3,492 research outputs found

    An Assessment of the Housing Needs of Persons with HIV/AIDS: New York City Eligible Metropolitan Statistica Area, Final Report

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    This report is the final deliverable of a study of the housing needs of persons with HIV/AIDS in the New York City Eligible Metropolitan Statistical Area that was commissioned in 2001 by the New York City Mayor’s Office of AIDS Policy Coordination under the U.S. Department of Housing and Urban Development’s Housing Opportunities for Persons with AIDS (HOPWA) program. The Hudson Planning Group (HPG) and a team of professionals including the University of Pennsylvania Center for Mental Health Policy and Services Research, the Center for Urban Community Services, and Public Sector Research was selected to perform the assessment under the direction of the Postgraduate Center for Mental Health (PCMH), as the City’s Master Contractor, and with the help of an Advisory Group composed of consumers, service providers, government representatives and experts in health and housing policy. The release of the report has been delayed close to a year beyond its due date. The assessment was scheduled to take two years and to be completed in the fall of 2003, in accordance with the terms of an agreement between HPG and the PCMH. HPG submitted a complete draft of the report to the York City Department of Health and Mental Hygiene’s Bureau of HIV/AIDS in February 2004. Review and comment by City agencies and HPG’s revisions to the draft took an extended time and the final report is being released in November 2004. Accordingly, data in the report are current as of December 2003, with the exception of a few cases where it is noted that more recent data were provided at the request of a City agency reviewing the report

    Fv antibodies to aflatoxin B1 derived from a pre-immunized antibody phage display library system

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    The production and characterization of recombinant antibodies to aflatoxin B[SUB1] (AFB[SUB1]), a potent mycotoxin and carcinogen is described. The antibody fragments produced were then applied for use in a surface plasmon resonance-based biosensor (BIAcore), which measures biomolecular interactions in 'real-time'. Single chain Fv (scFv) antibodies were generated to aflatoxin B1 from an established phage display system, which incorporated a range of different plasmids for efficient scFv expression. The scFv's were used in the development of a competitive ELISA, and also for the development of surface plasmon resonance (SPR)-based inhibition immunoassays. They were found to be suitable for the detection of AFB[SUB1], in this format, with the assays being sensitive and reproducible

    Health care payments in the asia pacific: validation of five survey measures of economic burden

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    Introduction: Many low and middle-income countries rely on out-of-pocket payments to help finance health care. These payments can pose financial hardships for households; valid measurement of this type of economic burden is therefore critical. This study examines the validity of five survey measures of economic burden caused by health care payments. Methods: We analyzed 2002/03 World Health Survey household-level data from four Asia Pacific countries to assess the construct validity of five measures of economic burden due to health care payments: any health expenditure, health expenditure amount, catastrophic health expenditure, indebtedness, and impoverishment. We used generalized linear models to assess the correlations between these measures and other constructs with which they have expected associations, such as health care need, wealth, and risk protection. Results: Measures of impoverishment and indebtedness most often correlated with health care need, wealth, and risk protection as expected. Having any health expenditure, a large health expenditure, or even a catastrophic health expenditure did not consistently predict degree of economic burden. Conclusions: Studies that examine economic burden attributable to health care payments should include measures of impoverishment and indebtedness

    Investing in Maine Research Infrastructure: Sustainable Forest Bioproducts

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    The University of Maine, the University of Southern Maine, several baccalaureate institutions in the state, along with other federal, state and local public, private, and non-profit institutions will collaborate to create the Forest Bioproducts Research Institute (FBRI) at the University of Maine. The vision of the FBRI is to advance understanding about the scientific underpinnings, system behavior, and policy implications for the production of forest-based bioproducts that meet societal needs for materials, chemicals, and fuels in an economically and ecologically sustainable manner.The research plans Integrate three themes. They are (1) forest sustainability modeling of life cycle assessment, (2) integrated biopolymer separations and residual solids modifications, and (3) biological and chemical platform conversion technologies.The research capitalizes upon Maine\u27s unique position of having a large natural resource base, existing research capacities in pulp and paper, forestry, and wood products, along with a strong industrial presence. State, national, and global collaborations, including those with Rensselaer Polytechnic Institute and the University of Tennessee-Knoxville, will contribute broader benefits to society as a result of this investment in forestry research.The FBRI will serve as the forest-based carbohydrate economy center of excellence for the region, with a primary goal of transitioning developed science and technology to the state\u27s industrial arena. State, national, and global impacts will be realized as a result of the investment in this research. In addition, a cadre of future engineers and scientists in multidisciplinary disciplines as well as policy-makers will result from the expected collaborations. Support is provided through the NSF Experimental Program To Stimulate Competitive Research (EPSCoR)

    Genipin crosslinking decreases the mechanical wear and biochemical degradation of impacted cartilage in vitro

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    High energy trauma to cartilage causes surface fissures and microstructural damage, but the degree to which this damage renders the tissue more susceptible to wear and contributes to the progression of post-traumatic osteoarthritis (PTOA) is unknown. Additionally, no treatments are currently available to strengthen cartilage after joint trauma and to protect the tissue from subsequent degradation and wear. The purposes of this study were to investigate the role of mechanical damage in the degradation and wear of cartilage, to evaluate the effects of impact and subsequent genipin crosslinking on the changes in the viscoelastic parameters of articular cartilage, and to test the hypothesis that genipin crosslinking is an effective treatment to enhance the resistance to biochemical degradation and mechanical wear. Results demonstrate that cartilage stiffness decreases after impact loading, likely due to the formation of fissures and microarchitectural damage, and is partially or fully restored by crosslinking. The wear resistance of impacted articular cartilage was diminished compared to undamaged cartilage, suggesting that mechanical damage that is directly induced by the impact may contribute to the progression of PTOA. However, the decrease in wear resistance was completely reversed by the crosslinking treatments. Additionally, the crosslinking treatments improved the resistance to collagenase digestion at the impact-damaged articular surface. These results highlight the potential therapeutic value of collagen crosslinking via genipin in the prevention of cartilage degeneration after traumatic injury

    Incidence, remission and mortality of convulsive epilepsy in rural northeast South Africa

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    Background: Epilepsy is one of the most common neurological conditions globally, estimated to constitute 0.75% of the global burden of disease, with the majority of this burden found in low- and middle- income countries (LMICs). Few studies from LMICs, including much of sub-Saharan Africa, have described the incidence, remission or mortality rates due to epilepsy, which are needed to quantify the burden and inform policy. This study investigates the epidemiological parameters of convulsive epilepsy within a context of high HIV prevalence and an emerging burden of cardiovascular disease. Methods: A cross-sectional population survey of 82,818 individuals, in the Agincourt Health and Socio-demographic Surveillance Site (HDSS) in rural northeast South Africa was conducted in 2008, from which 296 people were identified with active convulsive epilepsy. A follow-up survey was conducted in 2012. Incidence and mortality rates were estimated, with duration and remission rates calculated using the DISMOD II software package. Results: The crude incidence for convulsive epilepsy was 17.4/100,000 per year (95%CI: 13.1-23.0). Remission was 4.6% and 3.9% per year for males and females, respectively. The standardized mortality ratio was 2.6 (95%CI: 1.7-3.5), with 33.3% of deaths directly related to epilepsy. Mortality was higher in men than women (adjusted rate ratio (aRR) 2.6 (95%CI: 1.2-5.4)), and was significantly associated with older ages (50+ years versus those 0-5 years old (RR 4.8 (95%CI: 0.6-36.4)). Conclusions: The crude incidence was lower whilst mortality rates were similar to other African studies; however, this study found higher mortality amongst older males. Efforts aimed at further understanding what causes epilepsy in older people and developing interventions to reduce prolonged seizures are likely to reduce the overall burden of ACE in rural South Africa
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