Mit medbee Pocketcards schnell und sicher entscheiden. Leitlinien-Wissen kostenlos und immer griffbereit auf ihrem Desktop, Handy oder Tablet. Aus Angst vor Blutungen wird Patienten mit Vorhofflimmern nicht selten ASS anstelle einer Antikoagulation verordnet. Zumindest im Hinblick auf intrakranielle Blutungen bietet ASS jedoch nicht mehr Sicherheit als direkte orale Antikoagulanzien, zeigt eine Metaanalyse. Eine aktuelle, auf Daten aus der Routineversorgung in Deutschland basierende Analyse bestätigt die in der ISAR-REACTStudie gezeigte Überlegenheit des Plättchenhemmers Prasugrel gegenüber Ticagrelor bei Patienten mit akutem Koronarsyndrom. Die COMET-Studie zeigt, dass aktives Monitoring bei Patientinnen mit duktalem Carcinoma in situ DCIS hinsichtlich der kumulativen Zwei-Jahres-Rate an ipsilateralen invasiven Karzinomen der leitliniengerechten Standardbehandlung nicht unterlegen ist. Dennoch wird von einem Verzicht auf eine Operation abgeraten, wie in einem begleitenden Editorial betont wird. In diesem CME-Kurs können Sie Ihr Wissen zur EKG-Befundung anhand von zwölf Video-Tutorials auffrischen und 10 CME-Punkte sammeln. Menü Hauptrubriken Chevron down icon Chevron up icon CME Facharzt-Training Webinare Zeitschriften Bücher e. Medpedia Podcast. Apps Newsletter Abo-Shop. Fachgebiete Chevron down icon Chevron up icon Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Sydney Van Den Bosch Sex Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin. Springer Medizin. Suche Suchbegriffe eingeben Suchen. BMC Infectious Diseases. Abstract Background Men who have sex with men MSM are a known group at risk for hepatitis A and outbreaks among this group are frequent. In Barcelona, vaccination for MSM has been recommended since In a vaccination campaign among preadolescents was implemented and an immunization program in gay bathhouses began in Objective: to asses the incidence of hepatitis A in adults in Barcelona from to and to evaluate Sydney Van Den Bosch Sex outbreaks among MSM including all genotypes involved. Methods All cases of acute hepatitis A among young adults notified to the Public Health Agency of Barcelona from to were included for analyses. We calculated the annual incidence rate and the incidence ratio male-to-female M:F as a marker for MSM. Spearman's coefficient was used to evaluate trends. We also evaluated the outbreaks among MSM and compared their characteristics using Chi-squared and ANOVA test. Results The median annual incidence for the period of study was 4. Three large outbreaks among MSM were detected. The isolated strains were closely related to those circulating in Europe. Conclusions Annual incidences remain high among MSM without tendency to decrease. More strategies which effectively reach the whole MSM community are needed. Electronic supplementary material The online version of this article doi: Competing interests The authors declare that they have no competing interests. Authors' contributions CT participated in the conception of the study, analysis and interpretation of data and drafting the manuscript, PO participated in the interpretation of data and critically revising the manuscript for Sydney Van Den Bosch Sex content, ED participated in the conception of the study and critically revising the manuscript for intellectual content, R MP, AB, and UP carried out the genetic studies, MS made a substantial contribution in acquisition of data from the outbreaks, JAC participated in the conception of the study, interpretation of data and critical review of intellectual content and the Saunas Working Group made a substantial contribution in acquisition of data from bathhouses users. All authors have read and approved the final manuscript. Background Men who have sex with men MSM are a known group at risk for hepatitis A [ 12 ]. The existence of an endemic population among MSM infected with the hepatitis A virus that sustains continuous circulation of particular strains and facilitates cyclical outbreaks has been postulated [ 8 ]. In Barcelona, hepatitis A immunization has been recommended for MSM since In addition, a vaccination program in gay bathhouses began in Health care workers visited the bathhouses to offer information about hepatitis A, B, C and STIs, performed HIV rapid tests and administered vaccinations against hepatitis A and B free of charge. From toaround sauna users were vaccinated data from the Public Health Agency of Barcelona, We described the incidence of hepatitis A Sydney Van Den Bosch Sex year old adults from to in Barcelona, and evaluated the outbreaks among MSM describing their characteristics and the prevailing genotypes involved. Methods Study population and setting We performed an observational study of all cases of hepatitis A residing in Barcelona reported to the surveillance system of the Public Health Agency of Barcelona PHAB between to Acute hepatitis A is a communicable disease that has been reported sincephysicians and laboratories in the city report cases to the PHAB. A case is defined by acute hepatitis symptoms combined with the presence of immunoglobulin M antibodies against hepatitis A virus IgM anti-HAV. Since an electronic and confidential database of hepatitis A has been established. Inclusion criteria: To avoid inclusion of age groups for which sexual activity is less likely to be related with disease acquisition only individuals aged between were included for incidence rates calculation these limits are based on the range of age of MSM involved in the outbreaks.
Population data was based on the census published annually by the Statistics Department of the city [ 10 ]. Research and clinical position at the Clinic for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Universitätsklinikum Aachen. Gorrindo, D. Statistical significance was established assuming an alpha error of 0. We described the incidence of hepatitis A in year old adults from to in Barcelona, and evaluated the outbreaks among MSM describing their characteristics and the prevailing genotypes involved.
Electronic supplementary material
Since 01/, Recognized supervisor in psychotherapy for children and adolescents. Prof. Dr. Tanja Hechler · Curriculum Vitae. Education and academic degrees. VISITING POSITIONS, AWARDS, ACADEMIC HONORS. (Aug-Sep) Visiting Consultant, Pontificia Universidad Católica, Santiago, Chile. ss, S. - Cristina Rivera-Garza: Dangerous Minds: Changing. The University of Western Australia, University of Adelaide, University of Melbourne, University of New South Wales, University of South Australia, University. (Oct). Masculinity, Psychosexual Development, and Sex Crime in the United States,.Update Innere Medizin Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert. Best Retail Chain — Large. J Gen Virol. Inclusion criteria: To avoid inclusion of age groups for which sexual activity is less likely to be related with disease acquisition only individuals aged between were included for incidence rates calculation these limits are based on the range of age of MSM involved in the outbreaks. Three large outbreaks among MSM were detected. Patient consent was not needed as hepatitis A is a communicable disease. For the same reason, cases with a known history of travel to an endemic area or contact with children were excluded. This strain was unrelated to the previously isolated strains from the MSM outbreaks that occurred in Barcelona. However, cases using bathhouses dramatically decreased in the last large outbreak, which could be explained by the vaccination program. A case is defined by acute hepatitis symptoms combined with the presence of immunoglobulin M antibodies against hepatitis A virus IgM anti-HAV. Best Anal Sex Scene — Video. Conclusions Annual incidences remain high among MSM without tendency to decrease. Best Specialty Series Other Genre. Can Commun Dis Rep. Tanja Hechler Head of the work unit Department of Psychology Work unit of Clinical Psychology and Psychotherapy for Children and Adolescents Room D Fliednerstr. CrossRef PubMed. Literatur [ Bearbeiten Quelltext bearbeiten ]. Gewinner [ Bearbeiten Quelltext bearbeiten ]. More strategies which effectively reach the whole MSM community are needed. Foxpro was used to record data and SPSS software for Windows version Best Overall Marketing Campaign — Company Image. Best Overall Marketing Campaign — Individual Project. Weblinks [ Bearbeiten Quelltext bearbeiten ]. Open Access Research article. AVN ist ein Medienunternehmen mit Sitz in Chatsworth , Kalifornien. Centers for Diseases Control and Prevention: Hepatitis A among homosexual men in United States, Canada, and Australia. Best Foreign All Sex Release. DCIS: Ist ein Verzicht auf eine Operation möglich?
