7,364 results match your criteria: "Mozambique; Hospital Central de Maputo[Affiliation]"

Modern African ecosystems as landscape-scale analogues for reconstructing woody cover and early hominin environments.

J Hum Evol

December 2024

Division of Earth Sciences, National Science Foundation, 2415 Eisenhower Ave, Alexandria, VA 22314, USA.

Reconstructing habitat types available to hominins and inferring how the paleo-landscape changed through time are critical steps in testing hypotheses about the selective pressures that drove the emergence of bipedalism, tool use, a change in diet, and progressive encephalization. Change in the amount and distribution of woody vegetation has been suggested as one of the important factors that shaped early hominin evolution. Previous models for reconstructing woody cover at eastern African hominin fossil sites used global-scale modern soil comparative datasets.

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  • Sub-Saharan Africa has the highest chronic hepatitis B virus (HBV) infection rates globally, making national HBV prevalence estimates crucial for Kenya's viral hepatitis program.
  • In a study analyzing data from over 3,000 participants aged 15-64 in the 2018 Kenya Population-based HIV Impact Assessment, the national HBV prevalence was found to be 3.0%, equating to approximately 810,600 infected individuals in this age group.
  • The study revealed significant geographical variations in HBV prevalence, with higher rates in certain regions, among people living with HIV, older individuals, those with no formal education, and in lower economic groups; lack of formal education was notably linked to increased HBV infection risk.
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  • Data on acute coronary syndrome (ACS) in Africa is insufficient, particularly regarding the increasing cases of premature ACS, highlighting the need for an epidemiological assessment to identify risk factors and improve management practices.
  • The European Atherosclerosis Society initiated the Lipid Registry of Africa (EAS-LIPRA) to create a standardized registry that collects and analyzes data on premature ACS across multiple African countries.
  • EAS-LIPRA aims to enhance understanding of ACS by stratifying data based on income levels and urban/rural residence, using valid statistical methods to compare demographics and management trends, potentially serving as a model for similar initiatives in other developing regions.
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Wildlife is an essential component of biodiversity and provides people with multiple social and economic benefits. However, a resurgence of epidemics over the past two decades has highlighted wildlife's role as a potential source of dangerous pathogens for humans and livestock, with devastating consequences worldwide. Simultaneously, numerous reports have indicated that wildlife populations are declining at an alarming rate due to human and livestock pathogens, predation, and competition.

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Leveraging the potential of virtual platforms in the post-COVID-19 era, the Infection and Pulmonary Vascular Diseases Consortium (iPVDc), with the support of the Pulmonary Vascular Research Institute (PVRI), launched a globally accessible educational program to highlight top-notch research on inflammation and infectious diseases affecting the lung vasculature. This innovative virtual series has already successfully brought together distinguished investigators across five continents - Asia, Europe, South and North America, and Africa. Moreover, these open global forums have contributed to a comprehensive understanding of the complex interplay among immunology, inflammation, infection, and cardiopulmonary health, especially concerning pulmonary hypertension and related pulmonary disorders.

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The burden of foodborne disease due to the consumption of animal-sourced foods is substantial in low- and middle-income countries (LMICs). Open air markets, while providing fresh and affordable foods, often have unhygienic practices that may contribute to contamination during the slaughter and processing of chicken meat. This study examines whether and how the common practice of rinse water (stored water used for rinsing broiler carcasses during processing) reuse leads to accumulation of pathogens, with potential cross contamination of chicken meat.

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Background: Alterations in haematological, biochemical parameters and cytokine levels, were reported in patients with COVID-19, however, there is an underrepresentation of the African population, which could provide evidence for understanding SARS-CoV-2 pathogenesis and useful tools for clinical management of cases. In this study, we aimed to determine the haematological, biochemical and cytokine profile in Mozambican individuals with SARS-CoV-2.

Methods: A cohort of 85 Mozambican individuals with RT-PCR SARS-CoV-2 results, was stratified into negative, asymptomatic, mild, moderate, and severe categories.

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Aquaponic systems are food production systems that combine aquaculture and hydroponic in a closed recirculation system where water provides nutrients to plants while plants purify water for fish. In this system, tilapia is the most commonly cultured fish and can be easily integrated with vegetable cultivation. However, tilapia host a diverse microbiota some of which are pathogenic and can infect humans.

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Etiologies and comorbidities of meningitis deaths in children under 5 years in high-mortality settings: Insights from the CHAMPS Network in the post-pneumococcal vaccine era.

J Infect

December 2024

Centro de Investigação em Saúde de Manhiça, Maputo, Mozambique; ISGlobal, Barcelona, Spain, Facultat de Medicina i Ciències de la Salut, Unviersitat de Barcelona (UB), Barcelona, Spain; ICREA, Pg. Lluís Companys 23, 08010 Barcelona, Spain; Pediatrics Department, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues, Barcelona, Spain; Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública-CIBERESP, Madrid, Spain.

Article Synopsis
  • The study investigates the role of meningitis in child mortality under five years old, particularly focusing on data from six sub-Saharan African countries and Bangladesh.
  • It employs post-mortem minimally invasive tissue sampling (MITS) to identify the causes of death and pathogens responsible for meningitis in this age group from December 2016 to December 2023.
  • Findings reveal that meningitis contributed to 7% of child deaths, with common pathogens identified being Acinetobacter baumannii and Klebsiella pneumoniae, particularly affecting neonates and infants.
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Background: Testing and treating symptomatic malaria cases is crucial for case management, but it may also prevent future illness by reducing mean infection duration. Measuring the impact of effective treatment on burden and transmission via field studies or routine surveillance systems is difficult and potentially unethical. This project uses mathematical modeling to explore how increasing treatment of symptomatic cases impacts malaria prevalence and incidence.

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Background: We assessed the impact of point-of-care (PoC) test-and-treat at birth on clinical outcomes and viral suppression among HIV-positive infants in Mozambique and Tanzania.

Methods: This cluster-randomized trial allocated health facilities to intervention, providing PoC-testing and antiretroviral treatment (ART) at birth and week 4-8, or control, starting these at week 4-8. The primary outcome was proportions of clinical events (mortality, morbidity, retention, virological failure, toxicity) among HIV-positive infants at month-18.

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Statutory and policy-based eco-disaster risk reduction in SADC member states.

Jamba

October 2024

Department of Geo- and Spatial Sciences, Faculty of Natural and Agricultural Science, North-West University, Potchefstroom, South Africa.

Unlabelled: Effective legislative framework is the cornerstone of managing hazards and disasters because they have become policy problems of global and local concern. This research study aims at understanding the implementation, strengths and gaps of policies related to Eco-DRR in SADC member states. In particular, attempts to critically analyse the making of DRM policies, as well as the variables underpinning these policies, given the high level of disaster losses.

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The prevalence and distribution of malaria in Mpumalanga Province before and during COVID-19 (2017 - 2022).

S Afr Med J

August 2024

Laboratory for Antimalarial Resistance Monitoring and Malaria Operational Research, National Institute for Communicable Diseases, Johannesburg, South Africa; Wits Research Institute for Malaria, University of the Witwatersrand, Johannesburg, South Africa; University of Pretoria Institute for Sustainable Malaria Control, University of Pretoria, South Africa.

Background: South Africa (SA) has committed to eliminating malaria by 2028. However, the initial target was set for 2023. Additionally, the ongoing COVID-19 pandemic and the emergence of drug and insecticide resistance have been identified as potential stumbling blocks in the achievement of this goal.

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Difference-in-differences (DID) is a key tool for causal impact evaluation but faces challenges when applied to sensitive data restricted by privacy regulations. Obtaining consent can shrink sample sizes and reduce statistical power, limiting the analysis's effectiveness. Federated learning addresses these issues by sharing aggregated statistics rather than individual data, though advanced federated DID software is limited.

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Background: Adverse childhood experiences (ACEs) can have debilitating effects on child well-being, with consequences persisting into adulthood. Most ACE studies have been conducted in high-income countries and show a graded relationship between multiple ACE exposures and adverse health outcomes. Less is known about the types and burden of ACEs in sub-Saharan Africa (SSA).

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Implementation of digital chest radiography for childhood tuberculosis diagnosis at district hospital level in six high tuberculosis burden and resources limited countries.

Trop Med Int Health

November 2024

Translational Research on HIV and Endemic and Emerging Infectious Diseases (TransVIHMI), University of Montpellier, National Institute for Health and Medical Research (INSERM), French National Research Institute for Sustainable Development (IRD), Montpellier, France.

Objectives: Chest x-ray (CXR) plays an important role in childhood tuberculosis (TB) diagnosis, but access to quality CXR remains a major challenge in resource-limited settings. Digital CXR (d-CXR) can solve some image quality issues and facilitate their transfer for quality control. We assess the implementation of introducing d-CXR in 12 district hospitals (DHs) in 2021-2022 across Cambodia, Cameroon, Ivory Coast, Mozambique, Sierra Leone and Uganda as part of the TB-speed decentralisation study on childhood TB diagnosis.

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Microplastic contamination in the aquaculture icon Oreochromis mossambicus: Prevalence, characteristics, and comprehensive overview.

Environ Toxicol Pharmacol

December 2024

Department of Zoology and Fisheries, Faculty of Agrobiology, Food and Natural Resources, Czech University of Life Sciences, Prague, Czech Republic. Electronic address:

The global production of plastics has surged to 368 million tonnes annually, leading to significant plastic waste accumulation, projected to reach 12,000 Mt by 2050, impacting aquatic ecosystems. Fish, crucial for their protein and nutrients, are particularly vulnerable to microplastic (MP) ingestion. As a major aquaculture producer and fish consumer, India faces rising plastic pollution in freshwater, which disrupts fish health and growth, posing a significant threat to the sustainability and productivity of aquaculture systems and potential health risks.

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Burden of Lassa fever disease in pregnant women and children and options for prevention.

Vaccine

January 2025

Departments of Pediatrics and Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, USA. Electronic address:

Article Synopsis
  • * In children, Lassa fever presents symptoms similar to adults, with high case fatality rates (6-63%), particularly concerning in neonates (66.7%-75%) and significant risks such as bleeding and altered mental status.
  • * Developing a safe and effective vaccine is crucial, especially since current trials do not adequately include pregnant/breastfeeding women and young children; targeted strategies for diagnosis, management, and prevention in these high
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Background: Tsetse flies (Glossina) transmit species of Trypanosoma which cause human African trypanosomiasis (HAT) and animal African trypanosomiasis (AAT). Understanding the epidemiology of this disease and controlling the vector rationally requires analysis of the abundance, age structure, infection rates and feeding patterns of tsetse populations.

Methods: We analysed a population of G.

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  • Osteoarthritis and rheumatoid arthritis (RA) are common chronic joint disorders, with research indicating that the prevalence of these conditions differs by sex, yet few studies have explored the underlying sociological reasons and the effects of the COVID-19 pandemic.
  • This study seeks to chart trends in the prevalence of osteoarthritis and RA by sex from 2005 to 2021, focusing on factors that may increase vulnerability during the pandemic.
  • Analysis of data from 110,225 individuals in South Korea revealed a higher prevalence of both conditions among females, particularly those aged 60 and older, with significant association found between obesity and osteoarthritis vulnerability in females but not in males.
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Review of the WHO guideline on preventive chemotherapy for public health control of strongyloidiasis.

Lancet Infect Dis

October 2024

Department of Control of Neglected Tropical Diseases, WHO, Geneva, Switzerland.

Article Synopsis
  • Strongyloidiasis is a widespread parasitic infection affecting 300-600 million people, particularly in tropical regions, and poses serious health risks, especially during immunosuppression, with high fatality rates.
  • There have been no significant global health initiatives targeting this disease until recently, when the WHO included it in their roadmap for controlling neglected tropical diseases, highlighting its importance.
  • The new WHO guidelines recommend mass drug administration of ivermectin in areas with a prevalence of over 5%, aiming for effective public health strategies to combat strongyloidiasis.
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  • - Mozambique has one of the highest rates of HIV, ranking sixth globally in prevalence and fourth in new infections, leading to a significant role for government-owned print media in informing the public about the epidemic since 1986.
  • - The article uses article and frame analysis to explore how HIV and AIDS have been framed in media, indicating that media representation impacts public understanding and behavior regarding the disease.
  • - The study highlights three tensions faced in framing HIV and AIDS: balancing government health ideology with market influences, navigating global actors' impact versus national interests, and portraying government success despite societal gaps in effective responses.
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Background: This study aimed to evaluate the effects of physical activity on the cognition of patients with stroke, comparing the effectiveness of using isolated or combined rehabilitation, as well as the duration and intensity of training, to identify the characteristics of optimal training programs for post-stroke cognitive rehabilitation.

Methods: For this systematic review, we followed PRISMA guidelines and searched Web of Science, Scopus, PEDRo, SPORTdiscus, PubMed, Trial Registries, and Google Scholar for studies published between 2013 and April 12, 2023. We included randomized controlled trials (RCTs) of interventions that measured the effect of physical activity on cognition in patients with stroke.

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In this work our aim was to identify early biomarkers in plasma samples associated with mortality in children with perinatal HIV treated early in life, to potentially inform early intervention targeting this vulnerable group. 20/215 children (9.3%) with perinatal HIV, enrolled within 3 months of age died prematurely within the first year of the study, despite early ART initiation.

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