51 research outputs found

    The prevalence and factors associated for anti-tuberculosis treatment non-adherence among pulmonary tuberculosis patients in public health care facilities in South Ethiopia: a cross-sectional study

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    This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.Background Evidence exists pointing out how non-adherence to treatment remains a major hurdle to efficient tuberculosis control in developing countries. Many tuberculosis (Tb) patients do not complete their six-month course of anti-tuberculosis medications and are not aware of the importance of sputum re-examinations, thereby putting themselves at risk of developing multidrug-resistant and extensively drug-resistant forms of tuberculosis and relapse. However, there is a dearth of publications about non-adherence towards anti-Tb medication in these settings. We assessed the prevalence of and associated factors for anti-Tb treatment non-adherence in public health care facilities of South Ethiopia. Methods This was a cross-sectional survey using both quantitative and qualitative methods. The quantitative study was conducted among 261 Tb patients from 17 health centers and one general hospital. The qualitative aspect included an in-depth interview of 14 key informants. For quantitative data, the analysis of descriptive statistics, bivariate and multiple logistic regression was carried out, while thematic framework analysis was applied for the qualitative data. Results The prevalence of non-adherence towards anti-Tb treatment was 24.5%. Multiple logistic regression analysis demonstrated that poor knowledge towards tuberculosis and its treatment (AOR = 4.6, 95%CI: 1.4-15.6), cost of medication other than Tb (AOR = 4.7, 95%CI: 1.7-13.4), having of health information at every visit (AOR = 3, 95% CI: 1.1-8.4) and distance of DOTS center from individual home (AOR = 5.7, 95%CI: 1.9-16.8) showed statistically significant association with non-adherence towards anti- tuberculosis treatment. Qualitative study also revealed that distance, lack of awareness about importance of treatment completion and cost of transportation were the major barriers for adherence. Conclusions A quarter of Tb patients interrupted their treatment due to knowledge, availability and accessibility of DOTS service. We recommend creating awareness about anti-Tb treatment, and decentralization of drug pick-ups to the lowest level of health institutions

    Ambient fabrication of organic-inorganic hybrid Perovskite solar cells

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    Organic–inorganic hybrid perovskite solar cells (PSCs) have attracted significant attention in recent years due to their high‐power conversion efficiency, simple fabrication, and low material cost. However, due to their high sensitivity to moisture and oxygen, high efficiency PSCs are mainly constructed in an inert environment. This has led to significant concerns associated with the long‐term stability and manufacturing costs, which are some of the major limitations for the commercialization of this cutting‐edge technology. Over the past few years, excellent progress in fabricating PSCs in ambient conditions has been made. These advancements have drawn considerable research interest in the photovoltaic community and shown great promise for the successful commercialization of efficient and stable PSCs. In this review, after providing an overview to the influence of an ambient fabrication environment on perovskite films, recent advances in fabricating efficient and stable PSCs in ambient conditions are discussed. Along with discussing the underlying challenges and limitations, the most appropriate strategies to fabricate efficient PSCs under ambient conditions are summarized along with multiple roadmaps to assist in the future development of this technology

    Transcription restores DNA repair to heterochromatin, determining regional mutation rates in cancer genomes

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    SummarySomatic mutations in cancer are more frequent in heterochromatic and late-replicating regions of the genome. We report that regional disparities in mutation density are virtually abolished within transcriptionally silent genomic regions of cutaneous squamous cell carcinomas (cSCCs) arising in an XPC−/− background. XPC−/− cells lack global genome nucleotide excision repair (GG-NER), thus establishing differential access of DNA repair machinery within chromatin-rich regions of the genome as the primary cause for the regional disparity. Strikingly, we find that increasing levels of transcription reduce mutation prevalence on both strands of gene bodies embedded within H3K9me3-dense regions, and only to those levels observed in H3K9me3-sparse regions, also in an XPC-dependent manner. Therefore, transcription appears to reduce mutation prevalence specifically by relieving the constraints imposed by chromatin structure on DNA repair. We model this relationship among transcription, chromatin state, and DNA repair, revealing a new, personalized determinant of cancer risk

    Long-term consequences of tillage, organic amendments, residue management and localized irrigation on selected soil micro-flora groups in a Mediterranean apricot orchard

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    In semi-arid Mediterranean environments, the loss of soil fertility can be avoided through the optimization and innovation of low environmental impact agricultural techniques. Such ‘innovative’, suitable agricultural management practices can have positive effects on soil microbial communities. The aim of the present study was to explore the effects of two different agricultural systems (‘innovative’ and ‘conventional’) on the diversity of important groups of microorganisms related to soil fertility, such as fungi, actinomycetes, Pseudomonas spp., Bacillus spp., Azotobacter spp., proteolytic and ammonifying bacteria. The study was carried out in an apricot orchard located in Southern Italy. Since 2003, half of the orchard was managed adopting no-tillage, cover crops, compost application, drip irrigation, winter pruning and limited mineral fertilization, whereas the other half was subjected to ‘conventional’ management. Soil samples were randomly collected from the superficial soil layer in four different orchard positions: innovative along the inter-rows (IIR) and under drip emitters (IUE), and conventional along the inter-rows (CIR) and under drip emitters (CUE). Higher populations of total bacteria, actinomycetes and proteolytic bacteria were induced by IIR treatment, whereas Pseudomonas spp., Azotobacter spp. and ammonifying bacteria showed increased populations in IUE. No differences between the treatments were found for total fungi and Bacillus spp. The higher inputs of organic matter of innovative plots caused an increase in the microbial groups responsible for nitrogen metabolism in well-watered zones (IUE), and higher activities of decomposer and humus-forming microorganisms in IIR. Results show that suitable agricultural practices can have positive effects on microbial activities and complexity, which in turn influence soil fertility

    Nitrogen-doped phosphorene for electrocatalytic ammonia synthesis

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    The rapid surface oxidation of phosphorene under ambient conditions is considered to be a serious issue for many applications, but is used here as a strategy to achieve efficient heteroatom doping. Highly crystalline nitrogen-doped phosphorene (N-phosphorene) is prepared using a combination of ball milling and microwave techniques. The prepared N-doped phosphorene nanosheets showed outstanding electrocatalytic performance as a new type of non-metallic catalyst for nitrogen (N2) to ammonia (NH3) conversion, with an NH3 yield rate and faradaic efficiency (FE) of up to 18.79 ÎŒg h−1 mgCAT−1 and 21.51%, respectively, at a low overpotential (0 V) versus the reversible hydrogen electrode (RHE). Density functional theory calculations revealed that the high nitrogen reduction reaction (NRR) FEs originate from the increased hydrophobicity at the N and O doped phosphorene surfaces, which in turn hinders the competing hydrogen evolution reaction (HER) in an alkaline environment and promotes the NRR. This work not only introduces an efficient strategy to chemically functionalize 2D phosphorene, but also opens a new avenue in using N-doped phosphorene nanosheets as a metal-free catalyst.Guangrui Xu, Hao Li, Abdulaziz S. R. Bati, Munkhjargal Bat-Erdene, Md J. Nine, Dusan Losic ... et al

    Surface oxidized two-dimensional antimonene nanosheets for electrochemical ammonia synthesis under ambient conditions

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    Two-dimensional (2D) antimonene nanosheets are prepared using a combination of ball milling and sonication-based liquid exfoliation and are used as an efficient electrocatalyst for the nitrogen reduction reaction (NRR). In 0.1 M KOH, a high NH₃ yield of 180.4 ÎŒg h⁻Âč mg(CAT)⁻Âč and faradaic efficiency (FE) of 11.6% are achieved using our antimonene nanosheets. Theoretical calculations suggest that the oxidized species of antimonene act as the active catalytic sites for the NRR process. This work opens up a new avenue towards the development of 2D electrocatalysts for clean energy.Munkhjargal Bat-Erdene, Guangrui Xu, Munkhbayar Batmunkh, Abdulaziz S.R. Bati, Jessica J. White, Md J. Nine, Dusan Losic, Yu Chen, Yun Wang, Tianyi Ma and Joseph G. Shapte
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