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https://www.readbyqxmd.com/read/27919397/a-national-standards-based-assessment-on-functionality-of-electronic-medical-records-systems-used-in-kenyan-public-sector-health-facilities
#1
REVIEW
Samuel Kang'a, Nancy Puttkammer, Steven Wanyee, Davies Kimanga, Jason Madrano, Veronica Muthee, Patrick Odawo, Anjali Sharma, Tom Oluoch, Katherine Robinson, James Kwach, William B Lober
BACKGROUND: Variations in the functionality, content and form of electronic medical record systems (EMRs) challenge national roll-out of these systems as part of a national strategy to monitor HIV response. To enforce the EMRs minimum requirements for delivery of quality HIV services, the Kenya Ministry of Health (MoH) developed EMRs standards and guidelines. The standards guided the recommendation of EMRs that met a preset threshold for national roll-out. METHODS: Using a standards-based checklist, six review teams formed by the MoH EMRs Technical Working Group rated a total of 17 unique EMRs in 28 heath facilities selected by individual owners for their optimal EMR implementation...
January 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/27892704/the-effects-of-a-16-week-aerobic-exercise-programme-on-cognitive-function-in-people-living-with-hiv
#2
Adam McDermott, Lilia Zaporojan, Patricia McNamara, Colin P Doherty, Janice Redmond, Cuisle Forde, John Gormley, Mikel Egaña, Colm Bergin
High levels of cardiovascular fitness and physical activity are associated with higher levels of cognitive function in people with HIV, thus, they may reduce the risk of developing HIV-associated neurocognitive disorder (HAND). This study aimed to investigate the effects of a 16-week aerobic exercise intervention on cognitive function in people with HIV. Eleven participants living with HIV were recruited into the study. Participants were randomised into either an exercise group (n = 5), that completed a 16-week aerobic exercise programme training, 3 times per week (2 supervised sessions and one unsupervised session) or a control group (n = 6) that received no intervention...
November 28, 2016: AIDS Care
https://www.readbyqxmd.com/read/27858872/physical-fitness-characteristics-of-active-duty-us-air-force-members-with-hiv-infection
#3
Asha De, Xiaohe Xu, James White, Thankam S Sunil, Jason F Okulicz
Human immunodeficiency virus (HIV) infection is associated with reduced muscle mass and adverse metabolic effects. We evaluated the impact of HIV infection on longitudinal exercise performance in US Air Force (USAF) members with HIV infection.USAF members perform standardized fitness assessments every 6 to 12 months with a composite score comprised of abdominal circumference, push-ups, sit-ups, and 1.5-mile run. Fitness tests between 2004 and 2014 for male USAF members with HIV infection (n = 172) were compared with male HIV-negative controls (∼10 per case; n = 1636) matched by age and rank category at service entry...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27855692/knowledge-and-exercise-of-human-rights-and-barriers-and-facilitators-to-claiming-rights-a-cross-sectional-study-of-female-sex-workers-and-high-risk-men-who-have-sex-with-men-in-andhra-pradesh-india
#4
Deepika Ganju, Sangram Kishor Patel, Parimi Prabhakar, Rajatashurva Adhikary
BACKGROUND: HIV prevention interventions recognize the need to protect the rights of key populations and support them to claim their rights as a vulnerability reduction strategy. This study explores knowledge of human rights, and barriers and facilitators to claiming rights, among female sex workers (FSWs) and high-risk men who have sex with men (HR-MSM) who are beneficiaries of a community mobilization intervention in Andhra Pradesh, India. METHODS: Data are drawn from a cross-sectional survey (2014) among 2400 FSWs and 1200 HR-MSM...
November 17, 2016: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/27842557/exercise-stereotypes-and-health-related-outcomes-in-french-people-living-with-hiv-development-and-validation-of-an-hiv-exercise-stereotypes-scale-hivess
#5
Laura Gray, Charlène Falzon, Alessandro Bergamaschi, Laura Schuft, Jacques Durant, Eric Rosenthal, Christian Pradier, Martin Duracinsky, Isabelle Rouanet, Serge S Colson, Fabienne d'Arripe-Longueville
BACKGROUND: The main objective of the current study was to develop and validate a French exercise stereotype scale for people living with HIV (PLHIV) in order to gain visibility to the possible barriers and facilitators for exercise in PLHIV and thus enhance their quality of life. METHODS: A series of four complementary studies was carried out with a total sample of 524 participants to: (a) develop a preliminary version of the HIV Exercise Stereotype Scale (HIVESS) (Stage 1), (b) confirm the factorial structure of the instrument (Stage 2), (c) evaluate the stability of the instrument (Stage 3), and (d) examine the construct and divergent validity of the scale (Stage 4)...
November 14, 2016: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/27818734/coconut-oil-extract-mitigates-testicular-injury-following-adjuvant-treatment-with-antiretroviral-drugs
#6
Oluwatosin O Ogedengbe, Ayoola I Jegede, Ismail O Onanuga, Ugochukwu Offor, Edwin Cs Naidu, Aniekan I Peter, Onyemaechi O Azu
Increased access to highly active antiretroviral therapy (HAART) has made the management of drug toxicities an increasingly crucial component of HIV. This study investigated the effects of adjuvant use of coconut oil and HAART on testicular morphology and seminal parameters in Sprague- Dawley rats. Twelve adult male Sprague-Dawley rats, weighing 153~169 g were distributed into four groups (A-D) and treated as follows: A served as control (distilled water); B (HAART cocktail- Zidovudine, Lamivudine and Nevirapine); C (HAART + Virgin coconut oil 10 mL/kg) and D (Virgin coconut oil 10 mL/kg)...
October 2016: Toxicological Research
https://www.readbyqxmd.com/read/27809738/sexual-transmission-of-hiv-and-the-law-an-australian-medical-consensus-statement
#7
Mark Boyd, David Cooper, Elizabeth A Crock, Levinia Crooks, Michelle L Giles, Andrew Grulich, Sharon R Lewin, David Nolan, Trent Yarwood
Criminal cases involving human immunodeficiency virus transmission or exposure require that courts correctly comprehend the rapidly evolving science of HIV transmission and the impact of an HIV diagnosis. This consensus statement, written by leading HIV clinicians and scientists, provides current scientific evidence to facilitate just outcomes in Australian criminal cases involving HIV.Main recommendations: Caution should be exercised when considering charges or prosecutions regarding HIV transmission or exposure because:Scientific evidence shows that the risk of HIV transmission during sex between partners of different HIV serostatus can be low, negligible or too low to quantify, even when the HIV-positive partner is not taking effective antiretroviral therapy, depending on the nature of the sexual act, the viral load of the partner with HIV, and whether a condom or pre-exposure prophylaxis is employed to reduce risk...
November 7, 2016: Medical Journal of Australia
https://www.readbyqxmd.com/read/27798038/evaluating-a-community-based-exercise-intervention-with-adults-living-with-hiv-protocol-for-an-interrupted-time-series-study
#8
Kelly K O'Brien, Ahmed M Bayoumi, Patricia Solomon, Ada Tang, Kate Murzin, Soo Chan Carusone, Mehdi Zobeiry, Ayesha Nayar, Aileen M Davis
INTRODUCTION: Our aim was to evaluate a community-based exercise (CBE) intervention with the goal of reducing disability and enhancing health for community-dwelling people living with HIV (PLWH). METHODS AND ANALYSIS: We will use a mixed-methods implementation science study design, including a prospective longitudinal interrupted time series study, to evaluate a CBE intervention with PLWH in Toronto, Canada. We will recruit PLWH who consider themselves medically stable and safe to participate in exercise...
October 20, 2016: BMJ Open
https://www.readbyqxmd.com/read/27794625/dropout-from-physical-activity-interventions-in-people-living-with-hiv-a-systematic-review-and-meta-analysis
#9
D Vancampfort, J Mugisha, J Richards, M De Hert, A R Lazzarotto, F B Schuch, M Probst, B Stubbs
Physical activity (PA) interventions have been shown to improve the health of people living with HIV (PLWH), yet treatment dropout poses an important challenge. We conducted a meta-analysis to investigate the prevalence and predictors of treatment dropout in PA interventions in PLWH. Electronic databases were searched for records up to September 2016. Randomized control trials of PA interventions in PLWH reporting dropout rates were included. Random effects meta-analysis and meta-regression analyses were employed...
October 31, 2016: AIDS Care
https://www.readbyqxmd.com/read/27768079/exergaming-in-older-people-living-with-hiv-improves-balance-mobility-and-ameliorates-some-aspects-of-frailty
#10
Suhitha Veeravelli, Bijan Najafi, Ivan Marin, Fernando Blumenkron, Shannon Smith, Stephen A Klotz
Approximately 1.2 million people in the United States live with HIV infection. Medical advancements have increased the life expectancy and this cohort is aging. HIV-positive individuals have a high incidence of frailty (~20%) characterized by depression and sedentary behavior. Exercise would be healthy, but due to the frail status of many HIV-positive individuals, conventional exercise is too taxing. The aim of this study was to evaluate the effectiveness and acceptability of a novel game-based training program (exergame) in ameliorating some aspects of frailty in HIV-infected individuals...
October 6, 2016: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/27763579/effects-of-physical-training-for-people-with-hiv-associated-lipodystrophy-syndrome-a-systematic-review
#11
Rafael E Pedro, Débora A Guariglia, Sidney B Peres, Solange M Moraes
BACKGROUND: Human immunodeficiency virus-associated lipodystrophy syndrome (HALS) is a major problem among people living with HIV/aids. The exercise training has been used for its treatment; however, the knowledge about benefits and safety still is emerging. The aim was systematically review the literature for physiological, metabolic, immunologic, and morphologic adaptations to aerobic, resistance, and concurrent training in people living with HALS. METHODS: A search of the Medline, Embase, Cinahl, Lilacs, Scielo, Web of Science, the Cochrane Controlled Trials Register Library and PEDro was performed...
October 20, 2016: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/27748503/neuromuscular-electrical-stimulation-for-muscle-weakness-in-adults-with-advanced-disease
#12
REVIEW
Sarah Jones, William D-C Man, Wei Gao, Irene J Higginson, Andrew Wilcock, Matthew Maddocks
BACKGROUND: This review is an update of a previously published review in the Cochrane Database of Systematic Reviews Issue 1, 2013 on Neuromuscular electrical stimulation for muscle weakness in adults with advanced disease.Patients with advanced progressive disease often experience muscle weakness, which can impact adversely on their ability to be independent and their quality of life. In those patients who are unable or unwilling to undertake whole-body exercise, neuromuscular electrical stimulation (NMES) may be an alternative treatment to enhance lower limb muscle strength...
October 17, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27703079/formation-and-psychometric-evaluation-of-a-health-related-quality-of-life-instrument-for-children-living-with-hiv-in-india
#13
Aritra Das, Roger Detels, Abdelmonem A Afifi, Marjan Javanbakht, Frank Sorvillo, Samiran Panda
In-depth interviews and focus group discussions were conducted to inform the development of an instrument to measure the health-related quality of life of children living with HIV. The QOL-CHAI instrument consists of four generic core scales of the "Pediatric Quality of Life Inventory" and two HIV-targeted scales-"symptoms" and "discrimination." A piloting exercise involving groups of children living with HIV and HIV-negative children born to HIV-infected parents provided evidence for the acceptable psychometric properties and usability of the instrument...
October 3, 2016: Journal of Health Psychology
https://www.readbyqxmd.com/read/27688718/progress-in-harmonizing-tiered-hiv-laboratory-systems-challenges-and-opportunities-in-8-african-countries
#14
Jason Williams, Farouk Umaru, Dianna Edgil, Joel Kuritsky
In 2014, the Joint United Nations Programme on HIV/AIDS released its 90-90-90 targets, which make laboratory diagnostics a cornerstone for measuring efforts toward the epidemic control of HIV. A data-driven laboratory harmonization and standardization approach is one way to create efficiencies and ensure optimal laboratory procurements. Following the 2008 "Maputo Declaration on Strengthening of Laboratory Systems"-a call for government leadership in harmonizing tiered laboratory networks and standardizing testing services-several national ministries of health requested that the United States Government and in-country partners help implement the recommendations by facilitating laboratory harmonization and standardization workshops, with a primary focus on improving HIV laboratory service delivery...
September 28, 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/27662546/chronic-lung-disease-in-hiv-infected-children-established-on-antiretroviral-therapy
#15
Jamie Rylance, Grace Mchugh, John Metcalfe, Hilda Mujuru, Kusum Nathoo, Stephanie Wilmore, Sarah Rowland-Jones, Edith Majonga, Katharina Kranzer, Rashida A Ferrand
OBJECTIVE: Respiratory disease is a major cause of morbidity and mortality in HIV-infected children. Despite antiretroviral therapy (ART), children suffer chronic symptoms. We investigated symptom prevalence, lung function and exercise capacity among older children established on ART and an age-matched HIV-uninfected group. DESIGN: A cross-sectional study in Zimbabwe of HIV-infected children aged 6-16 years receiving ART for over 6 months and HIV-uninfected children attending primary health clinics from the same area...
November 28, 2016: AIDS
https://www.readbyqxmd.com/read/27628211/health-behaviors-of-culturally-diverse-inner-city-community-college-students
#16
Janet R Heller, Ariel L Sarmiento
OBJECTIVE: To determine the prevalence of risk behaviors related to cigarette use, alcohol use, nutrition, physical fitness, and sexual behavior. PARTICIPANTS: Participants were 1,075 students attending an urban community college during the Spring 2012 semester. METHODS: Data were collected in randomly selected classes using the American College Health Association National College Health Assessment II (ACHA-NCHA II) paper survey and analyzed using Statistical Package for the Social Sciences (SPSS) version 22 for frequencies and chi-square test of independence...
August 16, 2016: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/27580636/a-novel-approach-to-estimation-of-the-time-to-biomarker-threshold-applications-to-hiv
#17
Tarylee Reddy, Geert Molenberghs, Edmund Njeru Njagi, Marc Aerts
In longitudinal studies of biomarkers, an outcome of interest is the time at which a biomarker reaches a particular threshold. The CD4 count is a widely used marker of human immunodeficiency virus progression. Because of the inherent variability of this marker, a single CD4 count below a relevant threshold should be interpreted with caution. Several studies have applied persistence criteria, designating the outcome as the time to the occurrence of two consecutive measurements less than the threshold. In this paper, we propose a method to estimate the time to attainment of two consecutive CD4 counts less than a meaningful threshold, which takes into account the patient-specific trajectory and measurement error...
November 2016: Pharmaceutical Statistics
https://www.readbyqxmd.com/read/27578932/clinical-spectrum-and-outcome-of-pulmonary-nocardiosis-5-year-experience
#18
Akashdeep Singh, Deepinder Chhina, R K Soni, Chandan Kakkar, U S Sidhu
BACKGROUND: Pulmonary nocardiosis is a rare but a life-threatening infection caused by Nocardia spp. The diagnosis is often missed and delayed resulting in delay in appropriate treatment and thus higher mortality. AIM: In this study, we aim to evaluate the clinical spectrum and outcome of patients with pulmonary nocardiosis. METHODS: A retrospective, 5-year (2009-2014) review of demographic profile, risk factors, clinical manifestations, imaging findings, treatment, and outcome of patients with pulmonary nocardiosis admitted to a tertiary care hospital...
July 2016: Lung India: Official Organ of Indian Chest Society
https://www.readbyqxmd.com/read/27502816/yoga-research-review
#19
REVIEW
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
https://www.readbyqxmd.com/read/27502797/massage-therapy-research-review
#20
REVIEW
Tiffany Field
In this review, massage therapy has been shown to have beneficial effects on varying conditions including prenatal depression, preterm infants, full-term infants, autism, skin conditions, pain syndromes including arthritis and fibromyalgia, hypertension, autoimmune conditions including asthma and multiple sclerosis, immune conditions including HIV and breast cancer and aging problems including Parkinson's and dementia. Although many of the studies have involved comparisons between massage therapy and standard treatment control groups, several have compared different forms of massage (e...
August 2016: Complementary Therapies in Clinical Practice
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