At One Namibian Hospital, Shorter Lines, Healthier Clients

March 02, 2017In remote northern Namibia, Onandjokwe Hospital is becoming a national model for bringing health care to people where they live.Just a few years ago, if you ’d visited northern Namibia’s Onandjokwe Hospital to, say, get a refill on your HIV meds, you’d have had to sit in line for an average of 8 or 9 hours.“You had to wait for your name to be called at reception, then to have your BMI measured, then to have blood drawn, then HIV counseling, and then wait up to five hours at the pharmacy,” says nurse Ruusa Shipena, the ART (antiretroviral therapies) supervisor at Onandjokwe’s Shanamutango HIV cli nic. People would turn up at the clinic the night before and sleep on the sidewalks just to be at the front of the line the next morning.Shipena and her colleagues were seeing up to 80 clients per day —each.The waiting room was permanently packed. Staff were stressed out and exhausted.“Every day when you go home, your hands, your fingers, you have to—” nurse Shipena winces and makes a pained stretching motion. She and her colleagues were seeing up to 80 clients per day—each.But today that number has dropped to around 40. The waiting room isn ’t crowded. Things are running smoothly. And the few people who sit waiting in the reception area are called up within a few minutes of taking their seats, their entire visit now taking about an hour. The nurses are busy but calm as they talk with clients and smi...
Source: IntraHealth International - Category: Global & Universal Authors: Source Type: news

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Abstract BACKGROUND: Increased intestinal barrier permeability and subsequent gut microbial translocation are significant contributors to inflammatory non-AIDS comorbidities in people living with HIV (PLWH). Evidence in animal models have shown that markers of intestinal permeability and microbial translocation vary over the course of the day and are affected by food intake and circadian rhythms. However, daily variations of these markers are not characterized yet in PLWH. Herein, we assessed the variation of these markers over 24 h in PLWH receiving antiretroviral therapy (ART) in a well-controlled environme...
Source: AIDS Research and Therapy - Category: Infectious Diseases Authors: Tags: AIDS Res Ther Source Type: research
Conclusions: Sleep aids based on plant extracts are generally safe and well tolerated by the population. More high-quality research is needed to confirm the effectiveness of food supplements containing plant extracts in sleep complaints; in particular, it would be interesting to evaluate the association between plant extracts and sleep hygiene guidelines and to identify the optimal products to be used in a specific symptom of sleep complaint, giving more appropriate tools to the medical doctor. PMID: 32382286 [PubMed]
Source: Evidence-based Complementary and Alternative Medicine - Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research
Device-based clinical treatments for tinnitus are predominantly sound based and include ear-level sound generators, hearing aids, cochlear implants, and tinnitus treatment devices. They are intended for patients with bothersome tinnitus. Bothersome tinnitus is characterized by problems with sleep, concentration, and mood. Most people with bothersome tinnitus have hearing loss and would benefit from amplification; however, not all patients are willing to use hearing aids. Tinnitus treatment devices are available to assist those who are not good candidates for amplification, and include devices used while sleeping and device...
Source: Otolaryngologic clinics of North America - Category: ENT & OMF Authors: Source Type: research
nauer M Abstract The human brain has evolved to acquire novel information rapidly while serving the need to store long-term memories in a stable and lasting form. Presenting interfering information directly after learning can lead to forgetting of the original material. It has been suggested that sleep aids the stabilization of new memories and protects them from interference. Here, we aim to replicate in two separate experiments the claim that sleep protects memories from retroactive interference (Current Biology, 16, 2006 and 1290; PLoS ONE, 4, 2009 and e4117). We let participants study wordlists before letting ...
Source: Journal of Sleep Research - Category: Sleep Medicine Authors: Tags: J Sleep Res Source Type: research
By the time Janet Johnson’s father reached his mid-80s, he was on so many medications their names are now impossible to recall. There were pills for managing his cholesterol, blood pressure, and asthma, says Johnson, an administrative assistant who lives near Minneapolis. Other drugs helped with his sleep problems and treated his type 2 diabetes. There were more, too, but who can remember? One thing was certain though: As the number of prescriptions increased, his health seemed to get worse. “As he aged, he fell often and was confused. It was awful,” Johnson remembers. Continue reading on HealthCentral fo...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
This study evaluated whether a history of lifetime methamphetamine (MA) use disorder increases risk for poor sleep quality in people with or without HIV infection (HIV+/HIV −). Participants (n = 313) were stratified into four groups based on HIV status and lifetime MA use disorder diagnosis [HIV+/MA+ (n = 84); HIV+/MA− (n = 141); HIV−/MA+ (n = 16); and HIV−/MA− (n = 72)] and compared on global sleep outcomes using the Pittsburgh Sleep Qu ality Index (PSQI). Significant differences on global sleep were observed between...
Source: AIDS and Behavior - Category: Infectious Diseases Source Type: research
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Source: AIDS Care - Category: Infectious Diseases Authors: Source Type: research
Discussion Memory is an important part of what distinguishes higher order species from others. Memory also is part of one’s self-identity. Difficulties in short-term memory can make common, everyday tasks difficult for the person experiencing the problem particularly if it recently occurred and the person’s long-term memory is intact. Difficulties with long-term memory can also have problems when language, events or even one’s own identity are affected. For some people the memory loss is temporary but for others, memory impairments are permanent and must be accepted and accommodated as part of the overall...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
The future of healthcare is shaping up in front of our very eyes with advances in digital technologies, such as artificial intelligence, VR/AR, 3D-printing, robotics or nanotechnology. We have to familiarize with the latest developments in order to be able to control technology and not the other way around. The future of healthcare lies in working hand-in-hand with technology and healthcare workers have to embrace emerging technologies in order to stay relevant in the coming years. Be bold, curious and informed! Are you afraid that robots will take over the jobs of nurses, doctors and other healthcare professionals? Are y...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Future of Medicine 3d printing AI artificial intelligence augmented reality genetics Health Healthcare nanotechnology Personalized medicine pharma pharmacology robotics virtual reality wearables GC1 Source Type: blogs
Abstract This investigation was undertaken to maximally extract hidden knowledge from an efavirenz-based trial data set using an item response theory-based approach to exposure-outcome analysis. The aim was to understand the influence of efavirenz exposure on the underlying neuropsychiatric impairment in HIV/AIDS patients. Data from 196 individuals with 4136 neuropsychiatric impairment symptom observations at baseline and 2 and 12 weeks of 600-mg efavirenz-based therapy was analyzed. The 7 symptoms were categorized as sleep disorders (3), hallucinations (3), and cognitive impairment (1). A longitudinal item respon...
Source: The Journal of Clinical Pharmacology - Category: Drugs & Pharmacology Authors: Tags: J Clin Pharmacol Source Type: research
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