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  1. Article ; Online: Maintenance of internal load despite a stepwise reduction in external load during moderate intensity heart rate clamped cycling with acute graded normobaric hypoxia in males.

    Li, Siu Nam / Peeling, Peter / Scott, Brendan R / Peiffer, Jeremiah J / Shaykevich, Alex / Girard, Olivier

    Journal of science and medicine in sport

    2023  Volume 26, Issue 11, Page(s) 628–635

    Abstract: ... extensors was characterised pre- and post-exercise.: Results: Compared to sea-level (101 ± 22 W), there ...

    Abstract Objectives: To investigate the acute effects of graded hypoxia on external and internal loads during 60 min of endurance cycling at a clamped heart rate.
    Design: Repeated measures.
    Methods: On separate visits, 16 trained males cycled for 60 min at a clamped heart rate corresponding to 80 % of their first ventilatory threshold at sea-level and 2500 m, 3000 m, 3500 m and 4000 m simulated altitudes (inspired oxygen fractions of 20.9 %, 15.4 %, 14.5 %, 13.6 % and 12.7 %, respectively). Markers of external (power output) and internal (blood lactate concentration, tissue saturation index, cardio-respiratory and perceptual responses) loads were measured every 15 min during cycling. Neuromuscular function of knee extensors was characterised pre- and post-exercise.
    Results: Compared to sea-level (101 ± 22 W), there was a stepwise reduction in power output with increasing hypoxia severity (-17.9 ± 8.9 %, -27.1 ± 10.7 %, -34.2 ± 12.0 % and - 44.6 ± 15.1 % at 2500 m, 3000 m, 3500 m, and 4000 m, respectively, all p < 0.05). Blood lactate and tissue saturation index were not different across hypoxia severities, and perceptual responses were exacerbated at 4000 m only, with increased breathing difficulty. Knee extensor torque decreased post-exercise (-14.5 ± 9.0 %, p < 0.05), independent of condition.
    Conclusions: Increasing hypoxia severity reduces cycling power output and arterial oxygen saturation in a stepwise fashion without affecting exercise responses between sea-level and simulated altitudes up to 3500 m despite breathing difficulty being elevated at 4000 m.
    MeSH term(s) Male ; Humans ; Heart Rate ; Oxygen Consumption/physiology ; Hypoxia ; Oxygen ; Altitude ; Lactates
    Chemical Substances Oxygen (S88TT14065) ; Lactates
    Language English
    Publishing date 2023-09-20
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1437829-2
    ISSN 1878-1861 ; 1440-2440
    ISSN (online) 1878-1861
    ISSN 1440-2440
    DOI 10.1016/j.jsams.2023.09.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Laboratory diagnosis of Chlamydia pneumoniae infections.

    Peeling, R W

    The Canadian journal of infectious diseases = Journal canadien des maladies infectieuses

    2012  Volume 6, Issue 4, Page(s) 198–203

    Abstract: Chlamydia pneumoniae is an important cause of respiratory illness. There is a need for accurate and rapid laboratory diagnostic methods that will lead to improved patient care, appropriate use of antimicrobial therapy and a better understanding of the ... ...

    Abstract Chlamydia pneumoniae is an important cause of respiratory illness. There is a need for accurate and rapid laboratory diagnostic methods that will lead to improved patient care, appropriate use of antimicrobial therapy and a better understanding of the epidemiology of this emerging pathogen. Culture is highly specific but is technically demanding, expensive, has a long turnaround time and its sensitivity is highly dependent on transport conditions. Antigen detection tests such as enzyme immunoassay and direct fluorescent antibody assay, and molecular detection methods such as the polymerase chain reaction assay, may provide a rapid diagnosis without the requirement for stringent transport conditions. The results of these tests should be interpreted with caution until more thorough evaluation is available. Serology remains the method of choice. The limitations of different serological methods for the laboratory diagnosis of C pneumoniae are discussed.
    Language English
    Publishing date 2012-01-21
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 1057056-1
    ISSN 1180-2332 ; 1712-9532
    ISSN 1180-2332 ; 1712-9532
    DOI 10.1155/1995/696950
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Shifting the Energy Toward Los Angeles: Comparing the Energetic Contribution and Pacing Approach Between 2000- and 1500-m Maximal Ergometer Rowing.

    Astridge, Daniel J / Peeling, Peter / Goods, Paul S R / Girard, Olivier / Watts, Sophie P / Dennis, Myles C / Binnie, Martyn J

    International journal of sports physiology and performance

    2023  Volume 19, Issue 2, Page(s) 133–141

    Abstract: ... to TT2000 (324 [24] W), MPO was 5.2% (3.3%) higher in TT1500 (341 [29 W]; P < .001, ηp2=.70). There was a 4 ...

    Abstract Purpose: To compare the energetic contribution and pacing in 2000- and 1500-m maximal rowing-ergometer performances.
    Methods: On separate visits (>48 h apart, random order), 18 trained junior (16.7 [0.4] y) male rowers completed 3 trials: a 7 × 4-minute graded exercise test, a 2000-m time trial (TT2000), and a 1500-m TT (TT1500). Respiratory gases were continuously measured throughout each trial. The submaximal power-to-oxygen-consumption relationship from the graded exercise test was used to determine the accumulated oxygen deficit for each TT. Differences in mean power output (MPO), relative anaerobic contribution, percentage of peak oxygen uptake, pacing index, maximum heart rate, rating of perceived exertion, and blood lactate concentration were assessed using linear mixed modeling.
    Results: Compared to TT2000 (324 [24] W), MPO was 5.2% (3.3%) higher in TT1500 (341 [29 W]; P < .001, ηp2=.70). There was a 4.9% (3.3%) increase (P < .001, ηp2=.71) in anaerobic contribution from 17.3% (3.3%) (TT2000) to 22.2% (4.3%) (TT1500). Compared to TT1500, maximum heart rate, rating of perceived exertion, and blood lactate concentration were all greater (P < .05) in TT2000. The pacing index was not different between trials. Percentage increase in MPO from TT2000 to TT1500 was negatively associated with pacing variance in TT1500 (R2 = .269, P = .027).
    Conclusions: Maximal ergometer performance over 1500 m requires a significantly greater anaerobic contribution compared with 2000 m. Junior male athletes adopt a consistent pacing strategy across both distances. However, those who experienced greater percentage increases in MPO over the shorter test adopted a more even pacing strategy. To prepare for 1500-m performance, greater emphasis should be placed on developing capacity for work in the severe domain and completing race simulations with a more even pacing strategy.
    MeSH term(s) Humans ; Male ; Los Angeles ; Ergometry ; Water Sports/physiology ; Exercise Test ; Oxygen Consumption/physiology ; Lactic Acid ; Oxygen
    Chemical Substances Lactic Acid (33X04XA5AT) ; Oxygen (S88TT14065)
    Language English
    Publishing date 2023-11-28
    Publishing country United States
    Document type Journal Article
    ISSN 1555-0273
    ISSN (online) 1555-0273
    DOI 10.1123/ijspp.2023-0216
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Diagnostics in the response to antimicrobial resistance.

    Peeling, Rosanna W / Boeras, Debrah / Gadde, Renuka / Fongwen, Noah

    The Lancet. Infectious diseases

    2020  Volume 20, Issue 8, Page(s) 899–900

    MeSH term(s) Anti-Bacterial Agents ; Communicable Diseases ; Drug Resistance, Bacterial ; Humans
    Chemical Substances Anti-Bacterial Agents
    Keywords covid19
    Language English
    Publishing date 2020-07-29
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2061641-7
    ISSN 1474-4457 ; 1473-3099
    ISSN (online) 1474-4457
    ISSN 1473-3099
    DOI 10.1016/S1473-3099(20)30525-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Control of genital chlamydial infection.

    Gully, P R / Peeling, R W

    The Canadian journal of infectious diseases = Journal canadien des maladies infectieuses

    2012  Volume 5, Issue 3, Page(s) 137–139

    Language English
    Publishing date 2012-02-16
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 1057056-1
    ISSN 1180-2332 ; 1712-9532
    ISSN 1180-2332 ; 1712-9532
    DOI 10.1155/1994/868213
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Clinic-based evaluation of the dual Xpert CT/NG assay on the GeneXpert System for screening for extragenital chlamydial and gonococcal infections amongst men who have sex with men.

    Cordioli, Maddalena / Gios, Lorenzo / Erbogasto, Anna / Mirandola, Massimo / Sandri, Angela / Padovese, Valeska / Caceres, Carlos / Vargas, Silver / Blondeel, Karel / Silva, Ronaldo / Kiarie, James / Kurbonov, Firdavs / Peeling, Rosanna W / Thwin, Soe Soe / Golparian, Daniel / Unemo, Magnus / Toskin, Igor

    BMC infectious diseases

    2024  Volume 24, Issue Suppl 1, Page(s) 224

    Abstract: Background: Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections have increased globally. Asymptomatic infections represent a significant risk of long-term complications. Men who have sex with men (MSM) are disproportionally affected, ... ...

    Abstract Background: Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections have increased globally. Asymptomatic infections represent a significant risk of long-term complications. Men who have sex with men (MSM) are disproportionally affected, underscoring the need to offer screening programmes to this population. CT/NG Point of Care Testing (POCT) constitutes a strategic tool to improve the continuum of STI care, however extensive real-life evaluations amongst at risk populations are lacking. The aim of this study is to estimate the GeneXpert CT/NG assay performance and usability for CT and NG at genital and extragenital sites for screening amongst MSM.
    Methods: This study was a multi-site sexual health clinic-based evaluation (Italy, Malta and Peru) with consecutive enrolment. A first void urine sample (divided in two aliquots), two oropharyngeal and two anorectal swabs were collected for each study participant. One specimen set (one for each anatomical site) was tested with the dual index test (Cepheid) at the clinics by the healthcare staff, the other set with FDA/CE approved Nucleic Acid Amplification Tests (NAATs) at the laboratory. Clinical sites and reference laboratories participated in an internal and external quality control programme. Sensitivity, specificity, positive and negative likelihood ratios, positive and negative predictive values for each anatomical site were estimated using a meta-analytic approach.
    Results: One thousand seven hundred two MSM were recruited across all clinical sites for a total of 5049 biological specimens. NG and CT were respectively detected in 274 and 287 of samples. Overall, the NG POCT sensitivity and specificity was 91.43% and 99.75% in urine (LR + 372.80, LR- 0.09), 89.68% and 99.55% in rectal specimens (LR + 197.30, LR- 0.10) and 75.87% and 98.77% at the pharynx respectively (LR + 61.94, LR- 0.24). The CT component of the POCT sensitivity was 84.82% and specificity 99.63% in urine (LR + 228.68, LR- 0.15), 78.07% and 99.19% respectively on rectal site (LR + 96.23, LR-0.22), 67.79% and 99.88% respectively at pharyngeal site (LR + 554.89, LR- 0.32). 95.95% of MSM reported to be willing to wait for POCT results and no provider reported difficulties in terms of performance or interpretation of the results of the Xpert CT/NG.
    Conclusion: Rapid turnaround time, ease of use and high acceptability make the Xpert CT/NG testing system a strategic tool for increasing testing frequency, reaching those not yet tested and offering the possibility of immediate treatment if needed. The assay showed good negative likelihood ratios and confirms its use to rule out CT/NG infections. Sensitivity varied across sites and pathogens. Periodic staff training at the testing sites should be mandatory.
    MeSH term(s) Male ; Humans ; Homosexuality, Male ; Neisseria gonorrhoeae/genetics ; Chlamydia Infections/diagnosis ; Chlamydia Infections/epidemiology ; Sexual and Gender Minorities ; Gonorrhea/diagnosis ; Gonorrhea/epidemiology ; Chlamydia trachomatis/genetics ; Nucleic Acid Amplification Techniques ; Tomography, X-Ray Computed
    Language English
    Publishing date 2024-02-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041550-3
    ISSN 1471-2334 ; 1471-2334
    ISSN (online) 1471-2334
    ISSN 1471-2334
    DOI 10.1186/s12879-024-09042-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A clinical utility evaluation of dual HIV/Syphilis point-of-care tests in non-clinical settings for screening for HIV and syphilis in men who have sex with men.

    Fernàndez-López, Laura / Reyes-Urueña, Juliana / Egea, Laia / Chernyshev, Andrii / Upmace, Inga / Ćosić, Mitja / Mejías, William / González, Victoria / Blondeel, Karel / Thwin, Soe Soe / Gios, Lorenzo / Mirandola, Massimo / Peeling, Rosanna / Kiarie, James / Casabona, Jordi / Toskin, Igor

    BMC infectious diseases

    2024  Volume 24, Issue Suppl 1, Page(s) 264

    Abstract: Background: Dual point-of-care tests (POCTs) for the simultaneous detection of antibodies to HIV and syphilis have been developed. Since community-based organisations (CBO) are effective providers of HIV and syphilis testing among men who have sex with ... ...

    Abstract Background: Dual point-of-care tests (POCTs) for the simultaneous detection of antibodies to HIV and syphilis have been developed. Since community-based organisations (CBO) are effective providers of HIV and syphilis testing among men who have sex with men (MSM), evaluation of the utility of these dual tests at CBO testing services is a high priority. The aim of this study is to determine the feasibility of performing dual HIV-syphilis POCT testing among both users and providers at these non-clinical sites.
    Methods: This evaluation assessed the utility of two lateral flow immunochromatographic antibody technologies for dual screening for HIV/syphilis among MSM seeking testing in four CBO testing services in Spain, Slovenia, Latvia, and Ukraine. The study's conceptual framework divides the concept of feasibility into two inter-related domains, acceptability, and usability and further breaks it down into six subdomains: learnability, willingness, suitability, satisfaction, efficacy, and effectiveness. The feasibility analysis was performed by calculating the median score in 3 stages (for individual questions, subdomains, and domains), using a summated scores method.
    Results: The final sample included 844 participants, 60 of which were found to be HIV test positive (7.1%) and 61 (7.2%) positive on testing for syphilis. There was a small difference (1.1%) when comparing the results of the two dual POCTs under evaluation to the tests routinely used at each site. The inter-rater agreement showed a high concordance between two independent readings. The analysis of the feasibility for the users of the services indicated good satisfaction, suitability, and willingness. In addition, among 18 providers the total mean score showed good acceptability and usability, good willingness, easy learnability, high suitability, and good efficacy, but lower satisfaction and effectiveness. The operational characteristics of both dual study POCTs were well evaluated by providers.
    Conclusions: The introduction of dual HIV and syphilis  POCTs in CBO testing services for screening of MSM is feasible, with a high acceptability and usability both for users and providers. Implementation of dual POCTs for HIV and syphilis in CBO testing services is an opportunity for scaling up integrated HIV/syphilis testing for MSM.
    MeSH term(s) Male ; Humans ; Syphilis/diagnosis ; Homosexuality, Male ; HIV Infections/diagnosis ; Sexual and Gender Minorities ; Mass Screening/methods ; Point-of-Care Testing
    Language English
    Publishing date 2024-02-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041550-3
    ISSN 1471-2334 ; 1471-2334
    ISSN (online) 1471-2334
    ISSN 1471-2334
    DOI 10.1186/s12879-024-09017-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Testing for sexually transmitted infections: a brave new world?

    Peeling, R W

    Sexually transmitted infections

    2006  Volume 82, Issue 6, Page(s) 425–430

    MeSH term(s) Female ; Home Care Services ; Humans ; Internet ; Male ; Nucleic Acid Amplification Techniques/methods ; Nucleic Acid Amplification Techniques/trends ; Point-of-Care Systems ; Sexually Transmitted Diseases/diagnosis ; Vaginal Discharge/etiology
    Language English
    Publishing date 2006-12
    Publishing country England
    Document type Editorial
    ZDB-ID 1420303-0
    ISSN 1472-3263 ; 1368-4973
    ISSN (online) 1472-3263
    ISSN 1368-4973
    DOI 10.1136/sti.2005.017251
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Use of "Strengthening Our Vows" Video Intervention to Encourage Negotiated Explicit Sexual Agreements in Zambian Heterosexual HIV Seroconcordant-Negative Couples.

    Sharkey, Tyronza / Parker, Rachel / Wall, Kristin M / Malama, Kalonde / Pappas-DeLuca, Katina / Tichacek, Amanda / Peeling, Rosanna / Kilembe, William / Inambao, Mubiana / Allen, Susan

    Archives of sexual behavior

    2023  Volume 52, Issue 6, Page(s) 2649–2667

    Abstract: Negotiating sexual agreements in combination with couples' voluntary HIV counseling and testing (CVCT) may help further reduce HIV transmission in Zambian concordant HIV-negative couples (CNC). Though CVCT has been shown to reduce HIV transmission in CNC ...

    Abstract Negotiating sexual agreements in combination with couples' voluntary HIV counseling and testing (CVCT) may help further reduce HIV transmission in Zambian concordant HIV-negative couples (CNC). Though CVCT has been shown to reduce HIV transmission in CNC by 47%, approximately half of residual infections occur in this group. We developed a "Strengthening Our Vows" video session to foster communication and negotiation of explicit sexual agreements to reduce concurrent sexual exposures and prevent HIV transmission to the spouse due to unprotected, extramarital sex. CNC were recruited through CVCT services at five clinics in Lusaka and Ndola in 2016. Enrolled CNC attending the facilitated group video sessions were encouraged to discuss sexual agreements at home and return 1-2 weeks later for follow-up assessment. One-fourth of the 580 CNC returning reported a history of extramarital partners and/or a sexually transmitted infection (STI) prior to enrollment. More than 95% reported a friendly, supportive 15-60 min negotiation culminating in an agreement to remain monogamous or disclose sexual contacts and use condoms together until a repeat HIV test 30 days after an outside sexual exposure. Two-thirds of participants identified at least one threat to adherence of their agreements including alcohol use, financial pressures, travel, discord in the home, and post-partum or menstrual abstinence. CNC negotiated explicit sexual agreements to avoid exposure to HIV through concurrent partnerships and protect the spouse in the event of an outside sexual contact. Open communication was a consistent theme to facilitate mutual protective efforts. Long-term follow-up of HIV/STI incidence is ongoing to assess the impact of these agreements.Trial registration This sub-study is part of a trial retrospectively registered on ClinicalTrials.gov (Identifier: NCT02744586) on April 20, 2016.
    MeSH term(s) Female ; Humans ; Heterosexuality ; HIV Infections/prevention & control ; Negotiating ; Sexual Behavior/psychology ; Sexual Partners/psychology ; Sexually Transmitted Diseases/prevention & control ; Zambia ; Male
    Language English
    Publishing date 2023-04-06
    Publishing country United States
    Document type Clinical Trial ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 184221-3
    ISSN 1573-2800 ; 0004-0002
    ISSN (online) 1573-2800
    ISSN 0004-0002
    DOI 10.1007/s10508-023-02590-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Role and effectiveness of telephone hotlines in outbreak response in Africa

    Noah T. Fongwen / Almighty Nchafack / Hana Rohan / Jason J. Ong / Joseph D. Tucker / Nadine Beckmann / Gwenda Hughes / Rosanna W. Peeling

    PLoS ONE, Vol 18, Iss

    A systematic review and meta-analysis

    2023  Volume 11

    Keywords Medicine ; R ; Science ; Q
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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