22 research outputs found

    Temperature and Concentration Traces of Spray Flows During Motion in a Flame

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    Heat and mass transfer models are developed on the base of experimental data and using Ansys Fluent software. These models allow prediction of the temperature and concentration traces of droplets. Transfer mechanisms of water droplets from different flames of flammable liquid (ethanol, kerosene И benzine) with temperature gases 450-850 К are analyzed. The paper considers aerosol flows with droplets sizes of 0.04-0.4 mm and concentration of 3.8·10{-5}-10.3·10{-5} m{3} of droplets/m{3} of gas. The maximum gas temperature reduction in the trace of a moving liquid is ranged from 850 K to 600 K. The times of keeping the low temperature of the gas-vapor mixture in the droplets trace are from 13 s to 25 s relative to the initial gas temperature

    Prevalence of selected clinical problems in older adults with autism and intellectual disability

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    Abstract Background Originally described as a disorder of childhood, evidence now demonstrates the lifelong nature of autism spectrum disorder (ASD). Despite the increase of the population over age 65, older adults with ASD remain a scarcely explored subpopulation. This study set out to investigate the prevalence of clinically relevant behaviors and medical problems in a sample of US adults aged 30 to 59 with ASD and intellectual disability (ID), in comparison to those with ID only. Methods A cross-sectional study, with both an exploratory and replication analysis, was conducted using National Core Indicators (NCI) multi-state surveys from 2009 to 2010 and 2010 to 2011. There were 4,989 and 4,261 adults aged 30–59 with ID examined from the 2009 to 2010 and 2010 to 2011 samples, respectively. The two consecutive annual samples consisted of 438 (9%) and 298 (7%) individuals with ASD and ID. Variables were chosen from the NCI data as outcomes, including medication use for behavior problems, severe or aggressive behavior problems and selected medical conditions. Results No age-associated disparities were observed between adults with ASD and ID versus adults with ID only in either sample. For the 2009 to 2010 sample, the prevalence of support needed to manage self-injurious, disruptive and destructive behavior in subjects with ASD and ID ranged from 40 to 60%. Similarly, the prevalence estimates of self-injurious, disruptive and destructive behavior were each almost double in adults with ASD and ID relative to those with ID only. These results were replicated in the 2010 to 2011 sample. Conclusions The findings of this study highlight the urgent need for research on the nature and treatment of severe behavior problems in the rapidly increasing population of older adults with ASD. They also suggest the importance of developing policies that expand our capacity to care for these individuals

    Prevalence, characteristics and correlates of a positive-dementia screen in patients on antiretroviral therapy in Bamenda, Cameroon: a cross-sectional study

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    BackgroundIn this study we assess the prevalence, characteristics as well as socio-demographic and clinical correlates of a positive screen for HIV-associated dementia in a group of patients on antiretroviral therapy (ART) in Bamenda, Cameroon.MethodsIn a cross-sectional study, a structured questionnaire was used to collect data on 400 patients attending the Bamenda Regional Hospital AIDS-treatment Centre. Patients were assessed for neurocognitive function using the International HIV Dementia Scale (IHDS) to assess finger-tapping (FT), alternating hand sequence (AHS) and a 4-word recall (4WR), each scored on a maximum of four.ResultsA total of 297 (74%) participants were females. The total IHDS score ranged from 6–12 with a mean of 9.02 and 85% of subjects screened positive for dementia (≤10 on IHDS). Participants performed worst in the AHS assessment with a mean of 2.25 (IQR: 2–3). In multivariable analyses, screening positive for dementia was significantly associated with having primary education or less (aOR: 8.33, 95%CI: 3.85, 16.67), and having HIV symptoms (aOR: 12.16, 95%CI: 3.08, 48.05).ConclusionsA very high proportion of patients on ART screened positive for dementia using the IHDS. This could potentially be an indication of a high prevalence of HIV-associated neurocognitive disorders in this population and or a poor performance of the IHDS in patients on ART. Future studies will need to assess the validity of the IHDS in this population of patients on ART and also evaluate long term outcomes in patients with positive dementia screens

    Social support and cognition in a community-based cohort: the Atherosclerosis Risk in Communities (ARIC) study

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    Objective: social support has demonstrated cross-sectional associations with greater cognitive function and a protective effect against cognitive decline in older adults, but exploration of its temporal role in cognitive ageing from mid-life to older adulthood has been limited. We aimed to quantify the associations of social support, assessed at mid-life, with cognitive function in mid-life and with cognitive decline into late life among African Americans and Caucasians

    Validity of an interviewer-administered patient health questionnaire-9 to screen for depression in HIV-infected patients in Cameroon

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    In high-income countries, depression is prevalent in HIV patients and is associated with lower medication adherence and clinical outcomes. Emerging evidence from low-income countries supports similar relationships. Yet little research has validated rapid depression screening tools integrated into routine HIV clinical care

    Feasibility, Safety, Acceptability, and Preliminary Efficacy of Measurement-Based Care Depression Treatment for HIV Patients in Bamenda, Cameroon

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    Depression affects 18-30% of HIV-infected patients in Africa and is associated with greater stigma, lower antiretroviral adherence, and faster disease progression. However, the region's health system capacity to effectively identify and treat depression is limited. Task-shifting models may help address this large mental health treatment gap

    Sufficient niacin supply: the missing puzzle piece to COVID-19, and beyond?

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    Definitive antiviral properties are evidenced for niacin, i.e., nicotinic acid (NA), as coronavirus disease 2019 (COVID-19) therapy for both disease recovery and prevention, to the level that reversal or progression of its pathology follows as an intrinsic function of NA supply. This detailed investigation provides a thorough disentanglement of how the downstream inflammatory propagation of ensuing severe acute respiratory virus 2 (SARS-CoV-2) infection is entirely prohibited or reversed upstream out the body to expeditiously restore health with well-tolerated dynamic supplementation of sufficient NA (i.e., ~1-3 grams per day). Culmination of this research leads to realization of the potentially ubiquitous therapeutic and preventive powers of NA against inflammatory disease, in general

    Temperature and Concentration Traces of Spray Flows During Motion in a Flame

    Get PDF
    Heat and mass transfer models are developed on the base of experimental data and using Ansys Fluent software. These models allow prediction of the temperature and concentration traces of droplets. Transfer mechanisms of water droplets from different flames of flammable liquid (ethanol, kerosene И benzine) with temperature gases 450–850 К are analyzed. The paper considers aerosol flows with droplets sizes of 0.04–0.4 mm and concentration of 3.8·10-5 –10.3·10-5 m3 of droplets/m3 of gas. The maximum gas temperature reduction in the trace of a moving liquid is ranged from 850 K to 600 K. The times of keeping the low temperature of the gas-vapor mixture in the droplets trace are from 13 s to 25 s relative to the initial gas temperature

    Temperature and Concentration Traces of Spray Flows During Motion in a Flame

    No full text
    Heat and mass transfer models are developed on the base of experimental data and using Ansys Fluent software. These models allow prediction of the temperature and concentration traces of droplets. Transfer mechanisms of water droplets from different flames of flammable liquid (ethanol, kerosene И benzine) with temperature gases 450–850 К are analyzed. The paper considers aerosol flows with droplets sizes of 0.04–0.4 mm and concentration of 3.8·10-5 –10.3·10-5 m3 of droplets/m3 of gas. The maximum gas temperature reduction in the trace of a moving liquid is ranged from 850 K to 600 K. The times of keeping the low temperature of the gas-vapor mixture in the droplets trace are from 13 s to 25 s relative to the initial gas temperature

    Prevalence and predictors of major depression in HIV-infected patients on antiretroviral therapy in Bamenda, a semi-urban center in Cameroon.

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    Recent blue-ribbon panel reports have concluded that HIV treatment programs in less wealthy countries must integrate mental health identification and treatment into normal HIV clinical care and that research on mental health and HIV in these settings should be a high priority. We assessed the epidemiology of depression in HIV patients on antiretroviral therapy in a small urban setting in Cameroon by administering a structured interview for depression to 400 patients consecutively attending the Bamenda Regional Hospital AIDS Treatment Center. One in five participants met lifetime criteria for MDD, and 7% had MDD within the prior year. Only 33% had ever spoken with a health professional about depression, and 12% reported ever having received depression treatment that was helpful or effective. Over 2/3 with past-year MDD had severe or very severe episodes. The number of prior depressive episodes and the number of HIV symptoms were the strongest predictors of past-year MDD. The prevalence of MDD in Cameroon is as high as that of other HIV-associated conditions, such as tuberculosis and Hepatitis B virus, whose care is incorporated into World Health Organization guidelines. The management of depression needs to be incorporated in HIV-care guidelines in Cameroon and other similar settings
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