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Malinda Boehler, Barbara Schechtman, Ricardo Rivero, Beth-Anne Jacob, Renslow Sherer, Cornelia Wagner, Salma A Alabduljabbar, Nathan L Linsk
Engaging new clinical providers in the HIV workforce is a critical need due to rapidly evolving treatment paradigms, aging out of existing providers, and special population needs. The 1-year competency-based Clinician Scholar Program for minority-serving providers with limited HIV care experience was individually tailored for each provider (n = 74), mostly nurse practitioners, physicians, and clinical pharmacists. Baseline and endpoint self-assessments of clinical knowledge and skills showed significant improvements in all 11 targeted competencies, particularly in managing antiretroviral medications, screening and testing methods, incorporating prevention into HIV care, understanding risk reduction methods, and describing current care standards...
May 2016: Journal of the Association of Nurses in AIDS Care: JANAC
Ashley Shade, Amy K Klimowicz, Russell N Spear, Matthew Linske, Justin J Donato, Clifford S Hogan, Patricia S McManus, Jo Handelsman
Streptomycin is commonly used to control fire blight disease on apple trees. Although the practice has incited controversy, little is known about its nontarget effects in the environment. We investigated the impact of aerial application of streptomycin on nontarget bacterial communities in soil beneath streptomycin-treated and untreated trees in a commercial apple orchard. Soil samples were collected in two consecutive years at 4 or 10 days before spraying streptomycin and 8 or 9 days after the final spray...
November 2013: Applied and Environmental Microbiology
No abstract text is available yet for this article.
September 1946: Journal of the American Chemical Society
Philip G Bashook, Nathan L Linsk, Beth-Anne Jacob, Patricia Aguado, Marcia Edison, Ricardo Rivero, Barbara Schechtman, Priti Prabhughate
The Midwest AIDS Training and Education Center (MATEC) implemented a Web-based survey method to measure impact on practitioners of HIV/AIDS skill-building workshops offered in seven midwestern states. Surveys were sent to 2,949 participants from 230 workshops 4-6 weeks after each workshop. Of those surveyed, 631 respondents provided usable data (22.4%). Self-reported narrative responses described practice changes attributed to training. Changes were categorized as (a) practitioner attitude/knowledge, (b) practitioner practice behavior, (c) planning system change, and (d) implemented adaptations to the clinical care system...
February 2010: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
Judith A Cook, Lisa A Razzano, Nathan Linsk, Barbara L Dancy, Dennis D Grey, Sarah B Butler, Christopher G Mitchell, Joanne Despotes
This study examined changes in service delivery patterns of health and mental health service providers one year after a training on the fundamentals of HIV/AIDS and mental health. Paired t-tests for 424 training recipients showed significant increases in delivery of HIV-related services, and these remained significant while controlling for additional training, job changes, region (urban, rural, suburban), and provider discipline. Multiple logistic regression analysis revealed a significantly greater likelihood of providing direct services to HIV+ individuals among male providers, those with more years of HIV experience, those in counseling disciplines, and those working in a new job since the training...
2006: Psychiatric Rehabilitation Journal
Nathan L Linsk, Douglas Bruce, Barbara Schechtman, Richard Warnecke, Kathleen Tunney, Michael Bass
Both medical and community support services for people living with HIV and/or AIDS have been implemented on a widespread basis since the implementation of the 1990 Ryan White CARE Act. However, many services are provided without adequate evaluation or quality assurance, in spite of federal directions to both evaluate and ensure quality. This report details the development and implementation of a quality improvement project to evaluate Ryan White CARE services using a community stakeholder-based effort. The evaluation was consumer rather than administratively driven, including both consumers and providers to define, measure, and improve services...
March 2005: AIDS Patient Care and STDs
Alan R Lifson, Sarah L Rybicki, Diane M Knust, Nathan Linsk
Since 1990, the number of people in Minnesota living with HIV/AIDS has been steadily increasing. The demographics of who is infected with HIV have changed, with more women and people of color being diagnosed. In addition, with new therapies and continually updated treatment recommendations, the information needed to provide quality medical care to HIV-infected patients is constantly evolving. Thus, providers who care for patients with HIV/AIDS need ongoing education about the disease. The Midwest AIDS Training and Education Center (MATEC) is a federally funded program that helps health care providers stay abreast of HIV clinical care and management knowledge...
December 2004: Minnesota Medicine
Christopher G Mitchell, Nathan L Linsk
New treatment advances have radically altered the course of HIV illness and created new challenges for HIV-affected individuals, families, and communities. This article provides a conceptual framework for understanding HIV in the multiple contexts of the client's culture, strengths, life course, and biomedical progression. The article concludes with a discussion of HIV prevention and treatment adherence as key focal points for social workers and their clients.
July 2004: Social Work
Nathan L Linsk, Sally Mason
This study investigated the needs of relative caregivers of children in the child welfare system whose parents had HIV. Families of children supported by the state child welfare agency were invited to participate in the study; 17 families reported that HIV affected them and 11 families did not identify HIV as an issue. The findings indicate that complex emotional and behavioral issues stressed the HIV-affected kin caregivers; these issues included the children's behavioral problems, HIV-related concerns, adolescent issues, emotional difficulties, and sexual abuse, HIV-affected caregivers had more concern about their health and multiple roles...
May 2004: Health & Social Work
Richard Linsk, James Cooke
We surveyed pediatricians (PEDs), family physicians (FPs), otolaryngologists (ENTs), and emergency physicians (ERs) from across Michigan (100 each), as well as 30 nationally recognized experts about their clinical approach to acute otitis media (AOM). The overall response rate was 52%. There was substantial variation within each group with respect to diagnostic criteria and clinical decision-making, but no significant differences among groups. The 63% of respondents who considered symptoms among their diagnostic criteria for AOM were 3...
March 2004: Clinical Pediatrics
No abstract text is available yet for this article.
August 1950: Archives of Pediatrics
Michael S Wolf, Nathan L Linsk, Christopher G Mitchell, Barbara Schechtman
Epidemiological trends in HIV infection in the United States suggest existing primary and secondary prevention efforts are inadequate. Healthcare providers may be missing valuable opportunities to engage in necessary public health services, such as prevention education, risk assessment, and case finding. This study examined the HIV-related practice behaviors and training needs of physicians and nurses in the Midwest. A cross-sectional survey method was employed. A questionnaire was mailed to a probability sample of 1,500 physicians and registered nurses licensed as of August 1999 in one of six Midwestern states...
February 2004: Journal of Community Health
No abstract text is available yet for this article.
November 1961: Annals of Internal Medicine
No abstract text is available yet for this article.
March 1962: American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine
No abstract text is available yet for this article.
March 1957: Journal of Clinical Endocrinology and Metabolism
No abstract text is available yet for this article.
October 1955: Journal of Clinical Endocrinology and Metabolism
No abstract text is available yet for this article.
May 27, 1955: Annals of the New York Academy of Sciences
Nathan L Linsk, Jane P Fowler, Susan J Klein
The service systems for patients with or at risk for HIV infection/AIDS and for the aging must work together to address the needs of older adults who engage in HIV risk behaviors or who are HIV infected. Health and human service organizations miss opportunities for service integration in prevention, care, and supportive services. The authors illustrate critical issues and offer strategies to address these missed opportunities.
June 1, 2003: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Karl Goodkin, Timothy Heckman, Karolynn Siegel, Nathan Linsk, Imad Khamis, Diana Lee, Robert Lecusay, Cynthia C Poindexter, Sally J Mason, Paola Suarez, Carl Eisdorfer
Older HIV-1-seropositive individuals largely have not been investigated with respect to their psychosocial characteristics. In this article, the authors review research reported to date regarding the psychosocial context of this growing subgroup of HIV-1-infected individuals. Specifically, the authors consider the characteristics of mood state, life stressor burden, social support network, and coping strategies that individuals older than 50 years are more likely to adopt in adjusting to HIV-1 infection. The authors also separately consider issues of caregiving burden...
June 1, 2003: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Gretchen P Kenagy, Nathan L Linsk, Douglas Bruce, Richard Warnecke, Audrey Gordon, Fikirte Wagaw, Andrea Densham
Title I of the Ryan White CARE Act provides emergency assistance to localities disproportionately affected by HIV and AIDS. In 1999, the Title I Chicago Area HIV Services Planning Council expressed concern regarding the lack of a client-level database. In response to the Planning Council, evaluators conducted a longitudinal interview study of HIV-positive individuals who were receiving primary care at Title I funded clinics within Chicago and the surrounding collar counties. Analysis of baseline data explored gender differences in transmission risk, service utilization, and service barriers among study respondents...
May 2003: AIDS Patient Care and STDs
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