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https://www.readbyqxmd.com/read/29055805/-people-try-and-label-me-as-someone-i-m-not-the-social-ecology-of-indigenous-people-living-with-hiv-stigma-and-discrimination-in-manitoba-canada
#1
Roberta L Woodgate, Melanie Zurba, Pauline Tennent, Carla Cochrane, Mike Payne, Javier Mignone
Indigenous peoples (First Nations, Inuit, and Métis) are currently overrepresented in the HIV epidemic in Canada and are infected at a younger age than those who are not Indigenous. This article presents our findings on the stigma and discrimination (as well as related themes such as disclosure) experienced by Indigenous people who contracted HIV in their youth and live in urban and non-urban settings in Manitoba, Canada. The findings were derived from a qualitative study that sought to understand the experiences and needs of Indigenous people living with HIV (including AIDS)...
October 14, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29050653/policy-impact-of-research-findings-on-the-association-of-diaper-need-and-mental-health
#2
Lori R Wallace, Alison M Weir, Megan V Smith
BACKGROUND: Maternal mental illness constitutes one of most significant public health problems facing women of reproductive age and their children. Women who mother in poverty experience additional stressors, pointing to the need for innovative public health promotion efforts to reduce mental illness. Simple innovations, like making diapers more available and affordable, may represent an effective method of addressing this problem. This paper describes the research findings on diaper need reported by the New Haven Mental Health Outreach for Mothers Partnership and the process of translating these findings into broader policy and advocacy efforts...
October 17, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29049917/response-to-culturally-competent-drug-treatment-among-homeless-persons-with-different-living-arrangements
#3
Erick G Guerrero, Ahyoung Song, Benjamin Henwood, Yinfei Kong, Tina Kim
This study investigated the association between program cultural competence and homeless individuals' drug use after treatment in Los Angeles County, California. Los Angeles County has the largest and most diverse population of homeless individuals in the nation. We randomly selected for analysis 52 drug-treatment programs and 2158 participants who identified as homeless in the Los Angeles County Participant Reporting System in 2011. We included their living arrangements (indoors and stable, indoors and unstable, and outdoors) and individual and program characteristics (particularly whether their programs used six culturally competent practices) in multilevel regression analyses...
October 12, 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/29045275/medical-education-in-decentralized-settings-how-medical-students-contribute-to-health-care-in-10-sub-saharan-african-countries
#4
Zohray Talib, Susan van Schalkwyk, Ian Couper, Swaha Pattanaik, Khadija Turay, Atiene S Sagay, Rhona Baingana, Sarah Baird, Bernhard Gaede, Jehu Iputo, Minnie Kibore, Rachel Manongi, Antony Matsika, Mpho Mogodi, Jeremais Ramucesse, Heather Ross, Moses Simuyeba, Damen Haile-Mariam
PURPOSE: African medical schools are expanding, straining resources at tertiary health facilities. Decentralizing clinical training can alleviate this tension. This study assessed the impact of decentralized training and contribution of undergraduate medical students at health facilities. METHOD: Participants were from 11 Medical Education Partnership Initiative-funded medical schools in 10 African countries. Each school identified two clinical training sites-one rural and the other either peri-urban or urban...
October 17, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29043936/providing-health-sciences-services-in-a-joint-use-distributed-learning-library-system-an-organizational-case-study
#5
Electra Enslow, Suzanne Fricke, Kathryn Vela
The purpose of this organizational case study is to describe the complexities librarians face when serving a multi-campus institution that supports both a joint-use library and expanding health sciences academic partnerships. In a system without a centralized health science library administration, liaison librarians are identifying dispersed programs and user groups and collaborating to define their unique service and outreach needs within a larger land-grant university. Using a team-based approach, health sciences librarians are communicating to integrate research and teaching support, systems differences across dispersed campuses, and future needs of a new community-based medical program...
October 2017: Medical Reference Services Quarterly
https://www.readbyqxmd.com/read/29042341/pain-self-management-for-veterans-development-and-pilot-test-of-a-stage-based-mobile-optimized-intervention
#6
Sara S Johnson, Deborah A Levesque, Lynne E Broderick, Dustin G Bailey, Robert D Kerns
BACKGROUND: Chronic pain is a significant public health burden affecting more Americans than cardiovascular disease, diabetes, and cancer combined. Veterans are disproportionately affected by chronic pain. Among previously deployed soldiers and veterans, the prevalence of chronic pain is estimated between 44% and 60%. OBJECTIVE: The objective of this research was to develop and pilot-test Health eRide: Your Journey to Managing Pain, a mobile pain self-management program for chronic musculoskeletal pain for veterans...
October 17, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29041977/perceptions-of-and-barriers-to-family-planning-services-in-the-poorest-regions-of-chiapas-mexico-a-qualitative-study-of-men-women-and-adolescents
#7
Emily Dansereau, Alexandra Schaefer, Bernardo Hernández, Jennifer Nelson, Erin Palmisano, Diego Ríos-Zertuche, Alex Woldeab, Maria Paola Zúñiga, Emma Margarita Iriarte, Ali H Mokdad, Charbel El Bcheraoui
BACKGROUND: In the poorest regions of Chiapas, Mexico, 50.2% of women in need of contraceptives do not use any modern method. A qualitative study was needed to design effective and culturally appropriate interventions. METHODS: We used purposive maximum-variation sampling to select eight municipalities with a high proportion of residents in the poorest wealth quintile, including urban, rural, indigenous, and non-indigenous communities. We conducted 44 focus group discussions with 292 women, adolescent women, and men using semi-structured topic guides...
October 17, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29037190/do-mobile-clinics-provide-high-quality-antenatal-care-a-comparison-of-care-delivery-knowledge-outcomes-and-perception-of-quality-of-care-between-fixed-and-mobile-clinics-in-central-haiti
#8
Erica Phillips, Rebecca J Stoltzfus, Lesly Michaud, Gracia Lionel Fils Pierre, Francoise Vermeylen, David Pelletier
BACKGROUND: Antenatal care (ANC) is an important health service for women in developing countries, with numerous proven benefits. Global coverage of ANC has steadily increased over the past 30 years, in part due to increased community-based outreach. However, commensurate improvements in health outcomes such as reductions in the prevalence of maternal anemia and infants born small-for-gestational age have not been achieved, even with increased coverage, indicating that quality of care may be inadequate...
October 16, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29033954/setaria-comes-of-age-meeting-report-on-the-second-international-setaria-genetics-conference
#9
Chuanmei Zhu, Jiani Yang, Christine Shyu
Setaria viridis is an emerging model for cereal and bioenergy grasses because of its short stature, rapid life cycle and expanding genetic and genomic toolkits. Its close phylogenetic relationship with economically important crops such as maize and sorghum positions Setaria as an ideal model system for accelerating discovery and characterization of crop genes that control agronomically important traits. The Second International Setaria Genetics Conference was held on March 6-8, 2017 at the Donald Danforth Plant Science Center, St...
2017: Frontiers in Plant Science
https://www.readbyqxmd.com/read/29026501/typology-of-street-substance-users-communities-in-tehran-iran
#10
Masoomeh Maarefvand, Mohammad Sadegh Shirazi, Raha Peyravi, Ali Farhoudian
BACKGROUND: There are different street substance users' communities (SSUCs). Typology of SSUCs in Tehran, Iran was approached in this qualitative study. METHODS: Using content analysis and saturation principles, 22 street-outreach workers were recruited and interviewed. Data were analyzed using open, axial, and selective coding. FINDINGS: Three types of SSUCs were identified. SSUCs were different in geographic location, the community hierarchy, roles of residents and its function during a 24-hour period...
January 2017: Addiction & Health
https://www.readbyqxmd.com/read/29021079/blood-borne-virus-transmission-in-an-urban-culturally-diverse-neighbourhood-results-from-a-cross-sectional-bio-behavioural-survey-using-innovative-outreach-methods-in-a-hard-to-reach-population
#11
Elizabeth Peach, Shelley Cogger, Kat Byron, Penny Francis, Daniel O'Keefe, Peter Higgs, Mark Stoove, Kasey Elmore, Paul Dietze, Margaret Hellard
Background: Following a HIV outbreak among Aboriginal people in a culturally diverse inner-city suburb of Melbourne, a blood-borne virus (BBV) screening program was conducted to inform public health interventions to prevent transmission and facilitate timely diagnosis and linkage to care. Methods: In August-September 2014, community health workers recruited people who inject drugs (PWID) from a local needle and syringe program. Participants were tested for hepatitis C virus (HCV), hepatitis B virus (HBV), HIV and syphilis and completed a bio-behavioural questionnaire...
October 12, 2017: Sexual Health
https://www.readbyqxmd.com/read/29020099/experiences-of-cervical-cancer-patients-in-rural-ghana-an-exploratory-study
#12
Charity Binka, David Teye Doku, Kofi Awusabo-Asare
Even though cervical cancer is quite a prevalent disease in Ghana, there is hardly any study on this disease. This paper sought to explore the experiences of cervical cancer patients living with the disease with emphasis on their knowledge about the disease before and after the diagnosis. Qualitative data were collected through in-depth interviews with cervical cancer patients undergoing treatment in a specialised cancer treatment health facility in rural Ghana. Cervical cancer patients had inadequate knowledge about the disease, its symptoms, risk factors, treatment and prevention prior to being diagnosed of the disease...
2017: PloS One
https://www.readbyqxmd.com/read/29017389/the-canadian-laboratory-initiative-on-pediatric-reference-intervals-a-caliper-white-paper
#13
Khosrow Adeli, Victoria Higgins, Karin Trajcevski, Nicole White-Al Habeeb
Laboratory investigations provide physicians with objective data to aid in disease diagnosis, clinical decision making, and patient follow up. Clinical interpretation of laboratory test results relies heavily on the availability of appropriate population-based reference intervals (i.e. normative values) or decision limits developed through clinical outcome studies. Although reference intervals are fundamental to accurate laboratory test interpretation, and thus critically important to healthcare, the need for sound evidence-based reference intervals has been largely overlooked, particularly in the pediatric population...
October 11, 2017: Critical Reviews in Clinical Laboratory Sciences
https://www.readbyqxmd.com/read/29017375/hiv-nurse-navigation-charting-the-course-to-improve-engagement-in-care-and-hiv-virologic-suppression
#14
Octaviana Hemmy Asamsama, Leah Squires, Alpha Tessema, Ephrem Rae, Karen Hall, Rush Williams, Debra Benator
This study represents one of the few exploring the effectiveness of an integrated HIV nurse navigation program on engagement and virologic outcomes. A navigator provided individualized care management (eg, pillbox renewals), intensive outreach, and collaboration with existing support systems (eg, families, community programs). Clinical data from the Veterans Affairs (VA) Medical Center site of a longitudinal, observational study of HIV in the District of Columbia (DC) cohort were used for comparison (N = 706)...
January 1, 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/29016701/modifying-alcohol-consumption-to-reduce-obesity-a-randomized-controlled-feasibility-study-of-a-complex-community-based-intervention-for-men
#15
Linda Irvine, Iain K Crombie, Kathryn B Cunningham, Brian Williams, Falko F Sniehotta, John Norrie, Ambrose J Melson, Claire Jones, Peter Rice, Peter W Slane, Marcus Achison, Andrew McKenzie, Elena D Dimova, Sheila Allan
Objectives: Being obese and drinking more than 14 units of alcohol per week places men at very high risk of developing liver disease. This study assessed the feasibility of a trial to reduce alcohol consumption. It tested the recruitment strategy, engagement with the intervention, retention and study acceptability. Methods: Men aged 35-64 years who drank >21 units of alcohol per week and had a BMI > 30 were recruited by two methods: from GP patient registers and by community outreach...
September 18, 2017: Alcohol and Alcoholism: International Journal of the Medical Council on Alcoholism
https://www.readbyqxmd.com/read/28992541/pastoral-power-in-hiv-prevention-converging-rationalities-of-care-in-christian-and-medical-practices-in-papua-new-guinea
#16
P Shih, H Worth, J Travaglia, A Kelly-Hanku
In his conceptualisation of pastoral power, Michel Foucault argues that modern healthcare practices derive a specific power technique from pastors of the early Christian church. As experts in a position of authority, pastors practise the care of others through implicitly guiding them towards thoughts and actions that effect self-care, and towards a predefined realm of acceptable conduct, thus having a regulatory effect. This qualitative study of healthcare workers from two Christian faith-based organisations in Papua New Guinea examines the pastoral rationalities of HIV prevention practices which draw together globally circulated modern medical knowledge and Christian teachings in sexual morality for implicit social regulation...
September 29, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28990719/japanese-outreach-model-project-for-patients-who-have-difficulty-maintaining-contact-with-mental-health-services-comparison-of-care-between-higher-functioning-and-lower-functioning-groups
#17
Aki Tsunoda, Yoshifumi Kido, Mami Kayama
AIM: The Japanese Ministry of Health, Labor and Welfare sponsored the current examination of a new community mental health service, the Japan Outreach Model Project (JOMP), for persons with mental illnesses and who find it difficult to continue with ongoing treatment. Shorter readmission rates and hospital stays were found. In this study, the amount and type of care that were delivered by the JOMP were examined in order to inform the process of establishing the public insurance system...
October 9, 2017: Japan Journal of Nursing Science: JJNS
https://www.readbyqxmd.com/read/28988431/hearing-loss-on-social-media-who-is-winning-hearts-and-minds
#18
Matthew G Crowson, Debara L Tucci, David Kaylie
OBJECTIVES/HYPOTHESIS: To analyze specific patterns of Twitter usage using common references to hearing loss, and characterize the virtual public that comprises the hearing loss community to inform hearing loss stakeholders for opportunities for engagement and outreach. STUDY DESIGN: Social media network analysis. METHODS: Twitter tweets were sampled from July 2016 to September 2016 using #hearing, #hearingloss, #deaf, #hearingimpairment, #hardofhearing, #deafness, #hearingmatters, #hearinghealth, and #hearingimpaired tags...
October 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28988194/observational-study-of-the-populations-accessing-rapid-point-of-care-hiv-testing-in-winnipeg-manitoba-canada-through-a-retrospective-chart-review-of-site-records
#19
James Blain Johnston, Joss N Reimer, John L Wylie, Jared Bullard
OBJECTIVES: HIV point-of-care testing (POCT) has been available in Manitoba since 2008. This study evaluated the effectiveness of POCT at identifying individuals with previously unknown HIV status, its effects on clinical outcomes and the characteristics of the populations reached. METHODS: A retrospective database review was conducted for individuals who received HIV POCT from 2011 to 2014. Time to linkage to care and viral load suppression were compared between individuals who tested positive for HIV using POCT and controls identified as positive through standard screening...
October 7, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28983428/assessing-the-role-of-state-and-local-public-health-in-outreach-and-enrollment-for-expanded-coverage-a-case-study-on-west-virginia
#20
Julia Joh Elligers, Nazleen Bharmal, Laurie T Martin, Malcolm V Williams, Courtney Armstrong
The Patient Protection and Affordable Care Act (ACA) laid the groundwork for a substantial increase in the number of people who have access to health insurance through Medicaid expansion or health insurance marketplaces. During the first open-enrollment season, states used a variety of strategies to reach out to and enroll newly eligible people. Typically, they used federal and state funding to develop navigator programs. Program design differed by location, and, although many stakeholders were involved in these efforts, state and local health departments (LHDs) were, and remain, a relatively untapped resource...
January 2017: Rand Health Quarterly
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