The Unity Project: Camden Community Health Center Building Authentic & Impactful Relationships Through the Ask-First Model

Last spring, the Camden Community Health Center (CCHC) launched the Unity Project, an initiative aimed at fostering relationships with various Camden, New Jersey organizations to not only educate community members about our services, but also to collaborate with them on improving Camden’s health. Although the CCHC has been in Camden for over 15 years, local organizations were unaware of our existence. There was also a similar disconnect among these organizations themselves. The goal of the Unity Project is to work towards affecting long-term change by forming authentic and impactful relationships with organizations that are already doing meaningful work. Our ‘Ask First’ model has allowed us to provide a variety of services that ultimately benefit the people these organizations serve. Examples of provided services include health educational presentations, basic necessities donations, vital sign screenings, and monetary donations for emergency funds. Collaborating with our member organizations in this way enables us to establish a trusting relationship and work towards bridging the gap between a community in need and the medical field willing to help

Opaline chert nodules in maar lake sediments from Camp dels Ninots (La Selva Basin, NE Spain)

Chert nodule samples from three different well cores (CC, CP1 & CA) from the lacustrine infill of the Camp dels Ninot maar-diatreme (La Selva Basin) have been studied by means of X-ray diffraction, and optical and electron microscope technique. The chert nodules replace diatomites and carbonates layers, and varies in mineralogy between opal-A to opal-A/CT. The microtexture of the opal-A rich nodules is characterized by smooth microspheres of ~2μm in diameter that forms aggregates of amalgamated microspheres. Commonly, the nodules contain diatoms and their moulds when replacing diatomites, and dolomite or ankerite crystals and their moulds when replacing carbonates. The opal-A/CT rich nodules exhibit a microtexture consisting of microspheres of ~8μm in diameter that form aggregates with botryoidal and finger-like morphologies. Results indicate that the early diagenetic transformation of opal-A to opal-CT is not complete in the studied sediments.Peer Reviewe

Selective Pressure by Rifampicin Modulates Mutation Rates and Evolutionary Trajectories of Mycobacterial Genomes

Resistance to the frontline antibiotic rifampicin constitutes a challenge to the treatment and control of tuberculosis. Here, we analyzed the mutational landscape of Mycobacterium smegmatis during long-term evolution with increasing concentrations of rifampicin, using a mutation accumulation assay combined with whole-genome sequencing. Antibiotic treatment enhanced the acquisition of mutations, doubling the genome-wide mutation rate of the wild-type cells. While antibiotic exposure led to extinction of almost all wild-type lines, the hypermutable phenotype of the ΔnucS mutant strain (noncanonical mismatch repair deficient) provided an efficient response to the antibiotic, leading to high rates of survival. This adaptative advantage resulted in the emergence of higher levels of rifampicin resistance, an accelerated acquisition of drug resistance mutations in rpoB (β RNA polymerase), and a wider diversity of evolutionary pathways that led to drug resistance. Finally, this approach revealed a subset of adaptive genes under positive selection with rifampicin that could be associated with the development of antibiotic resistance. IMPORTANCE Rifampicin is the most important first-line antibiotic against mycobacterial infections, including tuberculosis, one of the top causes of death worldwide. Acquisition of rifampicin resistance constitutes a major global public health problem that makes the control of the disease challenging. Here, we performed an experimental evolution assay under antibiotic selection to analyze the response and adaptation of mycobacteria, leading to the acquisition of rifampicin resistance. This approach explored the total number of mutations that arose in the mycobacterial genomes under long-term rifampicin exposure, using whole-genome sequencing. Our results revealed the effect of rifampicin at a genomic level, identifying different mechanisms and multiple pathways leading to rifampicin resistance in mycobacteria. Moreover, this study detected that an increase in the rate of mutations led to enhanced levels of drug resistance and survival. In summary, all of these results could be useful to understand and prevent the emergence of drug-resistant isolates in mycobacterial infections.This research was funded by MCIN/AEI/10.13039/501100011033, grant PID2020-112865RB-I00, and Instituto de Salud Carlos III, grant FIS PI17/00159 (ISCIII/FEDER, UE). E.C.-S. is the recipient of a PFIS predoctoral research fellowship (FI18/00036) cofinanced by the Instituto de Salud Carlos III and the European Social Fund. A.C.-G. acknowledges financial support from the Spanish State Research Agency, AEI/10.13039/501100011033, through the “Severo Ochoa” Program for Centers of Excellence in R&D (SEV-2013-0347, SEV-2017-0712). Editorial assistance was provided by Stuart L. Rulten. Statistical consultancy was provided by Applied Statistical Department-SGAI-CSIC.S

Revisión radiocarbónica y cronocultural del Neolítico antiguo de la Balma Margineda (Aixovall, Andorra)

This work discusses the radiocarbon evidence from the Neolithic layers of the Balma Margineda (Andorra). Since the last excavation campaigns during the ‘90s, a total of ten 14C dates has been obtained. We discuss their stratigraphic provenance and suggest that only three of the ten 14C dates should be considered reliable. The new dates assign the Neolithic occupations to a more recent chronology. Moreover, we also present a brief revision of the ceramic and lithic materials from the in situ Neolithic layers, in order reinterpret the site using the most recent data on the Early Neolithic of Pyrenean region

Using portable X-Ray fluorescence to identify the K-Pg boundary in terrestrial records

Peer Reviewe

Borehole image techniques applied to identification of chert and dolomite layers in lacustrine sediments

Geophysical logging tools, particularly ultrasonic acoustic borehole image techniques, are applied on two different wells (CP1 and CP2) to identify and characterize the lacustrine interval (40m) of the Camp dels Ninots maardiatreme infill (Pliocene, Catalan Coastal Ranges). The CP1 well was cored and also geophysical logs and oriented borehole images were acquired. CP2 hole was partially cored but logging (geophysics and borehole images) was fully undertaken. Continuous core recovery in CP1 is compared with oriented images and is further used to identify and characterize highly reflective signals in a section of CP2 borehole that was not cored. These signals are related to silicified zones and belong to discontinuous centimetric chert nodules, while indurated massive carbonates are characterized as intervals of continuous reflectance. Despite opal nodules (chert) can be relatively small, they have a distinctive response in the ultrasonic borehole images.Peer Reviewe

A simple cost-effective high performance liquid chromatographic assay of sulphadoxine in whole blood spotted on filter paper for field studies

<p>Abstract</p> <p>Background</p> <p>Artesunate plus sulphadoxine-pyrimethamine is one of the four artemisinin-based combination therapies currently recommended by WHO as first-line treatment for falciparum malaria. Sulphadoxine-pyrimethamine is also used for intermittent preventive treatment for malaria in pregnancy. Drug use patterns and drug pharmacokinetics are important factors impacting the spread of drug resistant parasites hence it is imperative to monitor the effect of pharmacokinetic variability on therapeutic efficacy. Unfortunately, information on the pharmacokinetics of sulphadoxine in children and pregnant women with malaria is very limited. Methods for the assay of sulphadoxine-pyrimethamine have been previously reported, but they are not cost-effective and practicable in analytical laboratories in low resource areas where malaria is endemic. Efforts in this study were thus devoted to development and evaluation of a simple, cost-effective and sensitive method for quantification of sulphadoxine in small capillary samples of whole blood dried on filter paper.</p> <p>Methods</p> <p>Sulphadoxine was determined in whole blood by reversed-phase high performance liquid chromatography with UV detection at 340 nm. Sulisoxazole (SLX) was used as internal standard. Chromatographic separation was achieved using a Beckman Coulter ODS C₁₈and a mobile phase consisting of 0.05 M phosphate buffer-methanol-acetonitrile (70:17:13 V/V/V) containing 1% triethylamine solution.</p> <p>Results</p> <p>Standard curves from sulphadoxine-spiked blood added to filter paper were linear over the concentration range studied. Linear regression analysis yielded correlation coefficient r²> 0.99 (n = 6). Extraction recoveries were about 82-85%. The limit of quantification was 120 ng/ml while the within and between assay coefficient of variations were < 10%. The inter-day precision was < 5.8% and inter-day accuracy ranged from 4.1 to 5.3%. There was no interference from endogenous compounds or any of the commonly used anti-malarial, analgesic and anti-infective drugs with the peaks of SDX or the internal standard.</p> <p>Conclusion</p> <p>The recovery and accuracy of determination of SDX from whole blood filter paper samples using the method described in this study is satisfactory, thus making the method a valuable tool in epidemiological studies and therapeutic drug monitoring in developing endemic countries. Furthermore, the applicability of the method in studying the pharmacokinetic disposition of SDX in a patient suggests that the method is suitable in malaria endemic areas.</p

A new key locality for the Pliocene vertebrate record of Europe : the Camp dels Ninots maar (NE Spain)

A new Pliocene Konservat-Lagerstätte in north-eastern Spain is described here for the first time. It is referred to as Camp dels Ninots. The particular geological conditions of the site, which correspond to lacustrine sedimentation in a maar, made it ideal for the preservation of fossils. At present, five large mammal skeletons in anatomical connection have been recovered: three individuals of Alephis tigneresi, one of Stephanorhinus jeanvireti and one of Tapirus arvernenis, as well as isolated remains. A minimum of five individuals of the chelonian Mauremys leprosa have been recovered, some of them in anatomical connection. The rodent Apodemus atavus, the amphibians cf. Pleurodeles sp., Lissotriton aff. helveticus and Pelophylax cf. perezi and freshwater fishes (Leuciscus ?) complete the vertebrate assemblage uncovered up to the present time. The coexistence of Stephanorhinus jeanvireti and Alephis tigneresi suggests an age of about 3.2Ma for the Camp dels Ninots, near the MN15-MN16 transition. The Camp del Ninots fossil record enables one to extend the biogeographic range of some vertebrate taxa, such as Stephanorhinus jeanvireti, Tapirus arvernensis or Mauremys leprosa to the Iberian Peninsula. Taphonomic evidences of the skeletal remains indicates minimal (if any) weathering. Deposition at the lake bottom seems to have taken place in oxygen depleted layers. In this way, Camp dels Ninots is comparable to other remarkable maar sites such as Messel, the Eocene site situated in Germany