Malikmarcussen8795

t MSM aged 19 to 25 years described the MyPEEPS Mobile as educational, informative, and usable for their sexual health education and HIV prevention needs, and they provided actionable recommendations to optimize its use and applicability for this age group. ©Brittany Gannon, Rindcy Davis, Lisa M Kuhns, Rafael Garibay Rodriguez, Robert Garofalo, Rebecca Schnall. Originally published in JMIR Formative Research (http//formative.jmir.org), 07.04.2020.BACKGROUND With the evolution of digital media, areas such as public health are adding new platforms to complement traditional systems of epidemiological surveillance. Participatory surveillance and digital epidemiology have become innovative tools for the construction of epidemiological landscapes with citizens' participation, improving traditional sources of information. Strategies such as these promote the timely detection of warning signs for outbreaks and epidemics in the region. OBJECTIVE This study aims to describe the participatory surveillance platform Guardians of Health, which was used in a project conducted during the 2016 Olympic and Paralympic Games in Rio de Janeiro, Brazil, and officially used by the Brazilian Ministry of Health for the monitoring of outbreaks and epidemics. METHODS This is a descriptive study carried out using secondary data from Guardians of Health available in a public digital repository. Based on syndromic signals, the information subsidy for decision making by policy makeLeal Neto, Oswaldo Cruz, Jones Albuquerque, Mariana Nacarato de Sousa, Mark Smolinski, Eduarda Ângela Pessoa Cesse, Marlo Libel, Wayner Vieira de Souza. Originally published in JMIR Public Health and Surveillance (http//publichealth.jmir.org), 07.04.2020.BACKGROUND Internet gamblers may be at risk for excessive gambling, but internet gambling also provides a unique opportunity to monitor gambling behavior in real environments and intervene early with those who encounter difficulties. OBJECTIVE The objective of the present study was to model the early gambling trajectories of online lottery gamblers during the first months after the creation of their accounts. METHODS Anonymized gambling-related records from 1,152 clients of the French national lottery operator who created their Internet gambling accounts between September 2015 and February 2016 were analyzed using a two-step approach combining growth mixture modeling and latent class analysis. The analysis was based on behavioral markers of the raw gambling activity (money wagered, number of gambling days) and the potential for gambling problems (breadth involvement and chasing). The obtained profiles were described based on the probabilities of following the trajectories identified for the four indicators, aoluntary self-exclusion measure. Finally, class 5 (5%) was characterized by a medium to very high gambling activity, a higher diversification of games played (up to 17) and a high number of chasing episodes (0-5). They experienced the highest net losses, far beyond the losses of the other classes, the highest proportion of orange (32%) and red (39%) tags within the Playscan classification, and represented the only class in which voluntary self-exclusion was present. CONCLUSIONS The first three classes may be considered recreational gamblers. The fourth class had a higher gambling activity and breadth involvement and may represent gamblers at risk for future gambling problems. The last class stood out in terms of a much higher gambling activity and breadth involvement and the presence of chasing behavior. The last two classes may benefit from early preventive measures. CLINICALTRIAL ClinicalTrials.gov NCT02415296.Nontyphoidal salmonella (NTS) infection can lead to gastroenteritis, enteric fever, and bacteremia. However, osteoarticular infections caused by NTS are rarely encountered. We report the case of a 53-year-old male patient with bilateral hip infection caused by NTS. We performed a two-stage reconstruction comprising debridement of both hip joints followed by prosthetic replacement with antibiotic-loaded acrylic cement because the patient's diagnosis was delayed for approximately three months and the hip joints were already damaged. At two-year follow-up, the clinical, radiologic, and laboratory findings were within the normal limits, and there was no sign of infection. This case is presented because reports of bilateral hip joint infection due to NTS are rare. Early detection and proper treatment are essential for the eradication of the infection. The use of a prosthesis made of antibiotic-loaded acrylic cement and prolonged antimicrobial therapy can be considered in the management of bilateral hip joint destruction due to delayed diagnosis of NTS infection.Forefoot injuries are commonly caused by sport-related activities and are often around the metatarsophalangeal joints. The hallux interphalangeal (IP) joint is anatomically stable; therefore, injuries to this joint are considered to be rare compared with those to the metatarsophalangeal joint. Instability of the hallux IP joint has rarely been reported in barefoot contact sports, and its treatment has not been sufficiently explored.This study investigated chronic varus instability of the hallux IP joint. We performed a surgical reconstruction owing to conservative treatment failure. Tofacitinib cost A good surgical outcome was achieved by reconstruction of the collateral ligament using the 4th extensor tendon-a promising alternative treatment option for this type of injury. This method indicated no morbidity outside the site of surgery and was more cost-effective than reconstruction using an allograft.OBJECTIVE The aim of the present study was to determine the effect of topical and systemic tranexamic acid (TXA) on fracture healing in a rat surgical model. METHODS We created standard, right-sided, open, diaphyseal femoral fractures with intramedullary Kirschner wire fixation in 48 male rats and divided them into three groups a topical TXA (10 mg/kg) group, a systemic TXA (10 mg/kg) group, and a control group. Fracture healing was evaluated radiographically and histologically after early (week 2) and late (week 4) postoperative sacrifice. RESULTS The radiological scores differed significantly among the all groups (p=0.001), as did the week 2 and 4 scores (p=0.003 and p=0.010, respectively). Radiologically, the topical TXA group exhibited better bone healing at both 2 (p=0.001) and 4 (p=0.007) weeks than the control group, and the systemic group showed better healing at both 2 (p=0.027) and 4 (p=0.023) weeks than the control TXA group. Moreover, bone healing was better in the group treated with topical rather than systemic TXA on radiological examinations performed at 2 (p=0.