blocking

阻塞
  • 文章类型: Journal Article
    There are limited studies on blocking and men who have sex with men (MSM) health outcomes. We need such data in China, to better understand the relationship between Chinese MSM gay app use and health outcomes, thus providing insight on risky sexual behaviors and HIV transmission among Chinese MSM - one of the world\'s largest MSM communities. Blocking someone is when users select a function on an app to prevent another user from contacting them and being blocked is when someone is prevented from contacting another user. We studied the correlates of blocking on the world\'s largest gay dating app among Chinese MSM (N = 208).
    We conducted a cross-sectional survey as part of an HIV testing intervention in Guangzhou, China, May-December 2019. Using logistic regression models, we estimated the correlates of blocking (e.g. sociodemographic characteristics, sexual behavior, HIV testing history, social network data).
    MSM had a mean age of 27.9 years (SD = 7.1) and median of one sexual partner in the last 3 months. About 62% had blocked someone in their lifetime and 46% had been blocked in their lifetime. Each additional male partner was associated with an 87% (aOR = 1.87, 95%CI = 1.03, 3.40) increased chance of being blocked. Reporting a versatile sexual role was related with a 90% (aOR = 0.10, 95%CI = 0.02, 0.45) decreased likelihood of blocking behavior and an 86% (aOR = 0.14, 95%CI = 0.04, 0.46) reduced chance of being blocked.
    Number of male partners may be associated with blocking behavior, with implications for the design of online sexual health interventions.
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  • 文章类型: Journal Article
    背景:关节置换手术术后疼痛的处理是一个挑战。因此,疼痛管理新策略的出现,如局部浸润镇痛(LIA)和内收肌管阻滞,允许患者在全膝关节置换术中进行充分的术后疼痛控制和早期康复。
    方法:描述性,我们对2017年9月29日至2017年11月30日接受关节置换组手术的前瞻性队列患者进行了观察性和纵向研究.用模拟疼痛量表评估5个不同时间的术后疼痛(1:康复后;2:术后第一天;3:开始住院物理治疗之前;4:物理治疗结束时,和5:离开诊所时)。
    结果:在141例手术患者中,70.9%的患者接受了LIA治疗,29.1%的患者接受了内收肌管阻滞治疗。5个不同时间组术后疼痛评估无差异(P≥.45)。
    结论:我们的结果表明,LIA和内收肌管阻滞在控制术后疼痛和康复方面表现出相同的疗效。
    BACKGROUND: The management of postoperative pain in joint replacement surgery represents a challenge. Therefore, the advent of new strategies in the management of pain such as local infiltration analgesia (LIA) and the adductor canal block, allowed an adequate postoperative pain control and early rehabilitation of the patient in total knee arthroplasty.
    METHODS: A descriptive, observational and longitudinal study of a prospective cohort of patients operated by the group of joint replacements between September 29, 2017 and November 30, 2017 was conducted. They were evaluated with the analog pain scale for postoperative pain at 5 different times (1:Upon leaving recovery; 2:On the first postoperative day; 3:Before initiating in-hospital physical therapy; 4:At the end of physical therapy, and 5:Upon departure from the clinic).
    RESULTS: Of the 141 patients operated on, 70.9% of the patients were managed with LIA and 29.1% with adductor canal block. There were no differences between groups in postoperative pain assessment during the 5 different times (P≥.45).
    CONCLUSIONS: Our results indicate that LIA and the adductor canal blockade demonstrated the same efficacy for the control of postoperative pain and rehabilitation.
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  • 文章类型: Journal Article
    Proper attention to study design before, careful conduct of procedures during, and appropriate inference from results after scientific experiments are important in all scientific studies in order to ensure valid and sometimes definitive conclusions can be made. The design of experiments, also called experimental design, addresses the challenge of structuring and conducting experiments to answer the questions of interest as clearly and efficiently as possible.
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  • 文章类型: Journal Article
    Studying different concepts by frequently alternating between them (i.e., interleaving), improves discriminative contrast between different categories, while studying each concept in separate blocks emphasizes the similarities within each category. Interleaved study has been shown to improve learning of high similarity categories by increasing between-category comparison, while blocked study improves learning of low similarity categories by increasing within-category comparison. In addition, interleaved study presents greater temporal spacing between repetitions of each category compared to blocked study, which might present long-term memory benefits. In this study we asked if the benefits of temporal spacing would interact with the benefits of sequencing for making comparisons when testing was delayed, particularly for low similarity categories. Blocked study might be predicted to promote noticing similarities across members of the same category and result in short-term benefits. However, the increase in temporal delay between repetitions inherent to interleaved study might benefit both types of categories when tested after a longer retention interval. Participants studied categories either interleaved or blocked and were tested immediately and 24 h after study. We found an interaction between schedule of study and the type of category studied, which is consistent with the differential emphasis promoted by each sequential schedule. However, increasing the retention interval did not modulate this interaction or resulted in improved performance for interleaved study. Overall, this indicates that the benefit of interleaving is not primarily due to temporal spacing during study, but rather due to the cross-category comparisons that interleaving facilitates. We discuss the benefits of temporal spacing of repetitions in the context of sequential study and how it can be integrated with the attentional bias hypothesis proposed by Carvalho and Goldstone (2014a).
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  • 文章类型: Journal Article
    BCG保护各不相同,在某些地方(最靠近赤道)较低或不存在。了解这种变化可以为开发新的结核病疫苗提供信息。两个主要假设被用来解释这种变化:在掩蔽下,新疫苗不太可能增加保护;当BCG无效时,新疫苗在阻断下更有可能有效。我们进行了一项集群随机试验,通过研究新生儿疫苗接种的BCG疫苗功效,以及在两个地点(马瑙斯关闭和赤道以南的萨尔瓦多)在学龄期进行第一次或第二次(再接种)时,探索掩蔽和阻断假设。在该社区的社会经济特征上匹配了763所州立学校,并将239,934名儿童随机分配到疫苗(学龄期接种卡介苗)或对照组。萨尔瓦多学龄期首次接种卡介苗的保护率很高(34%,95%CI7-53%,p=0.017),但玛瑙斯低(8%,95%CIt039-40%,p=0.686)。在学龄期再接种疫苗,萨尔瓦多的保护程度不高(19%,95%CI3-33%,p=0.022),在马瑙斯没有(1%,95%CI至27-23%,p=0.932)。萨尔瓦多新生儿疫苗接种的疫苗效力相似(40%,95%CI22-54%,p<0.001)和马瑙斯(36%,95%CI11-53%,p=0.008)。当在学龄期接种疫苗但在出生时没有接种疫苗时,卡介苗的疗效差异显著,这表明阻塞是主导机制。克服或通过这种阻断作用的新结核病疫苗可以在BCG不具有保护性的情况下提供保护。
    BCG protection varies and in some places (nearest the equator) is low or absent. Understanding this variation can inform the efforts to develop new vaccines against tuberculosis. Two main hypotheses are used to explain this variation: under masking, new vaccines are unlikely to increase protection; under blocking new vaccines have a greater potential to be effective when BCG is not. We conducted a cluster randomized trial to explored the masking and blocking hypotheses by studying BCG vaccine efficacy of neonatal vaccination and when administered for the first or a second (revaccination) time at school age in two sites (Manaus close and Salvador further south from the equator). Seven hundred and sixty three state schools were matched on socio economic characteristics of the neighborhood and 239,934 children were randomized to vaccine (BCG vaccination at school age) or control group. Protection by first BCG vaccination at school age was high in Salvador (34%, 95% CI 7-53%, p=0.017) but low in Manaus (8%, 95% CI t0 39-40%, p=0.686). For revaccination at school age, protection was modest in Salvador (19%, 95% CI 3-33%, p=0.022) and absent in Manaus (1%, 95% CI to 27-23%, p=0.932). Vaccine efficacy for neonatal vaccination was similar in Salvador (40%, 95% CI 22-54%, p<0.001) and Manaus (36%, 95% CI 11-53%, p=0.008). Variation in BCG efficacy was marked when vaccine was given at school age but absent at birth, which points towards blocking as the dominant mechanism. New tuberculosis vaccines that overcome or by pass this blocking effect could confer protection in situations where BCG is not protective.
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