Factors Associated With Long-term Retention in Antiretroviral Therapy Among People Living With HIV: Evidence From a Tertiary Hospital in Jakarta, Indonesia.

OBJECTIVES: This study investigated factors associated with the retention of people living with human immunodeficiency virus (HIV) on antiretroviral therapy (ART) during the first 3 years of treatment. METHODS: A retrospective study using electronic health records was conducted at a tertiary hospital in Jakarta, Indonesia. Adult HIV-positive patients who started ART from 2010 until 2020 were included. A binary logistic regression model was used to identify factors associated with ART retention in the first 3 years. RESULTS: In total, 535 respondents were included in the analysis. The ART retention rates for the first, second, and third years were 83.7%, 79.1%, and 77.2%, respectively. The multivariate analysis revealed a negative association between CD4 count when starting ART and retention. Patients with CD4 counts >200 cells/mL were 0.65 times less likely to have good retention than those with CD4 counts ≤200 cells/mL. The year of starting ART was also significantly associated with retention. Patients who started ART in 2010-2013 or 2014-2016 were less likely to have good retention than those who started ART in 2017-2020, with adjusted odds ratios of 0.52 and 0.40, respectively. Patients who received efavirenz-based therapy were 1.69 times more likely to have good retention than those who received nevirapine (95% confidence interval, 1.05 to 2.72). CONCLUSIONS: Our study revealed a decline in ART retention in the third year. The CD4 count, year of enrollment, and an efavirenz-based regimen were significantly associated with retention. Patient engagement has long been a priority in HIV programs, with interventions being implemented to address this issue.

α-Tocopherol restores semen quality in rats exposed to 2,3,7,8-tetrachlorodibenzo-p-dioxin.

Background and Aim: 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) is a persistent organic pollutant toxic to the human reproductive system. This study aimed to evaluate the effect of α-Tocopherol administration on the male fertility parameters of a rat model exposed to TCDD. Materials and Methods: Fifty healthy 12-week-old male rats were randomly divided into five groups. Rats in the control group were given corn oil twice daily in 4 h intervals. In the treatment groups, all rats were given TCDD at a dose of 700 ng/kg of body weight (BW)/day for 45 days. Four hours after receiving the TCDD, T0 rats were given corn oil, and T1, T2, and T3 rats were given α-Tocopherol at doses of 77, 140, and 259 mg/kg BW/day, respectively, for 45 days. On day 46, experimental animals were sacrificed to collect blood and testicular samples. Results: TCDD exposure decreased superoxide dismutase activity, plasma membrane integrity, Leydig cell count, sperm cell count, sperm viability and motility, and increased malondialdehyde levels, serum testosterone levels, and sperm morphological abnormalities. The administration of α-Tocopherol mitigated the effects of TCDD exposure, and the 140 and 259 mg/kg BW/day treatments returned those male fertility parameters to normal levels. Conclusion: The administration of 140 mg/kg BW/day α-Tocopherol restored male semen quality in rats exposed to TCDD. We found dynamics serum testosterone levels in rats exposed to TCDD that need to be further studied.

Fabrication of Polyvinylidene Difluoride Membrane with Enhanced Pore and Filtration Properties by Using Tannic Acid as an Additive.

Potential use of tannic acid (TA) as an additive for fabrication of polyvinylidene difluoride (PVDF) membrane was investigated. The TA was introduced by blending into the dope solution with varying concentrations of 0, 1, 1.5, and 2 wt%. The prepared membranes were characterized and evaluated for filtration of humic acid (HA) solution. The stability of the membrane under harsh treatment was also evaluated by one-week exposure to acid and alkaline conditions. The results show that TA loadings enhanced the resulting membrane properties. It increased the bulk porosity, water uptake, and hydrophilicity, which translated into improved clean water flux from 15.4 L/m2.h for the pristine PVDF membrane up to 3.3× for the TA-modified membranes with the 2 wt% TA loading. The flux recovery ratio (FRR) of the TA-modified membranes (FRRs = 78-83%) was higher than the pristine one (FRR = 58.54%), with suitable chemical stability too. The improved antifouling property for the TA-modified membranes was attributed to their enhanced hydrophilicity thanks to improved morphology and residual TA in the membrane matric.

Improvement of Properties and Performances of Polyethersulfone Ultrafiltration Membrane by Blending with Bio-Based Dragonbloodin Resin.

Polyethersulfone (PES) is the most commonly used polymer for membrane ultrafiltration because of its superior properties. However, it is hydrophobic, as such susceptible to fouling and low permeation rate. This study proposes a novel bio-based additive of dragonbloodin resin (DBR) for improving the properties and performance of PES-based membranes. Four flat sheet membranes were prepared by varying the concentration of DBR (0-3%) in the dope solutions using the phase inversion method. After fabrication, the membranes were thoroughly characterized and were tested for filtration of humic acid solution to investigate the effect of DBR loading. Results showed that the hydrophilicity, porosity, and water uptake increased along with the DBR loadings. The presence of DBR in the dope solution fastened the phase inversion, leading to a more porous microstructure, resulted in membranes with higher number and larger pore sizes. Those properties led to more superior hydraulic performances. The PES membranes loaded with DBR reached a clean water flux of 246.79 L/(m2·h), 25-folds higher than the pristine PES membrane at a loading of 3%. The flux of humic acid solution reached 154.5 ± 6.6 L/(m2·h), 30-folds higher than the pristine PES membrane with a slight decrease in rejection (71% vs. 60%). Moreover, DBR loaded membranes (2% and 3%) showed an almost complete flux recovery ratio over five cleaning cycles, demonstrating their excellent antifouling property. The hydraulic performance could possibly be enhanced by leaching the entrapped DBR to create more voids and pores for water permeation.

Fertility restoration of racing mare with persistent corpus luteum.

BACKGROUND AND AIM: Persistent corpus luteum (PCL) causes anestrus in mares. This study aimed to determine the effect of intrauterine prostaglandin F2α (PGF2α) treatment on PCL of racing mares to restore fertility. MATERIALS AND METHODS: Twelve racing mares suspected with PCL were diagnosed using transrectal palpation and confirmed by serum progesterone (P4) concentration measurement. PGF2α was infused intrauterine, followed by serum collection at 24, 48, and 72 h after. Estrous symptoms were monitored, and mating was conducted on day 3 of estrus with an earlier injection of 8.4 µg gonadotropin-releasing hormone twice a day. Transrectal palpation was performed on days 21-30 to observe the corpus luteum. Pregnancy diagnosis was performed rectally on 40-45 days post-mating and confirmed using Doppler ultrasound scanning. RESULTS: Eleven of the 12 mares had PCL. There was a dramatic reduction in the P4 concentration following PGF2α treatment of mares with PCL. All mares exhibited estrus 2.6±0.55 days post-treatment with a P4 concentration of 0.12±0.12 ng/mL. Rectal palpation and P4 concentration on 21-30 days after estrous onset showed that all mares were ovulating. The evaluation of P4 concentration on days 40-45 post-mating showed that all mares were still in the luteal phase. However, the pregnancy rate was only 54.5% based on rectal palpation and Doppler ultrasound scanning. CONCLUSION: Treatment of PCL in racing mares with an intrauterine infusion of PGF2α restored the estrous cycle and induced ovulation and pregnancy.

Antimicrobial Hydrophilic Membrane Formed by Incorporation of Polymeric Surfactant and Patchouli Oil.

Membrane properties are highly affected by the composition of the polymer solutions that make up the membrane material and their influence in the filtration performance on the separation or purification process. This paper studies the effects of the addition of pluronic (Plu) and patchouli oil (PO) in a polyethersulfone (PES) solution on the membrane morphology, membrane hydrophilicity, and filtration performance in the pesticide removal compound in the water sample. Three types of membranes with the composition of PES, PES + Plu, and PES + Plu + patchouli oil were prepared through a polymer phase inversion technique in an aqueous solvent. The resulting membranes were then analyzed and tested for their mechanical properties, hydrophilicity, antimicrobial properties, and filtration performance (cross-flow ultrafiltration). The results show that all of the prepared membranes could reject 75% of the pesticide. The modification of the PES membrane with Plu was shown to increase the overall pore size by altering the pore morphology of the pristine PES, which eventually increased the permeation flux of the ultrafiltration process. Furthermore, patchouli oil added antimicrobial properties, potentially minimizing the biofilm formation on the membrane surface.

Hybrid Membrane Distillation and Wet Scrubber for Simultaneous Recovery of Heat and Water from Flue Gas.

Flue gas contains high amount of low-grade heat and water vapor that are attractive for recovery. This study assesses performance of a hybrid of water scrubber and membrane distillation (MD) to recover both heat and water from a simulated flue gas. The former help to condense the water vapor to form a hot liquid flow which later used as the feed for the MD unit. The system simultaneously recovers water and heat through the MD permeate. Results show that the system performance is dictated by the MD performance since most heat and water can be recovered by the scrubber unit. The scrubber achieved nearly complete water and heat recovery because the flue gas flows were supersaturated with steam condensed in the water scrubber unit. The recovered water and heat in the scrubber contains in the hot liquid used as the feed for the MD unit. The MD performance is affected by both the temperature and the flow rate of the flue gas. The MD fluxes increases at higher flue gas temperatures and higher flow rates because of higher enthalpy of the flue gas inputs. The maximum obtained water and heat fluxes of 12 kg m-2 h-1 and 2505 kJm-2 h-1 respectively, obtained at flue gas temperature of 99 °C and at flow rate of 5.56 L min-1. The MD flux was also found stable over the testing period at this optimum condition. Further study on assessing a more realistic flue gas composition is required to capture complexity of the process, particularly to address the impacts of particulates and acid gases.

Two-Step Dopamine-to-Polydopamine Modification of Polyethersulfone Ultrafiltration Membrane for Enhancing Anti-Fouling and Ultraviolet Resistant Properties.

Polydopamine has been widely used as an additive to enhance membrane fouling resistance. This study reports the effects of two-step dopamine-to-polydopamine modification on the permeation, antifouling, and potential anti-UV properties of polyethersulfone (PES)-based ultrafiltration membranes. The modification was performed through a two-step mechanism: adding the dopamine additive followed by immersion into Tris-HCl solution to allow polymerization of dopamine into polydopamine (PDA). The results reveal that the step of treatment, the concentration of dopamine in the first step, and the duration of dipping in the Tris solution in the second step affect the properties of the resulting membranes. Higher dopamine loadings improve the pure water flux (PWF) by more than threefold (15 vs. 50 L/m2·h). The extended dipping period in the Tris alkaline buffer leads to an overgrowth of the PDA layer that partly covers the surface pores which lowers the PWF. The presence of dopamine or polydopamine enhances the hydrophilicity due to the enrichment of hydrophilic catechol moieties which leads to better anti-fouling. Moreover, the polydopamine film also improves the membrane resistance to UV irradiation by minimizing photodegradation's occurrence.

Development of Polyvinylidene Fluoride Membrane by Incorporating Bio-Based Ginger Extract as Additive.

Biofouling on the membrane surface leads to performance deficiencies in membrane filtration. In this study, the application of ginger extract as a bio-based additive to enhance membrane antibiofouling properties was investigated. The extract was dispersed in a dimethyl acetamide (DMAc) solvent together with polyvinylidene fluoride (PVDF) to enhance biofouling resistance of the resulting membrane due to its antibiotic property. The concentrations of the ginger extract in the dope solution were varied in the range of 0-0.1 wt %. The antibacterial property of the resulting membranes was assessed using the Kirby Bauer disc diffusion method. The results show an inhibition zone formed around the PVDF/ginger membrane against Escherichia coli and Staphylococcus aureus demonstrating the efficacy of the residual ginger extract in the membrane matrix to impose the antibiofouling property. The addition of the ginger extract also enhanced the hydrophilicity in the membrane surface by lowering the contact angle from 93° to 85°, which was in good agreement with the increase in the pure water flux of up to 62%.

One-Pot Polymerization of Dopamine as an Additive to Enhance Permeability and Antifouling Properties of Polyethersulfone Membrane.

This paper reports the fabrication of polyethersulfone membranes via in situ hydrogen peroxide-assisted polymerization of dopamine. The dopamine and hydrogen peroxide were introduced into the dope solution where the polymerization occurred, resulting in a single-step additive formation during membrane fabrication. The effectivity of modification was evaluated through characterizations of the resulting membranes in terms of chemical functional groups, surface morphology, porosity, contact angle, mechanical strength and filtration of humic acid solution. The results confirm that the polydopamine was formed during the dope solution mixing through peroxide-assisted polymerization as proven by the appearance of peaks associated OH and NH groups in the resulting membranes. The presence of polydopamine residual in the membrane matric enhances the pore properties in terms of size and porosity (by a factor of 10), and by lowering the hydrophilicity (from 69° to 53°) which leads to enhanced filtration flux of up to 217 L/m2 h. The presence of the residual polydopamine also enhances membrane surface hydrophilicity which improve the antifouling properties as shown from the flux recovery ratio of > 80%.

Prediction of daily milk production from the linear body and udder morphometry in Holstein Friesian dairy cows.

AIM: This study aimed to develop equations to predict daily milk production (DMP) based on linear body and udder morphometry of Holstein Friesian (HF) dairy cows. MATERIALS AND METHODS: The experiment was conducted on 174 lactating HF dairy cows reared by farmers at different locations under similar conditions. The age, parity, and body condition score of experimental animals were limited to 0.25 of the standard deviation value above or below the average. The average DMP was based on farmers' records. Morphometry components, i.e., body length (BL); chest circumference (CC); front udder height (FUH), rear udder height (RUH); and udder circumference (UC) were directly measured using a tape; meanwhile, body weight (BW) was estimated using the Indonesia Winter formula. The relationship variables of morphometry components (body and udder morphometry) and BW on DMP were analyzed by regression. RESULTS: The result showed no correlation (p>0.05) between CC and BW on DMP. Meanwhile, DMP obtained linear regression (p<0.05) with the mathematical equation: 1.30+0.11*BL; 13.90+0.41*FUH; 11.02+0.18*RUH; and 3.87+0.16*UC. CONCLUSION: This study shows that the DMP of dairy cows could be predicted based on their BL and udder morphometry.

Production of High Flux Poly(Ether Sulfone) Membrane Using Silica Additive Extracted from Natural Resource.

This paper reports the application of silica derived from natural biomasses of rice husk and bagasse ashes as membrane modifying agents. The modification was conducted on poly(ether sulfone) (PES) membrane by blending the silica into the dope solution. The modification was aimed to improve the structure and hydraulic performance of the resulting PES membrane. The effects of silica addition to the membrane system were evaluated through the analysis of change in chemical structure using ATR-FTIR, surface morphological change using AFM, and surface hydrophilicity using water contact angle measurement. SEM and AFM images show the silica loading significantly affects the membranes morphologies. Silica loading also promotes hydrophilic property as shown by the decrease in water contact angles from 82° to 52-60° due to the presence of polar groups in some residual silica in the membrane matrix. Silica blending also leads to the formation of membranes with higher permeability of up to three folds but lower humic acid rejection (78-62%). The findings indicate the role of silica to enhance the membrane pore size. The ability of membrane to reject humic acid (of 0.8 nm minimum diameter) indicating that the resulting membranes were in between tight ultrafiltration and nanofiltration type. Nonetheless, applying too-high silica concentration decreased the humic acid rejection most likely due to over enlargement of the membrane pore size.

The performance of bovine serum albumin filtration by using polyethersulfone-Tetronic 304 blend Ultrafiltration Membrane.

Background: Membrane technology has been widely applied for protein purification. In applications for protein separation, a membrane with stable filtration performance is necessary. In this work, two types of hollow fiber membranes with different characteristic were used to study the filtration profile of bovine serum albumin. Methods: A single piece of hollow fiber module was used for ultrafiltration testing using UF0 and UFT304 membranes. Flux and rejection of BSA solution were collected based on a pressure-driven inside filtration model. Results: Ultrafiltration experiments showed that the flux of UFT304 membrane was higher than that of UF0 membrane in all applied pressure condition. Solute rejection was achieved up to 90% for ultrafiltration of BSA solution by using UF0 membrane obtained on the operating pressure of 0.5 atm. Conclusion: In general, UFT304 membranes has better ultrafiltration performance for BSA separation than UF0 membranes. The UFT304 membrane has a more stable flux for up to two hours of filtration.

Improving Water Permeability of Hydrophilic PVDF Membrane Prepared via Blending with Organic and Inorganic Additives for Humic Acid Separation.

The removal of impurities from water or wastewater by the membrane filtration process has become more reliable due to good hydraulic performance and high permeate quality. The filterability of the membrane can be improved by having a material with a specific pore structure and good hydrophilic properties. This work aims at preparing a polyvinylidene fluoride (PVDF) membrane incorporated with phospholipid in the form of a 2-methacryloyloxyethyl phosphorylcholine, polymeric additive in the form of polyvinylpyrrolidone, and its combination with inorganic nanosilica from a renewable source derived from bagasse. The resulting membrane morphologies were analyzed by using scanning electron microscopy. Furthermore, atomic force microscopy was performed to analyze the membrane surface roughness. The chemical compositions of the resulting membranes were identified using Fourier transform infrared. A lab-scale cross-flow filtration system module was used to evaluate the membrane's hydraulic and separation performance by the filtration of humic acid (HA) solution as the model contaminant. Results showed that the additives improved the membrane surface hydrophilicity. All modified membranes also showed up to five times higher water permeability than the pristine PVDF, thanks to the improved structure. Additionally, all membrane samples showed HA rejections of 75-90%.

Effect of PVP on the characteristic of modified membranes made from waste PET bottles for humic acid removal.

Background: The aim of the present study was to evaluate the possibility of using recycled polymer (waste polyethylene terephthalate [PET] bottles) as a membrane material. Furthermore, the effect of the addition of a pore-forming agent and preparation conditions was also observed. Methods: Porous polymeric membranes were prepared via thermally induced phase separation by dissolving recycled PET in phenol. PET polymer was obtained from waste plastic bottles as a new source of polymeric material. For original PET membrane, the casting solution was prepared by dissolving of 20wt% PET in phenol solution. For PET modified membrane, a 5 wt% of polyvinylpyrrolidone (PVP) was added into polymer solution. The solution was cast onto a glass plate at room temperature followed by evaporation before the solidification process. The membranes formed were characterized in terms of morphology, chemical group, and filtration performance. A humic acid solution was used to identify the permeability and the solute rejection of the membranes. Results: The results showed that the recycled PET from waste plastic bottles was applicable to use as a membrane material for a water treatment process. The highest rejection of humic acid in a water sample, which reached up to 75.92%, was obtained using the PET/PVP membrane. Conclusions: The recycled PET from waste bottles was successfully used to prepare porous membrane. The membrane was modified by the addition of PVP as a membrane modifying agent. SEM analysis confirmed that the original PET membrane has a rough and large pore structure. The addition of PVP improved the pore density with a narrow pore structure. The PET/PVP membrane conditioned with evaporation was the best in humic acid rejection.