AIDS AND BEREAVEMENT IN SOUTH AFRICA

AIDS is the leading cause of death in South Africa and attention needs to be focused on the needs of countless individuals who grieve AIDS-related deaths. Social workers must be prepared to assist those who grieve AIDS-related losses, especially children, women, and the elderly. AIDS-related bereavement must be understood in terms of the complex social, political, and economic factors inherent in South African society. Strategies are suggested for addressing AIDS-related bereavement in the local context

The Last Chapter of the Vietnam War: Normalization, Nongovernmental Actors and the Politics of Human Rights, 1975-1995

This dissertation dispels two myths about the Vietnam War. The first is that U.S. involvement in Indochina ended abruptly in April 1975 and the second is that the only exception to complete disengagement was the effort to secure a “full accounting” of missing American servicemen. This project demonstrates that the United States remained actively involved in Vietnam and Southeast Asia as a whole, in large part to address refugee issues. I am particularly interested in the policymaking process, and this project is the first to examine U.S. policies regarding missing American soldiers, boat and land people, Amerasians, and reeducation camp detainees in a single study and to place these issues in the context of U.S.-Vietnamese diplomacy. By shifting our focus to the postwar period and to refuge issues, “The Last Chapter of the Vietnam War” challenges the way we understand the Vietnam War and warfare itself

Experiences of women who have lost young children to AIDS in KwaZulu-Natal, South Africa: a qualitative study

Background AIDS continues to be the leading cause of death in South Africa. Little is known about the experiences of mothers who have lost a young child to AIDS. The purpose of this qualitative study was to explore the attitudes and experiences of women who had lost a young child to HIV/AIDS in KwaZulu-Natal Province, South Africa. Methods In-depth interviews were conducted with 10 women who had lost a child to AIDS. The average age of the deceased children was six years. Interviews were also conducted with 12 key informants to obtain their perspectives on working with women who had lost a child to AIDS. A thematic analysis of the transcripts was performed. Results In addition to the pain of losing a child, the women in this study had to endure multiple stresses within a harsh and sometimes hostile environment. Confronted with pervasive stigma and extreme poverty, they had few people they could rely on during their child\u27s sickness and death. They were forced to keep their emotions to themselves since they were not likely to obtain much support from family members or people in the community. Throughout the period of caring for a sick child and watching the child die, they were essentially alone. The demands of caring for their child and subsequent grief, together with daily subsistence worries, took its toll. Key informants struggled to address the needs of these women due to several factors, including scarce resources, lack of training around bereavement issues, reluctance by people in the community to seek help with emotional issues, and poverty. Conclusions The present study offers one of the first perspectives on the experiences of mothers who have lost a young child to AIDS. Interventions that are tailored to the local context and address bereavement issues, as well as other issues that affect the daily lives of these mothers, are urgently needed. Further studies are needed to identify factors that promote resilience among these women

Towards the decontamination of plutonium contaminated bricks:Creation of a cerium-based simulant contamination system

There is a need for the decontamination of a number of plutonium-contaminated bricks encountered in a legacy BUTEX reprocessing plant on Sellafield site in the UK. Documentary review has indicated that the source of the contamination was a 8 mol dm -3 nitric acid process stream containing 10 mmol dm -3 of Pu in either the (III) or (IV) oxidation state. Here we have sought to emulate the behaviour of Pu(III) by treatment of fired clay brick surfaces with a solution of 10 mmol dm -3 Ce(III) nitrate in 8 mol dm -3 nitric acid. XRD, porosimetry and EDX measurements of the untreated bricks reveal them to be comprised of low porosity silica and aluminosilicate phases with a surface layer of a low-Si content Al-C-N oxide derived from the atmosphere of the kiln in which the bricks were fired. Depth profiling after an initial 6 week acid soak reveals that the acid penetrates <10 mm into the brick. SEM/EDX analysis reveals that acid treatment significantly roughens the brick surface due to dissolution the above described Al-C-N oxide layer. The EDX data also shows that virtually no Ce is retained as tenacious contamination at the brick surface; this may be due to a either a mass action/kinetic effect or taken to indicate that trivalent Ce(III) is less likely to absorb at the crystalline silica/aluminosilicate surface of the brick than its more easily hydrolysable tetravalent equivalent. Preliminary higher-resolution EDX analysis indicates that small quantities of Ce(III) can be detected in pores or cracks on the surface of acid-treated brick samples. This suggests that Ce(III) may be non-tenaciously sequestered into surface defects - and that a simple salt wash may be sufficient to remove it. Based on the above observations, potential decontamination strategies are discussed and future studies outlined

Development, Implementation, and Assessment of a Genetics Curriculum Across Institutions

Objective Many residency programs offer limited exposure and minimal didactic time genetics, despite its frequent use in obstetrics and gynecology. The objective of this study was to develop, pilot, and assess a three-module women's health genetics curriculum for residents that was easily transferable between institutions. Methods An interactive three-module genetics curriculum covering basic principles, prenatal screening/diagnosis, and cancer genetics was developed. A pre- and posttests were used to assess improvement in knowledge. Subjective feedback was obtained to assess curricular satisfaction. The data were analyzed with descriptive statistics. Results The curriculum was administered at two institutions. Forty-eight residents attended ≥ 1 session. Twenty completed the pretest, and 23 completed the posttest. At the first institution, using audience response system, the percentage correct per question increased on 10/14 questions between pre- and posttests. All students felt the curriculum was useful and would strongly recommend to other residents. At the second institution, pre/posttests were distributed on paper. Mean scores significantly improved between pre- and posttests (p = 0.007). On the pretest, no residents scored > 70%. However, 8/13 scored > 70% on the posttest (p = 0.002). Instructors at both institutions described the curriculum as easy to use/implement. Conclusion This three-module workshop on women's health genetics was easily implemented across institutions and led to increased knowledge

Hypertension: an unstudied potential risk factor for adverse outcomes during continuous flow ventricular assist device support

In end-stage heart failure, left ventricular assist devices (LVADs) represent an exciting new frontier in which post-device implantation survival approaches that of heart transplant. However, expansion of this technology is still limited by complications that impact morbidity and mortality. Thus, it is essential to identify and optimize modifiable predictors of poor outcomes. One such predictor may be hypertension (HTN). Not only may chronic HTN as a traditional cardiovascular risk factor be present during long-term LVAD support, but HTN may also contribute to device malfunction or device-associated complications. Although current guidelines identify blood pressure (BP) control as important to outpatient continuous flow (CF) LVAD management, there is no evidence base to support these guidelines. Indeed, our comprehensive literature search did not identify any studies that evaluated post-device implantation HTN as a potential predictor of adverse CF-LVAD outcomes. HTN among CF-LVAD patients is likely a relatively unstudied factor because of difficulties using standard noninvasive techniques to measure BP in the setting of reduced pulsatile flow. Fortunately, recent research has elucidated the meaning of Doppler BP measurements and validated a slow-cuff deflation system for BP measurements in the setting of CF-LVAD support. Therefore, CF-LVAD researchers and clinicians may (1) consider potential mechanisms relating HTN to poor outcomes, (2) realize that HTN management is a stated goal despite scarce evidence, and (3) utilize the new reliable and valid methods for outpatient BP measurement that make research and management possible. It is critical and now feasible that research on HTN in the CF-LVAD patient population move forward

How to read a next-generation sequencing report-what oncologists need to know.

Next-generation sequencing (NGS) of tumor cell-derived DNA/RNA to screen for targetable genomic alterations is now widely available and has become part of routine practice in oncology. NGS testing strategies depend on cancer type, disease stage and the impact of results on treatment selection. The European Society for Medical Oncology (ESMO) has recently published recommendations for the use of NGS in patients with advanced cancer. We complement the ESMO recommendations with a practical review of how oncologists should read and interpret NGS reports. A concise and straightforward NGS report contains details of the tumor sample, the technology used and highlights not only the most important and potentially actionable results, but also other pathogenic alterations detected. Variants of unknown significance should also be listed. Interpretation of NGS reports should be a joint effort between molecular pathologists, tumor biologists and clinicians. Rather than relying and acting on the information provided by the NGS report, oncologists need to obtain a basic level of understanding to read and interpret NGS results. Comprehensive annotated databases are available for clinicians to review the information detailed in the NGS report. Molecular tumor boards do not only stimulate debate and exchange, but may also help to interpret challenging reports and to ensure continuing medical education

Structural and spectroscopic characterization of a HdrA-like subunit from Hyphomicrobium denitrificans

Funding Information: We thank Laurenz Heidrich for help with statistical analyses. This work was supported by grant Da 351/8‐1 (to CD) from the Deutsche Forschungsgemeinschaft and Fundação para a Ciência e Tecnologia (Portugal) (grant PTDC/BIA‐BQM/29118 and R&D units MOSTMICRO‐ITQB (UIDB/04612/2020 and UIDP/04612/2020), and European Union's Horizon 2020 research and innovation program (grant agreement No 810856). Open access funding enabled and organized by Projekt DEAL. Publisher Copyright: © 2020 The Authors. The FEBS Journal published by John Wiley & Sons Ltd on behalf of Federation of European Biochemical Societies Copyright: Copyright 2021 Elsevier B.V., All rights reserved.Many bacteria and archaea employ a novel pathway of sulfur oxidation involving an enzyme complex that is related to the heterodisulfide reductase (Hdr or HdrABC) of methanogens. As a first step in the biochemical characterization of Hdr-like proteins from sulfur oxidizers (sHdr), we structurally analyzed the recombinant sHdrA protein from the Alphaproteobacterium Hyphomicrobium denitrificans at 1.4 Å resolution. The sHdrA core structure is similar to that of methanogenic HdrA (mHdrA) which binds the electron-bifurcating flavin adenine dinucleotide (FAD), the heart of the HdrABC-[NiFe]-hydrogenase catalyzed reaction. Each sHdrA homodimer carries two FADs and two [4Fe–4S] clusters being linked by electron conductivity. Redox titrations monitored by electron paramagnetic resonance and visible spectroscopy revealed a redox potential between −203 and −188 mV for the [4Fe–4S] center. The potentials for the FADH•/FADH− and FAD/FADH• pairs reside between −174 and −156 mV and between −81 and −19 mV, respectively. The resulting stable semiquinone FADH• species already detectable in the visible and electron paramagnetic resonance spectra of the as-isolated state of sHdrA is incompatible with basic principles of flavin-based electron bifurcation such that the sHdr complex does not apply this new mode of energy coupling. The inverted one-electron FAD redox potentials of sHdr and mHdr are clearly reflected in the different FAD-polypeptide interactions. According to this finding and the assumption that the sHdr complex forms an asymmetric HdrAA′B1C1B2C2 hexamer, we tentatively propose a mechanism that links protein-bound sulfane oxidation to sulfite on HdrB1 with NAD+ reduction via lipoamide disulfide reduction on HdrB2. The FAD of HdrA thereby serves as an electron storage unit. Database: Structural data are available in PDB database under the accession number 6TJR.publishe

INEEL Radioactive Liquid Waste Reduction Program

Reduction of radioactive liquid waste, much of which is Resource Conservation and Recovery Act (RCRA) listed, is a high priority at the Idaho National Technology and Engineering Center (INTEC). Major strides in the past five years have lead to significant decreases in generation and subsequent reduction in the overall cost of treatment of these wastes. In 1992, the INTEC, which is part of the Idaho National Environmental and Engineering Laboratory (INEEL), began a program to reduce the generation of radioactive liquid waste (both hazardous and non-hazardous). As part of this program, a Waste Minimization Plan was developed that detailed the various contributing waste streams, and identified methods to eliminate or reduce these waste streams. Reduction goals, which will reduce expected waste generation by 43%, were set for five years as part of this plan. The approval of the plan led to a Waste Minimization Incentive being put in place between the Department of Energy � Idaho Office (DOE-ID) and the INEEL operating contractor, Lockheed Martin Idaho Technologies Company (LMITCO). This incentive is worth $5 million dollars from FY-98 through FY-02 if the waste reduction goals are met. In addition, a second plan was prepared to show a path forward to either totally eliminate all radioactive liquid waste generation at INTEC by 2005 or find alternative waste treatment paths. Historically, this waste has been sent to an evaporator system with the bottoms sent to the INTEC Tank Farm. However, this Tank Farm is not RCRA permitted for mixed wastes and a Notice of Non-compliance Consent Order gives dates of 2003 and 2012 for removal of this waste from these tanks. Therefore, alternative treatments are needed for the waste streams. This plan investigated waste elimination opportunities as well as treatment alternatives. The alternatives, and the criteria for ranking these alternatives, were identified through Value Engineering meetings with all of the waste generators. The most promising alternatives were compared by applying weighting factors to each based on how well the alternative met the established criteria. From this information, an overall ranking of the various alternatives was obtained and a path forward recommended

Peripheral venous congestion causes time- and dose-dependent release of endothelin-1 in humans

Endothelin-1 (ET-1) is a pivotal mediator of vasoconstriction and inflammation in congestive states such as heart failure (HF) and chronic kidney disease (CKD). Whether peripheral venous congestion (VC) increases plasma ET-1 at pressures commonly seen in HF and CKD patients is unknown. We seek to characterize whether peripheral VC promotes time- and dose-dependent increases in plasma ET-1 and whether these changes are sustained after decongestion. We used a randomized, cross-over design in 20 healthy subjects (age 30 ± 7 years). To experimentally model VC, venous pressure was increased to either 15 or 30 mmHg (randomized at first visit) above baseline by inflating a cuff around the subject\u27s dominant arm; the nondominant arm served as a noncongested control. We measured plasma ET-1 at baseline, after 20, 60 and 120 min of VC, and finally at 180 min (60 min after cuff release and decongestion). Plasma ET-1 progressively and significantly increased over 120 min in the congested arm relative to the control arm and to baseline values. This effect was dose-dependent: ET-1 increased by 45% and 100% at VC doses of 15 and 30 mmHg, respectively