2,209 research outputs found

    Prescribing as affective clinical practice: Transformations in sexual health consultations through HIV pre-exposure prophylaxis

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    New medicines can transform routines and priorities in clinical practice, but how do clinicians think and feel about these changes, and how does it affect their work? In Australia, the HIV prevention regimen pre-exposure prophylaxis (PrEP) has been rapidly rolled out, transforming the sexual cultures and practices of users, but less attention has been given to the ways PrEP has reconfigured clinical practice. This paper draws on 28 qualitative semi-structured interviews conducted between 2019 and 2020 with PrEP-providing doctors and nurses in Australia to consider how they have affectively engaged with PrEP and put it into practice. Through a reflexive thematic analysis, we explore how clinicians adapted to PrEP, how the field of HIV prevention has been transformed, and how these developments have changed how clinicians approach patients. While the introduction of PrEP was initially received with uncertainty and shock, clinicians described PrEP as enjoyable to prescribe, and better aligned with the moral duties of sexual health consultations than existing HIV prevention strategies like condoms. Through approaching clinical work as an ‘affective practice’, we argue for attending not only to how new interventions change expectations and practices, but also how these changes are felt and valued by clinicians

    Implications and Impacts of Awareness Sessions in a Work Site Health Promotion Program

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    The purpose of this study was to evaluate one phase of an extensive worksite health promotion program, developed multidisciplinary health care professionals. A single was conducted using the Cardiac Health Questionnaire. results to card: climate and implemented by group pre-post design T-test and chi-square indicated significant changes in attitude and knowledge related ovascular disease prevention. Perceptions of organizational and employee work place, also have The need for worksite concerns regarding issues of confidentiality in the implications for the development of such programs. health programs and the skills health professionals provide to their successful implementation, provide educational direction to the development of health occupations programs

    Ethical considerations in determining standard of prevention packages for HIV prevention trials: Examining PrEP

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    The successful demonstration that antiretroviral (ARV) drugs can be used in diverse ways to reduce HIV acquisition or transmission risks – either taken as pre-exposure prophylaxis (PrEP) by those who are uninfected or as early treatment for prevention (T4P) by those living with HIV – expands the armamentarium of existing HIV prevention tools. These findings have implications for the design of future HIV prevention research trials. With the advent of multiple effective HIV prevention tools, discussions about the ethics and the feasibility of future HIV prevention trial designs have intensified. This article outlines arguments concerning the inclusion of newly established ARV-based HIV prevention interventions as standard of prevention in HIV prevention trials from multiple perspectives. Ultimately, there is a clear need to incorporate stakeholders in a robust discussion to determine the appropriate trial design for each study population

    Literary and cinematic perspectives on gender studies

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    This project focuses on gender studies including women, men, and sexual diversity studies. Students explore gender and sexuality in the fields of literature and cinema related to cultural, social, and economic issues in Latin America and Spain. The analysis includes a diverse selection of topics: gender and science, gender and sexuality, gender and minority ethnicities, feminism and diversity, transgender identities, transgender healthcare, lesbian and gay figures and trends, and intersex and culture
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