111 research outputs found

    Validity of the lifetime drinking history: A comparison of retrospective and prospective quantity-frequency measures

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    OBJECTIVE: The Lifetime Drinking History (LDH) has been used to examine alcohol use throughout the life span. Given its retrospective nature, it is important to examine the validity of the assessment. METHOD: Building on previous work establishing the reliability and validity of the LDH, the current study examined a sample of 1,295 men in the Vietnam Era Twin Registry. The men were assessed retrospectively with the LDH in 2000, at an average age of 51. The drinking patterns of these same men were also assessed prospectively in four prior studies, taking place in 1987, 1990, 1992, and 1995. RESULTS: Validity of the LDH was examined by comparing the correspondence between the prospective and retrospective quantity-frequency measures and reported age at first regular drinking. Correlations between the retrospective and prospective assessments were high for age at first regular drinking (.42-.58) and quantity-frequency measures (.47-.69), although some mean differences in the amount of consumption existed. CONCLUSIONS: Results support the use of the LDH in reporting phases of drinking across the life span

    Knowledge, Attitudes, Practices and Beliefs about Medical Male Circumcision (MMC) among a Sample of Health Care Providers in Haiti

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    Background Haiti has the highest number of people living with HIV infection in the Caribbean/Latin America region. Medical male circumcision (MMC) has been recommended to help prevent the spread of HIV. We sought to assess knowledge, attitudes, practices and beliefs about MMC among a sample of health care providers in Haiti. Methods A convenience sample of 153 health care providers at the GHESKIO Centers in Haiti responded to an exploratory survey that collected information on several topics relevant to health providers about MMC. Descriptive statistics were calculated for the responses and multivariable logistic regression was conducted to determine opinions of health care providers about the best age to perform MMC on males. Bayesian network analysis and sensitivity analysis were done to identify the minimum level of change required to increase the acceptability of performing MMC at age less than 1 year. Results The sample consisted of medical doctors (31.0%), nurses (49.0%), and other health care professionals (20.0%). Approximately 76% showed willingness to offer MMC services if they received training. Seventy-six percent believed that their male patients would accept circumcision, and 59% believed infancy was the best age for MMC. More than 90% of participants said that MMC would reduce STIs. Physicians and nurses who were willing to offer MMC if provided with adequate training were 2.5 (1.15–5.71) times as likely to choose the best age to perform MMC as less than one year. Finally, if the joint probability of choosing “the best age to perform MMC” as one year or older and having the mistaken belief that MMC prevents HIV entirely is reduced by 63% then the probability of finding that performing MMC at less than one year acceptable to health care providers is increased by 35%. Conclusion Participants demonstrated high levels of knowledge and positive attitudes towards MMC. Although this study suggests that circumcision is acceptable among certain health providers in Haiti, studies with larger and more representative samples are needed to confirm this finding

    Iodine chemistry in the chemistry-climate model SOCOL-AERv2-I

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    In this paper, we present a new version of the chemistry-climate model SOCOL-AERv2 supplemented by an iodine chemistry module. We perform three 20-year ensemble experiments to assess the validity of the modeled iodine and to quantify the effects of iodine on ozone. The iodine distributions obtained with SOCOL-AERv2-I agree well with AMAX-DOAS observations and with CAM-chem model simulations. For the present-day atmosphere, the model suggests that the iodine-induced chemistry leads to a 3ĝ€¯%-4ĝ€¯% reduction in the ozone column, which is greatest at high latitudes. The model indicates the strongest influence of iodine in the lower stratosphere with 30ĝ€¯ppbv less ozone at low latitudes and up to 100ĝ€¯ppbv less at high latitudes. In the troposphere, the account of the iodine chemistry reduces the tropospheric ozone concentration by 5ĝ€¯%-10ĝ€¯% depending on geographical location. In the lower troposphere, 75ĝ€¯% of the modeled ozone reduction originates from inorganic sources of iodine, 25ĝ€¯% from organic sources of iodine. At 50ĝ€¯hPa, the results show that the impacts of iodine from both sources are comparable. Finally, we determine the sensitivity of ozone to iodine by applying a 2-fold increase in iodine emissions, as it might be representative for iodine by the end of this century. This reduces the ozone column globally by an additional 1.5ĝ€¯%-2.5ĝ€¯%. Our results demonstrate the sensitivity of atmospheric ozone to iodine chemistry for present and future conditions, but uncertainties remain high due to the paucity of observational data of iodine species.Fil: Karagodin Doyennel, Arseniy. The Institute for Atmospheric and Climate Science; Suiza. Physikalisch-Meteorologisches Observatorium Davos/World Radiation Center; SuizaFil: Rozanov, Eugene. The Institute for Atmospheric and Climate Science; Suiza. Physikalisch-Meteorologisches Observatorium Davos/World Radiation Center; Suiza. Saint Petersburg State University; RusiaFil: Sukhodolov, Timofei. Physikalisch-Meteorologisches Observatorium Davos/World Radiation Center; Suiza. Saint Petersburg State University; Rusia. University of Natural Resources and Life Sciences; AustriaFil: Egorova, Tatiana. Physikalisch-Meteorologisches Observatorium Davos/World Radiation Center; SuizaFil: Saiz López, Alfonso. Consejo Superior de Investigaciones Científicas. Instituto de Química Física; EspañaFil: Cuevas, Carlos A.. Consejo Superior de Investigaciones Científicas. Instituto de Química Física; EspañaFil: Fernandez, Rafael Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto Interdisciplinario de Ciencias Básicas. - Universidad Nacional de Cuyo. Instituto Interdisciplinario de Ciencias Básicas; Argentina. Consejo Superior de Investigaciones Científicas. Instituto de Química Física; EspañaFil: Sherwen, Tomás. University of York; Reino UnidoFil: Volkamer, Rainer. The Institute for Atmospheric and Climate Science ; Suiza. State University of Colorado at Boulder; Estados Unidos. Cooperative Institute for Research in Environmental Sciences; Estados Unidos. Paul Scherrer Institute; SuizaFil: Koenig, Theodore K.. State University of Colorado at Boulder; Estados Unidos. Cooperative Institute for Research in Environmental Sciences; Estados UnidosFil: Giroud, Tanguy. The Institute for Atmospheric and Climate Science; SuizaFil: Peter, Thomas. The Institute for Atmospheric and Climate Science; Suiz

    Observed in-plume gaseous elemental mercury depletion suggests significant mercury scavenging by volcanic aerosols

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    Terrestrial volcanism is known to emit mercury (Hg) into the atmosphere. However, despite many years of investigation, its net impact on the atmospheric Hg budget remains insufficiently constrained, in part because the transformations of Hg in volcanic plumes as they age and mix with background air are poorly understood. Here we report the observation of complete gaseous elemental mercury (GEM) depletion events in dilute and moderately aged (& SIM;3-7 hours) volcanic plumes from Piton de la Fournaise on Reunion Island. While it has been suggested that co-emitted bromine could, once photochemically activated, deplete GEM in a volcanic plume, we measured low bromine concentrations in both the gas- and particle-phase and observed complete GEM depletion even before sunrise, ruling out a leading role of bromine chemistry here. Instead, we hypothesize that the GEM depletions were mainly caused by gas-particle interactions with sulfate-rich volcanic particles (mostly of submicron size), abundantly present in the dilute plume. We consider heterogeneous GEM oxidation and GEM uptake by particles as plausible manifestations of such a process and derive empirical rate constants. By extrapolation, we estimate that volcanic aerosols may scavenge 210 Mg y(-1) (67-480 Mg y(-1)) of Hg from the atmosphere globally, acting effectively as atmospheric mercury sink. While this estimate is subject to large uncertainties, it highlights that Hg transformations in aging volcanic plumes must be better understood to determine the net impact of volcanism on the atmospheric Hg budget and Hg deposition pathways
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