Risk Factors Associated with Missed Medical Appointments Among HIV-positive Young Men Who Have Sex with Men

Young men who have sex with men (YMSM) are overrepresented in the HIV epidemic in America. Retaining HIV positive YMSM in HIV care is very critical to reduce the overall burden of the HIV epidemic in America. Our study focused on identifying significant risk factors that affects retention in care for YMSM. Missing two or more medical appointments was how we measured retention in care. Using data gathered from ATN 086-106 study. This ATN cross-sectional study provided HIV positive males and females between the ages of 12 and 24 with an extensive questionnaire. The goal of this study was to analyze what risk factors are significantly associated with YMSM missing more than two or more appointments in the past 12 months. Our study found that African American and multi-racial young men were more likely to miss more than 2 appointments compared to whites. Methamphetamine, daily marijuana use, and declining mental health status caused individuals to miss multiple appointments

Aspects of design for a spare parts provisioning system

This thesis describes an investigation by the author into the spares operation of compare BroomWade Ltd. Whilst the complete system, including the warehousing and distribution functions, was investigated, the thesis concentrates on the provisioning aspect of the spares supply problem. Analysis of the historical data showed the presence of significant fluctuations in all the measures of system performance. Two Industrial Dynamics simulation models were developed to study this phenomena. The models showed that any fluctuation in end customer demand would be amplified as it passed through the distributor and warehouse stock control systems. The evidence from the historical data available supported this view of the system's operation. The models were utilised to determine which parts of the total system could be expected to exert a critical influence on its performance. The lead time parameters of the supply sector were found to be critical and further study showed that the manner in which the lead time changed with work in progress levels was also an important factor. The problem therefore resolved into the design of a spares manufacturing system. Which exhibited the appropriate dynamic performance characteristics. The gross level of entity presentation, inherent in the Industrial Dynamics methodology, was found to limit the value of these models in the development of detail design proposals. Accordingly, an interacting job shop simulation package was developed to allow detailed evaluation of organisational factors on the performance characteristics of a manufacturing system. The package was used to develop a design for a pilot spares production unit. The need for a manufacturing system to perform successfully under conditions of fluctuating demand is not limited to the spares field. Thus, although the spares exercise provides an example of the approach, the concepts and techniques developed can be considered to have broad application throughout batch manufacturing industry

Hydrogen contamination in Ge-doped SiO[sub 2] thin films prepared by helicon activated reactive evaporation

Germanium-doped silicon oxidethin films were deposited at low temperature by using an improved helicon plasma assisted reactive evaporation technique. The origins of hydrogen contamination in the film were investigated, and were found to be H incorporation during deposition and postdeposition water absorption. The H incorporation during deposition was avoided by using an effective method to eliminate the residual hydrogen present in the depositionsystem. The microstructure, chemical bonds, chemical etch rate, and optical index of the films were studied as a function of the deposition conditions. Granular microstructures were observed in low-density films, and were found to be the cause of postdeposition water absorption. The granular microstructure was eliminated and the film was densified by increasing the helicon plasma power and substrate bias during deposition. A high-density film was shown to have no postdeposition water absorption and no OH detected by using a Fourier-transform infrared spectrometer

Cultural Preservation of Ethnomedicine in Peru

In conjunction with the Minority Health & Health Disparities International Research Training program at San Diego State University, three Linfield students contributed to the ongoing Peru Ethnomedical Project in Trujillo, Peru by: Conducting surveys in two neighborhoods on the edge of the city; Creating a medicinal plant garden in the Chan Chan archaeological site museum. Surveys conducted in Moche, Trujillo were part of a larger study supervised by anthropologists Douglas Sharon and Thomas Love. The research aims to evaluate the usage of medicinal plants in rural and urban Peruvian communities. Linfield’s contribution focused on the creation of the medicinal garden to serve as a community model and educational program. The overall purpose of the 2015 summer faculty collaborative project was to: Preserve the knowledge of these practices; Analyze the plant properties; Publish the information; Provide the community with a garden that reflects the commonly used plants; Educate new generations; Bring back and apply this knowledge in the Linfield community

Extreme pCO2 Variability in a Macrotidal Eelgrass Meadow Mediated by Tidal and Diurnal Cycles

It has been suggested that photosynthetic activity of macrophytes in coastal areas can decrease pCO2 and may provide areas of refuge for organisms sensitive to ocean acidification. To assess the effect of a large eel grass meadow on water chemistry, discreet samples were collected hourly over several 24 hour cycles in Padilla Bay, WA. Calculated pCO2 ranged from less than 100 ppm to greater than 700 ppm, often over the course of only a few hours. Aragonite saturation, DIC and pH were also highly variable. These data, weather station data and in-situ sensors(Padilla Bay National Estuarine Research Reserve) were used to develop a model that estimates pCO2 for the summer season. Tidal height and photosynthetically active radiation were the most significant predictors of pH and pCO2, with Salinity and DO. Model estimates suggest that an even wider range of pCO2 values are common in this estuary, especially in the early summer. Data from a mooring in 20 meters of water over a kilometer from the intertidal eel grass environment, provide some hints of the spatial extent of influence

Nimbus-7 Earth Radiation Budjet compact solar data set user's guide

Nimbus-7 Earth Radiation Budget (ERB) solar measurements extend from November 16, 1978, to December 13, 1993, but with data gaps in 1992 and 1993. The measurements include the total solar irradiance plus six broadband spectral components. The Channel 10c total irradiance data appears very stable, and the calibration, well done. A number of characterization problems remain in the spectral measurements. In the original program, the solar and Earth flux measurements were intermixed and spread over about 170 computer tapes. For easier access, the solar data have been collected into two compact data sets. All of the data are collected into 14 Summary Solar Tapes (SST's). In addition, two Channel 10c Solar Tapes (CST's) give a separate listing of the stable total solar irradiance measurements. Channel 10c calibration and orbital irradiance values are given on separate PC disks. This document gives data descriptions and formats, together with quality control and calibration procedures

Prediction of Maximal Oxygen Consumption from Rating of Perceived Exertion (RPE) using a Modified Total-body Recumbent Stepper

International Journal of Exercise Science 8(4): 414-424, 2015. Exercise training is crucial to improve cardiovascular health and quality of life in people with spinal cord injuries (SCI). A key limitation is the lack of validated submaximal tests to evaluate and predict cardiovascular fitness in this population. The purpose of this study was to validate a submaximal test to predict maximal oxygen consumption for individuals with SCI. Ten able-bodied participants and two individuals with SCI completed a rating of perceived exertion (RPE)-based submaximal oxygen consumption test and a graded maximal oxygen consumption test on a NuStep T4 recumbent stepper. Prediction of VO2max from an RPE-based protocol is feasible and can produce reliable predicted VO2max values in the able bodied population. This study is a proof of concept to the implementation of a submaximal test protocol using a total body recumbent stepper to predict VO2max in able-bodied individuals. Additionally, this study shows evidence of feasibility of performing this test in SCI individuals

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