Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept.

Youth represent a large proportion of new HIV infections worldwide, yet their utilization of HIV testing and counseling (HTC) remains low. Using the post-intervention, cross-sectional, population-based household survey done in 2011 as part of HPTN 043/NIMH Project Accept, a cluster-randomized trial of community mobilization and mobile HTC in South Africa (Soweto and KwaZulu Natal), Zimbabwe, Tanzania and Thailand, we evaluated age-related differences among socio-demographic and behavioral determinants of HTC in study participants by study arm, site, and gender. A multivariate logistic regression model was developed using complete individual data from 13,755 participants with recent HIV testing (prior 12 months) as the outcome. Youth (18-24 years) was not predictive of recent HTC, except for high-risk youth with multiple concurrent partners, who were less likely (aOR 0.75; 95% CI 0.61-0.92) to have recently been tested than youth reporting a single partner. Importantly, the intervention was successful in reaching men with site specific success ranging from aOR 1.27 (95% CI 1.05-1.53) in South Africa to aOR 2.30 in Thailand (95% CI 1.85-2.84). Finally, across a diverse range of settings, higher education (aOR 1.67; 95% CI 1.42, 1.96), higher socio-economic status (aOR 1.21; 95% CI 1.08-1.36), and marriage (aOR 1.55; 95% CI 1.37-1.75) were all predictive of recent HTC, which did not significantly vary across study arm, site, gender or age category (18-24 vs. 25-32 years).

Thermocouple Probe Orientation Affects Prescribed Fire Behavior Estimation.

Understanding the relationship between fire intensity and fuel mass is essential information for scientists and forest managers seeking to manage forests using prescribed fires. Peak burning temperature, duration of heating, and area under the temperature profile are fire behavior metrics obtained from thermocouple-datalogger assemblies used to characterize prescribed burns. Despite their recurrent usage in prescribed burn studies, there is no simple protocol established to guide the orientation of thermocouple installation. Our results from dormant and growing season burns in coastal longleaf pine ( Mill.) forests in South Carolina suggest that thermocouples located horizontally at the litter-soil interface record significantly higher estimates of peak burning temperature, duration of heating, and area under the temperature profile than thermocouples extending 28 cm vertically above the litter-soil interface ( < 0.01). Surprisingly, vertical and horizontal estimates of these measures did not show strong correlation with one another ( ≤ 0.14). The horizontal duration of heating values were greater in growing season burns than in dormant season burns ( < 0.01), but the vertical values did not indicate this difference ( = 0.52). Field measures of fuel mass and depth before and after fire showed promise as significant predictive variables ( ≤ 0.05) for the fire behavior metrics. However, all correlation coefficients were less than or equal to = 0.41. Given these findings, we encourage scientists, researchers, and managers to carefully consider thermocouple orientation when investigating fire behavior metrics, as orientation may affect estimates of fire intensity and the distinction of fire treatment effects, particularly in forests with litter-dominated surface fuels.

Frequent Prescribed Burning as a Long-term Practice in Longleaf Pine Forests Does Not Affect Detrital Chemical Composition.

The O horizon, or detrital layer, of forest soils is linked to long-term forest productivity and health. Fuel reduction techniques, such as prescribed fire, can alter the thickness and composition of this essential ecosystem component. Developing an understanding of the changes in the chemical composition of forest detritus due to prescribed fire is essential for forest managers and stakeholders seeking sustainable, resilient, and productive ecosystems. In this study, we evaluated fuel quantity, fuel structure, and detrital chemical composition in longleaf pine ( Miller) forests that have been frequently burned for the last 40 yr at the Tom Yawkey Wildlife Center in Georgetown, SC. Our results suggest that frequent prescribed fire reduces forest fuel quantity ( < 0.01) and vertical structure ( = 0.01). Using pyrolysis-gas chromatography/mass spectrometry as a molecular technique to analyze detrital chemical composition, including aromatic compounds and polycyclic aromatic hydrocarbons, we found that the chemical composition of forest detritus was nearly uniform for both unburned and burned detritus. Our burning activities varied in the short term, consisting of annual dormant, annual growing, and biennial dormant season burns. Seasonal distinctions were present for fuel quantity and vertical fuel structure, but these differences were not noted for the benzene/phenol ratio. These results are significant as more managers consider burning existing longleaf stands while determining effective management practices for longleaf stands yet to be established. Managers of such stands can be confident that frequent, low-intensity, low-severity prescribed burns in longleaf pine forests do little to affect the long-term chemical composition of forest detritus.

Ammonia Emission from a Beef Cattle Feedlot and Its Local Dry Deposition and Re-Emission.

Ammonia (NH) volatized from livestock manure is affiliated with ecosystem and human health concerns and decreased fertilizer value of manure and can also be an indirect source of greenhouse gas. Beef cattle feedlots, where thousands of cattle are grouped together to enable greater control of feed management and production, are hot spots in the agricultural landscape for NH emissions. Quantifying the feedlot NH emissions is a difficult task, partly due to the reactive nature of NH within and surrounding the feedlot. Our study used a dispersion model coupled to field measurements to derive NH emissions from a feedlot in southern Alberta, Canada. The average feedlot NH emission was 50 µg m s (85 g animal d), which coincides with a low dietary crude protein content. At a location 165 m east of the feedlot, a flux gradient (FG) technique measured an average NH deposition of 12.0 µg m s (west wind) and 5.3 µg m s (east wind). Ammonia FG emission averaged 1 µg m s with east winds, whereas no NH emission was found for west wind. Using soil-captured NH, there was a decrease in deposition with distance from the feedlot (50% over 200 m). Collectively, the results of this study provide insight into the dynamics of NH in the agricultural landscape and illustrate the need for NH mitigation to improve the environmental and economic sustainability of cattle feedlots.

Cattle methane emission and pasture carbon dioxide balance of a grazed grassland.

Grasslands constitute a major land use globally and are a potential sink of atmospheric carbon dioxide (CO). They are also an important habitat for wildlife and a source of feed that supports ruminant livestock production. However, the presence of ruminants grazing these grasslands is also a source of methane (CH) that contributes to buildup of greenhouse gases in the atmosphere. Our study measured enteric CH from 40 confined heifers in 1-ha paddocks using a dispersion model and CO exchange from an adjacent grassland site using a micrometeorological technique. The study was conducted at a mixed prairie grassland located in southern Alberta, Canada. The mean (standard error) CH emission was 189 (± 6) g animal d over four campaigns (over a 3-yr period). The daily averaged CO exchange from the grassland peaked at +2.2 g m h (sink) in early July and declined to negative values (source) in mid-August. Annually, the grazed grassland was either a net sink for carbon (C) at +40 kg C ha or a small source at -7 kg C ha depending on a cattle stocking density of 0.1 or 0.2 animals ha, respectively. However, in basing the exchange on CO equivalence (CO), both stocking densities resulted in the grazed grassland being a source of greenhouse gas of -9 or -338 kg CO ha y. This study illustrates the need to consider the cattle CH emissions and the stocking density when evaluating the environmental sustainability of grazed grasslands.

Mammal responses to global changes in human activity vary by trophic group and landscape.

Wildlife must adapt to human presence to survive in the Anthropocene, so it is critical to understand species responses to humans in different contexts. We used camera trapping as a lens to view mammal responses to changes in human activity during the COVID-19 pandemic. Across 163 species sampled in 102 projects around the world, changes in the amount and timing of animal activity varied widely. Under higher human activity, mammals were less active in undeveloped areas but unexpectedly more active in developed areas while exhibiting greater nocturnality. Carnivores were most sensitive, showing the strongest decreases in activity and greatest increases in nocturnality. Wildlife managers must consider how habituation and uneven sensitivity across species may cause fundamental differences in human-wildlife interactions along gradients of human influence.

Effects of caffeine on session ratings of perceived exertion.

This study examined effects of caffeine on session ratings of perceived exertion (RPE) following 30 min constant-load cycling. Individuals (n = 15) of varying aerobic fitness completed a [Formula: see text] max trial and two 30 min cycling bouts (double-blind, counterbalanced) following ingestion of 6 mL/kg of caffeine or matched placebo. RPE overall, legs and breathing were estimated every 5 min and session RPE was estimated 30 min post-exercise using the OMNI pictorial scale. Session RPE for caffeine and placebo trails were compared using paired t test. Between-trial comparisons of HR, RPE overall, RPE legs and RPE breathing were analyzed using an independent 2 (trial) × 6 (time point) repeated measures analysis of variance (ANOVA) for each dependent variable. Caffeine resulted in a significantly lower session RPE (p < 0.05) for caffeine (6.1 ± 2.2) versus placebo (6.8 ± 2.1). Acute perceptual responses were significantly lower for caffeine for RPE overall (15, 20, 25, and 30 min), RPE breathing (15, 20, 25, and 30 min) and RPE legs (20 and 30 min). Survey responses post-exercise revealed greater feelings of nervousness, tremors, restlessness and stomach distress following caffeine versus placebo. Blunted acute RPE and survey responses suggest participants responded to caffeine ingestion. Caffeine decreased acute RPE during exercise which could partially account for lower session RPE responses. However, decreased session RPE could also reveal a latent analgesic affect of caffeine extending into recovery. Extending the understanding of session RPE could benefit coaches in avoiding overtraining when adjusting training programs.

Quantitative analysis and modelling of hepatic iron stores using stereology and spatial statistics.

Hepatic iron overload is a common clinical problem resulting from hyperabsorption syndromes and from chronic transfusion therapy. Not only does iron loading vary between reticuloendothelial stores and hepatocytes, but iron is heterogeneously distributed within hepatocytes as well. Since the accessibility of iron particles to chelation may depend, in part, on their distribution, we sought to characterize the shape and scale of iron deposition in humans with transfusional iron overload. Toward this end, we performed a histological analysis of iron stores in liver biopsy specimens of 20 patients (1.3-57.8 mg iron/g dry tissue weight) with aid of electron and light microscopy. We estimated distributions related to variability in siderosomal size, proximity of iron centres and inter-cellular iron loading. These distributions could be well modelled by Gamma distribution functions over most of the pathologic range of iron concentrations. Thus, for a given liver iron burden, a virtual iron-overloaded liver could be created that served as a model for the true histologic appearance. Such a model may be helpful for understanding the mechanics of iron loading or in predicting response to iron removal therapy.

Effect of prescribed fires on the export of dissolved organic matter, precursors of disinfection by-products, and water treatability.

In this study, we report for the first time the effect of prescribed fires on the export of dissolved organic matter (DOM) and precursors of disinfectant by-products (DBPs) from periodically (every 2-3 years) and seasonally (i.e., dormant and growing) burned forest fuel materials (i.e., live vegetation, woody debris, and detritus [litter and duff]) and treatability of its rainwater leachate. Periodically applied (every 2-3 years for 40 years) prescribed fires decreased total fuel load (62±10%), primarily detrital mass (75±2%). However, functional groups (i.e., phenolic compounds, proteins, carbohydrates, aromatic [1-ring], polycyclic aromatic hydrocarbons [PAHs], and lipids) attached to DOM of ground solid materials did not change significantly. Outside rainwater leaching (from forest fuel materials) experiments showed that the leaching capacity of dissolved organic carbon (DOC) from burned litter samples decreased by 40±20% regardless of burning season when compared to unburned litter samples. The leaching of total dissolved nitrogen (TDN), dissolved organic nitrogen (DON), ammonium (NH4+), and reactive phosphorus (PO43-) from burned materials decreased between 40 and 70% when compared to unburned materials. Also, DOM composition was affected by prescribed fire, which partially consumed humic-like substances based on fluorescence analyses. Thus, periodically applied prescribed fires also resulted in a reduction of trihalomethane (THM) (42±23%) and haloacetic acid (HAA) (42±20%) formation potentials (FPs), while DOC normalized reactivity of THM and HAA FPs did not change significantly. Additionally, the leaching of N-nitrosodimethylamine (NDMA) precursors, bromide ion (Br-), and selected elements (K, Ca, Mg, Mn, Fe, S, Na, B, and Al) were not significantly affected by prescribed fires. Finally, coagulant (i.e., alum and ferric) dose requirements and coagulation efficiencies were similar (i.e., removal of DOC, precursors of THMs and HAAs were 52-56%, 69-70%, 78-79%, respectively) in unburned and pre-burned leachate samples.

Nasal decolonization of Staphylococcus aureus with mupirocin: strengths, weaknesses and future prospects.

Staphylococcus aureus in the nose is a risk factor for endogenous staphylococcal infection. UK guidelines recommend the use of mupirocin for nasal decolonization in certain groups of patients colonized with methicillin-resistant S. aureus (MRSA). Mupirocin is effective at removing S. aureus from the nose over a few weeks, but relapses are common within several months. There are only a few prospective randomized clinical trials that have been completed with sufficient patients, but those that have been reported suggest that clearance of S. aureus from the nose is beneficial in some patient groups for the reduction in the incidence of nosocomial infections. There is no convincing evidence that mupirocin treatment reduces the incidence of surgical site infection. New antibiotics are needed to decolonize the nose because bacterial resistance to mupirocin is rising, and so it will become less effective. Furthermore, a more bactericidal antibiotic than mupirocin is needed, on the grounds that it might reduce the relapse rate, and so clear the patient of MRSA for a longer period of time than mupirocin.

Relationship of F-actin distribution to development of polar shape in human polymorphonuclear neutrophils.

Polymerization of actin has been associated with development of polar shape in human neutrophils (PMN). To examine the relation of filamentous actin (F-actin) distribution to shape change in PMN, we developed a method using computerized video image analysis and fluorescence microscopy to quantify distribution of F-actin in single cells. PMN were labeled with fluorescent probe NBD-phallicidin to measure filamentous actin and Texas red to assess cell thickness. We show that Texas red fluorescence is a reasonable measure of cell thickness and that correction of the NBD-phallicidin image for cell thickness using the Texas red image permits assessment of focal F-actin content. Parameters were derived that quantify total F-actin content, movement of F-actin away from the center of the cell, asymmetry of F-actin distribution, and change from round to polar shape. The sequence of change in F-actin distribution and its relation to development of polar shape in PMN was determined using these parameters. After stimulation with chemotactic peptide at 25 degrees C, F-actin polymerized first at the rim of the PMN. This was followed by development of asymmetry of F-actin distribution and change to polar shape. The dominant pseudopod developed first in the region of lower F-actin concentration followed later by polymerization of actin in the end of the developed pseudopod. Asymmetric F-actin distribution was detected in round PMN before development of polar shape. Based upon these data, asymmetric distribution of F-actin is coincident with and probably precedes development of polar shape in PMN stimulated in suspension by chemotactic peptide.

Health care policy. U.S. priorities-HIV prevention.

One of the scientific anomalies of the AIDS epidemic is the large difference in infection rates across populations. Given limited resources and segregated epidemics, prevention funding should be directed to population segments with high HIV prevalence and incidence. However, recent surveys of U.S. populations indicate that the allocation of prevention dollars is not consistent with the distribution of HIV in the population.

Prevalence of AIDS-related risk factors and condom use in the United States.

A national probability survey of human immunodeficiency virus (HIV)-related risk factors among the general heterosexual population, the National AIDS (acquired immunodeficiency syndrome) Behavioral Surveys, has obtained data from 10,630 respondents. Data are presented on the prevalence of HIV-related risks in the general heterosexual population, on the distribution of the three largest risk groups across social strata, and on the prevalence and distribution of condom use among heterosexuals reporting a risk factor. Between 15 and 31 percent of heterosexuals nationally and 20 and 41 percent in cities with a high prevalence of AIDS reported an HIV risk factor. Condom use was relatively low. Only 17 percent of those with multiple sexual partners, 12.6 percent of those with risky sexual partners, and 10.8 percent of untested transfusion recipients used condoms all the time. Overall, the results suggest that current HIV prevention programs have, to a very limited extent, reached those heterosexuals with multiple sexual partners but have failed to reach many other groups of the heterosexual population at risk for HIV. New public health strategies may be needed for these specific risk groups.

Performance of a dispersion model to estimate methane loss from cattle in pens.

Accurate measurements of enteric methane (CH(4)) emissions from cattle (Bos taurus) are necessary to improve emission coefficients used in national emissions inventories, and to evaluate mitigation strategies. Our study was conducted to evaluate a novel approach that allowed near continuous CH(4) measurement from beef cattle confined in pens. The backward Lagrangian Stochastic (bLS) dispersion technique was used in conjunction with global position system (GPS) information from individual animals, to evaluate CH(4) emissions from pens of cattle. The dispersion technique was compared to estimates of CH(4) production using the SF(6) tracer technique. Sixty growing beef cattle were fed a diet containing 60% barley silage (dry matter basis) supplemented with either barley (Hordeum vulgare L.) grain or corn (Zea mays L.) distillers dried grains. The results show that daily CH(4) emissions were about 7% lower for the dispersion technique than for the tracer technique (185 vs. 199 g CH(4) animal(-1) d(-1)). The precision of the dispersion technique, relative to the SF(6) tracer technique, expressed by the Pearson coefficient was 0.76; the relative accuracy given by the concordance coefficient was 0.69. The bLS dispersion technique was able to detect differences (P < 0.05) due to diet and has the added advantage of measuring the pattern of CH(4) production during the 24-h period, with emissions ranging from 161 to 279 g CH(4) animal(-1) d(-1). Configuring the cattle as point sources resulted in more accurate CH(4) emissions than assuming a uniform area release from the pen surface. The results indicate that the bLS dispersion technique using cattle as point sources can be used to accurately measure enteric CH(4) from cattle and to evaluate the impact of dietary mitigation strategies.

Risk factors for the spread of HIV and other sexually transmitted infections among men who have sex with men infected with HIV in Lima, Peru.

OBJECTIVES: To assess the prevalence of sexually transmitted infections (STIs), the frequency of sexual risk behaviours, and the relation between knowledge of HIV infection status and sexual risk behaviour among men who have sex with men (MSM) infected with HIV attending an STI clinic in Peru. METHODS: We recruited a convenience sample of 559 MSM from a municipal STI clinic in Lima, Peru. Participants completed a survey and provided blood for HIV, syphilis and HSV-2 antibody testing, and urine for gonorrhoea and chlamydia nucleic acid testing. RESULTS: Among 124 MSM with HIV, 72.6% were aware that they were infected with HIV. Active syphilis (RPR> or =1:8) was diagnosed in 21.0% of men infected with HIV, HSV-2 in 79.8%, urethral gonorrhoea in 1.6% and chlamydia in 1.6%. Among 41 participants reporting insertive anal intercourse with their last sex partner, 34.2% did not use a condom. Of the 86 participants reporting receptive anal intercourse, 25.6% did not use a condom. At least one episode of insertive unprotected anal intercourse (UAI) with a partner uninfected with HIV during the past 6 months was reported by 33.6% (35/104) of participants, and receptive UAI with a partner uninfected by HIV was reported by 44.6% (45/101). There was no difference in frequency of UAI with partners infected or uninfected with HIV observed between men who knew their serostatus compared with those who were previously undiagnosed (all p values >0.05). CONCLUSIONS: MSM with HIV in Peru engaged in high-risk behaviours for spreading HIV and STIs. Knowledge of whether someone was infected with HIV was not associated with a decreased frequency of UAI. Additional efforts to reduce risk behaviour after the diagnosis of HIV infection are necessary.

Abnormal autonomic cardiac response to transient hypoxia in sickle cell anemia.

The objective of this study was to non-invasively assess cardiac autonomic control in subjects with sickle cell anemia (SCA) by tracking the changes in heart rate variability (HRV) that occur following brief exposure to a hypoxic stimulus. Five African-American SCA patients and seven healthy control subjects were recruited to participate in this study. Each subject was exposed to a controlled hypoxic stimulus consisting of five breaths of nitrogen. Time-varying spectral analysis of HRV was applied to estimate the cardiac autonomic response to the transient episode of hypoxia. The confounding effects of changes in respiration on the HRV spectral indices were reduced by using a computational model. A significant decrease in the parameters related to parasympathetic control was detected in the post-hypoxic responses of the SCA subjects relative to normal controls. The spectral index related to sympathetic activity, on the other hand, showed a tendency to increase the following hypoxic stimulation, but the change was not significant. This study suggests that there is some degree of cardiovascular autonomic dysfunction in SCA that is revealed by the response to transient hypoxia.

Molecular analysis of the beta-thalassemia phenotype associated with inheritance of hemoglobin E (alpha 2 beta2(26)Glu leads to Lys).

Inheritance of the gene for betaE-globin is associated with hypochromia and microcytosis, reminiscent of typical heterozygous beta-thalassemia. Patients with hemoglobin (Hb)E-beta-thalassemia exhibit clinical phenotypes of severe beta-thalassemia, a circumstance not encountered in other compound heterozygous states for structural beta-chain mutations and beta-thalassemia. We have analyzed the kinetics of globin synthesis and the levels of globin messenger (m) RNA accumulation in patients with Hb E-beta-thalassemia and Hb E trait. The initial rate of beta-globin synthesis (betaE/alpha=0.20-0.34) was less than expected on the basis of gene dosage, or comparable studies of other compound heterozygous states for beta-thalassemia and structurally abnormal beta-chains. betaE-globin synthesis was not only reduced during short-term incubations (1-5 min), but also remained relatively unchanged during long-term pulse or chase incubations up to 5h. Analysis of globin mRNA by cell-free translation and molecular hybridization confirmed that the unexpectedly low levels of betaE-globin synthesis were associated with comparable reduction in the levels of beta-globin mRNA. In Hb E-beta-thalassemia the betaA + betaE (alpha globin nRNA ratio observed were substantially lower than those obtained from reticulocytes of patients with heterozygous beta-thalassemia, or Hb S-betaO-thalassemia, while in Hb E trait, the betaA + betaE/alpha mRNA ratio was in the ranged observed for beta-thalassemia trait. The betaE-globin gene specifies reduced accumulation of betaE-globin mRNA, a property characteristic of other forms of beta-thalassemia. The beta-thalassemia phenotype associated with inheritance of Hb E is thus determined at the level of beta-globin mRNA metabolism.

Prevalence of bacterial vaginosis among young women in low-income populations of coastal Peru.

The goal of this study was to determine the prevalence of bacterial vaginosis (BV) in Peruvian women from socioeconomically deprived populations and to determine the association between BV and risk factors for sexually transmitted diseases (STDs). Women were administered an epidemiologic survey to determine sexual risk behaviour and they provided biological samples to test for BV and STDs. The prevalence of BV was high (27%) and was significantly associated with having a bacterial STD or trichomoniasis. Age, marital status, and a history of sex work, but not of sexual experience, frequency of intercourse, and unprotected intercourse, were associated with BV. As BV may be a marker for STDs, screening for STDs should be performed in individuals with BV to promote early detection and treatment of co-infecting sexually transmitted pathogens.

Quantifying ammonia emissions from a cattle feedlot using a dispersion model.

Livestock manure is a significant source of ammonia (NH3) emissions. In the atmosphere, NH3 is a precursor to the formation of fine aerosols that contribute to poor air quality associated with human health. Other environmental issues result when NH3 is deposited to land and water. Our study documented the quantity of NH3 emitted from a feedlot housing growing beef cattle. The study was conducted between June and October 2006 at a feedlot with a one-time capacity of 22,500 cattle located in southern Alberta, Canada. A backward Lagrangian stochastic (bLS) inverse-dispersion technique was used to calculate NH3 emissions, based on measurements of NH3 concentration (open-path laser) and wind (sonic anemometer) taken above the interior of the feedlot. There was an average of 3146 kg NH3 d(-1) lost from the entire feedlot, equivalent to 84 microg NH3 m(-2) s(-1) or 140 g NH3 head(-1) d(-1). The NH3 emissions correlated with sensible heat flux (r2 = 0.84) and to a lesser extent the wind speed (r2 = 0.56). There was also evidence that rain suppressed the NH3 emission. Quantifying NH3 emission and dispersion from farms is essential to show the impact of farm management on reducing NH3-related environmental issues.