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Development of a City-wide Rapid Antiretroviral Therapy Initiation Toolkit for People Newly Diagnosed With HIV in the Southern United States.
Open Forum Infect Dis
December 2024
Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Background: Rapid antiretroviral therapy (ART) initiation, in which individuals with HIV start treatment within days of diagnosis, is a key component of the United States (US) Ending the HIV Epidemic initiative. The Memphis Metropolitan Statistical Area ranks second in the US for HIV incidence, yet only ∼60% of individuals link to treatment within 1 month of diagnosis. This study aimed to identify barriers and strategies for implementing rapid ART initiation in Memphis.
View Article and Find Full Text PDFBereaved Family Quality of Life Varies With Comorbid Psychological Distress and ICU-Care Quality.
J Pain Symptom Manage
December 2024
Division of Hematology-Oncology (W.C.C., S.T.T.), Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan, R.O.C.;; School of Nursing, Medical College (S.T.T.), Chang Gung University, Tao-Yuan, Taiwan, R.O.C.; Department of Nursing (S.T.T.), Chang Gung University of Science and Technology, Tao-Yuan, Taiwan, R.O.C.. Electronic address:
Context: Health-related quality of life (HRQOL) is highly endorsed, but HRQOL studies scarcely investigate the following: ICU family members; modifiable end-of-life (EOL) ICU-care factors; conjoint associations with prolonged grief disorder (PGD), post-traumatic stress disorder (PTSD), and depression; and long-term bereavement outcomes.
Objectives: Exploratorily investigate associations of PGD-PTSD-depressive-symptom states (resilient, subthreshold-depression dominant, PGD dominant, and PGD-PTSD-depression comorbid) and quality of EOL ICU care with families' HRQOL 6-24 months post loss.
Methods: This cohort study examined symptoms of PGD (11 items of the PG-13), PTSD (Impact of Event Scale-Revised), and depression (Hospital Anxiety and Depression Scale), and HRQOL (Medical Outcomes Study 36-Item Short-Form Health Survey) among 303 ICU family members.
Total Hip Arthroplasty Using the Conjoined Tendon-Preserving Posterior Approach: The Modified Posterior Approach with a Minimum of 2-Year Follow-Up.
Orthop Surg
November 2024
Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Article Synopsis
- The study evaluates the conjoined tendon-preserving posterior (CPP) approach in total hip arthroplasty (THA) for its clinical outcomes and complications compared to the standard posterior approach (PA).
- A total of 83 patients were analyzed, showing that the CPP approach resulted in longer surgery times and more blood loss, but did not significantly differ in hip function scores or complication rates.
- Both approaches had comparable success regarding complications and implant alignment, suggesting CPP could lower dislocation rates, but caution is needed due to potential nerve issues.
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