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Husted Moran posted an update 8 hours, 11 minutes ago
Expanding agribusiness in Northern Mexico has increased demand for workers from Southern Mexico, with hundreds of thousands migrating for work annually. Extreme temperatures, physical labor, and low fluid consumption place workers at risk for heat strain and dehydration, commonly underreported hazards in the agricultural industry. The objectives of this pilot study were to assess heat exposure and hydration status of a population of migratory agricultural workers in Northern Mexico throughout the grape harvest season. In addition to demographic information, environmental conditions, hydration status, and core body temperatures were collected. The majority listed Chiapas as their home state, nearly half spoke an Indigenous language, and none had completed high school. The wet-bulb globe temperature was significantly higher during the harvest and post-harvest seasons compared to the pre-harvest season. click here Across the different seasons, the majority were dehydrated post-shift, and mean core body temperature of workers was not significantly different. This project highlights the need for targeted interventions to improve hydration and prevent heat stress in this region. As the number of warm days is expected to rise each year worldwide, it will be increasingly important to engage in practices to protect vulnerable populations, such as migratory agriculture workers.BACKGROUND Human papillomaviruses (HPVs) have been linked to a variety of human cancers. As the landscape of HPV-related neoplasia continues to expand, uncommon and rare HPV genotypes have also started to emerge. Host-virus interplay is recognized as a key driver in HPV carcinogenesis, with host immune status, virus genetic variants and coinfection highly influencing the dynamics of malignant transformation. Immunosuppression and tissue tropism are also known to influence HPV pathogenesis. METHODS Herein, we present a case of a patient who, in the setting of HIV positivity, developed anal squamous cell carcinoma associated with HPV69 and later developed squamous cell carcinoma in the lungs, clinically presumed to be metastatic disease, associated with HPV73. Consensus PCR screening for HPV was performed by real-time PCR amplification of the L1 gene region, amplification of the E6 regions with High-Resolution Melting Curve Analysis followed by Sanger sequencing confirmation and phylogenetic analysis. RESULTS Sanger sequencing of the consensus PCR amplification product determined that the anal tissue sample was positive for HPV 69, and the lung tissue sample was positive for HPV 73. CONCLUSIONS This case underscores the importance of recognizing the emerging role of these rare “possibly carcinogenic” HPV types in human carcinogenesis.Phase modulation of light is the core of many optoelectronic applications, such as electro-optic switch, sensors and modulators. Graphene Surface plasmon polaritons (SPPs) exhibit unique properties in phase modulation including dynamic tunability, a small driving voltage and small device size. In this paper, the novel phase modulation capability of graphene SPPs in mid-infrared are confirmed through theory and simulation. The results show that graphene SPPs can realize continuous tuning of the phase shift at multiple wavelengths in mid-infrared, covering the phase range from 0° to 360°. Based on these results, a sandwich waveguide structure of dielectric-graphene-dielectric with a device length of 800 nm is proposed, which shows up to 381° phase modulation range at an operating wavelength of 6.55 µm, given a 1 V driving voltage. In addition, the structure size is much shorter than the wavelength in mid-infrared and can realize sub-wavelength operation. This work paves the way to develop graphene-based tunable devices for mid-infrared wave-front control.As part of a National Cancer Institute Moonshot P30 Supplement, the Stanford Cancer Center piloted and integrated tobacco treatment into cancer care. This quality improvement (QI) project reports on the process from initial pilot to adoption within 14 clinics. The Head and Neck Oncology Clinic was engaged first in January 2019 as a pilot site given staff receptivity, elevated smoking prevalence, and a high tobacco screening rate (95%) yet low levels of tobacco cessation treatment referrals ( less then 10%) and patient engagement ( less then 1% of smokers treated). To improve referrals and engagement, system changes included an automated “opt-out” referral process and provision of tobacco cessation treatment as a covered benefit with flexible delivery options that included phone and telemedicine. Screening rates increased to 99%, referrals to 100%, 74% of patients were reached by counselors, and 33% of those reached engaged in treatment. Patient-reported abstinence from all tobacco products at 6-month follow-up is 20%. In July 2019, two additional oncology clinics were added. In December 2019, less than one year from initiating the QI pilot, with demonstrated feasibility, acceptability, and efficacy, the tobacco treatment services were integrated into 14 clinics at Stanford Cancer Center.To evaluate the effectiveness of alternative policies and measures to reduce air pollution effects on urban citizen’s health, population exposure assessments are needed. Due to road traffic emissions being a major source of emissions and exposure in European cities, it is necessary to account for differentiated transport environments in population dynamics for exposure studies. In this study, we applied a modelling system to evaluate population exposure in the urban area of Hamburg in 2016. The modeling system consists of an urban-scale chemistry transport model to account for ambient air pollutant concentrations and a dynamic time-microenvironment-activity (TMA) approach, which accounts for population dynamics in different environments as well as for infiltration of outdoor to indoor air pollution. We integrated different modes of transport in the TMA approach to improve population exposure assessments in transport environments. The newly developed approach reports 12% more total exposure to NO2 and 19% moreble in European urban areas. The presented methodology is promoted for use in urban mobility planning, e.g., to investigate on policy-driven changes in modal split and their combined effect on emissions, population activity and population exposure.