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This review is focused on free-electron lasers (FELs) in the hard to soft x-ray regime. The aim is to provide newcomers to the area with insights into: the basic physics of FELs, the qualities of the radiation they produce, the challenges of transmitting that radiation to end users and the diversity of current scientific applications. Initial consideration is given to FEL theory in order to provide the foundation for discussion of FEL output properties and the technical challenges of short-wavelength FELs. This is followed by an overview of existing x-ray FEL facilities, future facilities and FEL frontiers. To provide a context for information in the above sections, a detailed comparison of the photon pulse characteristics of FEL sources with those of other sources of high brightness x-rays is made. A brief summary of FEL beamline design and photon diagnostics then precedes an overview of FEL scientific applications. Recent highlights are covered in sections on structural biology, atomic and molecular physics, photochemistry, non-linear spectroscopy, shock physics, solid density plasmas. A short industrial perspective is also included to emphasise potential in this area.
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Since 2001 the UNAIDS Secretariat has retained the responsibility for monitoring progress towards global commitments on HIV/AIDS. Key critical characteristics of the reporting system were assessed for the reporting period from 2004 to 2014 and analyses were undertaken of response rates and core indicator performance. Country submission rates ranged from 102 (53%) Member States in 2004 to 186 (96%) in 2012. There was great variance in response rates for specific indicators, with the highest response rates for treatment-related indicators. The Global AIDS reporting system has improved substantially over time and has provided key trend data on responses to the HIV epidemic, serving as the global accountability mechanism and providing reference data on the global AIDS response. It will be critical that reporting systems continue to evolve to support the monitoring of the Sustainable Development Goals, in view of ending the AIDS epidemic as a public health threat by 2030.
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Salud Global , Objetivos , Infecciones por VIH/prevención & control , Evaluación de Programas y Proyectos de Salud , Política Pública , Síndrome de Inmunodeficiencia Adquirida/epidemiología , Conservación de los Recursos Naturales , Epidemias , Infecciones por VIH/epidemiología , Infecciones por VIH/transmisión , Humanos , Salud Pública , Naciones UnidasRESUMEN
A novel spot-on formulation containing metaflumizone and amitraz (ProMeris/ProMeris Duo for Dogs, Fort Dodge Animal Health, Overland Park, KS) was evaluated in a laboratory study to determine the appropriate dose for efficacy against fleas and ticks on dogs for 1 month. Thirty-six Beagles were randomly allocated to six equal groups and individually housed. One group remained nontreated. Another was treated with a placebo formulation (solvents with no active ingredients). Three groups of dogs were treated topically with the metaflumizone plus amitraz formulation (150mg of each of metaflumizone and amitraz/ml), at volumes providing doses of 10, 20 and 40mgeachactive/kg. The final group was treated with a commercial spot-on providing 6.7mgfipronil/kg. All treatments were applied to the skin at a single spot between the scapulae on Day 0. Dogs were infested with 50 adult brown dog ticks (Rhipicephalus sanguineus) on each of Days -2, 5, 12, 19, 26, 33 and 40, and with 100 cat fleas (Ctenocephalides felis felis) on Days -1, 6, 13, 20, 27, 34 and 41. Dogs were examined and parasites "finger counted" on Day 1 to estimate knock down efficacy, and all animals were comb counted to determine the numbers of viable fleas and ticks on Days 7, 14, 21, 28, 35 and 42. There were no significant differences in parasite counts between the nontreated control and the placebo-treated control groups for either fleas or ticks (P>0.05) except for very slight reductions on Day 7 for fleas and Day 14 for ticks, demonstrating that the formulation excipients had no activity. The qualitative finger counts on Day 1 indicated that all of the insecticidal treatments resulted in a noticeable reduction in flea and tick numbers within 1 day of treatment. All of the metaflumizone and amitraz treatments and fipronil resulted in significantly lower flea and tick numbers relative to nontreated controls on all posttreatment count days (P<0.05). For the metaflumizone plus amitraz treatments, mean flea and tick counts for the 10mg/kg dose were significantly higher than those for the 20mg/kg dose (P<0.05) from Day 21 on. There was no significant advantage provided by the 40mg/kg dose over the 20mg dose throughout the entire study (P>0.05). The two higher metaflumizone plus amitraz doses provided >95% control of fleas and >90% control of ticks for at least 35 days after treatment, and this level of control was similar to that of the commercial fipronil product. The 20mg/kg dose was selected as the minimum commercial dose rate to provide effective flea and tick control for at least 1 month following a single treatment.
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Enfermedades de los Perros/tratamiento farmacológico , Infestaciones Ectoparasitarias/veterinaria , Insecticidas , Rhipicephalus sanguineus , Semicarbazonas , Siphonaptera , Toluidinas , Administración Tópica , Animales , Enfermedades de los Perros/parasitología , Perros , Combinación de Medicamentos , Infestaciones Ectoparasitarias/tratamiento farmacológico , Control de Insectos/métodos , Insecticidas/administración & dosificación , Semicarbazonas/administración & dosificación , Control de Ácaros y Garrapatas/métodos , Infestaciones por Garrapatas/tratamiento farmacológico , Infestaciones por Garrapatas/veterinaria , Toluidinas/administración & dosificaciónRESUMEN
A novel spot-on formulation containing metaflumizone plus amitraz (ProMeris/ProMeris Duo for Dogs, Fort Dodge Animal Health, Overland Park, KS) was evaluated for efficacy against sarcoptic mange mites in naturally infested dogs. Sixteen dogs were allocated to two equal groups and were housed individually. Eight of the dogs were treated topically with metaflumizone plus amitraz at the proposed minimum dose rate (20mg/kg of each of metaflumizone and amitraz, at a dose volume of 0.133ml/kg) on Days 0 and 28. The other eight were treated with metaflumizone plus amitraz at the proposed minimum dose rate on Days 0, 14, 28 and 42. To enumerate Sarcoptes scabiei mites, skin scrapings were taken on each of Days 2, 14, 28, 42 and 56. Clinical signs of mange and the extent of sarcoptic lesions were evaluated on each dog when scrapings were made. Evaluation of the efficacy of the treatment was based on the absence of mites supported by the absence of clinical signs associated with canine sarcoptic mange. Treatment with metaflumizone plus amitraz at the minimum proposed dose rate at monthly (two treatments) or two-weekly (four treatments) intervals resulted in a rapid reduction of mites and improved clinical signs. The overall cure rates at Day 56, based on zero mite counts and/or resolution of clinical signs were 75% and 83% of dogs for the monthly and two-weekly regimens, respectively.
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Antiparasitarios/uso terapéutico , Enfermedades de los Perros/tratamiento farmacológico , Escabiosis/veterinaria , Semicarbazonas/uso terapéutico , Toluidinas/uso terapéutico , Animales , Antiparasitarios/normas , Enfermedades de los Perros/parasitología , Perros , Combinación de Medicamentos , Femenino , Masculino , Sarcoptes scabiei/efectos de los fármacos , Escabiosis/tratamiento farmacológico , Semicarbazonas/normas , Factores de Tiempo , Toluidinas/normasRESUMEN
A novel spot-on formulation containing metaflumizone plus amitraz (ProMeris/ProMeris Duo for Dogs, Fort Dodge Animal Health, Overland Park, KS) was evaluated for efficacy against demodectic mange mites in naturally infested dogs. Sixteen dogs were allocated to two equal groups and individually housed. Eight of the dogs were treated topically with metaflumizone plus amitraz at the proposed minimum dose rate (20mg/kg of each of metaflumizone and amitraz, 0.133ml/kg) on Days 0, 28, and 56. The other eight were treated with metaflumizone plus amitraz at the proposed minimum dose rate on Days 0, 14, 28, 42, 56, and 70. Mite numbers were estimated from skin scrapings taken on Days -3 to -1, 28, 56, and 84. Clinical signs of mange and the extent of demodectic lesions on each dog were evaluated when skin scrapings were conducted. Efficacy of the treatment was based on a reduction in mite numbers and an assessment of the clinical signs associated with canine demodectic mange. Treatment at monthly or two-weekly intervals for 3 months resulted in a rapid reduction in mite numbers (>94 and >99% for the monthly and two-weekly treatments, respectively) and an improvement in clinical signs. Success rates, based on zero mite counts in skin scrapings at Day 84 were 42.9 and 62.5% of dogs for the monthly and two-weekly regimens, respectively.
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Antiparasitarios/uso terapéutico , Enfermedades de los Perros/tratamiento farmacológico , Infestaciones por Ácaros/veterinaria , Semicarbazonas/uso terapéutico , Toluidinas/uso terapéutico , Animales , Antiparasitarios/normas , Enfermedades de los Perros/parasitología , Perros , Combinación de Medicamentos , Femenino , Masculino , Infestaciones por Ácaros/tratamiento farmacológico , Semicarbazonas/normas , Factores de Tiempo , Toluidinas/normasRESUMEN
The efficacy and safety of a novel spot-on formulation of metaflumizone (ProMeris for Cats, Fort Dodge Animal Health, Overland Park, KS) was assessed in cats naturally infested with fleas in a multiregional, clinical field study. Sixteen veterinary clinics in Germany and eight clinics in France enrolled patients to the study. A total of 173 cats with flea infestation qualified as primary patients and were randomly allocated to one of the two treatments in a ratio of approximately 2:1 for metaflumizone (minimum dosage of 40mg/kg) or fipronil (at the recommended label rate). Clinical examinations and baseline parasite counts were performed on Day 0 prior to treatment. Flea counts and safety evaluations were repeated at approximately 2-week intervals for 8 weeks. Both treatments resulted in consistent reductions (>84%) in flea numbers throughout the study, but metaflumizone resulted in numerically higher reductions on most count days. Within groups the flea reduction was highly significant (p<0.0001) compared to baseline at all observation periods. The efficacy of metaflumizone against fleas compared to baseline was 91.0%, 89.4%, 90.8% and 90.7% at Day 14, 28, 42 and 56, respectively. The corresponding efficacies for fipronil were 91.7%, 86.9%, 84.6% and 87.7%. Metaflumizone was highly effective in controlling existing infestations of fleas on cats and was effective against reinfestation for at least 56 days. Metaflumizone showed a good tolerance profile in cats.
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Enfermedades de los Gatos/tratamiento farmacológico , Infestaciones Ectoparasitarias/veterinaria , Insecticidas/normas , Insecticidas/uso terapéutico , Semicarbazonas/normas , Semicarbazonas/uso terapéutico , Siphonaptera/fisiología , Animales , Enfermedades de los Gatos/parasitología , Gatos , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos , Infestaciones Ectoparasitarias/tratamiento farmacológico , Europa (Continente) , Femenino , Insecticidas/efectos adversos , Masculino , Pirazoles/uso terapéutico , Semicarbazonas/efectos adversos , AguaRESUMEN
The efficacy and safety of a novel spot-on formulation of metaflumizone plus amitraz (ProMeris/ProMeris Duo for Dogs, Fort Dodge Animal Health, Overland Park, KS) was assessed in dogs naturally infested with ticks and/or fleas in a multiregional, clinical field study. Nineteen veterinary clinics in Germany and 11 clinics in France enrolled patients to the study. One hundred eighty one dogs with tick infestation and 170 dogs with flea infestation (plus three dogs harboring both ticks and fleas) qualified as primary patients and were randomly allocated to one of two treatments in a ratio of approximately 2:1 for metaflumizone plus amitraz (minimum dosage of 20 plus 20mg/kg) or fipronil (at the recommended label rate). Clinical examinations and baseline parasite counts were performed on Day 0 prior to treatment. Tick and/or flea counts and safety evaluations were repeated at intervals of about 2 weeks for 8 weeks. Both products resulted in consistent reductions in tick numbers (>81%) throughout the study, with metaflumizone plus amitraz giving consistently higher reductions in tick numbers. The efficacy against tick count compared with Day 0 was 97.6%, 93.5%, 89% and 94% at Day 14, 28, 42 and 56, respectively, for metaflumizone plus amitraz. The corresponding efficacies for fipronil were 86.3%, 81.1%, 84.8% and 86.1%. Within groups, the tick reduction was highly significant (P<0.0001) compared to baseline at all observation periods. Both treatments resulted in consistent (>89%) and highly significant (P<0.0001) reductions in flea numbers relative to the baseline counts throughout the study, although fipronil resulted in numerically higher reductions on each count day. The efficacy against fleas compared to baseline was 91.8%, 88.7%, 91.5% and 92.0% at Day 14, 28, 42 and 56, respectively, for metaflumizone plus amitraz. The corresponding efficacies for fipronil were 98.2%, 96.3%, 95.9% and 96.7%. Metaflumizone plus amitraz was highly effective in controlling existing infestations of fleas and ticks on dogs and was effective against reinfestation for at least 56 days. Metaflumizone plus amitraz showed a good tolerance profile in dogs.
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Enfermedades de los Perros/tratamiento farmacológico , Infestaciones Ectoparasitarias/veterinaria , Insecticidas/uso terapéutico , Semicarbazonas/uso terapéutico , Toluidinas/uso terapéutico , Animales , Enfermedades de los Perros/parasitología , Perros , Combinación de Medicamentos , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos , Infestaciones Ectoparasitarias/tratamiento farmacológico , Europa (Continente) , Femenino , Insecticidas/efectos adversos , Insecticidas/normas , Masculino , Pirazoles/uso terapéutico , Distribución Aleatoria , Semicarbazonas/efectos adversos , Semicarbazonas/normas , Infestaciones por Garrapatas/tratamiento farmacológico , Infestaciones por Garrapatas/veterinaria , Toluidinas/efectos adversos , Toluidinas/normas , AguaRESUMEN
A novel spot-on formulation containing metaflumizone plus amitraz (ProMeris/ProMeris Duo for Dogs, Fort Dodge Animal Health, Overland Park, KS) was evaluated in four laboratory studies to confirm efficacy against fleas and ticks on dogs for 1 month. Three different strains of cat flea (Ctenocephalides felis felis) and four tick species were used. Rhipicephalus sanguineus and Dermacentor variabilis were evaluated concurrently in two studies and Ixodes scapularis and Amblyomma americanum in one study each. In all studies, dogs were randomly allocated to treatment groups and compared with nontreated dogs. One study also included a placebo treatment and a commercial product containing fipronil plus S-methoprene. All treatments were applied to the skin at a single spot between the scapulae on Day 0. Dogs were infested with fleas and/or ticks prior to treatment and then reinfested at weekly intervals for 6 weeks after treatment and evaluated for efficacy at 1 or 2 days after treatment and each reinfestation. These studies confirmed that treatment with ProMeris for Dogs at the proposed commercial dose rate rapidly controlled existing infestations of fleas and ticks on dogs. Treatment provided control of reinfesting fleas for up to 6 weeks and at least 4 weeks control of ticks. Efficacy was confirmed in a variety of dog breeds against three different flea strains and four common species of ticks found on dogs in the United States.
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Enfermedades de los Perros/tratamiento farmacológico , Infestaciones Ectoparasitarias/veterinaria , Insecticidas , Ixodidae , Semicarbazonas , Siphonaptera , Toluidinas , Animales , Enfermedades de los Perros/parasitología , Perros , Combinación de Medicamentos , Infestaciones Ectoparasitarias/tratamiento farmacológico , Femenino , Control de Insectos/métodos , Control de Insectos/normas , Masculino , Control de Ácaros y Garrapatas/métodos , Control de Ácaros y Garrapatas/normas , Infestaciones por Garrapatas/tratamiento farmacológico , Infestaciones por Garrapatas/veterinariaRESUMEN
Titanium is widely used in demanding applications, such as in aerospace. Its strength-to-weight ratio and corrosion resistance make it well suited to highly stressed rotating components. Zirconium has a no less critical application where its low neutron capture cross section and good corrosion resistance in hot water and steam make it well suited to reactor core use, including fuel cladding and structures. The similar metallurgical behaviour of these alloy systems makes it alluring to compare and contrast their behaviour. This is rarely undertaken, mostly because the industrial and academic communities studying these alloys have little overlap. The similarities with respect to hydrogen are remarkable, albeit potentially unsurprising, and so this paper aims to provide an overview of the role hydrogen has to play through the material life cycle. This includes the relationship between alloy design and manufacturing process windows, the role of hydrogen in degradation and failure mechanisms and some of the underpinning metallurgy. The potential role of some advanced experimental and modelling techniques will also be explored to give a tentative view of potential for advances in this field in the next decade or so.This article is part of the themed issue 'The challenges of hydrogen and metals'.
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OBJECTIVES: To field-test the availability, interpretability, and programmatic usefulness of 37 proposed national HIV prevention indicators (HPI) intended to evaluate community-level impact of HIV prevention efforts in San Francisco. METHODS: HPI were defined for four populations (high risk heterosexuals, injecting drug users, men who have sex with men, and childbearing women) and for four domains (biological, behavioral, service, and socio-political). HPI were obtained from existing data sources only. Trends in HPI were examined from 1990 to 1997. RESULTS: Existing data provided 29 (78%) of the 37 proposed HPI; eight HPI were not available because California does not have HIV case reporting. Interpretation was limited for several HPI due to small sample size, inconsistencies in data collection, or lack of contextual information. Data providing behavioral HPI were scarce. HPI were consistent with historical patterns of HIV transmission in San Francisco but also highlighted new and worrisome trends. Notably, HPI identified recent increases in risk for HIV transmission among men who have sex with men. CONCLUSIONS: Despite limitations, the proposed national HPI provided evidence of the aggregate effectiveness of prevention efforts in San Francisco. Supplemental or local HPI are needed to fill data gaps, add context, and increase the scope and programmatic usefulness of the national HPI.
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Infecciones por VIH/prevención & control , Evaluación de Programas y Proyectos de Salud , Centers for Disease Control and Prevention, U.S. , Recolección de Datos , Femenino , Infecciones por VIH/epidemiología , Heterosexualidad , Homosexualidad Masculina , Humanos , Recién Nacido , Transmisión Vertical de Enfermedad Infecciosa/prevención & control , Masculino , Embarazo , Complicaciones Infecciosas del Embarazo/prevención & control , Factores de Riesgo , San Francisco , Conducta Sexual , Enfermedades de Transmisión Sexual/epidemiología , Abuso de Sustancias por Vía Intravenosa/complicaciones , Estados UnidosRESUMEN
OBJECTIVES: To determine whether changes in injecting drug use and sexual behavior over a 12-month follow-up are associated with HIV counseling and testing (C and T) of injecting drug users in methadone maintenance treatment programs (MMTP) in Massachusetts and Connecticut. METHODS: Clients were invited to participate in a longitudinal study involving five interviews. Data were also obtained by ethnographers and from clinical records. Behavioral outcomes of interest were number of drug injections, sharing of unclean 'works' (injecting equipment), number of unprotected sex partners, and number of unprotected sexual episodes. Data analyses included multiple regression, odds ratios, and quantitative analysis of text-based data. RESULTS: Subjects reported reductions in both injecting drug use and sexual behavior Primary associations with reduced injecting drug use were remaining in the MMTP and attending HIV-positive support groups. A reduction in high-risk sexual behavior was associated with an HIV-positive test result and duration of HIV counseling in the MMTP. Increase in drug injecting use was associated with an HIV-positive test result. Inconsistent condom use was associated with enrollment in the MMTP where condoms were available only upon request and abstinence and monogamy between uninfected partners were promoted. CONCLUSIONS: Injecting drug users who self-select to participate in MMTP and HIV C and T, two public health HIV-prevention interventions, reduce their HIV-risk behaviors. Clients should be encouraged to remain in MMTP and HIV-infected clients should attend support groups for HIV-positive persons. MMTP staff should promote a variety of safer sex behaviors and provide condoms without request.
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Consejo , Metadona/uso terapéutico , Conducta Sexual , Abuso de Sustancias por Vía Intravenosa/psicología , Adulto , Estudios de Cohortes , Connecticut , Femenino , Humanos , Estudios Longitudinales , Masculino , Massachusetts , Estudios Prospectivos , Parejas Sexuales , Abuso de Sustancias por Vía Intravenosa/rehabilitaciónRESUMEN
OBJECTIVE: This study selected and field tested indicators to track changes in HIV prevention effectiveness in the USA. METHODS: During 1996-1999, the Centers for Disease Control and Prevention held two 2 day expert consultations with more than 80 national, state and local experts. A consensus-driven, evidence-based approach was used to select 70 indicators, which had to be derived from existing data, available in more than 25 states, and meaningful to state health officials in monitoring HIV. A literature review was performed for each indicator to determine general relevance, validity, and reliability. Two field tests in five US sites determined accessibility, feasibility, and usefulness. RESULTS: The final 37 core indicators represent four categories: biological, behavioral, services, and socio-political. Specific indicators reflect the epidemic and associated risk factors for men who have sex with men, injection drug users, heterosexuals at high risk, and childbearing women. CONCLUSIONS: Despite limitations, the indicators sparked the regular, proactive integration and review of monitoring data, facilitating a more effective use of data in HIV prevention community planning.
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Centers for Disease Control and Prevention, U.S. , Infecciones por VIH/prevención & control , Infecciones por VIH/transmisión , Evaluación de Programas y Proyectos de Salud , Medicina Basada en la Evidencia , Femenino , Heterosexualidad , Homosexualidad Masculina , Humanos , Recién Nacido , Transmisión Vertical de Enfermedad Infecciosa/prevención & control , Masculino , Embarazo , Complicaciones Infecciosas del Embarazo/prevención & control , Complicaciones Infecciosas del Embarazo/virología , Factores de Riesgo , Conducta Sexual , Abuso de Sustancias por Vía Intravenosa/complicaciones , Estados UnidosRESUMEN
The Centers for Disease Control and Prevention (CDC) must have strong external partnerships with behavioral and social scientists to refine and carry out its research and programmatic mission. This article examines funding, employment, and other mechanisms used to develop and foster such partnerships. The authors describe in detail funding mechanisms (especially the often-used cooperative agreement and contracting mechanisms) and identify specific sources of information about funding opportunities. Furthermore, they describe several different long- and short-term employment mechanisms that can be used to link CDC staff and external behavioral scientists. Finally, external behavioral and social scientists can serve in important roles as members of CDC advisory committees, peer reviewers of funding applications, and consultants; examples of these opportunities are also provided.
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Ciencias de la Conducta/tendencias , Centers for Disease Control and Prevention, U.S./economía , Financiación Gubernamental/economía , Relaciones Interprofesionales , Servicios Preventivos de Salud/economía , Ciencias Sociales/economía , Servicios Contratados/economía , Predicción , Humanos , Selección de Personal/economía , Estados UnidosRESUMEN
This article describes practical lessons learned from an evaluation of a continuum of HIV prevention efforts and is intended to assist other states in strengthening their own HIV prevention evaluation activities. In 1996 Minnesota launched several evaluation activities and began to examine how they could be linked across the HIV prevention continuum. Although each evaluation activity generated its own findings, this article examines the challenges faced and the solutions created when integrating these findings into the original steps of the HIV prevention continuum. Key points are highlighted to guide HIV professionals in their endeavors to develop an integrated approach to evaluation and to establish clear and logical linkages across the HIV prevention continuum.
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Infecciones por VIH/prevención & control , Desarrollo de Programa/métodos , Síndrome de Inmunodeficiencia Adquirida/epidemiología , Síndrome de Inmunodeficiencia Adquirida/prevención & control , Femenino , Infecciones por VIH/epidemiología , Humanos , Masculino , Minnesota/epidemiología , Prevención Primaria/organización & administración , Desarrollo de Programa/normas , Evaluación de Programas y Proyectos de Salud/métodos , Evaluación de Programas y Proyectos de Salud/normasRESUMEN
New Image Teen Theatre combines peer education and theatre in an informative and entertaining package. This study was undertaken to assess the effectiveness of New Image Teen Theatre on altering teenagers' attitudes, knowledge, and intentions regarding sexual behavior. A total of 143 adolescents between the ages of 13 and 19 viewed the performance. The performance focused on the prevention of pregnancy, AIDS, and STDs and included content aimed at increasing communication. Teen participants completed pretest and posttest questionnaires. Almost half of the adolescents reported having engaged in sexual intercourse. About one third of the sexually active reported never using birth control, and only 21% reported consistent use of condoms. These results confirm adolescents' risk for pregnancy, STDs, and AIDS in particular. Following the performance, the teens reported significantly more willingness to discuss sexual issues with others, significantly greater intention to use birth control (for sexually active teens), and demonstrated significantly greater sexual knowledge. Furthermore, they indicated that they had experienced more positive emotions than negative emotions while viewing the production. Results suggest that theatre education may set the stage for more comprehensive interventions designed to prevent pregnancy, STDs, and AIDS.
PIP: Teen theater as a nontraditional form of education combining peer education and theater in an entertaining and informative manner. The study evaluates Planned Parenthood's Teen Theater and its influence on a teenagers willingness and comfort in discussing sexual issues with others, intentions to delay intercourse, intention to use birth control, intention to protect oneself from STD's, and knowledge and affect. A pre and post test were given to 143 subjects (73 male and 70 female) who participated at 4 churches and 3 schools. Most had been recommended by youth groups. Ethnic diversity was evidenced in 54 whites, 29 blacks, 32 Hispanics, 5 Asians, 4 Native American, and 12 others not identified. Correlation matrices were constructed to assess the degree of correlation among pairs of similar items, and between affect and other dependent measures. Trends were measured by means and standard deviation; multifactorial ANOVAs were used to assess differential effects of site, gender, and ethnicity. Independent t test were used to assess differences between those who answered all questions versus those who answered few. Dependent t tests were used to assess significant changes pre and post test for discussion, comfort, intention, and knowledge variables. The results indicated sexual activity to constitute 41%of the group with a mean frequency of 2.46 for coitus. 37.9% reported having sex more than 1/week, 24.1% only once, 17.2% 1/month, 15.5% 1/week, and 5.2% 2/month. 31% reported never using birth control and 47.6% consistently used contraceptives. 21.4% reported occasional use. The pill and condom were the items of choice. ANOVAs indicated that teens responding to all questions engaged in more intercourse (t(126)=2.96, p.005). After viewing teen theater, there was more willingness to discuss sexual topics (t(80)=10.01, p.001), greater intention to use birth control (t(43)=3.02, p.01), and had greater sexual knowledge (t(92)=10.01, p.01). Significant effects on discussion, intention to use condoms and delay intercourse were not found. There was also significant relationship between affect variables and other dependent variables. In separate analysis of discussion and knowledge, each aspect was found to be significant for discussion and all but 1 knowledge item. The results suggest that the production may influence peer and parent communication as well as birth control use, albeit not a powerful intervention but moving in the direction of a more sexually responsive manner. This intervention may be used to attract larger numbers and to set the stage for more intensive interventions. Aiding teens in overcoming objections to condom use is still needed.
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Drama , Conocimientos, Actitudes y Práctica en Salud , Educación Sexual/normas , Síndrome de Inmunodeficiencia Adquirida/prevención & control , Adolescente , Comunicación , Anticoncepción/estadística & datos numéricos , Estudios de Evaluación como Asunto , Servicios de Planificación Familiar/educación , Femenino , Humanos , Masculino , Grupo Paritario , Psicología del Adolescente , Educación Sexual/métodos , Enfermedades de Transmisión Sexual/prevención & control , Encuestas y CuestionariosRESUMEN
Abnormally high brain aluminum concentrations have been detected in hemodialysis patients who died of an unexplained encephalopathy. As a result, this study was undertaken to examine whether the ingestion of aluminum produces behavioral aberrations in non-dialysed human subjects and rats with ostensibly normal renal function. Rats were fed AlCl3 by intubation in varying doses, and tests measuring learning ability, visual temporal acuity, motor coordination and activity were administered. It was found that orally ingested aluminum is absorbed by rats and deposited in the brain. High brain aluminum levels are associated with rapid general activity, decreased ability to maintain roto-rod activity, and increased sensitivity to flicker. Behavioral tests were also given to elderly human subjects and performance correlated with serum aluminum level. High serum levels of aluminum in elderly humans are associated with impaired visuo-motor coordination, poor long-term memory, and increased sensitivity to flicker.
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Aluminio/farmacología , Conducta Animal/efectos de los fármacos , Conducta/efectos de los fármacos , Anciano , Aluminio/metabolismo , Animales , Encéfalo/metabolismo , Electrorretinografía , Femenino , Fusión de Flicker/efectos de los fármacos , Humanos , Masculino , Persona de Mediana Edad , Destreza Motora/efectos de los fármacos , Equilibrio Postural/efectos de los fármacos , Ratas , Escalas de WechslerRESUMEN
The Centers for Disease Control is conducting two investigations of the outcomes of HIV counselling and testing services offered persons at high risk for infection with the human immunodeficiency virus (HIV). One investigation is a trial conducted at sexually transmitted disease clinics where an enhanced version of HIV counseling and testing is compared with a standard version. The other investigation is a longitudinal study of the effects of HIV counseling and testing in drug treatment programs that use methadone therapy. In the evaluation, comparisons are being made of different ways of offering HIV counseling and testing and of the effectiveness of the program among persons who know their HIV serostatus and those who do not. The outcome variables include self-reported sexual and drug-using behaviors, together with corroborating laboratory tests, drug treatment compliance, mental health effects, and services utilization. Methodological, practical, and sociopolitical challenges were encountered in the evaluations. Possible solutions to the problems are described. The authors conclude that the designs of the evaluations were appropriate, but that considerable resources are required to carry them out. In settings with low levels of resources, thorough evaluation of the process and an assessment of the immediate outcomes may be the most appropriate evaluation strategy. As HIV counseling and testing are of fundamental importance to national and international HIV prevention efforts, their evaluation is a critical issue.
Asunto(s)
Serodiagnóstico del SIDA , Centers for Disease Control and Prevention, U.S. , Consejo , Infecciones por VIH/prevención & control , Sesgo , Factores de Confusión Epidemiológicos , Humanos , Estudios Longitudinales , Metadona/uso terapéutico , Evaluación de Procesos y Resultados en Atención de Salud , Factores de Riesgo , Trastornos Relacionados con Sustancias/tratamiento farmacológico , Estados UnidosRESUMEN
This review was undertaken in recognition of the mounting public health and social problems associated with adolescent sexual behavior and the importance of basing school-affiliated programs designed to reduce sexual risk-taking behavior on sound research. The authors were commissioned by the Division of Adolescent and School Health within the Centers for Disease Control and Prevention, Public Health Service, to review carefully the research on these programs and to assess their impact on behavior. The authors identified 23 studies of school-based programs that were published in professional journals and measured program impact on behavior. They then summarized the results of those studies, identifying the distinguishing characteristics of effective programs, and citing important research questions to be addressed in the future. Not all sex and AIDS education programs had significant effects on adolescent sexual risk-taking behavior, but specific programs did delay the initiation of intercourse, reduce the frequency of intercourse, reduce the number of sexual partners, or increase the use of condoms or other contraceptives. These effective programs have the potential to reduce exposure to unintended pregnancy and sexually transmitted disease, including HIV infection. These programs should be replicated widely in U.S. schools. Additional research is needed to improve the effectiveness of programs and to clarify the most important characteristics of effective programs.
Asunto(s)
Conducta del Adolescente , Asunción de Riesgos , Instituciones Académicas , Educación Sexual , Conducta Sexual , Síndrome de Inmunodeficiencia Adquirida/prevención & control , Adolescente , Femenino , Educación en Salud/normas , Humanos , Masculino , Embarazo , Embarazo en Adolescencia/estadística & datos numéricos , Educación Sexual/normas , Estados UnidosRESUMEN
The activities of three avermectins and deltamethrin as oviposition suppressants were investigated with a laboratory bioassay in which gravid females of the blowfly Lucilia cuprina (Wiedemann) were exposed to treated oviposition targets. An easily comparable index of suppression, the oviposition suppression concentration (OSC), was defined. All four compounds were effective oviposition suppressants. The three avermectins had similar OSC50 values (approximately 13 ppm). Deltamethrin, with an OSC50 of 0.4 ppm, was the most potent suppressant. The avermectins all produced significant mortality in adults with suppressed oviposition, while deltamethrin did not cause an increase in deaths at concentrations giving up to 100% suppression of oviposition. The toxicities of all four compounds to adult females were similar when assessed by topical application.
Asunto(s)
Dípteros/fisiología , Insecticidas/farmacología , Ivermectina/análogos & derivados , Oviposición/efectos de los fármacos , Piretrinas/farmacología , Animales , Infestaciones Ectoparasitarias/prevención & control , Infestaciones Ectoparasitarias/veterinaria , Femenino , Ivermectina/farmacología , Nitrilos , Ovinos , Enfermedades de las Ovejas/prevención & controlRESUMEN
A citrus leaf disk bioassay was developed to monitor the susceptibility of citrus rust mite, Phyllocoptruta oleivora (Ashmead), populations to abamectin. Disks from leaves of several citrus cultivars were equally suitable bioassay substrates, and there was no difference in mortality when mites were sprayed directly or exposed to dry abamectin residue. The concentration-response relationship was determined at intervals over 2 yr for a reference population of citrus rust mites that had been maintained in culture and never exposed to acaricides. Three diagnostic concentrations of abamectin were selected based on the response of the reference population and were used to test the susceptibility of 15 populations of mites from commercial citrus groves. Comparisons with the reference population showed reduced levels of susceptibility in some populations. Populations of citrus rust mites from 6 commercial groves were sprayed twice in 1997 with combinations of acaricides designed to exert different intensities of selection pressure from abamectin. None of these populations showed a change in their response to abamectin in pre- and postspray bioassays, although their susceptibility was usually less than that of mites from the susceptible reference population. Biweekly counts of rust mites on fruit in these 6 groves suggested that, relative to groves which received no abamectin or 1 abamectin spray, mite control was not adversely affected in the groves sprayed twice with abamectin. The bioassay method is discussed in relation to factors that affect the interpretation of results from its use, and factors that may affect the development of resistance to abamectin in citrus rust mite populations are presented. This study has provided baseline data with which the results of ongoing tests of the response of citrus rust mite populations to abamectin can be compared.