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Antiretroviral therapy (ART) has improved the survival of people living with HIV (PLHIV) but this success has been accompanied by an increase in noncommunicable diseases. We conducted a prospective cohort study of 4000 adult PLHIV who were initiating ART in Dar es Salaam, Tanzania, to assess weight gain during the first year of treatment and associated sociodemographic and clinical factors. Anthropometric data were collected at ART initiation and monthly follow-up visits. The mean weight gain during the first year of treatment was 2.6 ± 0.3 kg, and the prevalence of overweight or obesity increased from 26.3% at baseline to 40.7%. Female sex, greater household wealth, lower CD4-T-cell counts, higher WHO HIV disease stage, and pulmonary tuberculosis were associated with a greater increase in body mass index ( P < .05). Weight gain following ART initiation was common but was greater among females and PLHIV with advanced HIV or comorbidities.

Human beings are social creatures that require interactions among individuals. Encountering those who hold various prejudices towards individuals or different groups in their surroundings often leads to conflicts and animosity among fellow beings. Therefore, the presence of prejudices, whether positive or negative, significantly affects one's attitude and behavior in societal life. This study elucidates the commonalities and differences of prejudices as presented in the interpretations of Al-Ibrīz and Tafsīr Fī Ẓilālil-Qur'ān, and how prejudice is classified in contemporary society. The purpose of this research is to identify the similarities and disparities in prejudices as depicted in the interpretations of Al-Ibrīz and Tafsīr Fī Ẓilālil-Qur'ān, as well as to understand the classification of prejudices in modern society. The research employs a comparative method using the technique of library research, with Al-Ibrīz by Bisri Musthofa and Tafsīr Fī Ẓilālil-Qur'ān by Sayyid Quthb as the primary sources of reference. The findings of this study indicate: 1.) Both commentators share a similar interpretation of prejudice, which is the prohibition of harboring excessive prejudices, as some forms of prejudice are considered sinful. However, there is a difference in their interpretations. According to Bisri Musthofa, engaging in prejudice by seeking out others' faults and flaws can lead to slander. On the other hand, according to Sayyid Quthb, it is advised not to be easily swayed by conjectural whispers and to strive to eliminate slander to preserve the bond of brotherhood among people. 2.) Prejudice is prevalent in societal life. As individuals engage in the world of social interaction, they are bound to encounter numerous instances where various types of prejudices, both positive and negative, are ingrained.

Malaria remains a major public health concern worldwide. Malaria is endemic in Mozambique, with seasonal fluctuations throughout the country. Although the number of malaria cases in Mozambique have dropped by 11% from 2020 to 2021, there are still hotspots in the country with persistent high incidence and low insecticide-treated bed net usage. The aim of this study is to evaluate the factors associated with the use of long-lasting insecticidal nets by pregnant women and women with children under 5 years old in two hotspot districts in the Gaza province, Mozambique. A descriptive, qualitative cross-sectional study was conducted between June 15th and 21st 2022. An in-depth interview process was conducted with pregnant women and mothers with children under five years old, exploring their beliefs, experiences, and perception of messages conveyed by health professionals when long-lasting insecticidal nets were being supplied. A total of 48 women participated (24 pregnant women and 24 women with children under 5 years). Most participants recognized the protective effects of long-lasting insecticidal nets in preventing malaria, and understood that women and children were high risk groups. The nets were reported to cause side effects and difficulty breathing by 100% of pregnant women, while 54.2% of mothers with children under 5 reported no side effects. The majority of women in both groups reported that their health professionals did not educate them about how to use or handle the nets properly. Only 16.7% of mothers with children under 5 received correct handling instructions. Providing clear, culturally sensitive, and practical information on the correct use of LLINs, as well as regular monitoring of their proper use, would be a great step forward for Mozambique's national malaria program.

Solar cells using dyes as sensitizers continue to expand. The synthetic dye used as a sensitizing material for solar cells has high production costs, difficult to find, and can cause environmental pollution. Photosynthetic pigments as sensitizers are considered to be the solution to this matter. In this research, we investigated the effect of photosynthetic pigments from the Navicula sp. TAD as a dye-sensitized material on the efficiency of Dye-Sensitized Solar Cell. To obtain high biomass, the Navicula sp. TAD was cultivated in a modified medium. Pigment extract from dry biomass using acetone, then continued with purification of the pigment using column chromatography techniques. Characterization of pigment by scanning the absorption pattern of visible rays, the fabrication of solar cells with TiO2 paste, and the photographic test of the solar cells filled with solar simulators. Navicula sp. TAD has photosynthetic pigments consisting of chlorophyll and carotenoid with 8.570 gmL−1 and 2.581 gmL−1, respectively. Solar cells using pigment crude extract, chlorophyll, and xanthophyll which TiO2 absorbs as electrodes, have efficiency values of 6.150×10−4, 3.482×10−3, and 4.117×10−3%, respectively.

BackgroundEnvironmental enteric dysfunction (EED) may contribute to poor growth and development in young children. While validated EED biomarkers are currently lacking, multiplex assays are able to capture multiple domains of the condition. The purpose of this exploratory study was to examine the relationship between biomarkers of EED and subsequent growth and development among Tanzanian HIV-exposed uninfected (HEU) infants.MethodologyWe enrolled 467 infants of mothers living with HIV who had participated in a trial of vitamin D3 supplementation during pregnancy. Infant serum samples collected at 6 weeks (n = 365) and 6 months (n = 266) were analyzed for anti-flagellin and anti-lipopolysaccharide (LPS) IgA and IgG via ELISA as well as the 11-plex Micronutrient and EED Assessment Tool (MEEDAT), which incorporates two biomarkers of EED [intestinal fatty acid-binding protein (I-FABP) and soluble CD14 (sCD14)]. Outcomes were 12-month growth [length-for-age z-score (LAZ), weight-for-length z-score (WLZ), and weight-for-age z-score (WAZ)] and development [Caregiver Reported Early Development Instruments (CREDI) z-scores] and were assessed using linear regression.FindingsIn primary analyses, higher quartiles of 6-month anti-LPS IgG concentrations were significantly associated with lower LAZ at 12 months (ptrend = 0.040). In secondary analyses, higher log2-transformed 6-week anti-flagellin IgA and 6-month anti-LPS IgA concentrations were significantly associated with lower LAZ at 12 months. No associations were observed between I-FABP or sCD14 and infant growth. However, higher log2-transformed 6-week sCD14 concentrations were significantly associated with lower overall CREDI z-scores, while higher log2-transformed 6-month I-FABP concentrations were significantly associated with higher overall CREDI z-scores.ConclusionsUnlike anti-flagellin and anti-LPS Igs, MEEDAT's biomarkers of EED (I-FABP and sCD14) were not associated with subsequent linear growth among HEU infants in Tanzania. The relationship between EED and infant development warrants further study.

L.M. Best [1] D.J.M. Haldane [2] V. Loo [3] C. Gaudrcau [4] M. Alfa [5] R. Pelletier [6] F.M. Smaill [7] M. Keelan [8] D. Taylor [5] R. Hunt [9] [...]

The improvement of Ag3PO4 photocatalytic activity was successful by incorporating tetrachloroaurate(III) (AuCl4−) and metallic Au on the surface of Ag3PO4. The photocatalysts were synthesized using the coprecipitation and chemisorption method. Coprecipitation of Ag3PO4 was carried out under ethanol-water solution using the starting material of AgNO3 and Na2HPO4.12H2O. AuCl4− ion and metallic Au were incorporated on the surface of Ag3PO4 using a chemisorption method under auric acid solution. The photocatalysts were characterized using XRD, DRS, SEM, and XPS. The AuCl4− ion and metallic Au were simultaneously incorporated on the Ag3PO4 surface. The high photocatalytic activity might be caused by increasing the separation of hole and electron due to capturing photogenerated electrons by metallic Au and Au(III) as electron acceptors. Copyright © 2021 by Authors, Published by BCREC Group. This is an open access article under the CC BY-SA License (https://creativecommons.org/licenses/by-sa/4.0).

Abstract Background Hypertensive disorders of pregnancy are important causes of maternal morbidity and mortality, as well as preterm birth, the leading cause of death for children under 5 years globally. The World Health Organization currently recommends that pregnant women receive high-dose calcium supplementation (1500–2000 mg elemental calcium) for prevention of preeclampsia in populations with low dietary calcium intake. Trials of low-dose calcium supplementation (

Introduction Children who are born to women living with HIV are at a greater risk of suboptimal neurodevelopment; however, evidence from sub-Saharan Africa is limited and functional developmental outcomes are rarely assessed in this vulnerable population. The School Readiness among HIV-Exposed Children (SRHEC) cohort study aims to assess the school readiness of preschool aged children born to women living with HIV and to identify the biological, environmental and social factors that contribute to school readiness in this population.Methods and analysis The SRHEC cohort is an observational follow-up study of children born to HIV-infected pregnant women who were previously enrolled in a maternal vitamin D supplementation randomised, placebo-controlled trial in Dar es Salaam, Tanzania. This parent trial enrolled 2300 pregnant women and followed mothers and infants up to 1-year postpartum. Mother/caregiver and child pairs will be eligible for the SRHEC follow-up study if the child is between 3 and 6.5 years of age at assessment, and the mother/caregiver provides informed consent. The International Development and Early Learning Assessment tool will be used to assess children’s school readiness, including their early literacy, early numeracy, motor, socialemotional, and executive function skills. Data on maternal and child health and nutritional status (eg, anthropometry, blood pressure and diet) will be collected using standardised instruments and survey-based questionnaires. Data on maternal/caregiver depression and anxiety, maternal exposure to intimate partner violence, and HIV-related stigma will also be collected. Generalised linear and logistic regressions will be used to assess the relationship between child school readiness and biological, social, environmental factors.Ethics and dissemination This study received ethical clearance from the Tanzanian National Institute of Medical Research, the Muhimbili University of Health and Allied Sciences, and the Harvard T.H. Chan School of Public Health. We will disseminate our results in the form of scientific conference presentations and peer-reviewed publications.

Summary: Background: Environmental enteric dysfunction (EED) may contribute to adverse birth outcomes in low-resource settings. We examined the associations of EED biomarkers with birth outcomes in pregnant women living with human immunodeficiency virus in Dar es Salaam, Tanzania. Methods: We performed a cohort study of 706 HIV-infected pregnant women. Maternal serum samples collected at 32 weeks gestation were analyzed for markers of EED (anti-flagellin and anti-LPS immunoglobulins, intestinal fatty acid-binding protein [I-FABP] and soluble CD14), systemic inflammation (C-reactive protein and α1-acid glycoprotein [AGP]), and growth hormone resistance (insulin-like growth factor 1 [IGF-1] and fibroblast growth factor 21 [FGF21]. Associations of biomarkers categorized into quartiles with birth outcomes (birthweight, gestational duration, birthweight-for-gestational age, and stillbirth) were assessed using linear and log-binomial regression models adjusted for multiple sociodemographic and clinical variables. Findings: Maternal EED biomarkers were not significantly associated with birthweight, gestation duration, or birthweight-for-gestational age. However, higher quintiles of I-FABP concentrations were associated with greater risk of stillbirth (ptrend=0·02). Higher AGP was associated with lower birthweight and was associated with increased risk of small-for-gestational age births. Higher IGF-1 was associated with higher birthweight and birthweight-for-gestational age while higher FGF21 was associated with shorter gestation and higher risk of preterm birth. Interpretation: Maternal biomarkers of EED, systemic inflammation, and growth hormones were differentially associated with birth outcomes. Biomarkers of EED may be useful to identify pregnant women at risk of adverse birth outcomes, but further research is needed to confirm these findings and elucidate biological mechanisms. Funding: National Institutes of Health.