373 research outputs found
The Impact of the Human Papillomavirus Vaccine on High-Grade Cervical Lesions in Urban and Rural Areas: An AgeâPeriodâCohort Analysis
Disparities in human papillomavirus (HPV) vaccination exist between urban (metropolitan statistical areas (MSAs)) and rural (non-MSAs) regions. To address whether the HPV vaccineâs impact differs by urbanicity, we examined trends in cervical intraepithelial neoplasia grades 2 or 3 and adenocarcinoma in situ (collectively, CIN2+) incidence in MSAs and non-MSAs among Tennessee Medicaid (TennCare)-enrolled women aged 18â39 years and among the subset screened for cervical cancer in Tennessee, United States. Using TennCare claims data, we identified annual age-group-specific (18â20, 21â24, 25â29, 30â34, and 35â39 years) CIN2+ incidence (2008â2018). Joinpoint regression was used to identify trends over time. Ageâperiodâcohort Poisson regression models were used to evaluate age, period, and cohort effects. All analyses were stratified by urbanicity (MSA versus non-MSA). From 2008â2018, 11,243 incident CIN2+ events (7956 in MSAs; 3287 in non-MSAs) were identified among TennCare-enrolled women aged 18â39 years. CIN2+ incident trends (2008â2018) were similar between women in MSAs and non-MSAs, with largest declines among ages 18â20 (MSA average annual percent change (AAPC): â30.4, 95% confidence interval (95%CI): â35.4, â25.0; non-MSA AAPC: â30.9, 95%CI: â36.8, â24.5) and 21â24 years (MSA AAPC: â14.8, 95%CI: â18.1, â11.3; non-MSA AAPC: â15.1, 95%CI: â17.9, â12.2). Significant declines for ages 18â20 years began in 2008 in MSAs compared to 2010 in non-MSAs. Trends were largely driven by age and cohort effects. These patterns were consistent among screened women. Despite evidence of HPV vaccine impact on reducing CIN2+ incidence regardless of urbanicity, significant declines in CIN2+ incidence were delayed in non-MSAs versus MSAs
A Bright Submillimeter Source in the Bullet Cluster (1E0657--56) Field Detected with BLAST
We present the 250, 350, and 500 micron detection of bright submillimeter
emission in the direction of the Bullet Cluster measured by the Balloon-borne
Large Aperture Submillimeter Telescope (BLAST). The 500 micron centroid is
coincident with an AzTEC 1.1 mm point-source detection at a position close to
the peak lensing magnification produced by the cluster. However, the 250 micron
and 350 micron centroids are elongated and shifted toward the south with a
differential shift between bands that cannot be explained by pointing
uncertainties. We therefore conclude that the BLAST detection is likely
contaminated by emission from foreground galaxies associated with the Bullet
Cluster. The submillimeter redshift estimate based on 250-1100 micron
photometry at the position of the AzTEC source is z_phot = 2.9 (+0.6 -0.3),
consistent with the infrared color redshift estimation of the most likely IRAC
counterpart. These flux densities indicate an apparent far-infrared luminosity
of L_FIR = 2E13 Lsun. When the amplification due to the gravitational lensing
of the cluster is removed, the intrinsic far-infrared luminosity of the source
is found to be L_FIR <= 10^12 Lsun, consistent with typical luminous infrared
galaxies.Comment: Accepted for publication in the Astrophysical Journal. Maps are
available at http://blastexperiment.info
Real-world comparison of two molecular methods for detection of respiratory viruses
Background: Molecular polymerase chain reaction (PCR) based assays are increasingly used to diagnose viral respiratory infections and conduct epidemiology studies. Molecular assays have generally been evaluated by comparing them to conventional direct fluorescent antibody (DFA) or viral culture techniques, with few published direct comparisons between molecular methods or between institutions. We sought to perform a real-world comparison of two molecular respiratory viral diagnostic methods between two experienced respiratory virus research laboratories.Methods: We tested nasal and throat swab specimens obtained from 225 infants with respiratory illness for 11 common respiratory viruses using both a multiplex assay (Respiratory MultiCode-PLx Assay [RMA]) and individual real-time RT-PCR (RT-rtPCR).Results: Both assays detected viruses in more than 70% of specimens, but there was discordance. The RMA assay detected significantly more human metapneumovirus (HMPV) and respiratory syncytial virus (RSV), while RT-rtPCR detected significantly more influenza A. We speculated that primer differences accounted for these discrepancies and redesigned the primers and probes for influenza A in the RMA assay, and for HMPV and RSV in the RT-rtPCR assay. The tests were then repeated and again compared. The new primers led to improved detection of HMPV and RSV by RT-rtPCR assay, but the RMA assay remained similar in terms of influenza detection.Conclusions: Given the absence of a gold standard, clinical and research laboratories should regularly correlate the results of molecular assays with other PCR based assays, other laboratories, and with standard virologic methods to ensure consistency and accuracy
Cohort Profile: The Study of Respiratory Pathogens in Andean Children
We investigated respiratory pathogens in a prospective cohort study of young children living in the Peruvian Andes. In the study we assessed viral respiratory infections among young children, and explored interactions of viruses with common respiratory bacteria, especially Streptococcus pneumoniae. Through weekly household visits, data were collected on the signs and symptoms of acute respiratory illness (ARI), nasal samples were collected to test for viruses during episodes of ARI, and nasopharyngeal samples were collected on a monthly basis to monitor bacterial colonisation. We also collected data on vaccination coverage, patterns of social mixing, geographic information, and environmental and socio-demographic variables. Understanding the interaction of respiratory viruses with bacteria and its impact on the burden and severity of ARIs in rural areas of developing countries is critical to designing strategies for preventing such infections. Investigators interested in more details about this study or in accessing these resources should contact Dr. Carlos G. Grijalva at Vanderbilt University ([email protected]
Neurodiversity, Networks, and Narratives: Exploring Intimacy and Expressive Freedom in the Time of Covidâ19
The Narratives of Neurodiversity Network (NNN) is a neurodivergent academic, creative, and educator collective that came together with allies during the Covidâ19 pandemic to create a network centred around emerging narratives about neurodiversity and exploring new ways of learning and socialising. The network focuses on exploring the roles of written, spoken, and visual narratives across cultural locations about neuroâatypical experiences in generating improved agency and selfâadvocacy for those who have been subject to pathologization through neuroânormativity and intersecting oppression. During the last year, widening access to digital platforms has provided a space to explore these issues outside of traditional academic spaces. We run a monthly âSalon,â our mixedâmedia âreading, listening, and watchingâ group, in an effort to find positive representation within contemporary culture. Discussions have moved beyond mimesis and into a consideration of how narrative and storyworlds can question the supposed naturalness of certain ways of being in and perceiving the world. This article interrogates the networkâs core principles of nonhierarchical coâproduction, including the roles of creativity, community, identity, and emancipatory research which were animated by the new technoâsocial context. We consider the cultural lives of neurodiversity in the West and beyond, including ethical and aesthetic dimensions. We share a faith in the power of storytelling to inform new social identities for neurodivergent people and to inform scientific understandings of atypical cognition. In exploring this, we speak through a porous firstâperson plural narrator, to unsettle the idea that there is a hegemonic âweâ speaking on behalf of all neurodivergent people
Over half of the far-infrared background light comes from galaxies at z >= 1.2
Submillimetre surveys during the past decade have discovered a population of
luminous, high-redshift, dusty starburst galaxies. In the redshift range 1 <= z
<= 4, these massive submillimetre galaxies go through a phase characterized by
optically obscured star formation at rates several hundred times that in the
local Universe. Half of the starlight from this highly energetic process is
absorbed and thermally re-radiated by clouds of dust at temperatures near 30 K
with spectral energy distributions peaking at 100 microns in the rest frame. At
1 <= z <= 4, the peak is redshifted to wavelengths between 200 and 500 microns.
The cumulative effect of these galaxies is to yield extragalactic optical and
far-infrared backgrounds with approximately equal energy densities. Since the
initial detection of the far-infrared background (FIRB), higher-resolution
experiments have sought to decompose this integrated radiation into the
contributions from individual galaxies. Here we report the results of an
extragalactic survey at 250, 350 and 500 microns. Combining our results at 500
microns with those at 24 microns, we determine that all of the FIRB comes from
individual galaxies, with galaxies at z >= 1.2 accounting for 70 per cent of
it. As expected, at the longest wavelengths the signal is dominated by
ultraluminous galaxies at z > 1.Comment: Accepted to Nature. Maps available at http://blastexperiment.info
Nasopharyngeal pneumococcal density is associated with viral activity but not with use of improved stoves among young Andean children
Indoor smoke exposure is common in developing countries and may influence nasopharyngeal (NP) pneumococcal colonization density and risk of acute respiratory illness. We compared colonization density among Andean children living in households previously enrolled in a randomized controlled trial of a home intervention package including improved stoves to reduce smoke, kitchen sinks, and water disinfection.; We enrolled 260 children aged <3 years and made weekly household visits to assess for acute respiratory illness (ARI) and collect nasal swabs for respiratory virus polymerase chain reaction (PCR) testing during ARI. At monthly intervals, NP swabs were collected to determine pneumococcal colonization density through quantitative lytA PCR. We used linear quantile mixed-effects models to compare median log-transformed colonization densities among children in households randomized to the control (n = 129) versus intervention (n = 131) in sequential time points, accounting for random effects of multiple="multiple" samples from individual children. Other covariates included age, sex, month, antibiotic exposure, and timing of sample collection relative to ARI with and without viral detection.; Age and sociodemographic characteristics were similar between groups. Although no differences were observed in densities between groups, colonization density varied significantly over time in both groups, with highest densities coinciding with spring months. Time during and after virus-associated ARI was also associated with higher pneumococcal colonization density than time remote from ARIs.; A home intervention package, including improved stoves, was not associated with changes in pneumococcal densities in young Andean children. However, increasing pneumococcal density was observed with spring season and viral-associated ARIs
BLAST Observations of the South Ecliptic Pole field: Number Counts and Source Catalogs
We present results from a survey carried out by the Balloon-borne Large
Aperture Submillimeter Telescope (BLAST) on a 9 deg^2 field near the South
Ecliptic Pole at 250, 350 and 500 {\mu}m. The median 1{\sigma} depths of the
maps are 36.0, 26.4 and 18.4 mJy, respectively. We apply a statistical method
to estimate submillimeter galaxy number counts and find that they are in
agreement with other measurements made with the same instrument and with the
more recent results from Herschel/SPIRE. Thanks to the large field observed,
the new measurements give additional constraints on the bright end of the
counts. We identify 132, 89 and 61 sources with S/N>4 at 250, 350, 500 {\mu}m,
respectively and provide a multi-wavelength combined catalog of 232 sources
with a significance >4{\sigma} in at least one BLAST band. The new BLAST maps
and catalogs are available publicly at http://blastexperiment.info.Comment: 25 pages, 6 figures, 4 tables, Accepted by ApJS. Maps and catalogs
available at http://blastexperiment.info
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