Empowering Tennessee Pharmacists to Initiate PrEP Using Collaborative Pharmacy Practice Agreements.

Background: The uptake of Pre-Exposure Prophylaxis (PrEP) has revolutionized the fight against the Human Immunodeficiency Virus (HIV) epidemic. Consistent obstacles remain that have influenced the slow uptake of PrEP in the United States of America (USA). In order to address these barriers, pharmacists must be included in the dispensing and management of PrEP through collaborative pharmacy practice agreements (CPPAs).

Tennessee Pharmacists' Opinions on Barriers and Facilitators to Initiate PrEP: A Qualitative Study.

Pre-exposure prophylaxis (PrEP) is recommended to prevent the transmission of the human immunodeficiency virus (HIV). Although an effective treatment, the uptake in the United States remains low. Pharmacists are well-positioned to initiate the conversation with patients about PrEP, but few studies exist exploring their unique roles.

A comparative climate analysis of heat-related emergency 911 dispatches: Chicago, Illinois and Phoenix, Arizona USA 2003 to 2006.

Research into the health impacts of heat has proliferated since 2000. Temperature increases could exacerbate the increased heat already experienced by urban populations due to urbanization. Heat-related mortality studies have found that hot southern cities in North America have not experienced the summer increases in mortality found in their more northern counterparts.

Climate and heat-related emergencies in Chicago, Illinois (2003-2006).

Extreme heat events are responsible for more deaths in the United States than floods, hurricanes and tornados combined. Yet, highly publicized events, such as the 2003 heat wave in Europe which caused in excess of 35,000 deaths, and the Chicago heat wave of 1995 that produced over 500 deaths, draw attention away from the countless thousands who, each year, fall victim to nonfatal health emergencies and illnesses directly attributed to heat. The health impact of heat waves and excessive heat are well known.

Intra-urban societal vulnerability to extreme heat: the role of heat exposure and the built environment, socioeconomics, and neighborhood stability.

Extreme heat is an important weather hazard associated with excess mortality and morbidity. We determine the relative importance of heat exposure and the built environment, socioeconomic vulnerability, and neighborhood stability for heat mortality (Philadelphia, PA, USA) or heat distress (Phoenix, AZ, USA), using an ecologic study design. We use spatial Generalized Linear and Mixed Models to account for non-independence (spatial autocorrelation) between neighboring census block groups.

Comparative environmental and economic analysis of conventional and nanofluid solar hot water technologies.

This study compares environmental and economic impacts of using nanofluids to enhance solar collector efficiency as compared to conventional solar collectors for domestic hotwater systems. Results show that for the current cost of nanoparticles the nanofluid based solar collector has a slightly longer payback period but at the end of its useful life has the same economic savings as a conventional solar collector. The nanofluid based collector has a lower embodied energy (approximately 9%) and approximately 3% higher levels of pollution offsets than a conventional collector.

Modeling effects of urban heat island mitigation strategies on heat-related morbidity: a case study for Phoenix, Arizona, USA.

A zero-dimensional energy balance model was previously developed to serve as a user-friendly mitigation tool for practitioners seeking to study the urban heat island (UHI) effect. Accordingly, this established model is applied here to show the relative effects of four common mitigation strategies: increasing the overall (1) emissivity, (2) percentage of vegetated area, (3) thermal conductivity, and (4) albedo of the urban environment in a series of percentage increases by 5, 10, 15, and 20% from baseline values. In addition to modeling mitigation strategies, we present how the model can be utilized to evaluate human health vulnerability from excessive heat-related events, based on heat-related emergency service data from 2002 to 2006.

A biometeorology study of climate and heat-related morbidity in Phoenix from 2001 to 2006.

Heat waves kill more people in the United States than hurricanes, tornadoes, earthquakes, and floods combined. Recently, international attention focused on the linkages and impacts of human health vulnerability to urban climate when Western Europe experienced over 30,000 excess deaths during the heat waves of the summer of 2003-surpassing the 1995 heat wave in Chicago, Illinois, that killed 739. While Europe dealt with heat waves, in the United States, Phoenix, Arizona, established a new all-time high minimum temperature for the region on July 15, 2003.