Point-of-Care HIV Testing and Linkage in an Urban Cohort in the Southern US

The Southern states experience the highest rates of HIV and AIDS in the US, and point-of-care (POC) testing outside of primary care may contribute to status awareness in medically underserved populations in this region. To evaluate POC screening and linkage to care at an urban south site, analyses were performed on a dataset of 3,651 individuals from an integrated rapid-result HIV testing and linkage program to describe this test-seeking cohort and determine trends associated with screening, results, and linkage to care. Four percent of the population had positive results. We observed significant differences by test result for age, race and gender, reported risk behaviors, test location, and motivation for screening. The overall linkage rate was 86%, and we found significant differences for clients who were linked to HIV care versus persons whose linkage could not be confirmed with respect to race and gender, location, and motivation. The linkage rate for POC testing that included a comprehensive intake visit and colocated primary care services for in-state residents was 97%. Additional research on integrated POC screening and linkage methodologies that provide intake services at time of testing is essential for increasing status awareness and improving linkage to HIV care in the US

Socioemotional wellbeing of mixed race/ethnic children in the UK and US: patterns and mechanisms

Existing literature suggests that mixed race/ethnicity children are more likely to experience poor socioemotional wellbeing in both the US and the UK, although the evidence is stronger in the US. It is suggested that this inequality may be a consequence of struggles with identity formation, more limited connections with racial/ethnic/cultural heritage, and increased risk of exposure to racism. Using data from the UK Millennium Cohort Study (n = 13,734) and the US Early Childhood Longitudinal Study-Birth Cohort (n ~ 6250), we examine differences in the socioemotional wellbeing of mixed and non-mixed 5/6 year old children in the UK and US and explore heterogeneity in outcomes across different mixed groups in both locations. We estimate a series of linear regressions to examine the contribution of factors that may explain any observed differences, including socio-economic and cultural factors, and examine the extent to which these processes vary across the two nations. We find no evidence of greater risk for poor socioemotional wellbeing for mixed race/ethnicity children in both national contexts. We find that mixed race/ethnicity children experience socio-economic advantage compared to their non-mixed minority counterparts and that socio-economic advantage is protective for socioemotional wellbeing. Cultural factors do not contribute to differences in socioemotional wellbeing across mixed and non-mixed groups. Our evidence suggests then that at age 5/6 there is no evidence of poorer socioemotional wellbeing for mixed race/ethnicity children in either the UK or the US. The contrast between our findings and some previous literature, which reports that mixed race/ethnicity children have poorer socioemotional wellbeing, may reflect changes in the meaning of mixed identities across periods and/or the developmental stage of the children we studied

Remotivating the Black Vote: The Effect of Low-Quality Information on Black Voters in the 2016 Presidential Election and How Librarians Can Intervene

In a phenomenon that was surprising to many, given the racially charged nature of the 2016 presidential election, black voter turnout was significantly lower than the previous two elections. Donald Trump’s victory is attributable to many factors, one of which was the lower participation of black voters in several swing states. To a lesser extent, black support for third-party candidates also aided Trump’s victory. The lower black turnout itself is attributable to several factors, but one factor specifically in the LIS realm was the prevalence of low-quality information and rhetoric and a susceptibility that some black voters had to this low-quality information and rhetoric. Librarians have a stake and a role in black voter participation. This article will present two specific tactics and other general methods for how librarians can better inform black voters and help motivate them to participate in the process

A comparison of registration errors with imageless computer navigation during MIS total knee arthroplasty versus standard incision total knee arthroplasty: A cadaveric study

© 2015 The Authors. Optimal component alignment in total knee arthroplasty has been associated with better functional outcome as well as improved implant longevity. The ability to align components optimally during minimally invasive (MIS) total knee replacement (TKR) has been a cause of concern. Computer navigation is a useful aid in achieving the desired alignment although it is limited by the error during the manual registration of landmarks. Our study aims to compare the registration process error between a standard and a MIS surgical approach. We hypothesized that performing the registration error via an MIS approach would increase the registration process error. Five fresh frozen lower limbs were routinely prepared and draped. The registration process was performed through an MIS approach. This was then extended to the standard approach and the registration was performed again. Two surgeons performed the registration process five times with each approach. Performing the registration process through the MIS approach was not associated with higher error compared to the standard approach in the alignment parameters of interest. This rejects our hypothesis. Image-free navigated MIS TKR does not appear to carry higher risk of component malalignment due to the registration process error. Navigation can be used during MIS TKR to improve alignment without reduced accuracy due to the approac

Affirming sexual and gender diversity in an elementary school after school program: a case study

Research demonstrates that programming and curricula that is affirmative and inclusive of sexual and gender minority (SGM) people is potentially lifesaving for students in middle and high school. There has been little examination, however, of SGM-affirmative programming at the elementary school level. Elementary school level programming has the potential to benefit SGM youth and families, as well as lead to more affirmative attitudes in later school settings. The study reports on the factors that create and sustain an elementary after school program that has implemented SGM-affirmative programming within a social justice and arts framework for over 20 years. We conducted thematic analysis of interviews with teachers, administrators, and parents in the program and the associated elementary school to identify factors that contribute to the program’s success in affirming and including SGM people. Findings highlight affirmative policies and systems (inclusive mission statements, policies encouraging expression, and hiring diverse staff) and consistent enactment of inclusive and affirmative behaviors (affirming diversity, implementing inclusive curriculum, using inclusive language, and disrupting normativity and implementing restorative practices) as key components of an SGM-affirmative program with elementary-aged students. Results highlight that creating an SGM-affirmative elementary level program is possible and provide an exemplar of this programming in action. Implications and potential focus areas for policy and practice implementation are discussed

Data Report for the 1993 Los Angeles Region Seismic Experiment (LARSE93), Southern California: A Passive Study From Seal Beach Northeastward through the Mojave Desert

This report contains a description of the first part of the Los Angeles Region Seismic Experiment (LARSE). To date, LARSE has consisted of two experiments: passive, which took place in fall, 1993 (LARSE93), and active, which took place in fall, 1994 (LARSE94). The goal of the 1993 experiment was to collect waveform data from local and distant earthquakes to obtain three-dimensional images of lower crust and upper mantle structure in Southern California, particularly under the San Gabriel Mountains and across the San Andreas fault. During LARSE93, approximately 88 stations were deployed in a 175-km-long, linear array across the Los Angeles basin, San Gabriel Mountains, and Mojave Desert northeast of Los Angeles by scientists from the U.S. Geological Survey, University of California at Los Angeles, California Institute of Technology, and University of Southern California. Reftek recorders were deployed one km apart through the San Gabriel Mountains, and two km apart in the Mojave Desert. This data set has since been complemented by the results of LARSE94 comprising land refraction and deep-crustal seismic reflection profiles from offshore airgun and onshore explosion sources. These additional data sets will be useful in distinguishing crustal structures from adjacent upper mantle structures. During the four weeks of continuous recording, over 150 teleseismic and over 450 local (ML ≥ 2.0) events were recorded at each site. Both teleseismic and local sources provided a wide range of raypath azimuths. The teleseismic events include a number of earthquakes with epicenters in the Aleutian Island, Kamchatka, Kuril Island, mid-Atlantic Ridge, Solomon Island, Japan, Fiji Island, Peru, and Chile regions. The local events include aftershocks of recent Southern California earthquakes. The final products of data processing are 1) half-hour files containing the continuous wavefonn data recorded at each station for each day of the experiment, 2) 150-second time-windowed waveform segments containing local, regional, and teleseismic event arrivals, and 3) one-hour time-windowed waveform segments containing regional and teleseismic event arrivals. Array instrumentation, recorded events, and data processing will be described in this report

Sexuality talk during adolescent health maintenance visits

IMPORTANCE: Physicians may be important sources of sexuality information and preventive services, and one-on-one confidential time during health maintenance visits is recommended to allow discussions of sexual development, behavior, and risk reduction. However, little is known about the occurrence and characteristics of physician-adolescent discussions about sexuality. OBJECTIVE: To examine predictors of time spent discussing sexuality, level of adolescent participation, and physician and patient characteristics associated with sexuality discussions during health maintenance visits by early and middle adolescents. DESIGN, SETTING, AND PARTICIPANTS: Observational study of audio-recorded conversations between 253 adolescents (mean age, 14.3 years; 53% female; 40% white; 47% African American) and 49 physicians (82% pediatricians; 84% white; 65% female; mean age, 40.9 years; mean [SD] duration in practice, 11.8 [8.7] years) coded for sexuality content at 11 clinics (3 academic and 8 community-based practices) located throughout the Raleigh/Durham, North Carolina, area. MAIN OUTCOMES AND MEASURES: Total time per visit during which sexuality issues were discussed. RESULTS One hundred sixty-five (65%) of all visits had some sexual content within it. The average time of sexuality talk was 36 seconds (35% 0 seconds; 30% 1-35 seconds; and 35% ≥ 36 seconds). Ordinal logistic regression (outcome of duration: 0, 1-35, or ≥ 36 seconds), adjusted for clustering of patients within physicians, found that female patients (odds ratio [OR] = 2.58; 95% CI, 1.53-4.36), older patients (OR = 1.37; 95% CI, 1.13-1.65), conversations with explicit confidentiality discussions (OR = 4.33; 95% CI, 2.58-7.28), African American adolescents (OR = 1.58; 95% CI, 1.01-2.48), and longer overall visit (OR = 1.07; 95% CI, 1.03-1.11) were associated with more sexuality talk, and Asian physicians were associated with less sexuality talk (OR = 0.13; 95% CI, 0.08-0.20). In addition, the same significant associations between adolescent, physician, and visit characteristics were significantly associated with greater adolescent participation. CONCLUSIONS AND RELEVANCE: Our study may be the first to directly observe sexuality talk between physicians and adolescents. We found that one-third of all adolescents had annual visits without any mention of sexuality issues; when sexuality talk occurred, it was brief. Research is needed to identify successful strategies physicians can use to engage adolescents in discussions about sexuality to help promote healthy sexual development and decision making. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT01040975

Composition, Alteration, and Texture of Fault-Related Rocks from Safod Core and Surface Outcrop Analogs: Evidence for Deformation Processes and Fluid-Rock Interactions

We examine the fine-scale variations in mineralogical composition, geochemical alteration, and texture of the fault-related rocks from the Phase 3 whole-rock core sampled between 3,187.4 and 3,301.4 m measured depth within the San Andreas Fault Observatory at Depth (SAFOD) borehole near Parkfield, California. This work provides insight into the physical and chemical properties, structural architecture, and fluid-rock interactions associated with the actively deforming traces of the San Andreas Fault zone at depth. Exhumed outcrops within the SAF system comprised of serpentinite-bearing protolith are examined for comparison at San Simeon, Goat Rock State Park, and Nelson Creek, California. In the Phase 3 SAFOD drillcore samples, the fault-related rocks consist of multiple juxtaposed lenses of sheared, foliated siltstone and shale with block-in-matrix fabric, black cataclasite to ultracataclasite, and sheared serpentinite-bearing, finely foliated fault gouge. Meters-wide zones of sheared rock and fault gouge correlate to the sites of active borehole casing deformation and are characterized by scaly clay fabric with multiple discrete slip surfaces or anastomosing shear zones that surround conglobulated or rounded clasts of compacted clay and/or serpentinite. The fine gouge matrix is composed of Mg-rich clays and serpentine minerals (saponite ± palygorskite, and lizardite ± chrysotile). Whole-rock geochemistry data show increases in Fe-, Mg-, Ni-, and Cr-oxides and hydroxides, Fe-sulfides, and C-rich material, with a total organic content of \u3e1 % locally in the fault-related rocks. The faults sampled in the field are composed of meters-thick zones of cohesive to non-cohesive, serpentinite-bearing foliated clay gouge and black fine-grained fault rock derived from sheared Franciscan Formation or serpentinized Coast Range Ophiolite. X-ray diffraction of outcrop samples shows that the foliated clay gouge is composed primarily of saponite and serpentinite, with localized increases in Ni- and Cr-oxides and C-rich material over several meters. Mesoscopic and microscopic textures and deformation mechanisms interpreted from the outcrop sites are remarkably similar to those observed in the SAFOD core. Micro-scale to meso-scale fabrics observed in the SAFOD core exhibit textural characteristics that are common in deformed serpentinites and are often attributed to aseismic deformation with episodic seismic slip. The mineralogy and whole-rock geochemistry results indicate that the fault zone experienced transient fluid–rock interactions with fluids of varying chemical composition, including evidence for highly reducing, hydrocarbon-bearing fluids

Space Shuttle Orbiter Structures and Mechanisms

The Space Shuttle Orbiter has performed exceptionally well over its 30 years of flight experience. Among the many factors behind this success were robust, yet carefully monitored, structural and mechanical systems. From highlighting key aspects of the design to illustrating lessons learned from the operation of this complex system, this paper will attempt to educate the reader on why some subsystems operated flawlessly and why specific vulnerabilities were exposed in others. Specific areas to be covered will be the following: high level configuration overview, primary and secondary structure, mechanical systems ranging from landing gear to the docking system, and windows

HOP Queue: Hyperspectral Onboard Processing Queue Demonstration

The HOP Queue (Hyperspectral Onboard Processing Queue) demonstration leverages emerging COTS AI accelerators and GPUs to perform on-board processing of hyperspectral imagery data, with the aim of providing near- real time conservation-oriented data and metrics from Low Earth Orbit (LEO). These include forest health, fire detection, and coastal water health. Phase 1 of this project is currently underway, including a completed lab demonstration of this technology and ongoing flight testing. The data from this mission will support Northrop Grumman’s enterprise “Technology for Conservation” campaign and will be provided to NASA’s Surface Biology and Geology (SBG) organization, as well as other conservation efforts