Youth+Tech+Health

BackgroundAccess to a smartphone is nearly universal among American adolescents, and most of them have used the internet to seek health information. Integrating digital technologies into health program delivery may expand opportunities for youth to receive important health information, yet there are few rigorous studies assessing the effectiveness of this type of intervention.ObjectiveThe purpose of this study is to assess the effectiveness of In the Know (ITK), a program integrating in-person and technology-based sexual health education for underserved adolescents.MethodsYouth were engaged in the development of the intervention, including the design of the digital technology and the curriculum content. The intervention focuses on 3 main areas: sexual health and contraceptive use, healthy relationships, and educational and career success. It includes an in-person, classroom component, along with a web-based component to complement and reinforce key content. A cluster randomized controlled trial is in progress among adolescents aged 13-19 years living in Fresno County, California. It is designed to examine the differences in self-reported health and behavioral outcomes among youth in the intervention and control groups at 3 and 9 months. Primary outcomes are condom and contraceptive use or no sex in the past 3 months and use of any clinical health services in the past 3 months. Secondary outcomes include the number of sexual partners in the past 3 months and knowledge of local clinical sexual health services. We will use mixed-effects linear and logistic regression models to assess differences between the intervention and control groups.ResultsTrial enrollment began in October 2017 and ended in March 2020 with a total of 1260 participants. The mean age of the participants is 15.73 (SD 1.83) years, and 69.98% (867/1239) of the participants report being Hispanic or Latino. Study results will be available in 2021.ConclusionsITK has the potential to improve contraceptive and clinic use among underserved youth. This trial will inform future youth-focused health interventions that are considering incorporating technology.International Registered Report Identifier (IRRID)DERR1-10.2196/18060

BACKGROUND Patient-initiated partner notification (PN) following the diagnosis of a sexually transmitted infection is a critical component of disease control in men who have sex with men (MSM) sexual networks. Both printed and internet-based technologies offer potential tools to enhance traditional partner notification approaches among MSM in resource-limited settings. OBJECTIVE This randomized controlled trial aimed to evaluate the effect of 2 different PN technologies on notification outcomes following syphilis diagnosis among MSM in Peru: a Web-based notification system and patient-delivered partner referral cards. METHODS During 2012-2014, we screened 1625 MSM from Lima, Peru, for syphilis infection and enrolled 370 MSM with symptomatic primary or secondary syphilis (n=58) or asymptomatic latent syphilis diagnosed by serology (rapid plasma reagin, RPR, and Microhemagglutination assay for Treponema pallidum antibody; n=312). Prior to enrollment, potential participants used a computer-based self-interviewing system to enumerate their recent sexual partnerships and provide details of their 3 most recent partners. Eligible participants were randomly assigned to one of 4 intervention arms: (1) counseling and patient-initiated Web-based PN (n=95), (2) counseling with Web-based partner notification and partner referral cards (n=84), (3) counseling and partner referral cards (n=97), and (4) simple partner notification counseling (control; n=94). Self-reported partner notification was assessed after 14 days among 354 participants who returned for the follow-up assessment. RESULTS The median age of enrolled participants was 27 (interquartile range, IQR 23-34) years, with a median of 2 partners (IQR 1-5) reported in the past month. Compared with those who received only counseling (arm 4), MSM provided with access to Web-based partner notification (arms 1 and 2) or printed partner referral cards (arms 2 and 3) were more likely to have notified one or more of their sexual partners (odds ratio, OR, 2.18, 95% CI 1.30-3.66; P=.003 and OR 1.68, 95% CI 1.01-2.79; P=.045, respectively). The proportion of partners notified was also higher in both Web-based partner notification (241/421, 57.2%; P<.001) and referral card (240/467, 51.4%; P=.006) arms than in the control arm (82/232, 35.3%). CONCLUSIONS Both new Web-based technologies and traditional printed materials support patient-directed notification and improve self-reported outcomes among MSM with syphilis. Additional research is needed to refine the use of these partner notification tools in specific partnership contexts. CLINICALTRIAL ClinicalTrials.gov NCT01720641; https://clinicaltrials.gov/ct2/show/NCT01720641 (Archived by WebCite at http://www.webcitation.org/70A89rJL4)

Technology-enabled approaches may reach suburban and rural men who have sex with men (MSM) who lack physical venues, where they live for sexually transmitted disease (STD)/HIV prevention efforts. We evaluated using Grindr, an all-male social networking platform, for STD/HIV prevention services to MSM by a suburban Public Health department. Phase 1 (October 2012-March 2013) focused on acceptability of prevention messages by MSM on Grindr and phase 2 (October 2013-March 2014) Grindr use for implementing testing and linkage-to-care. We compared the number of Public Health encounters with MSM before and after initiation of Grindr use and the proportion of users who remained engaged with Public Health staff after being told they were interacting with a health educator. For a 6-month period before Grindr outreach, Public Health had 60 contacts with MSM. Contacts increased to 305 MSM in phase 1, of which 168/213 (79%) remained engaged. In phase 2, among 903 MSM contacts, 69% remained engaged. Asian and Hispanic MSM were more likely to remain engaged with outreach staff; white men were more likely to be not engaged. No significant difference in age between engaged and nonengaged MSM was seen. Grindr outreach by Public Health in a suburban county seems acceptable to MSM and leads to a 14-fold increase in MSM reached for counseling and education compared with a traditional outreach period. Further evaluation of technology-enabled approaches for STD/HIV prevention in suburban and rural MSM is warranted.

Several school buildings were surveyed in the disaster areas of the Marmara (17 August 1999, Mw =7.4), Düzce (12 November 1999, Mw =7.2), and Bingöl (1 May 2003, Mw =6.4) earthquakes in Turkey. Among them, 21 reinforced concrete buildings were found to have an identical floor plan. Lateral load resisting structural system consisted of reinforced concrete frames (moment‐resisting frame) in 16 of the buildings and structural concrete walls integrated with the moment‐resisting frame (dual system) in the remaining five buildings. The number of stories above ground in these buildings ranged from two to four. These school buildings provide a nearly ideal test of the effect of a single important structural characteristic on the performance of buildings with structural designs that are uniform in all other respects. Our observation is that the presence of structural walls improves the behavior of reinforced concrete systems drastically.

October 01 2003 The Ribcage Jenne Giles, Jenne Giles 1473 14th Street, Oakland, CA 94601, U.S.A. Search for other works by this author on: This Site Google Scholar Philip Bonham Philip Bonham 1473 14th Street, Oakland, CA 94601, U.S.A. Search for other works by this author on: This Site Google Scholar Author and Article Information Jenne Giles 1473 14th Street, Oakland, CA 94601, U.S.A. Philip Bonham 1473 14th Street, Oakland, CA 94601, U.S.A. Online ISSN: 1530-9282 Print ISSN: 0024-094X © 2003 ISAST2003 Leonardo (2003) 36 (5): 360. https://doi.org/10.1162/leon.2003.36.5.360 Cite Icon Cite Permissions Share Icon Share Facebook Twitter LinkedIn Email Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Search Site Citation Jenne Giles, Philip Bonham; The Ribcage. Leonardo 2003; 36 (5): 360. doi: https://doi.org/10.1162/leon.2003.36.5.360 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll JournalsLeonardo Search Advanced Search © 2003 ISAST2003 Article PDF first page preview Close Modal You do not currently have access to this content.

Benign tumors of vascular origin occupy a lowly position of usually casual interest in the field of human neoplasms. Their marked predilection for cutaneous localization renders their diagnosis a matter of great simplicity in most instances. The occurrence of hidden angiomas in multiple parenchymatous organs and the deeper supporting tissues, however, offers a diagnostic challenge requiring consideration of all multiple system diseases. Such a problem, further obscured by a total lack of cutaneous manifestations, serves as the basis for this discussion. Isolated skeletal lesions are the rule (3, 15, 16), and diagnosis can often be established from roentgenograms alone. Hitzrot (6) published the first roentgenogram of a hemangioma of bone in 1917, and Bucy and Capp (3) outlined criteria for the roentgenologic diagnosis of hemangioma in the vertebrae and in the flat and cylindrical bones in 1930. Hemangiomas of bone may present very unusual appearances. Pierson, Farber, and Howard (9) in 1941 reported numero...