MMWR Morb Mortal Wkly Rep

Dietary supplement use is common among children and adolescents. During 2013-2014, approximately one third of children and adolescents (persons aged 6419 years) in the United States were reported to use a dietary supplement in the past 30 days, and use varied by demographic characteristics (1,2). Dietary supplements can contribute substantially to overall nutrient intake, having the potential to both mitigate nutrient shortfalls as well as to lead to nutrient intake above recommended upper limits (3). However, because nutritional needs should generally be met through food consumption according to the 2015-2020 Dietary Guidelines for Americans, only a few dietary supplements are specifically recommended for use among children and adolescents and only under particular conditions (4). The most recently released data from the National Health and Nutrition Examination Survey (NHANES) during 2017-2018 were used to estimate the prevalence of use among U.S. children and adolescents of any dietary supplement, two or more dietary supplements, and specific dietary supplement product types. Trends were calculated for dietary supplement use from 2009-2010 to 2017-2018. During 2017-2018, 34.0% of children and adolescents used any dietary supplement in the past 30 days, with no significant change since 2009-2010. Use of two or more dietary supplements increased from 4.3% during 2009-2010 to 7.1% during 2017-2018. Multivitamin-mineral products were used by 23.8% of children and adolescents, making these the products most commonly used. Because dietary supplement use is common, surveillance of dietary supplement use, combined with nutrient intake from diet, will remain an important component of monitoring nutritional intake in children and adolescents to inform clinical practice and dietary recommendations.33119556PMC7641005867

Design and application of reconfigurable circuits and systems

Open Acces

Efforts Targeting Factors of Health Disparities that Impair HIV Treatment Engagement

Health disparities exist in Northeast Florida. Some locations experience morbidities at higher rates than others. Health zone 1 is a prime example. Differences in disease rates are interlaced with the social determinants of health, (SDOH). Long-standing social and structural influences of disparities are beyond the scope of Ryan White programs. However, empowerment for health promotion is a strategy for targeting health disparities. The Theory of Health Empowerment targets sense of agency and offers some leverage for helping people living with HIV/AIDS, (PLWHA) despite environments blemished by SDOH. Eclectic leadership occurring in a climate of respectful point-counter point discussions established the context for implemented projects in Northeast Florida. Nine activities directed efforts to reduce disparities. These activities are in the infancy stage of development. Some successes have been achieved, but much more remains to be accomplished to increase overall viral suppression above the 80% threshold. Directions for the future suggest that perhaps external influences of federal Ryan White Parts may be a catalyst for incentivizing the JTGA to participate in national efforts to reduce health disparities. Opportunities to strengthen understanding of approaches to nullify SDOH using science-based approaches hold promise to pursue health equity in treatment cascade outcomes for PLWHAs

The Beacon, August 24, 2009

Vol. 22, Issue 7, 20 pageshttps://digitalcommons.fiu.edu/student_newspaper/1339/thumbnail.jp

Compact Hardware Implementation of a SHA-3 Core for Wireless Body Sensor Networks

One of the most important Internet of Things applications is the wireless body sensor network (WBSN), which can provide universal health care, disease prevention, and control. Due to large deployments of small scale smart sensors in WBSNs, security, and privacy guarantees (e.g., security and safety-critical data, sensitive private information) are becoming a challenging issue because these sensor nodes communicate using an open channel, i.e., Internet. We implement data integrity (to resist against malicious tampering) using the secure hash algorithm 3 (SHA-3) when smart sensors in WBSNs communicate with each other using the Internet. Due to the limited resources (i.e., storage, computation, and communication capabilities) of sensors in WBSNs, a lightweight implementation of SHA-3 is needed. To address this challenge, we propose a new implementation of the SHA-3, which has a compact hardware architecture. Our implementation of SHA-3 consists of a reliable logic structure, random access memory, and an enhanced finite state machine. The simulation on a Vitrtex-5 field programmable gate array shows that the proposed implementation is suitable for the WBSN on different applications. We evaluate the sensor area of the proposed SHA-3 implementation and compare it with other recently proposed hardware implementations of SHA-3. In addition, our hardware implementation approach reduces the area by almost 74.7% compared with the recently proposed hardware implementation which has the smallest area

Exceeding Conservative Limits: A Consolidated Analysis on Modern Hardware Margins

Modern large-scale computing systems (data centers, supercomputers, cloud and edge setups and high-end cyber-physical systems) employ heterogeneous architectures that consist of multicore CPUs, general-purpose many-core GPUs, and programmable FPGAs. The effective utilization of these architectures poses several challenges, among which a primary one is power consumption. Voltage reduction is one of the most efficient methods to reduce power consumption of a chip. With the galloping adoption of hardware accelerators (i.e., GPUs and FPGAs) in large datacenters and other large-scale computing infrastructures, a comprehensive evaluation of the safe voltage reduction levels for each different chip can be employed for efficient reduction of the total power. We present a survey of recent studies in voltage margins reduction at the system level for modern CPUs, GPUs and FPGAs. The pessimistic voltage guardbands inserted by the silicon vendors can be exploited in all devices for significant power savings. On average, voltage reduction can reach 12% in multicore CPUs, 20% in manycore GPUs and 39% in FPGAs.Comment: Accepted for publication in IEEE Transactions on Device and Materials Reliabilit

The Default-Mode Network Represents Aesthetic Appeal that Generalizes Across Visual Domains

Visual aesthetic evaluations, which impact decision-making and well-being, recruit the ventral visual pathway, subcortical reward circuitry, and parts of the medial prefrontal cortex overlapping with the default-mode network (DMN). However, it is unknown whether these networks represent aesthetic appeal in a domain-general fashion, independent of domain-specific representations of stimulus content (artworks versus architecture or natural landscapes). Using a classification approach, we tested whether the DMN or ventral occipitotemporal cortex (VOT) contains a domain-general representation of aesthetic appeal. Classifiers were trained on multivoxel functional MRI response patterns collected while observers made aesthetic judgments about images from one aesthetic domain. Classifier performance (high vs. low aesthetic appeal) was then tested on response patterns from held-out trials from the same domain to derive a measure of domain-specific coding, or from a different domain to derive a measure of domain-general coding. Activity patterns in category-selective VOT contained a degree of domain-specific information about aesthetic appeal, but did not generalize across domains. Activity patterns from the DMN, however, were predictive of aesthetic appeal across domains. Importantly, the ability to predict aesthetic appeal varied systematically; predictions were better for observers who gave more extreme ratings to images subsequently labeled as high or low. These findings support a model of aesthetic appreciation whereby domain-specific representations of the content of visual experiences in VOT feed in to a core domain-general representation of visual aesthetic appeal in the DMN. Whole-brain searchlight analyses identified additional prefrontal regions containing information relevant for appreciation of cultural artifacts (artwork and architecture) but not landscapes

MMWR Morb Mortal Wkly Rep

Clinical preventive services play an important role in preventing deaths, and Healthy People 2020 has set national goals for using clinical preventive services to improve population health (1). The Patient Protection and Affordable Care Act (ACA) requires many health plans to cover certain recommended clinical preventive services without cost-sharing when provided in-network (covered clinical preventive services).* To ascertain prevalence of the use of selected recommended clinical preventive services among persons aged 6518 years, CDC analyzed data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS), a state-based annual nationwide survey conducted via landline and mobile phones in the United States, for 10 clinical preventive services covered in-network with no cost-sharing pursuant to the ACA. The weighted prevalence of colon, cervical, and breast cancer screening, pneumococcal and tetanus vaccination, and diabetes screening ranged from 66.0% to 79.2%; the prevalence of the other four clinical preventive services were <50%: 16.5% for human papillomavirus (HPV) vaccination, 26.6% for zoster (shingles) vaccination, 33.2% for influenza vaccination, and 45.8% for HIV testing. Prevalence of HIV testing had the widest variation (3.1-fold differences) across states among the 10 services included in this report. The prevalence of use of clinical preventive services varied by insurance status, income level, and rurality, findings that are consistent with previous studies (2-6). The use of nine of the 10 services examined was lower among the uninsured, those with lower income, and those living in rural communities. Among those factors examined, insurance status was the dominant factor strongly associated with use of clinical preventive services, followed by income-level and rurality. Understanding factors influencing use of recommended clinical preventive services can potentially help decision makers better identify policies to increase their use including strategies to increase insurance coverage.202133793461PMC80228751154