Chronic pain related to AIDS: perspective of nurses and doctors.

The objective was to identify the features and the management of chronic pain associated to Acquired Immunodeficiency Syndrome (AIDS) from the perspective of nurses and doctors. Qualitative study conducted at a reference hospital in Fortaleza- CE, Brazil, with 20 professionals. It was applied semi-structured interview and the speeches were analyzed using content analysis of Bardin, emerging three categories: Characterization of pain, Clinical evaluation of pain and Clinical care of pain. It was found that pain in AIDS manifests itself as persistent, disabling, with difficult control, and its management based on accurate identification of the causal factors and on implementation of pharmacological and non pharmacological treatment offered by the interdisciplinary team. The study provides relevant data on pain in AIDS patients, demonstrating the need to rethink the model of care management interventions to promote greater efficacy of analgesia and to improve interdisciplinary approach to pain for better pain evaluation and treatment. PMID: 24676069 [PubMed - in process]
Source: Revista Brasileira de Enfermagem - Category: Nursing Authors: Tags: Rev Bras Enferm Source Type: research

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Ryan R. Kelly1,2†, Lindsay T. McDonald1,2†, Nathaniel R. Jensen1,2, Sara J. Sidles1,2 and Amanda C. LaRue1,2* 1Research Services, Ralph H. Johnson VA Medical Center, Charleston, SC, United States 2Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, SC, United States The significant biochemical and physiological effects of psychological stress are beginning to be recognized as exacerbating common diseases, including osteoporosis. This review discusses the current evidence for psychological stress-associated mental health disorders as risk factors for os...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusions: These finding suggest that Poly-ICLC could be safely used for inducing transient innate immune responses in treated HIV+ subjects indicating promise as an adjuvant for HIV therapeutic vaccines. Trial Registration: www.ClinicalTrials.gov, identifier: NCT02071095. Introduction Innate immune dysregulation during HIV infection hinders the formation of anti-HIV adaptive immunity (1–6) resulting in rampant viral dissemination and progression to AIDS. Adherence to combination anti-retroviral therapy (cART) regimens controls viremia, restores CD4+T cell counts and reverses immune dysfunction to a larg ext...
Source: Frontiers in Immunology - Category: Allergy & Immunology Source Type: research
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Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
CONCLUSIONS: There is no evidence to support the superiority of sound therapy for tinnitus over waiting list control, placebo or education/information with no device. There is insufficient evidence to support the superiority or inferiority of any of the sound therapy options (hearing aid, sound generator or combination hearing aid) over each other. The quality of evidence for the reported outcomes, assessed using GRADE, was low. Using a combination device, hearing aid or sound generator might result in little or no difference in tinnitus symptom severity.Future research into the effectiveness of sound therapy in patients w...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Chellaswamy Savrimalai Karumaran, Anil Kumar Ramachandran, Remya VenkatesanIndian Journal of Dental Research 2018 29(6):847-851Radiographic imaging is an important criteria in diagnosis, treatment planning, and follow-up of an endodontic treatment. When clinicians encounter with diagnostic difficulties and persistent symptoms, the need for advanced diagnostic aids, especially imaging methods, become imperative and essential. This paper reports a case, in which primary endodontic therapy having failed, the patient had persisting symptoms such as pain, swelling, and draining sinus along with signs and symptoms of maxillary s...
Source: Indian Journal of Dental Research - Category: Dentistry Authors: Source Type: research
The first part of this article described the upward pressures on costs and some of the philosophical debates over remedies. This section continues the discussion with several different angles on costs. Universal access and innovation It’s easy to call health care a human right. But consider an analogy: housing could also be considered a human right, yet no one has the right to a twenty-room mansion. Modern drug and genetic research are creating the equivalents of many twenty-room mansions, and taking up residence means the difference between life and death for someone, or perhaps between a long productive life and on...
Source: EMR and HIPAA - Category: Information Technology Authors: Tags: Healthcare Reform Medical Economics Personalized Medicine Precision Medicine Drug Pricing Healthcare Costs Medication Pricing Source Type: blogs
See something of interest? Please share our postings with colleagues in your institutions! Spotlight The MAReport: the Summer/Fall 2018 issue of the MAReport newsletter is now available! This quarter, Executive Director Kate Flewelling wrote about how the National Library of Medicine and National Network of Libraries of Medicine are responding to the opioid crisis, including details on a new class that will be offered for the first time on November 28. National Network of Libraries of Medicine News Funding Applications Due: NNLM MAR has funding available for two grants of $19,000. Libraries, community-based organizations, ...
Source: NN/LM Middle Atlantic Region Blog - Category: Databases & Libraries Authors: Tags: Weekly Postings Source Type: news
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Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction Recovery Addiction Treatment and Program Resources Alcohol Rehab Information Complementary Therapies Detox Resources for Alcohol and Drugs/Opiates Drug Rehab Information Drug Treatment Holistic Treatment Protocols Sob Source Type: blogs
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Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Cases Tropical Medicine AIDS art cryptococcoma cryptococcus HIV HIV1 HIV2 PEP PrEP TB toxoplasma tuberculoma Source Type: blogs
AbstractAmong persons living with HIV/AIDS (PLHIV), approximately two-thirds report moderate to severe pain. Chronic pain can negatively affect PLHIVs ’ health behaviors and outcomes by interfering with their reciprocity (mutual exchange) of support in their caregiving relationships, which has been found to be associated with PLHIVs’ antiretroviral adherence and viral suppression. Data were longitudinal (baseline, 6- and 12-month follow-up) fr om 383 PLHIV who were formerly or currently using drugs. Utilizing a longitudinal lagged fixed effects structural equation model, we found that never having pain in the p...
Source: AIDS and Behavior - Category: Infectious Diseases Source Type: research
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