Listen to GKdiscuss the cooking class on JOY FM here (GK’s features about 20 minutes in, but you may also be interested in the topic of trans & gender diverse people in sport, which is discussed elsewhere in the show)
Women on the combined pill appear to be less likely to tear a key ligament in their knee, research suggests.
Tears to the ACL are known to be more common in women than men, with previous research suggesting fluctuations in hormones during the menstrual cycle, including oestrogen, might play a role by increasing the looseness of the ACL and making it more injury prone.
But some research has suggested hormonal contraceptives might mitigate such an effect – and now researchers say they have added to that evidence.
Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER): final results of a multicentre, prospective, observational study
The Lancet, Published Online May 2, 2019
The level of evidence for HIV transmission risk through condomless sex in serodifferent gay couples with the HIV-positive partner taking virally suppressive antiretroviral therapy (ART) is limited compared with the evidence available for transmission risk in heterosexual couples. The aim of the second phase of the PARTNER study (PARTNER2) was to provide precise estimates of transmission risk in gay serodifferent partnerships.
Between Sept 15, 2010, and July 31, 2017, 972 gay couples were enrolled, of which 782 provided 1593 eligible couple-years of follow-up with a median follow-up of 2·0 years (IQR 1·1–3·5). At baseline, median age for HIV-positive partners was 40 years (IQR 33–46) and couples reported condomless sex for a median of 1·0 years (IQR 0·4–2·9). During eligible couple-years of follow-up, couples reported condomless anal sex a total of 76 088 times. 288 (37%) of 777 HIV-negative men reported condomless sex with other partners. 15 new HIV infections occurred during eligible couple-years of follow-up, but none were phylogenetically linked within-couple transmissions, resulting in an HIV transmission rate of zero (upper 95% CI 0·23 per 100 couple-years of follow-up).
Our results provide a similar level of evidence on viral suppression and HIV transmission risk for gay men to that previously generated for heterosexual couples and suggest that the risk of HIV transmission in gay couples through condomless sex when HIV viral load is suppressed is effectively zero. Our findings support the message of the U=U (undetectable equals untransmittable) campaign, and the benefits of early testing and treatment for HIV.
The ‘Australian National Guidelines for the Management of Healthcare Workers Living with Blood Borne Viruses and Healthcare Workers who Perform Exposure Prone Procedures at Risk of Exposure to Blood Borne Viruses’ have been updated. They can be viewed on the Commonwealth Department of Health website.
The guidelines are in two parts:
Part A provides information and recommendations for all healthcare workers, in particular:
healthcare workers who perform exposure prone procedures
healthcare workers living with a blood borne virus, and
doctors treating healthcare workers with a blood borne virus.
Part B provides information and recommendations for public health authorities including, but not limited to, hospitals and jurisdictional health departments, when managing or investigating a situation where a healthcare worker with a blood borne virus was not compliant with these guidelines and/or may have placed a patient(s) at risk of infection.