Grindr Users Take More Risks, but Are More Open to Human Immunodeficiency Virus (HIV) Pre-exposure Prophylaxis: Could This Dating App Provide a Platform for HIV Prevention Outreach?

BackgroundTechnology has changed the way that men who have sex with men (MSM) seek sex. More than 60% of MSM in the United States use the internet and/or smartphone-based geospatial networking apps to find sex partners. We correlated use of the most popular app (Grindr) with sexual risk and prevention behavior among MSM.MethodsA nested cohort study was conducted between September 2018 and June 2019 among MSM receiving community-based human immunodeficiency virus (HIV) and sexually transmitted infection (STI) screening in central San Diego. During the testing encounter, participants were surveyed for demographics, substance use, risk behavior (previous 3 months), HIV pre-exposure prophylaxis (PrEP) use, and Grindr usage. Participants who tested negative for HIV and who were not on PrEP were offered immediate PrEP.ResultsThe study included 1256 MSM, 1090 of whom (86.8%) were not taking PrEP. Overall, 580 of 1256 (46%) participants indicated that they used Grindr in the previous 7 days. Grindr users reported significantly higher risk behavior (greater number of male partners and condomless sex) and were more likely to test positive for chlamydia or gonorrhea (8.6% vs 4.7% of nonusers; P = .005). Grindr users were also more likely to be on PrEP (18.7% vs 8.7% of nonusers; P < .001) and had fewer newly diagnosed HIV infections (9 vs 26 among nonusers; P = .014). Grindr users were also nearly twice as likely as nonusers to initiate PrEP (24.6% vs 14%; P < .001).ConclusionsGiven the higher risk behavior and greater acceptance of PrEP among MSM who used Grindr, Grindr may provide a useful platform to promote HIV and STI testing and increase PrEP uptake

Implicit and explicit stigma towards mental health treatment

In order to better understand stigma associated with mental health treatment, 118 Clemson University students completed Implicit Association Tasks (IAT) and self-report surveys. The IAT presented terms associated with either medical or psychological treatments or patients, paired with additional positive or negative terms (e.g., good vs. bad). Survey items assessed attitudes towards mental health and medical treatment, as well as mental health and medical patients. Responses from the IAT and survey were compared regarding mental health versus medical treatments and mental health versus medical patients. The IAT results revealed a significant negative implicit bias toward mental health treatment and mental health patients. Explicit survey measures also showed more negative responses toward mental health treatment and patients. Our findings provide both implicit and explicit evidence of stigma associated with mental health treatment and patients. Through better understanding these biases, researchers can work to reduce the stigma associated with mental health treatment

Data Recovery at Justiceburg Reservoir (Lake Alan Henry), Garza and Kent Counties, Texas: Phase III, Season 1

Phase III data recovery investigations at one historic and three prehistoric sites, augmented by additional survey and off-site geological investigations, were conducted at Lake Alan Henry (formerly Justiceburg Reservoir) on the Double Mountain Fork of the Brazos River in Garza and Kent counties, Texas, during the fall and winter of 1990-1991. Descriptive data from this first of three field seasons of data recovery are presented here in anticipation of a final synthetic report that will relate all the investigations to a series of research design hypotheses. Analysis of surface distributions at 41KT42, a late nineteenth- to early twentieth-century ranch line camp known locally as the Ed Scott Cabin, groups the artifacts into material and functional categories that demonstrate primary and secondary refuse accumulations adjacent to the cabin. The distribution of primary refuse shows kitchen artifacts are spatially distinct from other types that include architectural, firearm, ranching, clothing, and personal items. The primary discard pattern is obfuscated by redistribution attributed to secondary refuse discard. The uppermost of two superimposed hearths at 41GR484, the Grape Creek Bench Site, is radiocarbon dated to 260 B.P. and yielded charcoal identified as Carya sp. Excavations were halt~d at this Late Prehistoric II site because of extremely low artifact recovery. Geoarcheological investigations demonstrate that most of the site has been destroyed by cutbank erosion associated with the meanderings of Grape Creek. At 41KT33, the Late Prehistoric I South Sage Creek Site, stone-lined hearth features dated to 1005 B.P. are surrounded by clusters of artifacts. Petrographic analysis of brownware ceramics suggests affiliations with the local Palo Duro Complex and nonlocally with the Pecos River valley. The Gobbler Creek Bridge Site, 4IGR383, spans the late Archaic and Late Prehistoric I periods. Intact· and dispersed stone-lined hearths radiocarbon dated to 1865-1215 B.P. are surrounded by artifact clusters. Both of the sites appear to have been multifunctional campsites, and repeated occupations are likely. Dense concentrations of fire-cracked rocks at these sites may represent secondary refuse disposal. Lithic analysis indicates extensive use of nonlocal materials derived from Cretaceous formations that occur in the Callahan Divide and Edwards Plateau to the south. Freshwater mussels are the only faunal remains recovered from either of these sites. The meat is presumed to have been consumed as food, while the shells sometimes were made into ornaments. An additional 440 acres of land were surveyed for cultural resources; 360 of these acres were subsequently acquired by the City of Lubbock for use as wildlife mitigation lands. Nine prehistoric archeological sites and one isolated fmd were documented and evaluated for their eligibility for listing on the National Register of Historic Places. Five of these sites are considered to be ineligible for listing on the National Register, and five are potentially eligible for listing. Avoidance is recommended at these five sites, with testing recommended to determine their National Register eligibility if avoidance is not possible. Geological investigations provide information about depositional environments in and near the archeological sites. Two soils buried in the Double Mountain Fork floodplain are radiocarbon dated to 8~00 B.P. and 1700-1300 B.P.; fluvial sediments extend as much as 15 m below these soils in portions of the floodplain. An older terrace previously was identified 18 m above the modem river channel. Current work obtained a terminal date of 8690 B.P. from a buried soil that caps this older terrace. Another radiocarbon date of 3320 B.P. was obtained from fill in a gully that is eroded into the older terrace. These dates bracket an erosional episode when the older terrace was heavily dissected. The erosion coincides with the Altithermal, a period believed to have been characterized by a hot and dry climatic regime

The All-Sky Automated Survey for Supernovae (ASAS-SN) Light Curve Server v1.0

The All-Sky Automated Survey for Supernovae (ASAS-SN) is working towards imaging the entire visible sky every night to a depth of V~17 mag. The present data covers the sky and spans ~2-5~years with ~100-400 epochs of observation. The data should contain some ~1 million variable sources, and the ultimate goal is to have a database of these observations publicly accessible. We describe here a first step, a simple but unprecedented web interface https://asas-sn.osu.edu/ that provides an up to date aperture photometry light curve for any user-selected sky coordinate. Because the light curves are produced in real time, this web tool is relatively slow and can only be used for small samples of objects. However, it also imposes no selection bias on the part of the ASAS-SN team, allowing the user to obtain a light curve for any point on the celestial sphere. We present the tool, describe its capabilities, limitations, and known issues, and provide a few illustrative examples.Comment: 8 pages, 9 figures, submitted to PAS

The Pathobiology of TDP-43 C-Terminal Fragments in ALS and FTLD

During neurodegenerative disease, the multifunctional RNA-binding protein TDP-43 undergoes a vast array of post-translational modifications, including phosphorylation, acetylation, and cleavage. Many of these alterations may directly contribute to the pathogenesis of TDP-43 proteinopathies, which include most forms of amyotrophic lateral sclerosis (ALS) and approximately half of all frontotemporal dementia, pathologically identified as frontotemporal lobar degeneration (FTLD) with TDP-43 pathology. However, the relative contributions of the various TDP-43 post-translational modifications to disease remain unclear, and indeed some may be secondary epiphenomena rather than disease-causative. It is therefore critical to determine the involvement of each modification in disease processes to allow the design of targeted treatments. In particular, TDP-43 C-terminal fragments (CTFs) accumulate in the brains of people with ALS and FTLD and are therefore described as a neuropathological signature of these diseases. Remarkably, these TDP-43 CTFs are rarely observed in the spinal cord, even in ALS which involves dramatic degeneration of spinal motor neurons. Therefore, TDP-43 CTFs are not produced non-specifically in the course of all forms of TDP-43-related neurodegeneration, but rather variably arise due to additional factors influenced by regional heterogeneity in the central nervous system. In this review, we summarize how TDP-43 CTFs are generated and degraded by cells, and critique evidence from studies of TDP-43 CTF pathology in human disease tissues, as well as cell and animal models, to analyze the pathophysiological relevance of TDP-43 CTFs to ALS and FTLD. Numerous studies now indicate that, although TDP-43 CTFs are prevalent in ALS and FTLD brains, disease-related pathology is only variably reproduced in TDP-43 CTF cell culture models. Furthermore, TDP-43 CTF expression in both transgenic and viral-mediated in vivo models largely fails to induce motor or behavioral dysfunction reminiscent of human disease. We therefore conclude that although TDP-43 CTFs are a hallmark of TDP-43-related neurodegeneration in the brain, they are not a primary cause of ALS or FTLD

Emergency contraception in Australia: The desired source of information versus the actual source of information

Objective: To determine long-term trends in emergency contraception (EC) management by general practitioners in Australia. Design, setting and participants: Data from April 2000 to March 2012 were drawn from the BEACH (Bettering the Evaluation and Care of Health) program, a continuous cross-sectional survey of GP activity. We analysed consultations involving EC management, unwanted pregnancy management and emergency contraceptive pill (ECP) prescribing per 1000 GP encounters with women aged 14-54 years. Summary statistics were calculated with 95% confidence intervals. Results: In 2000-2001, GPs managed EC problems at a rate of 5.50 per 1000 encounters (95% CI, 4.37-6.63). From 2004, after the ECP became available over the counter (OTC) in pharmacies, EC management, which includes ECP prescription, progressively declined. By 2011-2012, only 1.43 EC problems were managed per 1000 encounters (95% CI, 0.84-2.02) and only 0.48 ECP prescriptions were provided per 1000 encounters (95% CI, 0.14-0.82). Yet the management rate of unwanted pregnancy problems stayed relatively constant (rate in 2000-2001, 0.95 per 1000 encounters; 95% CI, 0.40-1.50; rate in 2011-2012, 0.88 per 1000 encounters; 95% CI, 0.41-1.36). Conclusion: Low rates of EC management by GPs since ECP became available OTC suggest that women may be obtaining information on EC elsewhere. Further investigation is needed to uncover the sources of this information and its acceptability and application by Australian women

Current contraceptive management in Australian general practice: An analysis of BEACH data

Objective: To determine current contraceptive management by general practitioners in Australia. Design, setting and participants: Analysis of data from a random sample of 3910 Australian GPs who participated in the Bettering the Evaluation and Care of Health (BEACH) survey, a continuous cross-sectional survey of GP activity, between April 2007 and March 2011. Consultations with female patients aged 12-54 years that involved all forms of contraception were analysed. Main outcome measures: GP and patient characteristics associated with the management of contraception; types of contraception used; rates of encounters involving emergency contraception. Results: Increased age, ethnicity, Indigenous status and holding a Commonwealth Health Care Card were significantly associated with low rates of encounters involving management of contraception. The combined oral contraceptive pill was the most frequently prescribed method of contraception, with moderate prescription of long-acting reversible contraception (LARC), especially among women aged 34-54 years. Rates of consultations concerned with emergency contraception were low, but involved high rates of counselling, advice or education (48%) compared with encounters for general contraception (> 20%). Conclusion: A shift towards prescribing LARC, as recommended in clinical guidelines, has yet to occur in Australian general practice. Better understanding of patient and GP perspectives on contraceptive choices could lead to more effective contraceptive use

A dynamical model of surrogate reactions

A new dynamical model is developed to describe the whole process of surrogate reactions; transfer of several nucleons at an initial stage, thermal equilibration of residues leading to washing out of shell effects and decay of populated compound nuclei are treated in a unified framework. Multi-dimensional Langevin equations are employed to describe time-evolution of collective coordinates with a time-dependent potential energy surface corresponding to different stages of surrogate reactions. The new model is capable of calculating spin distributions of the compound nuclei, one of the most important quantity in the surrogate technique. Furthermore, various observables of surrogate reactions can be calculated, e.g., energy and angular distribution of ejectile, and mass distributions of fission fragments. These features are important to assess validity of the proposed model itself, to understand mechanisms of the surrogate reactions and to determine unknown parameters of the model. It is found that spin distributions of compound nuclei produced in $^{18}$O+$^{238}$U $\rightarrow ^{16}$O+$^{240*}$U and $^{18}$O+$^{236}$U $\rightarrow ^{16}$O+$^{238*}$U reactions are equivalent and much less than 10$\hbar$, therefore satisfy conditions proposed by Chiba and Iwamoto (PRC 81, 044604(2010)) if they are used as a pair in the surrogate ratio method.Comment: 17 pages, 5 figure

Expressive and Instrumental Offending: Reconciling the Paradox of Specialisation and Versatility

Although previous research into specialisation has been dominated by the debate over the existence of specialisation versus versatility, it is suggested that research needs to move beyond the restrictions of this dispute. The current study explores the criminal careers of 200 offenders based on their criminal records, obtained from a police database in the North West of England, aiming to understand the patterns and nature of specialisation by determining the presence of differentiation within their general offending behaviours and examining whether the framework of Expressive and Instrumental offending styles can account for any specialised tendencies that emerge. Fifty-eight offences were subjected to Smallest Space Analysis. Results revealed that a model of criminal differentiation could be identified and that any specialisation is represented in terms of Expressive and Instrumental offending styles