Early adoption of the human papillomavirus vaccine among hispanic adolescent males in the united states

BACKGROUND: Human papillomavirus (HPV) infection is common among Hispanic males, but to the authors' knowledge little is known regarding HPV vaccination in this population. The authors examined the early adoption of the HPV vaccine among a national sample of Hispanic adolescent males.METHODS: The authors analyzed provider-verified HPV vaccination data from the 2010 through 2012 National Immunization Survey-Teen (NIS-Teen) for Hispanic males aged 13 years to 17 years (n=4238).Weighted logistic regression identified correlates of HPV vaccine initiation (receipt of ≥1 doses).RESULTS: HPV vaccine initiation was 17.1% overall, increasing from 2.8% in 2010 to 31.7% in 2012 (P<.0001). Initiation was higher among sons whose parents had received a provider recommendation to vaccinate compared with those whose parents had not (53.3% vs 9.0%; odds ratio, 8.77 [95% confidence interval, 6.05-12.70]). Initiation was also higher among sons who had visited a health care provider within the previous year (odds ratio, 2.42; 95% confidence interval, 1.39-4.23). Among parents with unvaccinated sons, Spanish-speaking parents reported much higher intent to vaccinate compared with English-speaking parents (means: 3.52 vs 2.54; P<.0001). Spanish-speaking parents were more likely to indicate lack of knowledge (32.9% vs 19.9%) and not having received a provider recommendation (32.2% vs 17.7%) as the main reasons for not intending to vaccinate (both P<.05).CONCLUSIONS: HPV vaccination among Hispanic adolescent males has increased substantially in recent years. Ensuring health care visits and provider recommendation will be key for continuing this trend. Preferred language may also be important for increasing HPV vaccination and addressing potential barriers to vaccination

Random Sierpinski network with scale-free small-world and modular structure

In this paper, we define a stochastic Sierpinski gasket, on the basis of which we construct a network called random Sierpinski network (RSN). We investigate analytically or numerically the statistical characteristics of RSN. The obtained results reveal that the properties of RSN is particularly rich, it is simultaneously scale-free, small-world, uncorrelated, modular, and maximal planar. All obtained analytical predictions are successfully contrasted with extensive numerical simulations. Our network representation method could be applied to study the complexity of some real systems in biological and information fields.Comment: 7 pages, 9 figures; final version accepted for publication in EPJ

Proposed diagnostic criteria for classical CMML, CMML variants and pre-CMML conditions

Chronic myelomonocytic leukemia (CMML) is a myeloid neoplasm characterized by dysplasia, abnormal production and accumulation of monocytic cells and an elevated risk to transform into acute leukemia. Over the past two decades, our knowledge about the pathogenesis and molecular mechanisms in CMML has increased substantially. In parallel, better diagnostic criteria and therapeutic strategies have been developed. However, many questions remain regarding prognostication and optimal therapy. In addition, there is a need to define potential pre-phases of CMML and special CMML variants, and to separate these entities from each other and from conditions mimicking CMML. To address these unmet needs, an international consensus group met in a Working Conference in August 2018 and discussed open questions and issues around CMML, its variants, and pre-CMML conditions. The outcomes of this meeting are summarized herein and include diagnostic criteria and a proposed classification of pre-CMML conditions as well as refined minimal diagnostic criteria for classical CMML and special CMML variants, including oligomonocytic CMML and CMML associated with systemic mastocytosis. Moreover, we propose diagnostic standards and tools to delineate between normal, pre-CMML and CMML entities. These criteria and standards should facilitate diagnostic and prognostic evaluations in daily practice and clinical studies in applied hematology

Plasma lipid profiles discriminate bacterial from viral infection in febrile children

Fever is the most common reason that children present to Emergency Departments. Clinical signs and symptoms suggestive of bacterial infection ar

Suitability of peanut residue as a nitrogen source for a rye cover crop Resíduos da cultura de amendoim como fonte de nitrogênio para uma cultura de cobertura de centeio

Leguminous winter cover crops have been utilized in conservation systems to partially meet nitrogen (N) requirements of succeeding summer cash crops, but the potential of summer legumes to reduce N requirements of a winter annual grass, used as a cover crop, has not been extensively examined. This study assessed the N contribution of peanut (Arachis hypogaea L.) residues to a subsequent rye (Secale cereale L.) cover crop grown in a conservation system on a Dothan sandy loam (fine-loamy, kaolinitic, thermic Plinthic Kandiudults) at Headland, AL USA during the 2003-2005 growing seasons. Treatments were arranged in a split plot design, with main plots of peanut residue retained or removed from the soil surface, and subplots as N application rates (0, 34, 67 and 101 kg ha-1) applied in the fall. Peanut residue had minimal to no effect on rye biomass yields, N content, carbon (C) /N ratio, or N, P, K, Ca and Zn uptake. Additional N increased rye biomass yield, and N, P, K, Ca, and Zn uptakes. Peanut residue does not contribute significant amounts of N to a rye cover crop grown as part of a conservation system, but retaining peanut residue on the soil surface could protect the soil from erosion early in the fall and winter before a rye cover crop grows sufficiently to protect the typically degraded southeastern USA soils.<br>Culturas leguminosas de inverno tem sido utilizadas em sistemas conservacionistas para suprimento parcial das necessidades de nitrogênio (N) de culturas subseqüentes de verão, mas o potencial destas culturas leguminosas de verão no sentido de reduzir as necessidades de N de gramíneas anuais de inverno, utilizadas como culturas de cobertura, ainda não foi extensivamente estudado. Este trabalho avaliou a contribuição dos resíduos de uma cultura de amendoim (Arachis hypogaea L.) sobre as necessidades de N de uma cultura subsequente de centeio (Secale cereale L.) como cobertura desenvolvida dentro de um sistema conservacionista, em um solo limo-arenoso Dotham (limoso fino, caulinítico, Plinthic Kandiudults térmico) de Headland, AL EEUU, durante 2003-2005. Os tratamentos foram arranjados de acordo com um esquema split-plot, com parcelas principais de resíduos de amendoim retido ou retirado da superfície do solo e, parcelas secundárias de taxas de aplicação de N (0, 34, 67 e 101 kg ha-1) aplicadas no outono. O resíduo de amendoim teve efeito mínimo ou nenhum sobre a produtividade de matéria seca do resíduo, conteúdo de N, relação carbono (C)/N, ou absorção de N, P, K, Ca e Zn. O N adicional aumentou a produção de biomassa do centeio e as absorções de N, P, K, Ca e Zn. Os resíduos de amendoim não contribuem com quantidades significativas de N para a cultura de cobertura de centeio desenvolvida como parte do sistema conservacionista, mas a retenção dos resíduos na superfície podem proteger o solo da erosão no início do outono e inverno, antes que a cultura de cobertura de centeio pudesse proteger os solos tipicamente degradados do sudoeste dos EEUU