235 research outputs found
Factors associated with self-reported hepatitis B virus vaccination status among men who have sex with men in the Netherlands
Background: Reducing the number of new acute hepatitis B virus (HBV) infections to zero by 2022 is an important goal in the Netherlands. Free HBV vaccination is available for population groups at higher risk of infection, including men who have sex with men (MSM). Identifying correlates of HBV vaccination among MSM can guide the development of health promotion interventions to increase coverage of HBV vaccination. Methods: We assessed factors associated with the HBV vaccination status of 4270 MSM in the Netherlands. Data were collected through the 2018 online Men & Sexuality survey. Results: Multinomial regression analysis showed that lower education level, having never tested for HIV, not recently diagnosed with a sexually transmissible infection, recently having had sex abroad and unknown HBV testing status were associated with higher odds of being unvaccinated as opposed to fully vaccinated. Living in Amsterdam and testing HBV negative were associated with lower odds of being unvaccinated as opposed to fully vaccinated. Age (25-39 years vs younger ages), living in Amsterdam and using pre-exposure prophylaxis decreased the odds to be partly vaccinated as opposed to fully vaccinated; having a migration background increased these odds. Conclusions: HBV vaccination rates among MSM will not reduce HBV transmission to zero. HBV promotion should focus on MSM outside of Amsterdam who are likely less connected with sexual health services and may be at lower (perceived) risk. The factors identified related to HBV vaccination status provide guidance for health promotion interventions to increase uptake and vaccination completion among MSM
The impact of STI test results and face-to-face consultations on subsequent behavior and psychological characteristics
Acknowledgments The authors would like to thank Maarten Schipper at the Biostatistics Department at the National Institute for Public Health and the Environment, who provided assistance with the statistical analyses. Furthermore, the authors are grateful to the staff at the SHC of Amsterdam, Kennemerland, Hollands Noorden, Twente (especially Karin Westra, Anne de Vries, and Karlijn Kampman) who were involved in the recruitment and data collection of participants at baseline and to Marlous Ratten and Klazien Visser from Soapoli-online, who coordinated the laboratory testing of the home-based test kits at six-month follow-up. The authors would also like to thank the staff at the STI department at the National Institute for Public Health and the Environment, especially Birgit van Benthem.Peer reviewe
Regularized and Opposite spin-scaled functionals from M{\o}ller-Plesset adiabatic connection -- higher accuracy at lower cost
Non-covalent interactions (NCIs) play a crucial role in biology, chemistry,
material science, and everything in between. To improve pure quantum-chemical
simulations of NCIs, we propose a methodology for constructing approximate
correlation energies by combining an interpolation along the M{\o}ller
adiabatic connection (MP AC) with a regularization and spin-scaling strategy
applied to MP2 correlation energies. This combination yields -SPL2, which exhibits superior accuracy for NCIs compared to
any of the individual strategies. With the formal scaling, -SPL2, is competitive or often outperforms more expensive
dispersion-corrected double hybrids for NCIs.The accuracy of -SPL2 particularly shines for anionic halogen bonded
complexes, where it surpasses standard dispersion-corrected DFT by a factor of
3 to 5.Comment: 12 pages + 5 SI, 8 figures + 6 S
Clinical Comparison of the Performance of Two Marketed Ophthalmic Viscoelastic Devices (OVDs): The Bacterially Derived Healon PRO OVD and Animal-Derived Healon OVD
This clinical investigation compared the clinical performance of two marketed ophthalmic viscoelastic devices (OVDs): the bacterially derived Healon PRO OVD (test) and the animal-derived Healon OVD (control) under normal use conditions during cataract removal and lens implantation. This prospective, multicenter, randomized, parallel, participant/evaluator masked, postmarket investigation enrolled 139 subjects (170 eyes), 116 (143 eyes) of which were treated (73 test; 70 control group). Both test and control OVDs were used, at a minimum, to inflate the anterior chamber and protect the endothelium prior to cataract extraction according to the standard procedure. The surgeon completed a postsurgery OVD clinical performance questionnaire, and intraocular pressure (IOP) was measured before surgery and at the 1 day postoperative visit with Goldmann applanation tonometry. Any IOP measurement of 30 mmHg or higher was considered a "spike"and recorded as a study-specific, serious adverse event. The bacterially derived Healon PRO OVD was found to be statistically noninferior to the overall clinical performance of the animal-derived Healon OVD control; thus, the primary hypothesis was satisfied. There were no statistically significant differences between OVD groups for any of the additional endpoints relating to IOP changes or to safety, thus satisfying additional hypotheses. The Healon PRO OVD showed statistically significant improvements in surgeon ratings for ease of injectability, transparency/visibility, and ease of IOL placement. The safety profile was also similar between OVD groups with regards to serious and/or device-related adverse events, as well as medical and lens findings. The results of this clinical investigation support the safety and effectiveness of the bacterially derived, currently marketed Healon PRO OVD and indicate that the intraocular surgical performance was similar between the two OVDs
Health-related quality of life among adult HIV positive patients : assessing comprehensive themes and interrelated associations
Acknowledgements We would like to thank all HIV doctors, HIV nurses and clinical nurse specialists for their help with the inclusion of patients in the study. We are further grateful to all patients who filled out the questionnaires.Peer reviewedPublisher PD
Longitudinal Patterns of Sexually Transmitted Infection Risk Based on Psychological Characteristics and Sexual Behavior in Heterosexual Sexually Transmitted Infection Clinic Visitors
Sources of Funding: The Strategic Programme (SPR) of the National Institute for Public Health and the Environment (RIVM) provided funding for this study (project number S/113004/01/IP).Peer reviewedPublisher PD
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