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https://www.readbyqxmd.com/read/29140493/a-comprehensive-definition-for-integrative-oncology
#1
Claudia M Witt, Lynda G Balneaves, Maria J Cardoso, Lorenzo Cohen, Heather Greenlee, Peter Johnstone, Ömer Kücük, Josh Mailman, Jun J Mao
Background: Integrative oncology, which is generally understood to refer to the use of a combination of complementary medicine therapies in conjunction with conventional cancer treatments, has been defined in different ways, but there is no widely accepted definition. We sought to develop and establish a consensus for a comprehensive definition of the field of integrative oncology. Methods: We used a mixed-methods approach that included a literature analysis and a consensus procedure, including an interdisciplinary expert panel and surveys, to develop a comprehensive and acceptable definition for the term "integrative oncology...
November 1, 2017: Journal of the National Cancer Institute. Monographs
https://www.readbyqxmd.com/read/29136001/a-combination-intervention-strategy-to-improve-linkage-to-and-retention-in-hiv-care-following-diagnosis-in-mozambique-a-cluster-randomized-study
#2
Batya Elul, Matthew R Lamb, Maria Lahuerta, Fatima Abacassamo, Laurence Ahoua, Stephanie A Kujawski, Maria Tomo, Ilesh Jani
BACKGROUND: Concerning gaps in the HIV care continuum compromise individual and population health. We evaluated a combination intervention strategy (CIS) targeting prevalent barriers to timely linkage and sustained retention in HIV care in Mozambique. METHODS AND FINDINGS: In this cluster-randomized trial, 10 primary health facilities in the city of Maputo and Inhambane Province were randomly assigned to provide the CIS or the standard of care (SOC). The CIS included point-of-care CD4 testing at the time of diagnosis, accelerated ART initiation, and short message service (SMS) health messages and appointment reminders...
November 2017: PLoS Medicine
https://www.readbyqxmd.com/read/29135846/bringing-the-ohiohealth-nursing-strategic-plan-to-life-with-the-aone-care-innovation-and-transformation-program
#3
Kelly Dials, Lisa Gossett, Lindsey Osting, David Rutherford, Janet Stifter
Contemporary CNOs are committed to developing the next generation of nurse leaders. At OhioHealth, the nursing strategic vision includes the belief that every nurse will be a leader in improving health across the care continuum. In 2016, the OhioHealth System partnered with AONE to participate in the Care Innovation and Transformation program resulting in bedside nurses living this strategic vision and creating positive changes in quality, safety, and satisfaction for patients and families.
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29135652/are-hiv-seroconversions-among-young-men-who-have-sex-with-men-associated-with-social-network-proximity-to-recently-or-long-term-hiv-infected-individuals
#4
Ethan Morgan, Britt Skaathun, Rebeccah Duvoisin, Stuart Michaels, John A Schneider
Debate remains as to the relative HIV transmission contributions from individuals who are recently HIV infected and individuals who have long-term infections. In this study, we examine the relationship between new HIV seroconversions occurring among young Black men who have sex with men (YBMSM) and network proximity to recently or long-term HIV infected individuals. A cohort of YBMSM (N = 618) was generated through respondent driven sampling across three waves. A recent HIV infection was defined as either: 1) a confirmed seroconversion ≤9 months prior to interview date or 2) a laboratory confirmed acute infection; long-term HIV infected individuals were defined as a diagnosis date ≥9 months prior to interview date...
November 8, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/29118229/sexual-and-gender-minority-issues-across-nccn-guidelines-results-from-a-national-survey
#5
Janella Hudson, Matthew B Schabath, Julian Sanchez, Steven Sutton, Vani N Simmons, Susan T Vadaparampil, Peter A Kanetsky, Gwendolyn P Quinn
Background: The lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) population is at higher risk for multiple types of cancers compared with the heterosexual population. Expert NCCN panels lead the nation in establishing clinical practice guidelines addressing cancer prevention, early detection, and treatment of cancer sites and populations. Given the emergence of new data identifying cancer disparities in the LGBTQ population, this study examined the inclusion of medical and/or psychosocial criteria unique to LGBTQ within NCCN Guidelines...
November 2017: Journal of the National Comprehensive Cancer Network: JNCCN
https://www.readbyqxmd.com/read/29117933/a-web-based-study-of-dog-ownership-and-depression-among-people-living-with-hiv
#6
Abigail L Muldoon, Lisa M Kuhns, Julie Supple, Kristen C Jacobson, Robert Garofalo
BACKGROUND: People living with human immunodeficiency virus (PLHIV) are approximately twice as likely to be depressed compared with HIV-negative individuals. Depression is consistently associated with low antiretroviral therapy (ART) adherence, an important step within the HIV care continuum related to HIV disease progression and overall health. One factor that may have positive psychosocial benefits and promote ART adherence is dog ownership. Research indicates that dog ownership is associated with lower depression, and initial evidence suggests its positive impact on psychosocial outcomes for PLHIV...
November 8, 2017: JMIR Mental Health
https://www.readbyqxmd.com/read/29112963/effectiveness-of-a-combination-strategy-for-linkage-and-retention-in-adult-hiv-care-in-swaziland-the-link4health-cluster-randomized-trial
#7
RANDOMIZED CONTROLLED TRIAL
Margaret L McNairy, Matthew R Lamb, Averie B Gachuhi, Harriet Nuwagaba-Biribonwoha, Sean Burke, Sikhathele Mazibuko, Velephi Okello, Peter Ehrenkranz, Ruben Sahabo, Wafaa M El-Sadr
BACKGROUND: Gaps in the HIV care continuum contribute to poor health outcomes and increase HIV transmission. A combination of interventions targeting multiple steps in the continuum is needed to achieve the full beneficial impact of HIV treatment. METHODS AND FINDINGS: Link4Health, a cluster-randomized controlled trial, evaluated the effectiveness of a combination intervention strategy (CIS) versus the standard of care (SOC) on the primary outcome of linkage to care within 1 month plus retention in care at 12 months after HIV-positive testing...
November 2017: PLoS Medicine
https://www.readbyqxmd.com/read/29112126/factors-that-influence-linkages-to-hiv-continuum-of-care-services-implications-for-multi-level-interventions
#8
Rogério M Pinto, Susan S Witte, Prema L Filippone, Karen L Baird, Wendy R Whitman
Worldwide, the human immunodeficiency virus (HIV) continuum of care involves health promotion providers (e.g., social workers and health educators) linking patients to medical personnel who provide HIV testing, primary care, and antiretroviral treatments. Regrettably, these life-saving linkages are not always made consistently and many patients are not retained in care. To design, test and implement effective interventions, we need to first identify key factors that may improve linkage-making. To help close this gap, we used in-depth interviews with 20 providers selected from a sample of 250 participants in a mixed-method longitudinal study conducted in New York City (2012-2017) in order to examine the implementation of HIV services for at-risk populations...
November 7, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29102682/use-of-the-precis-ii-instrument-to-categorize-reports-along-the-efficacy-effectiveness-spectrum-in-an-hepatitis-c-virus-care-continuum-systematic-review-and-meta-analysis
#9
Ashly E Jordan, David C Perlman, Daniel J Smith, Jennifer R Reed, Holly Hagan
There is increasing recognition of the importance of the distinction between efficacy and effectiveness research in the design, conduct, and evaluation of interventions and program outcomes. There is a concurrent increase in the application of systematic reviews and meta-analyses. These two lines of inquiry are only beginning to meet. There is an emerging need for systematic reviews and meta-analyses to account for differences in degrees to which included studies reflect either efficacy and effectiveness designs...
November 1, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/29097273/-they-need-to-have-an-understanding-of-why-they-re-coming-here-and-what-the-outcomes-might-be-clinician-perspectives-on-goals-of-care-for-patients-discharged-from-hospitals-to-skilled-nursing-facilities
#10
Shelli L Feder, Meredith Campbell Britton, Sarwat I Chaudhry
CONTEXT: The number of patients discharged from acute care hospitals to skilled nursing facilities (SNFs) is rising. These patients have increasingly complex needs and many experience poor outcomes while under SNF care, including hospital readmissions. Patients' goals of care (GoC) are viewed as a factor contributing to unplanned hospital readmissions from SNFs. However, clinicians' perspectives of GoC for hospitalized patients discharged to SNFs are not well-described. OBJECTIVES: To explore how clinicians view GoC for hospitalized patients discharged to SNFs...
October 30, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29095704/medical-education-must-move-from-the-information-age-to-the-age-of-artificial-intelligence
#11
Steven A Wartman, C Donald Combs
Changes to the medical profession require medical education reforms that will enable physicians to more effectively enter contemporary practice. Proposals for such reforms abound. Common themes include renewed emphasis on communication, teamwork, risk-management, and patient safety. These reforms are important but insufficient. They do not adequately address the most fundamental change--the practice of medicine is rapidly transitioning from the information age to the age of artificial intelligence. Employers need physicians who: work at the top of their license, have knowledge spanning the health professions and care continuum, effectively leverage data platforms, focus on analyzing outcomes and improving performance, and communicate the meaning of the probabilities generated by massive amounts of data to patients given their unique human complexities...
November 1, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29082013/quantifying-unmet-need-for-hypertension-care-in-south-africa-through-a-care-cascade-evidence-from-the-sanhanes-2011-2012
#12
Kaitlyn M Berry, Whadi-Ah Parker, Zandile J Mchiza, Ronel Sewpaul, Demetre Labadarios, Sydney Rosen, Andrew Stokes
INTRODUCTION: Hypertension has become a major cause of morbidity and premature mortality in South Africa, but population-wide estimates of prevalence and access to care are scarce. Using data from the South African National Health and Nutrition Examination Survey (2011-2012), this analysis evaluates the national prevalence of hypertension and uses a care cascade to examine unmet need for care. METHODS: Hypertension was defined as blood pressure over 140/90 mm Hg or use of antihypertensive medication...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29079949/project-ngage-results-of-a-randomized-controlled-trial-of-a-dyadic-network-support-intervention-to-retain-young-black-men-who-have-sex-with-men-in-hiv-care
#13
Alida Bouris, Kaitlyn Jaffe, Rebecca Eavou, Chuanhong Liao, Lisa Kuhns, Dexter Voisin, John A Schneider
HIV-positive young black MSM (YBMSM) experience poor outcomes along the HIV care continuum, yet few interventions have been developed expressly for YBMSM retention in care. Project nGage was a randomized controlled trial conducted across five Chicago clinics with 98 HIV-positive YBMSM aged 16-29 between 2012 and 2015. The intervention used a social network elicitation approach with index YBMSM (n = 45) to identify and recruit a support confidant (SC) to the study. Each index-SC dyad met with a social worker to improve HIV-care knowledge, activate dyadic social support, and develop a retention in care plan...
October 27, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29068719/a-critical-review-of-health-social-and-prevention-outcomes-associated-with-employment-for-people-living-with-hiv
#14
Liza M Conyers, Lindsey A Richardson, Paul A Datti, Lynn C Koch, Mark Misrok
A growing need has emerged among HIV service providers, policymakers, and researchers to understand ways in which employment, as a key social determinant of health, can be leveraged toward improved health outcomes among people living with HIV (PLHIV) and the prevention of HIV transmission. This critical review summarizes and assesses current research related to (a) the employment needs and challenges among populations disproportionately impacted by HIV, (b) the relationship between employment and important health outcomes associated with the HIV Care Continuum, and (c) implications for policy, service provision, and future research...
October 2017: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/29057081/the-challenges-of-ending-aids-in-asia-outcomes-of-the-thai-national-aids-universal-coverage-programme-2000-2014
#15
EDITORIAL
Suchada Chaivooth, Sorakij Bhakeecheep, Kiat Ruxrungtham, Sirinya Teeraananchai, Stephen J Kerr, Achara Teeraratkul, Petchsri Sirinirund, Sumet Ongwandee, Anchalee Avihingsanon, Patchara Benjarattanaporn, Nittaya Phanuphak, Somnuek Sungkanuparph, Sophon Mekthon, Praphan Phanuphak
OBJECTIVES: We sought to determine Thai National AIDS Program (NAP) outcomes and gaps, and success in reaching the WHO 90:90:90 goals. METHODS: Retrospective study of treatment outcomes, mortality and loss to follow-up (LTFU), of all individuals aged >15 years who registered to the NAP from 2000 to 2014. We focused outcomes on data from 2008 when the NAP was linked to the death registry. RESULTS: A total of 429,294 patients registered to the NAP up to November 2014, and 309,313 patients aged >15 years started ART...
October 1, 2017: Journal of Virus Eradication
https://www.readbyqxmd.com/read/29048962/integrating-hiv-surveillance-and-field-services-data-quality-and-care-continuum-in-king-county-washington-2010-2015
#16
Julia E Hood, David A Katz, Amy B Bennett, Susan E Buskin, Julia C Dombrowski, Stephen E Hawes, Matthew R Golden
OBJECTIVES: To assess how integration of HIV surveillance and field services might influence surveillance data and linkage to care metrics. METHODS: We used HIV surveillance and field services data from King County, Washington, to assess potential impact of misclassification of prior diagnoses on numbers of new diagnoses. The relationship between partner services and linkage to care was evaluated with multivariable log-binomial regression models. RESULTS: Of the 2842 people who entered the King County HIV Surveillance System in 2010 to 2015, 52% were newly diagnosed, 41% had a confirmed prior diagnosis in another state, and 7% had an unconfirmed prior diagnosis...
December 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29028657/combinations-of-interventions-to-achieve-a-national-hiv-incidence-reduction-goal-insights-from-an-agent-based-model
#17
Chaitra Gopalappa, Stephanie L Sansom, Paul G Farnham, Yao-Hsuan Chen
OBJECTIVE: Analyzing HIV care service targets for achieving a national goal of a 25% reduction in annual HIV incidence and evaluating the use of annual HIV diagnoses to measure progress in incidence reduction. DESIGN: Because there are considerable interactions among HIV care services, we model the dynamics of 'combinations' of increases in HIV care continuum targets to identify those that would achieve 25% reductions in annual incidence and diagnoses. METHODS: We used Progression and Transmission of HIV/AIDS 2...
November 28, 2017: AIDS
https://www.readbyqxmd.com/read/29025397/a-qualitative-study-of-patient-education-needs-for-hip-and-knee-replacement
#18
Deborah Kennedy, Amy Wainwright, Lucy Pereira, Susan Robarts, Patricia Dickson, Jennifer Christian, Fiona Webster
BACKGROUND: Quality health information is key to patient engagement, self-management and an enhanced healthcare experience. There is strong evidence to support involving patients and their families in the development and evaluation of health-related educational material. These factors were the impetus for our high volume joint replacement centre to undertake a qualitative study to elicit patient experiences to inform the development of effective strategies and education along the care continuum for hip and knee replacement...
October 12, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29019947/trends-and-comparisons-of-utilization-of-emergency-departments-due-to-traumatic-or-non-traumatic-causes-among-the-hiv-positive-population-in-taiwan-2006-2011
#19
Ching-Heng Lin, Ting Lin, Pesus Chou, Nan-Ping Yang
It is important that the utilization of emergency departments (EDs) among people living with the human immunodeficiency virus (HIV) be epidemiologically evaluated in order to assess and improve the HIV care continuum. All participants newly-diagnosed with HIV in Taiwan registered in the National Health Insurance Database from 2000 to 2005 were enrolled in this study and followed-up from 2006 to 2011. In total, 3500 participants newly-diagnosed with HIV in 2000-2005 were selected as a fixed-cohort population and followed-up from 2006 to 2011...
October 11, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28991818/from-clinic-to-community-a-framework-for-providing-diabetes-prevention-services-that-cross-the-care-continuum
#20
Kimberly D Brunisholz, Elizabeth A Joy, Sharon Hamilton, Mark R Greenwood
No abstract text is available yet for this article.
October 2017: Quality Management in Health Care
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