Facilitators to cervical cancer screening in a minority, urban, underserved population.

Objectives: Cervical cancer has markedly declined due to widespread use of screening, but Hispanic women continue to bear a disproportionate amount of the cervical cancer burden due to under-screening. Previous studies have explored barriers to screening but have failed to identify targetable facilitators in this group. We aimed to assess facilitators to cervical cancer screening among a predominantly urban, Hispanic population who presented to a no-cost, community-based clinic. Methods: Patients completed demographic and health information, a validated social determinants of health (SDOH) screen, and a self-reported facilitators survey on factors which enabled them to present to clinic. Descriptive statistics were conducted to assess patients' sociodemographic characteristics, SDOH, and perceived facilitators. Results: 124 patients were included. 98 % were Hispanic, 90 % identified Spanish as their preferred language, and 94 % had no insurance. Median age was 41. 31 % of patients reported a history of abnormal screening. On SDOH, over 80 % of patients screened positive in at least one domain, with the most common being food insecurity (53 %) and stress (46 %). The most frequently reported facilitator was encouragement from a family member/friend (30 %). 26 % of patients reported time off from work and 25 % reported availability of child/elder care as facilitators. Conclusions: Identifying facilitators among patients who present for cervical cancer screening is critical to designing care plans to reach all populations. Our survey showed that the single greatest facilitator to patients presenting for cervical cancer screening was encouragement from a family member/friend. These findings suggest that increasing community involvement and awareness may help to improve cervical cancer screening in a minority, urban, underserved population.

Silver bioaccumulation in chironomid larvae as a potential source for upper trophic levels: a study case from northern Patagonia.

Silver (Ag) is a pollutant of high concern in aquatic ecosystems, considered among the most toxic metallic ions. In lacustrine environments, contaminated sediments are a source of Ag for the food web. Chironomidae (Insecta: Diptera) are the most abundant, diverse, and representative insect groups in aquatic ecosystems. Chironomid larvae are closely associated to benthic substrates and link primary producers and secondary consumers. Given their trophic position and their life habits, these larvae can be considered the entry point for the transference of Ag, from the benthic deposit to the higher trophic levels of the food web. Previous studies in lakes from Nahuel Huapi National Park (Northern Patagonia) showed Ag enrichment over background levels (0.04-0.1 µg g-1 dry weight) both in biota (bivalves and fish liver) and sediments from sites near human settlements. The aim of this study was to analyze the role of chironomids in the transference of Ag from the benthic reservoir of Lake Moreno Oeste to the food web. The concentration of Ag in chironomid larvae tissue ranged from 0.1 to 1.5 µg g-1 dry weight, reaching a bioaccumulation factor up to 17 over substrates and depending on the associated substrate type, feeding habitats, larval stage, and season. The main Ag transfer to higher trophic levels by chironomids occurs in the littoral zone, mostly from larvae inhabiting submerged vegetation (Myriophyllum quitense) and sediment from vegetated zones. This study presents novel evidence of the doorway role played by chironomid larvae in Ag pathways from the sediments into food webs of freshwater ecosystems.

Heavy metal and trace elements in riparian vegetation and macrophytes associated with lacustrine systems in Northern Patagonia Andean Range.

Vegetation associated with lacustrine systems in Northern Patagonia was studied for heavy metal and trace element contents, regarding their elemental contribution to these aquatic ecosystems. The research focused on native species and exotic vascular plant Salix spp. potential for absorbing heavy metals and trace elements. The native species studied were riparian Amomyrtus luma, Austrocedrus chilensis, Chusquea culeou, Desfontainia fulgens, Escallonia rubra, Gaultheria mucronata, Lomatia hirsuta, Luma apiculata, Maytenus boaria, Myrceugenia exsucca, Nothofagus antarctica, Nothofagus dombeyi, Schinus patagonicus, and Weinmannia trichosperma, and macrophytes Hydrocotyle chamaemorus, Isöetes chubutiana, Galium sp., Myriophyllum quitense, Nitella sp. (algae), Potamogeton linguatus, Ranunculus sp., and Schoenoplectus californicus. Fresh leaves were analyzed as well as leaves decomposing within the aquatic bodies, collected from lakes Futalaufquen and Rivadavia (Los Alerces National Park), and lakes Moreno and Nahuel Huapi (Nahuel Huapi National Park). The elements studied were heavy metals Ag, As, Cd, Hg, and U, major elements Ca, K, and Fe, and trace elements Ba, Br, Co, Cr, Cs, Hf, Na, Rb, Se, Sr, and Zn. Geochemical tracers La and Sm were also determined to evaluate contamination of the biological tissues by geological particulate (sediment, soil, dust) and to implement concentration corrections.