Child care provider training and a supportive feeding environment in child care settings in 4 states, 2003.

INTRODUCTION: Strategies to prevent adult chronic diseases, including obesity, must start in childhood. Because many preschool-aged children spend mealtimes in child care facilities, staff should be taught supportive feeding practices for childhood obesity prevention. Higher obesity rates among low-income children suggest that centers providing care to these children require special attention. We compared self-reported feeding practices at child care centers serving low-income children on the basis of whether they received funding and support from the Child and Adult Care Food Program (CACFP), which suggests supportive feeding practices. We also assessed training factors that could account for differences among centers. METHODS: Eligible licensed child care centers (n = 1600) from California, Colorado, Idaho, and Nevada received surveys. Of the 568 responding centers, 203 enrolled low-income families and served meals. We analyzed the responses of 93 directors and 278 staff for CACFP-funded centers and 110 directors and 289 staff from nonfunded centers. Chi square analyses, pairwise comparisons, t tests, and multiple linear regressions were used to compare CACFP-funded and nonfunded centers. RESULTS: Significant differences were noted in 10 of 26 feeding practices between CACFP-funded and nonfunded centers. In each case, CACFP-funded centers reported practices more consistent with a supportive feeding environment. Forty-one percent of the variance could be explained by training factors, including who was trained, the credentials of those providing training, and the type of training. CONCLUSION: Our findings suggest that when trained by nutrition professionals, child care staff learn, adopt, and operationalize childhood obesity prevention feeding guidelines, thereby creating a supportive mealtime feeding environment.

Contraception choices in a cohort of HIV+ women in the era of highly active antiretroviral therapy.

BACKGROUND: The study was conducted to determine whether increased desire for fertility coupled with increased awareness of reduction in mother-to-child HIV transmission (MTCT) with increased availability and use of highly active antiretroviral therapy (HAART) has been associated with reduction in use of tubal sterilization as a form of contraception among women infected with HIV. STUDY DESIGN: One hundred HIV+ women, 18 to 45 years of age, receiving care at university-affiliated HIV facilities between October 2008 and February 2009, were surveyed about their contraceptive knowledge and practices. We performed descriptive analysis of population characteristics to determine contraception choices and fertility desires following initiation of HAART. RESULTS: The study group was composed of women with median age of 35 years, 55% African American, 18% Caucasians, 19% Hispanic and 8% "other". Most (63%) were single; 36% were married. Contraception choices were condom 61%, injectable contraceptive 7%, pills 6% and only 3% said they used female sterilization. Thirty-four percent of respondents said that their choice of contraception was based primarily on ease of use, 19% said that their choice was primarily based on convenience and only 9% said that their choice was primarily based on provider recommendation. Desire for future childbearing increased to 19% following knowledge that MTCT can be reduced by taking antiretroviral therapy (ARV) and to 22% following initiation of ARV. CONCLUSIONS: Initiation of ARV and awareness that maternal treatment can reduce MTCT may explain lower use of female sterilization as a form of contraception among a cohort of HIV+ women in the post HAART era.

Real-time wearable telecardiology from representative signals.

Electrocardiograms and other similar techniques (e.g. Photoplethysmograph) are very effective tools for the detection of cardiac abnormalities. Automated analyses of ECG signals may be used for this purpose, but due to their complexity--often involving a Neural Network or Principal Component Analysis--the signal needs to be transmitted to be analysed on a powerful device. Thus, even if signals are compressed before being sent, a significant amount of non-critical information is transmitted, unnecessarily consuming bandwidth and resulting in delays. This is problematic as lives may depend on how fast and accurately an ECG signal can be analysed. We present here a fast, simple and accurate technique that works in real time to detect some ECG abnormalities. We base our analysis on correlations of the time sequence with a Representative Signal (RS) to detect abnormal behaviour. We have implemented this scheme on a standard, inexpensive portable device, so abnormalities may be automatically detected immediately on the device itself, without the need for transmission.

Determination of the potential for release of mercury from combustion product amended soils: part 2--coal fly ash generated stabilized soil and degradation products.

The potential for mercury (Hg) releases to the air and water from three soils, two subbituminous coal fly ashes, and mixtures of these materials as stabilized soil was assessed. In addition, the potential for Hg release from crushed stabilized material mixed into soil simulating degradation over time was investigated. In general, atmospheric Hg deposition was measured for the ash and materials made using the ash with the higher Hg concentration (ash 1, 0.25 microg x g(-1)), whereas the second ash material (ash 2; approximately 0.08 microg x g(-1)) and materials generated using this ash exhibited emission as the dominant flux. Fluxes measured from stabilized material were less than that measured for the pure ash material but of the same direction. Although the stabilized and degraded stabilized materials exhibited Hg fluxes that were significantly different from base soils, values were within the range reported for low Hg-containing background soils. Because of limitations of the experimental design (i.e., reduced light exposures and measurement of flux from dry materials) reported fluxes are most likely underestimates of that which would occur in the natural environment. Materials made to simulate degradation of the stabilized material did not exhibit higher releases than the stabilized material alone. Synthetic Precipitation Leaching Procedure (SPLP; EPA method 1312) results showed that the chemistry of a soil, especially pH, may influence the amount of Hg released to soil solutions, with more acidic soils potentially enhancing Hg release.

Dscam guides embryonic axons by Netrin-dependent and -independent functions.

Developing axons are attracted to the CNS midline by Netrin proteins and other as yet unidentified signals. Netrin signals are transduced in part by Frazzled (Fra)/DCC receptors. Genetic analysis in Drosophila indicates that additional unidentified receptors are needed to mediate the attractive response to Netrin. Analysis of Bolwig's nerve reveals that Netrin mutants have a similar phenotype to Down Syndrome Cell Adhesion Molecule (Dscam) mutants. Netrin and Dscam mutants display dose sensitive interactions, suggesting that Dscam could act as a Netrin receptor. We show using cell overlay assays that Netrin binds to fly and vertebrate Dscam, and that Dscam binds Netrin with the same affinity as DCC. At the CNS midline, we find that Dscam and its paralog Dscam3 act redundantly to promote midline crossing. Simultaneous genetic knockout of the two Dscam genes and the Netrin receptor fra produces a midline crossing defect that is stronger than the removal of Netrin proteins, suggesting that Dscam proteins also function in a pathway parallel to Netrins. Additionally, overexpression of Dscam in axons that do not normally cross the midline is able to induce ectopic midline crossing, consistent with an attractive receptor function. Our results support the model that Dscam proteins function as attractive receptors for Netrin and also act in parallel to Frazzled/DCC. Furthermore, the results suggest that Dscam proteins have the ability to respond to multiple ligands and act as receptors for an unidentified midline attractive cue. These functions in axon guidance have implications for the pathogenesis of Down Syndrome.

Determination of the potential for release of mercury from combustion product amended soils: Part 1--Simulations of beneficial use.

This paper describes a project that assessed the potential for mercury (Hg) release to air and water from soil amended with combustion products to simulate beneficial use. Combustion products (ash) derived from wood, sewage sludge, subbituminous coal, and a subbituminous coal-petroleum coke mixture were added to soil as agricultural supplements, soil stabilizers, and to develop low-permeability surfaces. Hg release was measured from the latter when intact and after it was broken up and mixed into the soil. Air-substrate Hg exchange was measured for all materials six times over 24 hr, providing data that reflected winter, spring, summer, and fall meteorological conditions. Dry deposition of atmospheric Hg and emission of Hg to the atmosphere were both found to be important fluxes. Measured differences in seasonal and diel (24 hr) fluxes demonstrated that to establish an annual estimate of air-substrate flux from these materials data on both of these time steps should be collected. Air-substrate exchange was highly correlated with soil and air temperature, as well as incident light. Hg releases to the atmosphere from coal and wood combustion product-amended soils to simulate an agricultural application were similar to that measured for the unamended soil, whereas releases to the air for the sludge-amended materials were higher. Hg released to soil solutions during the Synthetic Precipitation Leaching Procedure for ash-amended materials was higher than that released from soil alone. On the basis of estimates of annual releases of Hg to the air from the materials used, emissions from coal and wood ash-amended soil to simulate an agricultural application could simply be re-emission of Hg deposited by wet processes from the atmosphere; however, releases from sludge-amended materials and those generated to simulate soil stabilization and disturbed low-permeability pads include Hg indigenous to the material.

Assessing the source of mercury in foliar tissue of quaking aspen.

Foliar accumulation of mercury has been demonstrated to occur as plants leaf out, yet the primary source of this mercury is not known. Using closed-system growth chambers, uptake of mercury by quaking aspen (Populus tremuloides) foliage was measured over time as a function of soil mercury concentrations (0.01, 6.2, and 25.6 microg/g) and atmospheric mercury exposure concentrations (1.4, 14.9, and 68.5 ng/m3). Foliar mercury concentrations increased as a function of time for all exposures. Twice during the experiment, leaf washes were analyzed for mercury to assess surface deposition, and little mercury was removed (0.02-0.04 ng/m2), suggesting that direct deposition to the leaf surface was not significant during this experiment. At the end of the four-month experiment, whole-plant mercury concentrations were determined. It was found that whereas mercury in the atmosphere primarily influenced foliar uptake, root concentrations were related to the soil mercury concentration. The implication of this study is that litterfall may serve as a pathway for new, atmospherically derived mercury to be deposited to forest soils. This has significant implications for watershed management of ecosystems where mercury is of concern.

Influence of pH treatments on survival of Escherichia coli O157:H7 in continuous cultures of rumen contents.

The pH (i.e., 5.5, 5.75, 6.0, 6.25, 6.5, 6.75, 7.0, and 7.25) effect on Escherichia coli O157:H7 in an artificial rumen model was investigated. Eight fermenters were inoculated with bovine rumen fluid and were supplied with a diet (75 g of dry matter daily in 12 equal portions [every 2 hr]) containing similar forage-to-concentrate ratio. After an adaptation period (i.e., 3 days for adjusting the rumen fluid [pH 6.2] microbial population to the test pH and 4 days for adjustment to the diet at the test pH), each fermenter was inoculated with 10(9) cells of E. coli O157:H7. Samples were collected hourly for 12 hr and every 2 hr for an additional 12 hr and were analyzed by flow cytometer. E. coli O157:H7 could not be quantified after 24 hr, and detection was only possible after enrichment. Because the pathogen could not be detected 5 days postinoculation (i.e., Day 13), the fermenters were reinoculated with E. coli O157:H7 on Days 17 and 22. E. coli O157:H7 numbers decreased from 10(6) to 10(4)/ml of fermenter contents in a quadratic (P < 0.05) fashion over the 24-hr sampling period, and the rate of reduction was slower (P < 0.05) for pH 7.0 than for other pH treatments. Results suggested that E. coli O157:H7 population were decreased by competitive exclusion and were not affected by culture pH.