944 research outputs found
Risk and protective factors for meningococcal disease in adolescents: matched cohort study
Objective: To examine biological and social risk factors for
meningococcal disease in adolescents.
Design: Prospective, population based, matched cohort study
with controls matched for age and sex in 1:1 matching.
Controls were sought from the general practitioner.
Setting: Six contiguous regions of England, which represent
some 65% of the country’s population.
Participants: 15-19 year olds with meningococcal disease
recruited at hospital admission in six regions (representing 65%
of the population of England) from January 1999 to June 2000,
and their matched controls.
Methods: Blood samples and pernasal and throat swabs were
taken from case patients at admission to hospital and from
cases and matched controls at interview. Data on potential risk
factors were gathered by confidential interview. Data were
analysed by using univariate and multivariate conditional
logistic regression.
Results: 144 case control pairs were recruited (74 male (51%);
median age 17.6). 114 cases (79%) were confirmed
microbiologically. Significant independent risk factors for
meningococcal disease were history of preceding illness
(matched odds ratio 2.9, 95% confidence interval 1.4 to 5.9),
intimate kissing with multiple partners (3.7, 1.7 to 8.1), being a
university student (3.4, 1.2 to 10) and preterm birth (3.7, 1.0 to
13.5). Religious observance (0.09, 0.02 to 0.6) and
meningococcal vaccination (0.12, 0.04 to 0.4) were associated
with protection.
Conclusions: Activities and events increasing risk for
meningococcal disease in adolescence are different from in
childhood. Students are at higher risk. Altering personal
behaviours could moderate the risk. However, the development
of further effective meningococcal vaccines remains a key
public health priority
Design and analysis report for the RL10-2B breadboard low thrust engine
The breadboard low thrust RL10-2B engine is described. A summary of the analysis and design effort to define the multimode thrust concept applicable to the requirements for the upper stage vehicles is provided. Baseline requirements were established for operation of the RL10-2B engine under the following conditions: (1) tank head idle at low propellant tank pressures without vehicle propellant conditioning or settling thrust; (2) pumped idle at a ten percent thrust level for low G deployment and/or vehicle tank pressurization; and (3) full thrust (15,000 lb.). Several variations of the engine configuration were investigated and results of the analyses are included
Sex-bias in COVID-19: a meta-analysis and review of sex differences in disease and immunity
A striking anecdotal feature of the Coronavirus disease 2019 (COVID-19) outbreak is the difference in morbidity and mortality between the sexes. Here, we present a meta-analysis of 206, 128 reported cases to demonstrate that whilst there is no difference in the proportion of males and females with confirmed COVID-19, male patients have more than double the odds of requiring intensive treatment unit admission (OR 2.5) and higher odds of death (OR 1.60) when compared to females. We review data revealing how previous Coronavirus outbreaks have demonstrated a similar pattern. Important differences in the immune response to infection exist between sexes, which are likely to contribute to this observation. In this review, we discuss these differences highlighting that females have a more robust innate antiviral response and a better adaptive immune response to infection. An appreciation of how sex is influencing COVID-19 outcomes will have important implications for clinical management and mitigation strategies for this disease
Immunophenotype of systemic lupus erythematosus and Sjogren´s syndrome patients identified two endotypes with potential therapeutic implications
Immunophenotype of Sjögren´s syndrome and systemic lupus erythematosus patients identified two endotypes with potential therapeutic implications
Narratives of self and identity in women's prisons: stigma and the struggle for self-definition in penal regimes
A concern with questions of selfhood and identity has been central to penal practices in women's prisons, and to the sociology of women's imprisonment. Studies of women's prisons have remained preoccupied with women prisoners’ social identities, and their apparent tendency to adapt to imprisonment through relationships. This article explores the narratives of women in two English prisons to demonstrate the importance of the self as a site of meaning for prisoners and the central place of identity in micro-level power negotiations in prisons
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