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hiv , depression, diabetes

Lara R Fairall, Naomi Folb, Venessa Timmerman, Carl Lombard, Krisela Steyn, Max O Bachmann, Eric D Bateman, Crick Lund, Ruth Cornick, Gill Faris, Thomas Gaziano, Daniella Georgeu-Pepper, Merrick Zwarenstein, Naomi S Levitt
BACKGROUND: In many low-income countries, care for patients with non-communicable diseases (NCDs) and mental health conditions is provided by nurses. The benefits of nurse substitution and supplementation in NCD care in high-income settings are well recognised, but evidence from low- and middle-income countries is limited. Primary Care 101 (PC101) is a programme designed to support and expand nurses' role in NCD care, comprising educational outreach to nurses and a clinical management tool with enhanced prescribing provisions...
November 2016: PLoS Medicine
Fiona H McKay, Christina Cheng, Annemarie Wright, Jane Shill, Hugh Stephens, Mary Uccellini
INTRODUCTION: Increasing smartphones access has allowed for increasing development and use of smart phone applications (apps). Mobile health interventions have previously relied on voice or text-based short message services (SMS), however, the increasing availability and ease of use of apps has allowed for significant growth of smartphone apps that can be used for health behaviour change. This review considers the current body of knowledge relating to the evaluation of apps for health behaviour change...
October 18, 2016: Journal of Telemedicine and Telecare
(no author information available yet)
BACKGROUND: Non-fatal outcomes of disease and injury increasingly detract from the ability of the world's population to live in full health, a trend largely attributable to an epidemiological transition in many countries from causes affecting children, to non-communicable diseases (NCDs) more common in adults. For the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015), we estimated the incidence, prevalence, and years lived with disability for diseases and injuries at the global, regional, and national scale over the period of 1990 to 2015...
October 8, 2016: Lancet
Tiffany Field
This paper is a review of empirical studies, review and meta-analysis publications on yoga from the last few years. The review includes demographics/prevalence of yoga as a practice, bibliometric analyses of the yoga publications and the use of yoga for physical fitness and cognitive function. Most of the studies reviewed here involve yoga effects on psychiatric and medical conditions. These include pregnancy, prenatal and postpartum depression; stress, PTSD, anxiety, and obesity; cardiovascular conditions including hypertension; pain syndromes including arthritis, headaches and low back pain; autoimmune conditions including asthma, type II diabetes and multiple sclerosis; immune conditions including HIV and breast cancer; and aging problems including balance, osteoporosis and Parkinson's...
August 2016: Complementary Therapies in Clinical Practice
Joseph O Mugisha, Enid J Schatz, Madeleine Randell, Monica Kuteesa, Paul Kowal, Joel Negin, Janet Seeley
BACKGROUND: Data on the prevalence of chronic conditions, their risk factors, and their associations with disability in older people living with and without HIV are scarce in sub-Saharan Africa. OBJECTIVES: In older people living with and without HIV in sub-Saharan Africa: 1) to describe the prevalence of chronic conditions and their risk factors and 2) to draw attention to associations between chronic conditions and disability. METHODS: Cross-sectional individual-level survey data from people aged 50 years and over living with and without HIV were analyzed from three study sites in Uganda...
2016: Global Health Action
Kholoud Arab, Nicholas Czuzoj-Shulman, Andrea Spence, Haim A Abenhaim
INTRODUCTION: The study objective was to examine obstetrical outcomes of pregnancy among human immunodeficiency virus positive patients (HIV+). METHODS: A population-based cohort study was conducted using the Nationwide Inpatient Sample database (2003-2011). Pregnant HIV+ women were identified and compared to pregnant women without HIV. Multivariate logistic regression was used to estimate the adjusted effect of HIV status on obstetrical outcomes. RESULTS: Among 7,772,999 births over the 9-year study period, 1,997 were in HIV+ women, resulting in an incidence of 25...
May 2016: Obstetrics and Gynecology
Blaire Byg, Angela Robertson Bazzi, Danielle Funk, Bonface James, Jennifer Potter
Syndemic theory posits that epidemics of multiple physical and psychosocial problems co-occur among disadvantaged groups due to adverse social conditions. Although sexual minority populations are often stigmatized and vulnerable to multiple health problems, the syndemic perspective has been underutilized in understanding chronic disease. To assess the potential utility of this perspective in understanding the management of co-occurring HIV and Type 2 diabetes, we used linear regression to examine glycemic control (A1c) among men who have sex with men (MSM) with both HIV and Type 2 diabetes (n = 88)...
April 30, 2016: Journal of Community Health
Lee T Zane, Sanjay Chanda, Dina Coronado, James Del Rosso
Onychomycosis is a common and difficult-to-treat fungal infection of the nail unit that gradually leads to dystrophic changes of the nail plate and nail bed. If untreated, infection progresses and may lead to discomfort, reduced quality of life, and risk of complications in patients with comorbid conditions (eg, diabetes, human immunodeficiency virus, peripheral vascular disease). Onychomycosis treatments are designed to eradicate causative pathogens (most commonly Trichophyton rubrum and Trichophyton mentagrophytes), restore healthy nails, and prevent recurrence or spread of infection...
2016: Dermatology Online Journal
Cassandra A Stanton, Diana R Keith, Diann E Gaalema, Janice Y Bunn, Nathan J Doogan, Ryan Redner, Allison N Kurti, Megan E Roberts, Stephen T Higgins
INTRODUCTION: Chronic conditions are among the most common and costly of all health problems. Addressing tobacco use among adults with chronic conditions is a public health priority due to high prevalence as well as greater potential harm from continued use. METHODS: Data were drawn from 9years (2005-2013) of the U.S. National Survey on Drug Use and Health. Adult (≥18years) tobacco use included any past 30-day use of cigarettes, cigars, pipes, or smokeless tobacco...
April 14, 2016: Preventive Medicine
Jane Ridley, Amanda Ischayek, Vinita Dubey, Karl Iglar
OBJECTIVE: To describe updates to the Preventive Care Checklist Form© to help family physicians stay up to date with current preventive health care recommendations. QUALITY OF EVIDENCE: The Ovid MEDLINE database was searched using specified key words and other terms relevant to the periodic health examination. Secondary sources, such as the Canadian Task Force on Preventive Health Care, the Public Health Agency of Canada, the Trip database, and the Canadian Medical Association Infobase, were also searched...
April 2016: Canadian Family Physician Médecin de Famille Canadien
Karen Nieves-Lugo, Ana Maria Del Rio-Gonzalez, Carol Reisen, Paul Poppen, Krisann K Oursler, Maria Cecilia Zea
Physical function limitations have been associated with poor health outcomes, which have a negative impact on quality of life of older individuals. This study examined the association between depression, viral load, and acculturation with physical function among Latino men living with HIV. A secondary data analysis was performed using a cross-sectional data of 146 Latino immigrant men living with HIV in New York City and Washington, DC. Physical function was measured using the Short-Form Health Survey (SF-12)...
March 30, 2016: Journal of the International Association of Providers of AIDS Care
Cristina Benatti, Joan M C Blom, Giovanna Rigillo, Silvia Alboni, Francesca Zizzi, Riccardo Torta, Nicoletta Brunello, Fabio Tascedda
Progression of major depression, a multifactorial disorder with a neuroinflammatory signature, seems to be associated with the disruption of body allostasis. High rates of comorbidity between depression and specific medical disorders, such as, stroke, chronic pain conditions, diabetes mellitus, and human immunodeficiency virus (HIV) infection, have been extensively reported. In this review, we discuss how these medical disorders may predispose an individual to develop depression by examining the impact of these disorders on some hallmarks of neuroinflammation known to be impaired in depressed patients: altered permeability of the blood brain barrier, immune cells infiltration, activated microglia, increased cytokines production, and the role of inflammasomes...
2016: CNS & Neurological Disorders Drug Targets
Kathryn Rough, Brian T Bateman, Elisabetta Patorno, Rishi J Desai, Yoonyoung Park, Sonia Hernandez-Diaz, Krista F Huybrechts
No abstract text is available yet for this article.
March 15, 2016: JAMA: the Journal of the American Medical Association
Judith Schouten, Tanja Su, Ferdinand W Wit, Neeltje A Kootstra, Matthan W A Caan, Gert J Geurtsen, Ben A Schmand, Ineke G Stolte, Maria Prins, Charles B Majoie, Peter Portegies, Peter Reiss
OBJECTIVE: The spectrum of risk factors for HIV-associated cognitive impairment is likely very broad and includes not only HIV/antiretroviral therapy-specific factors but also other comorbid conditions. The purpose of this current study was to explore possible determinants for decreased cognitive performance. DESIGN AND METHODS: Neuropsychological assessment was performed on 103 HIV-1-infected men with suppressed viraemia on combination antiretroviral therapy for at least 12 months and 74 HIV-uninfected highly similar male controls, all aged at least 45 years...
April 24, 2016: AIDS
Michael E Newcomb, C Andres Bedoya, Aaron J Blashill, Jonathan A Lerner, Conall O'Cleirigh, Megan M Pinkston, Steven A Safren
There are an estimated 1.1 million individuals living with HIV/AIDS in the United States. In addition to the various medical comorbidities of HIV infection, depression is one of the most frequently co-occurring psychiatric conditions among HIV-infected individuals. Furthermore, depression has been found to be associated with nonadherence to antiretroviral therapy (ART), as well as HIV disease progression. Cognitive behavioral therapy (CBT) has repeatedly been found to effectively treat depression in adult populations, and CBT for adherence and depression (CBT-AD) is an effective treatment for improving depressive symptoms and medication adherence in the context of various chronic health conditions, including diabetes and HIV-infection...
November 1, 2015: Cognitive and Behavioral Practice
Emily Mendenhall, Gregory Barnabas Omondi, Edna Bosire, Gitonga Isaiah, Abednego Musau, David Ndetei, Victoria Mutiso
The complexity of sickness among Kenya's urban poor cannot be dissociated from how social and health problems become syndemic. Increasingly diabetes and other non-communicable diseases (NCDs) are emerging among low-income populations that also are most afflicted by social stress and infection. This article examines how social stress, psychological distress, and physical illness among patients in a public hospital in Nairobi, Kenya, produce syndemic suffering, defined by lived experiences of syndemic clustering such as diabetes with depression and infection...
December 2015: Social Science & Medicine
Jennifer A Campbell, Rebekah J Walker, Leonard E Egede
INTRODUCTION: Adverse childhood experiences (ACEs) are associated with early mortality and morbidity. This study evaluated the association among ACEs, high-risk health behaviors, and comorbid conditions, as well as the independent effect of ACE components. METHODS: Data were analyzed on 48,526 U.S. adults from five states in the 2011 Behavioral Risk Factor Surveillance System survey. Exposures included psychological, physical, and sexual forms of abuse as well as household dysfunction such as substance abuse, mental illness, violence, and incarceration...
March 2016: American Journal of Preventive Medicine
Jessica R White, Chung-Chou H Chang, Kaku A So-Armah, Jesse C Stewart, Samir K Gupta, Adeel A Butt, Cynthia L Gibert, David Rimland, Maria C Rodriguez-Barradas, David A Leaf, Roger J Bedimo, John S Gottdiener, Willem J Kop, Stephen S Gottlieb, Matthew J Budoff, Tasneem Khambaty, Hilary A Tindle, Amy C Justice, Matthew S Freiberg
BACKGROUND: Both HIV and depression are associated with increased heart failure (HF) risk. Depression, a common comorbidity, may further increase the risk of HF among adults with HIV infection (HIV+). We assessed the association between HIV, depression, and incident HF. METHODS AND RESULTS: Veterans Aging Cohort Study (VACS) participants free from cardiovascular disease at baseline (n=81 427: 26 908 HIV+, 54 519 without HIV [HIV-]) were categorized into 4 groups: HIV- without major depressive disorder (MDD) [reference], HIV- with MDD, HIV+ without MDD, and HIV+ with MDD...
October 27, 2015: Circulation
Carol Davy, Jonathan Bleasel, Hueiming Liu, Maria Tchan, Sharon Ponniah, Alex Brown
BACKGROUND: The increasing prevalence of chronic disease faced by both developed and developing countries is of considerable concern to a number of international organisations. Many of the interventions to address this concern within primary healthcare settings are based on the chronic care model (CCM). The implementation of complex interventions such as CCMs requires careful consideration and planning. Success depends on a number of factors at the healthcare provider, team, organisation and system levels...
2015: BMC Family Practice
Hoosain Lalkhen, Robert Mash
BACKGROUND: Multimorbidity in non-communicable diseases (NCDs) is a complex global healthcare challenge that is becoming increasingly prevalent. In Africa, comorbidity of communicable diseases and NCDs is also increasing. OBJECTIVES: To evaluate the extent of multimorbidity among patients with NCDs in South African (SA) primary healthcare (PHC). METHODS: A dataset obtained from a previous morbidity survey of SA ambulatory PHC was analysed...
February 2015: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
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