Costs of streamlined HIV care delivery in rural Ugandan and Kenyan clinics in the SEARCH Studys.

OBJECTIVES/DESIGN:As antiretroviral therapy (ART) rapidly expands in sub-Saharan Africa using new efficient care models, data on costs of these approaches are lacking. We examined costs of a streamlined HIV care delivery model within a large HIV test-and-treat study in Uganda and Kenya. METHODS:We calculated observed per-person-per-year (ppy) costs of streamlined care in 17 health facilities in SEARCH Study intervention communities (NCT: 01864603) via micro-costing techniques, time-and-motion studies, staff interviews, and administrative records. Cost categories included salaries, ART, viral load testing, recurring goods/services, and fixed capital/facility costs. We then modeled costs under three increasingly efficient scale-up scenarios: lowest-cost ART, centralized viral load testing, and governmental healthcare worker salaries. We assessed the relationship between community-specific ART delivery costs, retention in care, and viral suppression. RESULTS:Estimated streamlined HIV care delivery costs were $291/ppy. ART ($117/ppy for TDF/3TC/EFV [40%]) and viral load testing ($110/ppy for 2 tests/year [39$51/ppy), recurring costs ($5/ppy), and fixed costs ($7/ppy). Optimized ART scale-up with lowest-cost ART ($100/ppy), annual viral load testing ($24/ppy), and governmental healthcare salaries ($27/ppy), lowered streamlined care cost to$163/ppy. We found clinic-to-clinic heterogeneity in retention and viral suppression levels versus streamlined care delivery costs, but no correlation between cost and either retention or viral suppression. CONCLUSIONS:In the SEARCH Study, streamlined HIV care delivery costs were similar to or lower than prior estimates despite including viral load testing; further optimizations could substantially reduce costs further. These data can inform global strategies for financing ART expansion to achieve UNAIDS 90-90-90 targets

Glass Transition Temperature Depression at the Percolation Threshold in Carbon Nanotube-Epoxy Resin and Polypyrrole-Epoxy Resin Composites

The glass transition temperatures of conducting composites, obtained by blending carbon nanotubes (CNTs) or polypyrrole (PPy) particles with epoxy resin, were investigated by using both differential scanning calorimetry (DSC) and dynamical mechanical thermal analysis (DMTA). For both composites, dc and ac conductivity measurements revealed an electrical percolation threshold at which the glass transition temperature and mechanical modulus of the composites pass through a minimum

Layer-by-layer polypyrrole coated graphite oxide and graphene nanosheets as catalyst support materials for fuel cells

For the production of advanced types of catalyst support materials, the distinguished properties of graphene nanosheets were combined with the structural properties of conducting polypyrrole by the incorporation of graphene nanosheets into a polymer matrix by the proposed simple and low-cost fabrication technique. A precise tuning of electrical conductivity and thermal stability was achieved by controlling the polymer thickness of randomly dispersed graphene nanosheets. Initially, graphene nanosheets were fabricated in large quantities via a mild chemical synthetic route involving graphite oxidation, ultrasonic treatment, and chemical reduction. Then, polypyrrole/graphene nanosheet composites with improved conductivity, thermal stability, and high surface area were synthesized by in situ polymerization with the different pyrrole feed ratios. Although graphite oxide sheets have electrically insulating property, partially oxidized graphite oxide was also utilized as conductive fillers in polymer matrix. However, polypyrrole/graphene nanosheet composites have better electrical conductivity than polypyrrole/graphite oxide composites

New palladium(II) and platinum(II) 5,5-diethylbarbiturate complexes with 2-phenylpyridine, 2,2’-bipyridine and 2,2’-dipyridylamine : synthesis, structures, DNA binding, molecular docking, cellular uptake, antioxidant activity and cytotoxicity

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Polypyrrole Coated PET Fabrics for Thermal Applications

Polypyrrole can be chemically synthesized on PET fabrics, giving rise to textiles with high electric conductivity. These textiles are suitable for several applications from antistatic films to electromagnetic interference shielding devices. Here we discuss the thermal-electric performance and the heat generation of polypyrrole coated PET fabric samples, previously studied because of their electric conductivity and electromagnetic interference shielding effectiveness. The measured Seebeck effect is comparable with that of metallic thermocouples. Since polypyrrole shows extremely low thermal diffusivities regardless of the electrical conductivity, the low thermal conductivity gives significant advantage to the thermoelectric figure-of-merit ZT, comparable with that of some traditional inorganic thermoelectric materials. The heat generation is also investigated for possible heating textile devices. The results confirm polypyrrole as a prom- ising material for thermal electric applications due to its easy preparation in low cost processin