The high yield of TB disease diagnosed among PLHIV screened with the algorithm, and higher burden among PLHIV who inject drugs, underscores the need for innovative, tailored approaches to TB screening and prevention. As countries adopt test-and-start for antiretroviral therapy, TB screening, sensitive TB diagnostics, and IPT should be included in differentiated-care models for HIV to improve diagnosis and prevention of TB among PLHIV.
Results suggest that symptom screening had poor clinical performance, and support the routine use of sputum culture to improve the detection of TB disease in HIV-infected individuals in Viet Nam. However, when routine sputum culture is not available, an algorithm combining CD4+ cell count, AFB sputum smear and CXR is recommended for diagnosing PTB.
Using the assumption that the load is evenly distributed in the horizontal direction, the article has given the cable deflection equation as a function that depends only on the horizontal coordinates, the length of the cable and horizontal distance between two supports. This result leads to the construction of a general system of equations to calculate the deflection, tension, and elongation of an elastic single cable resting on two supports with or without high difference, bearing uniformly distributed loads (or evenly distributed at intervals) and load is concentrated at many points. Calculations of examples to compare with results have been performed by other methods.
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