Prevalence of pulmonary tuberculosis and HIV infections and risk factors associated to tuberculosis in detained persons in Antananarivo, Madagascar

The incidence rate of tuberculosis in prisons is estimated to be 8 times greater than that in the general population in Madagascar. Our objectives were to estimate the prevalence of pulmonary tuberculosis and HIV infection among prisoners and to identify risk factors associated with tuberculosis. We conducted a cross-sectional study at the central prison of Antananarivo from March to July 2021. Individual male and female inmates aged ≥ 13 years who had lived in the prison for at least three months prior to the study period were included as participants. Acid-fast bacilli detection by microscopy and/or culture, an intradermal tuberculin test, a chest X-ray, and a rapid diagnostic orientation test for HIV were performed. Among 748 participants, 4 (0.5%) were confirmed to have pulmonary tuberculosis. Overall, 14 (1.9%) patients had “confirmed” or “probable” tuberculosis [0.90–2.84, 95% CI]. The proportion of participants with latent tuberculosis infection was 69.6% (517/743) based on a positive tuberculin test without clinical symptoms or radiography images indicating tuberculosis. Out of 745 HIV screening tests, three showed reactive results (0.4%). Age (OR = 4.4, 95% CI [1.4–14.0]) and prior tuberculosis treatment (or episodes) were found to be associated with confirmed and probable tuberculosis

Tensile basic creep versus compressive basic creep at early ages: comparison between normal strength concrete and a very high strength fibre reinforced concrete

The paper presents experimental results concerning the comparison of tensile and compressive basic creep behaviours at early ages of two different concretes: a normal strength concrete (NSC) and a very high strength fibre reinforced concrete (HPFRC). This research project has been done in the context of a bilateral collaboration between Polytechnique Montreal and IFSTTAR. Observations on the HPFRC showed specific compressive creep similar to the specific tensile creep. Moreover, the specific creep curves obtained under compressive and tensile loading had always positive values, i.e. they were in same direction of the applied load on specimens. Measurements made on the NSC revealed specific compressive creep with positive values (in the loading direction). However, specific tensile creep presented negative values (opposite direction of loading) for a long period. A physical explanation based on the existence of two mechanisms with opposite effect is proposed to describe these basic creep results. The first mechanism is a coupling between the microcracking process and the water transfers that lead to additional self-drying shrinkage; the second mechanism is the self-healing of concrete induced by the microcracking

Mechanical Properties

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