Multidimensional program for insomnia in a cohort of people with HIV.

Objective: Sleep disorders (SD) are prevalent in people with HIV (PWH), but poorly addressed in HIV care. We evaluated the effectiveness of a multidimensional program for SD in an outpatient HIV clinic.

Methods: Interventional study in 175 PWH on ART suffering from insomnia.

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The data from recent years on chronic disease mortality in Rome's V district show a significant disparity compared to the city's central neighborhoods, with a 23% increase in chronic diseases and an 80% rise in diabetes cases. The 'Ambulatorio Popolare Roma Est', an autonomous healthcare facility founded in 2022 in Quarticciolo neighborhood, is run by over 30 volunteers, including medical specialists, therapists, nutritionists and students. The clinic provides free services such as medical consultations, psychological support and nutritional advice.

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The paper highlights the limited healthcare access for women in Rome's outskirts, worsened by gender-related barriers. The progressive reduction of services at the via Manfredonia clinic has left the Quarticciolo community underserved. To address this, Ambulatorio Popolare Roma Est promotes grassroots mobilization and conducted a survey identifying local women's health priorities, like cervical cancer screening, psychological counseling, and contraception.

Urbanization-induced simplification of isotopic space in birds from a big Neotropical city.

Among the many changes associated with the urbanization process, changes in resource availability can directly impact local wildlife populations. Urban areas suppress native vegetation and convert natural environments into impervious surfaces, modifying the composition and quantity of available food resources. Understanding the food requirements of species is crucial, mainly because it is one of the main elements that characterize their ecological niche and structure local communities.

Serum uric acid, renal function and prognosis in patients with chronic heart failure and reduced ejection fraction. Insights from the Italian Network on Heart Failure.

Background: The role of hyperuricemia on short-term clinical prognosis in outpatients with heart failure and reduced ejection fraction (HFrEF) has few investigations and inconclusive results. We evaluated the prognostic impact of serum uric acid (SUA) on short-term clinical outcome among ambulatory patients with chronic HFrEF enrolled in a nationwide cardiology registry, stratified by the presence of chronic renal dysfunction (CKD).

Methods: 2246 outpatients with LVEF ≤40 %, vital status at 1-year follow-up known, and with SUA and creatinine available were stratified accordingly to SUA tertiles (≤5.