Search

Background: The current US HIV treatment guidelines support initiation of antiretroviral therapy (ART) for persons with HIV for personal health benefits and prevention of HIV transmission. However, high levels of adherence to ART are critical to maximize individual and public health benefits. We examined the nonclinical barriers to ART initiation for clinically eligible individuals and the provider- and patient-related factors associated with these barriers among HIV-infected patients in Houston/Harris County, Texas. Methods: We analyzed data obtained from a probability sample of HIV medical care providers (HMCPs) in 13 outpatient facilities in Houston/Harris County, Texas surveyed between June and September 2009. We used an inductive thematic approach to code HMCP responses to an open-ended question that asked the main reasons why providers may delay initiating ART for clinically eligible patients. Results: The reasons cited by providers for delaying ART for clinically eligible patients were adherence (42.5%; 95% confidence interval [CI]: 28.5-57.8), acceptance (30%; 95% CI: 18.1-45.4), and structural concerns (27.5%; 95% CI: 16.1-42.8), with significant variations ( P < .0001) noted across patients’ race/ethnicity and transmission category. HIV medical care providers with 6 to 10 years’ experience in HIV care and those providing medical care for more than 100 patients monthly were about 4 times (adjusted odds ratio [aOR]: 3.80; 95% CI: 1.20-5.92; P = .039) and 10 times (aOR: 10.36; 95% CI: 1.42-22.70; P = .019) more likely to state adherence and acceptance concerns, respectively, as reasons for delaying ART for clinically eligible patients. Conclusion: Our findings highlight the fact that clinical guidelines are only a starting point for medical decision-making process and that patients themselves play an important role. HMCP access to referrals for other medical issues, support services, and treatment education may help improve adherence and patient readiness for ART, thereby avoiding systemic delays.

BackgroundAcute-on-chronic liver failure (ACLF) is an acute deterioration of established liver disease. Blocking the TNF (tumor necrosis factor)/TNFR (tumor necrosis factor receptor) 1 pathway may reduce hepatocyte apoptosis/necrosis, and subsequently decrease mortality during development of ACLF. We demonstrated that a long-acting TNF antagonist (soluble TNF receptor: IgG Fc [sTNFR:IgG-Fc]) prevented/reduced development of acute liver failure by blocking the TNF/TNFR1 (TNFRp55) pathway. However, it is still unclear if sTNFR:IgG-Fc can inhibit hepatocyte damage during development of ACLF.MethodologyChronic liver disease (liver fibrosis/cirrhosis) was induced in Wistar rats by repeatedly challenging with human serum albumin (HSA), and confirmed by histopathology. ACLF was induced with D-galactosamine (D-GalN)/lipopolysaccharide (LPS) i.p. in the rats with chronic liver disease. Serum and liver were collected for biochemical, pathological and molecular biological examinations.Principal findingsReduced mortality was observed in sTNFR:IgG-Fc treated ACLF rats, consistent with reduced interleukin (IL)-6 levels in serum and liver, as well as reduced hepatic caspase-3 activity, compared to that of mock treated group. Reduced hepatic damage was confirmed with histopathology in the sTNFR:IgG-Fc treated group, which is consistent with reduced Bcl-2 and Bax, at mRNA and protein levels, but increased hepatocyte proliferation (PCNA). This is also supported by the findings that caspase-3 production was up-regulated significantly in ACLF group compared to the mock treated group. Moreover, up-regulated caspase-3 was inhibited following sTNFR:IgG-Fc treatment. Finally, there was up-regulation of hepatic IL-22R in sTNFR:IgG-Fc treated ACLF rats.ConclusionssTNFR:IgG-Fc improved survival rate during development of ACLF via ameliorating liver injury with a potential therapeutic value.

Thin films of PbS, both undoped and cobalt-doped (Co-PbS), were produced on glass substrates using the straightforward and controllable approach of sequential ionic layer adsorption and reaction (SILAR). The reactive substances employed to deposit the PbS thin films were lead nitrate (Pb(NO 3 ) 2 ), cobalt nitrate (Co(NO₃)₂(H₂O)₆), sodium thiosulphate (Na 2 S 2 O 3 ) and H 2 O for different dipping concentrations of lead and cobalt. The films were adherent to the substrate and were compact, and crack-free with a shiny silver color. The films were structurally characterized by XRD and were found well crystallized according to the face-centered cubic formation. The films were optically characterized by the UV-Vis. spectrophotometer and absorption were found stronger in the UV and UV-Vis. region and then diminishes. Band gaps were determined to be between 1.8 eV and 2.2 eV, making them significant materials with the option of band gap engineering according to the desire by manipulating the compositions., (© 2024 Wiley Periodicals LLC.)

Herein, bacterial-assisted synthesis of AgCoO 2 is carried out. In the first step, E. coli was separated from soil samples via the "serial dilution method." Ten milliliters of bacterial supernatant was mixed with cobalt chloride and silver nitrate hatched at 38°C for 24 h to get AgCoO 2 nanoparticles (NPs). XRD results confirm the synthesis of AgCoO 2 NPs while EDX results confirm the absence of any other elements than Ag, Co, and O. An average NP size of 12-26 nm was determined by TEM examination, and the surface of the particles was seen rough, irregularly shaped borders. The antibacterial activity of the constructed NPs was checked against S. aureus, E. coli, Bacillus subtilus, and Pseudomanas areguinosa using agar well diffusion method. The maximum zone of inhibition was 27 mm at 40 mg/mL against Bacillus subtilus. The performance of the synthesized NPs as photocatalysts was also assessed, and several operational parameters that control the photodegradation of the harmful dyes were tried to tune as well, and 85% degrading efficiency was obtained at 60 o C for 240 min for 30 mg of catalyst dose These NPs were also used to produce hydrogen by methanolysis., (© 2024 Wiley Periodicals LLC.)

For white light-rendering research activities, interpretation by using colored emitting materials is an alternative approach. But there are issues in designing the white color emitting materials. Particularly, differences in thermal and decay properties of discrete red, green, and blue emitting materials led to the quest for the search of a single-phased material, able to emit primary colors for white light generation. The current study is an effort to design a simple, single-phase, and cost-effective material with the tunable emission of primary colors by a series of Mg 1-x Ba x Al 2 O 4 :Mn 2+ nanopowders. Doping of manganese ion (Mn 2+ ) in the presence of the larger barium cation (Ba 2+ ) at tetrahedral-sites of the spinel magnesium aluminate (MgAl 2 O 4 ) structure led to the creation of antisite defects. Doped samples were found to have lower bandgaps compared with MgAl 2 O 4 , and hybridization of 3d-orbitals of Mn 2+ with O(2p), Mg(2s)/Al(2s3p) was found to be responsible for narrowing the bandgap. The distribution of cations at various sites at random results in a variety of electronic transitions between the valance band and oxygen vacancies as well as electron traps produced the antisite defects. The suggested compositions might be used in white light applications since they have three emission bands with centers at 516 nm (green), 464 nm (blue) and 622 nm (red) at an excitation wavelength of 380 nm. A detailed discussion to analyze the effects of the larger cationic radius of Ba 2+ on the lattice strain, unit cell parameters, and cell volumes using X-ray diffraction analysis is presented., (© 2024 John Wiley & Sons Ltd.)

Textile wastewater, heavily contaminated with organic dyes, is generating severe problems to environment and human health. The implementation of gC 3 N 4 with biochar (gC 3 N 4 -BC) for the treatment of textile wastewater is less effective due to the limited adsorption capacity and slower degradation kinetics. To tackle these problems, peroxydisulfate (PDS) is integrated with gC 3 N 4 -BC photocatalyst to enhance the process efficiency and kinetics. The synthesized gC 3 N 4 -BC-5 composite shows higher separation of charge carriers, light absorbance, and lower energy bandgap (2.62 eV). The results of photocatalytic degradation and rate constant are enhanced up to 99.9 % and 0.041 min -1 using gC 3 N 4 -BC-5 with PDS as compared to without PDS (96.8 % and 0.028 min -1 , respectively). The radicals (SO 4 -• ,O 2 -• , and OH • ) are responsible to improve the degradation process efficiency and kinetics. The reusability of optimized sample indicates that gC 3 N 4 -BC-5 is stable and effective up to five cycles. The gC 3 N 4 -BC-5 composite attains highest adsorption (70.9 %) when compared to BC (62.3 %) and pure gC 3 N 4 (27.1 %). The well-fitted models of adsorption (Pseudo-Second-Order and Freundlich) confirm the favorable, chemical, and multilayered adsorption process. The coupling of gC 3 N 4 -BC-5 with PDS is effective, efficient, and stable process to enhance the kinetics and degradation of textile wastewater., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier Ltd.)

Thin films of binary nickel sulphide (NiS) and zinc-doped ternary nickel sulphides (Ni 1- x Zn x S, where x = 0-1) were effectively produced by the chemical bath deposition method, and their potential use in photovoltaics were investigated. Dopant inclusion did not change the crystal structure of NiS, according to the structural analysis of the synthesized samples. They are appropriate for solar cell applications since the morphological study verified the crack-free deposition. Optical research revealed that the deposited thin films had refractive index ( n ) ranges between 1.25 and 3.0, extinction coefficient ( k ) ranges between 0.01 and 0.13, and bandgap values between 2.25 and 2.54 eV. Overall findings indicated that doping is a useful method for modifying the composition, and therefore, the structural and morphological characteristics of NiS thin films, to enhance their optoelectronic behavior., Competing Interests: The authors declare no conflict of interest., (This journal is © The Royal Society of Chemistry.)

Targeted delivery of drug molecules to diseased sites is a great challenge in pharmaceutical and biomedical sciences. Fabrication of drug delivery systems (DDS) to target and/or diagnose sick cells is an effective means to achieve good therapeutic results along with a minimal toxicological impact on healthy cells. Biopolymers are becoming an important class of materials owing to their biodegradability, good compatibility, non-toxicity, non-immunogenicity, and long blood circulation time and high drug loading ratio for both macros as well as micro-sized drug molecules. This review summarizes the recent trends in biopolymer-based DDS, forecasting their broad future clinical applications. Cellulose chitosan, starch, silk fibroins, collagen, albumin, gelatin, alginate, agar, proteins and peptides have shown potential applications in DDS. A range of synthetic techniques have been reported to design the DDS and are discussed in the current study which is being successfully employed in ocular, dental, transdermal and intranasal delivery systems. Different formulations of DDS are also overviewed in this review article along with synthesis techniques employed for designing the DDS. The possibility of these biopolymer applications points to a new route for creating unique DDS with enhanced therapeutic qualities for scaling up creative formulations up to the clinical level., Competing Interests: The authors declare no conflict of interest., (This journal is © The Royal Society of Chemistry.)

The intensification of biochar into fluidized bed membrane bioreactor was investigated to mitigate membrane fouling. Different biochars from algal biomass were produced and used as biomaterials for wastewater treatment. In this study, different macroalgal biochar was synthesized at different pyrolysis temperatures and characterized using Scanning Electron Microscopy (SEM), X-ray Diffraction (XRD), Brunauer Emmett-Teller (BET) and Fourier transform infrared spectroscopy (FTIR) techniques to implicate their effect on membrane fouling reduction in fluidized bed membrane bioreactor. The combined effect of macroalgal biochars and biocarriers with gas sparging was evaluated for fouling mitigation. Macroalgal biochar curtailed membrane fouling effectively at low gas sparging rate. Transmembrane pressure (TMP) was reduced to 0.053 bar; under the fluidization of biochar-650 and biocarriers with gas sparging; from 0.27 bar (gas sparging only). Combined effect of gas sparging, biocarriers and biochar-650 instigated 92.1% fouling reduction in comparative to gas sparging alone. Mechanical scouring driven by biocarriers could reduce fouling due to removing surface deposit of foulants from membrane surface effectively and biochar can efficiently adsorb foulants because of its active functional groups resulting in reduction of colloidal fouling. The addition of divalent ions (Ca 2+ ) further enhanced the fouling reduction in fluidized bed membrane bioreactor., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

The water pollution becomes a serious concern for the sustainability of ecosystems due to the existence of pharmaceutical products (ceftriaxone (CEF) antibiotic). Even in low concentration of CEF has lethal effects on ecosystem and human health. To remove CEF, TiO 2 is considered as an effective and efficient nanoparticles, however its performance is reduced due to wider energy gap and rapid recombination of charge carriers. In this study, activated carbon based TiO 2 (ACT-X) heterogeneous nanocomposites were synthesized to improve the intrinsic properties of TiO 2 and their adsorption-photocatalytic performance for the removal of CEF. The characterization results revealed that ACT-X composites have slower recombination of charge carriers, lower energy band gap (3.05 eV), and better light absorption under visible region of light. From ACT-X composites, the ACT-4 photocatalyst has achieved highest photocatalytic degradation (99.6%) and COD removal up (99.2%). The results of radical scavengers showed that photocatalytic degradation of CEF is mainly occurred due to superoxide and hydroxyl radicals. Meanwhile, the reusability of ACT-4 up to five cycles shows more than 80% photocatalytic degradation, which make the process more economical. The highest experimental adsorption capacity is achieved up to 844.8 mg g -1 using ACT-4. The favorable and multilayer heterogeneous adsorption is carried out according to the well-fitted data with pseudo-second-order and Freundlich models, respectively. These results indicate that the carbon-based TiO 2 composites can be used as a green, stable, efficient, effective, reusable, renewable, and sustainable photocatalyst to eliminate the pharmaceutical pollutants (antibiotics) via adsorption and photocatalytic degradation processes., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

By using the chemical bath deposition approach, binary bismuth sulphides (Bi 2 S 3 ) and chromium-doped ternary bismuth sulphides (Bi 2-x Cr x S 3 ) thin films were effectively produced, and their potential for photovoltaic applications was examined. Structural elucidation revealed that Bi 2 S 3 deposited by this simple and cost-effective method retained its orthorhombic crystal lattice by doping up to 3 at.%. The morphological analysis confirmed the crack-free deposition, hence making them suitable for solar cell applications. Optical analysis showed that deposited thin films have a bandgap in the range of 1.30 to 1.17 eV, values of refractive index ( n ) from 2.9 to 1.3, and an extinction coefficient ( k ) from 1.03 to 0.3. From the Hall measurements, it followed that the dominant carriers in all doped and undoped samples are electrons, and the carrier density in doped samples is almost two orders of magnitude larger than in Bi 2 S 3 . Hence, this suggests that doping is an effective tool to improve the optoelectronic behavior of Bi 2 S 3 thin films by engineering the compositional, structural, and morphological properties.

Microalgae-led wastewater treatment is a promising biorefinery approach to promote environmental and economical sustainability. In this study, Chlorella vulgaris (C. vulgaris) was employed for the bioremediation of textile wastewater (TWW) and biodiesel production. C. vulgaris is cultivated in undiluted and diluted TWW (50%). Cultivation in freshwater containing BG11 medium was set as a control. Results show the highest growth (1.62 ± 0.12 OD 680 ) in diluted TWW followed by BG11 medium (1.56 ± 0.15 OD 680 ) and undiluted TWW (0.89 ± 0.11 OD 680 ). The highest methylene blue decolorization of 99.7% was observed in diluted TWW as compared to 98.5% in undiluted TWW. Morever, COD removal efficiency was also higher (99.7 ± 4.2%) in diluted TWW than BG11 medium (94.4 ± 3.5%) and undiluted TWW (76.3 ± 2.8%). For all treatment, more than 80% nitrogen and phosphorous removal were achieved. Otther than this, fatty acids methyl ester (FAME) yield in diluted TWW was higher (11.07 mg g -1 ) than the undiluted TWW (9.12 mg L -1 ). Major FAME were palmitic acid (C16:0) and linolenoic acid (C18:3) which are suitable for biodiesel production. All these results suggest that C. vulgaris can be cultivated in both diluted and undiluted TWW for biodiesel production. However, cultivation in undiluted TWW is more favorable as it displaces the need for freshwater addition in the growth medium., (Copyright © 2021 Elsevier Ltd. All rights reserved.)

The nature of armed conflict throughout the world is intensely dynamic. Consequently, the protection of non-combatants and the provision of humanitarian services must continually adapt to this changing conflict environment. Complex political affiliations, the systematic use of explosive weapons and sexual violence, and the use of new communication technology, including social media, have created new challenges for humanitarian actors in negotiating access to affected populations and security for their own personnel. The nature of combatants has also evolved as armed, non-state actors might have varying motivations, use different forms of violence, and engage in a variety of criminal activities to generate requisite funds. New health threats, such as the COVID-19 pandemic, and new capabilities, such as modern trauma care, have also created new challenges and opportunities for humanitarian health provision. In response, humanitarian policies and practices must develop negotiation and safety capabilities, informed by political and security realities on the ground, and guidance from affected communities. More fundamentally, humanitarian policies will need to confront a changing geopolitical environment, in which traditional humanitarian norms and protections might encounter wavering support in the years to come., (Copyright © 2021 Elsevier Ltd. All rights reserved.)

The serine protease factor XI (FXI) is a prominent drug target as it holds promise to deliver efficacious anticoagulation without an enhanced risk of major bleeds. Several efforts have been described targeting the active form of the enzyme, FXIa. Herein, we disclose our efforts to identify potent, selective, and orally bioavailable inhibitors of FXIa. Compound 1 , identified from a diverse library of internal serine protease inhibitors, was originally designed as a complement factor D inhibitor and exhibited submicromolar FXIa activity and an encouraging absorption, distribution, metabolism, and excretion (ADME) profile while being devoid of a peptidomimetic architecture. Optimization of interactions in the S1, S1β, and S1' pockets of FXIa through a combination of structure-based drug design and traditional medicinal chemistry led to the discovery of compound 23 with subnanomolar potency on FXIa, enhanced selectivity over other coagulation proteases, and a preclinical pharmacokinetics (PK) profile consistent with bid dosing in patients.

TiO 2 based photocatalysts are extensively used for textile wastewater treatment as they are ecofriendly, inexpensive, easily available, nontoxic and have higher photostabililty. However, their wider band gap, charge carrier's recombination, and utilization of light absorbance limits their performance. In the present work, a hybrid biochar-TiO 2 composite (BCT) has been synthesized by a facile synthesis strategy to overcome these problems. These photocatalysts are characterized using X-ray Diffraction (XRD), Scanning Electron Microscope (SEM), Fourier Transform Infrared (FTIR), UV-vis diffuse reflectance spectra (DRS), and photoluminescence (PL) to evaluate their crystallinity, morphology, functional groups, bandgap energy and charge separation properties, respectively. The photodegradation of simulated textile wastewater is analyzed using hybrid composites. The hybrid biochar-TiO 2 composite showed higher charge separation, slow recombination of electron-hole pairs, and enhanced light absorption as compared to control (pure TiO 2 and BC alone). 99.20 % photodegradation efficiency of dye-simulated wastewater is achieved employing optimum hybrid composite, while the pure biochar and TiO 2 samples exhibits 85.20 % and 42.60 % efficiencies, respectively. The maximum adsorption capacity is obtained for hybrid biochar-TiO 2 sample, 74.30 mgg -1 in comparison to biochar (30.40 mgg -1 ) and pure TiO 2 (1.50 mgg -1 ). The results show that hybrid biochar-TiO 2 composites can perform in the target application of organic industrial pollutant removal., (Copyright © 2019 Elsevier B.V. All rights reserved.)

Background: The current article is about the water treatment in which colored water contaminated by methyl orange has been used for adsorption assisted photocatalysis. Coupling of photocatalysis with the traditional water treatment processes has been in practice since last couple of years for the improvement of degradation efficiencies, for example, photocatalysis coupled with ultrafilteration, adsorption, flocculation, biological methods, photolysis, membrane distillation, etc. Among all these coupling approaches, adsorption assisted photocatalysis being a very simple and highly efficient approach is suffering from few drawbacks on the account of high cost, low stability and surface area of the adsorbent support. The present study is a contribution towards improvement in this coupling approach. A low cost, highly stable spinel magnesium aluminate (MgAl2O4) material synthesized at nanoscale is used for composite formation with antimony sulphide (Sb2S3) material having high absorption coefficient in the visible light of solar spectrum. A review of recent patents shows that the field of photoctalysis is dominated by the traditional TiO2 catalyst. The modification of TiO2 by either composite formation or by doping is the main focus., Methods: Coprecipitation method is used for the synthesis of spinel in which the desired precursors in the respective molar ratios were mixed and annealing of the resulting precipitates was carried out at 800oC for 8 h. Sb2S3 was synthesized by the hydrothermal method in which the required molar solution of precursors was mixed with urea solution and the whole mixture was maintained at 105oC for 6 hrs in a Teflon lined autoclave. The resulting suspension was then annealed at 37oC for 3 hours. The composite of Sb2S3 and MgAl2O4 has been synthesized by mixing both the materials in 1:1 and heat treated in an oven at a temperature of 200oC., Results: Peaks in X-ray diffraction pattern correspond to both the Sb2S3 and spinel phase. All the peaks corresponding to the Sb2S3 and spinel phase were found to be shifted to higher d-spacing values. This indicates the expansion of unit cells of the Sb2S3 and MgAl2O4 phases. Thermal studies show that only 3% weight loss is observed at a temperature of 200-1000oC which may be due to the loss of surface water from the sample. Surface area, pore volume and pore size obtained from N2 adsorption were 143m2/g, 0.21cc/g and 23.26Å, respectively. The removal efficiency of 0.1g catalyst for methyl orange solution of 5mg/L concentration after reaction in dark conditions for the time of one hour was calculated to be 24% owing to the adsorption. The visible light degradation efficiency of the 0.1g catalyst for 1, 5, 19, 25 and 50 mg/L concentrations of MO solutions were 97, 93, 75, 72 and 62% respectively. The dosage of the catalyst was found to have a direct relationship with the degradation efficiency. Lower pH was found suitable for the degradation owing to better interaction of catalyst surface and the adsorbed dye. Percent degradation increased with the increase in the time and temperature of reaction. The degradation kinetics followed pseudo first order rate equation; the calculated value of rate constant was 0.0102 min-1., Conclusion: The mechanism involves the excitation of electrons in the valence band of Sb2S3 to the conduction band by the absorption of visible and UV light. The electrons and holes participate in the surface reactions resulting in the formation of superoxide and hydroxyl radicals which degrade the targeted polluted. Lower concentration of MO solutions, acidic pH, higher catalyst dosage and greater reaction times were found suitable for the degradation efficiency.