Geoheritage and sport climbing activities : using the Montestrutto cliff (Austroalpine domain, Western Alps) as an example of scientific and educational representativeness

Numerous sites of geological and geomorphological interest (i.e., geosites or geomorphosites) have been recently individuated around the Alps, testifying to the great geodiversity that chara - cterises this mountain range. Some rock cliffs that have been locally equipped as sport climbing sites may also be considered as sites of geological and geomorphological interest: The combination of features such as educational exemplarity and geohistorical importance increase the scientific value of these sites. Progression along climbing routes is intimately connected with the geological and geomorphological features of the cliff; thus, it may be possible to interest typical climbers in the area of the Earth Sciences. A research study was conducted at the Montestrutto climbing wall (Western Alps, Italy), which is located in the Eclogitic Mica - schist Complex of the Austroalpine Domain, with the following objectives: i) to reconstruct the deformation stages at local scales along the sport climbing wall and in the surroundings; ii) to analyse how geological elements are related to the physical elements needed for vertical progression to strengthen the link among geology, morphology and the grade of the routes, and finally iii) to use previous results to evaluate the potential of Montestrutto as a geosite. The detailed study consisted of the quantitative analysis of five routes of varying degrees of difficulty, which produced an interesting relationship among the level of difficulty of the routes and the geological and geomorphological features of the sport climbing wall. The Montestrutto cliff is considered to be a valuable geosite because of the scientific importance (e.g., representativeness, educational exemplarity and geohistorical importance) associated with its high cultural and socio-economic value and high potential for use. Sport climbing in sites such as Montestrutto, which are both scientifically significant and accessible, also in terms of the level of climbing difficulty, could be considered as a possible vehicle for stimulating public interest in the Earth Sciences

Self-Esteem as an Indicator of Transactional Sex Among Young Women in Rural South Africa (HPTN 068)

Transactional sex (TS) has been shown to contribute to the HIV epidemic in sub-Saharan Africa. Previous research has yet to identify psychosocial factors that make young women vulnerable to engaging in TS. This analysis examined the association between self-esteem and TS among young women in rural South Africa. A post hoc analysis of post-intervention survey data from HPTN 068 was conducted. Log-binomial regression was used to compute a prevalence ratio measure of association. Among 1942 young women, the prevalence of TS among those with lower self-esteem was 4.7 times the prevalence of TS among those with higher self-esteem (p < 0.001). Findings provide support for the association between lower self-esteem and TS in this context and may inform intervention development

The Effect of PrEP Use Disclosure on Adherence in a Cohort of Adolescent Girls and Young Women in South Africa

Effective strategies to support PrEP adherence among adolescent girls and young women (AGYW) are needed. We examined PrEP use disclosure and its effect on adherence among 200 AGYW ages 16–25 initiating PrEP in South Africa to help inform these strategies. We estimated the relative prevalence of high adherence (intracellular tenofovir-diphosphate concentration ≥ 700 fmol/punch) 3- and 6-months after PrEP initiation among those who disclosed vs. did not disclose their PrEP use, both overall and by age. Most AGYW disclosed to a parent (58%), partner (58%), or friend (81%) by month 6. We did not observe a strong effect of disclosure on adherence overall; however, among younger AGYW (≤ 18 years), those who disclosed to a parent were 6.8 times as likely to have high adherence at month 6 than those who did not (95% CI 1.02, 45.56). More work is needed to understand parents’ roles as allies and identify ways peers and partners can motivate PrEP use for AGYW

Intimate partner violence and oral HIV pre-exposure prophylaxis adherence among young African women

Objective: To estimate the effect of intimate partner violence (IPV) on oral pre-exposure prophylaxis (PrEP) adherence among adolescent girls and young women (AGYW). Design: We conducted a secondary analysis of data from HIV Prevention Trials Network 082 (HPTN 082), a multisite prospective study designed to assess oral PrEP adherence among AGYW in southern Africa. Methods: We estimated the relative prevalence of high PrEP adherence 3 and 6 months after initiation among AGYW 16 – 25 years who reported a history of any IPV in the past year at enrollment versus AGYW who did not, both overall and by age. High adherence was defined as an intracellular tenofovir-diphosphate concentration at least 700 fmol/ punch or more dried blood spots. Results: Among 409 PrEP-initiating AGYW, half (49%) reported experiencing any IPV by a current/recent partner in the year prior to enrollment. Overall, a similar proportion of AGYW who reported IPV had high PrEP adherence at months 3 and 6 as AGYW who did not report IPV. There was, however, evidence of effect modification by age at month 3: among AGYW less than 21 years old, those who reported IPV were less than half as likely to have high adherence [adjusted PR (aPR) = 0.43, 95% confidence interval (CI) 0.22– 0.86]; among AGYW aged 21 years or older, those who reported IPV were more than twice as likely to have high adherence (aPR = 2.21, 95% CI 1.34– 3.66). At month 6, effect estimates within each age stratum were consistent in direction to those at month 3. Conclusion: IPV events may either impede or motivate PrEP adherence among African AGYW, with age appearing to be an important consideration for IPV-related adherence interventions

ONTOLOGY IN DIALOGUE

In its first section the volume contains contributions dealing with the debate between the German philosopher Markus Gabriel and some scholars in Palermo who discussed the fundaments of his ontology. In the next sections are gathered essays on critical ontology in the modern age, essays on intersubjectivity in social ontology and on ontology of arts and aesthetics

Relationship between e-cigarette point of sale recall and e-cigarette use in secondary school children: a cross-sectional study

Background There has been a rapid increase in the retail availability of e-cigarettes in the UK and elsewhere. It is known that exposure to cigarette point-of-sale (POS) displays influences smoking behaviour and intentions in young people. However, there is as yet no evidence regarding the relationship between e-cigarette POS display exposure and e-cigarette use in young people. Methods This cross sectional study survey was conducted in four high schools in Scotland. A response rate of 87% and a total sample of 3808 was achieved. Analysis was by logistic regression on e-cigarette outcomes with standard errors adjusted for clustering within schools. The logistic regression models were adjusted for recall of other e-cigarette adverts, smoking status, and demographic variables. Multiple chained imputation was employed to assess the consistency of the findings across different methods of handling missing data. Results Adolescents who recalled seeing e-cigarettes in small shops were more likely to have tried an e-cigarette (OR 1.92 99% CI 1.61 to 2.29). Adolescents who recalled seeing e-cigarettes for sale in small shops (OR 1.80 99% CI 1.08 to 2.99) or supermarkets (OR 1.70 99% CI 1.22 to 2.36) were more likely to intend to try them in the next 6 months. Conclusions This study has found a cross-sectional association between self-reported recall of e-cigarette POS displays and use of, and intention to use, e-cigarettes. The magnitude of this association is comparable to that between tobacco point of sale recall and intention to use traditional cigarettes in the same sample. Further longitudinal data is required to confirm a causal relationship between e-cigarette point of sale exposure and future use in young people.Publisher PDFPeer reviewe