Initial Time Research Articles

Humanistic burden of mucopolysaccharidoses: a systematic literature review

Objective To systematically review the literature and summarize the health-related quality-of-life (HRQoL) of patients undergoing treatment for mucopolysaccharidoses (MPS), a rare, hereditary lysosomal storage disorder. Methods A systematic review was performed in accordance with PRISMA guidelines to identify research studies that describe the humanistic burden of MPS. A comprehensive literature search was conducted in EMBASE, MEDLINE, and eligible conferences were screened to include applicable abstracts. Results Of 870 identified articles, 15 studies reported the HRQoL burden of patients with MPS undergoing or with a history of ERT and/or HSCT. These studies include patients of MPS I (n = 2), MPS II (n = 4), MPS IV (n = 6), MPS VI (n = 1), and subtype not mentioned (n = 2). Although the quality-of-life of MPS patients is influenced by time of diagnosis, pain, cognitive involvement, severity of disease, mobility, dependence, and time of treatment initiation, the HRQoL scores of MPS patients across all the scales were below the median reference population scores across all dimensions. This is seen in comparison to healthy participants but also in comparison to patients with other chronic illnesses. The multi-organ involvement, neurological impairment, pain, and morbidity associated with the condition not only affects activity of daily living but also affects social functioning, emotional status, employment status among adults, and school functioning among children. Conclusions This systematic literature review revealed the substantial humanistic burden of individuals affected by MPS as well as caregivers. Significant variation in HRQoL scores was observed, however studies indicate that the quality-of-life of MPS patients is influenced primarily by severity of disease (MPS type and phenotype), and then by time of diagnosis, pain, cognitive involvement, mobility, dependence, and time of treatment initiation. Further studies are needed to assess the global humanistic burden of MPS, particularly in MPS III, VI, VII, and IX subtypes, in adults, and for a longer follow-up period. Considering the vast array of HRQoL assessment tools available and used in this study, researchers should also consider using scales with condition-specific measures to ensure appropriate estimates of effectiveness.

Utilizing the Adsorbability of Pseudoboehmite for Tailoring the Stability of an Aluminum Sulfate Alkali-free Accelerator for Shotcrete.

Shotcrete is widely used in tunnels, bridges, culverts, and other large-scale projects. The accelerator is an additive employed to expedite the setting time of shotcrete. Previous research primarily concentrated on enhancing the early strength of accelerators, whereas their long-term stability has been inadequately investigated. In this study, pseudoboehmite (PB) and amorphous aluminum hydroxide (AAH) were incorporated into the accelerator to enhance its stability over a period of 90 days without any signs of crystallization or delamination. Furthermore, the accelerator exhibited an initial setting time of 170 s, a final setting time of 550 s, and a compressive strength of 11.58 MPa after 1 day. The mechanism of effects was studied by isothermal calorimetry, FTIR, XRD, TG-DTG, and SEM analysis. The enhancement in stability is attributed to the distinctive adsorption and thixotropic properties of PB, which facilitate the formation of an electrical double-layer structure in acidic solutions. The expedited setting and hardening are primarily due to the equilibrium between Al3+, SO42-, and Ca2+ ions, which accelerates the hydration process of cement. This research offers a methodology for developing a high-performance, alkali-free liquid accelerator.

Functional and multi-omics signatures of mitapivat efficacy upon activation of pyruvate kinase in red blood cells from patients with sickle cell disease.

Mitapivat, a pyruvate kinase activator, shows great potential as a sickle cell disease (SCD)-modifying therapy. The safety and efficacy of mitapivat as a long-term maintenance therapy are currently being evaluated in two open-label studies. Here we applied a comprehensive multi-omics approach to investigate the impact of activating pyruvate kinase on red blood cells (RBC) from 15 SCD patients. HbSS patients were enrolled in one of the open-label, extended studies (NCT04610866). Leukodepleted RBC obtained from fresh whole blood at baseline, prior to drug initiation, and at longitudinal timepoints over the course of the study were processed for multi-omics through a stepwise extraction of metabolites, lipids and proteins. Mitapivat therapy had significant effects on the metabolome, lipidome and proteome of SCD RBC. Mitapivat decreased 2,3-diphosphoglycerate levels, increased adenosine triphosphate levels, and improved hematologic and sickling parameters in patients with SCD. Agreement between omics measurements and clinical measurements confirmed the specificity of mitapivat on targeting late glycolysis, with glycolytic metabolites ranking as the top correlates to parameters of hemoglobin S oxygen affinity (p50) and sickling kinetics (t50) during treatment. Mitapivat markedly reduced levels of proteins of mitochondrial origin within 2 weeks of initiation of treatment, with minimal changes in reticulocyte counts. In the first 6 months of treatment there were also transient elevations of lysophosphatidylcholines and oxylipins with depletion of free fatty acids, suggestive of an effect on membrane lipid remodeling. Multi-omics analysis of RBC identified benefits for glycolysis, as well as activation of the Lands cycle.

Amino-Functionalized Lotus Stem Hydrochar for Rapid Adsorption and In Situ Detoxification of Cr(VI) from Water.

The development of low-cost, efficient, and environmentally friendly adsorbents is the key to highly toxic hexavalent chromium [Cr(VI)] removal by adsorption. In this paper, amino-functionalized lotus stem hydrochar (ALSHC) was prepared from an agricultural waste lotus stem (LS) for the adsorption removal of Cr(VI) from water. The effects of the initial Cr(VI) concentration, contact time, temperature, coexisting anions, and reusability of ALSHC on Cr(VI) removal were examined in detail. The adsorption mechanism was further discussed by investigating the impact of the solution's initial pH, the relation between the pH change in solution and Cr(VI) removal during the process, the changes of chromium (Cr) species in solution and on ALSHC during adsorption, and the XPS characterization. The results demonstrated that ALSHC effectively removed Cr(VI) from water with rapid adsorption (the removal rate reached 80.90% in only 10 min) and in situ detoxification. Most importantly, ALSHC still had better adsorption performance (adsorption capacity of 30.95 mg g-1) than commercially activated carbon, even at pH = 9.00. The adsorption of Cr(VI) by ALSHC accorded with the pseudo-second-order kinetic model and Langmuir isotherm model, indicating a monolayer chemisorption process. The adsorption process was shown to be spontaneous and endothermic based on the thermodynamic characteristics (ΔG0 < 0, ΔH0 > 0, and ΔS0 > 0). The mechanism of Cr(VI) removal was mainly composed of three parts in sequence: Firstly, Cr(VI) in solution was quickly adsorbed onto ALSHC with protonated -NH2 through electrostatic attraction; subsequently, the adsorbed Cr(VI) on ALSHC was mostly detoxicated by in situ reduction; and finally, the reduced Cr(III) and the remaining Cr(VI) were fixed on the ALSHC surface by complexation. The prepared ALSHC displayed a certain superiority in Cr(VI) adsorption and had the prospect of further development.

Rainfall Runoff and Nitrogen Loss Characteristics on the Miyun Reservoir Slope

Rainfall intensity and slope gradient are the main drivers of slope surface runoff and nitrogen loss. To explore the distribution of rainfall runoff and nitrogen loss on the Miyun Reservoir slopes, we used artificial indoor simulated rainfall experiments to determine the distribution characteristics and nitrogen migration paths of surface and subsurface runoff under different rainfall intensities and slope gradients. The initial runoff generation time of subsurface runoff lagged that of surface runoff, and the lag time under different rainfall intensity and slope conditions ranges from 3.97 to 12.62 min. Surface runoff rate increased with increasing rainfall intensity and slope gradient; compared with a rainfall intensity of 40 mm/h, at a slope of 15°, average surface runoff rate at 60 and 80 mm/h increased by 2.38 and 3.60 times, respectively. Meanwhile, the subsurface runoff rate trended upwards with increasing rainfall intensity, in the order 5 &gt; 15 &gt; 10°. It initially increased and then decreased with increasing slope gradient, in the order 5 &gt; 10 &gt; 15°. Total nitrogen (TN) loss concentration of surface runoff shows a decrease followed by a stabilization trend; the concentration of TN loss decreases with decreasing rainfall intensity, and the stabilization time becomes earlier and is most obvious in 5° slope conditions. TN loss concentration in subsurface runoff decreased with increasing rainfall intensity, i.e., 40 &gt; 60 &gt; 80 mm/h. The surface runoff rainfall coefficient was mainly affected by rainfall intensity, a correlation between αs and slope gradients S was not obvious, and the fitting effect was poor. The subsurface runoff rainfall coefficient was mainly affected by slope gradient, the R2 of all rainfall intensities was &lt;0.60, and the fitting effect was poor. The main runoff loss pathway from the Miyun Reservoir slopes was surface runoff, which was more than 62.57%. At the same time, nitrogen loss was subsurface runoff, more than 51.14%. The proportion of surface runoff to total runoff increases with the increase of rainfall intensity and slope, with a minimum of 62.57%, and the proportion of nitrogen loss from subsurface runoff also decreases with increasing rainfall intensity but does not change with slope gradient. The order of different runoff modulus types was mixed runoff (surface and subsurface runoff occur simultaneously) &gt; surface runoff &gt; subsurface runoff. The surface and mixed runoff modulus increased significantly with increasing rain intensity under different rain intensities and slope gradients. Overall, rainfall intensity significantly affected slope surface runoff, and slope gradient significantly affected nitrogen loss.

OPTIMIZATION ISSUES OF OIL-CONTAMINATED SITE BIOTECHNOLOGICAL CLEANING

The well-known two-factor regression model of the dependence of the rate of oil degradation in soil on factors such as the initial oil concentration and exposure time is analyzed. The functional relationship between these two factors is considered. Two optimization problems have been compiled to calculate the maximum value of the integral estimate of the rate of oil degradation on a variety of contaminated land plots. According to the solution of the first optimization problem, the maximum of this indicator is achieved in the presence of a linear increasing dependence of the initial concentration on the exposure time. The solution to the second problem showed the possibility of some displacement of the solution to the first problem along the ordinate.

Preparation of tofacitinib sustained-release tablets using hot melt extrusion technology

This study aimed to develop a tablet that shows a drug release profile similar to the tofacitinib sustained-release tablet (Xeljanz XR®; OROS™) using hot melt extrusion technology. Tofacitinib citrate was selected as the drug. HPMCAS, HPMCP, and Kollidon VA64 were used as thermoplastic polymers to prepare a hot-melt extrudate. The extrudate was obtained from a twin screw extruder and pelletizer. The granules were compressed using a single punch press machine and then coated. TGA, DSC, XRD, FT-IR, and SEM were performed on the hot melt extrudate to understand its physicochemical properties. Dissolution tests were performed using the paddle method (USP Apparatus II). The results showed that the crystallinity state of tofacitinib changed to amorphous after the hot melt extrusion process; however, no chemical change was observed. The drug release profile was similar to that of Xeljanz XR®, which has an initial lag time owing to its OROS™ formulation; a coating process was performed to obtain a similar drug release profile. The lag time was controlled by adjusting the thickness of the coating layer. Moreover, the extrudate size and compression force during tableting did not significantly affect drug release. In conclusion, the new tofacitinib sustained-release tablet prepared using hot melt extrusion showed a drug release behavior similar to that of Xeljanz XR®.

Quantification of surgical workflow during robotic proctectomy.

Surgical workflow assessments offer insight regarding procedure variability. We utilised an objective method to evaluate workflow during robotic proctectomy (RP). We annotated 31 RPs and used Spearman's correlation to measure the correlation of step time and step visit frequency with console time (CT) and total operative time (TOT). Strong correlations were seen with CT and step times for inferior mesenteric vein dissection and ligation (ρ=0.60, ρ=0.60), lateral-to-medial splenic flexure mobilisation (SFM) (ρ=0.63), left rectal dissection (ρ=0.64) and mesorectal division (ρ=0.71). CT correlated strongly with medial-to-lateral (ρ=0.75) and supracolic SFM visit frequency (ρ=0.65). TOT correlated strongly with initial exposure time (ρ=0.60), and medial-to-lateral (ρ=0.67) and supracolic SFM visit frequency (ρ=0.65). This study correlates surgical steps with CT and TOT through standardised annotation, providing an objective approach to quantify workflow.

A normalized parameter for comparison of biofilm dispersants in vitro

Dispersal of infectious biofilms increases bacterial concentrations in blood. To prevent sepsis, the strength of a dispersant should be limited to allow the immune system to remove dispersed bacteria from blood, preferably without antibiotic administration. Biofilm bacteria are held together by extracellular polymeric substances that can be degraded by dispersants. Currently, comparison of the strength of dispersants is not possible by lack of a suitable comparison parameter. Here, a biofilm dispersal parameter is proposed that accounts for differences in initial biofilm properties, dispersant concentration and exposure time by using PBS as a control and normalizing outcomes with respect to concentration and time. The parameter yielded near-identical values based on dispersant-induced reductions in biomass or biofilm colony-forming-units and appeared strain-dependent across pathogens. The parameter as proposed is largely independent of experimental methods and conditions and suitable for comparing different dispersants with respect to different causative strains in particular types of infection.

Prevalence of Late Antenatal Booking and its Complications at Hayatabad Medical Complex

Background: Timely initiation of prenatal care is pivotal for maternal and fetal health, facilitating the early detection and management of potential pregnancy-related complications. Despite the known benefits, late antenatal booking remains a significant challenge, potentially leading to adverse pregnancy outcomes. This study investigates the prevalence of late antenatal booking and its associated complications, contributing to a broader understanding of its determinants and impacts. Objective: To explore the prevalence of late antenatal booking among pregnant women attending Hayatabad Medical Complex, Peshawar, and to identify the associated complications and factors contributing to late booking. Methods: This descriptive research study was conducted from August 2021 to July 2023, involving 1920 pregnant women aged 18 years and above, receiving antenatal care at the Gynaecology &amp; Obstetric Department of Hayatabad Medical Complex, Peshawar. Participants were selected through systematic sampling. Data were collected using structured questionnaires covering demographic information, medical history, timing of antenatal care initiation, reasons for late booking, and awareness of potential complications. Late antenatal booking was defined as the initiation of care beyond 24 weeks of gestation. Statistical analysis was performed using SPSS version 25.0, employing descriptive statistics, Chi-squared tests, or Fisher's exact tests, with statistical significance set at p ≤ 0.05. Results: The study found a late antenatal booking prevalence of 16.67%. Preterm birth occurred in 26% of cases with late booking, and low birth weight was observed in 15.9% of infants born to these women. The highest rate of late booking was among women aged 36+ (25%) and those with higher education (22.1%). Major barriers to timely antenatal care included a lack of awareness (42.5%), financial constraints (31.2%), and fear of healthcare facilities (20.9%). Conditions such as maternal anemia and hypertension were more prevalent among women with late bookings, at rates of 12.5% for hypertension and significant incidences of placental abruption and intrauterine death. Conclusion: Late antenatal booking is associated with significant adverse pregnancy outcomes, highlighting the need for targeted public health campaigns and healthcare system improvements to promote early and regular antenatal care access. Addressing educational, economic, and perceptual barriers is essential for improving prenatal care utilization.

Magnesium-calcium thin films at low calcium concentrations for anode materials in biodegradable implantable primary batteries

A Mg–Ca thin film combinatorial library was produced by thermal co-evaporation targeting a compositional spread of Ca from 0.2 to 3 at.%. Microstructure characterizations proved all alloys to have single-phase microstructures, displaying a gradual refinement with increasing Ca concentration. Electrochemical characterizations conducted using scanning droplet cell microscopy (SDCM), showed that the incorporation of Ca resulted in an improvement of the corrosion resistance of Mg thin films. The Mg-1.2 at.% Ca thin film alloy screened from the library showed an optimal initial cell potential and total discharge time.

In situ synthesis of novel trans‐1, 4‐polyisoprene/isotactic polybutene reactor blends with multi‐component structure

AbstractIn this paper, a series of novel trans‐1, 4‐polyisoprene/isotactic polybutene (TPI/iPB) in‐reactor blends were synthesized by isoprene and butene sequential two‐stage polymerization technology with spherical TiCl4/MgCl2 type Ziegler‐Natta catalyst. The components, structures, and properties of the as‐obtained TPI/iPB reactor blends were characterized by gel permeation chromatography, Fourier transform Infrared spectroscopy, and differential scanning calorimetry. The active trans‐1, 4‐polyisoprene (TPI) particles obtained in the initial isoprene polymerization by the Z‐N catalyst can be acted as microreactors to initiate butene polymerization subsequently. The TPI/iPB reactor blends with varied components were in situ synthesized within the reactor. The preparative‐temperature rising elution fractionation (p‐TREF) technique was used to fractionate the TPI/iPB reactor blends based on the elution temperature ranged from −40°C to 90°C. The weight distribution and microstructure of each fraction were investigated. The reactor blends are composed of crystallizable high trans‐1, 4‐uint polyisoprene obtained from the first‐stage isoprene polymerization, high isotactic polybutene obtained from the second‐stage butene polymerization and TPI‐b‐iPB block copolymer with different sequence structure obtained from the initial time of the second stage. This work is expected to propose the possible polymerizations of a‐olefins and conjugated dienes by using heterogeneous Ziegler‐Natta catalyst and provide a kind of novel rubber/plastic reactor blend materials.Highlights The first synthesis of the trans‐1, 4‐polyisoprene/isotactic polybutene reactor blends. p‐TREF technique was used to analyze the composition of TPI/iPB reactor blends. Detailed structure characterization of the fractions including GPC and NMR TPI‐b‐iPB block copolymer can be obtained through the sequential polymerization. Rubber/plastic reactor blend materials were fabricated by the Z‐N catalyst.

Eco-friendly 3D Printing Mortar with Low Cement Content: Investigation on Printability and Mechanical Properties

The conventional approach to achieving optimal printability and buildability in 3D printing mortar relies heavily on cement, which is both costly and environmentally detrimental due to substantial carbon emissions from its production. This study aims to mitigate these issues by investigating the viability of slag as a partial substitute for cement, with the goal of developing an eco-friendly alternative. The newly formulated mortar, featuring a 30% reduction in cement content (from 830 to 581 kg/m3) and the inclusion of 0.10% micro-fibers, exhibits properties comparable to conventional 3D printing mortar. The research is structured into two parts: Part 1 focuses on determining the optimal fiber content, while Part 2 delves into the investigation of fiber-reinforced mortar with reduced cement content for 3D printing. Criteria were established to ensure mortar flow at 115%, initial printable time below 60 minutes, and 7-day compressive strength exceeding 28 MPa. Part 1 results indicate that a fiber content of 0.1% by volume meets the specified requirements. In Part 2, it was observed that increasing the slag replacement percentage extended the initial printable time and time gap. However, even at a 30% replacement rate, the initial printable time remained within the acceptable range, partially attributed to the presence of fibers in the mix. Additionally, higher slag content led to increased flow and reduced filament height in the mixes. Notably, all formulations surpassed the 7-day compressive strength threshold. These findings underscore the potential of slag as a sustainable alternative to cement in 3D printing fiber-reinforced mortar, offering promising prospects for environmentally friendly construction practices. Doi: 10.28991/CEJ-2024-010-03-010 Full Text: PDF

Antenatal Care Practices: A Population-Based Multicenter Study from Saudi Arabia.

Antenatal care (ANC) is the care women receive during pregnancy before birth and represents a cornerstone of maternal and child health. Previously, Saudi women faced various barriers to practicing ANC, including challenges related to transportation, low maternal education, poor communication with healthcare centers, and incorrect maternal beliefs. In line with Saudi Vision 2030, this multicenter cross-sectional study aimed to investigate the timing of ANC contact, coverage of service utilization in public hospitals among Saudi mothers, sociodemographic factors and antenatal health care utilization, and beliefs about prenatal vitamins, and supplement use among pregnant Saudi women. Data was collected from 1230 pregnant women across 11 Ministry of Health (MOH) facilities. The study assessed the timing of ANC initiation, beliefs about prenatal vitamins, and the use of folic acid, calcium, and iron during pregnancy. Chi-square tests were employed to analyze associations between variables. The findings revealed that 14.55% of participants initiated ANC within the first 8 weeks of pregnancy, with 85.44% starting later. However, the majority 88.78% received prenatal care during pregnancy, regardless of the timing of ANC initiation. Beliefs about prenatal vitamins varied, with 20.08% agreeing that prenatal vitamins were only indicated for malnourished mothers, 72.35% disagreeing, and 7.56% uncertain. Moreover, 51.30% believed ANC should begin before pregnancy, 29.83% after pregnancy confirmation, and 13.57% during the first trimester, with no significant correlation between beliefs and ANC timing. Regarding prenatal care, 95.20% would recommend starting prenatal care with every pregnancy, regardless of the timing of their own ANC initiation. This study offers a comprehensive analysis of factors impacting late ANC contact and inadequate ANC contacts among pregnant Saudi women. These findings contribute to the broader understanding of ANC practices among Saudi women and underscore the importance of considering various determinants for tailored interventions and health education programs.

Prevalence and Factors Associated With Patient-Clinician Discordance Among Patients With Rheumatoid Arthritis Initiating Advanced Therapy.

To describe and identify associated factors for patient-clinician discordance of disease assessment at biologic or Janus kinase inhibitor (JAKi) initiation and over 12 months following initiation in patients with rheumatoid arthritis (RA) from a US RA registry. Analyses included CorEvitas RA Registry patients who initiated their first biologic or JAKi on or after February 1, 2015, and had 6- and 12-month follow-up visits. Positive discordance was defined as patient global assessment (visual analog scale [VAS-100]) minus physician's global assessment (VAS-100) equal to 30 points or more. Persistent discordance was defined as positive discordance at all three visits. Mixed-effects logistic regression was used to determine risk factors for positive discordance at initiation and for persistent discordance. Among 2227 first-time biologic/JAKi-initiating patients, 613 had both follow-up visits available and were included in initiation visit analyses, and of these, 163 had positive discordance at initiation and were included in persistent discordance analyses. About 30% of all patients had positive discordance at any visit, and one third of these (10% total) were persistent at all three visits. Multivariable analyses revealed that worse scores on the Clinical Disease Activity Index, greater patient-reported pain and fatigue, and greater functional impairment were associated with positive discordance at the time of therapy initiation. Being disabled versus working full-time and being female were associated with higher odds and having Medicare versus no insurance was associated with lower odds of having persistent positive discordance. Results suggest positive discordance is common among real-world patients with RA initiating their first biologic or JAKi. The identified risk factors associated with patient-clinician discordance will help clinicians foster a more patient-centric discussion in treatment decisions.

The Impact of Preoperative Weight Loss Timing on Surgical Outcomes in Total Hip Arthroplasty

BackgroundElevated body mass index (BMI) increases surgical complications post-total hip arthroplasty (THA). However, the effects of rapid weight loss pre-THA remain unclear. This study evaluated patients who had initial BMIs between 40 and 50, and then achieved a BMI under 35 at various intervals before their THA. Comparisons were made with consistent obese and nonobese groups to understand potential complications. MethodsUsing a national database, we categorized THA patients based on initial BMI and weight loss timing before the surgery. These were contrasted with those maintaining a steady BMI of 20 to 30 or 40 to 50. We monitored outcomes like periprosthetic joint infections (PJI), surgical site infections (SSI), and noninfectious revisions for 2 years postsurgery, incorporating demographic considerations. Statistical analyses utilized Chi-square tests for categorical outcomes and Student's t-tests for continuous variables. ResultsAmong patients who had a BMI of 45 to 50, weight loss 3 to 9 months presurgery increased PJI risks at 90 days (Odds Ratios [OR]: 2.15 to 5.22, P < .001). However, weight loss a year before the surgery lowered the PJI risk (OR: 0.14 to 0.27, P < .005). Constantly obese patients faced heightened PJI risks 1 to 2 years postsurgery (OR: 1.64 to 1.95, P < .015). Regarding SSI, risks increased with weight loss 3 to 9 months before surgery, but decreased when weight loss occurred a year earlier. In the BMI 40 to 45 group, weight loss 3 to 6 months presurgery showed higher PJI and SSI at 90 days (P < .001), with obese participants consistently at greater risk. ConclusionsWhile high BMI poses THA risks, weight loss timing plays a crucial role in postoperative complications. Weight loss closer to the surgery (0 to 9 months) can heighten risks, but shedding weight a year in advance seems beneficial. Conversely, initiating weight loss approximately a year before surgery offers potential protective effects against postoperative issues. This highlights the importance of strategic weight management guidance for patients considering THA, ensuring optimal surgical results and reducing potential adverse outcomes.

Crevice Corrosion Behavior of 201 Stainless Steel in NaCl Solutions with Different pH Values by In Situ Monitoring.

Crevice corrosion (CC) behavior of 201 stainless steel (SS) in 1 M NaCl + x M HCl/y M NaOH solutions with various pH was investigated using SECM and optical microscopic observations. Results show that the CC was initiated by the decrease in pH value within the crevice. The pH value near the crevice mouth falls rapidly to 1.38 in the first 2 h in the strongly acidic solution, while the pH value was observed to rise firstly and then decrease in the neutral and alkaline solutions. It indicates there is no incubation phase in the CC evolution of 201-SS in a pH = 2.00 solution, while an incubation phase was observed in pH = 7.00 and 11.00 solutions. Additionally, there appeared to be a radial pH variation within the gap over time. The pH value is the lowest at the gap mouth, which is in line with the in situ optical observation result that the severely corroded region is at the mouth of the gap. The decrease in pH value inside results in the negative shift of open circuit potential (OCP) and the initiation of CC of 201-SS. The increased anodic dissolution rate in the acidic solution accelerates the breakdown of passive film inside, reducing the initiation time and stimulating the spread of CC.

The timing of HIV-1 infection of cells that persist on therapy is not strongly influenced by replication competency or cellular tropism of the provirus.

People with HIV-1 (PWH) on antiretroviral therapy (ART) can maintain undetectable virus levels, but a small pool of infected cells persists. This pool is largely comprised of defective proviruses that may produce HIV-1 proteins but are incapable of making infectious virus, with only a fraction (~10%) of these cells harboring intact viral genomes, some of which produce infectious virus following ex vivo stimulation (i.e. inducible intact proviruses). A majority of the inducible proviruses that persist on ART are formed near the time of therapy initiation. Here we compared proviral DNA (assessed here as 3' half genomes amplified from total cellular DNA) and inducible replication competent viruses in the pool of infected cells that persists during ART to determine if the original infection of these cells occurred at comparable times prior to therapy initiation. Overall, the average percent of proviruses that formed late (i.e. around the time of ART initiation, 60%) did not differ from the average percent of replication competent inducible viruses that formed late (69%), and this was also true for proviral DNA that was hypermutated (57%). Further, there was no evidence that entry into the long-lived infected cell pool was impeded by the ability to use the CXCR4 coreceptor, nor was the formation of long-lived infected cells enhanced during primary infection, when viral loads are exceptionally high. We observed that infection of cells that transitioned to be long-lived was enhanced among people with a lower nadir CD4+ T cell count. Together these data suggest that the timing of infection of cells that become long-lived is impacted more by biological processes associated with immunodeficiency before ART than the replication competency and/or cellular tropism of the infecting virus or the intactness of the provirus. Further research is needed to determine the mechanistic link between immunodeficiency and the timing of infected cells transitioning to the long-lived pool, particularly whether this is due to differences in infected cell clearance, turnover rates and/or homeostatic proliferation before and after ART.

Effect of Micro and Nano Particles of Al&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;3&lt;/sub&gt; and SiO&lt;sub&gt;2&lt;/sub&gt; on Electrical Tree Inhibition in Epoxy Resin Insulator

Electrical tree is a topic that has been extensively studied in recent years. Electrical tree is considered a deterioration of the electrical insulator due to the high voltage field's distortion. Solid insulating materials used in high voltage applications, such as epoxy resin are widely employed due to their high dielectric strength and excellent mechanical properties. This research studies the effect of micro and nanoparticles of Al2O3 and SiO2 on electrical tree inhibition in epoxy resin insulators. Electrical tree inhibition is achieved by incorporating micro and nanoparticles into the polymer material, which possess different properties. Following ASTM D 3756-97, the experiment is conducted with a constant 22 kV voltage and frequency of 50 Hz. Both Al2O3 and SiO2 possess the ability to inhibit the growth of the electrical tree. Experimental results revealed that the addition of Al2O3 and SiO2 to the epoxy resin affected the formation of electric trees. As the quantity of filler increases, fewer electric trees are produced. Additionally, It has an effect on the initial formation time of electric trees. The initial time of the electric tree with the addition of micro/nano(1/3) Al2O3 additives at a ratio of 0.1 wt% was 3.5 times longer when compare with pure epoxy resin.

Highly efficient relay triggering circuit for fault detection during Power swings

This paper introduces a Discrete Wavelet Transform based very simple and fast acting algorithm with multi-resolution analysis to sense all types of faults in presence of power swings using current signal analyzation. The algorithm confirms very quick and efficient detection of various fault types in the first signal decomposition level of signal. The novelty of proposed algorithm lies in use of special type of Battle Lemarie mother wavelet having an advantage of perfect symmetry ensuring decomposition into B-Spline or same order polynomials capturing excellent speed and time-frequency localization of signal. The algorithm is tested for different fault parameters such as fault resistance, fault distance and time of initiation of faults considering EHV double circuit transmission line network and IEEE 9 Bus system developed in MATLAB environment. The proposed algorithm is capable of detecting all types of faults consistently within minimum time of 0.001 sec.