The authors report on their development of a National Advisory Board (NAB) to guide a funded project: Two in One: HIV + COVID-19 Screening and Testing Model. This project aimed to improve primary care practitioners’ capacity to routinize HIV, PrEP/PEP, and COVID-19 vaccine screenings for all their patients while relying on culturally responsive communication with their minoritized patients. To approach their monumental research and education tasks, they created a NAB, drawing from the literature on advisory boards to (a) promote board member engagement and (b) progress successfully through the six stages suggested for successful advisory boards. A midpoint survey and final focus groups with NAB members indicated mixed levels of engagement, a sense of time and work being valued, and pride in the media and academic reach of the project. The authors offer considerations for others considering forming a NAB to guide primary care research and interventions.

The surfaces of quartz crystals that were partially dissolved in superheated, H2O-saturated rhyolite melt are covered with hemispherical embayments; each embayment is judged to have formed where a gas bubble in the melt approached the crystal. ‘Flux-line attack’ and ‘upward-drilling’ of the refractory lining of glass tanks are analogous processes. As a bubble nears a dissolving solid it enters a compositional boundary layer in the melt, resulting in melt of variable surface tension surrounding the bubble. This unstable situation results in small-scale convection of the melt about the bubble (Marangoni convection) which can cause locally enhanced dissolution rate of the solid. It is suggested that this mechanism could cause round embayments to form in quartz phenocrysts in acid volcanic and sub-volcanic rocks. Criteria by which embayed phenocrysts formed by dissolution can be distinguished from those formed by unstable growth are reviewed briefly.

Single crystals of magnetite and of hematite have been dissolved at atmospheric pressure in superheated melts in the systems CaO-MgO-Al2O3-SiO2 and CaO-Al2O3-SiO2, and in a basalt. The crystals were suspended in alumina crucibles containing ca 3.5 cm 3 of melt. Quenched run products were examined optically and by electron probe analysis to establish the distribution of Fe in the glassy charges. There is usually a concentration of Fe at the base of a run product, consistent with flow of dissolved matter from the crystal to the floor. One or more columns of brown, Fe-rich glass may extend from the underside of a relic crystal towards the floor. In CMAS run products, such columns typically extend this entire distance, whereas in the CAS and basalt run products, the columns are either detached from the crystal or do not reach the floor. In the CMAS melt (viscosity ~1 poise) there is apparently continuous release of Fe-bearing melt from around a dissolving crystal, whereas in the CAS and basalt melts (viscosities 7000 and 300 poise, respectively) release is intermittent. In CMAS run products the Fe content is usually greatest, in glass, at the base, and declines gradually upwards; in CAS and basalt runs the bottom of a crucible is occupied by discrete, sharply bounded pillows of Fetich glass, with only slight, or no, gradation in composition. Rising gas bubbles can elevate small blobs of the denser, Fe-bearing melt from around a dissolving crystal, and trains of bubbles in the CAS melt may guide this Fe-bearing melt, against gravity, to the surface of the charge. When the bubbles burst at the surface, this dense melt is left in an unstable location and releases diapirs which descend to the bottom of the crucible. In spite of the evidence that convective fractionation occurs in these haplomagmas and in the basalt, it remains to be demonstrated that it will occur during sidewall crystallization or during the growth of minerals in a cumulus mush to cause magmatic differentiation.

Dissolution rates of small forsterite spheres in superheated melts of basalt, andesite and rhyolite composition have been measured at 1300°C, atmospheric pressure. The rate is constant (83 µm hr−1) in the basalt, regardless of run duration. In the andesite the initial dissolution rate is 200µm hr−1, followed by a decrease to a constant value of 16µmhr−1 in 2–3 hours. Dissolution rate in the rhyolite decreases from an initial value of 1.7 to <0.1 µmhr−1 over 280 hours and never reaches a constant rate. Once the rate of dissolution has become constant, the film of contaminated melt that forms in melt about a crystal does not thicken with time, indicating attainment of a steady-state condition. Steady state is attributed to natural convection arising from the difference in density between the film of contaminated melt surrounding a crystal and that beyond. The density difference is approximately 2% of the density of the rock melt.

By the waning years of the 1940s America had lost much of what remained of its postwar optimism as fears of Communism came to dominate the national political conversation. Left-leaning citizens had particular cause for disillusionment as politicians continued to trample many vestiges of New Deal programs and ideals in their rightward trek. The passage of the antilabor Taft-Hartley Act in 1947 and Progressive Party presidential candidate Henry Wallace's abysmal failure at the polls in the 1948 election hammered more nails into the coffin of leftwing activism. What ultimately caused the Old Left to retreat from mainstream political discourse was, of course, the new ideological war that loomed on the horizon. While U.S. foreign policy focused on containing Communism abroad, local and federal governlnent agencies and civilian vigilante groups rallied to fight suspected communists at home, Government agencies and private organizations compiled lists of alleged subversives, such as Red Channels: The Report of Communist Influence in Radio and Television that the right-wing publication Counterattack released in 1950. The attacks on those in the media and government were well documented, as news sources reported the trials of iconic groups like the Hollywood Ten and televised the Army-McCarthy hearings. At the same time that anticommunists focused on rooting out subversives in the State Department, organized labor, and the entertainment industry, they also turned their attention to education. Many political leaders, both liberal and conservative, viewed education as the “key factor” in securing American victory in the Cold War; as a result, between the end of WWII and the 1960s, anticommunists devoted an unprecedented amount of scrutiny to public schools, administrators, and teachers.

Blood culture contamination (BCC) has been associated with unnecessary antibiotic use, additional laboratory tests and increased length of hospital stay thus incurring significant extra hospital costs. We set out to assess the impact of a staff educational intervention programme on decreasing intensive care unit (ICU) BCC rates to <3% (American Society for Microbiology standard). BCC rates during the pre-intervention period (January 2006–May 2011) were compared with the intervention period (June 2011–December 2012) using run chart and regression analysis. Monthly ICU BCC rates during the intervention period were reduced to a mean of 3·7%, compared to 9·5% during the baseline period (P < 0·001) with an estimated potential annual cost savings of about £250 100. The approach used was simple in design, flexible in delivery and efficient in outcomes, and may encourage its translation into clinical practice in different healthcare settings.

Uncertainties exist regarding the population risks of hospitalization due to pandemic influenza A(H1N1). Understanding these risks is important for patients, clinicians and policy makers. This study aimed to clarify these uncertainties. A national surveillance system was established for patients hospitalized with laboratory-confirmed pandemic influenza A(H1N1) in England. Information was captured on demographics, pre-existing conditions, treatment and outcomes. The relative risks of hospitalization associated with pre-existing conditions were estimated by combining the captured data with population prevalence estimates. A total of 2416 hospitalizations were reported up to 6 January 2010. Within the population, 4·7 people/100 000 were hospitalized with pandemic influenza A(H1N1). The estimated hospitalization rate of cases showed a U-shaped distribution with age. Chronic kidney disease, chronic neurological disease, chronic respiratory disease and immunosuppression were each associated with a 10- to 20-fold increased risk of hospitalization. Patients who received antiviral medication within 48 h of symptom onset were less likely to be admitted to critical care than those who received them after this time (adjusted odds ratio 0·64, 95% confidence interval 0·44–0·94, P=0·024). In England the risk of hospitalization with pandemic influenza A(H1N1) has been concentrated in the young and those with pre-existing conditions. By quantifying these risks, this study will prove useful in planning for the next winter in the northern and southern hemispheres, and for future pandemics.

Streptococcus pneumoniae is a common cause of community-acquired pneumonia (CAP) but existing diagnostic tools have limited sensitivity and specificity. We enrolled adults undergoing chest radiography at three Indian Health Service clinics in the Southwestern United States and collected acute and convalescent serum for measurement of PsaA and PspA titres and urine for pneumococcal antigen detection. Blood and sputum cultures were obtained at the discretion of treating physicians. We compared findings in clinical and radiographic CAP patients to those in controls without CAP. Urine antigen testing showed the largest differential between CAP patients and controls (clinical CAP 13%, radiographic CAP 17%, control groups 2%). Serological results were mixed, with significant differences between CAP patients and controls for some, but not all changes in titre. Based on urine antigen and blood culture results, we estimated that 11% of clinical and 15% of radiographic CAP cases were due to pneumococcus in this population.