580 research outputs found

    Colloidal gas aphron extraction of bioactive compounds from brazilian pinot noir grape pomace.

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    Residues from the food industry are a problem worldwide. Alternatives have been developed in an attempted to extract compounds from fruit pomace in other to apply those as a natural component in different products. This work has the objective to produce two extracts: (1) ethanolic extract and (2) hot water extract; and characterize the chemical composition of these extracts for future application. In sequence an extraction using surfactants (Colloidal Gas Aphron) was applied in order to obtain a more concentrate and pure extract, in a foam form with better physical properties. The ethanolic extraction was more efficient, obtaining 4 times more bioactive compound (in 100g of pomace: 2670.63 mg Gallic Acid; 65.70 mg anthocyanins and 45,564.78 mmol of Trolox). However the CGA was able to concentrate more the compounds from hot water extract, 61.62% of phenolics compounds were concentrated in the Aphron phase

    A Preliminary Assessment of Rotavirus Vaccine Effectiveness in Zambia

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    BACKGROUND: Diarrhea is the third leading cause of child death in Zambia. Up to one-third of diarrhea cases resulting in hospitalization and/or death are caused by vaccine-preventable rotavirus. In January 2012, Zambia initiated a pilot introduction of the Rotarix live, oral rotavirus vaccine in all public health facilities in Lusaka Province. METHODS: Between July 2012 and October 2013, we conducted a case-control study at 6 public sector sites to estimate rotavirus vaccine effectiveness (VE) in age-eligible children presenting with diarrhea. We computed the odds of having received at least 1 dose of Rotarix among children whose stool was positive for rotavirus antigen (cases) and children whose stool was negative (controls). We adjusted the resulting odds ratio (OR) for patient age, calendar month of presentation, and clinical site, and expressed VE as (1 - adjusted OR) × 100. RESULTS: A total of 91 rotavirus-positive cases and 298 rotavirus-negative controls who had under-5 card-confirmed vaccination status and were ≥6 months of age were included in the case-control analysis. Among rotavirus-positive children who were age-eligible to be vaccinated, 20% were hospitalized. Against rotavirus diarrhea of all severity, the adjusted 2-dose VE was 26% (95% confidence interval [CI], -30% to 58%) among children ≥6 months of age. VE against hospitalized children ≥6 months of age was 56% (95% CI, -34% to 86%). CONCLUSIONS: We observed a higher point estimate for VE against increased severity of illness compared with milder disease, but were not powered to detect a low level of VE against milder disease

    \u27I need time to start antiretroviral therapy\u27: Understanding reasons for delayed ART initiation among people diagnosed with HIV in Lusaka, Zambia

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    INTRODUCTION: Rapid antiretroviral therapy (ART) initiation can improve patient outcomes such as viral suppression and prevent new infections. However, not everyone who can start ART does so immediately. METHODS: We conducted a qualitative study to inform interventions supporting rapid initiation in the \u27Test and Start\u27 era. We purposively sampled 20 adult patients living with HIV and a previous gap in care from ten health facilities in Lusaka, Zambia for interviews. We inductively analysed transcripts using a thematic, narrative approach. In their narratives, seven participants discussed delaying ART initiation. RESULTS: Drawing on messages gleaned from facility-based counselling and community information, many cited greater fear of rapid sickness or death due to imperfect adherence or treatment side effects than negative health consequences due to delayed initiation. Participants described needing time to \u27prepare\u27 their minds for a lifetime treatment commitment. Concerns about inadvertent HIV status disclosure during drug collection discouraged immediate initiation, as did feeling healthy, and worries about the impact of ART initiation on relationship dynamics. CONCLUSION: Findings suggest that counselling messages should accurately communicate treatment risks, without perpetuating fear-based narratives about HIV. Identifying and managing patient-specific concerns and reasons for the \u27need for time\u27 may be important for supporting individuals to rapidly accept lifelong treatment.Key messagesFear-based adherence messaging in health facilities about the dangers of missing a treatment dose or changing the time when ART is taken contributes to Zambian patients\u27 refusals of immediate ART initiationResponsive health systems that balance a stated need for time to accept one\u27s diagnosis and prepare to embark on a lifelong treatment plan with interventions to identify and manage patient-specific treatment related fears and concerns may support more rapid ART initiationPerceived social stigma around HIV continues to be a significant challenge for treatment initiation

    The Epigravettian chronology and the human population of eastern Central Europe during MIS2

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    The goal of this paper is to refine the relative and absolute chronology of Epigravettian culture (26.5-15.0 ka) in eastern Central Europe (ECE) and clarify its relation to the Last Glacial Maximum (LGM) and subsequent climatic changes. Epigravettian sites were sorted into three chronological clusters: initial LGM (ILGM) (26.5-24.0 ka), local LGM (LLGM) (24.0-20.0 ka), and post-LGM (PLGM) (20.0-14.7 ka). We obtained new radiocarbon dates from previously dated and undated sites, then analysed the lithic tool typology and faunal data to seek correlations between age and archaeological features.The lithic typology study did not find differences between ILGM and LLGM sites, but the tool type variance between LLGM and PLGM was significant, applicable for relative chronology. ILGM and LLGM lithic assemblages were characterized by domestic tool dominance and the frequent use of flake tools. PLGM assemblages were correlated with armature dominance and blade/let tools. Among the armatures, backed point variants characterized the PLGM sites compared to the ILGM and LLGM. The sole ILGM lithic armature was the retouched blade/let point. The LLGM also possessed this type and often included backed blade/lets.ILGM faunal data, although few, implied the hunting of mammoth and reindeer. The LLGM data represented recurring hunting of reindeer and horse, and PLGM data indicated the hunting of horse, reindeer, and mammoth.Our results suggested that the territory of Poland was deserted by humans in the LLGM. Moravia and Lower Austria was inhabited until the first half of the LLGM, while the Carpathian Basin was all along the ILGM. The preference for the Carpathian Basin could have been the milder climate, the abundance of fauna, and permanent access to tree vegetation. After the LGM the glacial flora and fauna gradually disappeared, leading to a reduced human presence in southern ECE. Thus, the disappearance of the Epigravettian culture and Pleistocene hunter-gatherer occupations are linked to the amelioration of climate that resulted in the disappearance of the Pleistocene environment. (C) 2021 The Authors. Published by Elsevier Ltd.Human Origin

    Evolutionary pathway to increased virulence and epidemic group A Streptococcus disease derived from 3,615 genome sequences.

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    To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files. This article is open access.We sequenced the genomes of 3,615 strains of serotype Emm protein 1 (M1) group A Streptococcus to unravel the nature and timing of molecular events contributing to the emergence, dissemination, and genetic diversification of an unusually virulent clone that now causes epidemic human infections worldwide. We discovered that the contemporary epidemic clone emerged in stepwise fashion from a precursor cell that first contained the phage encoding an extracellular DNase virulence factor (streptococcal DNase D2, SdaD2) and subsequently acquired the phage encoding the SpeA1 variant of the streptococcal pyrogenic exotoxin A superantigen. The SpeA2 toxin variant evolved from SpeA1 by a single-nucleotide change in the M1 progenitor strain before acquisition by horizontal gene transfer of a large chromosomal region encoding secreted toxins NAD(+)-glycohydrolase and streptolysin O. Acquisition of this 36-kb region in the early 1980s into just one cell containing the phage-encoded sdaD2 and speA2 genes was the final major molecular event preceding the emergence and rapid intercontinental spread of the contemporary epidemic clone. Thus, we resolve a decades-old controversy about the type and sequence of genomic alterations that produced this explosive epidemic. Analysis of comprehensive, population-based contemporary invasive strains from seven countries identified strong patterns of temporal population structure. Compared with a preepidemic reference strain, the contemporary clone is significantly more virulent in nonhuman primate models of pharyngitis and necrotizing fasciitis. A key finding is that the molecular evolutionary events transpiring in just one bacterial cell ultimately have produced millions of human infections worldwide.Knut and Alice Wallenberg Foundation Swedish Research Council Houston Methodist Hospital Fondren Foundatio

    Understanding How University Students Use Perceptions of Consent, Wantedness, and Pleasure in Labeling Rape.

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    While the lack of consent is the only determining factor in considering whether a situation is rape or not, there is sufficient evidence that participants conflate wantedness with consent and pleasurableness with wantedness. Understanding how people appraise sexual scenarios may form the basis to develop appropriate educational packages. We conducted two large-scale qualitative studies in two UK universities in which participants read vignettes describing sexual encounters that were consensual or not, wanted or unwanted and pleasurable or not pleasurable. Participants provided free-text responses as to whether they perceived the scenarios to be rape or not and why they made these judgments. The second study replicated the results of the first and included a condition where participants imagined themselves as either the subject or initiator of the sexual encounter. The results indicate that a significant portion of our participants held attitudes reflecting rape myths and tended to blame the victim. Participants used distancing language when imagining themselves in the initiator condition. Participants indicated that they felt there were degrees of how much a scenario reflected rape rather than it simply being a dichotomy (rape or not). Such results indicate a lack of understanding of consent and rape and highlight avenues of potential educational materials for schools, universities or jurors
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