To investigate the effect of different environmental conditions of GFRP bars in concrete beams with work cracks subjected to sustained loads, the beams were exposed in indoor, freeze/thaw cycles and immersed in alkali...To investigate the effect of different environmental conditions of GFRP bars in concrete beams with work cracks subjected to sustained loads, the beams were exposed in indoor, freeze/thaw cycles and immersed in alkaline solution at elevated temperature. The bars were carefully extracted from the beams and tested in order to evaluate residual tensile properties. The results show that the tensile strength decreased significantly in the highly aggressive conditions but not in the natural conditions. The effect of GFRP bars casting in concrete beams demonstrated approximately 2.5% decrease of tensile strength caused by pore water environment in concrete beams on basis of those of the original bars. The effect of sustained loading plus work cracks demonstrated about 10.5% tensile strength decrease on basis of those of the bars only casted in concrete beams. The effect of environments under sustained loading plus work cracks demonstrated about 17% tensile strength decrease caused by a saturated solution of Ca（OH）2 and 60-2 ℃ tap water （pH=12-13） and about 8% tensile strength decrease caused by freezing and thawing cycle （F/T）, both on basis of those of the bars of the indoor beams only under sustained loading plus work cracks. The results demonstrate the effects of the tensile strengths under different environmental conditions of GFRP bars in concrete beams with work cracks subjected to sustained loads.展开更多
The article aimed to study the durability of steel fiber reinforced concrete under the coupled sewage-loading according to compressive strength,flexural strength,compressive strength corrosion coefficient,flexural str...The article aimed to study the durability of steel fiber reinforced concrete under the coupled sewage-loading according to compressive strength,flexural strength,compressive strength corrosion coefficient,flexural strength corrosion coefficient,compressive strength balance coefficient,flexural strength balance coefficient.Through the homemade load frame applied to design specimens,the pre-loading level are equivalent the damage intensity of 0%,10%,30% and 50% four different ways.The experimental results show that the performance of concrete down gradually and sustaining load aggravated the degree of domestic sewage attacking concrete after six month;under different stress states,the more loading levels,the more serious domestic sewage attacked the steel fiber reinforced concrete.It is proved that the concrete damage can be inhibited by adding the steel fiber,when steel fiber volume fraction is 1.0%,the corrosion resistance of concrete is best.展开更多
BACKGROUND To prevent mother to child transmission(MTCT)of human immunodeficiency virus(HIV),sustained maternal viral load suppression(VLS)and early HIV testing among HIV exposed infants(HEI)is critical.AIM To investi...BACKGROUND To prevent mother to child transmission(MTCT)of human immunodeficiency virus(HIV),sustained maternal viral load suppression(VLS)and early HIV testing among HIV exposed infants(HEI)is critical.AIM To investigate maternal viral load results and infant HIV testing uptake at 6-weeks,and 9-months and 18-months in Rwanda.METHODS Between 2015 and 2022,VLS(<200 copies/mL)was measured among pregnant women living with HIV(WLHIV)from 38-healthcare facilities.Viral loads(VL)were measured at 6-months,12-months and 24-months,respectively.For maternal VL,the unit of analysis was visit-pair,and the pairs were created to define those with VL<200 copies/mL at two consecutive visits as having sustained VLS,persistent viremia(VL≥200 copies/mL at two consecutive visits),viral rebound(VL<200 copies/mL at prior visit only)and newly suppressed(VL<200 copies/mL at subsequent visit only).HEI were considered to have persistent HIV testing if they had all three HIV tests.Poisson regression models with generalized estimating equations were used to estimate the adjusted incidence rate ratio(aIRR)and 95%CI for factors associated with sustained VLS and persistent HIV testing.RESULTS A total of 1145 mother-infant pairs were analyzed.Infant HIV testing uptake at 6-weeks,9-months and 18-months was 1145(100.0%),1089(95.1%),1006(87.9%)respectively.Nine hundred ninety-nine HEI(87.3%)tested for HIV persistently.At 18-months,the incidence of HIV among HEI was 8(0.7%).Of 1145 mothers,1076(94.0%)had≥2 VL results making a total of 2010 visit-pairs(142-single;934-double visit-pairs).The incidence rate of sustained VLS,persistent viremia,viral rebound and new suppression were 91.0%,1.3%,3.6%and 4.0%respectively.Maternal disclosure of HIV status(aIRR=1.08,95%CI:1.02-1.14)was associated with increased likelihood of sustained VLS.Having peer support(aIRR=1.0595%CI:1.01-1.10)was associated with persistent HIV testing among HEI.CONCLUSION Sustained VLS is high among pregnant WLHIV in Rwanda.The low incidence of HIV among HEI may be attributed to high VLS levels.Targeted interventions,including enhanced HIV disclosure and peer support,are crucial for improving sustained VLS and increasing infant HIV testing uptake to reduce MTCT.展开更多
The test results of eight concrete beams reinforced with carbon fiber reinforced polymer （CFRP） sheets subjected to an aggressive environment under a sustained load are presented. The beams are 1 700 mm long with a ...The test results of eight concrete beams reinforced with carbon fiber reinforced polymer （CFRP） sheets subjected to an aggressive environment under a sustained load are presented. The beams are 1 700 mm long with a rectangular cross-section of 120- mm width and 200-mm depth. The beams are precracked with a four-point flexural load, bonded CFRP sheets, and placed into wet-dry saline water（ NaCl） either in an unstressed state or loaded to about 30% or 60% of the initial ultimate load. The individual and coupled effects of wet-dry saline water and sustained bending stresses on the long term behaviour of concrete beams reinforced with the CFRP are investigated. The test results show that the coupled action of wet-dry saline water and sustained bending stresses appears to significantly affect the load capacity and the failure mode of beam strengthened with CFRP, mainly due to the degradation of the bond between CFRP and concrete. However, the stiffness is not affected by the coupled action of wet-dry cycles and a sustained load.展开更多
Textile reinforced concrete(TRC)has good bearing capacity,crack resistance and corrosion resistance and it is suitable for repairing and reinforcing concrete structures in harsh marine environments.The four-point bend...Textile reinforced concrete(TRC)has good bearing capacity,crack resistance and corrosion resistance and it is suitable for repairing and reinforcing concrete structures in harsh marine environments.The four-point bending method was used to analyze the influence of the salt concentration,the damage degree and the coupled effect of the environment and load on the bending performance of TRC-strengthened beams with a secondary load.The results showed that as the salt concentration increased,the crack width and mid-span deflection of the beam quickly increased,and its bearing capacity decreased.As the damage degree increased,the early-stage crack development and mid-span deflection of the beam were less affected and the ultimate bearing capacity significantly decreased.In addition,the coupled effect of the environment and load on the beams with a secondary load was significant.As the sustained load increased,the ultimate bearing capacity of the strengthened beam decreased,and cracks developed faster in the later stage.In addition,the mid-span deflection of the beam decreased at the same load level because of the influence of the initial deflection due to the sustained load corrosion.展开更多
Seven reinforced concrete （ RC ） beams strengthened in flexure using carbon fiber reinforced polymer （CFRP） sheets subjected to different sustaining loads were tested. The effects of initial load and load history ...Seven reinforced concrete （ RC ） beams strengthened in flexure using carbon fiber reinforced polymer （CFRP） sheets subjected to different sustaining loads were tested. The effects of initial load and load history on the ultimate strength of strengthened RC beams were examined by externally bonded CFRP sheets. The main experimental parameters included different levels of sustaining load at the time of strengthening, and load history. Experimental results show that sustaining load levels at the time of strengthening have important influences on the ultimate strength of strengthened RC beams. If the initial load is the same, the ultimate strength of RC beams strengthened with CFRP sheets is almost the same regardless of load history at the time of strengthening.展开更多
BACKGROUND Sustained viral load(VL)suppression is an important indicator of successful treatment among people living with human immunodeficiency virus(HIV).AIM To assess trends of different VL outcomes before and afte...BACKGROUND Sustained viral load(VL)suppression is an important indicator of successful treatment among people living with human immunodeficiency virus(HIV).AIM To assess trends of different VL outcomes before and after adoption of the Treat All policy among people living with HIV in Rwanda.METHODS Between 2014 and 2017,VL suppression[VL suppression(VLS)<200 copies/mL]was measured among people living with HIV from 28 healthcare facilities in Rwanda.Participant VL was measured at 6 months,18 months,and 30 months.The unit of analysis was visit-pair,with subjects across four visit-pair categories:(1)Sustained VL suppression(VL<200 copies/mL at two consecutive visits);(2)Persistent viremia(VL≥200 copies/mL at two consecutive visits);(3)Viral rebound(VL<200 copies/mL at prior visit only);and(4)Newly suppressed(VL<200 copies/mL at subsequent visit only).Poisson regression models with generalized estimating equations were used to estimate adjusted incidence risk ratio(aIRR)and 95%confidence intervals(CIs)for factors associated with sustained VLS.To handle missing data,multiple imputations was performed.RESULTS A total of 634 participants contributed 973 visit-pairs(295 single pairs and 339 double pairs).The median age was 37 years(interquartile range:32-43 years).The incidence rates of sustained VLS,persistent viremia,viral rebound,and new suppression were 85.2%,4.3%,4.6%,and 5.7%,respectively.Young individuals aged 18-24 years had higher incidence of viral rebound compared to those 25 years or older(14.8%vs 4.3%;P=0.011).Of the visit-pairs that had sustained VLS during the first two visits(49.8%;n=485),56.7%exhibited sustained VLS throughout follow-up.Compared to having no education,having at least primary education was associated with an increased likelihood of sustained VLS(aIRR=1.09;95%CI:1.01-1.17).Those who presented with advanced HIV disease at baseline had a 12%reduced likelihood of sustained VLS(aIRR=0.88;95%CI:0.79-0.99).Achieving sustained VLS did not differ before or after adoption of the Treat All policy.When the analysis was repeated on imputed datasets,similar results were found.CONCLUSION Although most people living with HIV have sustained VLS in Rwanda,individuals without formal education,those presenting with advanced HIV,and younger individuals were lagging on multiple outcomes.Interventions tailored to these individuals would improve treatment outcomes to achieve epidemic control.展开更多
基金Funded Partly by the National Natural Science Foundation of China(No.51178361)
文摘To investigate the effect of different environmental conditions of GFRP bars in concrete beams with work cracks subjected to sustained loads, the beams were exposed in indoor, freeze/thaw cycles and immersed in alkaline solution at elevated temperature. The bars were carefully extracted from the beams and tested in order to evaluate residual tensile properties. The results show that the tensile strength decreased significantly in the highly aggressive conditions but not in the natural conditions. The effect of GFRP bars casting in concrete beams demonstrated approximately 2.5% decrease of tensile strength caused by pore water environment in concrete beams on basis of those of the original bars. The effect of sustained loading plus work cracks demonstrated about 10.5% tensile strength decrease on basis of those of the bars only casted in concrete beams. The effect of environments under sustained loading plus work cracks demonstrated about 17% tensile strength decrease caused by a saturated solution of Ca（OH）2 and 60-2 ℃ tap water （pH=12-13） and about 8% tensile strength decrease caused by freezing and thawing cycle （F/T）, both on basis of those of the bars of the indoor beams only under sustained loading plus work cracks. The results demonstrate the effects of the tensile strengths under different environmental conditions of GFRP bars in concrete beams with work cracks subjected to sustained loads.
基金Funded by the National Natural Science Foundation of China (2008A430015)the Natural Science Foundation of Henan Educational Department of China(50879048)
文摘The article aimed to study the durability of steel fiber reinforced concrete under the coupled sewage-loading according to compressive strength,flexural strength,compressive strength corrosion coefficient,flexural strength corrosion coefficient,compressive strength balance coefficient,flexural strength balance coefficient.Through the homemade load frame applied to design specimens,the pre-loading level are equivalent the damage intensity of 0%,10%,30% and 50% four different ways.The experimental results show that the performance of concrete down gradually and sustaining load aggravated the degree of domestic sewage attacking concrete after six month;under different stress states,the more loading levels,the more serious domestic sewage attacked the steel fiber reinforced concrete.It is proved that the concrete damage can be inhibited by adding the steel fiber,when steel fiber volume fraction is 1.0%,the corrosion resistance of concrete is best.
文摘BACKGROUND To prevent mother to child transmission(MTCT)of human immunodeficiency virus(HIV),sustained maternal viral load suppression(VLS)and early HIV testing among HIV exposed infants(HEI)is critical.AIM To investigate maternal viral load results and infant HIV testing uptake at 6-weeks,and 9-months and 18-months in Rwanda.METHODS Between 2015 and 2022,VLS(<200 copies/mL)was measured among pregnant women living with HIV(WLHIV)from 38-healthcare facilities.Viral loads(VL)were measured at 6-months,12-months and 24-months,respectively.For maternal VL,the unit of analysis was visit-pair,and the pairs were created to define those with VL<200 copies/mL at two consecutive visits as having sustained VLS,persistent viremia(VL≥200 copies/mL at two consecutive visits),viral rebound(VL<200 copies/mL at prior visit only)and newly suppressed(VL<200 copies/mL at subsequent visit only).HEI were considered to have persistent HIV testing if they had all three HIV tests.Poisson regression models with generalized estimating equations were used to estimate the adjusted incidence rate ratio(aIRR)and 95%CI for factors associated with sustained VLS and persistent HIV testing.RESULTS A total of 1145 mother-infant pairs were analyzed.Infant HIV testing uptake at 6-weeks,9-months and 18-months was 1145(100.0%),1089(95.1%),1006(87.9%)respectively.Nine hundred ninety-nine HEI(87.3%)tested for HIV persistently.At 18-months,the incidence of HIV among HEI was 8(0.7%).Of 1145 mothers,1076(94.0%)had≥2 VL results making a total of 2010 visit-pairs(142-single;934-double visit-pairs).The incidence rate of sustained VLS,persistent viremia,viral rebound and new suppression were 91.0%,1.3%,3.6%and 4.0%respectively.Maternal disclosure of HIV status(aIRR=1.08,95%CI:1.02-1.14)was associated with increased likelihood of sustained VLS.Having peer support(aIRR=1.0595%CI:1.01-1.10)was associated with persistent HIV testing among HEI.CONCLUSION Sustained VLS is high among pregnant WLHIV in Rwanda.The low incidence of HIV among HEI may be attributed to high VLS levels.Targeted interventions,including enhanced HIV disclosure and peer support,are crucial for improving sustained VLS and increasing infant HIV testing uptake to reduce MTCT.
基金The National Natural Science Foundation of China(No.50608013)Special Prophase Project on Basic Research of the National Department of Science and Technology(No.2004CCA04100)
文摘The test results of eight concrete beams reinforced with carbon fiber reinforced polymer （CFRP） sheets subjected to an aggressive environment under a sustained load are presented. The beams are 1 700 mm long with a rectangular cross-section of 120- mm width and 200-mm depth. The beams are precracked with a four-point flexural load, bonded CFRP sheets, and placed into wet-dry saline water（ NaCl） either in an unstressed state or loaded to about 30% or 60% of the initial ultimate load. The individual and coupled effects of wet-dry saline water and sustained bending stresses on the long term behaviour of concrete beams reinforced with the CFRP are investigated. The test results show that the coupled action of wet-dry saline water and sustained bending stresses appears to significantly affect the load capacity and the failure mode of beam strengthened with CFRP, mainly due to the degradation of the bond between CFRP and concrete. However, the stiffness is not affected by the coupled action of wet-dry cycles and a sustained load.
基金Project(2017XKZD09)supported by the Fundamental Research Funds for the Central Universities,China
文摘Textile reinforced concrete(TRC)has good bearing capacity,crack resistance and corrosion resistance and it is suitable for repairing and reinforcing concrete structures in harsh marine environments.The four-point bending method was used to analyze the influence of the salt concentration,the damage degree and the coupled effect of the environment and load on the bending performance of TRC-strengthened beams with a secondary load.The results showed that as the salt concentration increased,the crack width and mid-span deflection of the beam quickly increased,and its bearing capacity decreased.As the damage degree increased,the early-stage crack development and mid-span deflection of the beam were less affected and the ultimate bearing capacity significantly decreased.In addition,the coupled effect of the environment and load on the beams with a secondary load was significant.As the sustained load increased,the ultimate bearing capacity of the strengthened beam decreased,and cracks developed faster in the later stage.In addition,the mid-span deflection of the beam decreased at the same load level because of the influence of the initial deflection due to the sustained load corrosion.
文摘Seven reinforced concrete （ RC ） beams strengthened in flexure using carbon fiber reinforced polymer （CFRP） sheets subjected to different sustaining loads were tested. The effects of initial load and load history on the ultimate strength of strengthened RC beams were examined by externally bonded CFRP sheets. The main experimental parameters included different levels of sustaining load at the time of strengthening, and load history. Experimental results show that sustaining load levels at the time of strengthening have important influences on the ultimate strength of strengthened RC beams. If the initial load is the same, the ultimate strength of RC beams strengthened with CFRP sheets is almost the same regardless of load history at the time of strengthening.
文摘BACKGROUND Sustained viral load(VL)suppression is an important indicator of successful treatment among people living with human immunodeficiency virus(HIV).AIM To assess trends of different VL outcomes before and after adoption of the Treat All policy among people living with HIV in Rwanda.METHODS Between 2014 and 2017,VL suppression[VL suppression(VLS)<200 copies/mL]was measured among people living with HIV from 28 healthcare facilities in Rwanda.Participant VL was measured at 6 months,18 months,and 30 months.The unit of analysis was visit-pair,with subjects across four visit-pair categories:(1)Sustained VL suppression(VL<200 copies/mL at two consecutive visits);(2)Persistent viremia(VL≥200 copies/mL at two consecutive visits);(3)Viral rebound(VL<200 copies/mL at prior visit only);and(4)Newly suppressed(VL<200 copies/mL at subsequent visit only).Poisson regression models with generalized estimating equations were used to estimate adjusted incidence risk ratio(aIRR)and 95%confidence intervals(CIs)for factors associated with sustained VLS.To handle missing data,multiple imputations was performed.RESULTS A total of 634 participants contributed 973 visit-pairs(295 single pairs and 339 double pairs).The median age was 37 years(interquartile range:32-43 years).The incidence rates of sustained VLS,persistent viremia,viral rebound,and new suppression were 85.2%,4.3%,4.6%,and 5.7%,respectively.Young individuals aged 18-24 years had higher incidence of viral rebound compared to those 25 years or older(14.8%vs 4.3%;P=0.011).Of the visit-pairs that had sustained VLS during the first two visits(49.8%;n=485),56.7%exhibited sustained VLS throughout follow-up.Compared to having no education,having at least primary education was associated with an increased likelihood of sustained VLS(aIRR=1.09;95%CI:1.01-1.17).Those who presented with advanced HIV disease at baseline had a 12%reduced likelihood of sustained VLS(aIRR=0.88;95%CI:0.79-0.99).Achieving sustained VLS did not differ before or after adoption of the Treat All policy.When the analysis was repeated on imputed datasets,similar results were found.CONCLUSION Although most people living with HIV have sustained VLS in Rwanda,individuals without formal education,those presenting with advanced HIV,and younger individuals were lagging on multiple outcomes.Interventions tailored to these individuals would improve treatment outcomes to achieve epidemic control.
