Lack of alternative coreceptor use by pediatric HIV-1 R5 isolates for infection of primary cord or adult peripheral blood mononuclear cells.

HIV-1 infection of neonates results in an extended acute period of virus replication, frequent neurological problems and reduced survival compared to adults. In adults, R5 viruses mainly infect CCR5(+) CD4(+) memory T-cells. In neonates, CCR5(+) memory T-cells form a substantially smaller fraction of total lymphocytes. We therefore tested whether alternative coreceptors confer infection of lymphocytes by pediatric isolates. Pediatric HIV-1 R5 isolates failed to replicate in Delta32/Delta32 CCR5 PBMCs or in cord PBMCs treated with a CCR5 inhibitor. These results do not indicate a role for alternative coreceptors and provide support for CCR5 inhibitors in the therapy of HIV-1(+) neonates.

Soil nitrate monitoring for turfgrass sod farms and other turf areas.

Studies with established turf and golf courses have indicated minimal risk of nitrate pollution of groundwater resulting from turfgrass management, but soil nitrate flux in turfgrass sod production farms and golf courses has received less attention. Information about nitrate-N flux at a particular location can be helpful to the sod producer or the golf course manager when efficiently applying N fertilizers and minimizing risk of nitrate pollution. We used an ion exchange resin capsule system to continuously monitor soil nitrate-N fluxes at 12 sites in southern Rhode Island, including turfgrass sod production farms and a low-maintenance environment. Four capsules were placed in the soil at each site and retrieved at intervals coinciding with management and meteorological events to determine nitrate ion accumulation. We found that the golf course green exhibited significantly higher nitrate-N fluxes than the sod farms and the low-maintenance turf. There was significant interaction between sampling date and study site, indicating that seasonal variation in soil nitrate-N fluxes was affected by turfgrass management. The cultural practice of late fall fertilization to stimulate early spring growth in the following year appeared to present some risk of nitrate loss during the winter from the golf course greens in our region. We conclude that site-specific and time-relevant monitoring is needed to produce and manage turfgrasses in an environmentally sound manner.

What is left of professionalism after managed care?

Modern American medicine has wedded scientific advance to a small business model of the individual practitioner, defining professionalism as technical understanding. If the profession is to survive, it must draw on older ideals of the learned professions as acting on behalf of the community, and reinvigorate a ovic understanding of professional life.