Residents of rural areas are underrepresented in research. The aim of this narrative review was to explore studies describing the effectiveness of community engagement strategies with rural communities to promote participant recruitment and participation in clinical research. Following PRISMA guidelines, this narrative review was conducted in June 2020. Our search strategy was built around keywords that included community-engaged research, rural community, and recruitment strategies into clinical research. Content-related descriptive statistics were summarized. The selected articles were distributed into categories of levels of community engagement: inform, consult, involve, collaborate, or co-lead. The search resulted in 2,473 identified studies of which forty-eight met inclusion criteria. Of these, 47.1% were randomized controlled trials. The most common levels of engagement were consultation (n = 24 studies) and collaboration (n = 15), while very few focused on informing (n = 2) and co-leadership (n = 2). Strategies, limitations, and findings are discussed for each level of community engagement. This narrative addressed a gap in knowledge regarding participant recruitment in rural communities in relation to assistance from community members. Community engagement contributed to the success of the research, especially in recruitment, participation, and building trust and partnership.

In view of the increasing complexity of both cardiovascular implantable electronic devices (CIEDs) and patients in the current era, practice guidelines, by necessity, have become increasingly specific. This document is an expert consensus statement that has been developed to update and further delineate indications and management of CIEDs in pediatric patients, defined as ≤21 years of age, and is intended to focus primarily on the indications for CIEDs in the setting of specific disease categories. The document also highlights variations between previously published adult and pediatric CIED recommendations and provides rationale for underlying important differences. The document addresses some of the deterrents to CIED access in low- and middle-income countries and strategies to circumvent them. The document sections were divided up and drafted by the writing committee members according to their expertise. The recommendations represent the consensus opinion of the entire writing committee, graded by class of recommendation and level of evidence. Several questions addressed in this document either do not lend themselves to clinical trials or are rare disease entities, and in these instances recommendations are based on consensus expert opinion. Furthermore, specific recommendations, even when supported by substantial data, do not replace the need for clinical judgment and patient-specific decision-making. The recommendations were opened for public comment to Pediatric and Congenital Electrophysiology Society (PACES) members and underwent external review by the scientific and clinical document committee of the Heart Rhythm Society (HRS), the science advisory and coordinating committee of the American Heart Association (AHA), the American College of Cardiology (ACC), and the Association for European Paediatric and Congenital Cardiology (AEPC). The document received endorsement by all the collaborators and the Asia Pacific Heart Rhythm Society (APHRS), the Indian Heart Rhythm Society (IHRS), and the Latin American Heart Rhythm Society (LAHRS). This document is expected to provide support for clinicians and patients to allow for appropriate CIED use, appropriate CIED management, and appropriate CIED follow-up in pediatric patients.

ABSTRACT IMPACT: We hope to provide a more nuanced understanding of the type-III IFN system, thereby exploring its therapeutic potential in the realm of infectious diseases. OBJECTIVES/GOALS: The role of IFNLR1 receptor dynamics and plasticity in regulating the type-III IFN response is largely unknown. As a specific, powerful component of innate immunity, understanding how the type-III IFN system is regulated could lead to the development of novel therapeutic targets and strategies to face a multitude of viral illnesses. METHODS/STUDY POPULATION: To facilitate our investigation, we will generate doxycycline-inducible FLAG-tagged IFNLR1-expression plasmids representing all known transcriptional variants. These plasmids will allow us to: 1) Evaluate the effect of IFNLR1 surface abundance on the type-III IFN transcriptional profile and 2) Assess the extent of IFNLR1-FLAG co-localization with several notable intracellular structures using immunofluorescence, before and after stimulation with IFNL3. RESULTS/ANTICIPATED RESULTS: We have successfully generated three IFNLR1-FLAG transcriptional variants and confirmed inducible-expression and function in vitro. We are currently assessing the role of surface abundance, internalization, differential isoform expression, and trafficking. DISCUSSION/SIGNIFICANCE OF FINDINGS: By completing this study, we hope to provide a more nuanced understanding of the type-III IFN system, thereby exploring its therapeutic potential in the realm of infectious diseases.

The International Mineralogical Association's approved amphibole nomenclature has been revised in order to simplify it, make it more consistent with divisions generally at 50%, define prefixes and modifiers more precisely and include new amphibole species discovered and named since 1978, when the previous scheme was approved. The same reference axes form the basis of the new scheme and most names are little changed but compound species names like tremolitic hornblende (now magnesiohornblende) are abolished and also crossite (now glaucophane or ferroglaucophane or magnesioriebeckite or riebeckite), tirodite (now manganocummingtonite) and dannemorite (now manganogrunerite). The 50% rule has been broken only to retain tremolite and actinolite as in the 1978 scheme so the sodic calcic amphibole range has therefore been expanded. Alkali amphiboles are now sodic amphiboles. The use of hyphens is defined. New amphibole names approved since 1978 include nyböite, leakeite, kornite, ungarettiite, sadanagaite and cannilloite. All abandoned names are listed. The formulae and source of the amphibole end member names are listed and procedures outlined to calculate Fe3+ and Fe2+ when not determined by analysis.

Recent modelling estimates up to two-thirds of new HIV infections among men who have sex with men occur within partnerships, indicating the importance of dyadic HIV prevention efforts. Although new interventions are available to promote dyadic health-enhancing behaviours, minimal research has examined what factors influence partners’ mutual engagement in these behaviours, a critical component of intervention success. Actor-partner interdependence modelling was used to examine associations between relationship characteristics and several dyadic outcomes theorised as antecedents to health-enhancing behaviours: planning and decision making, communication, and joint effort. Among 270 male-male partnerships, relationship satisfaction was significantly associated with all three outcomes for actors (p = .02, .02, .06 respectively). Latino men reported poorer planning and decision making (actor p = .032) and communication (partner p = .044). Alcohol use was significantly and negatively associated with all outcomes except actors’ planning and decision making (actors: p = .11, .038, .004 respectively; partners: p = .03, .056, .02 respectively). Having a sexual agreement was significantly associated with actors’ planning and decision making (p = .007) and communication (p = .008). Focusing on interactions between partners produces a more comprehensive understanding of male couples’ ability to engage in health-enhancing behaviours. This knowledge further identifies new and important foci for the tailoring of dyadic HIV prevention and care interventions.

Giardiasis is a treatable disease, caused by the flagellated protozoan parasite, Giardia duodenalis (G. duodenalis). It is one of the most common enteric parasites found globally to cause gastrointestinal disturbances, and infections may result in long-term irritable bowel syndrome-like symptoms. It is a common misconception that giardiasis is associated with foreign travel, which results in locally acquired cases in the UK being underdiagnosed. This report highlights the findings from one large Scottish Health Board, arising from a change in testing methodology, which resulted in the screening of all stools submitted for enteric investigations for G. duodenalis. Previous selection criteria were restricted to patients with a travel history to specific regions of the world, or on the basis of certain clinical details. In this report, clinical details were recorded from samples shown to be positive using two methods: an ELISA-based antigen detection assay and microscopy. Clinical details were assessed for a total of 28 laboratory-confirmed positive cases against the original selection criteria. Twenty-six cases (93%) would have been excluded from Giardia testing if the previous selection criteria had been applied. Although nine cases stated foreign travel, only two had been to regions deemed to be ‘high risk’. Therefore, those seven cases that travelled to perceived ‘low-risk’ regions would have been excluded from testing for this reason. This summary highlights the need for significant improvements to the selection criteria for Giardia testing. Laboratories should be encouraged towards the testing of all routinely submitted stools for this neglected pathogen to ensure cases that are acquired locally are properly identified and treated effectively.

The adsorption, desorption, and mobility of metribuzin [4-amino-6-tert-butyl-3-(methylthio)-as-triazine-5(4H)one] in eight Ontario soils were investigated. The distribution coefficients varied from 0.56 for the least adsorptive Fox sandy loam soil to 31.67 for the most highly adsorptive Leamington muck soil. Most of the adsorbed metribuzin was desorbed from the mineral soils after six aqueous extractions, however substantial amounts of the herbicide remained adsorbed on the muck soils after 10 aqueous extractions. The herbicide was relatively mobile in mineral soils but was immobile in the muck soils. Mobility was inversely correlated with the amount of soil organic matter. Bioassay studies indicated that phytotoxicity of metribuzin also decreased with increasing organic matter content of the soil. Persistence of metribuzin was dependent on microbial degradation. In a field study with Guelph loam, the half-life of metribuzin was approximately 3 months.

Seedlings of fifteen different cultivars of tomato (Lycopersicon esculentum Mill.) varied greatly in tolerance to metribuzin [4-amino-6-tert-butyl-3-(methylthio)-as-triazine-5(4H) one] applied at a concentration of 0.5 mg/L in quartz sand nutrient culture during the three-true-leaf stage. Tolerance increased with seedling age, but acceptable tolerance was observed about 6 days earlier in the tolerant ‘Fireball’ compared to the susceptible ‘Heinz 1706′. Root uptake and acropetal translocation of metribuzin-carbonyl-14 C was similar in 2-week-old seedlings of susceptible Heinz 1706 and tolerant Fireball seedlings. Differential tolerance was related to the rate of detoxification by metabolism within the tomato leaves, which was approximatley two-fold greater in the tolerant Fireball seedlings.

Sugar beets (Beta vulgaris L., var. MSU 126 × 5460) were treated with 5-amino-4-chloro-2-phenyl-3(2H)-pyridazinone (pyrazon) applied to the soil. The pyrazon was labeled with either 3H in the phenyl ring, or with 14C at the 4 and 5 positions of the pyridazinone ring. The disappearance of pyrazon and the appearance of metabolites in the soil and shoots were examined 1, 2, 4, 6, 8, 12, and 16 weeks after treatment. The total recoverable radioactivity decreased with time, but there was a greater loss of 3H-labeled compounds than 14C-labeled compounds from the soil. Thin-layer chromatography of the soil and shoot extracts revealed the presence of one metabolite in the soil and three metabolites in the plant. By co-chromatography with known pyrazon derivatives and by comparison of the labeling (14C, 3H, or both), the metabolites in the shoot were identified as N-(2-chloro-4-phenyl-3(2H)-pyridazinone)-glucosamine (hereinafter referred to as N-glucosyl pyrazon), 5-amino-4-chloro-3(2H)-pyridazinone (hereinafter referred to as ACP), and ACP-complex. The other moiety in the ACP-complex was not identified. The metabolite in the soil was identified as ACP, and was detectable 2 weeks prior to its appearance in the shoot, suggesting that it was absorbed from the soil.

Red beets (Beta vulgaris L., var. Detroit Dark Red) converted the herbicide 5-amino 4-chloro-2-phenyl-3(2H)-pyridazinone (pyrazon) to N-2-chloro-4-phenyl-3-(2H)-pyridazinone glucosamine. Isolation was accomplished by water, benzene, and alcohol extraction of foliage followed by purification through molecular sieve columns. Identification was established by infrared spectroscopy, and thin layer and gas liquid chromatography.

Triazine-resistant (TR) biotypes of weeds normally susceptible (S) to triazine herbicides first were documented in Ontario in 1974. By 1988, at least nine weed species had TR biotypes, and at least 50% of the corn-producing areas were infested. Corn has been grown the longest in the southwestern Ontario, but TR weeds are only a minor problem there. Predominant agronomic practices in the southwest include crop rotation, atrazine use on 60% of corn land, use of other postemergence herbicides, interrow cultivation, little silage corn, and little manure returned to the land. Corn, particularly grain corn, is new as a large hectareage crop in eastern Ontario. However, more than 75% of corn land in that area is infested with two or more TR weed species. Predominant agronomic practices in the east include continuous corn, nearly all fields are atrazine treated, use of postemergence herbicides is not common, cultivation is rare, 25% of the corn is for silage, and manure from corn silage is returned to all cultivated land. Adequate herbicide programs exist to control TR weeds in corn and other crops. However, the spread from field to field and from farm to farm is often rapid, particularly in eastern Ontario.