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At least 379 records · Page 21

Incidence and predictors of loss to follow-up among adult patients receiving antiretroviral therapy in Central Ethiopia: a multi-center retrospective cohort study

Background: Globally, loss to follow-up (LTFU) remains a significant public health concern despite the rapid expansion of antiretroviral medication programs. It is a significant cause of treatment failure and threatens the enhancement of HIV treatment outcomes among patients on antiretroviral therapy (ART). However, there is a paucity of evidence on its incidence and predictors in Ethiopia. Thus, this study aimed to examine the incidence and predictors of LTFU among adult HIV patients receiving ART at hospitals in Central Ethiopia. Methods: A multi-centered facility-based retrospective cohort study was conducted among 432 randomly selected adult patients who received antiretroviral therapy. Data were entered into EpiData version 3.1 and exported to Stata version 14 for analysis. The Kaplan–Meier failure function was employed to determine the overall failure estimates, and the log-rank test was used to compare the probability of failure among the different categories of variables. The Cox proportional hazard model was used to identify independent predictors of LTFU. Results: Overall, 172 (39.8%) study participants were lost to follow-up over the 10-year follow-up period with an incidence rate of 8.12 (95% CI: 7.11, 9.09) per 1,000 person-months. Undisclosed HIV status (AHR: 1.96, 95% CI: 1.14, 3.36), not able to work (AHR: 1.84, 95% CI: 1.13, 2.22), opportunistic infections (AHR: 3.13, 95% CI: 2.17, 4.52), CD4 < 200 cell/mL (AHR: 1.95, 95% CI: 1.18, 3.21), not receiving isoniazid preventive therapy (IPT) (AHR: 2.57, 95% CI: 1.62, 4.06), not participating in clubs (AHR: 1.68, 95% CI: 1.10, 2.22), side effects of drugs (AHR: 1.44, 95% CI: 1.02, 2.04), and high viral load (AHR: 3.15, 95% CI: 1.81, 5.47) were identified as significant predictors of loss to follow-up. Conclusion: In this study, the incidence of LTFU was high. The focus should be on creating awareness and prevention programs that aim to reduce loss to follow-up by continuing counseling, especially on the negative effects of loss to follow-up and the benefits of ART care.

60 APPLIED LIFE SCIENCES↗

Low-Jitter Clock Receivers for Fast Timing Applications

Precision timing is a key requirement for emerging 4D particle tracking, Positron Emission Tomography (PET), beam and fusion plasma diagnostics, and other systems. Time-to-Digital Converters (TDCs) are commonly used to provide digital estimates of the relative timing between events, but the jitter performance of a TDC can be no better than the performance of the circuits that acquire the pulses and deliver them to the TDC. Several clock receiver and distribution circuits were evaluated, and a differential amplifier with resistive loads driving a pseudo-differential clock distribution network, developed using design guidelines for radiation tolerance and cryogenic compatibility, was fabricated as part of three prototypes: an analog front-end testbed chip for high-precision timing pixel readout, a dedicated TDC evaluation chip, and a Low-Gain Avalanche Detector (LGAD) readout circuit. Based on TDC measurements of the prototypes, we infer that the jitter added by the clock receiver and distribution circuits is less than 2.25 ps-rms. This performance meets the requirements of many future precision timing systems. The clock receiver and on-chip pseudo-differential driver were fabricated in commercial 28-nm CMOS technology and occupy 2288 µm 2 .

47 OTHER INSTRUMENTATION↗

Particle Receiver Models for Systems Analysis

Particle receivers are gaining importance in the field of Concentrating Solar Power (CSP) due to the high temperature that particles can achieve without degradation. Several researchers are studying the potential of this technology by means of system analyses, which need simple and light models of the system. This study presents two simple models for the particle receiver. The simplest model is a correlation obtained by fitting the results calculated with a more complex receiver model simulated in CFD. The other model is a 1D model, which is benchmarked against the same CFD results. Although both models achieve high coefficient of determination, R2, when compared to CFD results, the 1D model seems to provide more accurate results (especially during sunsets and sunrises). Both models are integrated into a tecno-economic model developed in previous work. The LCOE obtained with the 1D model is between 7% and 10% greater than the one obtained with the correlation.

González-Portillo, Luis F. (ORCID:0000000348643825↗

Diversity RF receiving system with improved phase-lock characteristics

Improved diversity receiving system automatically utilizes the combined output from its two independent receiving channels /with cross- polarized receiving antennas/ to increase the reliability of maintaining the requisite phase lock for optimum signal reception. It is adapted for use with AM, PM, or narrow band FM signals.

Di Losa, V. J.↗

Preliminary design of a solar heat receiver for a Brayton cycle space power system

The preliminary design of a solar heat receiver for use as a heat source for an earth-orbiting 11-kWe Brayton-cycle engine is described. The result was a cavity heat receiver having the shape of a frustum of a cone. The wall of the cone is formed by 48 heat-transfer tubes, each tube containing pockets of lithium fluoride for storing heat for as much as 38 minutes of fullpower operation in the shade. Doors are provided in order to dump excess heat especially during operation in orbits with full sun exposure. The receiver material is predominantly columbium - 1-percent-zironium (Cb-1Zr) alloy. Full-scale testing of three heat-transfer tubes for more than 2000 hours and 1250 sun-shade cycles verified the design concept.

Cameron, H. M.↗

Coherent infrared receivers for laser communications and radar.

Review of infrared coherent detection processes. Three receivers are described which were built with the primary goal of exploiting quantum noise limited heterodyne detection in a spectral region where atmospheric transmission characteristics are favorable. The combination of high power, high efficiency carbon dioxide lasers, coherent heterodyne receivers with sensitivities approaching the quantum noise limit, and low-loss atmospheric transmission have presented new possibilities in infrared communications and radar. In particular, high sensitivity 10.6 micrometer heterodyne receivers with wide IF bandwidths have been developed.

Peyton, B.↗

High sensitivity infrared 10.6 micrometer heterodyne receiver development

The results are presented for a study on the design of an infrared 10.6-micrometer quantum-noise-limited optical receiver subsystem. Performance measurements of the HgCdTe photomixer preamplifier combination were carried out for photomixer temperatures up to 152 K and a photomixer frequency response of up to 420 MHz was obtained. Results of temperature and bias cycling of HgCdTe photomixers are reported. Design considerations for an operational 10.6 micrometer heterodyne receiver are presented. These consist of design data on required laser LO illumination, heat load levels for photomixer cooler, photomixer uniformity and the effects of photomixer impedance match on receiver sensitivity. Analysis and measurements of 10.6 micrometer heterodyne detection in an extrinsic photoconductive (p-type) HgCdTe photomixer are also presented.

Source record↗

The theory, design, and operation of the suppressed carrier data-aided tracking receiver

A viable, efficient, and easily mechanized carrier regenerating receiver for use in suppressed carrier-tracking system is described. The receiver referred to as a data-aided receiver (DAR) incorporates a data-aided loop (DAL) which provides the required carrier reference signal. The DAL employs the principle of decision feedback and as such is more efficient than other forms of suppressed carrier-tracking loops. The analysis, design, and implementation of the DAR are covered in detail. Performance comparisons and mechanization tradeoffs are made, wherever possible, with discrete carrier systems and other suppressed carrier systems presently in use. Experimental performance verification is given throughout in support of the theory presented.

Simon, M. K.↗

Performance of correlation receivers in the presence of impulse noise.

An impulse noise model, which assumes that each noise burst contains a randomly weighted version of a basic waveform, is used to derive the performance equations for a correlation receiver. The expected number of bit errors per noise burst is expressed as a function of the average signal energy, signal-set correlation coefficient, bit time, noise-weighting-factor variance and probability density function, and a time range function which depends on the crosscorrelation of the signal-set basis functions and the noise waveform. Unlike the performance results for additive white Gaussian noise, it is shown that the error performance for impulse noise is affected by the choice of signal-set basis function, and that Orthogonal signaling is not equivalent to On-Off signaling with the same average energy. Furthermore, it is demonstrated that the correlation-receiver error performance can be improved by inserting a properly specified nonlinear device prior to the receiver input.

Moore, J. D.↗

Coherent receiver employing nonlinear coherence detection for carrier tracking

The concept of nonlinear coherence employed in carrier tracking to improve telecommunications efficiency is disclosed. A generic tracking loop for a coherent receiver is shown having seven principle feedback signals which may be selectively added and applied to a voltage controlled oscillator to produce a reference signal that is phase coherent with a received carrier. An eighth feedback signal whose nonrandom components are coherent with the phase detected and filtered carrier may also be added to exploit the sideband power of the received signal. A ninth feedback signal whose nonrandom components are also coherent with the quadrature phase detected and filtered carrier could be additionally or alternatively included in the composite feedback signal to the voltage controlled oscillator.

Lindsey, W. C.↗

A spaceborne receiver for measuring electromagnetic field intensity

Description of a very accurately controlled receiver for monitoring the electromagnetic radiations in both existing and projected space communication bands. Based on analysis of the existing and projected space communication bands, 108 to 174 MHz, 240 to 478 MHz, and 1535 to 1665 MHz were covered. The receiver achieves accurate control via a digitally tuned synthesizer and a wide range of digital control including frequency band coverage and gain control selection. Digital memory was provided to store 16 separate digital command instructions which can be programmed via a command data link. The receiver provides for transmission to the ground of both a predetection signal and signals in digital format, which in turn, were provided by sampling and analog-to-digital conversions.

Reich, B. W.↗

Common antenna preamplifier-isolator for VLF-LF receivers

A modified high impedance preamplifier circuit which provides outputs to drive an Omega-VLF receiver and an ADF-LF receiver from a common antenna on general aviation aircraft is reported. The preamplifier was evaluated with fixed ground station receivers and results show the burn out problem of the first stage MOSFET during very close lightning discharges was eliminated.

Burhans, R. W.↗

Hardware simulation of KU-band spacecraft receiver and bit synchronizer, phase 2, volume 1

The acquisition behavior of the PN subsystem of an automatically acquiring spacecraft receiver was studied. A symbol synchronizer subsystem was constructed and integrated into the composite simulation of the receiver. The overall performance of the receiver when subjected to anomalies such as signal fades was evaluated. Potential problems associated with PN/carrier sweep interactions were investigated.

Lindsey, W. C.↗

Electronic and mechanical improvement of the receiving terminal of a free-space microwave power transmission system

Significant advancements were made in a number of areas: improved efficiency of basic receiving element at low power density levels, improved resolution and confidence in efficiency measurements mathematical modelling and computer simulation of the receiving element and the design, construction, and testing of an environmentally protected two-plane construction suitable for low cost, highly automated construction of large receiving arrays.

Brown, W. C.↗

A comparative study of optimum and suboptimum direct-detection laser ranging receivers

A summary of previously proposed receiver strategies for direct-detection laser ranging receivers is presented. Computer simulations are used to compare performance of candidate implementation strategies in the 1- to 100-photoelectron region. Under the condition of no background radiation, the maximum-likelihood and minimum mean-square error estimators were found to give the same performance for both bell-shaped and rectangular optical-pulse shapes. For signal energies greater than 100 photoelectrons, the root-mean-square range error is shown to decrease as Q to the -1/2 power for bell-shaped pulses and Q to the -1 power for rectangular pulses, where Q represents the average pulse energy. Of several receiver implementations presented, the matched-filter peak detector was found to be preferable. A similar configuration, using a constant-fraction discriminator, exhibited a signal-level dependent time bias.

Abshire, J. B.↗

Absolute flux density calibrations: Receiver saturation effects

The effect of receiver saturation was examined for a total power radiometer which uses an ambient load for calibration. Extension to other calibration schemes is indicated. The analysis shows that a monotonic receiver saturation characteristic could cause either positive or negative measurement errors, with polarity depending upon operating conditions. A realistic model of the receiver was made by using a linear-cubic voltage transfer characteristic. The evaluation of measurement error for this model provided a means for correcting radio source measurements.

Freiley, A. J.↗

Experimental evaluation of a fixed collector employing vee-trough concentrator and vacuum tube receivers

A test bed for experimental evaluation of a fixed solar collector which combines an evacuated glass tube solar receiver with a flat plate/black chrome plated copper absorber and an asymmetric vee-trough concentrator was designed and constructed. Earlier predictions of thermal performance were compared with test data acquired for a bare vacuum tube receiver; and receiver tubes with Alzak aluminum, aluminized FEP Teflon film laminated sheet metal and second surface ordinary mirror reflectors. Test results and system economics as well as objectives of an ongoing program to obtain long-term performance data are discussed.

Selcuk, M. K.↗

Microprocessor-controlled receiver

Microprocessor and radio receiver are combined in low-cost, high performance, data communications receiver. Hybrid receiver automatically acquires and tracks UHF channels despite low signal-to-noise ratios, fading signal strengths, and high Doppler offset. It also performs digital bit synchronization, which has traditionally required separate unit.

Grant, T. L.↗