RESUMEN
Objective: To analyze the incidence and related factors of drug resistance in HIV-infected pregnant and postpartum women in some areas of three western provinces of China from 2017 to 2019. Methods: From April 2017 to April 2019, face-to-face questionnaires and blood sample testing were conducted in all health care institutions providing maternal and perinatal care and midwifery-assisted services in 7 prevention of mother-to-child transmissi project areas in Xinjiang, Yunnan and Guangxi provinces/autonomous regions. Information was collected during the perinatal period and viral load, CD4+T lymphocytes and drug resistance genes were detected at the same time. The multivariate logistic regression model was used to analyze the relationship between different factors and drug resistance in HIV-infected pregnant and postpartum women. Results: A total of 655 HIV-infected pregnant and postpartum women were included in this study. The incidence of drug resistance was 3.4% (22/655), all of whom were cross-drug resistant. The rate of low, moderate and high drug resistance was 2.1% (14/655), 1.2% (8/655) and 0.8% (5/655), respectively. The drug resistance rate in the people who had previously used antiviral drugs was 1.9% (8/418), and the drug resistance rate in the people who had not used drugs was 5.9% (14/237). The NNRTI drug resistance accounted for 2.8% (18/655) and the NRTI drug resistance rate was 2.5% (16/655). The multivariate logistic regression model showed that the risk of HIV resistance was lower in pregnant women who had previously used antiviral drugs (OR=0.32, 95%CI: 0.11-0.76). Conclusion: Strengthening the management of antiviral drug use and focusing on pregnant and postpartum women who have not previously used antiviral drugs can help reduce the occurrence of drug-resistant mutations. Personalized antiviral therapy should be considered to achieve viral inhibition effects in clinical practice.
Asunto(s)
Infecciones por VIH , Femenino , Humanos , Embarazo , Infecciones por VIH/tratamiento farmacológico , Incidencia , China/epidemiología , Transmisión Vertical de Enfermedad Infecciosa/prevención & control , Periodo Posparto , Farmacorresistencia Viral/genética , Antivirales/uso terapéuticoRESUMEN
Two lasing modes are observed for Sulforhodamine 640 in highly scattering media pumped by 3-ns 532-nm laser pulses. The stimulated-emission thresholds are found to depend on both concentration of laser dye and scattering particle density. At 2.5 x 10(-2) M dye solution with TiO(2) scattering nanoparticles from 5 x 10(9) cm(-3) to 10(11) cm(-3), the thresholds are found to decrease by more than 2 orders of magnitude. The dominating lasing modes are found to switch from 650 to 620 nm with the increase of density of scatterers.
RESUMEN
Laser action of Rhodamine 640 perchlorate in highly scattering media consisting of TiO(2) nanoparticles in methanol pumped by a 3-ns 532-nm laser pulse is observed by use of spectral and temporal measurements. The threshold for stimulated emission is dependent on the concentration of both laser dye and scattering particles. For a 2.5 x 10(-2) M dye concentration, the lasing threshold was found to be reduced by more than 2 orders of magnitude when the density of scattering particles was increased from 5 x 10(9) to 2.5 x 10(12) cm(-3). However, for a concentration of 5 x 10(-4) M of Rhodamine 640 the lasing threshold was higher in scattering media than for the methanol host. The pulse duration of stimulated emission for Rhodamine 640 perchlorate in these random systems is ~50 ps.
RESUMEN
"Shihu", a famous Chinese traditional drug, is used to replenish the vital essence of the lung and stomach, to clear up the excessive heat and to promote the secretion of the body fluid. The commercial crude drugs under the general name "Shihu" are mostly derived from a number of species of the genus Dendrobium. It is difficult to identify exactly the botanical origin of these crude drugs through macroscopical examination. In order to tackle this problem, the leaf sheathes of the stems of 16 species of the genus Dendrobium are examined microscopically and the characteristics of their epidermal cells and calcium oxalate crystals are compared. The diagnostic features found are proved to be useful for the identification of the botanical origin of commercial samples of the "Shihu". In this paper the microscopical characters of 16 Dendrobium species are described with illustration.