The Lived Experiences of Individuals and Coping Strategies in the Context of Internet Gaming Disorder: A Qualitative Study Within Higher Education Setting in Uganda.

Background: Internet Gaming Disorder (IGD), recognized as a mental disorder in both the Diagnostic and Statistical Manual (DSM-5) and International Classification of Diseases (ICD-11), poses significant threats to physical, social, and mental well-being. This study aims to delve into the experiences of individuals grappling with IGD. Methods and Materials: The study employed an interpretive phenomenology, conducting interviews with 10 graduate students at Makerere University. Participants were purposefully sampled until data saturation was achieved during interviews, which took place between May and July 2023. An interview guide facilitated data collection (Supplementary File 1), and thematic analysis was manually applied for data interpretation, utilizing intuition and imaginative approaches. Results: The findings revealed that the majority of participants started gaming during childhood, starting with offline games. Exposure to gadgets and games, idle time, and stress emerged as key triggers for IGD. Participants reported experiencing sleep deficits, deteriorating interpersonal relationships, declining job performance, unhealthy eating habits, academic challenges, and wastage of money and time. The study also identified strategies employed by participants to mitigate their gaming behaviors, such as refraining from purchasing data, seeking support from friends, and uninstalling the game app, although relapses were common. Conclusion: The study highlights a global pattern of early initiation into gaming, emphasizing the need for early intervention and preventive measures. Factors such as easy accessibility and affordability of gaming platforms, idleness, and stress play significant roles in motivating internet gaming, contributing to a higher prevalence among the studied population. The research underscores the adverse effects of IGD on students, affecting academic performance, interpersonal relationships, and job performance. Notably, participants demonstrate agency in addressing IGD through practical coping strategies, including controlling data access, seeking social support, and uninstalling games. These coping mechanisms provide valuable insights into the complex nature of addressing IGD and form a basis for developing targeted interventions and support systems within the higher education setting in Uganda.

Association of severe malaria with cognitive and behavioural outcomes in low- and middle-income countries: a meta-analysis and systematic review.

BACKGROUND: Malaria affects 24 million children globally, resulting in nearly 500,000 child deaths annually in low- and middle-income countries (LMICs). Recent studies have provided evidence that severe malaria infection results in sustained impairment in cognition and behaviour among young children; however, a formal meta-analysis has not been published. The objective was to assess the association between severe malaria infection with cognitive and behavioural outcomes among children living in LMICs. METHODS: Six online bibliographic databases were searched and reviewed in November 2022. Studies included involved children < 18 years of age living in LMICs with active or past severe malaria infection and measured cognitive and/or behaviour outcomes. The quality of studies was assessed. Definitions of severe malaria included cerebral malaria, severe malarial anaemia, and author-defined severe malaria. Results from all studies were qualitatively summarized. For studies with relevant data on attention, learning, memory, language, internalizing behaviour and externalizing behaviour, results were pooled and a meta-analysis was performed. A random-effects model was used across included cohorts, yielding a standardized mean difference between the severe malaria group and control group. RESULTS: Out of 3,803 initial records meeting the search criteria, 24 studies were included in the review, with data from 14 studies eligible for meta-analysis inclusion. Studies across sub-Saharan Africa assessed 11 cohorts of children from pre-school to school age. Of all the studies, composite measures of cognition were the most affected areas of development. Overall, attention, memory, and behavioural problems were domains most commonly found to have lower scores in children with severe malaria. Meta-analysis revealed that children with severe malaria had worse scores compared to children without malaria in attention (standardized mean difference (SMD) -0.68, 95% CI -1.26 to -0.10), memory (SMD -0.52, 95% CI -0.99 to -0.06), and externalizing behavioural problems (SMD 0.45, 95% CI 0.13-0.78). CONCLUSION: Severe malaria is associated with worse neuropsychological outcomes for children living in LMICs, specifically in attention, memory, and externalizing behaviours. More research is needed to identify the long-term implications of these findings. Further interventions are needed to prevent cognitive and behavioural problems after severe malaria infection. TRIAL REGISTRATION: This systematic review was registered under PROSPERO: CRD42020154777.

Synergetic effects of biochar addition on mesophilic and high total solids anaerobic digestion of chicken manure.

High solids anaerobic digestion (AD) of chicken manure (CM) is often challenging due to ammonia-N inhibition and accumulation of volatile fatty acids (VFAs). This study evaluated the effect of adding biochars from different feedstock to ameliorate semi-dry AD of fresh CM during batch fermentation. Experiments were performed in 300 mL at two total solid (TS) levels (12% and 15%) under mesophilic (36 ±1ᵒC) conditions for 55 d, using activated sludge as inoculum. Treatments included: fresh CM (at 12% or 15% TS) mixed separately with rice husks char (RB), wood char (WB) and bamboo char (BB) at biochar dosages of 2.5%, 5% and 10% of TS in the CM, inoculum only and inoculum plus CM without addition of char as the control. Results indicated that addition of biochar reduced the lag phases to 4-5.4 d and AD performances were significantly improved with total volatile solids removal of 53-67% and 62-71%, and cumulative methane of 277-380 mL/gVS (CH4 content ≈ 51-63%) and 297-438 mL/gVS (CH4 content ≈ 49-67%) at 12% and 15% TS, respectively. Biochar buffered over acidification and stabilized pH in the range of 6.5-7.8 but mild ammonia inhibition still occurred in all biochar treatments due to the high residual total ammonia-N (4.3 g-5.6 g/L). For all the investigated parameters, WB amended digesters exhibited the best results owing to its high specific surface area, porosity, cationic exchange capacity, and elemental composition which were superior to those of RB and BB. At 10% dosage of all tested biochars, the AD process was more stable and methane content neared optimal of >65% CH4. Therefore, addition of biochar from lignocellulosic materials at a given threshold dosage could promote semi-dry and dry biogas production from chicken manure and thus add value to this waste which in most cases is improperly managed.

Biofuel characteristics of non-charred briquettes from dried fecal sludge blended with food market waste: Suggesting a waste-to-biofuel enterprise as a win-win strategy to solve energy and sanitation problems in slums settlements.

This study explored the production and evaluation of briquettes made from dried fecal sludge mixed with fresh food waste as a dual strategy to solve energy poverty and poor sanitation problems in Ugandan slums. Cylindrical briquettes measuring 82 mm height by 76 mm diameter were produced from dried fecal sludge (FS) alone, and FS mixed separately with pineapple peels (FS + PP), charcoal fines (FS + CD), and bean husks (FS + BH) in a mix ratio of 50% FS: 50% biomass (wt/wt basis) using red soil as the binder. Physiochemical characteristics and fuel thermal efficiency of the briquettes were tested following ASTM standards and were compared to wood-derived charcoal and commonly traded briquettes on market in Uganda. The average moisture content was 5.1%. Bulk density was highest in FS briquettes (1.12 g/cm3) and lowest in FS + BH (0.847 g/cm3). Volatile matter (VM) was highest in FS + PP (39%) and lowest in FS alone (25.7%). The average ash content was 30.4%. FS + PP had the highest calorific value (17.92 MJ/kg) while FS alone had the lowest (6.19 MJ/kg). The highest burning rate was recorded in FS + CD briquettes (8 g/min) and was lowest in FS + PP (4 g/min). Based on the calculated burning rates and calorific values, the economic advantage calculations implied that blending one ton of dry FS with one ton of dry pineapple peels for fuel briquettes, and their use as a substitute could save consumers about USD 620 per ton of wood charcoal foregone.

Nutrient recovery from pineapple waste through controlled batch and continuous vermicomposting systems.

The largest portion of pineapple peels and pulp generated from production points is disposed of haphazardly contributing to a number of environmental and health challenges. However, these wastes contain valuable plant nutrients that could be recovered to boost soil fertility, and increase agricultural production. This study evaluated the variation in physico-chemical parameters in batch and continuous vermicomposting systems as potential pathways for nutrient recovery from pineapple waste. The study compared the efficiency of waste reduction and nutrient recovery for batch (B), and continuous (C) vermicomposting systems during a 60-day period. The substrates were pineapple peels (PW), and cattle manure (CM) fed in a ratio of 4:1 (w/w). Control reactors were fed with 100% CM in both the feeding modes. Results indicated that waste degradation was 60%, and 54% while earthworm biomass increased by 57% and 129% for BPW, and CPW, respectively. pH significantly decreased with time in both systems. Total phosphorous increased with vermicomposting time with that of B being significantly higher than C systems. Nitrogen, potassium, and sodium significantly increased in the control experiments while the three elements significantly reduced for BPW, and CPW owing to high leachate production in the latter. The N, P, K, and C retention in vermicompost was 24.2%, 90.4%, 67.5%, 41.1%, and 32.6%, 91.2%, 79.3%, 46.1%, for BPW and CPW, respectively. Continuous systems produced higher earthworm biomass and retained more nutrients in vermicompost than batch systems, and can therefore, be recommended as better systems for pineapple waste vermicomposting.

Associations of childhood exposure to malaria with cognition and behavior outcomes: a systematic review protocol.

BACKGROUND: Malaria is one of the major contributing risk factors for poor development of children living in low- and middle-income countries (LMICs). However, little is known about the specific domains of cognition and behavior that are impacted by malaria, the extent of these deficits, and the different types of the malaria spectrum that are associated with these deficits. The objective of this systematic review is to determine the association of the different types of malaria infection on cognition and behavioral outcomes among children living in LMICs. METHODS AND ANALYSIS: We will systematically search online bibliographic databases including MEDLINE (via PubMed), CINAHL (via EBSCO), PsycINFO (via EBSCO), Embase, and The Cochrane Central Register of Controlled Trials (CENTRAL) as well as Google Scholar and bibliographies of pertinent articles. We will include studies with a comparison group (e.g., clinical trials, cohort, observational, cross-sectional case-control, and controlled before and after or interrupted-time-series studies) involving children under 18 years of age living in LMICs, as determined by the World Bank criteria, with either an active malaria infection or history of malaria. Included articles must also measure cognitive and/or behavior outcomes determined by standardized psychological assessments (questionnaire-based scales and or neurocognitive assessments). Studies will be excluded if they are not in English, lack a control group, take place in a high-income country, or if a standardized instrument was not used. Two reviewers will independently review all articles to determine if they meet eligibility criteria. Any conflicts will be resolved after discussion with a third reviewer. When a list of included articles is finalized, two reviewers will extract data to populate and then cross check within an electronic table. Risk of bias and the strength of evidence and recommendations will be assessed independently using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria, and a final score will be given upon consensus. For sufficiently homogeneous data on measured outcomes in multiple studies, we will investigate the possibility of pooling data to perform a meta-analysis. DISCUSSION: This systematic review will evaluate the evidence of the association of malaria on the cognitive and behavioral outcomes. Findings from this planned review will generate insight on the domains affected by the different forms of malaria infection and may inform subsequent malaria interventions and future research in pediatric care. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42020154777.

Biohydrogen and polyhydroxyalkanoates (PHA) as products of a two-steps bioprocess from deproteinized dairy wastes.

In this study a two-steps bioprocess approach aimed at biohydrogen production via dark-fermentation, and polyhydroxyalkanoates-PHA production by mixed microbial cultures, was proposed to valorise two dairy-waste streams coming from cheese whey deproteinization (i.e. Ricotta cheese production and ultrafiltration). During the first step, the increase of OLR was tested, resulting in higher daily H2 volume (3.47 and 5.07 NL H2 d-1 for second cheese whey-SCW and concentrated cheese whey permeate-CCWP) and organic acids production (14.6 and 12.6 g L-1 d-1 for SCW and CCWP) for both the substrates, keeping good conversion of sugars into H2 (1.37 and 1.93 mol H2 mol-1 sugars for SCW and CCWP). During the second step, the organic acids were used for PHA production reaching high conversion yields for both the fermented streams (as average 0.74 ±â€¯0.14 mg CODPHA mg-1 CODOA-in), with a maximum polymer content of 62 ±â€¯4.5 and 55.1 ±â€¯1.3% (g PHA g-1 VSS) for fermented SCW and fermented CCWP respectively. For the results reported, this study could be taken into consideration for larger scale application.

Comparative effects of nano and bulk-Fe3O4 on the growth of cucumber (Cucumis sativus).

Cucumber (Cucumis sativus) plants were cultivated in hydroponic media with nano and bulk- iron oxide (Fe3O4) (50, 500 and 2000 mg/L) over a period of 21 days. At the low concentration (50 mg/L), nano-Fe3O4 resulted in reduction of biomass and enzyme activities compared to the control. However, at the higher concentration of nano-Fe3O4 dosage (2000 mg/L), there was a significant increase in biomass, antioxidant enzymes superoxide dismutase (SOD) and peroxidase (POD). In contrary, the high concentration of bulk-Fe3O4 caused phytotoxicity in terms of biomass and enzymes activity. The phytotoxicity was dependent on the particles property (mainly sizes and aggregation) for nano-F3O4 and concentration dependent for bulk-Fe3O4. The particle size is an important factor that can influence the bioavailability of nanomaterials, which need to be included when evaluating the exposure of nanomaterials and their deleterious effects in the environment. These promising results can help to develop the possible application of Fe3O4 NPs which may improve nutrient management to overcome food security.

Phosphate removal from aqueous solution using iron oxides: Adsorption, desorption and regeneration characteristics.

Dynamics of phosphate (PO43-) adsorption, desorption and regeneration characteristics of three lab-synthesized iron oxides, ferrihydrite (F), goethite (G), and magnetite (M) were evaluated in this study. Batch experiments were conducted to evaluate the impact of several adsorption parameters including adsorbent dosage, reaction time, temperature, pH, and ionic strength. The results showed that PO43- adsorption increased with reaction time and temperature while it decreased with an increase in solution pH. Adsorption isotherm data exhibited good agreement with the Freundlich and Langmuir model with maximum monolayer adsorption capacities of 66.6 mg·g-1 (F), 57.8 mg·g-1 (M), and 50.5 mg·g-1 (G). A thermodynamics evaluation produced ΔG < 0, ΔH > 0, and ΔS > 0, demonstrating that PO43- adsorption onto tested minerals is endothermic, spontaneous, and disordered. The PO43- removal mostly occurred via electrostatic attraction between the sorbate and sorbent surfaces. Moreover, the PO43- sorption was reversible and could be desorbed at varying rates in both neutral and alkaline environments. The good desorption capacity has practical benefits for potential regeneration and re-use of the saturated particles in wastewater treatment systems.

Phosphate recovery from liquid fraction of anaerobic digestate using four slow pyrolyzed biochars: Dynamics of adsorption, desorption and regeneration.

Four slow pyrolyzed biochars produced from wood (WDB), corncobs (CCB), rice husks (RHB) and sawdust (SDB) were evaluated for adsorption, desorption and regeneration of phosphate (PO43--P) from anaerobically digested liquid swine manure. The PO43--P adsorption capacity increased followed by initial concentrations increasing. Maximum PO43--P adsorptions at initial 150 mg/L of PO43--P (highest load) were average of 7.67, 6.43, 5.73 and 5.41 mg/g for WDB, CCB, RHB and SDB, respectively. Pseudo second order kinetics model could best fit PO43--P adsorption, which indicated the chemisorption via precipitation was the main mechanism for PO43--P removal. The sorption process was reversible and the adsorbed PO43--P could be desorbed in both neutral (57-78%) and acidic solution environments (75-88%) for all biochars. Meanwhile, regenerated biochar could re-adsorb up to 5.62 mg/g at the highest initial PO43--P of 150 mg/L. The present finding implied biochar could be effectively used to recover PO43--P from anaerobic digestate.

Treatment of anaerobic digested effluent in biochar-packed vertical flow constructed wetland columns: Role of media and tidal operation.

Three types of vertical flow constructed wetland columns (VFCWs), packed with corn cob biochar (CB-CW), wood biochar (WB-CW) and gravel (G-CW) under tidal flow operations, were comparatively evaluated to investigate anaerobic digested effluent treatment performance and mechanisms. It was demonstrated that CB-CW and WB-CW provide significantly higher removal efficiencies for organic matter (>59%), NH4+-N (>76%), TN (>37%) and phosphorus (>71%), compared with G-CW (22%-49%). The higher pollutants removal ability of biochar-packed VFCWs was mainly attribute to the higher adsorption ability and microbial cultivation in the porous biochar media. Moreover, increasing the flooded/drained ratio from 4/8h to 8/4h of the tidal operation further improved around 10% of the removal of both organics and NH4+-N for biochar-packed VFCWs. The phosphorus removal was dependent on the media adsorption capacities through the whole experiment. However, the NH4+-N biodegradation by microbial communities was demonstrated to become the dominant removal mechanism in the long term treatment, which compensated the decreased adsorption capacities of the media. The study supported that the use of biochar would increase the treatment performance and elongate the lifespan of CWs under tidal operation.

Do Concepts of Depression Predict Treatment Pathways? A Closer Look at Explanatory Models Among Clinical and Nonclinical Samples in Uganda.

OBJECTIVE: Explanatory models (EMs) are a collection of beliefs about a disorder that can help us understand help-seeking and treatment pathways in diverse contexts. In 2 related studies, we explore EMs about depression held among both clinical and nonclinical samples in Uganda. To explore the potential of EMs to predict help seeking, we assessed the relationship between 2 main aspects of the EM: problem conceptualization and treatment. METHOD: In Study 1, we interviewed and assessed EMs of depression for 135 lay community members and 111 professional practitioners using a vignette. In Study 2, we assessed actual EMs among 33 clinically depressed adults. We transcribed all interviews and analyzed and coded the content. In Study 1, we used logistic regression to examine the relationship of problem conceptualization and stigma to treatment choice; in Study 2, we used Fisher's exact tests to examine the relationship between conceptualization and treatment. Sociodemographics such as age, income, and language were also examined. RESULTS: Interviews elicited a diverse range of beliefs about the nature of depression and the types of treatment needed. However, problem conceptualization did not predict treatment in either group. Instead, education and interview language predicted treatment in clinical and nonclinical samples. CONCLUSION: Although EMs can be useful for both exploring mental health and treatment-related beliefs in clinical settings and developing mental health services, contextual factors may be more significant predictors of help seeking.

Evaluation of ammonium adsorption in biochar-fixed beds for treatment of anaerobically digested swine slurry: Experimental optimization and modeling.

Fixed-bed column experiments were performed to investigate the effect of influent concentration, flow rate, and adsorbent bed depth on ammonium adsorption from anaerobically digested swine slurry using three types of biochar made from corncobs (MCB), hardwood (WB), and mixed sawdust pellets (MSB). WB performed better than the other two biochar types with a maximum sorption capacity of 67-114mg/g due to its superior surface area and larger pore volume. Ammonium adsorption kinetics and dynamics depended on the influent NH4(+)-N concentration, applied inflow flow rate, and the depth of the fixed bed. Maximum sorption capacities under influent NH4(+)-N concentration of 500mg/L, were identified to be 114.2mg/g, 108.9mg/g, and 24.7mg/g at inflow rate of 15mL/min for WB, MCB, and MSB, respectively. The data shows that using deeper beds and applying lower flow rates could be a better strategy to increase ammonium adsorption in biochar-fixed beds. Moreover, three kinetic models (Thomas, Adams-Bohart (BDST), and Yoon-Nelson) were applied to the experimental data to predict breakthrough curves and determine characteristic adsorption parameters for process design. The applied models fitted data in the order: Thomas (R(2)=0.971)>BDST (R(2)=0.960)>Yoon-Nelson (R(2)=0.940). It was concluded that ammonium adsorption in biochar-fixed beds could be an effective method for routine cyclic treatment of slurry. However, further effluent polishing is required to meet discharge requirements.

Pathways of nitrobenzene degradation in horizontal subsurface flow constructed wetlands: Effect of intermittent aeration and glucose addition.

Intermittent aeration and addition of glucose were applied to horizontal subsurface flow constructed wetlands in order to investigate the effect on pathways of nitrobenzene (NB) degradation and interactions with microbial nitrogen and sulphur transformations. The experiment was carried out in three phases A, B and C consisting of different NB loading and glucose dosing. For each phase, the effect of aeration was assessed by intermittently aerating one wetland and leaving one unaerated. Regardless of whether or not the wetland was aerated, at an influent NB concentration of 140 mg/L, both wetlands significantly reduced NB to less than 2 mg/L, a reduction efficiency of 98%. However, once the influent NB concentration was increased to 280 mg/L, the aerated wetland had a higher removal performance 82% compared to that of the unaerated wetland 71%. Addition of glucose further intensified the NB removal to 95% in the aerated wetlands and 92% in the unaerated. Aeration of wetlands enhanced NB degradation, but also resulted in higher NB volatilization of 6 mg m(-2) d(-1). The detected high concentration of sulphide 20-60 mg/L in the unaerated wetland gave a strong indication that NB may act as an electron donor to sulphate-reducing bacteria, but this should be further investigated. Aeration positively improved NB removal in constructed wetlands, but resulted in higher NB volatilization. Glucose addition induced co-metabolism to enhance NB degradation.

Evaluation of slow pyrolyzed wood and rice husks biochar for adsorption of ammonium nitrogen from piggery manure anaerobic digestate slurry.

Due to its high adsorption capacity, the use of biochar to capture excess nutrients from wastewater has become a central focus in environmental remediation studies. In this study, its potential use in adsorption and removal of ammonium in piggery manure anaerobic digestate slurry was investigated. The adsorbed amount of NH4(+)-N (mg·g(-1)) and removal percentage as a function of adsorbent mass in solution, adsorbent particle size, NH4(+)-N concentration in the effluent, contact time, pH and temperature were quantified in batch equilibrium and kinetics experiments. The maximum NH4(+)-N adsorption from slurry at 1400 mgN·L(-1) was 44.64 ± 0.602 mg·g(-1) and 39.8 ± 0.54 mg·g(-1) for wood and rice husk biochar, respectively. For both biochars, adsorption increased with increase in contact time, temperature, pH and NH4(+)-N concentration but it decreased with increase in biochar particle size. Furthermore, the sorption process was endothermic and followed Langmuir (R(2)=0.995 and 0.998) and Pseudo-second order kinetic models (R(2)=0.998 and 0.999). Based on the removal amounts, we concluded that rice husk and wood biochar have potential to adsorb NH4(+)-N from piggery manure anaerobic digestate slurry, and thus can be used as nutrient filters prior to discharge into water streams.

Evaluation of batch anaerobic co-digestion of palm pressed fiber and cattle manure under mesophilic conditions.

Palm pressed fiber (PPF) and cattle manure (CM) are the waste which can be managed properly by anaerobic co-digestion. The biogas production in co-digested PPF and CM at three volatile solids (VS) ratios of 3:1, 1:1, and 1:3 was investigated in a series of batch experiments at an organic loading rate of 30.0 g VS/L under mesophilic (37±1°C) conditions. The highest daily biogas yield of PPF and CM only, was 90.0 mL/g VS(added) at day 12 and 23.4 mL/g VS(added) at day 7. For co-digestion of PPF/CM at mixing ratios of 3:1, 1:1 and 1:3, there were 93.6 mL/g VS(added) at day 11, 86.8 and 26.4 mL/g VS(added) at day 8. VS removal rate for PPF, CM, and co-digestion at mixing ratio of 3:1, 1:1, and 1:3 were 91.1%, 86.0% and 71.0%, respectively. The anaerobic digestion of PPF and CM and their co-digestion systems were stable in operation with low range of volatile fatty acids (VFA)/TIC (total inorganic carbon) of (0.035-0.091). The main volatile fatty acids were propionic, and iso-butyric acids for PPF, iso-butyric and n-butyric acids for CM. The VFAs and ammonium inhibition were not occurred. The modified Gompertz model can be used to perform a better prediction with a lower difference between the measured and predicted biogas yields. A VS ratio of 3:1 is recommended for practice.

Contrasting concepts of depression in Uganda: implications for service delivery in a multicultural context.

Depression is a rising public health concern worldwide. Understanding how people conceptualize depression within and across cultures is crucial to effective treatment in a global environment. In this article, we highlight the importance of considering both lay and professional perspectives when developing a culturally competent and contextually relevant model for service delivery. We conducted interviews with 246 Ugandan adults to elicit their explanatory belief models (EMs) about the nature of depression, its causes, social meanings, effects, help seeking, and treatment. Interviews were transcribed, content analyzed, and coded. We compared EMs of community members (n = 135) to those of professional practitioners (n = 111), whom we further categorized into traditional healers, primary care providers, and mental health professionals. We found significant differences between lay and professional EMs and between 3 types of professionals. Contrary to our expectations, lay concepts did not overlap more with traditional healers than with other professional EMs. We discuss the diverse concepts of depression in Uganda, the nature of group differences, and implications for service delivery and treatment.