High Degree Of Coexistence Research Articles

HIV Vulnerability and Coexisting Psychosocial Health Problems amongTanzanian Men who have Sex with Men from the Perspective of an African Syndemic Model

This study, conducted among men who have sex with men (MSM) in sub-Saharan Africa (SSA), sought to replicate the syndemic effects of psychosocial health problems on HIV risk by using data collected from a sample of 300 MSM and bisexuals from Tanzania. We also sought to test the utility of syndemic theory by replicating the effects of the number of syndemic conditions on HIV risk behavior in that population. Five psychosocial health problems (i.e., the syndemic factors), acronymized as SAVID, were examined: substance use while having condomless sexual intercourse, childhood and adolescent sexual abuse, experience of anti-gay violence, internalized homonegativity (IH), and depression. Nine of the 10 odds ratios (ORs) generated from analysis of the bivariate associations between these syndemic factors were found to be statistically significant and positive; the tenth was marginally significant and positive. These results indicate not only a high degree of coexistence of the syndemic factors but also suggest that possible interactions between these factors may have additive effects on the behavioral health outcomes of the study participants. Such additive effects were confirmed by finding a A¢Â€Âœdose-responseA¢Â€Â� relationship between HIV risk-associated sexual behavior and the number of the five syndemic factors reported by each participant. After controlling for demographic and contextual factors, we found that the SAVID syndemic variable significantly increased the odds of engaging in condomless sexual intercourse (OR, 1.48). This substantiates the central tenet of syndemic theory, which is that those participants who were exposed to a greater number of the psychosocial health problems also engaged in higher-risk sexual behavior. Multivariate regression analyses revealed not only the effect of two of the syndemic conditions (substance use during sex and IH) on HIV risk-related sexual behavior but also confirmed how one demographic variable (younger age) and one culturally structured factor (being gay but still having a meaningful sexual relationship with women) uniquely contributed to syndemic conditions among Tanzanian MSM. These results suggest that a multifaceted HIV intervention grounded in syndemic theory should be considered as an effective approach to mitigating the risk environment that potentiates the vulnerability to HIV among Tanzanian MSM.

Assessing spatial and temporal variability of phytoplankton communities' composition in the Iroise Sea ecosystem (Brittany, France): A 3D modeling approach. Part 1: Biophysical control over plankton functional types succession and distribution

Understanding the dynamic interplay between physical, biogeochemical and biological processes represents a key challenge in oceanography, particularly in shelf seas where complex hydrodynamics are likely to drive nutrient distribution and niche partitioning of phytoplankton communities. The Iroise Sea includes a tidal front called the ‘Ushant Front’ that undergoes a pronounced seasonal cycle, with a marked signal during the summer. These characteristics as well as relatively good observational sampling make it a region of choice to study processes impacting phytoplankton dynamics. This innovative modeling study employs a phytoplankton-diversity model, coupled to a regional circulation model to explore mechanisms that alter biogeography of phytoplankton in this highly dynamic environment. Phytoplankton assemblages are mainly influenced by the depth of the mixed layer on a seasonal time scale. Indeed, solar incident irradiance is a limiting resource for phototrophic growth and small phytoplankton cells are advantaged over larger cells. This phenomenon is particularly relevant when vertical mixing is intense, such as during winter and early spring. Relaxation of wind-induced mixing in April causes an improvement of irradiance experienced by cells across the whole study area. This leads, in late spring, to a competitive advantage of larger functional groups such as diatoms as long as the nutrient supply is sufficient. This dominance of large, fast-growing autotrophic cells is also maintained during summer in the productive tidally-mixed shelf waters. In the oligotrophic surface layer of the western part of the Iroise Sea, small cells coexist in a greater proportion with large, nutrient limited cells. The productive Ushant tidal front's region (1800mgC·m−2·d−1 between August and September) is also characterized by a high degree of coexistence between three functional groups (diatoms, micro/nano-flagellates and small eukaryotes/cyanobacteria). Consistent with previous studies, the biogeography of phytoplankton functional types at the Ushant front during summer displays an intermediate community composition between contrasted sub-regions on either side of the front. Strong mixing conditions within the frontal sub-region result in a short residence time of water masses, not allowing speciation or long term adaptation to occur.

Prevalence of Imaging Features on CT Thought to Be Associated With Femoroacetabular Impingement: A Retrospective Analysis of 473 Asymptomatic Adult Hip Joints.

The objective of our study was to investigate the prevalence of imaging features on CT thought to be associated with femoroacetabular impingement (FAI) and the associations among them. Of 430 consecutive adult patients (age range, 18-40 years) who underwent hip CT at our institution for hip symptoms or trauma surveillance, the asymptomatic hips were selected for the study, which resulted in the inclusion of 473 hip joints in the study group. Images were obtained using an MDCT scanner and were reformatted using a bone algorithm. The CT images were retrospectively evaluated by two radiologists for features indicative of FAI such as the alpha angle, femoral head-neck offset, acetabular version angle, and center-edge angle. The intraclass correlation coefficient was used to evaluate intra- and interobserver variabilities. Associations among these parameters were evaluated by calculating the odds ratio between each of the parameters separately. Of the 473 asymptomatic hip joints we studied, 190 (40%) joints showed at least one of the following features on CT: alpha angle greater than 55°, head-neck offset less than 8 mm, acetabular version angle less than 15°, or center-edge angle greater than 40°. At least one feature was found in the hips of male patients (43.2%), which is more frequently than in the hips of female patients (35.4%). There was a high degree of coexistence (odds ratio > 2) among these CT findings. Imaging features on CT that are known to be associated with FAI are common in asymptomatic adult hip joints, especially in men, with a high degree of coexistence among the findings.

Prevalence of Radiographic Findings Thought to Be Associated with Femoroacetabular Impingement in a Population-based Cohort of 2081 Healthy Young Adults

To report the prevalence of qualitative radiographic findings for femoroacetabular impingement (FAI) and associations among them and to characterize the inter- and intraobserver variability of these interpretations. This study is part of an institutional review board-approved population-based prospective follow-up of 2081 of 4006 (participation rate, 51.9%) young adults (874 [42.0%] male participants, 1207 [58.0%] female participants; mean age, 18.6 years) who took part in a randomized hip trial on developmental dysplasia of the hip. All participants gave informed consent. Two pelvic radiographs were obtained. Pistol-grip deformity, focal femoral neck prominence, and flattening of the lateral head, all suggestive of cam-type impingement, and the posterior wall sign, excessive acetabular coverage, and crossover sign, all suggestive of pincer-type impingement, were assessed subjectively by an experienced radiologist. To assess inter- and intraobserver agreement, images from 350 examinations were read independently twice by two observers. Cam-type deformities were seen in 868 male and 1192 female participants, respectively, as follows: pistol-grip deformity, 187 (21.5%) and 39 (3.3%); focal femoral neck prominence, 89 (10.3%) and 31 (2.6%); and flattening of the lateral femoral head, 125 (14.4%) and 74 (6.2%). Pincer-type deformities were seen in the same numbers of male and female participants, respectively, as follows: posterior wall sign, 203 (23.4%) and 131 (11.0%); and excessive acetabular coverage, 127 (14.6%) and 58 (4.9%) (all P < .001, according to sex distribution). The crossover sign was seen in 446 (51.4%) and 542 (45.5%) of the male and female participants, respectively (P = .004). There was a high degree of coexistence (odds ratio [OR] > 2) among most FAI findings. Interobserver agreement was good to very good (κ = 0.74-0.84) in rating cam- and pincer-type findings. Intraobserver agreement was moderate or good (κ = 0.49-0.80) for all findings for both observers. Overall, radiographic FAI findings are quite common in a population of healthy young adults, especially in males, with a high degree of coexistence among most findings (OR > 2).

Localisation of the neuropeptide PACAP and its receptors in the rat parathyroid and thyroid glands

PACAP (pituitary adenylate cyclase activating polypeptide) is widely distributed neuropeptide acting via three subtypes of receptors, PAC 1, VPAC 1 and VPAC 2. Here we examined the localisation and nature of PACAP-immunoreactive nerves in the rat thyroid and parathyroid glands and defined the distribution of PAC 1, VPAC 1 and VPAC 2 receptor mRNA’s. In the parathyroid gland a large number of nerve fibres displaying PACAP-immunoreactivity were distributed beneath the capsule, around blood vessels and close to glandular cells. Most of the PACAP-nerves were sensory, since they co-stored CGRP (calcitonin-gene-related peptide) and were sensitive to capsaicin-treatment. mRNA’s for PAC 1 and VPAC 2 receptors occurred in the parathyroid gland, mainly located in the glandular cells. In the thyroid gland PACAP-immunoreactive nerve fibres were associated with blood vessels, thyroid follicles and parafollicular C-cells. A high degree of co-existence between PACAP and VIP (vasoactive intestinal polypeptide) was observed in the intrathyroid nerve fibres and cell bodies of the thyroid ganglion indicating a common origin for the two peptides. A minor population of PACAP-immunoreactive nerve fibres with relation to blood vessels co-stored NPY (neuropeptide Y), whereas only a few fibres co-stored CGRP. PAC 1 and VPAC 1 receptor mRNA’s occurred in follicular cells and blood vessels, whereas the expression of the VPAC 2 receptor was low. The findings suggest that PACAP plays a role in the regulation of parathyroid and thyroid blood flow and hormone secretion.

Quantitative and qualitative aspects on the distribution of 5-HT and its coexistence with substance P and TRH in cat ventral medullary neurons

By use of the indirect immunofluorescence technique the distributions of 5-hydroxytryptamine (5-HT)-, substance P- and thyrotropin-releasing hormone (TRH)-immunoreactive (IR) neurons have been studied in the midline raphe nuclei and nucleus reticularis lateralis of the caudal brainstem (levels P18.3-P8.5; according to Berman (1968), in the cat, after treatment with colchicine. In addition, by use of the double-labelling technique, the coexistence between 5-HT-, substance P- and TRH-like immunoreactivity (LI) in these neurons was analysed. The results show that cell bodies in the midline raphe nuclei and nucleus reticularis lateralis contain 5-HT-, substance P- and TRH-LI. 5-HT-IR cells were more abundant than peptidergic neurons in all areas analysed. Quantitative estimations indicated that the total number of 5-HT-IR cells in the regions studied was about 17 × 10 3, while the corresponding numbers for substance P- and TRH-IR cells were 11 × 10 3 and 12 × 10 3, respectively. From double-labelled sections it was concluded that the vast majority of peptidergic cells also contained 5-HT-LI (87–100%). However, a subpopulation of 5-HT-IR neurons lacked peptide-LI (10–55%). The degree of coexistence varied with the brainstem level, in that neurons at more rostral locations showed a lower incidence of coexistence between 5-HT and peptide(s). The presence of all three compounds in one and the same cell body could also be demonstrated. In summary, 5-HT-, substance P- and TRH-IR cell bodies were encountered in medullary nuclei known to contain neurons with projection to the spinal cord. A high degree of coexistence between the compounds was demonstrated in these nuclei. The obtained results fit well with earlier studies on the patterns of distribution and peptide colocalization of 5-HT fibres in the spinal cord. The existence of biochemically distinct neuronal subpopulations within the 5-HT bulbospinal pathway is discussed.

Distribution of neuropeptide Y (NPY) in the cerebral cortex of the lizards Psammodromus algirus and Podarcis hispanica: Co‐localization of NPY, somatostatin, and GABA

The aim of the present study was to analyze the distribution and characteristics of NPY immunoreactive structures in the cerebral cortex of lizards and to investigate the degree of co-existence of this neuropeptide with somatostatin and GABA. The immunoperoxidase method was applied to vibratome sections as well as to semithin sections. NPY neurons are multipolar or fusiform and were unevenly distributed throughout the brain cortex. Within the medial, dorsomedial and dorsal cortices, most NPY perikarya were located in the plexiform layers, especially in the deep one. This suggests that these cells could be regarded as interneurons. In the lateral cortex, NPY neurons were found throughout all layers. The dorsomedial cortex displayed the highest NPY cell density. Here, neuronal perikarya projected many immunoreactive processes toward two distinct zones: the deep plexiform layer of the medial cortex and the superpositio medialis. The NPY neurons of the dorsomedial cortex differed from the other NPY cortical immunoreactive cells in that the latter displayed very few immunoreactive processes. A high degree of co-existence among NPY, somatostatin, and GABA (approx. 80%) was found. This co-existence rate is very similar to that reported in mammals and suggests that co-localization is a phylogenetically ancient phenomenon.

Vasoactive intestinal polypeptide-like immunoreactivity in the bovine heart: high degree of coexistence with neuropeptide Y-like immunoreactivity.

It is not known whether VIP coexists with other neuropeptides or neurotransmitters in the heart. In the present study, the distribution of nerve fibers showing VIP-like immunoreactivity (VIP-LI) in various parts of the bovine heart was compared with that of fibers possessing neuropeptide Y (NPY)- and dopamine-beta-hydroxylase (DBH)-LI. It was found that fibers showing VIP-LI most regularly occurred in the regions of sinuatrial and atrioventricular nodes and intracardiac ganglia, the nerve fibers being associated with nodal and ganglionic cells and arterial walls. Furthermore, it was observed that almost all fibers showing VIP-LI also exhibited NPY-LI. The fibers displaying VIP-LI occurred close to fibers endowed with DBH-LI, and on some occasions it appeared that varicosities showing immunolabeling for VIP also displayed DBH-LI. VIP- and NPY-LI, but not DBH-LI, was detected in some of the intracardiac ganglionic cells. The observations are discussed in relation to the previously known distribution and function of VIP in the heart and other organs. Further studies examining the effects of VIP and NPY in the heart should take into account possible interactions between these two peptides.

Intracisternal administration of cholecystokinin-8 counteracts the central cardiovascular effects of adrenaline and NPY. A study based on the coexistence of cholecystokinin, phenylethanolamine N-methyltransferase and neuropeptide Y immunoreactivity in neurons of the nucleus tractus solitarius

(1) In the present study the occlusion method was employed to evaluate the overall coexistence of neuropeptide Y and phenylethanolamine-N-methyl transferase, neuropeptide Y and tyrosine hydroxylase as well as cholecystokinin and phenylethanolamine-N-methyl transferase immunoreactivity in nerve cell bodies of the dorsal subnuclei of the nucleus tractus solitarius of the male rat. A high degree of coexistence was established for neuropeptide Y/phenylethanolamine-N-methyl transferase, cholecystokinin/phenylethanolamine-N-methyl transferase and for tyrosine hydroxylase/neuropeptide Y immunoreactivity. (2) Sulfated [(12)I]cholecystokinin-8 was used as radioligand to study the densities of cholecystokinin-8 binding sites in the dorsal medulla oblongata by means of quantitative receptor autoradiography. High densities of binding sites were observed in parts of the nucleus tractus solitarius and in the area postrema. Labeling was also observed in the dorsal motor nucleus of the vagus. (3) In the physiological studies adrenaline (0.15-1.0 nmol), neuropeptide Y (0.075-0.75 nmol) and sulfated cholecystokinin-8 (0.3-3.0 nmol) were administered alone or in combination with neuropeptide Y or adrenaline intracisternally into ?-chloralose anaesthetized male rats. Especially the hypotensive and bradycardic responses of adrenaline were counteracted in the adrenaline/cholecystokinin co-treated animals, whereas the cardiovascular effects of neuropeptide Y when co-administered with cholecystokinin-8 (0.3 nmol) appeared to be more resistant to the antagonistic effect of cholecystokinin 8. In addition, cholecystokinin-8 further enhanced the neuropeptide Y-induced bradynpnea and increase in the tidal volume. The present results indicate the existence of neuropeptide Y, adrenaline and cholecystokinin-8 immunoreactivity in the same neurons of the dorsal subnuclei of the nucleus tractus solitarius. Furthermore, binding sites for cholecystokinin-8 seem to at least partly co-distribute with ?-2 adrenergic and neuropeptide Y binding sites in the nucleus tractus solitarius. In the functional analysis, an antagonistic interaction between cholecystokinin-8 and adrenaline as well as between cholecystokinin and neuropeptide Y is demonstrated opening up the possibility that cholecystokinin peptides act as intrinsic modulators in the putative cholecystokinin/neuropeptide Y/adrenaline synapses in the nucleus tractus solitarius.