Viraemia and HIV-1 drug resistance mutations among patients receiving antiretroviral treatment in Mozambique.

This study was conducted among individuals taking first-line antiretroviral treatment (ART) for at least 12 months under programme conditions in Maputo, Mozambique in order to report on the level of detectable viraemia and the proportion and types of drug resistance mutations among those with detectable viral loads. HIV-1 RNA viral load levels (lower detection limit <50 copies/ml) were measured, and resistance mutations were sequenced. One hundred and forty-nine consecutive patients (69% females, median age 36 years) were included after a mean follow-up time of 23 months. One hundred and seven (72%; 95% CI 64-79) had undetectable viral load, while in 42 (28%, 95% CI 21-36) viral load was detectable (range 50-58884 copies/ml). From 15 patients with viral load >1000 copies/ml, 12 viruses were sequenced: eight were C subtypes and four were circulating recombinant forms (CRF08). Eight (5%; 95% CI 2-9) patients with detectable viral load had one or more major resistance mutations. Nucleoside reverse transcriptase inhibitor (NRTI) and non-NRTI mutations were observed. There were no major mutations for resistance to protease inhibitors. In Maputo, the level of detectable viraemia is reassuringly low. While embarking on ART scale-up, wider surveillance is warranted to monitor programme quality and limit the development of drug resistance, which remains a major potential challenge for the future of ART in Africa.

Various strategies to tune the ionic/electronic properties of electrode materials.

This Perspective highlights, through several snapshot examples, the importance of electrochemically-driven redox reactions in tuning the electronic/ionic as well as magnetic properties of 3d-metal-based inorganic compounds through a careful control of the metal oxidation state. Although such redox reactions usually imply the electron-ionic duality, they can be extended to insulating compounds (LiFePO(4)) or semiconductors (CoO) as long as we can combine electrochemistry at the nanoscale to reduce diffusion and migration limitations, and provide the compounds with electrons through metallic coating techniques. A thorough investigation of the composition-structure-property relationships of the Li(x)CoO(2) system, through the assembly of LiCoO(2)/Li electrochemical cells has led to the identification of the CoO(2) phase, whose property and stability are discussed in terms of cationic-anionic redox competition, thus bearing some similarity with the high T(c) cuprate superconductors. Such a d-sp redox competition could have structural and electronic consequences. Encouraged by the recently reported superconductivity in Na(x)CoO(2);yH(2)O phase, the room temperature Li(x)CuO(2) phase diagram was reinvestigated through Li-driven electrochemical reactions. A solid solution domain was unravelled but superconductivity was not evident. With Cu-based materials such as Cu(2.33)V(4)O(11), we have shown the feasibility of a new reversible Li electrochemically-driven copper extrusion/insertion process, owing to the enhanced copper diffusion within the structure.