Predictors of Missed Hepatitis C Intake Appointments and Failure to Establish Hepatitis C Care Among Patients Living With HIV.

BackgroundWe estimated and characterized the proportion of patients living with HIV (PLWH) who missed hepatitis C (HCV) intake appointments and subsequently failed to establish HCV care.MethodsLogistic regression analyses were used to identify factors associated with missed HCV intake appointments and failure to establish HCV care among PLWH referred for HCV treatment between January 2014 and December 2017. In addition to demographics, variables included HIV treatment characteristics, type of insurance, liver health status, active alcohol or illicit drug use, unstable housing, and history of a mental health disorder (MHD).ResultsDuring the study period, 349 new HCV clinic appointments were scheduled for 202 unduplicated patients. Approximately half were nonwhite, and 80% had an undetectable HIV viral load. Drug use (31.7%), heavy alcohol use (32.8%), and MHD (37.8%) were prevalent. Over the 4-year period, 21.9% of PLWH referred for HCV treatment missed their HCV intake appointment. The proportion increased each year, from 17.2% in 2014 to 25.4% in 2017 (P = .021). Sixty-six of the 202 newly referred HCV patients (32.7%) missed their first HCV appointment, and 28 of these (42.4%) failed to establish HCV care. Having a history of MHD, CD4 <200, ongoing drug use, and being nonwhite were independent predictors of missing an intake HCV appointment. The strongest predictor of failure to establish HCV care was having a detectable HIV viral load.ConclusionsThe proportion of PLWH with missed HCV appointments increased over time. HCV elimination among PLWH may require integrated treatment of MHD and substance use

Advanced Multimission Operations System (ATMO)

The HiiHat toolbox developed for CAT/ENVI provides principal investigators direct, immediate, flexible, and seamless interaction with their instruments and data from any location. Offering segmentation and neutral region division, it facilitates the discovery of key endmembers and regions of interest larger than a single pixel. Crucial to the analysis of hyperspectral data from Mars or Earth is the removal of unwanted atmospheric signatures. For Mars and the Compact Reconnaissance Imaging Spectrometer for Mars (CRISM), residual atmospheric CO2 absorption is both directly problematic and indicative of processing errors with implications to the scientific utility of any particular image region. Estimating this residual error becomes key both in selecting regions of low distortion, and also to select mitigating methods, such as neutral region division. This innovation, the ATMO estimator, provides a simple, 0-1 normalized scalar that estimates this distortion (see figure). The metric is defined as the coefficient of determination of a quadratic fit in the region of distorting atmospheric absorption (approx 2 micron). This mimics the behavior of existing CRISM team mineralogical indices to estimate the presence of known, interesting mineral signatures. This facilitates the ATMO metric's assimilation into existing planetary geology workflows

A Submillimeter HCN Laser in IRC+10216

We report the detection of a strong submillimeter wavelength HCN laser line at a frequency near 805 GHz toward the carbon star IRC+10216. This line, the J=9-8 rotational transition within the (04(0)0) vibrationally excited state, is one of a series of HCN laser lines that were first detected in the laboratory in the early days of laser spectroscopy. Since its lower energy level is 4200 K above the ground state, the laser emission must arise from the inner part of IRC+10216's circumstellar envelope. To better characterize this environment, we observed other, thermally emitting, vibrationally excited HCN lines and find that they, like the laser line, arise in a region of temperature approximately 1000 K that is located within the dust formation radius; this conclusion is supported by the linewidth of the laser. The (04(0)0), J=9-8 laser might be chemically pumped and may be the only known laser (or maser) that is excited both in the laboratory and in space by a similar mechanism.Comment: 11 pages, 3 figure

The MPCP Longitudinal Educational Growth Study Third Year Report

This is the third-year report in a five-year evaluation of the Milwaukee Parental Choice Program (MPCP). The MPCP, which began in 1990, provides government-funded vouchers for low-income children to attend private schools in the City of Milwaukee. The maximum voucher amount in 2008-09 was $6,607, and approximately 20,000 children used a voucher to attend either secular or religious private schools. The MPCP is the oldest and largest urban school voucher program in the United States. This evaluation was authorized by Wisconsin Act 125 enacted in 2005

'Targeting care: tailoring non-surgical management according to clinical presentation'

International evidence-based guidelines recommend a multitude of nonsurgical treatment options for the management of osteoarthritis. This article summarizes the evidence available for patient characteristics that have been analyzed as potential predictors of response to nonsurgical interventions for patients with hip and knee osteoarthritis. The specific variables targeted for this review include body mass index, psychological factors, muscle strength, tibiofemoral alignment, radiographic changes, and signs of inflammation. Several studies provide moderate to good evidence of potential predictors of response to nonsurgical treatments, and areas for future research are illuminated. Copyright 2013 Elsevier Inc. All rights reserved

Evidence for Ubiquitous Collimated Galactic-Scale Outflows along the Star-Forming Sequence at z~0.5

We present an analysis of the MgII 2796, 2803 and FeII 2586, 2600 absorption line profiles in individual spectra of 105 galaxies at 0.3<z<1.4. The galaxies, drawn from redshift surveys of the GOODS fields and the Extended Groth Strip, fully sample the range in star formation rates (SFRs) occupied by the star-forming sequence with stellar masses log M_*/M_sun > 9.5 at 0.3<z<0.7. Using the Doppler shifts of the MgII and FeII absorption lines as tracers of cool gas kinematics, we detect large-scale winds in 66+/-5% of the galaxies. HST/ACS imaging and our spectral analysis indicate that the outflow detection rate depends primarily on galaxy orientation: winds are detected in ~89% of galaxies having inclinations (i) <30 degrees (face-on), while the wind detection rate is only ~45% in objects having i>50 degrees (edge-on). Combined with the comparatively weak dependence of the wind detection rate on intrinsic galaxy properties, this suggests that biconical outflows are ubiquitous in normal, star-forming galaxies at z~0.5. We find that the wind velocity is correlated with host galaxy M_* at 3.4-sigma significance, while the equivalent width of the flow is correlated with host galaxy SFR at 3.5-sigma significance, suggesting that hosts with higher SFR may launch more material into outflows and/or generate a larger velocity spread for the absorbing clouds. Assuming that the gas is launched into dark matter halos with simple, isothermal density profiles, the wind velocities measured for the bulk of the cool material (~200-400 km/s) are sufficient to enable escape from the halo potentials only for the lowest-M_* systems in the sample. However, the outflows typically carry sufficient energy to reach distances of >50 kpc, and may therefore be a viable source of cool material for the massive circumgalactic medium observed around bright galaxies at z~0. [abridged]Comment: Submitted to ApJ. 61 pages, 25 figures, 4 tables, 4 appendices. Uses emulateapj forma

'Targeting care: tailoring non-surgical management according to clinical presentation'

International evidence-based guidelines recommend a multitude of nonsurgical treatment options for the management of osteoarthritis. This article summarizes the evidence available for patient characteristics that have been analyzed as potential predictors of response to nonsurgical interventions for patients with hip and knee osteoarthritis. The specific variables targeted for this review include body mass index, psychological factors, muscle strength, tibiofemoral alignment, radiographic changes, and signs of inflammation. Several studies provide moderate to good evidence of potential predictors of response to nonsurgical treatments, and areas for future research are illuminated. Copyright 2013 Elsevier Inc. All rights reserved

The global biogeography of reef morphology

Aim: The Caribbean and Indo-Pacific are separate biogeographical realms with distinct biogeographical and evolutionary histories, a 10-fold difference in biodiversity, and highly disparate sea-level histories. Since reef morphology often reflects interactions between biological activity and biogeographical history, including sea levels, the widths of shallow coral reef habitats are likely to differ markedly between realms, with ramifications for numerous ecosystem functions. Our goal, therefore, was to assess the impact of global-scale biogeographical and evolutionary histories on coral reef habitats. Specifically, are Indo-Pacific reefs wider than their Caribbean counterparts?. Location: Global. Time Period: Modern. Major Taxa Studied: Coral reefs. Methods: We used the Allen Coral Atlas, a global reef mapping system (3 m pixel resolution), to examine 3765 transects, 3 km long and 1 km apart, on 60 reefs across the two realms, quantifying shallow reef habitat widths (Inner and Outer Reef Flat, and Reef Crest) using ArcGIS. Results: Shallow reef habitat widths were strikingly similar between the Caribbean and Indo-Pacific. Estimated modal widths diverged by just 37 m; means by just 122 m. Although shallow reef zones appeared to be wider in the Indo-Pacific, habitat widths on atolls were almost identical across realms (means varying by less than 8 m). Main Conclusions: Our remote sensing approach provides a global description of the biogeography of coral reefs as biogenic structures. Furthermore, we can assess the relative importance of realm-wide differences in coral diversity and sea-level history on reef growth. The striking similarity of reef widths across realms suggests that reef growth (net reef accretion) is largely independent of coral diversity, or sea-level history, and that other factors may have played a major role in constraining shallow reef widths. These factors may include geomorphology (e.g. antecedent topography and historical accommodation space) and, once at sea level, self-limiting local hydrodynamics

Functional muscle hypertrophy by increased insulin-like growth factor 1 does not require dysferlin.

IntroductionDysferlin loss-of-function mutations cause muscular dystrophy, accompanied by impaired membrane repair and muscle weakness. Growth promoting strategies including insulin-like growth factor 1 (IGF-1) could provide benefit but may cause strength loss or be ineffective. The objective of this study was to determine whether locally increased IGF-1 promotes functional muscle hypertrophy in dysferlin-null (Dysf-/- ) mice.MethodsMuscle-specific transgenic expression and postnatal viral delivery of Igf1 were used in Dysf-/- and control mice. Increased IGF-1 levels were confirmed by enzyme-linked immunosorbent assay. Testing for skeletal muscle mass and function was performed in male and female mice.ResultsMuscle hypertrophy occurred in response to increased IGF-1 in mice with and without dysferlin. Male mice showed a more robust response compared with females. Increased IGF-1 did not cause loss of force per cross-sectional area in Dysf-/- muscles.DiscussionWe conclude that increased local IGF-1 promotes functional hypertrophy when dysferlin is absent and reestablishes IGF-1 as a potential therapeutic for dysferlinopathies