Time: A Measure of Change

This dissertation examines the metaphysical nature of time by drawing on literature in epistemology of measurement. Using such literature, I defend an account of time as a measure of change. I use literature on measurement to critique other metaphysical accounts of time and argue that some current metaphysical accounts of time are inadequate as accounts of time. The inadequacies we find in these accounts of time along with various other demands we have of an account of time push us further towards accepting the account of time I offer. While I defend a particular account of time, adopting that account is not a prerequisite for recognizing the valuable practice of using literature on measurement in conversations about the nature of time. Consequently, this dissertation can be understood as having a two fold purpose: 1) a meta-argument for the practice of using literature of measurement to examine metaphysical conversations about time and 2) providing an example of this recommended practice through the defense of a particular account of time, which draws on said literature

HIV Infection Linked to Injection Use of Oxymorphone in Indiana, 2014-2015

BACKGROUND: In January 2015, a total of 11 new diagnoses of human immunodeficiency virus (HIV) infection were reported in a small community in Indiana. We investigated the extent and cause of the outbreak and implemented control measures. METHODS: We identified an outbreak-related case as laboratory-confirmed HIV infection newly diagnosed after October 1, 2014, in a person who either resided in Scott County, Indiana, or was named by another case patient as a syringe-sharing or sexual partner. HIV polymerase (pol) sequences from case patients were phylogenetically analyzed, and potential risk factors associated with HIV infection were ascertained. RESULTS: From November 18, 2014, to November 1, 2015, HIV infection was diagnosed in 181 case patients. Most of these patients (87.8%) reported having injected the extended-release formulation of the prescription opioid oxymorphone, and 92.3% were coinfected with hepatitis C virus. Among 159 case patients who had an HIV type 1 pol gene sequence, 157 (98.7%) had sequences that were highly related, as determined by phylogenetic analyses. Contact tracing investigations led to the identification of 536 persons who were named as contacts of case patients; 468 of these contacts (87.3%) were located, assessed for risk, tested for HIV, and, if infected, linked to care. The number of times a contact was named as a syringe-sharing partner by a case patient was significantly associated with the risk of HIV infection (adjusted risk ratio for each time named, 1.9; P<0.001). In response to this outbreak, a public health emergency was declared on March 26, 2015, and a syringe-service program in Indiana was established for the first time. CONCLUSIONS: Injection-drug use of extended-release oxymorphone within a network of persons who inject drugs in Indiana led to the introduction and rapid transmission of HIV. (Funded by the state government of Indiana and others.)

Evaluation of Capsule Permeability in the Equine Blastocyst

Recipient pregnancy rates following transfer of frozen-thawed blastocyst stage equine embryos remain low. To date, no protocol has been developed that would allow successful cryopreservation of this stage of embryos. These experiments characterized the amount of glycerol entering equine embryos after incubation in 1.4 M and 3.4 M glycerol solutions using tritiated glycerol and a liquid scintillation counter. Blastocyst stage equine embryos (n = 27) were collected and incubated for 15 minutes in either 1.4 M (n = 14) or 3.4 M (n = 13) tritiated glycerol solutions. Disintegrations per minute were then determined, and the percent glycerol uptake was calculated for each embryo. Percent glycerol uptake for 1.4 M or 3.4 M glycerol treatment groups was not different (P = .68). However, it was higher (P = .05) in embryos with a diameter of ≤600 μm (3.6%) compared with embryos with a diameter of \u3e600 μm (0.4%). We concluded that glycerol more readily permeates into embryos with a diameter of ≤600 μm that do not possess a fully functional capsule compared with embryos with a diameter of \u3e600 μm with a fully formed capsule. © 2012 Elsevier Inc