Late-stage disease at presentation to an HIV clinic in eastern Tanzania: A retrospective cross-sectional study

Background Late presentation and delayed treatment initiation is associated with poor outcomes in patients with HIV. Little is known about the stage at which HIV patients present at HIV clinics in Tanzania. Aim This study aimed at determining the proportion of HIV patients presenting with WHO clinical stages 3 and 4 disease, and the level of immunity at the time of enrollment at the care and treatment center. Methods A retrospective cross-sectional study was conducted among 366 HIVinfected adults attending HIV clinic at Mwananyamala Hospital in Dar es Salaam, Tanzania. Data were obtained from the care and treatment clinic database. Results Late stage disease at the time of presentation was found in 276 (75.4%) of the patients; out of whom 153 (41.8%) presented with CD4 count <200 cells/ul and 229 (62.6%) presented with WHO clinical stage 3 or 4 at the time of clinic enrollment. Strategies to improve early diagnosis and treatment initiation should be improved.

Age at the time of exposure to trauma modulates the psychopathological profile in early psychosis patients

Objective: To examine the potential differential impact of childhood trauma, according to the age at the time of exposure, on the psychopathological profile of patients with early psychosis treated in a specialized 3-year program during the early phase of the disease. Methods: 196 subjects with early psychosis aged 18-35 years were followed up prospectively over 36 months of treatment between 2004 and 2010. Patients who had faced at least 1 experience of abuse (physical, sexual, or emotional) or neglect (physical or emotional) were classified according to age at the time of the first exposure (early trauma: before 12 years of age; late trauma: from age 12 through 16 years) and then compared with unexposed patients (nontrauma). The level of symptoms was assessed using the Positive and Negative Syndrome Scale, the Young Mania Rating Scale, and the Montgomery-Asberg Depression Rating Scale. Results: Exposure to 1 or more forms of trauma before 16 years of age was present in 31.63% of patients. Comparisons over the 3 years of treatment with the nontrauma patients revealed that (1) patients with early trauma showed consistently higher levels of positive (P = .006), depressive (P = .001), manic (P = .006), and negative (P = .029) symptoms and (2) patients with late trauma showed only more negative symptoms (P = .029). Conclusions: These results suggest that the age at the time of exposure to trauma has a modulating effect on symptoms in patients with early psychosis. Various biological and psychological hypotheses can be proposed to explain this observation, and they need to be investigated in an experimental setting in order to develop therapeutic avenues.

Nutrients limiting the Algal Growth Potential (AGP) in the Gulf of Riga, eastern Baltic Sea, in spring and early summer 1996

In May, June and July 1996, samples wcre collected along one transect greatly influenced by river discharge (eastern side of the gulf), along one transect slightly influence by river discharge (western side), at one station Iocated in the mouth of the main river (River Daugava), at one station located in the center of the Gulf and at several nearshore locations of the western side. Ratios of rnolecular concentrations of in situ dissolved ioorganic nitrogen, phosphorus and silicon, as weIl as enrichment bioassays were llsed to dctcrrnine which nutrient (s) lirnited the potential biomass of phytoplankton. Both comparison of (NO.d-N02+NJ.L): P04 (DIN: DIP) values with Redfic1d's ratio and bioassay inspection led to the sarne conclusions. Phosphorus was clearly the nutrient most limiting for the potcntial biornass of test species in nitrogen- rich waters, which occurred in mid spring, in the upper layer of the southern-eastern part of the Gulf which is greatly influenced by river discharge. In late spring, with the decrease of the total DIN reserve, nitrogen and phosphorus showed an equallimiting role. In deeper layers of this area and out of the river plume (western side and central part of the gulf), nitrogen was the limiting nutrient. In summer, whcn river discharge was the lowest, a11 DIN concentrations but one ranged between 1.6 and 2.6 µM, and the whole area was nitrogen-limited for both the cyanobacterial and the algal test strains. In 74% of the samples for which nitrogen was the limiting nutrient, phosphorus was recorded to be the second potentially limiting nutrient. In contrast, silicon never appeared as limiting the growth potential of either Microcystis aeruginosa or Phaeodactylum tricornutum; phosphorus was the limiting nutrient when DIN: Si03 values were >1 (in May), but DIN: Si03 was <1 when nitrogen was limiting (June and July). The authors conclude that the recently reported decrease of silicon loading in coastal waters and its subsequent enhanced importance in pushing the outcome of species competition towards harmful species may not yet be the most important factor for the Gulf of Riga. Iron appeared for 12% of the tests in the list of nutrients limiting the potential biomass. Tentative results also indicated that a significant fraction of the nitrogen (~,4 µg-atom N 1(-1) taken up by Microcystis aeruginosa may have been in the form of dissolved organic nitrogen (DON). It is thus also suggested tentatively that more attention be paid to these nitrients during further research in the Gulf of Riga.

UNDERSTANDING LATE SEASON FRUIT ROT PATHOSYSTEMS AND INSECT INTERACTIONS IN MID-ATLANTIC VINEYARDS

Fungal fruit rots and insect pests are among the most important problems negatively affecting the yield and quality of mid-Atlantic wine. In pathogenicity trials of fungi recovered from diseased Chardonnay and Vidal blanc grapes, Alternaria alternata, Pestalotiopsis telopeae, and Aspergillus japonicus were found to be unreported fruit rot pathogens in the region. Additionally, P. telopeae and A. japonicus had comparable virulence to the region’s common fruit rot pathogens. Furthermore, a timed-exclusion field study was implemented to evaluate vineyard insect-fruit rot relationships. It was found that clusters exposed to early-season insect communities that included Paralobesia viteana had a significantly greater incidence of sour rot than clusters protected from insects all season. These results were contrary to the current assumption that fall insects are the primary drivers of sour rot in the region. This research provides diagnostic tools and information to develop management-strategies against fungal and insect pests for mid-Atlantic grape growers.

Tectonics of Central and Eastern California, Late Cretaceous to Modern

The Late Cretaceous to Modern tectonic evolution of central and eastern California has been studied for many decades, with published work generally focusing on specific geographic areas and time periods. The resulting literature leaves the reader, whether graduate student, faculty member, or layperson, wondering what a coherently integrated tectonic evolution might look like, or if it would be at all possible to undertake such a task. This question is the common thread weaving together the four studies presented in this work. Each of the individual chapters is targeted at a specific location and time period which I have identified as a critical yet missing link in piecing together a coherent regional tectonic story. In the first chapter, we re-discover a set of major west down normal faults running along the western slope of the southern Sierra, the western Sierra fault system (WSFS). We show that one of these faults was offset by roughly a kilometer in Eocene time, and that this activity directly resulted in the incision of much of the relief present in modern Kings Canyon. The second chapter is a basement landscape and thermochronometric study of the hanging wall of the WSFS. New data from this study area provide a significant westward expansion of basement thermochronometric data from the southern Sierra Nevada batholith. Thermal modeling results of these data provide critical new constraints on the early exhumation of the Sierra Nevada batholith, and in the context of the results from Chapter I, allow us to piece together a coherent chronology of tectonic forcings and landscape evolution for the southern Sierra Nevada. In the third chapter, I present a study of the surface rupture of the 1999 Hector Mine earthquake, a dextral strike slip event on a fault in the Eastern California Shear Zone (ECSZ). New constraints on the active tectonics in ECSZ will help future studies better resolve the enigmatic mismatch between geologic slip rates and geodetically determined regional rates. Chapter IV is a magnetostratigraphic pilot study of the Paleocene Goler Formation. This study provides strong evidence that continued investigation will yield new constraints on the depositional age of the only fossil-bearing Paleocene terrestrial deposit on the west coast of North America. Each of these studies aims to provide important new data at critical missing links in the tectonic evolution of central and eastern California.

An early-stage design decision-support tool for selecting building assemblies to minimise a building's life cycle energy demand

The significant effects of the building industry on the natural environment are well documented and improving the environmental performance of buildings is an on-going challenge. This is particularly the case for projects with restrictive budgets and timelines and because many existing environmental assessment tools are designed to be used too late in the design process. The use of tools during the early design stages may assist in achieving greater improvements in a building’s environmental performance. However, user-friendly tools with the ability to comprehensively compare environmental information between various building assemblies and materials, which can be easily adopted during the early design stages of a project, are not readily available. This paper presents the progress to date in developing a tool which supports building designers in identifying and selecting preferred building assemblies with the aim of minimising a building’s life cycle energy demand. The tool is based on comprehensive energy performance data for a broad range of building assemblies across all Australian climate zones. Allowing for adjustments to a set of pre-defined and user-defined assemblies the designer is able to see how assemblies perform in relation to each other. This provides valuable information to support decision-making relating to minimising the life cycle energy demand of buildings.

Expanding the Australian empire?: the Australian Council for the World Council of Churches, the Menzies Government and the New Hebrides in the late 1950s

In the late 1950s the Australian Council for the World Council of Churches (AC-WCC) inspired primarily by the Presbyterian Church, undertook a concerted campaign to pressure the Australian government to assume a greater role in the affairs of the New Hebrides. The AC-WCC wanted the Australian government to take over the United Kingdom's role in the administration of the Anglo-French Condominium. It was motivated to undertake this campaign by the dismal social and economic conditions in the islands, the neglect of the British and French colonial authorities, and their failure to offer the indigenous people a way forward to self-government. The high point of the campaign was a meeting between Robert Menzies, the Australian prime minister and a delegation from the AC-WCC in early 1958. As a result of this meeting Australian ministers and officials, for the final time, gave extended consideration to expanding Australia's empire in the South Pacific to include the New Hebrides. This article examines the AC-WCC's campaign, explores the Australian government's response, and analyses the outcome of this important episode in Australia's involvement in the colonial territories of the South Pacific.

Development of hyaline spheres in late auriculariae of sandfish, Holothuria scabra : is it a reliable indicator of subsequent performance?

This study assessed the influence of diet composition on hyaline sphere (HS) development in auricularia larvae of the sandfish, Holothuria scabra, and the subsequent relationships between the presence and size of hyaline spheres and competency through settlement and early juvenile performance. Two-day old larvae were fed one of three commercially available micro-algae diets that varied in their nutrient compositions: (1) Isochrysis sp. (Haptophyceae); (2) Pavlova sp. (Haptophyceae); and (3) Thalassiosira weissflogii (Bacillariophyceae) or a ternary combination of the three. There were positive significant correlations between HS development in late auriculariae on days 10, 11, 12 and 13 post-fertilisation, and the proportion of competent doliolariae on day 15, post-settlement size (day 21) and post-settlement survival (day 25). The dietary components that most strongly influenced these relationships were carbohydrates and the n-3 polyunsaturated fatty acids arachidonic acid (ARA), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Our result confirm the strong relationship between HS formation in late auriculariae of sandfish and subsequent larval competency through settlement. As such, the presence and size of HS is a reliable indicator of subsequent performance for sandfish. Given that HS development was influenced by the nutrients available to sandfish auriculariae, there is clear opportunity for development of more appropriate diets for hatchery culture of this species that will improve HS formation and larval performance supporting improved hatchery production. Statement of relevance Our results have confirmed that for sandfish larvae, the presence and size of HS at the end of the auricularia stage, is indeed a reliable indicator of subsequent performance. Our results have also confirmed that HS formation and size is significantly influenced by the nutrient composition of the auricularia diet, and that there are significant positive correlations between HS formation and dietary levels of carbohydrate, EPA:DHA and EPA:ARA ratios. This information provides a strong basis for development of more appropriate diets for sandfish larvae that will improve HS formation and larval performance during hatchery culture and in turn improve hatchery production of this species.

Early Carboniferous spiriferoid brachiopods from the Qaidam Basin, Northwest China: taxonomy, biostratigraphy and biogeography

Six Early Carboniferous brachiopod species in four genera of the Superfamily Spiriferoidea are described from the Qaidam Basin, northwestern China, including a new genus, Qaidamospirifer, and two new species: Grandispirifer qaidamensis and Qaidamospirifer elongatus. Additionally, a new genus, Triangulospirifer, is also proposed to replace Triangularia (Poletaev, 2001) that was preoccupied by a Devonian molluscan genus.

On the basis of the new material as well as published information, we have reviewed the taxonomic composition and the stratigraphic and palaeobiogeographic distributions of the three previously established genera from the viewpoint of palaeobiogeography. The study reveals that Grandispirifer has a relatively long stratigraphic range from the late Tournaisian to Serpukhovian. During this interval, the genus attained a wide geographical distribution, reaching Northwest China, western Yunnan of West China, Japan, as well as Iran and North Africa. Angiospirifer first occurred in western Europe in the Viséan, and later migrated to North Africa during the late Viséan. In the Serpukhovian, it migrated eastward, reaching the Donets Basin of Ukraine and the Qaidam Basin in Northwest China. Anthracothyrina evolved from Brachythyrina in North Africa in late Viséan, then dispersed north-westward to western and eastern Europe and, further eastward to the Qaidam Basin during the Serpukhovian.

Pliocene reversal of late Neogene aridification.

The Pliocene epoch (5.3-2.6 Ma) represents the most recent geological interval in which global temperatures were several degrees warmer than today and is therefore considered our best analog for a future anthropogenic greenhouse world. However, our understanding of Pliocene climates is limited by poor age control on existing terrestrial climate archives, especially in the Southern Hemisphere, and by persistent disagreement between paleo-data and models concerning the magnitude of regional warming and/or wetting that occurred in response to increased greenhouse forcing. To address these problems, here we document the evolution of Southern Hemisphere hydroclimate from the latest Miocene to the middle Pliocene using radiometrically-dated fossil pollen records preserved in speleothems from semiarid southern Australia. These data reveal an abrupt onset of warm and wet climates early within the Pliocene, driving complete biome turnover. Pliocene warmth thus clearly represents a discrete interval which reversed a long-term trend of late Neogene cooling and aridification, rather than being simply the most recent period of greater-than-modern warmth within a continuously cooling trajectory. These findings demonstrate the importance of high-resolution chronologies to accompany paleoclimate data and also highlight the question of what initiated the sustained interval of Pliocene warmth.

Palaeobiogeographic distribution patterns and processes of neochonetes and fusichonetes (brachiopoda) in the late palaeozoic and earliest mesozoic

The global palaeobiogeographic distributions of two resembling genera, Neochonetes and Fusichonetes (Brachiopoda), from the Carboniferous to Griesbachian are analysed. This analysis provides insight into the biotic response of two related genera to changing palaeoclimate, regional tectonics, and environmental crises. Neochonetes originated in the equatorial area in the Mississippian, and it mostly retained this position during the peak of the glaciation in the Carboniferous–Permian ice age (namely in the Pennsylvanian). Neochonetes then dispersed globally during the Cisuralian when the climate became warmer and the ice sheet started to retreat. In the Guadalupian and Lopingian, following the closure of the Ural seaway at the end of the Cisuralian and the regression at the end-Guadalupian, Neochonetes almost disappeared in the western part of Gondwana. Subsequently during the Lopingian the genus retracted to the middle- and low-latitude Palaeo-Tethys and Tethys. In comparison, Fusichonetes originated in the equatorial area in the late Guadalupian and was still present in that area in the Lopingian. Both genera occurred only in South China in the Griesbachian. It is inferred that this could be related, not only to the deteriorated palaeoenvironmental conditions (e.g., anoxia, global warming) leading up to the extinction of most of the Neochonetes and Fusichonetes species in other areas, but also to the better physiological adaptation of the smaller shells of Neochonetes and Fusichonetes species in South China.

An Analysis of the Early Prediction of Highway Construction Project Completion using the Contract Status Report

History has shown that projects move in and out of poor status through the life of the project. Predicting the success or failure of a project to complete on time because of its recent history on the contract status report could provide our project managers another tool for monitoring contract progress. In many instances, poor contract progress results in the loss of contract time and late completion of projects. This research evaluates the combinations of work type, point in time physical work begins, recent poor status, and contract bid amount as indicators of late project completion.

Provenance of upper Triassic sandstone, southwest Iberia (Alentejo and Algarve basins): tracing variability in the sources

Laser ablation ICP-MS U–Pb analyses have been conducted on detrital zircon of Upper Triassic sandstone from the Alentejo and Algarve basins in southwest Iberia. The predominance of Neoproterozoic, Devonian, Paleoproterozoic and Carboniferous detrital zircon ages confirms previous studies that indicate the locus of the sediment source of the late Triassic Alentejo Basin in the pre-Mesozoic basement of the South Portuguese and Ossa-Morena zones. Suitable sources for the Upper Triassic Algarve sandstone are the Upper Devonian–Lower Carboniferous of the South Portuguese Zone (Phyllite–Quartzite and Tercenas formations) and the Meguma Terrane (present-day in Nova Scotia). Spatial variations of the sediment sources of both Upper Triassic basins suggest a more complex history of drainage than previously documented involving other source rocks located outside present-day Iberia. The two Triassic basins were isolated from each other with the detrital transport being controlled by two independent drainage systems. This study is important for the reconstruction of the late Triassic paleogeography in a place where, later, the opening of the Central Atlantic Ocean took place separating Europe from North America.

Double trouble: French colonialism in Morocco and the early history of the Pasteur institutes of Tangier and Casablanca (1895-1932)

Morocco was the last North African country in which a Pasteur institute was created, nearly two decades later than in Tunisia and Algeria. In fact, two institutes were opened, the first in Tangier in 1913 and the second in Casablanca in 1932. This duplication, far from being a measure of success, was the material expression of the troubles Pastorians had experienced in getting a solid foothold in the country since the late 19th century. These problems partly derived from the pre-existence of a modest Spanish-Moroccan bacteriological tradition, developed since the late 1880s within the framework of the Sanitary Council and Hygiene Commission of Tangier, and partly from the uncoordinated nature of the initiatives launched from Paris and Algiers. Although a Pasteur Institute was finally established, with Paul Remlinger as director, the failure of France to impose its colonial rule over the whole country, symbolized by the establishment of an international regime in Tangier, resulted in the creation of a second centre in Casablanca. While elucidating many hitherto unclear facts about the entangled origins of both institutes, the author points to the solidity of the previously independent Moroccan state as a major factor behind the troubled translation of Pastorianism to Morocco. Systematically dismissed or downplayed by colonial and postcolonial historiography, this solidity disrupted the French takeover of the country and therefore Pastorian expectations.

TARDI VARISCAN DEFORMATION IN THE IBERIAN PENINSULA; A LATE FEATURE IN THE LAURASIA-GONDWANA DEXTRAL COLLISION

The Late Variscan deformation event in Iberia, is characterized by an intraplate deformation regime induced by the oblique collision between Laurentia and Gondwan. This episode in Iberia is characterized by NNE-SSW strike-slip faults, which are considered by the classic works as sinistral strike-slips. However, the absence of Mesozoic formations constraining the age of this sinistral kinematics, led some authors to consider it as the result of Alpine reworking. Structural studies in Almograve and Ponta Ruiva sectors (SW Portugal), not only shows that NNE-SSW faults presents a clear sinistral kinematics and are occasionally associated with E-W dextral shears, but also that this kinematics is related to the late deformation episodes of Variscan Orogeny. In Almograve sector, the late Variscan structures are characterized by NNE-SSW sinistral kink-bands, spatially associated with E-W dextral faults. These structures are contemporaneous and affect the previously deformed Carboniferous units. The Ponta Ruiva Sector constrains the age of deformation because the E-W dextral shears affect the Late Carboniferous (late Moscovian) units, but not the overlying Triassic series. The new exposed data shows that the NNE-SSW and the E-W faults are dynamically associated and results from the same deformation event. The NNE-SSW sinistral faults could be considered as second order dominoes structures related with first order E-W dextral shears, related with Laurasia-Gondwana collision during Late Carboniferous-Permian Times.