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In 2019, President Trump announced a new initiative, Ending the HIV Epidemic: A Plan for America (EHE). EHE will use 3 key strategies—diagnose, treat, and prevent—to reduce new HIV infections at least 90% by 2030, as well as new laboratory methods and epidemiological techniques to respond quickly to potential outbreaks. Partnerships are an important component in the initiative's success. Pharmacists and pharmacies can play important roles in EHE, including dispensing antiretroviral therapy and providing HIV screening, adherence counseling, medication therapy management, preexposure prophylaxis, and nonprescription syringe sales. The objective of this report is to discuss potential roles that pharmacists and pharmacies can play under the key strategies of EHE. [ABSTRACT FROM AUTHOR]

In the United States earthworms of two Asian species (Amynthas tokioensis and A. agrestis) are leading a northward invasion into temperate forests and horticultural landscapes. Some studies have shown temperature sensitivity in earthworms, but none has explicitly tested the range of heat tolerance for A. tokioensis and A. agrestis cocoons. This study tested the hypothesis A. tokioensis and A. agrestis cocoons would become nonviable when exposed to 55 C in a laboratory setting. Clitellate earthworms of A. tokioensis and A. agrestis were established in replicate incubation cultures to quantify cocoon production rate and to obtain cocoons of known source. Cocoons were then exposed to heat treatments (3 or 15 d at 20, 30, 40, 45, 50, 55, or 60 C) to determine viability after heat exposure. Twelve A. tokioensis and A. agrestis earthworms produced as many as 74 and 82 cocoons in 20 d, respectively (overall mean = 0.14 ± 0.10 cocoons earthworm–1 d–1). All heat treatments ≥40 C resulted in zero viability (P < 0.001), but the 30 C treatment was no different than the control at 20 C (P = 1.000). These findings were consistent regardless of species, treatment length, or period of incubation during which the cocoons were collected. The threshold of tolerance was between 27.1 C (maximum of the 30 C treatment) and 38.1 C (minimum of the 40 C treatment) for A. tokioensis and A. agrestis cocoons. These data may guide management decisions concerning the spread of A. tokioensis and A. agrestis to new locations. [ABSTRACT FROM AUTHOR]

Prairie gardens have become a common addition to residential communities in the midwestern United States because prairie vegetation is native to the region, requires fewer resources to maintain than turfgrass, and has been promoted to help remediate urban soil. Although prairie systems typically have deeper and more diverse root systems than traditional turfgrass, no one has tested the effect of this vegetation type on the physical properties of urban soil. We hypothesized that residential prairie gardens would yield lower soil bulk density (BD), lower penetration resistance (PR), greater soil organic matter (SOM), and greater saturated hydraulic conductivity (Ksat) compared with turfgrass lawns. To test this hypothesis, we examined 12 residential properties in Madison, WI, where homeowners had established a prairie garden within their turfgrass lawn. Despite a consistent trend in the difference between vegetation types, no significant main effects were found (i.e., a difference between vegetation types when averaged over depth) for any of the four soil properties measured in this study. Differences were found with depth and depended on a significant interaction with vegetation type. At the surface depth (0-0.15 m), soil beneath prairie gardens had 10% lower mean BD, 15% lower mean PR, 25% greater level of SOM, and 33% greater Ksat compared with soil beneath the adjacent lawns. These differences were not detected at deeper sampling intervals of 0.15 to 0.30 m and 0.30 to 0.45 m. Although not statistically significant, the consistent trend and direction among soil variables suggest that residential prairie gardens had changed the surface soil at a rate that marginally outpaced turfgrass and calls for controlled experiments to identify the mechanisms that might enhance these trends. [ABSTRACT FROM AUTHOR]

A new behavioural sciences medical course was developed at a Scottish university in the context of a preclinical curriculum. The aim was to give students more experience, as well as knowledge, of the psychological, social and behavioural evidence base, with a view to enhancing their self-efficacy in using what they had learned. In many branches of the medical curriculum students learn from experience gained in practical settings. For this practical implementation, basic psychological theory and evidence indicate that self-efficacy is crucial. Compared with initial values, students showed greater self-efficacy at the end of the first year of the course than at the beginning, for knowledge and for skills.

Ensuring good quality of life (QoL) among persons with diagnosed HIV (PWH) is a priority of the National HIV/AIDS Strategy (NHAS), which established 2025 goals for improving QoL. Goals are monitored through five indicators: self-rated health, unmet needs for mental health services, unemployment, hunger or food insecurity, and unstable housing or homelessness. Among the growing population of PWH aged ≥50 years, progress toward these goals has not been assessed. Data collected during the 2017-2022 cycles of the Medical Monitoring Project, an annual complex sample survey of U.S. adults with diagnosed HIV, assessed progress toward NHAS 2025 QoL goals among PWH aged ≥50 years, overall and by age group. The recent estimated annual percentage change from baseline (2017 or 2018) to 2022 was calculated for each indicator. Among PWH aged ≥50 years, the 2025 goal of 95% PWH with good or better self-rated health is 46.2% higher than the 2022 estimate. The 2025 goals of a 50% reduction in the other indicators range from 26.3% to 56.3% lower than the 2022 estimates. Decreasing hunger or food insecurity by 50% among PWH aged ≥65 was the only goal met by 2022. If recent trends continue, other NHAS QoL 2025 goals are unlikely to be met. Multisectoral strategies to improve access to housing, employment, food, and mental health will be needed to meet NHAS 2025 goals for QoL among older PWH., Competing Interests: All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.