Message in a bottle: open source technology to track the movement of plastic pollution

This is the final version. Available on open access from Public Library of Science via the DOI in this recordData Availability: Data used in this study are available in the Movebank open data repository at https://www.movebank.org/cms/webapp?gwt_fragment=page=studies,path=study1271155477 (Movebank ID No. 1271155477).Rivers worldwide are now acting as major transport pathways for plastic pollution and discharge large quantities of waste into the ocean. Previous oceanographic modelling and current drifter data have been used to predict the movement and accumulation of plastic pollution in the marine environment, but our understanding of the transport and fate through riparian systems is still largely unknown. Here we undertook a proof of concept study by applying open source tracking technology (both GPS (Global Positing System) cellular networks and satellite technology), which have been successfully used in many animal movement studies, to track the movements of individual plastic litter items (500 ml PET (polyethylene terephthalate) drinks bottles) through the Ganges River system (known as the Ganga in India and the Padma and Meghna in Bangladesh, hereafter known as the Ganges) and the Bay of Bengal. Deployed tags were successfully tracked through the Ganges river system and into the Bay of Bengal marine system. The “bottle tags” were designed and built (e.g. shape, size, buoyancy) to replicate true movement patterns of a plastic bottle. The maximum distance tracked to date is 2845 km over a period of 94 days. We discuss lessons learnt from the development of these plastic litter tags, and outline how the potential widespread use of this open source technology has the ability to significantly increase understanding of the location of accumulation areas and the timing of large inputs of plastic pollution into the aquatic system. Furthermore, “bottle tags” may act as a powerful tool for stimulating social behaviour change, informing science-based policy, and as valuable educational outreach tools for public awareness.National Geographic Societ

Immediate vs. deferred switching from a boosted protease inhibitor (PI/r) based regimen to a Dolutegravir (DTG) based regimen in virologically suppressed patients with high cardiovascular risk or Age ≥50 years: final 96 weeks results of NEAT 022 study

Background Both immediate and deferred switching from a ritonavir-boosted protease inhibitor (PI/r)–based regimen to a dolutegravir (DTG)–based regimen may improve lipid profile. Methods European Network for AIDS Treatment 022 Study (NEAT022) is a European, open-label, randomized trial. Human immunodeficiency virus (HIV)–infected adults aged ≥50 years or with a Framingham score ≥10% were eligible if HIV RNA was <50 copies/mL. Patients were randomized to switch from PI/r to DTG immediately (DTG-I) or to deferred switch at week 48 (DTG-D). Week 96 endpoints were proportion of patients with HIV RNA <50 copies/mL, percentage change of lipid fractions, and adverse events (AEs). Results Four hundred fifteen patients were randomized: 205 to DTG-I and 210 DTG-D. The primary objective of noninferiority at week 48 was met. At week 96, treatment success rate was 92.2% in the DTG-I arm and 87% in the DTG-D arm (difference, 5.2% [95% confidence interval, –.6% to 11%]). There were 5 virological failures in the DTG-I arm and 5 (1 while on PI/r and 4 after switching to DTG) in the DTG-D arm without selection of resistance mutations. There was no significant difference in terms of grade 3 or 4 AEs or treatment-modifying AEs. Total cholesterol and other lipid fractions (except high-density lipoprotein) significantly (P < .001) improved both after immediate and deferred switching to DTG overall and regardless of baseline PI/r strata. Conclusions Both immediate and deferred switching from a PI/r to a DTG regimen in virologically suppressed HIV-infected patients ≥50 years old or with a Framingham score ≥10% was highly efficacious and well tolerated, and improved the lipid profile

Neurocognition and quality of life after reinitiating antiretroviral therapy in children randomized to planned treatment interruption

Objective: Understanding the effects of antiretroviral treatment (ART) interruption on neurocognition and quality of life (QoL) are important for managing unplanned interruptions and planned interruptions in HIV cure research. Design: Children previously randomized to continuous (continuous ART, n=41) vs. planned treatment interruption (PTI, n=47) in the Pediatric European Network for Treatment of AIDS (PENTA) 11 study were enrolled. At study end, PTI children resumed ART. At 1 and 2 years following study end, children were assessed by the coding, symbol search and digit span subtests of Wechsler Intelligence Scale for Children (6-16 years old) or Wechsler Adult Intelligence Scale ( 6517 years old) and by Pediatrics QoL questionnaires for physical and psychological QoL. Transformed scaled scores for neurocognition and mean standardized scores for QoL were compared between arms by t-test and Mann-Whitney U test, respectively. Scores indicating clinical concern were compared (&lt;7 for neurocognition and &lt;70 for QoL tests). Results: Characteristics were similar between arms with a median age of 12.6 years, CD4 + of 830 cells/\u3bcl and HIV RNA of 1.7 log 10 copies/ml. The median cumulative ART exposure was 9.6 in continuous ART vs. 7.7 years in PTI (P=0.02). PTI children had a median of 12 months off ART and had resumed ART for 25.2 months at time of first assessment. Neurocognitive scores were similar between arms for all tests. Physical and psychological QoL scores were no different. About 40% had low neurocognitive and QoL scores indicating clinical concern. Conclusion: No differences in information processing speed, sustained attention, short-term memory and QoL functioning were observed between children previously randomized to continuous ART vs. PTI in the PENTA 11 trial

Detailed model for hot-dense aluminum plasmas generated by an X-ray free electron laser

The possibility of creating hot-dense plasma samples by isochoric heating of solid targets with high-intensity femtosecond X-ray lasers has opened up new opportunities in the experimental study of such systems. A study of the X-ray spectra emitted from solid density plasmas has provided significant insight into the X-ray absorption mechanisms, subsequent target heating, and the conditions of temperature, electron density, and ionization stages produced (Vinko et al., Nature 482, 59–62 (2012)). Furthermore, detailed analysis of the spectra has provided new information on the degree of ionization potential depression in these strongly coupled plasmas (Ciricosta et al., Phys. Rev. Lett. 109, 065002 (2012)). Excellent agreement between experimental and simulated spectra has been obtained, but a full outline of the procedure by which this has been achieved has yet to be documented. We present here the details and approximations concerning the modelling of the experiment described in the above referenced work. We show that it is crucial to take into account the spatial and temporal gradients in simulating the overall emission spectra, and discuss how aspects of the model used affect the interpretation of the data in terms of charge-resolved measurements of the ionization potential depression