2,274 research outputs found

    Rising prevalence of non-B HIV-1 subtypes in North Carolina and evidence for local onward transmission.

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    HIV-1 diversity is increasing in North American and European cohorts which may have public health implications. However, little is known about non-B subtype diversity in the southern United States, despite the region being the epicenter of the nation's epidemic. We characterized HIV-1 diversity and transmission clusters to identify the extent to which non-B strains are transmitted locally. We conducted cross-sectional analyses of HIV-1 partial pol sequences collected from 1997 to 2014 from adults accessing routine clinical care in North Carolina (NC). Subtypes were evaluated using COMET and phylogenetic analysis. Putative transmission clusters were identified using maximum-likelihood trees. Clusters involving non-B strains were confirmed and their dates of origin were estimated using Bayesian phylogenetics. Data were combined with demographic information collected at the time of sample collection and country of origin for a subset of patients. Among 24,972 sequences from 15,246 persons, the non-B subtype prevalence increased from 0% to 3.46% over the study period. Of 325 persons with non-B subtypes, diversity was high with over 15 pure subtypes and recombinants; subtype C (28.9%) and CRF02_AG (24.0%) were most common. While identification of transmission clusters was lower for persons with non-B versus B subtypes, several local transmission clusters (≥3 persons) involving non-B subtypes were identified and all were presumably due to heterosexual transmission. Prevalence of non-B subtype diversity remains low in NC but a statistically significant rise was identified over time which likely reflects multiple importation. However, the combined phylogenetic clustering analysis reveals evidence for local onward transmission. Detection of these non-B clusters suggests heterosexual transmission and may guide diagnostic and prevention interventions

    Are we there yet? Laboratory preparedness for emerging infectious diseases

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    The West African Ebola virus epidemic of 2013–2016 was the most widespread epidemic of this disease in history; it is estimated that this occurrence contributed to more than 11000 deaths. During the epidemic, healthcare workers (HCW)8 (including laboratorians) were mobilized to care for individuals with suspected or confirmed Ebola virus disease (EVD). However, at the height of the epidemic, guidance on appropriate safety measures for laboratory workers manipulating specimens from EVD patients was sparse. This highlighted the need for data and guidelines for laboratories testing specimens not only for patients with EVD, but for any emerging infectious disease. During the Ebola epidemic, questions were raised about the roles and responsibilities of laboratories in responding to highly infectious diseases, and the burden of ongoing readiness for rare events. As the outbreak decelerates, laboratorians must regroup, gather data, and prepare for future outbreaks. We have asked 4 experts in this field to share their thoughts on contemporary challenges in laboratory preparedness for emerging infectious disease

    Quantifying bamboo coral growth rate nonlinearity with the radiocarbon bomb spike : a new model for paleoceanographic chronology development

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    © The Author(s), 2017. This is the author's version of the work. It is posted here under a nonexclusive, irrevocable, paid-up, worldwide license granted to WHOI. It is made available for personal use, not for redistribution. The definitive version was published in Deep Sea Research Part I: Oceanographic Research Papers 125 (2017): 26-39, doi:10.1016/j.dsr.2017.04.006.Bamboo corals, long-lived cold water gorgonin octocorals, offer unique paleoceanographic archives of the intermediate ocean. These Isididae corals are characterized by alternating gorgonin nodes and high Mg-calcite internodes, which synchronously extend radially. Bamboo coral calcite internodes have been utilized to obtain geochemical proxy data, however, growth rate uncertainty has made it difficult to construct precise chronologies for these corals. Previous studies have relied upon a tie point from records of the anthropogenic Δ14C bomb spike preserved in the gorgonin nodes of live-collected corals to calculate a mean radial extension rate for the outer ~50 years of skeletal growth. Bamboo coral chronologies are typically constructed by applying this mean extension rate to the entire coral record, assuming constant radial extension with coral age. In this study, we aim to test this underlying assumption by analyzing the organic nodes of six California margin bamboo corals at high enough resolution (<0.5 mm) to identify the Δ14C bomb spike, including two tie points at 1957 and 1970, plus coral collection date (2007.5) for four samples. Radial extension rates between tie points ranged from 10 to 204 μm/year, with a decrease in growth rate evident between the 1957-1970 and 1970- 2007.5 periods for all four corals. A negative correlation between growth rate and coral radius (r = -0.7; p = 0.03) was determined for multiple bamboo coral taxa and individuals from the California margin, demonstrating a decline in radial extension rate with specimen age and size. To provide a mechanistic basis for these observations, a simple mathematical model was developed based on the assumption of a constant increase in circular cross sectional area with time to quantify this decline in radial extension rate with coral size between chronological tie points. Applying the area-based model to our Δ14C bomb spike time series from individual corals improves chronology accuracy for all live-collected corals with complete Δ14C bomb spikes. Hence, this study provides paleoceanographers utilizing bamboo corals with a method for reducing age model uncertainty within the anthropogenic bomb spike era (~1957-present). Chronological uncertainty is larger for the earliest portion of coral growth, particularly for skeleton precipitated prior to bomb spike tie points, meaning age estimations for samples living before 1957 remain uncertain. Combining this technique with additional chronological markers could improve age models for an entire bamboo coral. Finally, the relative consistency in growth rate in similarly-aged corals of the same depth and location supports the hypothesis that skeletal growth may be limited by local environmental conditions.This research was made possible by National Science Foundation Award #1420984 to M. LaVigne and a Clare Boothe Luce Fellowship to M. Frenkel

    The Lantern Vol. 26, No. 1, December 1957

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    • A Brazilian Dirge • Motion in Retrospect • The Power • The House on the Edge of the World • Twinkle, Twinkle, Little Star • Christmas at Ursinus • Grey Purple • A Woodland Idyll • Four Trees • Lifehttps://digitalcommons.ursinus.edu/lantern/1073/thumbnail.jp
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