Cost-effectiveness of voluntary HIV-1 counseling and testing in reducing sexual transmission of HIV-1 in Kenya and Tanzania.

Background Access to HIV-1 voluntary counseling and testing (VCT) is severely limited in less-developed countries. We undertook a multisite trial of HIV-1 VCT to assess its impact, cost, and cost-effectiveness in less-developed country settings.\ud Methods\ud The cost-effectiveness of HIV-1 VCT was estimated for a hypothetical cohort of 10 000 people seeking VCT in urban east Africa. Outcomes were modelled based on results from a randomised controlled trial of HIV-1 VCT in Tanzania and Kenya. Our main outcome measures included programme cost, number of HIV-1 infections averted, cost per HIV-1 infection averted, and cost per disability-adjusted life-year (DALY) saved. We also modelled the impact of targeting VCT by HIV-1 prevalence of the client population, and the proportion of clients who receive VCT as a couple compared with as individuals. Sensitivity analysis was done on all model parameters.\ud Findings\ud HIV-1 VCT was estimated to avert 1104 HIV-1 infections in Kenya and 895 in Tanzania during the subsequent year. The cost per HIV-1 infection averted was US$249 and$346, respectively, and the cost per DALY saved was $12·77 and$17·78. The intervention was most cost-effective for HIV-1-infected people and those who received VCT as a couple. The cost-effectiveness of VCT was robust, with a range for the average cost per DALY saved of $5·16-27·36 in Kenya, and$6·58-45·03 in Tanzania. Analysis of targeting showed that increasing the proportion of couples to 70% reduces the cost per DALY saved to $10·71 in Kenya and$13·39 in Tanzania, and that targeting a population with HIV-1 prevalence of 45% decreased the cost per DALY saved to $8·36 in Kenya and$11·74 in Tanzania.\ud Interpretation\ud HIV-1 VCT is highly cost-effective in urban east African settings, but slightly less so than interventions such as improvement of sexually transmitted disease services and universal provision of nevirapine to pregnant women in high-prevalence settings. With the targeting of VCT to populations with high HIV-1 prevalence and couples the cost-effectiveness of VCT is improved significantly

Interpretation of soil carbon and nitrogen dynamics in agricultural and afforested soils

Includes bibliographical references (pages 1627-1628).Interpretation of soil organic C (SOC) dynamics depends heavily on analytical methods and management systems studied. Comparison of data from long-term corn (Zea mays)-plot soils in Eastern North America showed mean residence times (MRTs) of SOC determined by 14C dating were 176 times those measured with 13C abundance following a 30-yr replacement of C3 by C4 plants on the same soils. However, MRTs of the two methods were related (r 2 = 0.71). Field 13C MRTs of SOC were also related (R 2 = 0.55 to 0.85) to those measured by 13CO2 evolution and curve fitting during laboratory incubation. The strong relations, but different MRTs, were interpreted to mean that the three methods sampled different parts of a SOC continuum. The SOC of all parts of this continuum must be affected by the same controls on SOC dynamics for this to occur. Methods for site selection, plant biomass, soil sampling and analysis were tested on agricultural, afforested-agriculture, and native forest sites to determine the controls on SOC dynamics. Soil-C changes after afforestation were −0.07 to 0.55 Mg C ha−1 yr−1 on deciduous sites and −0.85 to 0.58 Mg C ha−1 yr−1 under conifers. Soil N changes under afforestation ranged from −0.1 to 0.025 Mg N ha−1 yr−1 Ecosystem N accumulation was −0.09 to 0.08 Mg N ha−1 yr−1 Soil C and N sequestration but not plant biomass were related to soil Ca, Mg, and K contents. Comparative, independent assays of long-term plots provides information for concept testing and the confidence necessary for decision-makers determining C-cycle policies

Detection of Atmospheric Cherenkov Radiation Using Solar Heliostat Mirrors

The gamma-ray energy region between 20 and 250 GeV is largely unexplored. Ground-based atmospheric Cherenkov detectors offer a possible way to explore this region, but large Cherenkov photon collection areas are needed to achieve low energy thresholds. This paper discusses the development of a Cherenkov detector using the heliostat mirrors of a solar power plant as the primary collector. As part of this development, we built a prototype detector consisting of four heliostat mirrors and used it to record atmospheric Cherenkov radiation produced in extensive air showers created by cosmic ray particles.Comment: 16 latex pages, 8 postscript figures, uses psfig.sty, to be published in Astroparticle Physic

Search for the Production of Element 112 in the 48Ca + 238U Reaction

We have searched for the production of element 112 in the reaction of 231 MeV 48Ca with 238U. We have not observed any events with a "one event" upper limit cross section of 1.6 pb for EVR-fission events and 1.8 pb for EVR-alpha events.Comment: 6 pages, 3 figures, submitted to Phys. Rev.

The STACEE-32 Ground Based Gamma-ray Detector

We describe the design and performance of the Solar Tower Atmospheric Cherenkov Effect Experiment detector in its initial configuration (STACEE-32). STACEE is a new ground-based gamma ray detector using the atmospheric Cherenkov technique. In STACEE, the heliostats of a solar energy research array are used to collect and focus the Cherenkov photons produced in gamma-ray induced air showers. The large Cherenkov photon collection area of STACEE results in a gamma-ray energy threshold below that of previous detectors.Comment: 45 pages, 25 figures, Accepted for publication in Nuclear Instruments and Methods

IRAS sky survey atlas: Explanatory supplement

This Explanatory Supplement accompanies the IRAS Sky Survey Atlas (ISSA) and the ISSA Reject Set. The first ISSA release in 1991 covers completely the high ecliptic latitude sky, absolute value of beta is greater than 50 deg, with some coverage down to the absolute value of beta approx. equal to 40 deg. The second ISSA release in 1992 covers ecliptic latitudes of 50 deg greater than the absolute value of beta greater than 20 deg, with some coverage down to the absolute value of beta approx. equal to 13 deg. The remaining fields covering latitudes within 20 deg of the ecliptic plane are of reduced quality compared to the rest of the ISSA fields and therefore are released as a separate IPAC product, the ISSA Reject Set. The reduced quality is due to contamination by zodiacal emission residuals. Special care should be taken when using the ISSA Reject images. In addition to information on the ISSA images, some information is provided in this Explanatory Supplement on the IRAS Zodiacal History File (ZOHF), Version 3.0, which was described in the December 1988 release memo. The data described in this Supplement are available at the National Space Science Data Center (NSSDC) at the Goddard Space Flight Center. The interested reader is referred to the NSSDC for access to the IRAS Sky Survey Atlas (ISSA)

Gas chemical investigation of hafnium and zirconium complexes with hexafluoroacetylacetone using preseparated short-lived radioisotopes

Volatile metal complexes of the group 4 elements Zr and Hf with hexafluoroacetylacetonate (hfa) have been studied using short-lived radioisotopes of the metals. The new technique of physical preseparation has been employed where reaction products from heavy-ion induced fusion reactions are isolated in a physical recoil separator - the Berkeley Gas-filled Separator in our work - and made available for chemistry experiments. Formation and decomposition of M(hfa)4 (M=Zr, Hf) has been observed and the interaction strength with a fluorinated ethylene propylene (FEP) Teflon surface has been studied. From the results of isothermal chromatography experiments, an adsorption enthalpy of -ΔHa=(57±3)kJ/mol was deduced. In optimization experiments, the time for formation of the complex and its transport to a counting setup installed outside of the irradiation cave was minimized and values of roughly one minute have been reached. The half-life of 165Hf, for which conflicting values appear in the literature, was measured to be (73.9±0.8)s. Provided that samples suitable for α-spectroscopy can be prepared, the investigation of rutherfordium (Rf), the transactinide member of group 4, appears possible. In the future, based on the studies presented here, it appears possible to investigate short-lived single atoms produced with low rates ( e.g. , transactinide isotopes) in completely new chemical systems, e.g. , as metal complexes with organic ligands as used here or as organometallic compound