2,118 research outputs found

    The implementation of chlamydia screening: a cross-sectional study in the south east of England

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    Background England's National Chlamydia Screening Programme (NCSP) provides opportunistic testing for under 25 year-olds in healthcare and non-healthcare settings. The authors aimed to explore relationships between coverage and positivity in relation to demographic characteristics or setting, in order to inform efficient and sustainable implementation of the NCSP. Methods The authors analysed mapped NCSP testing data from the South East region of England between April 2006 and March 2007 inclusive to population characteristics. Coverage was estimated by sex, demographic characteristics and service characteristics, and variation in positivity by setting and population group. Results Coverage in females was lower in the least deprived areas compared with the most deprived areas (OR 0.48; 95% CI 0.45 to 0.50). Testing rates were lower in 20 1324-year-olds compared with 15 1319-year-olds (OR 0.69; 95% CI 0.67 to 0.72 for females and OR 0.67; 95% CI 0.64 to 0.71 for males), but positivity was higher in older males. Females were tested most often in healthcare services, which also identified the most positives. The greatest proportions of male tests were in university (27%) and military (19%) settings which only identified a total of 11% and 13% of total male positives respectively. More chlamydia-positive males were identified through healthcare services despite fewer numbers of tests. Conclusions Testing of males focused on institutional settings where there is a low yield of positives, and limited capacity for expansion. By contrast, the testing of females, especially in urban environments, was mainly through established healthcare services. Future strategies should prioritise increasing male testing in healthcare settings

    A Tale of Two Cities: A Comparative Case Study of Community Engagement and Costs in Two Levy Campaigns

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    Using Anderson’s (1998) framework for authentic community engagement and Levin and McEwan’s (2001) “ingredients method,” this comparative case study analyzed contrasting approaches to levy campaigns undertaken by two suburban school districts and the associated costs of the campaigns. We found that District A ran a campaign that “authentically” engaged community members with lower opportunity costs for district personnel (administrators and teachers) and success at the polls. District B ran a “central office campaign” with higher opportunity costs for district personnel and defeat at the polls. While overall costs for District A were higher than those of District B, costs per registered voter were lower for District A than District B

    The Photoeccentric Effect and Proto-hot Jupiters. III. A Paucity of Proto-hot Jupiters on Super-eccentric Orbits

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    Gas giant planets orbiting within 0.1 AU of their host stars are unlikely to have formed in situ and are evidence for planetary migration. It is debated whether the typical hot Jupiter smoothly migrated inward from its formation location through the proto-planetary disk, or was perturbed by another body onto a highly eccentric orbit, which tidal dissipation subsequently shrank and circularized during close stellar passages. Socrates and collaborators predicted that the latter model should produce a population of super-eccentric proto-hot Jupiters readily observable by Kepler. We find a paucity of such planets in the Kepler sample, which is inconsistent with the theoretical prediction with 96.9% confidence. Observational effects are unlikely to explain this discrepancy. We find that the fraction of hot Jupiters with an orbital period P > 3 days produced by the star-planet Kozai mechanism does not exceed (at two-sigma) 44%. Our results may indicate that disk migration is the dominant channel for producing hot Jupiters with P > 3 days. Alternatively, the typical hot Jupiter may have been perturbed to a high eccentricity by interactions with a planetary rather than stellar companion, and began tidal circularization much interior to 1 AU after multiple scatterings. A final alternative is that early in the tidal circularization process at high eccentricities tidal circularization occurs much more rapidly than later in the process at low eccentricities, although this is contrary to current tidal theories
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