A Wellness Needs Assessment of Persons with Disabilities in Northern Florida: Physical Activity and Nutrition

Engaging an individual with a disability in health promotion activities may be challenging. This challenge is demonstrated by the prevalence of obesity among people with disabilities (PWDs) being higher than those without, and PWD twice as likely to be physically inactive. The combination of physical inactivity and high prevalence of obesity supports a need for health promotion activities. To examine the need for wellness promotion activities for PWDs, we surveyed consumers at a Center for Independent Living in North Central Florida (CILNCF). A survey was developed with items from the Physical Activity Scale for Individuals with Physical Disability (PASIPD) and nutrition items from Florida’s Behavioral Risk Factor Surveillance System (BRFSS). Among 36 participants, 25% reported exercise was difficult due to their disability and only 6% reported their attendant assisted with exercise. Participants reported doing less than the national recommendation of medium-strength exercise (83%) and hard-strength training activities (80%). Participants reported not meeting daily guidelines for fruit (42%) and green vegetable consumption (41%). Results demonstrate a lack of physical activity and adequate nutrition among PWDs. Community service organizations such as the CILNCF represent an ideal location to administer physical activity and nutrition education and interventions

Perceived Barriers Preventing and Treating HIV/AIDS among Public Health Workers in Florida

In 2015, Florida moved from being ranked second to first nationally in total number of HIV diagnoses. To combat this statistic, public health workers were interviewed to understand perceived perspectives about available resources and practicable solutions to barriers that may inhibit the use of testing and treatment services to reduce overall health disparities and inequalities among individuals with HIV/AIDS. Ten public health workers from rural counties in Florida were interviewed, and then qualitatively analyzed using the constant comparison method. Public health workers found that multiple barriers, lack of education and knowledge of resources available among health workers, and a need for continuing education on HIV/AIDS have an impact on how preventive services and treatment are carried out. Along with highlighting key issues among public health workers, in this paper, we hope to provide feasible solutions at a time where public health funding is decreasing

Assessing Attitudes toward Nicotine Replacement Therapy for Adolescent Smoking Cessation

The objective was to ascertain attitudes toward nicotine replacement therapy for adolescent tobacco cessation. The authors created a 17-item survey consisting of demographics, quantitative, and qualitative items which was distributed to middle and high school students in North Central Florida. The authors assessed associations and conducted discriminant analyses to compare results by age. One-hundred ninety-eight students completed the survey (57.6% female, 61.6% white). When asked to select the best way to help teens stop using tobacco, combination of methods was most frequently selected (31.6%), followed by “Cold Turkey” (19.5%), e-cigarettes (16.8%), NRT (14.7%), Counseling (10.5%), and Alternative Therapies (6.8%). Qualitative data from students revealed misconceptions toward tobacco use, but an overall awareness that tobacco is a harmful. High school students were more likely than middle school students to agree that nicotine is harmful and e-cigarettes or chewing tobacco are less harmful than traditional cigarettes. Discriminant analyses were inconclusive. These data highlight misconceptions regarding tobacco use and nicotine that might play a role in attitudes toward NRT for adolescent tobacco cessation. Whereas high school students might be more likely to agree nicotine is harmful, their decreased perception of harm of alternative tobacco products such as e-cigarettes or chewing tobacco could be problematic. Further research in this area remains a priority

Tree Responses to an Invasive Sap-Feeding Insect

Although sap-feeding insects are known to negatively affect plant growth and physiology, less is known about sap-feeding insects on woody plants. Adelges tsugae (Annand Hemiptera: Adelgidae), the hemlock woolly adelgid, is an invasive sap-feeding insect in eastern North America that feeds on and kills Tsuga canadensis (L. Carrière), eastern hemlock. Newly hatched adelgid nymphs crawl to young unattacked tissue, settle and immediately enter diapause (aestivation) while attached to hemlock in summer. We assessed the effect of A. tsugae infestation on T. canadensis growth and physiology by analyzing hemlock growth on lateral and terminal branches, water potential, photosynthesis, stomatal conductance, and foliar nitrogen (%N). A. tsugae infestation greatly decreased terminal and lateral growth of eastern hemlock. In addition, A. tsugae presence reduced photosynthesis by 10 % in September and 36 % in October. Adelgid-infested hemlocks also exhibited signs of water stress that included notable reductions in water potential and stomatal conductance. These responses shed light on possible mechanisms of adelgid-induced mortality

Intrinsic and Extrinsic Regulation of Type III Secretion Gene Expression in Pseudomonas Aeruginosa

Pseudomonas aeruginosa is an opportunistic pathogen that is particularly problematic in the healthcare setting where it is a frequent cause of pneumonia, bloodstream, and urinary tract infections. An important determinant of P. aeruginosa virulence is a type III secretion system (T3SS). T3SS-dependent intoxication is a complex process that minimally requires binding of P. aeruginosa to host cells, injection of the cytotoxic effector proteins through the host cell plasma membrane, and induction of T3SS gene expression. The latter process, referred to as contact-dependent expression, involves a well-characterized regulatory cascade that activates T3SS gene expression in response to host cell contact. Although host cell contact is a primary activating signal for T3SS gene expression, the involvement of multiple membrane-bound regulatory systems indicates that additional environmental signals also play a role in controlling expression of the T3SS. These regulatory systems coordinate T3SS gene expression with many other cellular activities including motility, mucoidy, polysaccharide production, and biofilm formation. The signals to which the organism responds are poorly understood but many seem to be coupled to the metabolic state of the cell and integrated within a master circuit that assimilates informational signals from endogenous and exogenous sources. Herein we review progress toward unraveling this complex circuitry, provide analysis of the current knowledge gaps, and highlight potential areas for future studies. Complete understanding of the regulatory networks that control T3SS gene expression will maximize opportunities for the development of strategies to treat P. aeruginosa infections

Triple-drug treatment is effective for lymphatic filariasis microfilaria clearance in Samoa

Following the first triple-drug mass drug administration (MDA) for lymphatic filariasis in Samoa in 2018, unexpected persistence of microfilaria (Mf) positivity in 18 (15%) of 121 antigen-positive persons was observed in a nationwide household survey 1–2 months later. Of the 18 Mf positive persons, 14 reported taking the MDA, raising concerns about MDA efficacy. In 2019, 5–6 months after the 2018 survey, a monitored treatment study was done to evaluate directly observed weight-based treatment in these Mf positive individuals. Mf presence and density were assessed before and 7 days after treatment, using 1 mL membrane filtered venous blood, and 60 uL thick blood films on slides prepared from venous or fingerprick blood. All 14 participants were still Mf positive on filters from venous blood pre-treatment samples, but two were negative by slide made from the same samples. Mf were cleared completely by day 7 in 12 of 13 participants followed up, and by day 30 in the remaining participant. Filtered blood using EDTA samples (to reduce clumping of Mf) is preferred over slides alone for improving the likelihood of detecting Mf and estimating their density. The triple-drug MDA strategy was effective at clearing Mf when given and taken at the correct dose

Offspring of mice exposed to a low-protein diet in utero demonstrate changes in mTOR signaling in pancreatic islets of langerhans, associated with altered glucagon and insulin expression and a lower β-cell mass

Low birth weight is a risk factor for gestational and type 2 diabetes (T2D). Since mammalian target of rapamycin (mTOR) controls pancreatic β-cell mass and hormone release, we hypothesized that nutritional insult in utero might permanently alter mTOR signaling. Mice were fed a low-protein (LP, 8%) or control (C, 20%) diet throughout pregnancy, and offspring examined until 130 days age. Mice receiving LP were born 12% smaller and β-cell mass was significantly reduced throughout life. Islet mTOR levels were lower in LP-exposed mice and localized predominantly to α-rather than β-cells. Incubation of isolated mouse islets with rapamycin significantly reduced cell proliferation while increasing apoptosis. mRNA levels for mTORC complex genes mTOR, Rictor and Raptor were elevated at 7 days in LP mice, as were the mTOR and Raptor proteins. Proglucagon gene expression was similarly increased, but not insulin or the immune/metabolic defense protein STING. In human and mouse pancreas STING was strongly associated with islet β-cells. Results support long-term changes in islet mTOR signaling in response to nutritional insult in utero, with altered expression of glucagon and insulin and a reduced β-cell mass. This may contribute to an increased risk of gestational or type 2 diabetes

Age-Stratified Profiles of Serum IL-6, IL-10, and TNF-α Cytokines Among Kenyan Children with Schistosoma haematobium, Plasmodium falciparum, and Other Chronic Parasitic Co-Infections.

In a study of children having polyparasitic infections in a Schistosoma haematobium-endemic area, we examined the hypothesis that S. haematobium-positive children, compared with S. haematobium-negative children (anti-soluble worm antigen preparation [SWAP] negative and egg negative) have increased systemic production of pro-inflammatory cytokines (interleukin [IL]-6, tumor necrosis factor [TNF]-α) and decreased down-regulatory IL-10. A total of 804 children, 2-19 years of age, were surveyed between July and December 2009 and tested for S. haematobium, Plasmodium falciparum, filariasis, and soil-transmitted helminth infections. Plasma levels of IL-6, TNF-α, and IL-10 were compared for S. haematobium-positive and S. haematobium-negative children, adjusting for malaria, filaria, and hookworm co-infections, and for nutritional status, age group, sex, and geographic location. IL-10 was significantly elevated among children infected with S. haematobium, showing bimodal peaks in 7-8 and 13-14 years age groups. IL-10 was also higher among children who were acutely malnourished, whereas IL-10 levels were lower in the presence of S. haematobium-filaria co-infection. After adjustment for co-factors, IL-6 was significantly elevated among children of 5-6 years and among those with P. falciparum infection. Lower levels of IL-6 were found in malaria-hookworm co-infection. High levels of TNF-α were found in children aged 11-12 years regardless of infection status. In addition, village of residence was a strong predictor of IL-6 and IL-10 plasma levels. In adolescent children infected with S. haematobium, there is an associated elevation in circulating IL-10 that may reduce the risk of later morbidity. Although we did not find a direct link between S. haematobium infection and circulating pro-inflammatory IL-6 and TNF-α levels, future T-cell stimulation studies may provide more conclusive linkages between infection and cytokine responses in settings that are endemic for multiple parasites and multiple co-infections