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Handling guides on and patient hiv

Tom Oluoch, Xenophon Santas, Daniel Kwaro, Martin Were, Paul Biondich, Christopher Bailey, Ameen Abu-Hanna, Nicolette de Keizer
BACKGROUND: It is estimated that one million people infected with HIV initiate anti-retroviral therapy (ART) in resource-constrained countries annually. This occurs against a background of overburdened health workers with limited skills to handle rapidly changing treatment standards and guidelines hence compromising quality of care. Electronic medical record (EMR)-based clinical decision support systems (CDSS) are considered a solution to improve quality of care. Little evidence, however, exists on the effectiveness of EMR-based CDSS on quality of HIV care and treatment in resource-constrained settings...
October 2012: International Journal of Medical Informatics
Davinder Parsad, Somesh Gupta
UNLABELLED: Vitiligo surgery is an effective method of treatment for selected, resistant vitiligo patches in patients with vitiligo. PHYSICIAN'S QUALIFICATIONS: The physician performing vitiligo surgery should have completed postgraduate training in dermatology which included training in vitiligo surgery. If the center for postgraduation does not provide education and training in cutaneous surgery, the training may be obtained at the surgical table (hands-on) under the supervision of an appropriately trained and experienced dermatosurgeon at a center that routinely performs the procedure...
January 2008: Indian Journal of Dermatology, Venereology and Leprology
Toke S Barfod, Frederick M Hecht, Cecilie Rubow, Jan Gerstoft
BACKGROUND: Poor adherence is the main barrier to the effectiveness of HIV medication. The objective of this study was to explore and conceptualize patterns and difficulties in physicians' work with patients' adherence to HIV medication. No previous studies on this subject have directly observed physicians' behavior. METHODS: This is a qualitative, cross-sectional study. We used a Grounded Theory approach to let the main issues in physicians' work with patients' adherence emerge without preconceiving the focus of the study...
2006: BMC Health Services Research
Lalit Dandona, Pratap Sisodia, T L N Prasad, Elliot Marseille, M Chalapathi Rao, A Anod Kumar, S G Prem Kumar, Y K Ramesh, Mead Over, M Someshwar, James G Kahn
BACKGROUND: Control of sexually transmitted infections (STIs) is an important part of the effort to reduce the risk of HIV/AIDS. STI clinics in the government hospitals in India provide services predominantly to the poor. Data on the cost and efficiency of providing STI services in India are not available to help guide efficient use of public resources for these services. METHODS: Standardised methods were used to obtain detailed cost and output data for the 2003-2004 fiscal year from written records and interviews in 14 government STI clinics in the Indian state of Andhra Pradesh...
November 5, 2005: BMC Health Services Research
H Paxton, M Pins, G Denton, A D McGonigle, P S Meisner, J P Phair
Measurement of CD4 T-lymphocyte levels is clinically useful in monitoring immune status in a number of conditions, including human immunodeficiency virus (HIV) infection, in which the absolute CD4 count is used to guide therapy. The absolute CD4 count is obtained by multiplying the results of the leukocyte count and the differential with a hematology cell counter and the percentage of CD4+ T lymphocytes determined by flow cytometry. These techniques require expensive, complex instrumentation, and interlaboratory results are difficult to standardize and reproduce...
January 1995: Clinical and Diagnostic Laboratory Immunology
(no author information available yet)
OBJECTIVE: To outline the principles guiding the deliberate actions that should be taken in health care settings to prevent the spread of pathogens, especially HIV and hepatitis B virus (HBV), to patients and health care workers (HCWs). OUTCOMES: Universal precautions should be implemented in all health care settings. EVIDENCE: Based on similar international recommendations. VALUES: An adaptation of an existing guideline, it was sent to 87 organisations for comment...
May 1995: South African Medical Journal
L J Bauman, J Aberth
As the number of cases of AIDS increases, more and more companies will have to decide how to handle employees with AIDS and those at high risk. AIDS creates medical, legal, and ethical issues in the workplace, all of which are emotional and complex; managers need expert assistance to guide their decision-making and policy development. This article identifies various dimensions of the AIDS-related issues emerging in corporations nationwide, including: confidentiality, the right of patients to work, benefits and insurance, HTLV-III screening, fears of contagion among workers, needs of companies to avoid financial and legal exposure, and effects on worker productivity...
1986: Health Education Quarterly
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