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1.
Epidemiol Infect ; 147: e140, 2019 01.
Article de Anglais | MEDLINE | ID: mdl-30869049

RÉSUMÉ

Prophylactic vaccines against Epstein-Barr virus (EBV) are under development. EBV-naïve college freshmen are ideal candidates for an efficacy trial, because their incidence of infectious mononucleosis (mono) during freshman year is as high as 20%. To assess perceptions about mono and a mono vaccine, and to learn if EBV immune status could be determined using a gingival swab rather than phlebotomy, we performed a cross-sectional study of 235 healthy students at the beginning of their freshman year. Subjects completed questionnaires and donated oral washes, gingival swabs and venous blood. Overall, 90% of students found the swab easy to use and 80% preferred the swab over venepuncture. Of the 193 students with sufficient samples, 108 (56%) had EBV antibodies in blood vs. 87 (45.1%) in the gingival swab. The sensitivity and specificity of the swab compared with blood for detecting EBV antibodies was 75.9% and 94.1%, respectively, with an accuracy of 89.3%. EBV DNA was detected in the oral wash and swab of 39.2% and 30.4% of blood-antibody-positive individuals, respectively. In conclusion, 44% of our freshmen were EBV-naïve and thus vaccine candidates, the gingival swab was an acceptable alternative to phlebotomy for detecting EBV antibody but needs improved sensitivity, and the perceived value of EBV vaccine was high (72% believed they would benefit).


Sujet(s)
Infections à virus Epstein-Barr/diagnostic , Gencive/virologie , Herpèsvirus humain de type 4/isolement et purification , Dépistage de masse/méthodes , Acceptation des soins par les patients , Études transversales , Volontaires sains , Humains , Sensibilité et spécificité , Étudiants , Universités
2.
Water Resour Res ; 51(9): 7759-7776, 2015 09.
Article de Anglais | MEDLINE | ID: mdl-27478255

RÉSUMÉ

To assess the influence of storage dynamics and nonlinearities in hydrological connectivity on time-variant stream water ages, we used a new long-term record of daily isotope measurements in precipitation and streamflow to calibrate and test a parsimonious tracer-aided runoff model. This can track tracers and the ages of water fluxes through and between conceptual stores in steeper hillslopes, dynamically saturated riparian peatlands, and deeper groundwater; these represent the main landscape units involved in runoff generation. Storage volumes are largest in groundwater and on the hillslopes, though most dynamic mixing occurs in the smaller stores in riparian peat. Both streamflow and isotope variations are generally well captured by the model, and the simulated storage and tracer dynamics in the main landscape units are consistent with independent measurements. The model predicts that the average age of stream water is ∼1.8 years. On a daily basis, this varies between ∼1 month in storm events, when younger waters draining the hillslope and riparian peatland dominates, to around 4 years in dry periods when groundwater sustains flow. This variability reflects the integration of differently aged water fluxes from the main landscape units and their mixing in riparian wetlands. The connectivity between these spatial units varies in a nonlinear way with storage that depends upon precipitation characteristics and antecedent conditions. This, in turn, determines the spatial distribution of flow paths and the integration of their contrasting nonstationary ages. This approach is well suited for constraining process-based modeling in a range of northern temperate and boreal environments.

3.
Water Resour Res ; 50(2): 969-985, 2014 Feb.
Article de Anglais | MEDLINE | ID: mdl-25506098

RÉSUMÉ

We examined the storage dynamics and isotopic composition of soil water over 12 months in three hydropedological units in order to understand runoff generation in a montane catchment. The units form classic catena sequences from freely draining podzols on steep upper hillslopes through peaty gleys in shallower lower slopes to deeper peats in the riparian zone. The peaty gleys and peats remained saturated throughout the year, while the podzols showed distinct wetting and drying cycles. In this region, most precipitation events are <10 mm in magnitude, and storm runoff is mainly generated from the peats and peaty gleys, with runoff coefficients (RCs) typically <10%. In larger events the podzolic soils become strongly connected to the saturated areas, and RCs can exceed 40%. Isotopic variations in precipitation are significantly damped in the organic-rich soil surface horizons due to mixing with larger volumes of stored water. This damping is accentuated in the deeper soil profile and groundwater. Consequently, the isotopic composition of stream water is also damped, but the dynamics strongly reflect those of the near-surface waters in the riparian peats. "pre-event" water typically accounts for >80% of flow, even in large events, reflecting the displacement of water from the riparian soils that has been stored in the catchment for >2 years. These riparian areas are the key zone where different source waters mix. Our study is novel in showing that they act as "isostats," not only regulating the isotopic composition of stream water, but also integrating the transit time distribution for the catchment. KEY POINTS: Hillslope connectivity is controlled by small storage changes in soil unitsDifferent catchment source waters mix in large riparian wetland storageIsotopes show riparian wetlands set the catchment transit time distribution.

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