Screening HIV-positive men who have sex with men for hepatitis C re-infection risk: is a single question on condom-use enough? A sensitivity analysis

Hepatitis C virus (HCV) is common in men who have sex with men (MSM) with HIV. The Swiss HCVree Trial targeted a micro-elimination by using a treat and counsel strategy. Self-reported condomless anal intercourse with non-steady partners was used as the selection criterion for participation in a counselling intervention designed to prevent HCV re-infection. The purpose of this study was to assess the ability of this criterion to identify men who engaged in other sexual risk behaviours associated with HCV re-infection.; Men who disclosed their sexual and drug- use behaviours during the prior 6 months, at study baseline, were included in the current study. Using a descriptive comparative study design, we explored self-reported sexual and drug-use risk behaviours, compared the odds of reporting each behaviour in men who reported and denied condomless anal intercourse with non-steady partners during the prior year and calculated the sensitivity/specificity (95% CI) of the screening question in relation to the other at-risk behaviours.; Seventy-two (61%) of the 118 men meeting eligibity criteria reported condomless anal intercourse with non-steady partners during the prior year. Many also engaged in other potential HCV transmission risk behaviours, e.g., 52 (44%) had used drugs. In participants disclosing drug use, 44 (37%) reported sexualised drug use and 17 (14%) injected drugs. Unadjusted odds ratios (95% CI) for two well-known risk behaviours were 2.02 (0.80, 5.62) for fisting and 5.66 (1.49, 37.12) for injecting drug use. The odds ratio for sexualised drug use - a potential mediator for increased sexual risk taking - was 5.90 (2.44, 16.05). Condomless anal intercourse with non-steady partners showed varying sensitivity in relation to the other risk behaviours examined (66.7-88.2%).; Although condomless anal intercourse with non-steady partners was fairly sensitive in detecting other HCV relevant risk behaviours, using it as the only screening criterion could lead to missing a proportion of HIV-positive men at risk for HCV re-infection due to other behaviours. This work also points to the importance of providing access to behavioral interventions addressing other sexual and drug use practices as part of HCV treatment.; Clinical Trial Number: NCT02785666 , 30.05.2016

Archaeology, Hydrogeology and Geomythology in the Stymphalos Valley

This paper uses the results of recent excavations of the city of Stymphalos and environmental studies on the floor of the Stymphalos polje to examine the role of both the lake and springs in the history of the classical city. Associated with Artemis and famed for Herakles' sixth labour (killing of the Stymphalian birds), the city has a rich (geo)mythology. While this narrative has been associated solely with the lake, it is argued here that this geomythology was part of the city's relationship to environmental unpredictability and the relationship between water supply and water loss. Seen in this context, the construction of the fountain-house above the contemporary lakeshore is symbolic of the importance of springs to the foundation and sustainability of the classical city during both the Greek and Roman Periods. Through these archaeological and environmental analyses, we seek to illustrate the complimentary, but complex nature of archaeological, hydrogeological and palaeoenvironmental data that intersect in the geomythological landscapes of Mediterranean antiquity

Jean-Gaspard Deburau ou d'un théâtre romantique populaire en France

Présentation de la vie du mime, Jean-Gaspard Deburau, du théâtre des Funambules dans lequel il était vedette et de son public. Analyse de la société de l époque à partir de manuscrits de pantomimes au nombre de 115. Observation de l élaboration du mythe de Jean-Gaspard Deburau à travers des documents iconographiques et des articles et livres d écrivains célèbres, y compris après le décès du mime. Retour à la vérité qui était ensevelie sous les légendes accumulée.This is a presentation of the main character of the Théâre des Funambules, Jean-Gaspard Deburau and his audience. It analyses society in that particular period of time through 115 manuscripts. Il provides for an insight of how Deburau s myth came about by including a series of iconographical documents as well as references to books and articles authored by famous writers both during his life and after his death. The aim of this thesis is to restablish the truth hidden behind many a legned.PARIS3-BU (751052102) / SudocSudocFranceF

Le rameau subtil : prosatrices françaises entre 1364 et 1954 / Natacha Michel, Martine de Rougemont

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