Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 3 de 3
Filtrar
1.
Euro Surveill ; 22(25)2017 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-28662762

RESUMO

Since October 2015 up to September 2016, HIV diagnoses fell by 32% compared with October 2014-September 2015 among men who have sex with men (MSM) attending selected London sexual health clinics. This coincided with high HIV testing volumes and rapid initiation of treatment on diagnosis. The fall was most apparent in new HIV testers. Intensified testing of high-risk populations, combined with immediately received anti-retroviral therapy and a pre-exposure prophylaxis (PrEP) programme, may make elimination of HIV achievable.


Assuntos
Infecções por HIV/diagnóstico , Infecções por HIV/prevenção & controle , Homossexualidade Masculina/estatística & dados numéricos , Programas de Rastreamento/tendências , Profilaxia Pré-Exposição , Fármacos Anti-HIV/uso terapêutico , Infecções por HIV/tratamento farmacológico , Humanos , Londres , Masculino , Vigilância da População , Comportamento Sexual , Saúde Sexual , Parceiros Sexuais
2.
Neuroepidemiology ; 36(4): 274-81, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21757956

RESUMO

BACKGROUND: The study objective was to describe the emotional and behavioural responses to Creutzfeldt-Jakob disease (CJD) risk notification. METHODS: A qualitative study using 11 participants' interviews, which were analysed thematically with Framework Analysis. PARTICIPANTS: Six participants purposively selected from people exposed to surgical instruments used previously on patients with or at risk of CJD (any type; n = 60), and 5 participants from a cohort of blood donors to patients who subsequently developed variant CJD (n = 110). RESULTS: Notification was initially a shocking event, but with no lasting emotional impact. Those notified were convinced they were at extremely low risk of CJD and coped by not thinking about the information. Disclosure outside the immediate family was limited by fears of stigma. All expressed concern about the possibility of onward transmission and agreed notification was appropriate. Individual adherence to public health precautions varied from those who did nothing, apart from not donating blood, to those who consistently followed all advice given. This variation was informed by an assumption that information was always shared among health professionals. CONCLUSIONS: Factors contributing to minimising emotional distress following notification of CJD risk were evident. We found little evidence of sustained emotional distress. However, implementation of behaviours to minimise onward transmission, particularly in health care settings, was variable - this requires further investigation.


Assuntos
Atitude Frente a Saúde , Doadores de Sangue/psicologia , Transfusão de Sangue/psicologia , Síndrome de Creutzfeldt-Jakob/psicologia , Infecção Hospitalar/psicologia , Instrumentos Cirúrgicos , Adaptação Psicológica , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Síndrome de Creutzfeldt-Jakob/etiologia , Revelação , Medo/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Risco , Estereotipagem , Reação Transfusional
3.
Am J Med Qual ; 21(2): 115-24, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16533903

RESUMO

Failure to follow up outpatient test results in a timely manner is a growing patient safety concern. To investigate the follow-up of markedly elevated serum potassium levels in the ambulatory setting, the authors reviewed the medical records of all patients seen in a large primary care practice between September 1, 2003, and August 31, 2004, with potassium levels > or = 5.8 mEq/L. Of the 12,914 serum potassium tests performed, there were 109 cases of markedly elevated serum potassium levels in 86 patients. The median potassium level was 5.9 mEq/L (range, 5.8-7.3). More than half the patients were recalled to the clinic specifically for repeat testing; however, 25% of patients had no repeat tests until they were seen at routine follow-up visits. The median time to a repeat potassium level was 6 days (range, 0-445). Patients > or = 65 years old had a lower likelihood of having repeat testing within 1 week (odds ratio = 0.38, P = .03).


Assuntos
Assistência Ambulatorial , Continuidade da Assistência ao Paciente , Potássio/sangue , Gestão da Segurança , Adulto , Idoso , Estudos de Coortes , Feminino , Humanos , Hiperpotassemia/diagnóstico , Masculino , Pessoa de Meia-Idade , Potássio/análise , Estudos Retrospectivos , Estados Unidos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...