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https://www.readbyqxmd.com/read/28334973/analysis-of-dropout-across-the-continuum-of-maternal-health-care-in-tanzania-findings-from-a-cross-sectional-household-survey
#1
Diwakar Mohan, Amnesty E LeFevre, Asha George, Rose Mpembeni, Eva Bazant, Neema Rusibamayila, Japhet Killewo, Peter J Winch, Abdullah H Baqui
The 'continuum of care' is proposed as a key framework for the delivery of maternal, neonatal and child health services. This study examined the extent of dropout as well as factors associated with retention across the MNCH continuum from antenatal care (ANC), through skilled birth attendance (SBA), to postnatal care (PNC).We analyzed data from 1931 women who delivered in the preceding 2-14 months, from a two-stage cluster sampling household survey in four districts of Tanzania's Morogoro region. The survey was conducted in 2011 as a part of a baseline for an independent evaluation of a maternal health program...
March 16, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28330715/does-patient-activation-level-affect-the-cancer-patient-journey
#2
Judith H Hibbard, Eldon Mahoney, Ellen Sonet
OBJECTIVES: We assess how patient activation is associated with behaviors and experiences of people with cancer, including: understanding risks; making treatment decisions; communicating with providers; coping with symptoms; and adhering to regimens. METHODS: The study utilizes survey data from six surveys each including 500 cancer survivors. Multivariate analyses are presented. RESULTS: Higher activated patients are more than 9 times more likely to feel their treatment plans reflect their values, 4...
March 16, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28325068/the-relationship-between-health-worker-stigma-and-uptake-of-hiv-counseling-and-testing-and-utilization-of-non-hiv-health-services-the-experience-of-male-and-female-sex-workers-in-kenya
#3
Laura Nyblade, Aditi Reddy, David Mbote, John Kraemer, Melissa Stockton, Caroline Kemunto, Karol Krotki, Javier Morla, Stella Njuguna, Arin Dutta, Catherine Barker
The barrier HIV-stigma presents to the HIV treatment cascade is increasingly documented; however less is known about female and male sex worker engagement in and the influence of sex-work stigma on the HIV care continuum. While stigma occurs in all spheres of life, stigma within health services may be particularly detrimental to health seeking behaviors. Therefore, we present levels of sex-work stigma from healthcare workers (HCW) among male and female sex workers in Kenya, and explore the relationship between sex-work stigma and HIV counseling and testing...
March 22, 2017: AIDS Care
https://www.readbyqxmd.com/read/28323474/jail-booking-as-an-occasion-for-hiv-care-reengagement-a-surveillance-based-study
#4
McKenna C Eastment, Katelynne Gardner Toren, Lara Strick, Susan E Buskin, Matthew R Golden, Julia C Dombrowski
OBJECTIVES: To examine population and HIV care outcomes of people living with HIV/AIDS (PLWHA) at their first incarceration of 2014 in 2 county jails in King County, Washington. METHODS: Using HIV surveillance data linked with jail booking data, we examined demographic information, viral loads, CD4 counts, and incarceration details for the period prior to jail booking, during incarceration, and year following jail release. RESULTS: In 2014, 202 PLWHA were incarcerated, 51% of whom were virally nonsuppressed at booking...
March 21, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28295611/variation-in-networks-and-forms-of-support-for-care-seeking-across-the-hiv-care-continuum-in-the-rural-southeastern-united-states
#5
Miranda Hill, Amber Huff, Neale Chumbler
PURPOSE: In spite of progress in understanding the importance of social support for health outcomes in Persons Living with HIV (PLWH), more remains to be known about mechanisms of support most beneficial at each stage of HIV treatment. In this study, we use a qualitative analytic approach to investigate the forms and sources of social support deemed most integral to the diagnosis, care engagement, and medication adherence behaviors of a diverse sample of PLWH in a mostly rural health district in the Southeastern United States...
March 14, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28288954/content-usability-and-utilization-of-plain-language-in-breast-cancer-mobile-phone-apps-a-systematic-analysis
#6
Tamar Ginossar, Sayyed Fawad Ali Shah, Andrew J West, Joshua M Bentley, Charlene A Caburnay, Matthew W Kreuter, Anita Y Kinney
BACKGROUND: Breast cancer is one of the leading contributors to preventable illness and death among women. Although mobile phone apps provide unprecedented opportunity to engage women along the cancer continuum, little is known about the availability, content, and usability of breast cancer mobile phone apps. OBJECTIVE: This study analyzed the content and adherence to literate design standards of all breast cancer-related apps available on the App Store and Google Play, as well as the relationship between their content, user ratings, and price...
March 13, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28264615/maternal-perceptions-and-factors-affecting-kangaroo-mother-care-continuum-at-home-a-descriptive-study
#7
R Raajashri, B Adhisivam, B Vishnu Bhat, C Palanivel
OBJECTIVES: To estimate the proportion of mothers who continued to practice Kangaroo mother care (KMC) at home and evaluate potential factors influencing this practice. METHODS: This descriptive study was conducted in a tertiary care teaching hospital in south India. Mothers of preterm and low birth weight infants were trained in KMC during hospital stay. During follow up after 45 days, data regarding their perceptions and the practice of KMC at home and the factors influencing them were collected using questionnaires...
March 6, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28256422/geographical-disparities-in-hiv-prevalence-and-care-among-men-who-have-sex-with-men-in-malawi-results-from-a-multisite-cross-sectional-survey
#8
Andrea L Wirtz, Gift Trapence, Dunker Kamba, Victor Gama, Rodney Chalera, Vincent Jumbe, Rosemary Kumwenda, Marriam Mangochi, Stephane Helleringer, Chris Beyrer, Stefan Baral
BACKGROUND: Epidemiological assessment of geographical heterogeneity of HIV among men who have sex with men (MSM) is necessary to inform HIV prevention and care strategies in the more generalised HIV epidemics across sub-Saharan Africa, including Malawi. We aimed to measure the HIV prevalence, risks, and access to HIV care among MSM across multiple localities to better inform HIV programming for MSM in Malawi. METHODS: Between Aug 1, 2011, and Sept 13, 2014, we recruited MSM into cross-sectional research via respondent-driven sampling (RDS) in seven districts of Malawi...
February 27, 2017: Lancet HIV
https://www.readbyqxmd.com/read/28235647/pediatric-trauma-assessment-and-management-database-leveraging-existing-data-systems-to-predict-mortality-and-functional-status-after-pediatric-injury
#9
Katherine T Flynn-O'Brien, Mary E Fallat, Tom B Rice, Christine M Gall, Michael L Nance, Jeffrey S Upperman, David M Gourlay, John P Crow, Frederick P Rivara
BACKGROUND: Efforts to improve pediatric trauma outcomes need detailed data, optimally collected at lowest cost, to assess processes of care. We developed a novel database by merging two national data systems for five Pediatric Trauma Centers (PTC) to provide benchmarking metrics for mortality and non-mortality outcomes and to assess care provided throughout the care continuum. STUDY DESIGN: Trauma Registry (TR) and Virtual Pediatric Systems (VPS) from five PTCs were merged for children <18 discharged in 2013 from a PICU after traumatic injury...
February 21, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28225437/the-continuum-of-hiv-care-in-rural-communities-in-the-united-states-and-canada-what-is-known-and-future-research-directions
#10
Albrecht Helmut, Rebecca Dillingham, Robert S Hogg, Denise Jaworsky, Ken Kasper, Mona Loutfy, Lauren MacKenzie, Kathleen A McManus, Michael E Ohl, Kris Ann K Oursler, Scott D Rhodes, Katherine R Schafer, Hasina Samji, Stuart Skinner, Christina J Sun, Sharon Weissman
The nature of the HIV epidemic in the United States and Canada has changed with a shift towards rural areas. Socioeconomic factors, geography, cultural context, and evolving epidemics of injection drug use are coalescing to move the epidemic into locations where populations are dispersed and healthcare resources are limited. Rural-urban differences along the care continuum demonstrate the implications of this sociogeographic shift. Greater attention is needed to build a more comprehensive understanding of the rural HIV epidemic in the United States and Canada, including research efforts, innovative approaches to care delivery, and greater community engagement in prevention and care...
February 16, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28224352/hcv-management-in-resource-constrained-countries
#11
REVIEW
Seng Gee Lim
With the arrival of all-oral directly acting antiviral (DAA) therapy with high cure rates, the promise of hepatitis C virus (HCV) eradication is within closer reach. The availability of generic DAAs has improved access to countries with constrained resources. However, therapy is only one component of the HCV care continuum, which is the framework for HCV management from identifying patients to cure. The large number of undiagnosed HCV cases is the biggest concern, and strategies to address this are needed, as risk factor screening is suboptimal, detecting <20% of known cases...
February 21, 2017: Hepatology International
https://www.readbyqxmd.com/read/28213599/health-information-needs-source-preferences-and-engagement-behaviours-of-women-with-metastatic-breast-cancer-across-the-care-continuum-protocol-for-a-scoping-review
#12
Carol A Tucker, M Pilar Martin, Ray B Jones
INTRODUCTION: The health information needs, information source preferences and engagement behaviours of women with metastatic breast cancer (mBC) depend on personal characteristics such as education level, prior knowledge, clinical complications, comorbidities and where they are in the cancer journey. A thorough understanding of the information behaviours of women living with mBC is essential to the provision of optimal care. A preliminary literature review suggests that there is little research on this topic, but that there may be lessons from a slightly broader literature...
February 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28196655/the-hiv-care-continuum-is-the-whole-greater-than-the-sum-of-its-parts-implications-for-interventions-in-a-test-and-treat-world
#13
Virginia A Fonner
No abstract text is available yet for this article.
February 8, 2017: EBioMedicine
https://www.readbyqxmd.com/read/28176167/assessing-the-impact-of-perinatal-hiv-case-management-on-outcomes-along-the-hiv-care-continuum-for-pregnant-and-postpartum-women-living-with-hiv-philadelphia-2005-2013
#14
Emily A Anderson, Florence M Momplaisir, Catherine Corson, Kathleen A Brady
To evaluate the impact of a Perinatal Medical Case Management (PCM) Program for women living with HIV (WLWH). Characteristics of pregnant and postpartum WLWH were compared between those who engaged in PCM and those who did not. Using secondary data collected from routine HIV surveillance, multivariable regression models were used to evaluate the association between PCM and four outcomes adapted from the HIV care continuum. In multivariable models, compared to WLWH not in PCM, participants (n = 448, 52.8%) were almost twice as likely to achieve HIV suppression before delivery (aOR 1...
February 7, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28162850/examination-of-the-hepatitis-c-virus-care-continuum-among-individuals-with-an-opioid-use-disorder-in-substance-use-treatment
#15
Jennifer L Brown, Nicole K Gause, Daniel Lewis, Theresa Winhusen
BACKGROUND: Hepatitis C Virus (HCV) risk is elevated for individuals with an opioid use disorder (OUD). Routine HCV testing is recommended for high-risk individuals, including those with an injection drug use history. HCV antibody testing addresses the first step in the HCV treatment care cascade, with uptake and completion of HCV treatment among individuals with chronic HCV as the optimal care cascade endpoint. The aim of this study was to characterize self-reported HCV treatment cascade outcomes among individuals with an OUD in outpatient medication assisted treatment (MAT)...
February 2, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28161401/enhancing-public-health-hiv-interventions-a-qualitative-meta-synthesis-and-systematic-review-of-studies-to-improve-linkage-to-care-adherence-and-retention
#16
Joseph D Tucker, Lai Sze Tso, Brian Hall, Qingyan Ma, Rachel Beanland, John Best, Haochu Li, Mellanye Lackey, Gifty Marley, Zachary C Rich, Ka-Lon Sou, Meg Doherty
Although HIV services are expanding, few have reached the scale necessary to support universal viral suppression of individuals living with HIV. The purpose of this systematic review was to summarize the qualitative evidence evaluating public health HIV interventions to enhance linkage to care, antiretroviral drug (ARV) adherence, and retention in care. We searched 19 databases without language restrictions. The review collated data from three separate qualitative evidence reviews addressing each of the three outcomes along the care continuum...
January 31, 2017: EBioMedicine
https://www.readbyqxmd.com/read/28160960/infections-in-the-intensive-care-unit-posttransplant-infections
#17
REVIEW
Fiona Winterbottom, Misty Jenkins
Solid organ transplantation has become a well-established standard of care for end-organ failure, and the nurse in the intensive care unit may be exposed to these patients at any stage in the care continuum of pretransplant or posttransplant care. Knowledge of risk factors, timing, and treatments for infections may help to enhance clinical practices and optimize patient safety and clinical outcomes.
March 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28158952/a-qualitative-study-of-thai-hiv-positive-young-men-who-have-sex-with-men-and-transgender-women-demonstrates-the-need-for-ehealth-interventions-to-optimize-the-hiv-care-continuum
#18
Tarandeep Anand, Chattiya Nitpolprasert, Stephen J Kerr, Kathryn E Muessig, Sangusa Promthong, Nitiya Chomchey, Lisa B Hightow-Weidman, Prachya Chaiyahong, Praphan Phanuphak, Jintanat Ananworanich, Nittaya Phanuphak
In Thailand, young men who have sex with men (YMSM) and transgender women (TG) are disproportionately affected by HIV and have suboptimal care continuum outcomes. Although Thai YMSM and young TG are early adopters of emerging technologies and have high Internet and technology access and utilization, the potential of technology has not been harnessed to optimize the HIV treatment cascade. We interviewed 18 behaviorally HIV-infected YMSM and young TG regarding care challenges, identified how eHealth could address care needs, and elicited preferences for eHealth interventions...
February 3, 2017: AIDS Care
https://www.readbyqxmd.com/read/28152966/analysis-of-the-results-of-implementation-of-a-pregnancy-screening-policy-at-a-comprehensive-cancer-center
#19
David Cleveland, Alma Yvette DeJesus, Lee Cheng, Elizabeth Ann Wagar, Charles F Levenback, Maria Alma Rodriguez
256 Background: Institutional implementation of a standard pregnancy screening policy for women will enhance the safe and timely delivery of treatment throughout the care continuum. In 2012, we developed and implemented an initial policy on pregnancy screening test (PST). The policy indicated that all providers should fully discuss with their female patients of child bearing potential regarding the potential risks of cancer treatment on fertility and the adverse effects on the fetus. The providers should also discuss the contraceptive options with female patients and their partners prior to diagnostic studies and/or treatment...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152767/understanding-the-comorbidome-and-its-effect-on-survival-in-colorectal-cancer
#20
Ernest Shen, Janet S Lee, Corrine E Munoz-Plaza, Carly Parry, Michael K Gould
210 Background: Effectively managing comorbidities is an essential component of high-quality cancer care. Evidence suggests colorectal cancer (CRC) patients with multiple comorbid conditions are less likely to complete standard treatments and can have lower rates of survival. In order to provide personalized care, it is critical to understand how comorbid conditions cluster within CRC patients. METHODS: We identified Kaiser Permanente Southern California CRC patients diagnosed with first malignancy between 01/01/2008 - 12/31/2013...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
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