Publications by authors named "H Grubbs"
Nitrate-induced spallation of lead-bearing solder particles into drinking water is not sufficiently controlled by phosphate-based inhibitors, although adding zinc can improve their performance. Studies using copper coupons coated with new lead-tin solder in water with up to 12 mg/L nitrate demonstrated that zinc orthophosphate reduced lead release by more than 90% and outperformed orthophosphate alone. Lead release and spallation from harvested pipes with decades-old lead-tin solder in a high nitrate water were improved but not eliminated with zinc orthophosphate over a period of months.
View Article and Find Full Text PDFArticle Synopsis
- Adherence to antiretroviral therapy (ART) is low among pregnant and postpartum women living with HIV in resource-limited settings, with few effective interventions available.
- A study conducted 24 in-depth interviews with women in western Kenya, correlating their self-reported experiences with actual ART drug concentration levels obtained from blood samples.
- Key themes identified included the effects of HIV status disclosure, social support, healthcare interactions, and health beliefs, highlighting a potential for targeted interventions to enhance ART adherence and improve health outcomes for mothers and infants.
Article Synopsis
- The report highlights new modes of transmission for human monkeypox, specifically through sexual contact, as evidenced by a case involving an HIV-positive man.
- The man's clinical symptoms included unusual skin lesions, such as widespread pustules, genital ulcers, and swollen lymph nodes in the groin area.
- The findings support the idea that sexual contact may be a significant transmission route, prompting a call for further research on monkeypox infection in both men and women.
Encountering and responding to patient resistance can be especially challenging for student healthcare providers. Navigating who ultimately holds the authority to know and understand a health concern, make recommendations for a course of action, and accept or resist these recommendations are all part of how epistemic authority is negotiated in medical settings. The purpose of this paper is to systematically examine how student providers enrolled in a communication skills course at an American university responded to standardized patient resistance.
View Article and Find Full Text PDF