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- Bakari, M, et al.
(author)
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The prevalence and pattern of skin diseases in relation to CD4 counts among HIV-infected police officers in Dar es Salaam
- 2003
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In: Tropical doctor. - : SAGE Publications. - 0049-4755 .- 1758-1133. ; 33:1, s. 44-48
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Journal article (peer-reviewed)abstract
- Among HIV-infected individuals, skin diseases cause significant morbidity and are frequently the initial indication of immunosuppression. From an on-going cohort study to determine prevalence and incidence of HIV infection among police officers (POs) and their suitability for HIV vaccine trials, a sub-study was carried out to determine the prevalence and pattern of skin diseases among HIV-infected POs and relate this to their immunodeficiency status. Consenting HIV-infected POs and their age and sex-matched HIV-negative officers were assessed for presence and type of skin diseases at their workplaces. A questionnaire was used for data collection. Immunodeficiency was measured by plasma CD4+ lymphocytes using flow cytometry. Between November 1998 and 31 December 2000, 716 POs were assessed. Overall HIV-1 prevalence was 17.7% (127/716). One hundred and ninety-one POs (26.7%) had at least one skin diagnosis. HIV-infected POs had significantly higher (41.7%) prevalence of skin diseases than HIV-uninfected POs (26.4%), P=0.002. Fungal infections were common in both HIV-infected and uninfected POs. Among the HIV infected, other common diseases were: Herpes zoster (11.8%); pruritic papular eruption (PPE) (7.1%); seborrheic dermatitis (5.5%); and Kaposi's sarcoma (KS) (1.6%). KS and PPE were associated with severe immunodeficiency, with mean absolute (percentage) CD4+ counts of 75.5 cells/μL (4.0%) and 71.7 cells/μL (4.8%), respectively. The values for herpes zoster and seborrheic dermatitis were 271.1 cells/μL (12.4%) and 206.3 cells/μL (11.3%), respectively. Skin diseases were common among HIV-infected POs. PPE and KS are markers of severe immunodeficiency due to HIV. PPE, herpes zoster and KS strongly suggest underlying HIV-related immunodeficiency and patients with these conditions should be counselled and tested for HIV.
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- Hellgren, N., et al.
(author)
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Effect of chemical sputtering on the growth and structural evolution of magnetron sputtered CNx thin films
- 2001
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In: Thin Solid Films. - 0040-6090 .- 1879-2731. ; 382:1-2, s. 146-152
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Journal article (peer-reviewed)abstract
- The growth and microstructure evolution of carbon nitride CNx (0=x=0.35) films, deposited by reactive d.c. magnetron sputtering in Ar/N2 discharges has been studied. The substrate temperature TS varied between 100 and 550 °C, and the N2 fraction in the discharge gas varied from 0 to 100%. It is found that the deposition rate and film morphology show strong dependence on TS and nitrogen fraction. For growth temperature of 100 °C, the films are amorphous, and essentially unaffected by the nitrogen fraction. For TS>200 °C, however, the nitrogen fraction has more significant effect on the growth and structural evolution of the films. The pure carbon films appear porous and have a high surface roughness. For increasing nitrogen fraction the films become denser and the roughness decreases by one order of magnitude. It is suggested that a chemical sputtering process, during which desorption of volatile N2 and CN-species, predominantly C2N2, is important not only for the deposition rate and the nitrogen incorporation, but also for the resulting film structure. The chemical sputtering process becomes more pronounced at elevated temperatures with higher nitrogen fractions.
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- Loden, M, et al.
(author)
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A double-blind study comparing the effect of glycerin and urea on dry, eczematous skin in atopic patients
- 2002
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In: Acta Dermato-Venereologica. - : Medical Journals Sweden AB. - 0001-5555 .- 1651-2057. ; 82:1, s. 45-47
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Journal article (peer-reviewed)abstract
- Moisturizing creams have beneficial effects in the treatment of dry, scaly skin, but they may induce adverse skin reactions. In a randomized double-blind study, 197 patients with atopic dermatitis were treated with one of the following: a new moisturizing cream with 20% glycerin, its cream base without glycerin as placebo, or a cream with 4% urea and 4% sodium chloride. The patients were asked to apply the cream at least once daily for 30 days. Adverse skin reactions and changes in skin dryness were assessed by the patient and a dermatologist. Adverse skin reactions such as smarting (a sharp local superficial sensation) were felt significantly less among patients using the 20% glycerin cream compared with the urea-saline cream, because 10% of the patients judged the smarting as severe or moderate when using glycerin cream, whereas 24% did so using urea-saline cream (p
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- Koppel, K, et al.
(author)
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Serum lipid levels associated with increased risk for cardiovascular disease is associated with highly active antiretroviral therapy (HAART) in HIV-1 infection
- 2000
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In: International journal of STD & AIDS. - : SAGE Publications. - 0956-4624 .- 1758-1052. ; 11:7, s. 451-455
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Journal article (peer-reviewed)abstract
- The long-term effects of fat metabolism, storage and utilization in HIV-1 infected patients on highly active antiretroviral therapy (HAART) including a protease inhibitor are profound and cause increasing concern. The main importance of these lipid/metabolic disorders lies in their assumed contribution to an increased risk of coronary heart disease (CHD). In the general population increased levels of lipoprotein(a) [Lp(a)] constitute an independent risk factor for CHD by itself as well as in combination with increased levels of cholesterol and low density lipoprotein (LDL)-cholesterol, respectively. Two hundred and fifty-six patients with 27 ± 7 months HAART and 84 treatment-naive HIV-1 positive patients were screened for cardiovascular risk factors. The subjective perception of fat wasting and/or accumulation in different sites of the body, which was possible to evaluate in 235 patients on HAART and 73 treatment-naive patients, the levels of plasma triglycerides (TG), cholesterol, LDL and high-density lipoproteins (HDL)-cholesterol, LDL/HDL ratio and Lp(a) were measured. Of the patients on HAART, 42% (98/235) reported abnormal fat distribution as compared with 4% (3/73) of the treatment-naive patients (P < 0.0001). The levels of TG, cholesterol and LDL-cholesterol, but not HDL-cholesterol or Lp(a) were higher (P < 0.0001) in the HAART group as compared with the naive group. Very high Lp(a) levels (>700 mg/l) were more common among HAART patients as compared with naive, 14% (36/256) vs 2% (2/83); P = 0.0022. The Lp(a) levels correlated to the levels of LDL-cholesterol, but not to total cholesterol, HDL-cholesterol or TG, and did not differ between patients with and without subjective perception of abnormal fat distribution. A significant number of the HAART patients had very high levels of Lp(a) and various combinations of increased lipid values associated with considerably increased risk for CHD. The elevation of Lp(a) did not relate to any other clinical or laboratory parameter than to LDL-cholesterol.
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- Lundholm, P, et al.
(author)
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DNA mucosal HIV vaccine in humans
- 2002
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In: Virus research. - : Elsevier BV. - 0168-1702. ; 82:1-2, s. 141-145
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Journal article (peer-reviewed)
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| 27. |
- Sandstrom, E, et al.
(author)
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Estimation of CD4 T-lymphocyte counts from percent CD4 T-lymphocyte determinations in HIV-1-infected subjects in sub-Saharan Africa
- 2003
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In: International journal of STD & AIDS. - : SAGE Publications. - 0956-4624 .- 1758-1052. ; 14:8, s. 547-551
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Journal article (peer-reviewed)abstract
- The relationship between CD4 percent and CD4 count has been reported to be different in industrialized countries compared to sub-Saharan Africa, where often only the former is reliable. CD4 determinations from an open cohort of hotel workers in Dar es Salaam followed between 1990 and 1998 were evaluated. T-lymphocyte determinations were offered once a year to 190 HIV-1 seropositive, 80 seroconverters and 495 sex and age matched HIV-seronegative subjects. After log transformation of the CD4 percent and CD4 counts a good fit to a linear regression curve was found, R2 0.697. The CD4 percent corresponding to a CD4 count of 200 cells/mm3 was found to be 9.8%. CD4 percent determination can be useful to estimate CD4 counts, but needs to be locally standardized. The CD4 percent in Africa corresponding to AIDS defining CD4 counts seems to be lower than in the industrialized world.
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| 28. |
- Sandstrom, E, et al.
(author)
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HIV vaccine trials in Africa
- 2002
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In: AIDS (London, England). - : Ovid Technologies (Wolters Kluwer Health). - 0269-9370. ; 1616 Suppl 4, s. S89-S95
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Journal article (peer-reviewed)
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