Risky Sexual Behavior and Knowledge of HIV/AIDS Transmission in a Community Sample: Sexual Orientation, Race, and Gender

New cases of HIV/AIDS are disproportionately diagnosed among men who identify as lesbian, gay, and bisexual and Black. Reasons for this disparity may be related to differences in knowledge of how HIV/AIDS is transmitted and differences in willingness to engage in risky sexual behaviors. In this study, we examined whether differences in knowledge of HIV/AIDS transmission and engagement in risky sexual behaviors differed among men and women; lesbian, gay, and bisexual and heterosexual people; and White and Black people. Findings indicate knowledge of HIV/AIDS transmission was not related to sexual orientation or gender; however, White participants had higher scores on a measure of knowledge of HIV/AIDS transmission than Black participants. While neither gender nor race seemed to be related to differences in engaging in risky sexual behavior, differences in what types of risky sexual behavior people participated in existed based on sexual orientation. Implications for prevention efforts are addressed

Corinth Excavations Archaeological Manual

“The publication of the Corinth Excavation Manual offers us a unique view into real-life archaeological practice on one of the most important Classical sites in the Mediterranean.” Adam Rabinowitz, Associate Professor and Assistant Director, Institute of Classical Archaeology, University of Texas, Austin The Corinth Excavations Archaeological Manual is the first major field manual published from an American excavation in Greece and among a very small number of manuals published from the Eastern Mediterranean in the last generation. The appearance of this book is timely, however, as there is a growing interest in field methods and the history of excavation practices throughout the discipline of archaeology. Moreover, Corinth Excavations has long held a special place in American archaeology in Greece as the primary training excavation for graduate students associated with the American School of Classical Studies at Athens. As a result, the field manual has had a particular influence among American excavators and projects in Greece, among Mediterranean archaeologists, and in archaeology classrooms. Published as a technical field manual, an archival document, and a key statement of practice from a major excavation, the Corinth Excavations Archaeological Manual presents a guide for daily procedures at the Corinth Excavations, a complete record of documentation forms used in the field, and a practical glimpse into the functioning of a complex, major, project. The manual is a landmark text appropriate for the university student, the scholar of methodology, and the working field archaeologist. “The Corinth manual has grown over the years into a comprehensive and authoritative guide to open-area, stratigraphic excavation, covering everything from excavation of pits, wells, and robbing trenches to the removal of deposits to inventorying objects in the museum. ” David Pettegrew, Associate Professor, Messiah College and author of The Isthmus of Corinth (2016). All of the authors have worked on the excavations at Corinth in various capacities. This manual was developed under the directorship of Dr. Guy Sanders by former field directors Alicia Carter Johnson and Dr. Sarah James. Additional contributions come from past and present Corinth staff including assistant director Dr. Ioulia Tzonou-Herbst, architect James Herbst, conservator Nicol Anastasatou, and archaeologist Katerina Ragkou. The authors would also like to recognize the contributions of the many students from the American School of Classical Studies at Athens who offered valuable feedback on earlier versions of this manual over the past 10 years.https://commons.und.edu/press-books/1005/thumbnail.jp

Relationship of Patient Self-Administered COPD Assessment Test (CAT) to Physician Standard Assessment of COPD in a Family Medicine Residency Training Program

Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality in the United States. COPD is of particular concern in certain sectors of the country, including Central Appalachia where our clinic is located. Assessing patients with COPD presents many challenges as symptoms range from those considered typical such as shortness of breath and sputum production to those less often identified like anxiety and social isolation. We conducted a pilot study comparing physician standard assessment of COPD to patient self-assessment using the COPD Assessment Test (CAT). The CAT is an eight-item questionnaire that measures the impact COPD has on an individual patient’s well-being and daily life. Based on our small sample size, physicians tend to underestimate the impact of COPD on a patient’s daily life. This discrepancy did not differ significantly by year of residency. Potential clinical impact of these findings include the need for more formalized and frequent patient self-assessment of disease burden as well as increased COPD assessment training within the residency curriculum

Gas/Solid Carbon Branching Ratios in Surface Mediated Reactions and the Incorporation of Carbonaceous Material into Planetesimals

We report the ratio of the initial carbon available as CO that forms gas-phase compounds compared to the fraction that deposits as a carbonaceous solid (the gas solid branching ratio) as a function of time and temperature for iron, magnetite, and amorphous iron silicate smoke catalysts during surface-mediated reactions in an excess of hydrogen and in the presence of N2. This fraction varies from more than 99 for an amorphous iron silicate smoke at 673 K to less than 40% for a magnetite catalyst at 873 K. The CO not converted into solids primarily forms methane, ethane, water, and CO2, as well as a very wide range of organic molecules at very low concentration. Carbon deposits do not form continuous coatings on the catalytic surfaces, but instead form extremely high surface area per unit volume filamentous structures. While these structures will likely form more slowly but over much longer times in protostellar nebulae than in our experiments due to the much lower partial pressure of CO, such fluffy coatings on the surfaces of chondrules or calcium aluminum inclusions could promote grain-grain sticking during low-velocity collisions

Relationship of Patient Self-Administered COPD Assessment Test to Physician Standard Assessment of Chronic Obstructive Pulmonary Disease in a Family Medicine Residency Training Program

Assessing the global impact of chronic obstructive pulmonary disease (COPD) on a patient’s life can be difficult to perform in the clinical setting due to time constraints and workflow challenges. The primary objective of this study was to compare disease impact ratings between patient selfadministered COPD Assessment Test (CAT) and physician standard office assessment. This prospective study was conducted at a family medicine residency clinic in northeast Tennessee. The study included two study groups: 1) adult patients seen at the clinic during the 3-month study period with an active diagnosis of COPD, and 2) their physicians. Physicians’ assessment of the impact of COPD on their patients’ daily lives was compared to patients’ self-administered CAT assessments. Physician assessment of COPD impact and patient ssessment of CAT categories significantly differed (χ2 =11.0, P=0.012). There was very poor agreement between patient and physician ratings (κ=0.003), with 42.9% of physician ratings underestimating the impact, 28.6% overestimating the impact, and 28.6% orrectly estimating the impact COPD had on their patients’ lives. These findings support the use of validated assessment tools to help providers understand the symptom burden for patients with COPD

Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay

Introduction: The 5A’s (Ask, Advise, Assess, Assist, and Arrange) strategy, a best-practice approach for cessation counseling, has been widely implemented in high-income countries for pregnant women; however, no studies have evaluated implementation in middle-income countries. The study objectives were to assess smoking patterns and receipt of 5A’s among pregnant women in Buenos Aires, Argentina and Montevideo, Uruguay. Methods: Data were collected through administered questionnaires to women at delivery hospitalizations during October 2011–May 2012. Eligible women attended one of 12 maternity hospitals or 21 associated prenatal care clinics. The questionnaire included demographic data, tobacco use/cessation behaviors, and receipt of the 5A’s. Self-reported cessation was verified with saliva cotinine. Results: Overall, of 3400 pregnant women, 32.8% smoked at the beginning of pregnancy; 11.9% quit upon learning they were pregnant or later during pregnancy, and 20.9% smoked throughout pregnancy. Smoking prevalence varied by country with 16.1% and 26.7% who smoked throughout pregnancy in Argentina and Uruguay, respectively. Among pregnant smokers in Argentina, 23.8% reported that a provider asked them about smoking at more than one prenatal care visit; 18.5% were advised to quit; 5.3% were assessed for readiness to quit, 4.7% were provided assistance, and 0.7% reported follow-up was arranged. In Uruguay, those percentages were 36.3%, 27.9%, 5.4%, 5.6%, and 0.2%, respectively. Conclusions: Approximately, one in six pregnant women smoked throughout pregnancy in Buenos Aires and one in four in Montevideo. However, a low percentage of smokers received any cessation assistance in both countries. Healthcare providers are not fully implementing the recommended 5A’s intervention to help pregnant women quit smoking.Fil: Berrueta, Amanda Mabel. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Morello, Paola. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Alemán, Alicia. Unidad de Investigación Clínica y Epidemiológica Montevideo; UruguayFil: Tong, Van T.. Centers for Disease Control and Prevention; Estados UnidosFil: Johnson, Carolyn. Tulane School of Public Health and Tropical Medicine; Estados UnidosFil: Dietz, Patricia M.. Centers for Disease Control and Prevention; Estados UnidosFil: Farr, Sherry L.. Centers for Disease Control and Prevention; Estados UnidosFil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Colomar, Mercedes. Unidad de Investigación Clínica y Epidemiológica Montevideo; UruguayFil: Ciganda, Alvaro. Unidad de Investigación Clínica y Epidemiológica Montevideo; UruguayFil: Llambi, Laura. Unidad de Investigación Clínica y Epidemiológica Montevideo; UruguayFil: Becú, Ana. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Smith, Ruben A.. Centers for Disease Control and Prevention; Estados UnidosFil: Buekens, Pierre. Tulane School of Public Health and Tropical Medicine; Estados UnidosFil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentin