27,887 research outputs found

    Understanding the diverse sexual repertoires of men who have sex with men, trans and gender-diverse groups is important for sexually transmitted infection prevention

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    The sexual repertoires of men who have sex with men (MSM), transgender (trans) and gender-diverse groups are poorly understood despite their disproportionate rates of sexually transmitted infections (STIs). The interrelated landscapes and syndemics of the social and sexual behaviour of MSM, trans and gender-diverse groups, and transmission of STIs have changed beyond recognition over the past 20 years.1–3 We are only beginning to understand the complex and evolving sexual behaviours of MSM in mainly urbanised Western populations such as described in the article by Kilner et al.4 The majority of our understanding of sexual behaviour in the trans population comes from studies of trans women, with much less being understood about trans men and almost nothing about non-binary or other gender-diverse people.5 Little is also known about the sexual behaviours of sexual orientations such as pansexual or individuals who mainly have sex with trans or non-binary people, for whom we still lack clear terminology. It is time we included all sexual and gender minorities in behavioural and epidemiological research of this kind

    158”J pulses from a single transverse mode, large mode-area EDFA

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    We report the amplification of 10pJ-100pJ, semiconductor diode pulses up to an energy of 158”J and peak powers >100kW in a multi-stage fibre amplifier chain based on a single-mode, large mode-area erbium doped amplifier design. These results represent the highest single-mode pulse energy ever extracted from any doped fibre system

    Will I? won't I? Why do men who have sex with men present for post-exposure prophylaxis for sexual exposures?

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    Background: Failures of post-exposure prophylaxis following sexual exposure (PEPSE) to prevent seroconversion have been reported and are often associated with ongoing risk exposure. Understanding why men who have sex with men (MSM) access PEPSE on some occasions and not others may lead to more effective health promotion and disease prevention strategies Methods: A qualitative study design using semi-structured interviews of 15 MSM within 6 months of them initiating PEPSE treatment at an HIV outpatient service in Brighton, UK. Results: PEPSE seeking was motivated by a number of factors: an episode that related to a particular sexual partner and their behaviour; the characteristics of the venue where the risk occurred; the respondent’s state of mind and influences of alcohol and recreational drug use; and their perceived beliefs on the effectiveness of PEPSE. Help was sought in the light of a “one-off” or “unusual” event. Many respondents felt they were less likely to behave in a risky manner following PEPSE. Conclusion: If PEPSE is to be effective as a public health measure, at risk individuals need to be empowered to make improved risk calculations from an increased perception that they could be exposed to HIV if they continue their current behaviour patterns. The concern is that PEPSE was sought by a low number of MSM implying that a greater number are not using the service based on failure to make accurate risk calculations or recognise high-risk scenario

    Malaria, Intestinal Parasitic Infection, Anemia, and Malnourishment in Rural Cameroonian Villages with an Assessment of Early Interventions

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    Malaria, water-borne diarrheal diseases, and geohelminth infections, combined with severe malnutrition ravage entire villages throughout subSaharan Africa. The Bawa Health Initiative (BHI) is a 501c(3) non-profit organization with the goal of implementing a comprehensive public health program in an attempt to address these problems in a series of rural villages located in the West Province of Cameroon, Africa. Interventions include the provision of permethrin-treated bed nets to reduce the transmission of malaria, the installation of biosand water filters to reduce the prevalence of water-borne diseases, and a geohelminth control program utilizing mass treatment with albendazole. This study details the results of surveys conducted to monitor the success of the interventions. Since implementation of interventions, the number of clinical cases of malaria, diarrheal disease and typhoid has decreased, the prevalence of water-borne protozoan parasites has decreased, the prevalence and intensities of geohelminth infections has significantly decreased, and the prevalence of anemia has significantly decreased. When viewed in its entirety, these data show that the comprehensive approach to public health challenges in these villages initiated by BHI has been extremely successful. However, much work remains to be done. The primary purpose of this paper is to further inform academicians, students, and the general public about the continuing problems associated with these diseases and to describe and assess the effectiveness of some current interventions being used to combat them

    Ethnographic engagement from within a Football in the Community programme at an English Premier League football club

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    The present paper draws upon six years of applied practitioner research experience of the authors who were based within a Football in the Community (FitC) programme at an English Premier League football club in a deprived community in the UK. The paper explores the critical emergent issues concerned with participant recruitment, engagement and retention within a range of FitC physical activity, health improvement interventions with the following populations; primary school children, families, men aged 18–35 years and men aged 55 years and above. Results are drawn from a range of ethnographic, reflective and observational data collection and analysis techniques undertaken by the authors. A first person writing style is used alongside creative non-fiction vignettes. Results relating to the effectiveness of a range of behaviour and lifestyle change interventions are discussed. The authors conclude with a series of proposed operational and strategic ways forward for FitC schemes

    Addressing Assessment in Libyan Medical Education

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    Assessment is a powerful driver of student learning: it gives a message to learners about what they should be learning, what the learning organisation believes to be important, and how they should go about learning. Assessment tools allow measurement of student achievement and thereby give teachers insight into their students' learning, and enable teachers to make systematic judgements about progress and achievement. It is vital then that assessment tools drive students to learn the right things as well as measure student learning appropriately. Any attempts to reform curricula and teaching methods must consider the role of assessment in the learning process

    Finite Density QCD in the Chiral Limit

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    We present the first results of an exact simulation of full QCD at finite density in the chiral limit. We have used a MFA (Microcanonical Fermionic Average) inspired approach for the reconstruction of the Grand Canonical Partition Function of the theory; using the fugacity expansion of the fermionic determinant we are able to move continuously in the (ÎČ−Ό\beta -\mu) plane with m=0m=0.Comment: 3 pages, LaTeX, 3 figures, uses espcrc2.sty, psfig. Talk presented by A. Galante at Lattice 97. Correction of some reference

    The Importance of Phase in Nulling Interferometry and a Three Telescope Closure-Phase Nulling Interferometer Concept

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    We discuss the theory of the Bracewell nulling interferometer and explicitly demonstrate that the phase of the "white light" null fringe is the same as the phase of the bright output from an ordinary stellar interferometer. As a consequence a "closure phase" exists for a nulling interferometer with three or more telescopes. We calculate the phase offset as a function of baseline length for an Earth-like planet around the Sun at 10 pc, with a contrast ratio of 10−610^{-6} at 10 ÎŒ\mum. The magnitude of the phase due to the planet is ∌10−6\sim 10^{-6} radians, assuming the star is at the phase center of the array. Although this is small, this phase may be observable in a three-telescope nulling interferometer that measures the closure phase. We propose a simple non-redundant three-telescope nulling interferometer that can perform this measurement. This configuration is expected to have improved characteristics compared to other nulling interferometer concepts, such as a relaxation of pathlength tolerances, through the use of the "ratio of wavelengths" technique, a closure phase, and better discrimination between exodiacal dust and planets
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