Mental health and substance use screening in HIV primary care before and during the early COVID-19 pandemic

Background: Mental health and substance use disorders disproportionately affect people with HIV (PWH), and may have been exacerbated during COVID-19. The Promoting Access to Care Engagement (PACE) trial was designed to assess the effectiveness of electronic screening for mental health and substance use in HIV primary care and enrolled PWH from October 2018 to July 2020. Our objective here was to compare screening rates and results for PWH before (October 2018 – February 2020) and early in the COVID-19 pandemic (March-July 2020). Methods: Adult (≥ 18 years) PWH from 3 large HIV primary care clinics in a US-based integrated healthcare system were offered electronic screening online or via in-clinic tablet computer every 6 months. Screening completion and results (for depression, suicidal ideation, anxiety, and substance use) were analyzed using logistic regression with generalized estimating equations to estimate prevalence ratios (PR) before and after the start of the regional COVID-19 shelter-in-place orders on March 17, 2020. Models adjusted for demographics (age, sex, race/ethnicity), HIV risk factors (men who have sex with men, injection drug use, heterosexual, other), medical center, and modality of screening completion (online or tablet). We conducted qualitative interviews with providers participating in the intervention to evaluate how the pandemic impacted patient care. Results: Of 8,954 eligible visits, 3,904 completed screenings (420 during COVID, 3,484 pre-COVID), with lower overall completion rates during COVID (38% vs. 44%). Patients completing screening during COVID were more likely to be White (63% vs. 55%), male (94% vs. 90%), and MSM (80% vs., 75%). Adjusted PRs comparing COVID and pre-COVID (reference) were 0.70 (95% CI), 0.92 (95% CI), and 0.54 (95% CI) for tobacco use, any substance use, and suicidal ideation, respectively. No significant differences were found by era for depression, anxiety, alcohol, or cannabis use. These results were in contrast to provider-reported impressions of increases in substance use and mental health symptoms. Conclusion: Findings suggest PWH had modest declines in screening rates early in the COVID-19 pandemic which may have been affected by the shift to telemedicine. There was no evidence that mental health problems and substance use increased for PWH in primary care. Trial registration: NCT03217058 (First registration date: 7/13/2017); https://clinicaltrials.gov/ct2/show/NCT03217058

Robust diffraction-limited near-infrared-to-near-ultraviolet wide-field imaging from stratospheric balloon-borne platforms — super-pressure balloon-borne imaging telescope performance

At a fraction of the total cost of an equivalent orbital mission, scientific balloon-borne platforms, operating above 99.7% of the Earth’s atmosphere, offer attractive, competitive, and effective observational capabilities—namely, space-like seeing, transmission, and backgrounds—which are well suited for modern astronomy and cosmology. The Super-pressure Balloon-borne Imaging Telescope (SUPERBIT) is a diffraction-limited, wide-field, 0.5 m telescope capable of exploiting these observing conditions in order to provide exquisite imaging throughout the near-infrared to near-ultraviolet. It utilizes a robust active stabilization system that has consistently demonstrated a 48 mas 1σ sky-fixed pointing stability over multiple 1 h observations at float. This is achieved by actively tracking compound pendulations via a three-axis gimballed platform, which provides sky-fixed telescope stability at < 500 mas and corrects for field rotation, while employing high-bandwidth tip/tilt optics to remove residual disturbances across the science imaging focal plane. SUPERBIT’s performance during the 2019 commissioning flight benefited from a customized high-fidelity science-capable telescope designed with an exceptional thermo- and opto-mechanical stability as well as a tightly constrained static and dynamic coupling between high-rate sensors and telescope optics. At the currently demonstrated level of flight performance, SUPERBIT capabilities now surpass the science requirements for a wide variety of experiments in cosmology, astrophysics, and stellar dynamics

Effects of Exogenous Neuroglobin (Ngb) on retinal inflammatory chemokines and microglia in a rat model of transient hypoxia

10.1038/s41598-019-55315-3Scientific Reports911879

Prevalence and characteristics of gastroesophageal reflux disease in pregnant women

Introduction and aims: The prevalence of gastroesophageal reflux disease (GERD) has been reported to be increasing in recent years. However, there have been few reports on the prevalence of GERD during pregnancy in the Asian population. The aim of our study was to evaluate the prevalence and characteristics of GERD in Vietnamese pregnant women. Materials and methods: This cross-sectional study was conducted at the antenatal clinic of the Nhan Dan Gia Dinh Hospital, Ho Chi Minh, Vietnam. Four hundred females, at various stages of pregnancy, were enrolled. GERD was diagnosed if there was troublesome heartburn and/or acid regurgitation, at least once a week, during the current pregnancy. Results: The overall prevalence of GERD in pregnancy was 38.5% (154/400). The prevalence of GERD in the third trimester was significantly higher than that in the second trimester (46.8% vs. 30.7%, P = 0.008) and tended to be higher than its prevalence in the first trimester (46.8% vs. 35.4%, P = 0.051). In the pregnant women with GERD, the frequency of regurgitation was significantly higher than that of heartburn (92.9% vs. 30.5%, P < 0.001). Those typical symptoms were more prevalent in the daytime, compared with nighttime. Conclusion: Our study showed that GERD was prevalent during pregnancy in Vietnam. In the pregnant women with GERD, regurgitation was much more common than heartburn, and those typical reflux symptoms occurred more frequently in the daytime, compared with nighttime. Resumen: Introducción y objetivos: La prevalencia de la enfermedad por reflujo gastroesofágico (ERGE) ha aumentado en los últimos años. Sin embargo, hay pocos informes sobre el predominio de esta afección durante el embarazo en la población asiática. Nuestro objetivo fue evaluar la prevalencia y las características de la ERGE entre las mujeres embarazadas vietnamitas. Material y métodos: Este estudio transversal se llevó a cabo en el Hospital Nhan Dan Gia Din, en Vietnam. Se incluyó a 400 mujeres embarazadas en distintas fases del embarazo. La manera de diagnosticar la ERGE fue la observación de presencia de pirosis molesta o regurgitación ácida al menos una vez a la semana durante el embarazo. Resultados: La prevalencia de ERGE en el embarazo fue del 38,5% (154/400). Esa prevalencia en el tercer trimestre fue mayor que en el segundo trimestre (46,8 frente a 30,7%; p = 0,008) y tendió a ser mayor que en el primer trimestre (46,8 frente a 35,4%; p = 0,051). La frecuencia de regurgitación fue mayor que la de pirosis (92,9 vs. 30,5%; p < 0,001). Estos síntomas típicos se manifestaron con mayor frecuencia durante el día que durante la noche. Conclusiones: Nuestro estudio demostró que la ERGE era prevalente en el embarazo en Vietnam. Entre las mujeres embarazadas con ERGE, la regurgitación era mucho más común que la pirosis y estos síntomas típicos de reflujo ocurrían con más frecuencia durante el día que durante la noche

Estimating Phosphene Locations Using Eye Movements of Suprachoroidal Retinal Prosthesis Users.

PURPOSE: Accurate mapping of phosphene locations from visual prostheses is vital to encode spatial information. This process may involve the subject pointing to evoked phosphene locations with their finger. Here, we demonstrate phosphene mapping for a retinal implant using eye movements and compare it with retinotopic electrode positions and previous results using conventional finger-based mapping. METHODS: Three suprachoroidal retinal implant recipients (NCT03406416) indicated the spatial position of phosphenes. Electrodes were stimulated individually, and the subjects moved their finger (finger based) or their eyes (gaze based) to the perceived phosphene location. The distortion of the measured phosphene locations from the expected locations (retinotopic electrode locations) was characterized with Procrustes analysis. RESULTS: The finger-based phosphene locations were compressed spatially relative to the expected locations all three subjects, but preserved the general retinotopic arrangement (scale factors ranged from 0.37 to 0.83). In two subjects, the gaze-based phosphene locations were similar to the expected locations (scale factors of 0.72 and 0.99). For the third subject, there was no apparent relationship between gaze-based phosphene locations and electrode locations (scale factor of 0.07). CONCLUSIONS: Gaze-based phosphene mapping was achievable in two of three tested retinal prosthesis subjects and their derived phosphene maps correlated well with the retinotopic electrode layout. A third subject could not produce a coherent gaze-based phosphene map, but this may have revealed that their phosphenes were indistinct spatially. TRANSLATIONAL RELEVANCE: Gaze-based phosphene mapping is a viable alternative to conventional finger-based mapping, but may not be suitable for all subjects

Auto-tuned thermal control on stratospheric balloon experiments

Balloon-borne experiments present unique thermal design challenges, which are a combination of those present for both space and ground experiments. Radiation and conduction are the predominant heat transfer mechanisms with convection effects being minimal and difficult to characterize at 35-40 km. This greatly constrains the thermal design options and makes predicting flight thermal behaviour very difficult. Due to the limited power available on long duration balloon flights, efficient heater control is an important factor in minimizing power consumption. SuperBIT, or the Super-Pressure Balloon-borne Imaging Telescope, aims to study weak gravitational lensing using a 0.5m modified Dall-Kirkham telescope capable of achieving 0.02" stability1 and capturing deep exposures from visible to near UV wavelengths. To achieve the theoretical stratospheric diffraction-limited resolution of 0.25",2 mirror deformation gradients must be kept to within 20 nm. The thermal environment must be stable on time scales of an hour and the thermal gradients on the telescope must be minimized. During its 2018 test-flight, SuperBIT will implement two types of thermal parameter solvers: one for post-flight characterization and one for in-flight control. The payload has 85 thermistors as well as pyranometers and far-infrared sensors which will be used post-flight to further understand heat transfer in the stratosphere. This document describes the in-flight thermal control method, which predicts the thermal circuit of components and then auto-tunes the heater PID gains. Preliminary ground testing shows the ability to control the components to within 0.01 K

Weak Lensing in the Blue: A Counter-intuitive Strategy for Stratospheric Observations

The statistical power of weak lensing measurements is principally driven by the number of high-redshift galaxies whose shapes are resolved. Conventional wisdom and physical intuition suggest this is optimized by deep imaging at long (red or near-IR) wavelengths, to avoid losing redshifted Balmer-break and Lyman-break galaxies. We use the synthetic Emission Line (“EL”)-COSMOS catalog to simulate lensing observations using different filters, from various altitudes. Here were predict the number of exposures to achieve a target z ≳ 0.3 source density, using off-the-shelf and custom filters. Ground-based observations are easily better at red wavelengths, as (more narrowly) are space-based observations. However, we find that SuperBIT, a diffraction-limited observatory operating in the stratosphere, should instead perform its lensing-quality observations at blue wavelengths. © 2022. The Author(s). Published by the American Astronomical Society.Open access journalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

Download by parachute: retrieval of assets from high altitude balloons

We present a publicly-available toolkit of flight-proven hardware and software to retrieve 5 TB of data or small physical samples from a stratospheric balloon platform. Before launch, a capsule is attached to the balloon, and rises with it. Upon remote command, the capsule is released and descends via parachute, continuously transmitting its location. Software to predict the trajectory can be used to select a safe but accessible landing site. We dropped two such capsules from the SUPERBIT telescope, in September 2019. The capsules took ~37 minutes to descend from ~30 km altitude. They drifted 32 km and 19 km horizontally, but landed within 300 m and 600 m of their predicted landing sites. We found them easily, and successfully recovered the data. We welcome interest from other balloon teams for whom the technology would be useful

Hydrogen permeation in nanostructured bainitic steel

Hydrogen permeation of nanostructured bainitic steel, produced at two different transformation temperatures, i.e., 473.15 K (200 A degrees C) BS-200 and 623.15 K (350 A degrees C) BS-350, was determined using Devanathan-Stachurski hydrogen permeation cell and compared with that of mild steel. Nanostructured bainitic steel showed lower effective diffusivity of hydrogen as compared to the mild steel. The BS-200 steel, which exhibited higher volume fraction of bainitic ferrite phase, showed lower effective diffusivity than BS-350 steel. The finer microstructural constituents (bainitic ferrite laths and retained austenite films) and higher dislocation density in the bainitic ferrite phase of BS-200 steel can be attributed to its lower effective diffusivity as compared to BS-350 steel and mild steel