"And if my goal is never to leave Casey House?": The significance of place attachment for patients at a specialty HIV hospital in Toronto, Canada.

The current healthcare context prioritizes shorter hospital stays and fewer readmissions. However, these measures may not fully capture care experiences for people living with HIV, especially those experiencing medical, psychosocial, and economic complexity. As part of a larger study, we conducted seven focus groups with people living with HIV (n = 52), who were current/former patients at a Toronto-based specialty hospital, examining their desires/needs for hospital programs.

Feasibility, acceptability, concerns, and challenges of implementing supervised injection services at a specialty HIV hospital in Toronto, Canada: perspectives of people living with HIV.

Background: Substance use significantly impacts health and healthcare of people living with HIV/AIDS (PLHIV), especially their ability to remain in hospital following admission. Supervised injection services (SIS) reduce overdoses and drug-related harms, but are not often provided within hospitals/outpatient programs. Leading us to question, what are PLHIV's perceptions of hospital-based SIS?

Methods: This mixed-methods study explored feasibility and acceptability of implementing SIS at Casey House, a Toronto-based specialty HIV hospital, from the perspective of its in/outpatient clients.

Possibilities and priorities for IJED in times of uncertainty: A 40th anniversary analysis.

This article reflects upon the history of the Journal, its evolving nature and rationale and upon possibilities and priorities for the future in what are uncertain times for all.

Community engagement in health status instrument development: experience with the HIV disability questionnaire.

Background: People with HIV face a variety of health-related challenges from HIV, concurrent health conditions, and side effects of treatment. These health-related challenges may be termed disability. Community involvement in conceptualizing and understanding disability is essential to developing appropriate measurement tools.

Sensibility assessment of the HIV Disability Questionnaire.

Purpose: Our purpose was to assess the sensibility of the human immunodeficiency virus (HIV) Disability Questionnaire (HDQ), the first HIV-specific disability questionnaire.

Methods: We administered the HDQ, a sensibility questionnaire and a structured qualitative interview to 22 adults living with HIV and five experienced clinicians. We considered the HDQ sensible if median scores on the sensibility questionnaire were ≥5 for adults living with HIV and ≥4 for clinicians for at least 80% of the items.

How do existing HIV-specific instruments measure up? Evaluating the ability of instruments to describe disability experienced by adults living with HIV.

Background: Despite the multitude of health challenges faced by adults living with HIV, we know of no HIV-specific instrument developed for the purpose of describing the health-related consequences of HIV, a concept known as disability. In a previous phase of research, adults living with HIV conceptualized disability as symptoms/impairments, difficulties carrying out day-to-day activities, challenges to social inclusion, and uncertainty that may fluctuate on a daily basis and over the course of living with HIV. In this paper, we describe the extent to which existing HIV-specific health-status instruments capture the experience of disability for adults living with HIV.

Quick and easy: Indirect fabrication of composite veneers.

Composite veneers can be fabricated directly on a vinyl polysiloxane (VPS) die. Using the following technique, a dentist (or their trained auxiliary) can quickly fabricate an esthetic composite veneer with an acceptable marginal fit. This article describes such a technique.

Oral health outcomes in an adult dental population: the impact of payment systems.

This study compared the effect of payment systems on recall visits and oral health outcomes for four patient payer groups. The authors reviewed recall audit data obtained over a 4-year period. Dental payer groups in the study population differed with respect to dental outcomes.

Variations of L*a*b* values among Vitapan Classical Shade Guides.

Purpose: To measure the variations in L*a*b* values of a group of 25 guides and to assess whether shade guides are indeed interchangeable.

Materials And Methods: The L*a*b* values of individual shade tabs were measured with a LabScan(tm) XE scanning spectrocolorimeter (SSC) with a special attachment for reproducibly positioning shade tabs. Each shade guide (Vitapan Classical, Vident) contained 16 shade tabs.

Retrofitting technique for a crown or abutment following coronal fracture.

The fracture of tooth structure and/or restorative material within a crown or fixed partial denture abutment poses a restorative challenge. Depending upon the severity of the fracture and health of the tooth or teeth involved, the restoration often can be re-cemented, restoring the tooth to a serviceable condition. This article describes a technique that provides a safe and efficient means of restoring the fractured tooth, thereby overcoming a major obstacle to the conventional recementation process.

Toward solving the sedation-assessment conundrum: bi-spectral index monitoring and sedation interruption.

The sedation-assessment conundrum is defined by two diametrically opposed goals: to maintain an appropriate level of sedation, and to obtain a comprehensive neurologic examination that most accurately reflects the patient's neurologic status. A case presentation leads to a discussion of over-sedation and under-sedation issues that impact the care of critically ill patients. This information is useful in understanding the many methods of assessing sedation and interpreting individualized patient responses to sedation.

SPERM CHEMOTAXIS IN OIKOPLEURA DIOICA FOL, 1872 (UROCHORDATA: LARVACEA).

An alcohol extract of unfertilized eggs of the larvacean, Oikopleura dioica, can attract sperm over a distance of at least 80 µm from an artificial source. The sperm, which normally swim in wide circles or straight lines, alter their path to form small loops between straight or slightly curved segments directed up the gradient. During the first loop, the velocity of sperm increases 50%.