RESUMEN
Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in the United States. Data shows that social drivers of health (SDOH), including economic stability, racial/cultural identity, and community, have a significant impact on cardiovascular morbidity and mortality. LGBTQ+ (lesbian, gay, bisexual, transgender, queer, and other gender and sexual minority) patients face a variety of unique health risk factors and bear a disproportionate burden of CVD compared to cis-gender, heterosexual peers. There is a paucity of research assessing the etiologies of CVD health disparities within the LGBTQ+ community. Herein, we seek to explore existing literature on LGBTQ+ health disparities with a focus on cardiovascular disease, examine trends impacting LGBTQ+ health equity, and identify strategies and interventions that aim to promote LGBTQ+ cardiovascular health equity on a regional and national level.
RESUMEN
Social networking technologies are influential among men who have sex with men (MSM) and may be an important strategy for HIV prevention. We conducted focus groups with HIV positive and negative participants. Almost all participants used social networking sites to meet new friends and sexual partners. The main obstacle to effective HIV prevention campaigns in social networking platforms was stigmatization based on homosexuality as well as HIV status. Persistent stigma associated with HIV status and disclosure was cited as a top reason for avoiding HIV-related conversations while meeting new partners using social technologies. Further, social networking sites have different social etiquettes and rules that may increase HIV risk by discouraging HIV status disclosure. Overall, successful interventions for MSM using social networking technologies must consider aspects of privacy, stigma, and social norms in order to enact HIV reduction among MSM.
Asunto(s)
Infecciones por VIH/prevención & control , Homosexualidad Masculina/psicología , Aplicaciones Móviles , Parejas Sexuales , Red Social , Estigma Social , Adolescente , Adulto , Grupos Focales , Seronegatividad para VIH , Seropositividad para VIH , Homosexualidad Masculina/estadística & datos numéricos , Humanos , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Asunción de RiesgosRESUMEN
The management of latent tuberculosis infection (LTBI) most commonly consists of a nine-month course of isoniazid (INH) therapy and is complicated by low adherence and completion rates. The Latent Tuberculosis Initiative at the HAVEN Free Clinic was developed to provide LTBI treatment to an underserved, high-risk, foreign-born population. We conducted a retrospective chart review to evaluate the program. Of 39 patients enrolled, 26 (67%) successfully completed nine months of INH, eight (21%) discontinued, and five (12%) were lost to follow-up. Patients had a median of nine encounters during the course of treatment and mean self-reported medication adherence was 29/30 pills/month (96%). Median days-of-treatment was 273, 95, and 63 among completion, discontinuation, and lost to follow-up groups, respectively (p < .0001). There was one death in the program, related to a complication of a diagnostic procedure in a patient who had developed INH toxicity. These results are comparable to the most successful published programs (50-65% six-month completion rates), suggesting that student-run clinics serving high-risk populations may contribute to LTBI management and TB control efforts.
Asunto(s)
Tuberculosis Latente/tratamiento farmacológico , Estudiantes de Medicina , Atención no Remunerada , Poblaciones Vulnerables , Adulto , Antituberculosos/uso terapéutico , Femenino , Humanos , Isoniazida/uso terapéutico , Masculino , Cumplimiento de la Medicación/estadística & datos numéricos , Persona de Mediana Edad , Evaluación de Programas y Proyectos de Salud , Estudios Retrospectivos , Resultado del Tratamiento , Adulto JovenRESUMEN
Hispanics represent the fastest growing ethnic segment of the lesbian, gay, bisexual, and transgender (LGBT) community in the United States and are disproportionately burdened by LGBT-related health issues and limited political support from Hispanic medical organizations. Recently, the Latino Medical Student Association, the National Hispanic Medical Association, and the Hispanic Serving Health Professions Schools, representing over 60,000 Hispanic students and providers and 35 institutions, collaborated to support a resolution opposing discrimination based on sexual orientation or gender identity and recognizing the obstacles encountered by LGBTQ Hispanics. The resolution provides an important framework for organizational members and leaders to address LGBT health issues and serve to support a more positive sociopolitical climate for the Hispanic LGBT community nationally and internationally.
RESUMEN
Estudio retrospectivo que analíza las características estructurales y funcionales del oído contralateral en 90 sujetos portadores de colesteatoma adquirido y compara los resultados con la literatura mundial
Asunto(s)
Colesteatoma , OídoRESUMEN
El presente trabajo, trata de una ampliacion al proyecto de un hotel provincial, el cual consiste en un ambiente de Juegos a usarse tambien como Salon de Baile o de reuniones en vista de la superficie disponible. El estudio comprende en principio las consideraciones generales de los Paraboloides Hiperbolicos y un resumen de la teoria membrabal, luego se hace la ampliacion practica para el diseño de la estructura por diferentes metodos, para uno de los cuales se ha utilizado un programa Fortram, tambien se efectua el respectivo calculo constructivo y finalmente una parte complementaria que se refiere al control del poryecto mediante el sistema Pert. Para el estudio se ha planteado los puntos: I. Introduccion. II. Consideraciones generales de los paraboloides hiperbolicos. III. Predimensionamineto. IV. Estudio analitico de las tensiones internas. V. Dimensionamineto. VI. Encofrado. VII. Control del proyecto