1,147 research outputs found
Modelling the Role of Incarceration in HCV Transmission and Prevention Amongst People Who Inject Drugs in Rural Kentucky
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Skill of seasonal rainfall and temperature forecasts for East Africa
Skilful seasonal forecasts can provide useful information for decision makers, particularly in regions heavily dependent on agriculture, such as East Africa. We analyse prediction skill for seasonal East African rainfall and temperature one to four months ahead from two seasonal forecasting systems: the US National Centers for Environmental Prediction (NCEP) Coupled Forecast System Model Version 2 (CFSv2) and the UK Met Office (UKMO) Global Seasonal Forecast System Version 5 (GloSea5). We focus on skill for low or high temperature and rainfall, below the 25th or above the 75th percentile respectively, as these events can have damaging effects in this region. We find skill one month ahead for both low and high rainfall from CFSv2 for December-January-February in Tanzania, and from GloSea5 for September-October-November in Kenya. Both models have higher skill for temperature than for rainfall across Ethiopia, Kenya and Tanzania, two months ahead in some cases. Performance for rainfall and temperature change in the two models during certain El Niño Southern Oscillation (ENSO) and Indian Ocean Dipole (IOD) phases, the impacts of which vary by country, season and sometimes by model. While most changes in performance are within the range of uncertainty due to the relatively small sample size in each phase, they are significant in some cases. For example, La Niña lowers performance for Kenya September-October-November rainfall in CFSv2 but does not affect skill in GloSea5
The Thermal Properties of Solar Flares Over Three Solar Cycles Using GOES X-ray Observations
Solar flare X-ray emission results from rapidly increasing temperatures and
emission measures in flaring active region loops. To date, observations from
the X-Ray Sensor (XRS) onboard the Geostationary Operational Environmental
Satellite (GOES) have been used to derive these properties, but have been
limited by a number of factors, including the lack of a consistent background
subtraction method capable of being automatically applied to large numbers of
flares. In this paper, we describe an automated temperature and emission
measure-based background subtraction method (TEBBS), which builds on the
methods of Bornmann (1990). Our algorithm ensures that the derived temperature
is always greater than the instrumental limit and the pre-flare background
temperature, and that the temperature and emission measure are increasing
during the flare rise phase. Additionally, TEBBS utilizes the improved
estimates of GOES temperatures and emission measures from White et al. (2005).
TEBBS was successfully applied to over 50,000 solar flares occurring over
nearly three solar cycles (1980-2007), and used to create an extensive catalog
of the solar flare thermal properties. We confirm that the peak emission
measure and total radiative losses scale with background subtracted GOES X-ray
flux as power-laws, while the peak temperature scales logarithmically. As
expected, the peak emission measure shows an increasing trend with peak
temperature, although the total radiative losses do not. While these results
are comparable to previous studies, we find that flares of a given GOES class
have lower peak temperatures and higher peak emission measures than previously
reported. The resulting TEBBS database of thermal flare plasma properties is
publicly available on Solar Monitor (www.solarmonitor.org/TEBBS/) and will be
available on Heliophysics Integrated Observatory (www.helio-vo.eu)
A Qualitative Study on Pharmacy Policies toward Over-the-Counter Syringe Sales in a Rural Epicenter of US Drug-Related Epidemics
BACKGROUND: Expanding access to sterile syringes in rural areas is vital, as injection-related epidemics expand beyond metropolitan areas globally. While pharmacies have potential to be an easily accessible source of sterile syringes, research in cities has identified moral, legal and ethical barriers that preclude over-the-counter (OTC) sales to people who inject drugs (PWID). The current study builds on prior urban-based research by elucidating (1) pharmacy OTC policies and (2) pharmacists\u27 rationale for, and barriers and facilitators to, OTC syringe sales in a US rural area hard hit by drug-related epidemics.
METHODS: We conducted 14 semi-structured interviews with pharmacists recruited from two Eastern Kentucky health districts. Interview domains included experiences with, and attitudes toward, selling OTC syringes to PWID. Constructivist grounded theory methods were used to analyze verbatim transcripts.
RESULTS: Most pharmacists operated restrictive OTC pharmacies (n = 8), where patients were required to have a prescription or proof of medical need to purchase a syringe. The remainder (n = 6) operated open OTC pharmacies, which allowed OTC syringe sales to most patients. Both groups believed their pharmacy policies protected their community and pharmacy from further drug-related harm, but diverging policies emerged because of stigma toward PWID, perceptions of Kentucky law, and belief OTC syringe sales were harmful rather than protective to the community.
CONCLUSION: Our results suggest that restrictive OTC pharmacy policies are rooted in stigmatizing views of PWID. Anti-stigma education about substance use disorder (SUD), human immunodeficiency virus (HIV), and Hepatitis C (HCV) is likely needed to truly shift restrictive pharmacy policy
Regular exercise during haemodialysis promotes an anti-inflammatory leucocyte profile
Background
Cardiovascular disease (CVD) is the most common cause of mortality in haemodialysis (HD) patients and is highly predicted by markers of chronic inflammation. Regular exercise may have beneficial anti-inflammatory effects, but this is unclear in HD patients. This study assessed the effect of regular intradialytic exercise on soluble inflammatory factors and inflammatory leukocyte phenotypes.
Methods
Twenty-two HD patients from a centre where intradialytic cycling was offered thrice-weekly and 16 HD patients receiving usual care volunteered. Exercising patients aimed to cycle for 30 min at RPE of “somewhat hard”. Baseline characteristic were compared with 16 healthy age-matched individuals. Physical function, soluble inflammatory markers and leukocyte phenotypes were assessed again after 6 months of regular exercise.
Results
Patients were less active than their healthy counterparts and had significant elevations in
measures of inflammation (IL-6, CRP, TNF-α, intermediate and non-classical monocytes; all
P<0.001). Six months of regular intradialytic exercise improved physical function (sit-to-stand 60). After 6 months the proportion of intermediate monocytes in the exercising patients reduced compared to non-exercisers (7.58±1.68 to 6.38±1.81% vs. 6.86±1.45 to 7.88±1.66%; P<0.01). Numbers (but not proportion) of regulatory T cells decreased in the non-exercising patients only (P<0.05). Training had no significant effect on circulating IL-6, CRP or TNF-α concentrations.
Conclusions
These findings suggest regular intradialytic exercise is associated with an anti-inflammatory effect at a circulating cellular level but not in circulating cytokines. This may be protective against the increased risk of CVD and mortality that is associated with chronic inflammation and elevated numbers of intermediate monocytes
DNA hypomethylation during MSC chondrogenesis occurs predominantly at enhancer regions
Regulation of transcription occurs in a cell type specific manner orchestrated by epigenetic mechanisms including DNA methylation. Methylation changes may also play a key role in lineage specification during stem cell differentiation. To further our understanding of epigenetic regulation in chondrocytes we characterised the DNA methylation changes during chondrogenesis of mesenchymal stem cells (MSCs) by Infinium 450 K methylation array. Significant DNA hypomethylation was identified during chondrogenic differentiation including changes at many key cartilage gene loci. Integration with chondrogenesis gene expression data revealed an enrichment of significant CpGs in upregulated genes, while characterisation of significant CpG loci indicated their predominant localisation to enhancer regions. Comparison with methylation profiles of other tissues, including healthy and diseased adult cartilage, identified chondrocyte-specific regions of hypomethylation and the overlap with differentially methylated CpGs in osteoarthritis. Taken together we have associated DNA methylation levels with the chondrocyte phenotype. The consequences of which has potential to improve cartilage generation for tissue engineering purposes and also to provide context for observed methylation changes in cartilage diseases such as osteoarthritis
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Event attribution science in adaptation decision-making: the context of extreme rainfall in urban Senegal
Event attribution assesses the effect of climate change on individual extreme events. While scientists have suggested that results could be relevant for climate adaptation policy, this has had little empirical investigation, particularly in developing regions. Taking the case of Senegal, the national adaptation policy context regarding extreme precipitation and flooding in urban areas, and the scientific information needed to support this policy, is investigated using key informant interviews, a workshop and document analysis. Flooding in Senegal was found to be viewed primarily as an urban planning concern rather than a climate change issue, with actions to address the impacts focussing on current vulnerabilities of urban communities without considering changing climate risks. While stakeholders thought event attribution might be useful to inform about climate change impacts and future risks of extreme events, it is unclear whether there would be opportunity for this at present, due to the limited role climate information has in adaptation decision-making. While addressing vulnerability to extremes is necessary whether or not the risk is climate change-related, if long-term planning is to be resilient then knowledge about future changes in risks of extremes will need to be considered, even if individual events are not attributed to climate change
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Assessing the impact of climate change on sweet potato in Uganda
Sweet potato is a mainstay of household food security and a major source of vitamin A across sub-Saharan Africa, and particularly in Uganda. Understanding how climate change is likely to impact on sweet potato would be useful for policymakers in Uganda making decisions to improve food security and increase resilience to climate shocks. However, sweet potato is an under-researched crop and the impacts of climate change have not been systematically analysed. The Sweet Potato Catalyst Project aims to assess the impacts of climate change on sweet potato in Uganda and develop ways for local stakeholders to access and assess this information to strengthen governance. This policy briefing note provides an overview of the research, the approach being taken and anticipated outcomes that will feed into the UNFCCC Koronovia Joint Work on Agriculture
Repeat bleaching of a central Pacific coral reef over the past six decades (1960–2016)
© The Author(s), 2018. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Communications Biology 1 (2018): 177, doi:10.1038/s42003-018-0183-7.The oceans are warming and coral reefs are bleaching with increased frequency and severity, fueling concerns for their survival through this century. Yet in the central equatorial Pacific, some of the world’s most productive reefs regularly experience extreme heat associated with El Niño. Here we use skeletal signatures preserved in long-lived corals on Jarvis Island to evaluate the coral community response to multiple successive heatwaves since 1960. By tracking skeletal stress band formation through the 2015-16 El Nino, which killed 95% of Jarvis corals, we validate their utility as proxies of bleaching severity and show that 2015-16 was not the first catastrophic bleaching event on Jarvis. Since 1960, eight severe (>30% bleaching) and two moderate (<30% bleaching) events occurred, each coinciding with El Niño. While the frequency and severity of bleaching on Jarvis did not increase over this time period, 2015–16 was unprecedented in magnitude. The trajectory of recovery of this historically resilient ecosystem will provide critical insights into the potential for coral reef resilience in a warming world.Funding for this study was provided by National Science Foundation awards OCE 1537338, OCE 1605365, and OCE 1031971 to A.L.C., and the Robertson Foundation to A.L.C., National Science Foundation Graduate Research Fellowships to T.M.D. and A.E.A., and a National Defense Science and Engineering Graduate Fellowship to H.E.R
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Storylines for decision-making: climate and food security in Namibia
Storylines are plausible descriptions of past or future events and can be used to characterise uncertainty through discrete possible futures. They thereby bridge the gap between global-scale future projections and local-scale impacts, providing decision-makers with useful information about potential impacts in multivariate systems despite large swathes of missing data. Here we demonstrate the storyline approach using the case of household food security in the Caprivi region of Namibia, an example of a complex system with multiple interacting drivers. We develop a network characterising influences on household food security, highlighting drivers that are affected by the local weather (with climate understood to constitute the collection of possible weather states). The network is used to understand the storyline leading to household impacts in 2013-14, a consumption year affected by flooding, and the effects of a range of interventions across wealth groups. Counterfactual storylines are also developed to characterise potential impacts under different local and national conditions. Through this we demonstrate how a storyline approach can embed local contextual information to provide decision-makers with comprehensible and assessable information about possible futures and interventions. We also highlight the importance of identifying common drivers, in this case the local weather, in producing plausible impact storylines
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