Euler family under the assumption that $\alpha \leqslant 3 - 2\sqrt 2 $ , while the strong condition thatf is analytic in Smale’s criterion α is replaced by the weak condition thatf is of finite order derivative.展开更多
This paper interest rates （i.e., the recent macroeconomic presents an IS-MP model with the term structure of yield curve） and discusses some of its applications to activities and policy issues. Specifically, the mod...This paper interest rates （i.e., the recent macroeconomic presents an IS-MP model with the term structure of yield curve） and discusses some of its applications to activities and policy issues. Specifically, the model is employed to explain （1） why a steepening yield curve may signal the subsequent economic expansion, （2） why long-term zero interest rate policy （ZIRP） may not completely avoid recessions, but disables the yield curve from being inverted to signal the following economic recession, （3） how Operation Twist （OT） may help ease the recession, in particular, under ZIRP, and what limit it may face.展开更多
文摘Background: In Nigeria, adolescents and young people (AYP) aged 10 - 24, comprise 22.3% of the population and with HIV prevalence of 3.5%. The AYP living with HIV enrolled at the 68 NARHY, Lagos reflects the national challenges with poor viral suppression. The OTZ program aligns with the UNAIDS 95-95-95 goals. It seeks to empower AYPLHIV to be in charge of their treatment and commit to triple zero outcomeszero missed appointments, zero missed drugs, and zero viral loads. The purpose of the study was to assess the impact of the OTZ program on viral load suppression among members of the adolescent club in 68 NARHY, Lagos. Method: A cross-sectional retrospective study to evaluate the impact of the OTZ program on the viral load of 53 AYP enrolled in the OTZ program between March 2019 to December 2019 was analyzed. The Percentage of viral load suppression before enrollment compared with 6 and 12 months after enrollment into the OTZ program. The AYP is grouped into 10 - 14, 15 - 19, and 20 - 24 years. Activities conducted were peer driven monthly meetings with the AYP during which the adolescents interacted on issues relating to improving their treatment outcomes, healthcare workers reviewed their clinical status, viral load result, provider peer counseling, and caregivers engagement to support adherence to medication and ARV refills. Results: Before OTZ, 81% aged 10 - 14 years, 75% aged 15 - 19 years, and 25% aged 20 - 24 years were virally suppressed (VL less than 1000 copies/ml). Six months after enrollment, 94% were virally suppressed95% aged 10 - 14 years, 96% aged 15 - 19 years, and 66% aged 20-24 years. Twelve months after enrollment, 96% of AYP were virally suppressed100% aged 10-14 years, 93% aged 15 - 19 years, and 100% aged 20 - 24 years. Males viral load (VL) suppression improved from 79% to 96% and 92%, while females VL suppression improved from 69% to 93% and 100% at 6 and 12 months respectively. Conclusion: The OTZ activities contributed to improved viral load suppression in the AYP of the facility.
文摘The iteration maps of Euler family for finding zeros of an operatorf in Banach spaces is defined as the partial sum of Taylor expansion of the local inversef z -1 off atz. The unified convergence theorem is established for the iterations of Euler family under the assumption that $\alpha \leqslant 3 - 2\sqrt 2 $ , while the strong condition thatf is analytic in Smale’s criterion α is replaced by the weak condition thatf is of finite order derivative.
文摘This paper interest rates （i.e., the recent macroeconomic presents an IS-MP model with the term structure of yield curve） and discusses some of its applications to activities and policy issues. Specifically, the model is employed to explain （1） why a steepening yield curve may signal the subsequent economic expansion, （2） why long-term zero interest rate policy （ZIRP） may not completely avoid recessions, but disables the yield curve from being inverted to signal the following economic recession, （3） how Operation Twist （OT） may help ease the recession, in particular, under ZIRP, and what limit it may face.
