High frequency of Fredrickson's phenotypes IV and IIb in Brazilians infected by human immunodeficiency virus

BACKGROUND: Human immunodeficiency virus (HIV) infection is very prevalent in Brazil. HIV therapy has been recently associated with coronary heart disease (CHD). Dyslipidemia is a major risk factor for CHD that is frequently described in HIV positive patients, but very few studies have been conducted in Brazilian patients evaluating their lipid profiles. METHODS: In the present work, we evaluated the frequency and severity of dyslipidemia in 257 Brazilian HIV positive patients. Two hundred and thirty-eight (93%) were submitted to antiretroviral therapy (224 treated with protease inhibitors plus nucleoside reverse transcriptase inhibitors, 14 treated only with the latter, 12 naive and 7 had no records of treatment). The average time on drug treatment with antiretroviral therapy was 20 months. None of the patients was under lipid lowering drugs. Cholesterol, triglyceride, phospholipid and free fatty acids were determined by enzymatic colorimetric methods. Lipoprotein profile was estimated by the Friedewald formula and Fredrickson's phenotyping was obtained by serum electrophoresis on agarose. Apolipoprotein B and AI and lipoprotein "a" were measured by nephelometry. RESULTS: The Fredrickson phenotypes were: type IIb (51%), IV (41%), IIa (7%). In addition one patient was type III and another type V. Thirty-three percent of all HIV+ patients presented serum cholesterol levels ≥ 200 mg/dL, 61% LDL-cholesterol ≥ 100 mg/dL, 65% HDL-cholesterol below 40 mg/dL, 46% triglycerides ≥ 150 mg/dL and 10% have all these parameters above the limits. Eighty-six percent of patients had cholesterol/HDL-cholesterol ratio ≥ 3.5, 22% increased lipoprotein "a", 79% increased free fatty acids and 9% increased phospholipids. The treatment with protease inhibitors plus nucleoside reverse transcriptase inhibitors increased the levels of cholesterol and triglycerides in these patients when compared with naïve patients. The HDL-cholesterol (p = 0.01) and apolipoprotein A1 (p = 0.02) levels were inversely correlated with the time of protease inhibitor therapy while total cholesterol levels had a trend to correlate with antiretroviral therapy (p = 0.09). CONCLUSION: The highly varied and prevalent types of dyslipidemia found in Brazilian HIV positive patients on antiretroviral therapies indicate the urgent need for their early diagnosis, the identification of the risk factors for CHD and, when needed, the prompt intervention on their lifestyle and/or with drug treatment

Transition from high- to low-NOx control of night-time oxidation in the southeastern US

The influence of nitrogen oxides (NOx) on daytime atmospheric oxidation cycles is well known, with clearly defined high- and low-NOx regimes. During the day, oxidation reactions—which contribute to the formation of secondary pollutants such as ozone—are proportional to NOx at low levels, and inversely proportional to NOx at high levels. Night-time oxidation of volatile organic compounds also influences secondary pollutants but lacks a similar clear definition of high- and low-NOx regimes, even though such regimes exist. Decreases in anthropogenic NOx emissions in the US and Europe coincided with increases in Asia over the last 10 to 20 years, and have altered both daytime and nocturnal oxidation cycles. Here we present measurements of chemical species in the lower atmosphere from day- and night-time research flights over the southeast US in 1999 and 2013, supplemented by atmospheric chemistry simulations. We find that night-time oxidation of biogenic volatile organic compounds (BVOC) is NOx-limited when the ratio of NOx to BVOC is below approximately 0.5, and becomes independent of NOx at higher ratios. The night-time ratio of NOx to BVOC in 2013 averaged 0.6 aloft. We suggest that night-time oxidation in the southeast US is in transition between NOx-dominated and ozone-dominated

Solidification Studies of Mg–Al Binary Alloys

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Nighttime chemistry at a high altitude site above Hong Kong

202211 bckwVersion of RecordRGCOthersHong Kong Environmental Protection Department; Hong Kong Polytechnic UniversityPublishe

Observations of nitryl chloride and modeling its source and effect on ozone in the planetary boundary layer of southern China

202211 bckwVersion of RecordRGCPublishe

The primary and recycling sources of OH during the NACHTT-2011 campaign: HONO as an important OH primary source in the wintertime

We present OH observations from Nitrogen, Aerosol Composition, and Halogens on a Tall Tower 2011 (NACHTT-11) held at the Boulder Atmospheric Observatory in Weld County, Colorado. Average OH levels at noon were ~ 2.7 × 106 molecules cm-3 at 2 m above ground level. Nitrous acid (HONO) photolysis was the dominant OH source (80.4%) during this campaign, while alkene ozonolysis (4.9%) and ozone photolysis (14.7%) were smaller contributions to OH production. To evaluate recycling sources of OH from HO2 and RO2, an observationally constrained University of Washington Chemical Mechanism (UWCM) box model (version 2.1) was employed to simulate ambient OH levels over several scenarios. For the base run, not constrained by observed HONO, the model significantly underestimated OH by a factor of 5.3 in the morning (9:00–11:00) and by a factor of 3.2 in the afternoon (13:00–15:00). The results suggest that known chemistry cannot constrain HONO and, subsequently, OH during the observational period. When HONO is constrained in the model by observations (< 50 m), the discrepancy between observation and model simulation improves to a factor of 1.3 in the morning and a factor 1.1 in the afternoon, within the 35% estimated instrumental uncertainty. However, the model produces both a morning and afternoon maximum in OH, in contrast to the observations, which show strong evidence for morning OH production but no distinct morning maximum. Two additional OH sources were also considered, although they do not improve the differences in modeled and measured temporal OH profiles. First, the impact of daytime HONO gradients near the ground surface (< 20 m) was evaluated. Strong HONO gradients were observed between 06:00 and 09:00 MST (mountain standard time), especially within 20 m of the surface. When constrained to HONO observed below 20 m (rather than 50 m), the model produced an even larger morning OH maximum, in contrast to the observations. Second, Cl atoms from ClNO2 photolysis producing RO2 from reaction with alkanes, while significant, produced steady state Cl atom levels (~ 103 atoms cm3) that were too low to significantly perturb measured OH through reactions of organic peroxy radicals produced from Cl reactions with volatile organic compounds

Understanding the role of the ground surface in HONO vertical structure: High resolution vertical profiles during NACHTT-11

A negative-ion proton-transfer chemical ionization mass spectrometer was deployed on a mobile tower-mounted platform during Nitrogen, Aerosol Composition, and Halogens on a Tall Tower (NACHTT) to measure nitrous acid (HONO) in the winter of 2011. High resolution vertical profiles revealed (i) HONO gradients in nocturnal boundary layers, (ii) ground surface dominates HONO production by heterogeneous uptake of NO2, (iii) significant quantities of HONO may be deposited to the ground surface at night, (iv) daytime gradients indicative of ground HONO production or emission, and (v) an estimated surface HONO reservoir comparable or larger than integrated daytime HONO surface production. Nocturnal integrated column observations of HONO and NO2 allowed direct evaluation of nocturnal ground surface uptake coefficients for these species (γNO2, surf = 2 × 10 -6 to 1.6 × 10-5 and γHONO, surf = 2 × 10-5 to 2 × 10-4). A chemical model showed that the unknown source of HONO was highest in the morning, 4 × 10 6 molecules cm-3 s-1 (600 pptv h-1), declined throughout the day, and minimized near 1 × 106 molecules cm-3 s-1 (165 pptv h-1). The quantity of surface-deposited HONO was also modeled, showing that HONO deposited to the surface at night was at least 25%, and likely in excess of 100%, of the calculated unknown daytime HONO source. These results suggest that if nocturnally deposited HONO forms a conservative surface reservoir, which can be released the following day, a significant fraction of the daytime HONO source can be explained for the NACHTT observations. Key Points HONO vertical gradients form on nights with stable nocturnal boundary layersNocturnal HONO production consistent with ground surface area dominanceSurface deposition of HONO may be a reservoir for the unknown daytime source ©2013. American Geophysical Union. All Rights Reserved