Publications by authors named "Ryder N"

Objective: To investigate the association between plasma omega-3 levels and incident heart failure (HF) and to examine their relationship with total and cardiovascular (CV) mortality among patients with preexisting HF.

Patients And Methods: The UK Biobank is an ongoing prospective cohort study of individuals recruited in the United Kingdom between April 1, 2007, and December 31. 2010.

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Background: Gay and bisexual men (GBM) remain overrepresented among syphilis diagnoses in Australia and globally. The extent to which changes in sexual networks associated with HIV pre-exposure prophylaxis (PrEP) and treatment as prevention (TasP) may have influenced syphilis transmission among GBM at the population-level is poorly understood. We describe trends in syphilis testing and incidence among GBM in Australia over eleven years spanning widespread uptake of HIV PrEP and TasP.

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Objectives: To estimate notification rates for infectious syphilis in women of reproductive age and congenital syphilis in Australia.

Study Design: Retrospective cohort study; analysis of national infectious syphilis and enhanced congenital syphilis surveillance data.

Setting, Participants: Women aged 15-44 years diagnosed with infectious syphilis, and babies with congenital syphilis, Australia, 2011-2021.

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  • The Sydney Sexual Health Centre (SSHC) implemented the MyCheck intervention to enhance testing for bloodborne viruses and sexually transmissible infections at local pathology centers, aiming to improve client convenience and accessibility.
  • Through interviews with 11 clients and 8 staff, the study found that participants generally viewed MyCheck positively, highlighting reduced client burden and timely results, though some expressed concerns about judgmental attitudes from pathology staff.
  • While MyCheck was seen as an effective testing method, the study indicated a need for further action to mitigate stigma faced by clients at collection centers and to improve staff familiarity with the intervention.
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  • * Out of 41 confirmed cases, most were men, some of whom had contact with female sex workers, while the outbreak notifications were sent nationwide, prompting investigations in other states.
  • * Although no invasive meningococcal disease (IMD) cases related to MenY ST-1466 were confirmed in Australia by March 2024, there are concerns due to its genetic similarity to a related IMD strain linked to an ongoing outbreak in the U.S
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Recent studies have provided evidence for the effectiveness of using doxycycline (Doxy-PEP) to prevent bacterial sexually transmissible infections (STI), namely chlamydia, gonorrhoea, and syphilis, among gay, bisexual, and other men who have sex with men who have experienced multiple STIs. However, there remain several unanswered questions around potential adverse outcomes from Doxy-PEP, including the possibility of inducing antimicrobial resistance in STIs and other organisms, and the possibility of disrupting the microbiome of people who choose to use Doxy-PEP. This interim position statement from the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine aims to outline the current evidence for Doxy-PEP, and to highlight potential adverse outcomes, to enable clinicians to conduct evidence-based conversations with patients in Australia and Aotearoa New Zealand who intend to use Doxy-PEP.

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  • The study aimed to investigate changes in syphilis positivity rates among women and heterosexual men in major Australian cities from 2011 to 2019, focusing on various health determinants.
  • A total of 88,562 first tests were analyzed, revealing that the syphilis positivity rate increased for both groups over the years, with 0.34% of women and 0.66% of men testing positive.
  • Socio-economic disadvantage, Indigenous status, and recent injection drug use significantly contributed to higher positivity rates, while bisexual women and those engaged in recent sex work showed lower rates compared to heterosexual women.
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  • Tenofovir disoproxil fumarate (TDF), used for HIV treatment, is linked to kidney issues, but data on its impact during pre-exposure prophylaxis (PrEP) is limited.
  • A study across 52 Australian clinics from 2009-2019 found that patients on PrEP experienced significantly lower rates of renal impairment (0.7%) compared to those living with HIV (4.1%).
  • Factors like older age and lower baseline kidney function increased the risk of renal issues, but even after adjusting for these factors, PrEP users still had a lower risk of renal impairment than those prescribed TDF for HIV.
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The 'Australian Sexually Transmitted Infection (STI) Management Guidelines For Use In Primary Care' (www.sti.guidelines.

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Background: Most human immunodeficiency virus (HIV) seroconversions in people who have initiated preexposure prophylaxis (PrEP) occur in the context of insufficient adherence. We describe participants who seroconverted after being dispensed PrEP in a large PrEP implementation study in Australia.

Methods: Expanded PrEP Implementation in Communities in New South Wales was an implementation study of daily oral PrEP in individuals aged ≥18 years at high risk for acquiring HIV.

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Prospective memory (PM) involves remembering to carry out intended actions in the future (e.g., posting a letter on the way to school or passing on a message) and is important for children's independent functioning in daily life.

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The continuing emergence of antibacterial resistance reduces the effectiveness of antibiotics and drives an ongoing search for effective replacements. Screening compound libraries for antibacterial activity in standard growth media has been extensively explored and may be showing diminishing returns. Inhibition of bacterial targets that are selectively important under in vivo (infection) conditions and, therefore, would be missed by conventional in vitro screens might be an alternative.

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Background: Daily pre-exposure prophylaxis (PrEP) is effective in preventing HIV, but few long-term data are available on effectiveness and adherence in real-world settings. Here, we report trends in HIV incidence over 3 years in individuals at high risk who were prescribed PrEP in New South Wales (NSW), as well as adherence before the transition to subsidised PrEP.

Methods: Expanded PrEP Implementation in Communities-New South Wales (EPIC-NSW) was a pragmatic, prospective, single-arm, implementation study of daily, oral PrEP in 31 sites (sexual health clinics, general practices, and a hospital) in NSW, Australia.

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Unlabelled: Background Surveillance data indicate that Aboriginal and Torres Strait Islander young people are more likely than their non-Indigenous counterparts to experience sexually transmissible infections (STIs) and teenage pregnancy. Despite increasing emphasis on the need for strengths-based approaches to Aboriginal sexual health, limited published data document how young Aboriginal people reduce sexual health risks encountered in their everyday lives.

Methods: In-depth interviews with 35 young Aboriginal women and men aged 16-21 years in two remote Australian settings were conducted; inductive thematic analysis examining sexual health risk reduction practices was also conducted.

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Outreach services providing sexually transmissible infection (STI) testing on-site in brothels were introduced in 2012 by Pacific Clinic Newcastle, Australia. Asian female sex workers (FSW) were more likely than non-culturally and linguistically diverse (CALD) FSW to access testing via outreach services than in clinics (OR 2.38, 95% CI 1.

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Background: Australian surveillance data document higher rates of sexually transmissible infections (STIs) among young Aboriginal people (15-29 years) in remote settings than non-Aboriginal young people. Epidemiological data indicate a substantial number of young Aboriginal people do not test for STIs. Rigorous qualitative research can enhance understanding of these findings.

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to examine healthcare professionals' (HP) perceptions and experiences in relation to adherence to prophylactic treatment among young people living with haemophilia (YPH). All HPs in four haemophilia centres across England and Wales were invited to participate, and all HPs who agreed to take part ( = 6) were interviewed. Interviews were audio-recorded, transcribed and then analysed using Interpretative Phenomenological Analysis (IPA).

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The popularization of biobanks provides an unprecedented amount of genetic and phenotypic information that can be used to research the relationship between genetics and human health. Despite the opportunities these datasets provide, they also pose many problems associated with computational time and costs, data size and transfer, and privacy and security. The publishing of summary statistics from these biobanks, and the use of them in a variety of downstream statistical analyses, alleviates many of these logistical problems.

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Background: Remote Australian Aboriginal communities have among the highest diagnosed rates of sexually transmissible infections (STIs) in the world. We did a trial to assess whether continuous improvement strategies related to sexual health could reduce infection rates.

Methods: In this stepped-wedge, cluster-randomised trial (STIs in remote communities: improved and enhanced primary health care [STRIVE]), we recruited primary health-care centres serving Aboriginal communities in remote areas of Australia.

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Rhizomes facilitate the wintering and vegetative propagation of many perennial grasses. (johnsongrass) is an aggressive perennial grass that relies on a robust rhizome system to persist through winters and reproduce asexually from its rootstock nodes. This study aimed to sequence and assemble expressed transcripts within the johnsongrass rhizome.

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Objectives: To examine barriers and facilitators to sustaining a sexual health continuous quality improvement (CQI) programme in clinics serving remote Aboriginal communities in Australia.

Design: Qualitative study.

Setting: Primary health care services serving remote Aboriginal communities in the Northern Territory, Australia.

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Introduction: Congenital syphilis (CS) remains a condition of serious clinical and public health importance, particularly in the Aboriginal populations of northern Australia, which have seen a recent resurgence in cases. In 2005, the Northern Territory (NT) Centre for Disease Control (CDC) published guidelines for management of infants at risk of CS. We audited the management and outcomes of infants at risk of CS who were born between 2005 and 2013 in the Darwin and Katherine regions of the NT.

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Adequate adherence to pre-exposure prophylaxis (PrEP) is critical to prevent HIV infection, but accurately measuring adherence remains challenging. We compared two biological [blood drug concentrations in plasma and peripheral blood mononuclear cells (PBMC)] and two self-reported measures (facilitated recall to clinicians and self-report in online surveys) and identified predictors of daily PrEP adherence among gay and bisexual men (GBM) in their first 12 months on PRELUDE, an open-label, single-arm PrEP demonstration project in New South Wales, Australia. 327 participants were enrolled; 263 GBM attended their 12-month follow-up visit (81% retention).

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Article Synopsis
  • HIV pre-exposure prophylaxis (PrEP) is effective for reducing HIV incidence among men who have sex with men (MSM) but its broader population-level impacts were previously unclear.
  • The EPIC-NSW study recruited 3,700 high-risk gay and bisexual men in New South Wales to evaluate the effect of PrEP on HIV incidence and overall HIV diagnoses in the region.
  • Results showed a significant drop in HIV diagnoses among MSM after PrEP roll-out, with infections declining from 295 to 221, demonstrating a 25% relative risk reduction, highlighting the effectiveness of targeted PrEP distribution.
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