Notes

Protective factors for Subjective Psychological Fall Men and women: Trajectories as well as alterations in the longitudinal review using French aging adults.
Uninsured trauma patients are at higher risk of mortality, limited access to postdischarge resources and catastrophic health expenditure. Hospital Presumptive Eligibility (HPE), enacted with the 2014 Affordable Care Act, enables uninsured patients to be screened and acquired emergency Medicaid at the time of hospitalization. We sought to identify factors associated with successful acquisition of HPE insurance at the time of injury, hypothesizing that patients with higher injury severity (ISS>15) would be more likely to be approved for HPE.

We identified Medicaid and uninsured patients aged 18-64 years old with a primary trauma diagnosis (ICD-10) in a large level I trauma center between 2015-2019. We combined trauma registry data with review of electronic medical records, to determine our primary outcome, HPE acquisition. Descriptive and multivariate analyses were performed.

Among 2,320 trauma patients, 1,374 (59%) were already enrolled in Medicaid at the time of hospitalization. Among those uninsureds, prospective insurance data collection would help to identify targets for intervention.

Epidemiologic, level III.
Epidemiologic, level III.
Crisis pregnancy centers (CPCs), are nonprofit organizations that aim to prevent abortion and promote sexual abstinence before marriage only often using misinformation and deceptive tactics. We sought to describe the availability of HIV and sexually transmitted infection (STI) testing, treatment, and referral services at CPCs in the United States (U.S.).

We used CPC Map, an online geocoded directory, to identify U.S. CPCs. From December 2018 to August 2019, we assessed HIV/STI services advertised on CPC websites and used a standard script to call CPCs about the availability of services. Referrals were not requested but recorded.

Of 2,400 CPCs (96.3%) with accessible websites, 507 (21.1%) advertised STI testing, 291 (12.1%) STI treatment, and 114 (4.8%) HIV testing. Of 2,467 (99.0%) CPCs reached by telephone, 552 (22.4%) offered STI testing, 377 (15.3%) STI treatment, and 208 (8.4%) HIV testing. At centers where services were unavailable, 795 (48.6%) proactively referred for STI testing, 170 (8.1%) STI treatment, and 170 (7.5%) for HIV-related services. Nearly one-quarter (23.4%) of centers that offered STI testing did not offer treatment or provide a referral.

A minority but substantial number of CPCs advertised and offered HIV/STI services. People at risk for pregnancy who seek CPC services likely have outstanding need for HIV/STI services.
A minority but substantial number of CPCs advertised and offered HIV/STI services. People at risk for pregnancy who seek CPC services likely have outstanding need for HIV/STI services.
Men who have sex with men (MSM) who have bacterial sexually transmitted infections (STIs) are at increased risk for HIV infection. We enhanced and updated past summary risk estimates.

We systematically reviewed (PROSPERO #CRD42018084299) peer-reviewed studies assessing risk of HIV infection among MSM attributable to Chlamydia trachomatis (CT), Mycoplasma genitalium (MG), Neisseria gonorrhoeae (NG), Treponema pallidum (TP), and/or Trichomonas vaginalis (TV). We searched three databases through December 2017. We excluded studies with self-reported data or simultaneous STI and HIV assessment. We conducted dual screening and data extraction, meta-analytically pooled risk ratios (RR), and assessed potential risk of bias.

We included 26 studies yielding 39 RR (k) for HIV acquisition due to one of TP, NG, or CT. We did not identify eligible data for MG or TV nor for HIV transmission. HIV acquisition risk increased among MSM infected with TP (k=21, RR 2.68, 95% CI 2.00-3.58), NG (k=11, RR 2.38, 95% CI 1.56-3.61), and CT (k=7, RR 1.99, 95% CI 1.59-2.48). Sub-analysis RR for all three pathogens were >= 1.66 and remained statistically significant across geography and methodological characteristics. Pooled RR increased for data with the lowest risk of bias for NG (k=3, RR 5.49, 95% CI 1.11-27.05) and TP (k=4, RR 4.32, 95% CI 2.20-8.51). selleck chemicals We observed mostly moderate to high heterogeneity and moderate to high risk of bias.

MSM infected with TP, NG, or CT have twice or greater risk of HIV acquisition, although uncertainties exist due to data heterogeneity and risk of bias.
MSM infected with TP, NG, or CT have twice or greater risk of HIV acquisition, although uncertainties exist due to data heterogeneity and risk of bias.
Cervical and oropharyngeal cancers are associated with human papillomavirus (HPV) infection, which can be prevented with the vaccines. But uptake of the HPV vaccine remains low in many countries. There is a need to better understand the barriers to and facilitators of HPV vaccination from young people's perspectives.

Five electronic databases were searched for original publications (dated January, 2006-December, 2019) reporting barriers to and facilitators of HPV vaccination among young people. All articles were screened against pre-specified eligibility criteria and data were extracted against pre-specified form.

A total of 13 studies that were published in international peer-reviewed journals and met the stated eligibility criteria were identified. The barriers reported were centralized around lack of knowledge about HPV and the HPV vaccine; fear about the safety and efficacy of the HPV vaccine; fear about not being able to pay for the HPV vaccine; and discrimination regarding to the HPV vaccine. The facilitators reported were centralized around trust in the efficacy and safety of the HPV vaccine; discounted price of vaccination; positive recommendations from others; perceived risk of HPV infection and benefits of vaccine.

After their introduction 14 years ago, knowledge deficiency of the HPV vaccine is still a critical barrier to vaccination. Educational initiatives aimed at adolescents and young adults were urgently needed. Understanding factors which arbitrate in early HPV vaccination is critical for improving the HPV vaccination rate.
After their introduction 14 years ago, knowledge deficiency of the HPV vaccine is still a critical barrier to vaccination. Educational initiatives aimed at adolescents and young adults were urgently needed. Understanding factors which arbitrate in early HPV vaccination is critical for improving the HPV vaccination rate.
Read More: https://www.selleckchem.com/