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Discontinuation from Antiretroviral Therapy: A Continuing Challenge among Adults in HIV Care in Ethiopia: A Systematic Review and Meta-Analysis.
CONCLUSION: Demographic, behavioral and clinical factors influenced ART treatment discontinuation. Hence, we recommend strengthening decentralization of HIV care services in remote areas, strengthening of ART task shifting, application of seek-test-treat-succeed model, and integration of smoking cession strategies and mental health care into the routine HIV care program.
PMID: 28107430 [PubMed - in process]
Source: Rural Remote Health - January 22, 2017 Category: Rural Health Authors: Gesesew HA, Ward P, Hajito KW, Feyissa GT, Mohammadi L, Mwanri L Tags: PLoS One Source Type: research
Leaving the Hospital Against Medical Advice Among People Who Use Illicit Drugs: A Systematic Review.
CONCLUSIONS: To better understand risk factors associated with leaving the hospital against medical advice among PWUD, future research should consider the effect of individual, social, and structural characteristics on leaving the hospital against medical advice among PWUD. The development and evaluation of novel methods to address interventions to reduce the rate of leaving the hospital prematurely is necessary.
PMID: 26544644 [PubMed - in process]
Source: American Journal of Public Health - November 8, 2015 Category: Global & Universal Authors: Ti L, Ti L Tags: Am J Public Health Source Type: research
Physician continuing education to reduce opioid misuse, abuse, and overdose: many opportunities, few requirements - Davis CS, Carr D.
The opioid overdose epidemic in the United States is driven in large part by inappropriate opioid prescribing. Although most American physicians receive little or no training during medical school regarding evidence-based prescribing, substance use disorde...
Source: SafetyLit - June 13, 2016 Category: Global & Universal Tags: Alcohol and Other Drugs Source Type: news
Effect of COVID-19 Outbreak on the Diet, Body Weight, and Food Security Status of Students of Higher Education; A Systematic Review
Br J Nutr. 2022 Aug 10:1-39. doi: 10.1017/S0007114522002604. Online ahead of print.ABSTRACTThe Covid-19 pandemic has impacted college students' lifestyles and placed them at a greater risk of obesity and food insecurity. The purpose of the systematic review was to consolidate evidence for the effect of Covid-19 on students' dietary quality, dietary habits, body weight, and food security status. A comprehensive literature search was conducted utilizing various databases including Google Scholar, MEDLINE, ScienceDirect, Embase, and Scopus to identify relevant studies. To be incorporated in this review, studies had to include...
Source: The British Journal of Nutrition - August 10, 2022 Category: Nutrition Authors: T Jehi R Khan R Halawani H Dos Santos Source Type: research
Are cherries now ripe for use as a complementary therapeutic in gout? Appraisal of the state of evidence
Commentary on: Zhang Y, Neogi T, Chen C, et al.. Cherry consumption and decreased risk of recurrent gout attacks. Arthritis Rheum 2012;64:4004–11. Context The prevalence of gout has risen in the USA and many other countries, owing to a ‘perfect storm’ of factors, including increased prevalence of comorbid conditions, and diet and alcohol consumption megatrends. Resultant increase in clinical complexity of gouty arthritis and hyperuricaemia management is compounded by relatively poor patient adherence compared to many other medical conditions. This is partly because of gaps in patient and physician educati...
Source: Evidence-Based Medicine - November 21, 2013 Category: Internal Medicine Authors: Terkeltaub, R. Tags: Genetics, Diet, Obesity (nutrition), Degenerative joint disease, Drugs: musculoskeletal and joint diseases, Musculoskeletal syndromes, Alcohol, Health education Aetiology/Harm Source Type: research
The Case Files: A Patient with Not-So-Benign Low Back Pain
By Chung, Arlene S. MD; Raukar, Neha P. MD
A 20-year-old man with a history of schizophrenia and polysubstance abuse presented to the ED complaining nonradiating, left-sided low back pain for one week. He denied any trauma, inciting event, intravenous drug use, tuberculosis exposure, or prior history of back pain or surgery. He also denied systemic symptoms such as fevers, sweats, abdominal pain, nausea, vomiting, leg pain, or difficulty walking.
He was taking risperidone and lithium, smoked a pack of cigarettes a day, did not drink alcohol, and occasionally used marijuana. Family history was negative for malignancy....
Source: The Case Files - June 12, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: research
LGBT Elder Population Health Awareness
Conclusions
Education and awareness-raising campaigns are critically important to improve services and service access for LGBT seniors.2, 4, 9
The resources presented are meant to educate and address some of the disparities for the aging LGBT population.
Bibliography
Brotman S, Ryan B, Collins S, Chamberland L, Cormier R, Julien D, Meyer E, Peterkin A, Richard B. Coming out to care: caregivers of gay and lesbian seniors in Canada. Gerontologist. 2007 Aug;47(4):490-503. PubMed [citation] PMID: 17766670. Available at: http://www.ncbi.nlm.nih.gov/pubmed/17766670.
Brotman S, Ryan B, Cormier R. The health and social ser...
Source: Dragonfly - September 21, 2015 Category: Databases & Libraries Authors: Patricia Devine Tags: Training & Education Source Type: news
Health care and population health: A team sport
In conclusion, the past is prologue. We can do better. We can put joy back in medicine. Our first class of medical students, they’re the most excited people. They’re not burned out. So let’s not burn them out.”By AMA staff writer Tim Smith
Source: AMA Wire - October 2, 2016 Category: Journals (General) Authors: Troy Parks Source Type: news
The Search for Contributors to Low Rates of Recognition of Paternal Alcohol Use Disorders in Offspring from the San Diego Prospective Study.
CONCLUSIONS: In the SDPS, FHM sensitivity was most closely related to the father's drinking characteristics, not the offspring characteristics. While unique aspects of SDPS families potentially limit generalizability of results, the data demonstrate how the FHM can offer important initial steps in the search for genetically related AUD risks in a subset of families.
PMID: 32583872 [PubMed - as supplied by publisher]
Source: Alcoholism, Clinical and Experimental Research - June 24, 2020 Category: Addiction Authors: Schuckit MA, Clarke DF, Smith TL, Mendoza LA, Schoen L Tags: Alcohol Clin Exp Res Source Type: research
Predictors of consent and engagement to participate in telephone delivered continuing care following specialist residential alcohol and other drug treatment.
CONCLUSIONS: Tailoring continuing care programs to reach a broader array of individuals such as Indigenous populations and persons who exit treatment services early is needed to ensure these programs can reach all individuals who might need them.
PMID: 33556669 [PubMed - as supplied by publisher]
Source: Addictive Behaviors - January 26, 2021 Category: Addiction Authors: Kelly PJ, Ingram I, Deane FP, Baker AL, McKay JR, Robinson LD, Byrne G, Degan TJ, Osborne B, Townsend CJ, Nunes JL, Lunn J Tags: Addict Behav Source Type: research
The 'Mine Medical': an opportunity for preventative and primary care
Rural Remote Health. 2023 Jan;23(1):8112. doi: 10.22605/RRH8112. Epub 2023 Jan 10.ABSTRACTINTRODUCTION: For many rural and remote regions of the world, the resources sector forms a necessary part of the local economy. Many workers and their families live in the local community and contribute to the social, educational and business fabric of that community. More still fly into rural areas where medical services exist and are required to support them. Australian coal mines require that all workers undertake a periodic medical examination to assess their fitness for their duties and to monitor for specific diseases inclusive ...
Source: Rural Remote Health - February 21, 2023 Category: Rural Health Authors: Ewen L McPhee Source Type: research
Social network correlates of participation in telephone continuing care for alcohol dependence.
CONCLUSION: Participants with more problematic social networks may self-select additional support in the form of telephone continuing care. Telephone continuing care does not appear to result in social network change. (Am J Addict 2014;XX:XX-XX).
PMID: 24628884 [PubMed - as supplied by publisher]
Source: American Journal on Addictions - March 15, 2014 Category: Addiction Authors: Van Horn DH, Rennert L, Lynch KG, McKay JR Tags: Am J Addict Source Type: research
“Friending” Teens: Systematic Review of Social Media in Adolescent and Young Adult Health Care
Conclusions: Social media technologies offer an exciting new means for engaging and communicating with adolescents and young adults; it has been successfully used to engage this age group, identify behaviors, and provide appropriate intervention and education. Nevertheless, the majority of studies to date have been preliminary and limited in their methodologies, and mostly center around evaluating how adolescents and young adults use social media and the resulting implications on their health. Although these explorations are essential, further exploration and development of these strategies into building effective interventions is necessary.
Source: Journal of Medical Internet Research - January 5, 2015 Category: Journals (General) Authors: Lael M YonkerShiyi ZanChristina V SciricaKamal JethwaniT Bernard Kinane Source Type: research
Doctors should 'wait longer' before diagnosing miscarriage
ConclusionThis observational study reviewed the reliability of different measurements taken at a transvaginal ultrasound scan to diagnose miscarriage during early pregnancy. The recommended cut-off values for gestational sac diameter and embryo crown-to-rump length were changed in 2011 based on a number of reports, with mixed findings suggesting previous ones may have been unreliable. This study looked at the performance of currently used cut-off values, and found that the current cut-offs used to diagnose miscarriage are reliable. No healthy, continuing pregnancies would be wrongly diagnosed as miscarriage using these va...
Source: NHS News Feed - September 25, 2015 Category: Consumer Health News Tags: Medical practice Pregnancy/child Source Type: news
