Sexually transmitted infection testing and self-reported diagnoses among a community sample of men who have sex with men, in Scotland

Introduction To examine sexually transmitted infection (STI) testing and self-reported diagnoses among men who have sex with men (MSM), in Scotland. Methods Cross-sectional survey of seven Glasgow gay bars in July 2010 (n=822, 62% response rate); 693 are included in the analyses. Results 81.8% reported ever having had an STI test; 37.4% had tested in the previous 6 months; 13.2% reported having an STI in the previous 12 months. The adjusted odds of having ever tested were significantly higher for men who had 6+ sexual partners in the previous 12 months (adjusted OR=2.66), a maximum sexual health knowledge score (2.23), and had talked to an outreach worker/participated in counselling (1.96), and lower for men reporting any high-risk unprotected anal intercourse (UAI) in the previous 12 months (0.51). Adjusted odds of recent testing were higher for men who had 6+ sexual partners (2.10), talked to an outreach worker/participated in counselling (1.66), maximum sexual health knowledge (1.59), and higher condom use knowledge (1.04), and lower for men aged ≥25 years (0.46). Adjusted odds of having had an STI in the previous 12 months were higher for men who had 6+ sexual partners (3.96) and any high-risk UAI in the previous 12 months (2.24) and lower for men aged ≥25 years (0.57). Conclusions STI testing rates were relatively high, yet still below the minimum recommended for MSM at high risk. Consideration should be given to initiating recall systems for men who test positive for STIs, and to developing behavioural interventions which seek to address STI transmission

Has testing been normalized? An analysis of changes in barriers to HIV testing among men who have sex with men between 2000 and 2010 in Scotland, UK

Objectives: This paper examines changes in barriers to HIV testing amongst gay men. We compared data collected in 2000 and 2010 to assess changes in HIV testing behaviours, in community-level perceptions of barriers to HIV testing, and in the relative contributions of barrier measures. Methods: Cross-sectional surveys were conducted within the commercial gay scene in Glasgow with good response rates (78% and 62%) using a form of time and location sampling. Results: Major changes in HIV testing behaviours were observed between 2000 and 2010 (30.6% increase in testing within previous year). At the community level, the perceived benefits of testing [t (1284) = –8.46; P <0.001] and the norm for HIV testing [t (1236) = –11.62; P < 0.001] increased; however, other perceived barriers did not change (fear of a positive result, clinic-related barriers and attitudes to sex with HIV-positive men). Multinomial logistic regression showed that fear of a positive test result remained a key barrier to HIV testing; however, a significant fear × year of survey interaction indicated that fear played a lesser role in differentiating those who had never been tested from those who had been tested in 2010 than it had in 2000. Conclusions: These findings suggest the partial normalization of HIV testing. While some barriers have reduced, other key barriers remain important. Interventions should be designed and evaluated that attend to both the biomedical and the psychosocial aspects of HIV testing (e.g. the meaning of positive test results, the sexual exclusion of positive men, and HIV-related stigma)

Nuclear symmetry energy and the r-mode instability of neutron stars

We analyze the role of the symmetry energy slope parameter $L$ on the {\it r}-mode instability of neutron stars. Our study is performed using both microscopic and phenomenological approaches of the nuclear equation of state. The microscopic ones include the Brueckner--Hartree--Fock approximation, the well known variational equation of state of Akmal, Pandharipande and Ravenhall, and a parametrization of recent Auxiliary Field Diffusion Monte Carlo calculations. For the phenomenological approaches, we use several Skyrme forces and relativisic mean field models. Our results show that the {\it r}-mode instability region is smaller for those models which give larger values of $L$. The reason is that both bulk ($\xi$) and shear ($\eta$) viscosities increase with $L$ and, therefore, the damping of the mode is more efficient for the models with larger $L$. We show also that the dependence of both viscosities on $L$ can be described at each density by simple power-laws of the type $\xi=A_{\xi}L^{B_\xi}$ and $\eta=A_{\eta}L^{B_\eta}$. Using the measured spin frequency and the estimated core temperature of the pulsar in the low-mass X-ray binary 4U 1608-52, we conclude that observational data seem to favor values of $L$ larger than $\sim 50$ MeV if this object is assumed to be outside the instability region, its radius is in the range $11.5-12$($11.5-13$) km, and its mass $1.4M_\odot$($2M_\odot$). Outside this range it is not possible to draw any conclusion on $L$ from this pulsar.Comment: 10 pages, 6 figures. Version published in Physical Review

Preparedness for use of the rapid result HIV self-test by gay men and other men who have sex with men (MSM): a mixed methods exploratory study among MSM and those involved in HIV prevention and care

Objectives: The aim of the study was to explore preparedness for the HIV self-test among men who have sex with men (MSM) and those involved in HIV prevention and care. Methods: A mixed methods exploratory research design was employed, detailing awareness and willingness to use the self-test and the perceived barriers and facilitators to implementation. Quantitative and qualitative data collection and analysis were completed in parallel. Descriptive and inferential analysis of cross-sectional bar-based survey data collected from MSM through a self-completed questionnaire and oral fluid specimen collection (n = 999) was combined with qualitative, thematic, analysis of data collected through 12 expert focus groups (n = 55) consisting of gay men, National Health Service (NHS) staff, community organizations, entrepreneurs and activists. Findings were subsequently combined and assessed for synergies. Results: Among MSM, self-test awareness was moderate (55%). Greater awareness was associated with increased educational attainment [adjusted odds ratio 1.51; 95% confidence interval (CI) 1.00–2.30; P = 0.05] and previous history of sexually transmitted infection (STI) testing (adjusted odds ratio 1.63; 95% CI 1.11–2.39; P = 0.01). Willingness to use the test was high (89%) and associated with meeting sexual partners online (unadjusted odds ratio 1.96; 95% CI 1.31–2.94; P < 0.001). Experts highlighted the overall acceptability of self-testing; it was understood as convenient, discreet, accessible, and with a low burden to services. However, some ambivalence towards self-testing was reported; it could reduce opportunities to engage with wider services, wider health issues and the determinants of risk. Conclusions: Self-testing represents an opportunity to reduce barriers to HIV testing and enhance prevention and access to care. Levels of awareness are moderate but willingness to use is high. Self-testing may amplify health inequalities

Pairing and alpha-like quartet condensation in N=Z nuclei

We discuss the treatment of isovector pairing by an alpha-like quartet condensate which conserves exactly the particle number, the spin and the isospin. The results show that the quartet condensate describes accurately the isovector pairing correlations in the ground state of systems with an equal number of protons and neutronsComment: 4 pages, to appear in Journal of Physics: Conference Serie

Boson mappings and four-particle correlations in algebraic neutron-proton pairing models

Neutron-proton pairing correlations are studied within the context of two solvable models, one based on the algebra SO(5) and the other on the algebra SO(8). Boson-mapping techniques are applied to these models and shown to provide a convenient methodological tool both for solving such problems and for gaining useful insight into general features of pairing. We first focus on the SO(5) model, which involves generalized T=1 pairing. Neither boson mean-field methods nor fermion-pair approximations are able to describe in detail neutron-proton pairing in this model. The analysis suggests, however, that the boson Hamiltonian obtained from a mapping of the fermion Hamiltonian contains a pairing force between bosons, pointing to the importance of boson-boson (or equivalently four-fermion) correlations with isospin T=0 and spin S=0. These correlations are investigated by carrying out a second boson mapping. Closed forms for the fermion wave functions are given in terms of the fermion-pair operators. Similar techniques are applied -- albeit in less detail -- to the SO(8) model, involving a competition between T=1 and T=0 pairing. Conclusions similar to those of the SO(5) analysis are reached regarding the importance of four-particle correlations in systems involving neutron-proton pairing.Comment: 31 pages, Latex, 3 Postscript figures, uses epsf.sty, submitted to Physical Review

Final Cultural Resources Report of the Salt Creek Midstream, LLC Proposed Olifant Eight Inch Pipeline Project on University Lands in Ward County, Texas

Enercon Services, Inc. (ENERCON), in support of Salt Creek Midstream, LLC, conducted an intensive archeological survey for the proposed Olifant Eight Inch Pipeline Project located near Pyote in Ward County, Texas. The proposed project consists of the construction of an approximately 800 foot (244 m) long eight inch steel pipeline on University Lands, extending from a tie-in at an existing well pad, trending generally south-southeast to a tie-in on the existing Quito Draw pipeline. The Olifant Eight Inch Pipeline Project area is mapped on the United States Geological Survey (USGS) Soda Lake NE, Texas (1967, photorevised 1981) 7.5 Minute Quadrangle map. The construction corridor consists of a 50 foot (15 m) wide permanent pipeline right-of-way (ROW) and a 50 foot (15 m) wide temporary workspace corridor. The cultural resources survey corridor and the area of potential effect (APE) was 100 feet (30 m) wide for the entire 800 foot (244 m) length of the proposed Olifant Eight Inch Pipeline Project, totaling 1.84 acres (.74 hectares). The proposed project is entirely on University Lands, a political subdivision of the State of Texas. The archeological survey was completed under Texas Antiquities Permit No. 9012. The cultural resources field investigation on University Lands was conducted on February 26, 2019 by ENERCON archeologist Gary Edington, who meets the U.S. Secretary of the Interior’s Professional Qualification Standards for archeology as set forth in 36 CFR 61, and consisted of an intensive pedestrian survey utilizing transects spaced no greater than 15 m apart, with shovel tests in areas which had the potential for buried cultural resources. The field investigation was conducted in accordance with the Texas Historical Commission (THC) Archeological Survey Standards for Texas. The entire project was supervised by Michael Margolis, an ENERCON archeologist who meets the U.S. Secretary of the Interior’s Professional Qualification Standards for archeology as set forth in 36 CFR 61. The cultural resources survey did not result in finding any historic or prehistoric artifacts, features, cultural lenses, or sites over 50 years of age on University Lands. Therefore, it is recommended that the project will have no effect on any historic property that may qualify for inclusion in the National Register of Historic Places (NRHP) on University Lands. No further cultural resources investigations are recommended prior to construction of the proposed Olifant Eight Inch Pipeline Project on University Lands. If cultural material, including sites, features, or artifacts that are 50 years old or older are encountered within the ROW during construction of this project, work in the area must cease and the THC must be immediately be notified