Recent infection testing algorithms (RITA) for HIV combine serological assays with epidemiological data to determine likely recent infections, indicators of ongoing transmission. In 2016, we integrated RITA into national HIV surveillance in Ireland to better inform HIV prevention interventions. We determined the avidity index (AI) of new HIV diagnoses and linked the results with data captured in the national infectious disease reporting system. RITA classified a diagnosis as recent based on an AI < 1.5, unless epidemiological criteria (CD4 count <200 cells/mm3; viral load <400 copies/ml; the presence of AIDS-defining illness; prior antiretroviral therapy use) indicated a potential false-recent result. Of 508 diagnoses in 2016, we linked 448 (88.1%) to an avidity test result. RITA classified 12.5% of diagnoses as recent, with the highest proportion (26.3%) amongst people who inject drugs. On multivariable logistic regression recent infection was more likely with a concurrent sexually transmitted infection (aOR 2.59; 95% CI 1.04–6.45). Data were incomplete for at least one RITA criterion in 48% of cases. The study demonstrated the feasibility of integrating RITA into routine surveillance and showed some ongoing HIV transmission. To improve the interpretation of RITA, further efforts are required to improve completeness of the required epidemiological data.

The Aircraft Accident Statistics and Knowledge (AASK) database is a repository of survivor accounts from aviation accidents. Its main purpose is to store observational and anecdotal data from the actual interviews of the occupants involved in aircraft accidents. The database has wide application to aviation safety analysis, being a source of factual data regarding the evacuation process. It is also key to the development of aircraft evacuation models such as airEXODUS, where insight into how people actually behave during evacuation from survivable aircraft crashes is required. This paper describes recent developments with the database leading to the development of AASK v3.0. These include significantly increasing the number of passenger accounts in the database, the introduction of cabin crew accounts, the introduction of fatality information, improved functionality through the seat plan viewer utility and improved ease of access to the database via the internet. In addition, the paper demonstrates the use of the database by investigating a number of important issues associated with aircraft evacuation. These include issues associated with social bonding and evacuation, the relationship between the number of crew and evacuation efficiency, frequency of exit/slide failures in accidents and exploring possible relationships between seating location and chances of survival. Finally, the passenger behavioural trends described in analysis undertaken with the earlier database are confirmed with the wider data set.

The exits which passengers select in evacuation situations and the exits which are available post-crash is of great interest to aviation safety regulators who make rulings defining exit separation and aircraft evacuation certification, aircraft designers who develop the interior layout of aircraft cabins and position exits within the fuselage, cabin safety specialists who develop procedures for managing aircraft evacuation and cabin crew who must control aircraft evacuations. In this paper we examine issues associated with passenger exit selection behaviour and exit configurations frequently experienced during survivable crashes. This work makes use of the latest version of the Aircraft Accident Statistics and Knowledge database AASK V4.0, which contains information from 105 survivable crashes and over 2,000 survivors.

Depression is a common and important cause of morbidity and mortality worldwide. It is commonly treated with antidepressants and/or psychological therapy, but some people prefer alternative approaches such as exercise. There are a number of theoretical reasons why exercise may improve depression. This is an update of a review first published in 2009.

Wireless communications such as those in cell phones are utilizing increasing chip design complexity. For example analog mixed-signal chips can contain RF capability which requires integrated inductors [1,2]. High performance RF designs are enabled by the use of thick Copper (Cu) and Aluminum (Al) wires (>3um). In particular, the quality factor of the inductor, which is the ratio of magnetic stored energy over average dissipation, is dependent on the metal thickness. High quality factors, can be achieved by using thick Cu inductors. In some applications, the total thickness of Cu in the inductor can be as much as 12 um.

The fabrication of thick Cu layers is in many ways easier than that of thin Cu layers. For example, there are no limitations in terms of lithography or liner and seed layer thickness. However, there are still challenges with fabrication due to stress. Cracking of the dielectric can occur, due to the mismatch in coefficient of thermal expansion between Cu and SiO2, and due to the thick Cu layers in the inductor stack. Both the layout and the processing must be optimized to ensure that cracking does not occur.

This paper will discuss current applications, inductor design, and the reliability challenges and solutions associated with thick Cu interconnects.

Functional imaging studies have reported with remarkable consistency hyperactivity in the orbitofrontal cortex (OFC), anterior cingulate cortex (ACC), and caudate nucleus of patients with obsessive–compulsive disorder (OCD). These findings have often been interpreted as evidence that abnormalities in cortico–basal ganglia–thalamo–cortical loops involving the OFC and ACC are causally related to OCD. This interpretation remains controversial, however, because such hyperactivity may represent either a cause or a consequence of the symptoms. This article analyzes the evidence for a causal role of these loops in producing OCD in children and adults. The article first reviews the strong evidence for anatomical abnormalities in these loops in patients with OCD. These findings are not sufficient to establish causality, however, because anatomical alterations may themselves be a consequence rather than a cause of the symptoms. The article then reviews three lines of evidence that, despite their own limitations, permit stronger causal inferences: the development of OCD following brain injury, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection, and neurosurgical lesions that attenuate OCD. Converging evidence from these various lines of research supports a causal role for the cortico–basal ganglia–thalamo–cortical loops that involve the OFC and ACC in the pathogenesis of OCD in children and adults.

Nutrigenomics is the study of how constituents of the diet interact with genes, and their products, to alter phenotype and, conversely, how genes and their products metabolise these constituents into nutrients, antinutrients, and bioactive compounds. Results from molecular and genetic epidemiological studies indicate that dietary unbalance can alter gene–nutrient interactions in ways that increase the risk of developing chronic disease. The interplay of human genetic variation and environmental factors will make identifying causative genes and nutrients a formidable, but not intractable, challenge. We provide specific recommendations for how to best meet this challenge and discuss the need for new methodologies and the use of comprehensive analyses of nutrient–genotype interactions involving large and diverse populations. The objective of the present paper is to stimulate discourse and collaboration among nutrigenomic researchers and stakeholders, a process that will lead to an increase in global health and wellness by reducing health disparities in developed and developing countries.

Thermally induced interactions between materials in complex microactuator structures were investigated. The device structure contained a combination of a piezoelectric layer (lead zirconate titanate - PZT) an electrode with adhesion layer (Pt/Ti), buffer layer (SiO2 or TiO2), structural material (polysilicon and/or silicon nitride), and sacrificial oxide (SiO2). The presence of a SiO2 sacrificial layer did not affect either the bottom electrode or PZT layer. XRD results showed significant platinum and titanium silicide formation in the Pt/Ti electrode at 700 °C (PZT crystallization temperature) on both polysilicon and silicon nitride structural materials when no buffer layer was used. Auger analysis shows that the Ti adhesion layer oxidizes, that measured levels of silicon increase in the electrode zone, and that electrode elements diffuse into the structural material. Buffer layers of SiO2 (0, 0.1, 0.73, 1.3, 1.5 μm) and amorphous TiO2 (0.065 μm) were inserted between the electrode and the structural material. XRD and sheet resistance measurements demonstrated that SiO2 thicknesses greater than 0.73 μm reduced pyrochlore formation in the PZT and reduced the degradation of the electrode. However, this thickness was incompatible with overall surface micromachining processes. The TiO2 layer effectively prevented pyrochlore formation and electrode degradation, while being compatible with overall actuator processing.