Association of HIV Infection With Poor Genital Hygiene and Medical Treatment for Prior Serious Illness Suggests Iatrogenic Transmission

2007 ◽  
Vol 44 (3) ◽  
pp. 365-366
Author(s):  
Stuart Brody ◽  
Devon D Brewer ◽  
John J Potterat
Keyword(s):  
Hiv Infection ◽  
Medical Treatment ◽  
Serious Illness ◽  
Iatrogenic Transmission ◽  
Genital Hygiene

scholarly journals Assessment of Discordance Between Surrogate Care Goals and Medical Treatment Provided to Older Adults With Serious Illness

2020 ◽  
Vol 3 (5) ◽  
pp. e205179
Author(s):  
Amber R. Comer ◽  
Susan E. Hickman ◽  
James E. Slaven ◽  
Patrick O. Monahan ◽  
Greg A. Sachs ◽  
...  
Keyword(s):  
Older Adults ◽  
Medical Treatment ◽  
Serious Illness

scholarly journals Sterben in Würde

2014 ◽  
Vol 6 (2) ◽  
pp. 174-196
Author(s):  
Gerhard Marschütz
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Medical Treatment ◽  
End Of Life ◽  
Final Stage ◽  
Point Of View ◽  
Voluntary Euthanasia ◽  
Actual Situation ◽  
Serious Illness

Abstract To die in dignity is often understood as a personal right to independently determine the time and the way of one’s own death, assuming dignity as a quality of life that wouldn’t exist in serious illness or in the final stage of life. On the contrary and from a traditional point of view dignity belongs to a person’s being that can never get lost and hence has to be respected also at the end of life. For that reason, from a catholic point of view a voluntary euthanasia as a deliberate killing of a person is definitely rejected. However, a so-called ‘aggressive medical treatment’ must be avoided because it doesn’t accept the actual situation of death and only causes a pointless extension of life. Nevertheless, the palliative care is essential to provide people even in their final lifetime with quality of life and to help them with the personal acceptance of death.

scholarly journals Patient’s travel distance to specialised cancer diagnostics and the association with the general practitioner’s diagnostic strategy and satisfaction with the access to diagnostic procedures: an observational study in Denmark

2020 ◽  
Author(s):  
Line Flytkjær Virgilsen ◽  
Line Hvidberg ◽  
Peter Vedsted
Keyword(s):  
Medical Treatment ◽  
Waiting Time ◽  
Travel Distance ◽  
Diagnostic Process ◽  
Diagnostic Strategy ◽  
Long Distance ◽  
Diagnostic Investigation ◽  
Serious Illness ◽  
Wait And See ◽  
Diagnostic Investigations

Abstract Background: Patients with cancer often consult their general practitioner (GP) prior to the diagnosis. Thus, actions taken by the GP are crucial for optimisation of cancer care. This study aimed to investigate the association between cancer patient’s travel distance to the first specialised diagnostic investigation and the GP’s diagnostic strategy and satisfaction with the waiting time and the availability of diagnostic investigations.Method: This combined questionnaire- and registry-based study included incident cancer patients diagnosed in the last six months of 2016 where the GP had been involved in the diagnostic process of the patients prior to their diagnosis of cancer (n=3,455). The patient’s travel distance to the first specialised diagnostic investigation was calculated by ArcGIS Network Analyst. The diagnostic strategy of the GP and the GP’s satisfaction with the waiting times and the available investigations were assessed from GP questionnaires. Results: The patient’s travel distance to the first specialised diagnostic investigation was not associated with the diagnostic strategy of the GP. However, when the GP did not suspect cancer or serious illness, a tendency was seen that longer travel distance to the first specialised diagnostic investigation increased the likelihood of the GP using ’wait-and-see’ approach and ’medical treatment’ as diagnostic strategies. The GPs of patients with travel distance longer than 49 kilometres to the first specialised diagnostic investigation were more likely to report dissatisfaction with the waiting time for requested diagnostic investigations (PRR: 1.98, 95% CI: 1.20-3.28).Conclusion: A tendency to use ‘wait-and-see’ and ‘medical treatment’ were more likely in GPs of patients with long travel distance to the first diagnostic investigation when the GP did not suspect cancer or serious illness. Long distance was associated with higher probability of GP dissatisfaction with the waiting time for diagnostic investigations.

scholarly journals Patient’s travel distance to specialised cancer diagnostics and the association with the general practitioner’s diagnostic strategy and satisfaction with the access to diagnostic procedures: an observational study in Denmark

2020 ◽  
Author(s):  
Line Flytkjær Virgilsen ◽  
Line Hvidberg ◽  
Peter Vedsted
Keyword(s):  
Medical Treatment ◽  
Waiting Time ◽  
Travel Distance ◽  
Diagnostic Process ◽  
Diagnostic Strategy ◽  
Long Distance ◽  
Serious Illness ◽  
Diagnostic Facility ◽  
Wait And See ◽  
Diagnostic Investigations

Abstract Background: Research indicate that when general practitioners (GPs) refer their patients for specialist care, the patient often has long distance. This study had a twofold aim: in accordance to the GP’s suspicion of cancer, we investigated the association between: 1) cancer patient’s travel distance to the first specialised diagnostic facility and the GP’s diagnostic strategy and 2) cancer patient’s travel distance to the first specialised diagnostic facility and satisfaction with the waiting time and the availability of diagnostic investigations.Method: This combined questionnaire- and registry-based study included incident cancer patients diagnosed in the last six months of 2016 where the GP had been involved in the diagnostic process of the patients prior to their diagnosis of cancer (n=3,455). The patient’s travel distance to the first specialised diagnostic facility was calculated by ArcGIS Network Analyst. The diagnostic strategy of the GP and the GP’s satisfaction with the waiting times and the available investigations were assessed from GP questionnaires. Results: When the GP did not suspect cancer or serious illness, an insignificant tendency was seen that longer travel distance to the first specialised diagnostic facility increased the likelihood of the GP using ’wait-and-see’ approach and ’medical treatment’ as diagnostic strategies. The GPs of patients with travel distance longer than 49 kilometres to the first specialised diagnostic facility were more likely to report dissatisfaction with the waiting time for requested diagnostic investigations (PR: 1.98, 95% CI: 1.20-3.28).Conclusion: A insignificant tendency to use ‘wait-and-see’ and ‘medical treatment’ were more likely in GPs of patients with long travel distance to the first diagnostic facility when the GP did not suspect cancer or serious illness. Long distance was associated with higher probability of GP dissatisfaction with the waiting time for diagnostic investigations.

Understanding the psychodynamics of non-adherence to medical treatment in persons with HIV infection

2002 ◽  
Vol 24 (3) ◽  
pp. 176-180 ◽  
Author(s):  
Francisco Ricart ◽  
Mary Ann Cohen ◽  
César A. Alfonso ◽  
Rosalind G. Hoffman ◽  
Nancy Quiñones ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Medical Treatment

Virologic Suppression in U.S. Navy Personnel Living with HIV Infection and Serving in Operational Assignments

2019 ◽  
Author(s):  
Sarah E Woodson ◽  
Laura C Barba ◽  
Charmagne Beckett
Keyword(s):  
United States ◽  
Hiv Infection ◽  
Medical Treatment ◽  
Viral Suppression ◽  
Hiv Care ◽  
Service Members ◽  
Hiv Care Continuum ◽  
Health Records ◽  
Care Continuum ◽  
Living With Hiv

Abstract Introduction Current United States Navy policy supports the continuation of duty for active duty (AD) service members living with HIV infection. The creation of this policy is instrumental to prevent exclusion and to promote career expansion and promotional opportunities for AD service members infected with HIV. The established instruction parallels the HIV care continuum, a widely accepted public health model. No studies have been done to determine whether allowing service members to fill operational and Outside the Continental United States (OCONUS) assignments disrupts this continuum of care. This retrospective study aims to evaluate how an operational or OCONUS assignment impacts the ability of an HIV AD service members to receive the standard of care HIV medical treatment and maintain viral suppression. Materials/Methods A retrospective chart review was performed on the health records of 20 United States AD Navy service members with HIV who were placed in OCONUS or large ship assignments per current U.S. Navy policy. Health records were reviewed during the service member’s assignment. Viral loads were documented immediately prior and at 6 months after starting their new assignment. Changes to anti-retroviral medications and the medical treatment facility, including the specialty of the treating provider were recorded. Results The results demonstrate no significant change in the service member’s viral load during the first 6 months in an operational or OCONUS assignment. Members still had access to care including medications and specialty providers based on the locality. Conclusion All service members within this review were able to maintain viral suppression despite the location of their assignments. This limited study suggests that care is accessible and the standard HIV care continuum is maintained while deployed or stationed overseas.

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