Mother-to-child transmission of HIV: a simulation-based approach for the evaluation of intervention strategies

Mother-to-child transmission (MTCT) of HIV is the most significant source of HIV infection in children below the age of 15 years. In 2000 alone, about 600 000 new infections occurred, the vast majority from mothers living in developing countries who were not aware of their HIV-positive status. To date, at least 4.3 million children have died from AIDS. In this paper, we discuss the development of an operational model that can be used to evaluate intervention options for the prevention of MTCT of HIV. The problem was approached by defining suitable pregnancy risk groups, prevention options and the required model outputs to evaluate different intervention strategies. The method chosen to approach the problem was a discrete-event, three-phase simulation, built in Visual Basic, with a stochastic semi-Markov structure. The developed model takes individual pregnant women through each stage of their pregnancy, labour and birth. Different intervention strategies may be modelled at any time, including short-course antiretroviral drugs and cessation of breastfeeding. The model is demonstrated with data from Botswana, which has one of the highest HIV-infection rates in the world.     

Preparation of Silica-Silk Fibroin-Polyurethane Composite Films via a Sol-Gel Route

A tetraethoxysilane (TEOS)-derived sol aged for 0 h–6 h at room temperature was mixed with a polyurethane (PU) matrix. A composite of silk fibroin (SF) powders and acrylamide (AAm) was dispersed in the sol-PU mixture and dried isothermally at temperatures between 25°C and 120°C to obtain composite films. Three competitive reactions take place, i.e., those between silica-silica, SF-PU and silica-organic phases, during formation of the composite films. These reactions determine the properties such as morphology and homogeneity of the composite films. IR absorption bands for amide groups (–CONH–), C=O (amide I, 1730 cm^–1) and N–H (amide II, 1530 cm^–1) become larger with decreasing aging time of TEOS-derived sol, or increasing drying temperature. DTA exothermic peak due to the thermal decomposition of SF-AAm composite, on the composite films prepared from the 0 h-aged sol or dried at more than 50°C, shifts toward higher temperature by 44 K or more than 63 K respectively, as compared to the SF-AAm composite. Shorter aging time of TEOS-derived sol and higher drying temperature increased the extent of dispersibility, among SF-AAm composite, PU and silica, to bring a composite film more homogeneous.     

High-affinity integration of hydroxyapatite nanoparticles with chemically modified silk fibroin

Hydroxyapatite (HA)-based nanocomposites were prepared by a co-precipitation method with silk fibroin (SF) serving as organic matrix. Silk fibroin was chemically modified with an alkali solution or an enzyme attempting to improve the interface between the mineral and the organic matrix. The influences of the alkali and enzyme pretreatments on microstructure and physicochemical properties of HA–SF composite were examined and compared. The results reveal that both the two kinds of pretreatments facilitate the formation of highly ordered three-dimensional porous network throughout the composites, increase the microhardness of the composite, and promote the preferential growth of HA crystallites along c-axis. Among all the as-prepared samples, the composite containing the enzyme pretreated SF shows desirable hierarchical microstructure with higher degree of organization and more uniform pore size distribution. Due to the enzyme pretreatment, HA crystallites undergo obvious changes in morphology from rod-like to␣whisker-like and in crystal growth towards more apparent epitaxy along c-axis. The alkali pretreatment induces the stronger chemical interactions between HA and SF and thus to strengthen the inorganic–organic interfacial adhesion. The newly developed HA–SF composites are expected to be attractive biomedical materials for bone repair and remodeling.     

The effects of the homogeneity of non-crystalline Pb---Ti---O gels on the complex thermal processes leading to PbTiO3 formation

The effects of the homogeneity of precursor non-crystalline Pb---Ti---O gels on their transformation to crystalline PbTiO₃ were studied. Hydrous gels were prepared via two different routes, i.e., (i) mixing two unitary sols (MS), and (ii) co-precipitation (CP). Mechanical pretreatment was also carried out, primarily for the purpose of homogenization. The local homogeneity was evaluated by elementary microanalysis using a transmission electron microscope. The process of ball-milling the MS gel for 3 h improved its homogeneity only slightly. However, the homogeneity of the ball-milled MS gel suddenly increased to that of the CP gel on subsequent heating to a temperature as low as 483 K. This type of thermal homogenization was not observed for the unground MS gel. The evaporation of lead monoxide on further heating to 1023 K was also suppressed by preliminary ball-milling. All these results suggest that the ionic migration and the formation of Pb---O---Ti bonds in the gels take place during the mechanical activation with the aid of OH groups.     

Preferential Alignment of Hydroxyapatite Crystallites in Nanocomposites with Chemically Disintegrated Silk Fibroin

Hydroxyapatite (HAp) nanocrystals were prepared at room temperature by a coprecipitation method from Ca(OH)₂ and H₃PO₄, in the presence of chemically disintegrated silk fibroin (SF). Adsorbed amounts of cations on SF and crystallinity of HAp in the composite were increased by the chemical disintegration of SF higher order structure. Preferential alignment of c-axis of HAp crystallites along the longitudinal direction of ca. 150nm SF fibril was observed. These changes due to disintegration of SF were discussed in terms of the chemical interaction between HAp and SF. The resulted composite with preferential alignment of HAp nanocrystals is a good candidate as a starting material for bone substitutes.     

Liberation of excess energy and retransformation of mechanically activated cadmium sulphide

On heating vibro-milled CdS containing the strained high-pressure rock salt phase, the excess energy was gradually liberated accompanied by the retransformation into more stable phases and the restoration of their crystallinity. Profiles of DSC curves, inter-relationships between thermal and crystallographical properties, the stability of each phase and the mechanism of the mechanochemical activation are discussed. A direct retransformation of the strained high-pressure phase was found to accompany the liberation of the excess energy.     

Solution of sparse quasi-square rectangular systems by Gaussian elimination

We present a general method for the linear least-squares solutionof overdetermined and underdetermined systems. The method isparticularly efficient when the coefficient matrix is quasi-square,that is when the number of rows and number of columns is almostthe same. The numerical methods for linear least-squares problemsand minimum-norm solutions do not generally take account ofthis special characteristic. The proposed method is based onLU factorization of the original quasi-square matrix A, assumingthat A has full rank. In the overdetermined case, the LU factorsare used to compute a basis for the null space of A^T. The right-handside vector b is then projected onto this subspace and the least-squaressolution is obtained from the solution of this reduced problem.In the case of underdetermined systems, the desired solutionis again obtained through the solution of a reduced system.The use of this method may lead to important savings in computationaltime for both dense and sparse matrices. It is also shown inthe paper that, even in cases where the matrices are quite small,sparse solvers perform better than dense solvers. Some practicalexamples that illustrate the use of the method are included.     

Chemical and Structural Properties of Drug–protein Nanocomposites Prepared by Pulsed Laser Deposition from Conjugated Targets

Nanostructured indomethacin (IM) – bovine serum albumin (BSA) composite particulates below 50 nm were obtained by pulsed laser deposition (PLD) with 1064 nm IR beam. IM and BSA powders were coground for up to 210 min to prepare conjugated targets for PLD with varying structural states. The ablation threshold was determined to be around 1.8 J/cm², from in situ monitoring of the deposited amount by a QCM sensor. The crystallinity of IM was preserved after PLD at 5 J/cm² and decreased with increasing the laser fluence. The non-crystalline state of IM in the target after prolonged cogrinding with BSA, was also preserved in the deposited film. FT-IR absorption bands due to amide I of BSA became sharper while preserving the peak top position after cogrinding with IM. Conversely, we observed broadening of the amide I bands by PLD. Preservation and change in the chemical and structural states of the conjugates after PLD is discussed in terms of the secondary structure of BSA and crystallinity of IM.