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91.
Lalit?DandonaEmail author Pratap?Sisodia SG?Prem?Kumar YK?Ramesh A?Anod?Kumar M?Chalapathi?Rao Elliot?Marseille M?Someshwar Nell?Marshall James?G?Kahn 《BMC public health》2005,5(1):98
Background
Female sex workers and their clients play a prominent role in the HIV epidemic in India. Systematic data on the outputs, cost and efficiency for HIV prevention programmes for female sex workers in India are not readily available to understand programme functioning and guide efficient use of resources. 相似文献92.
Elisa?Lloyd-Smith Thomas?Kerr Robert?S?Hogg Kathy?Li Julio?SG?Montaner Evan?WoodEmail author 《Harm reduction journal》2005,2(1):24
Recent studies have indicated that injection-related infections such as abscesses and cellulitis account for the majority
of emergency room visits and acute hospitalizations accrued by local injection drug users. The objective of this analysis
was to examine the prevalence and correlates of developing an abscess among a cohort of injection drug users in Vancouver
and to identify socio-demographic and drug use variables associated with abscesses at baseline. We examined abscesses among
participants enrolled in a prospective cohort of injection drug users. Categorical variables were analyzed using the Pearson's
chi-square test and continuous variables were analyzed using the Wilcoxon signed rank test. Among 1 585 baseline participants,
341 (21.5%) reported having an abscess in the last six months. In a logistic regression model that adjusted for all variables
that were associated with having an abscess at p < 0.1 in univariate analyses, female gender [odds ratio (OR) = 1.7, [95%CI:
1.2 – 2.4]; p = 0.002), recent incarceration (OR = 1.7, [95%CI: 1.3 – 2.2]; p < 0.001), sex trade involvement (OR = 1.4 [95%
CI: 1.0 – 2.0]; p = 0.03), frequent cocaine use (OR = 1.5 [95%CI: 1.2 – 2.0]; p = 0.002) and HIV serostatus (OR = 1.5, [95%CI:
1.2 – 2.0]; p = 0.003) were positively associated with having an abscess. Explanations for these associations require further
study, and interventions are needed to address this highly prevalent concern. 相似文献
93.
Background
Relatively little is known about the incidence of prescribing errors and there has been no work on this in a single specialty ophthalmic hospital. Knowing where and when errors are most likely to occur is generally felt to be the first step in trying to prevent these errors. This study is an attempt in, the setting of an eye hospital, to try to identify and attribute these medication errors. 相似文献94.
95.
96.
97.
Qiu X Hodges S Lukaszewska T Hino S Arai H Yamaguchi J Swanson P Schochetman G Devare SG 《Journal of medical virology》2008,80(3):484-493
Screening blood donations for human T-lymphotropic virus types I and II (HTLV-I/II) continues to be important in protecting the safety of blood products and controlling the global spread of these retroviruses. We have developed a fully automated, third generation chemiluminescent immunoassay, ARCHITECT rHTLV-I/II, for detection of antibodies to HTLV-I/II. The assay utilizes recombinant proteins and synthetic peptides and is configured in a double antigen sandwich assay format. Specificity of the assay was 99.98% (9,254/9,256, 95% CI = 99.92-100%) with the negative specimens from the general population including blood donors, hospital patients and pregnant women from the US, Japan and Nicaragua. The assay demonstrated 100% sensitivity by detecting 498 specimens from individuals infected with HTLV-I (n = 385) and HTLV-II (n = 113). ARCHITECT rHTLV-I/II results were in complete agreement with the Murex HTLV-I/II reference assay and 99.7% agreement with the Genelabs HTLV Blot 2.4 confirmatory assay. Analytical sensitivity of the assay was equivalent to Murex HTLV-I/II assay based on end point dilutions. Furthermore, using a panel of 397 specimens from Japan, the ARCHITECT rHTLV-I/II assay exhibited distinct discrimination between the antibody negative (Delta Value = -7.6) and positive (Delta Value = 7.6) populations. Based on the excellent specificity and sensitivity, the new ARCHITECT rHTLV-I/II assay should be an effective test for the diagnosis of HTLV-I/II infection and also for blood donor screening. 相似文献
98.
Brandon DL. Marshall Evan Wood Jean A. Shoveller Jane A. Buxton Julio SG. Montaner Thomas Kerr 《Prevention science》2011,12(2):173-180
The purpose of this study was to determine the incidence and predictors of initiating methamphetamine injection among a cohort
of injection drug users (IDU). We conducted a longitudinal analysis of IDU participating in a prospective study between June
2001 and May 2008 in Vancouver, Canada. IDU who had never reported injecting methamphetamine at the study’s commencement were
eligible. We used Cox proportional hazards models to identify the predictors of initiating methamphetamine injection. The
outcome was time to first report of methamphetamine injection. Time-updated independent variables of interest included sociodemographic
characteristics, drug use patterns, and social, economic and environmental factors. Of 1317 eligible individuals, the median
age was 39.9 and 522 (39.6%) were female. At the study’s conclusion, 200 (15.2%) participants had initiated injecting methamphetamine
(incidence density: 4.3 per 100 person-years). In multivariate analysis, age (adjusted hazard ratio [aHR]: 0.96 per year older,
95%CI: 0.95–0.98), female sex (aHR: 0.58, 95%CI: 0.41–0.82), sexual abuse (aHR: 1.63, 95%CI: 1.18–2.23), using drugs in Vancouver’s
drug scene epicentre (aHR: 2.15 95%CI: 1.49–3.10), homelessness (aHR: 1.43, 95%CI: 1.01–2.04), non-injection crack cocaine
use (aHR: 2.06, 95%CI: 1.36–3.14), and non-injection methamphetamine use (aHR: 3.69, 95%CI: 2.03–6.70) were associated with
initiating methamphetamine injection. We observed a high incidence of methamphetamine initiation, particularly among young
IDU, stimulant users, homeless individuals, and those involved in the city’s open drug scene. These data should be useful
for the development of a broad set of interventions aimed at reducing initiation into methamphetamine injection among IDU. 相似文献
99.
Sera from rhesus monkeys maintained at three separate geographic regions were found to possess naturally occurring antibody to the Mason-Pfizer monkey virus (MPMV) major structural protein. The specificity of this reactivity was established by absorption with purified viral protein. While animals from two of these colonies were housed in association with MPMV-infected monkeys, no such prior exposure to virus-infected animals could be traced in the case of the third colony. These results in combination with the previous inability to detect full complements of MPMV genetic sequences in the cellular DNA of the normal rhesus monkeys provide evidence for horizontal transmission of MPMV. Alternatively, the present findings could reflect humoral immune response to expression of an endogenous type D retrovirus highly related to MPMV. 相似文献
100.
Smriti U. Mehta Shunji Mishiro Kiyoshi Sekiguchi Tat Leung George J. Dawson Luann M. Pendy David A. Peterson Sushil G. Devare 《Journal of clinical immunology》1992,12(3):178-184
Recently, identification and molecular cloning of a host cellular gene designated GOR from chimpanzees experimentally infected with non-A, non-B hepatitis (NANBH) agent was reported. It was further demonstrated that there is a close association between the immune response to an antigenic peptide of GOR (GOR2) and NANBH. In order to define the specificity of the immune response, in the present study we have identified an additional epitope in the GOR gene sequence, upstream from GOR2, and studied its correlation with the immune response to hepatitis C virus (HCV) in NANBH patients. An enzymelinked immunoassay (EIA) was developed which utilizes synthetic peptides designated spGOR346 and spGOR2 as the serological target for the detection of anti-GOR antibodies in patient serum samples from various hepatic and non-hepatic disease categories. GOR peptides identified 80-90% of the NANBH samples that were positive for HCV C100-3 and about 70% of the NANBH samples that were positive by Abbott prototype second-generation HCV antibody assay. Among a normal donor population(s), only 2-3% of the samples were positive for antibodies to GOR sequences, whereas from the patient categories unrelated to viral hepatitis as well as various nonhepatic diseases, the immune response to both GOR peptides was closely associated with the presence of antibodies to HCV. The data indicate that antibodies to GOR is a marker associated with NANBH. 相似文献