Strategies for Optimising Uptake of Assisted Partner Notification Services Among Newly Diagnosed HIV Positive Adults at Ndirande Health Centre, Malawi

UNAIDS Fast-Track goals for 2025 include ensuring that 95% of the people with HIV know their HIV status. In 2019, the Malawi Ministry of Health introduced its approach for achieving this: an active index testing (AIT) policy with assisted partner notification services (APNS). Under this policy, health centers can actively reach out to a contact of newly-diagnosed HIV positive client (the index) to offer voluntary HIV testing services. However, APNS uptake has been sub-optimal at many health facilities. This qualitative study considers strategies to optimize the uptake of APNS among newly-diagnosed HIV positive clients at Ndirande Health Center in Blantyre, Malawi. We conducted in-depth interviews, between February and April 2020, with 24 participants, including new HIV positive index clients, their sexual partners, and key health workers. We employ a maximum variation purposive sampling technique. Thematic inductive and deductive data analysis was done manually according to the social-ecological model. Interviewees discussed various strategies for optimizing APNS uptake among newly diagnosed HIV-infected clients. Interpersonal strategies included maximizing the use of client profiling techniques and sensitization on APNS to create demand. Institutional-level strategies were also suggested, such as providing transportation for home visits, strengthening referral notification approaches, and additional training for health workers. Policy-level recommendations included introducing home-based partner testing and intensifying use of partner notification slips. APNS is a key strategy to maximize HIV case identification. However, achieving optimal APNS in Malawi requires strengthening existing strategies and conducting additional research to identify other APNS strategies tailored to the local context

A method for system performance analysis of the SuperSPARc microprocessor

Thesis (M.S.)--Massachusetts Institute of Technology, Dept. of Electrical Engineering and Computer Science, 1994.Includes bibliographical references (p. 119-120).by Melissa C. Kwok.M.S

P and K additions enhance canopy N retention and accelerate the associated leaching

This study evaluated the interactive effects of combined phosphorus (P) and potassium (K) additions on canopy nitrogen (N) retention (CNR) and subsequent canopy leaching at a long-term N manipulation site on Whim bog in south Scotland. Ambient deposition is 8 kg N ha-1 year-1 and an additional 8, 24, and 56 kg N ha-1 year-1 of either ammonium (NH4+) or nitrate (NO3-) with or without P and K has been applied over 11 years. Throughfall N deposition below Calluna vulgaris and foliar N and P concentrations were assessed. Results showed that 60% for low dose and 53% for high dose of NO3- contrasting with 80% for low dose and 38% for high dose of NH4+ onto Calluna was retained by Calluna canopy. The CNR was enhanced by P and K addition in which 84% of NO3 - and 83% of NH4+ for high dose were retained. CNR for NO3- increased the canopy leaching of dissolved organic N (DON) and associated organic anions. NH4+ retention increased canopy leaching of magnesium and calcium through ion exchange. Even over 11-years N exposure without P and K, foliage 29 N:P ratio of Calluna did not increase, suggesting that N exposure did not lead to N saturation of Calluna at Whim bog. Our study concluded that increases in P and K availability enhance CNR of Calluna, but accelerate the associated canopy leaching of DON and base cations, depending on foliar N status

Experimental field estimation of organic nitrogen formation in tree canopies

The content of organic N has been shown in many studies to increase during the passage of rain water through forest canopies. The source of this organic N is unknown, but generally assumed to come from canopy processing of wet or dry-deposited inorganic N. There have been very few experimental studies in the field to address the canopy formation or loss of organic N. We report two studies: a Scots pine canopy exposed to ammonia gas, and a Sitka spruce canopy exposed to ammonium and nitrate as wet deposition. In both cases, organic N deposition in throughfall was increased, but only represented a small fraction (<10%) of the additional inorganic N supplied, suggesting a limited capacity for net organic N production, similar in both conifer canopies under Scottish summertime conditions, of less than 1.6 mmol Nm2 mth1 (equivalent to 3 kg N ha1 y1)

Sphagnum can ‘filter’ N deposition, but effects on the plant and pore water depend on the N form

The ability of Sphagnum moss to efficiently intercept atmospheric nitrogen (N) has been assumed to be vulnerable to increased N deposition. However, the proposed critical load (20 kg N ha− 1 yr− 1) to exceed the capacity of the Sphagnum N filter has not been confirmed. A long-term (11 years) and realistic N manipulation on Whim bog was used to study the N filter function of Sphagnum (Sphagnum capillifolium) in response to increased wet N deposition. On this ombrotrophic peatland where ambient deposition was 8 kg N ha− 1 yr− 1, an additional 8, 24, and 56 kg N ha− 1 yr− 1 of either ammonium (NH4+) or nitrate (NO3−) has been applied for 11 years. Nutrient status of Sphagnum and pore water quality from the Sphagnum layer were assessed. The N filter function of Sphagnum was still active up to 32 kg N ha− 1 yr− 1 even after 11 years. N saturation of Sphagnum and subsequent increases in dissolved inorganic N (DIN) concentration in pore water occurred only for 56 kg N ha− 1 yr− 1 of NH4+ addition. These results indicate that the Sphagnum N filter is more resilient to wet N deposition than previously inferred. However, functionality will be more compromised when NH4+ dominates wet deposition for high inputs (56 kg N ha− 1 yr− 1). The N filter function in response to NO3− uptake increased the concentration of dissolved organic N (DON) and associated organic anions in pore water. NH4+ uptake increased the concentration of base cations and hydrogen ions in pore water though ion exchange. The resilience of the Sphagnum N filter can explain the reported small magnitude of species change in the Whim bog ecosystem exposed to wet N deposition. However, changes in the leaching substances, arising from the assimilation of NO3− and NH4+, may lead to species change

Long-term interactive effects of N addition with P and K availability on N status of Sphagnum

Little information exists concerning the long-term interactive effect of nitrogen (N) addition with phosphorus (P) and potassium (K) on Sphagnum N status. This study was conducted as part of a long-term N manipulation on Whim bog in south Scotland to evaluate the long-term alleviation effects of phosphorus (P) and potassium (K) on N saturation of Sphagnum (S. capillifolium). On this ombrotrophic peatland, where ambient deposition was 8 kg N ha−1 yr−1, 56 kg N ha−1 yr−1 of either ammonium (NH4+, Nred) or nitrate (NO3−, Nox) with and without P and K, were added over 11 years. Nutrient concentrations of Sphagnum stem and capitulum, and pore water quality of the Sphagnum layer were assessed. The N-saturated Sphagnum caused by long-term (11 years) and high doses (56 kg N ha−1 yr−1) of reduced N was not completely ameliorated by P and K addition; N concentrations in Sphagnum capitula for Nred 56 PK were comparable with those for Nred 56, although N concentrations in Sphagnum stems for Nred 56 PK were lower than those for Nred 56. While dissolved inorganic nitrogen (DIN) concentrations in pore water for Nred 56 PK were not different from Nred 56, they were lower for Nox 56 PK than for Nox 56 whose stage of N saturation had not advanced compared to Nred 56. These results indicate that increasing P and K availability has only a limited amelioration effect on the N assimilation of Sphagnum at an advanced stage of N saturation. This study concluded that over the long-term P and K additions will not offset the N saturation of Sphagnum

Studies on Grass Productivity of Steep Mountainous Grassland (IV) A Comparison of Grass-Ladino Clover Mixures as Pastures for Young Steers on Steep Mountainous Grassland

急傾斜山地草地の不耕起造成用草種としてのオーチャードグラス,トールフェスク,レッドトップの各草地にラジノクローバを混播した時の家畜の生産性と草地植生の影響を調査し,急傾斜山地草地におけるラジノクローバ混播に関する知見をうるために,1970年と1971年の2か年間,黒毛和種若令去勢牛を用いて放牧実験を行なった. 得られた結果の概要は次のとおりである. 1)放牧期間中の1目1頭当たり増体量の2か年間の平均はオーチャードグラス・クローバ草地620g,卜ールフェスク・クローバ草地621g,レッドトップ・クローバ草地615gであった. 2)イネ科単播草地ヘクローバを混播することによって増体盤の増加がみとめられた. 3)オーチャードグラスとトールフェスク草地ではクローバの混播により裸地が著しく減少したが,レッドトップ草地では余り影響がみられなかった. 4)レッドトップ・クローバ草地ではクローバが優勢化しやすく放牧牛に鼓脹症の発生がみられた. 5)肥沃条件下ではレッドトップにラジノクローバを混播することは余りこのましくない

Impacts of land use and land cover change on surface runoff, discharge and low flows: evidence from East Africa

Region: East Africa. Focus: A review of catchment studies (n=37) conducted in East Africa evaluating the impacts of Land Use and Land Cover Changes (LULCC) on discharge, surface runoff, and low flows. New hydrological insights: Forest cover loss is accompanied by increased stream discharges and surface runoff. No significant difference in stream discharge is observed between bamboo and pine plantation catchments, and between cultivated and tea plantation catchments. Trend analyses show that despite forest cover loss, 63% of the watersheds show non-significant changes in annual discharges while 31% show increasing trends. Half of the watersheds show non-significant trends in wet season flows and low flows while 35% reveal decreasing trends in low flows. Modeling studies estimate that forest cover loss increases annual discharges and surface runoff by 16 ± 5.5% and 45 ± 14%, respectively. Peak flows increased by a mean of 10 ± 2.8% while low flows decreased by a mean of 7 ± 5.3%. Increased forest cover decreases annual discharges and surface runoff by 13 ± 1.9% and 25 ± 5%, respectively. Weak correlations between forest cover and runoff (r=0.42, p < 0.05), mean discharge (r=0.63, p < 0.05) and peak discharge (r=0.67, p < 0.05) indicate that forest cover alone is not an accurate predictor of hydrological fluxes in East African catchments. The variability in these results supports the need for long-term field monitoring to better understand catchment responses and to improve the calibration of currently used simulation models

Does canopy nitrogen uptake enhance carbon sequestration by trees?

Temperate forest 15N isotope trace experiments find nitrogen (N) addition-driven carbon (C) uptake is modest as little additional N is acquired by trees; however, several correlations of ambient N deposition against forest productivity imply a greater effect of atmospheric nitrogen deposition than these studies. We asked whether N deposition experiments adequately represent all processes found in ambient conditions. In particular, experiments typically apply 15N to directly to forest floors, assuming uptake of nitrogen intercepted by canopies (CNU) is minimal. Additionally, conventional 15N additions typically trace mineral 15N additions rather than litter N recycling and may increase total N inputs above ambient levels. To test the importance of CNU and recycled N to tree nutrition, we conducted a mesocosm experiment, applying 54 g N/15N ha−1 yr−1 to Sitka spruce saplings. We compared tree and soil 15N recovery among treatments where enrichment was due to either (1) a 15N-enriched litter layer, or mineral 15N additions to (2) the soil or (3) the canopy. We found that 60% of 15N applied to the canopy was recovered above ground (in needles, stem and branches) while only 21% of 15N applied to the soil was found in these pools. 15N recovery from litter was low and highly variable. 15N partitioning among biomass pools and age classes also differed among treatments, with twice as much 15N found in woody biomass when deposited on the canopy than soil. Stoichiometrically calculated N effect on C uptake from 15N applied to the soil, scaled to real-world conditions, was 43 kg C kg N−1, similar to manipulation studies. The effect from the canopy treatment was 114 kg C kg N−1. Canopy treatments may be critical to accurately represent N deposition in the field and may address the discrepancy between manipulative and correlative studies