A Narrative Systematic Literature Review: A Focus on Qualitative Studies on HIV and Medication-Assisted Therapy in the United States

Over the last two decades, the United States (U.S.) has experienced an opioid crisis that has had a significant negative societal and economic impact. Due to the high utilization of opioids in Persons Living with HIV and AIDS (PLWHA), there is a need for a qualitative literature review that presents opioid-use related problems in this population. This study aims to present and identify a thematic overview of the qualitative manuscripts on PLWHA who take opioid medications in the U.S., with a focus on perceptions surrounding medication assisted therapy. The systematic literature search was performed in December 2019. Four databases were searched: PubMed/MEDLINE, Scopus, Web of Science, and Cumulative Index to Nursing & Allied Health Literature (CINAHL). A total of 5348 results were exported from databases into EndNote x9, and duplicates were removed for a total of 3039 unique abstracts to screen. The records were imported into Rayyan, an online platform designed to expedite the screening process. Three authors screened titles and abstracts and determined 19 articles that would be screened in full text. On 9 April 2020, it was determined that eight articles would be included for review. The analysis of the eight manuscripts that fit the inclusion and exclusion criteria revealed barriers and facilitators to medication assisted therapy (MAT) in PLWHA. This review communicates or describes the story of PLWHA who might have delayed access to HIV healthcare providers and the commencement of antiretroviral therapy. In the literature, several studies have focused on the role of physicians in prescribing and addressing the medication regimens but none of the studies examined the role of pharmacists in access to care in this population. Therefore, further research is needed for a better understanding of the social aspects of taking opioid medications in PLWHA and the role of pharmacists within the continuum of care.

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What Do Women Want? Consent for the Use of Electronic Fetal Monitoring

International Journal of Childbirth ◽

10.1891/ijcbirth-d-20-00044 ◽

2021 ◽

Vol 11 (3) ◽

pp. 145-153

Author(s):

Sonya Dal Cin ◽

Lisa Kane Low ◽

Denise Lillvis ◽

Megan Masten ◽

Raymond De Vries

Keyword(s):

United States ◽

Healthcare Providers ◽

Fetal Monitoring ◽

Healthcare Setting ◽

Professional Associations ◽

The United States ◽

Cesarean Birth ◽

Electronic Fetal Monitoring ◽

Risk Patients

BACKGROUNDGuidelines published by professional associations of midwives, obstetricians, and nurses in the United States recommend against using continuous cardiotocography (CTG) in low-risk patients. In the United States, CTG or electronic fetal/uterine monitoring (EFM) rather than auscultation with a fetoscope or Pinard horn is the norm. Interpretation of the fetal heart rate (FHR) and uterine activity (UA) tracings provided by continuous EFM may be associated with the decision for a cesarean birth. Typically, consent is not sought in the decision about type of monitoring. No studies were identified where women's attitudes about the need to consent to the type of fetal monitoring used during labor have been explored. Therefore, the purpose of this research was to examine women's attitudes about the use of EFM in a healthcare setting.METHODSWe asked a sample of women aged 18–50 years to respond to one of three monitoringscenarios. The scenarios were used to distinguish between attitudes about monitoring in general, monitoring the health of a mother in labor, and monitoring the health of the fetus during labor. Wemeasured their level of interest in being monitored and their opinions about whether healthcare providers should be required to obtain consent for the monitoring described in the scenario.RESULTSInterest in receiving monitoring (across all three scenarios) was moderate, with the highest level of interest in monitoring the fetus during labor and the least interest in monitoring a general health context. Across all scenarios, 82% of respondents believed that practitioners should obtain consent for monitoring, 14% were unsure, and 4% said there should not be a requirement for consent. While low (6%), the percentage responding that consent was not needed was highest in monitoring a fetus in labor.CONCLUSIONSWomen in our study expressed a strong preference for the opportunity to consent to the use of monitoring regardless of the healthcare scenario. There is findings suggest the need for further research exploring what women do and do not know about CTG and what their informed performance are a pressing need to rethink the role of a pressing need to rethink the role of shared decision-making and informed consent about the type of monitoring use during labor.

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Vocational counseling and the aspiration of achieving a university admission of students with a migratory background in The United States, Latin America, and South Europe. A systematic literature review

EDUCATIONAL REFLECTIVE PRACTICES ◽

10.3280/erp2-2021oa12118 ◽

2021 ◽

pp. 99-113

Author(s):

Mauricio Javier Navarro Bulgarelli

Keyword(s):

United States ◽

Latin America ◽

Literature Review ◽

Latin American ◽

Systematic Literature Review ◽

The United States ◽

Vocational Counseling ◽

Migratory Background ◽

South Europe

There is limited research that considers students with migratory background cultural characteristics within vocational counseling processes in high schools of the United States, Latin America, and South Europe. A systematic literature review was made, guided by the question: In young migrants and second-generation migrants, how vocational counseling influences the achievement of being admitted into a university, comparing their life trajectories during secondary and high school? A total of ten articles, out of three hundred eleven initially found, were selected based on a protocol for the literature review (available on request). All these articles belong to the United States context. One also considered the Spain reality. Based on the protocol used, neither another Southern Europe article, nor any article on the Latin American context was selected. All the analyzed articles pointed up the central role of counseling processes regarding students' vocational decisions. Nonetheless, there is not much attention to counseling processes given to students with a migratory background and their specific needs. Among others, this fact reveals one of the failures of the system in giving post-secondary opportunities to these students. Limitations and recommendations to improve the vocational counseling processes and their influence on the achievement of admission into a university for these students are presented. Besides, some gender differences and the transcendental role of families in the vocational decisions of students are analyzed within the literature review.

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Implications of the Opioid Crisis for the American Disability Community

Rehabilitation Research Policy and Education ◽

10.1891/re-19-25 ◽

2020 ◽

Vol 34 (4) ◽

pp. 265-274

Author(s):

Mykal J. Leslie ◽

Kathleen Sheppard-Jones ◽

Malachy L. Bishop

Keyword(s):

United States ◽

Rehabilitation Counseling ◽

The United States ◽

Opioid Use Disorder ◽

Opioid Use ◽

Research Education ◽

Opioid Crisis ◽

Increased Risk ◽

The Relationship

PurposeThe profession of rehabilitation counseling has long been responsive to emerging disabilities. To date, however, the profession's attention and response to the ongoing opioid crisis in the United States has been incommensurate with the scope and detriment of opioids and opioid use disorder (OUD) on Americans with disabilities. The opioid crisis, including the overuse, abuse, and overdose rates associated with prescription and illegal opioids, affects people of all ages and backgrounds. However, people with disabilities are at increased risk for developing OUDs, and they experience greater barriers to OUD treatment than people without disabilities.MethodThis article describes the origins and development of this crisis, the relationship between disability and increased risk for OUD, and the barriers to treatment that exist. We then evaluate the role of rehabilitation counseling, including the need for further action in advocacy, research, education, and policy.Results and ConclusionsThroughout this article, we encourage a more urgent and concerted response than seems to be the case presently.

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The role of cancer in marijuana and prescription opioid use in the United States: A population‐based analysis from 2005 to 2014

Cancer ◽

10.1002/cncr.32059 ◽

2019 ◽

Cited By ~ 1

Author(s):

Kathryn R. Tringale ◽

Minh‐Phuong Huynh‐Le ◽

Mia Salans ◽

Deborah C. Marshall ◽

Yuyan Shi ◽

...

Keyword(s):

United States ◽

The United States ◽

Population Based ◽

Prescription Opioid ◽

Opioid Use ◽

Prescription Opioid Use

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2510. Systematic Literature Review of Multiclass Resistance in Heavily Treatment Experienced Persons with HIV

Open Forum Infectious Diseases ◽

10.1093/ofid/ofz360.2188 ◽

2019 ◽

Vol 6 (Supplement_2) ◽

pp. S871-S871

Author(s):

Josephine Mauskopf ◽

Maria M Fernandez ◽

Jade Ghosn ◽

Paul Sax ◽

Julie Priest ◽

...

Keyword(s):

United States ◽

Literature Review ◽

Systematic Literature Review ◽

Virologic Failure ◽

The United States ◽

Hiv And Aids ◽

European Countries ◽

Cochrane Library ◽

The Past ◽

Western European

Abstract Background Because of progress in antiretroviral therapy (ART), fewer people with HIV experience virologic failure with multiclass resistance. We sought to estimate the prevalence of multiclass resistance since the introduction of INSTI-based regimens using a systematic literature review. Methods A systematic literature search using PubMed, Embase, and the Cochrane Library was conducted of articles published since 2008, the year when INSTI-based regimens for treatment-experienced people with HIV became widely used. Bibliographies of existing literature reviews, websites of European and International organizations reporting data on HIV and AIDS, and abstracts presented from 2016–2018 at conferences were searched to identify additional relevant studies. Using predefined criteria, two reviewers independently reviewed studies reporting multiclass (three-class or greater) resistance in persons with HIV infection who are treatment experienced and were either perinatally infected or infected as adults. Studies from Western Europe, Australia, Canada and the United States (US) using any type of resistance definitions and resistance tests were included. Results A total of 441 unique articles were identified, 343 were excluded during level 1 screening and 98 articles were included for full-text review. A total of 34 articles (11 US studies, 3 from Canada, 1 from Australia, and 19 from Western European countries.) met the inclusion criteria and were included in data extraction analysis. Over the past decade, a modest decrease in the prevalence of three-class (NNRTI, NRTI, PI) resistance was observed in studies from the United States and Canada, ranging from 8.3% in 2009 to 6.7% in 2014 (Figure 1). Western European countries and Australia showed similar trends. The prevalence of 4-class resistance (including INSTIs) with virologic failure in the current treatment era is low, less than 2% (Figure 2). Conclusion The prevalence of multiclass resistance has decreased over the past decade, with three-class resistance continuing to decline and four-class resistance rare. Although the population with treatment failure and no viable options for a suppressive regimen is currently small, this group of people with HIV are in urgent need of novel treatment options. Disclosures All authors: No reported disclosures.

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The Role of Gender and Sensation Seeking in Film Choice

Journal of Media Psychology Theories Methods and Applications ◽

10.1027/1864-1105.20.3.97 ◽

2008 ◽

Vol 20 (3) ◽

pp. 97-105 ◽

Cited By ~ 15

Author(s):

Smita C. Banerjee ◽

Kathryn Greene ◽

Marina Krcmar ◽

Zhanna Bagdasarov ◽

Dovile Ruginyte

Keyword(s):

United States ◽

Undergraduate Students ◽

Sensation Seeking ◽

Negative Mood ◽

Positive Mood ◽

The United States ◽

High Arousal ◽

Subject Design ◽

Happy Mood

This study demonstrates the significance of individual difference factors, particularly gender and sensation seeking, in predicting media choice (examined through hypothetical descriptions of films that participants anticipated they would view). This study used a 2 (Positive mood/negative mood) × 2 (High arousal/low arousal) within-subject design with 544 undergraduate students recruited from a large northeastern university in the United States. Results showed that happy films and high arousal films were preferred over sad films and low-arousal films, respectively. In terms of gender differences, female viewers reported a greater preference than male viewers for happy-mood films. Also, male viewers reported a greater preference for high-arousal films compared to female viewers, and female viewers reported a greater preference for low-arousal films compared to male viewers. Finally, high sensation seekers reported a preference for high-arousal films. Implications for research design and importance of exploring media characteristics are discussed.

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