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Auswahl der wissenschaftlichen Literatur zum Thema „HIV-positive persons Dental care“
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Zeitschriftenartikel zum Thema "HIV-positive persons Dental care"
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Pereyra, Margaret, Lisa R. Metsch, Scott Tomar, Eduardo Valverde, Yves Jeanty, Shari Messinger und Henry Boza. „Utilization of dental care services among low-income HIV-positive persons receiving primary care in South Florida“. AIDS Care 23, Nr. 1 (Januar 2011): 98–106. http://dx.doi.org/10.1080/09540121.2010.498861.
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Porter, S., und C. Scully. „Attitudes of dental health care workers to HIV infected persons“. British Dental Journal 180, Nr. 9 (Mai 1996): 326. http://dx.doi.org/10.1038/sj.bdj.4809076.
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Mofidi, Mahyar, und Alan Gambrell. „Community-Based Dental Partnerships: Improving Access to Dental Care for Persons Living with HIV/AIDS“. Journal of Dental Education 73, Nr. 11 (November 2009): 1247–59. http://dx.doi.org/10.1002/j.0022-0337.2009.73.11.tb04815.x.
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Scheer, Susan, Alison J. Hughes, Judith Tejero, Mark A. Damesyn, Karen E. Mark, Tyler M. Arguello und Amy R. Wohl. „Regional Differences Among HIV Patients in Care: California Medical Monitoring Project Sites, 2007-2008“. Open AIDS Journal 6, Nr. 1 (07.09.2012): 188–95. http://dx.doi.org/10.2174/1874613601206010188.
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Introduction: The Medical Monitoring Project (MMP) is a national, multi-site population-based supplemental HIV/AIDS surveillance project of persons receiving HIV/AIDS care. We compared California MMP data by region. Demographic characteristics, medical care experiences, HIV treatment, clinical care outcomes, and need for support services are described. Methods: HIV-infected patients 18 years or older were randomly selected from medical care facilities. In person structured interviews from 2007 - 2008 were used to assess sociodemographic characteristics, self-reported clinical outcomes, and need for supportive services. Pearson chi-squared, Fisher’s exact and Kruskal-Wallis p-values were calculated to compare regional differences. Results: Between 2007 and 2008, 899 people were interviewed: 329 (37%) in San Francisco (SF), 333 (37%) in Los Angeles (LA) and 237 (26%) in other California counties. Significant regional sociodemographic differences were found. Care received and clinical outcomes for patients in MMP were positive and few regional differences were identified. HIV case management (36%), mental health counseling (35%), and dental services (29%) were the supportive services patients most frequently needed. Unmet needs for supportive services were low overall. Significant differences by region in needed and unmet need services were identified. Discussion: The majority of MMP respondents reported standard of care CD4 and viral load monitoring, high treatment use, undetectable HIV viral loads and CD4 counts indicative of good immune function and treatment efficacy. Information from MMP can be used by planning councils, policymakers, and HIV care providers to improve access to care and prevention. Identifying regional differences can facilitate sharing of best practices among health jurisdictions.
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Jessani, Abbas, Jolanta Aleksejuniene, Leeann Donnelly, J. Craig Phillips, Belinda Nicolau und Mario Brondani. „Dental care utilization: patterns and predictors in persons living with HIV in British Columbia, Canada“. Journal of Public Health Dentistry 79, Nr. 2 (09.01.2019): 124–36. http://dx.doi.org/10.1111/jphd.12304.
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Umadevi, K. R., E. Blignaut, M. Glick, E. Nasir, V. Yengopal, F. Younai und P. G. Robinson. „Social Aspects of HIV and Their Relationship to Craniofacial Problems“. Advances in Dental Research 23, Nr. 1 (25.03.2011): 117–21. http://dx.doi.org/10.1177/0022034511400223.
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The oral research community needs an understanding of the social causes, consequences, and costs of disease in relation to oral health. This workshop concluded that HIV infection constitutes a special dental need requiring specific arrangements to facilitate oral care for infected persons. Oral manifestations of HIV infection affect everyday life, but more evidence is needed on the effects of interventions to alleviate these impacts. Other oral health habits add to the burden of HIV/AIDS-associated oral diseases and compete with them for resources. These problems are most acute where the prevalence of HIV is high and resources are scarce. Effective health promotion is therefore important in these areas. Without data on the utility of oral health care in developing countries, practical approaches are guided by societal and multidisciplinary principles. There are also important ethical considerations
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Heslin, Kevin C., William E. Cunningham, Marvin Marcus, Ian Coulter, James Freed, Claudia Der-Martirosian, Samuel A. Bozzette, Martin F. Shapiro, Sally C. Morton und Ronald M. Andersen. „A Comparison of Unmet Needs for Dental and Medical Care Among Persons with HIV Infection Receiving Care in the United States“. Journal of Public Health Dentistry 61, Nr. 1 (März 2001): 14–21. http://dx.doi.org/10.1111/j.1752-7325.2001.tb03350.x.
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Ogunbodede, E. O., M. O. Folayan und M. A. Adedigba. „Oral health-care workers and HIV infection control practices in Nigeria“. Tropical Doctor 35, Nr. 3 (01.07.2005): 147–50. http://dx.doi.org/10.1258/0049475054620707.
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The first case of HIV infection was reported in Nigeria in1986. Since then, the prevalence has risen from less than 0.1% in 1987 to 5.8% in 2002, and an estimated 3.6 million Nigerians now live with HIV/AIDS. More than 40 oral manifestations of HIV infection have been recorded and between 70% and 90% of persons with HIV infection will have at least one oral manifestation at sometime during the course of their disease. Oral health-care workers (OHCWS) are expected to play active roles in the prevention and control of HIV/AIDS. In this study, a one-day workshop was organized for 64 oral health workers in Ile-Ife, Nigeria, focusing on the epidemiology of HIV/AIDS, the oral manifestations, control and prevention of HIV in a dental environment, oral care of the infected patient and the ethical, legal and social aspects of HIV/AIDS. Participants' knowledge and practices of infection control were assessed with an infection control checklist administered pre- and post-workshop. Sixty (90.8%) respondents believed that HIV/AIDS was not yet a problem in Nigeria, and 58 (90.6%) believed that drugs have been developed which can cure HIV infection and AIDS. The men complied more with waste disposal regulations than women ( P=0.010). Twenty-nine of 58 (50.0%) did not discard gloves which were torn, cut or punctured. Seven (12.1%) did not change gloves between patients' treatment. Conscious efforts should be made to train OHCWS on all aspects of HIV/AIDS prevention and care. It must never be assumed that adequate information will be acquired through tangential sources.
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Schlenz, Maximiliane Amelie, Alexander Schmidt, Bernd Wöstmann, Andreas May, Hans-Peter Howaldt, Dennis Albert, Doreen Ziedorn, Norbert Krämer und Nelly Schulz-Weidner. „Perspectives from Dentists, Dental Assistants, Students, and Patients on Dental Care Adapted to the COVID-19 Pandemic: A Cross-Sectional Survey“. International Journal of Environmental Research and Public Health 18, Nr. 8 (09.04.2021): 3940. http://dx.doi.org/10.3390/ijerph18083940.
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Dental care has been affected by SARS-CoV-2 (COVID-19) worldwide. In contrast to other dental clinics, the Justus-Liebig-University Giessen (Germany) decided not to limit dental treatment to emergencies alone, but to continue dental care for all patients, with increased safety measures. As such, health care professionals may be exposed to additional physical and mental stress. The aim of this study was to assess the perspectives of all persons involved in dental care (dentists, dental assistants, students, and patients) regarding the aspects of safety measures, anxiety about self-infection and infecting others, and other prospects in the period March to December 2020 using a questionnaire. Data collection was performed between 14 December 2020 and 23 January 2021. A total of 35 dentists (response rate of 79.5%), 23 dental assistants (65.7%), 84 students (80%), and 51 patients (21.8%) completed the survey. The patients did not notice any changes in the care received. Dentists and dental assistants reported a higher workload due to additional safety measures. The majority of dentists, students, and patients agreed that normal patient care was maintained. One-third of dental assistants would have preferred emergency treatment alone and expressed significantly higher anxiety about COVID-19 infection than all other groups (p < 0.05). In conclusion, all groups showed a predominantly positive perspective on dental care, and anxiety about self-infection and infecting others was especially low. However, additional measures are time-consuming and compound daily patient care. This concept, based on well-established infection control, might be a viable proposal for current and future pandemics.
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Lawal, Folake B., und Abimbola M. Oladayo. „Sources and Factors Related to Oral Health-Care Information Among Dental Patients of a Teaching Hospital in Ibadan, Nigeria“. International Quarterly of Community Health Education 40, Nr. 1 (04.03.2019): 17–22. http://dx.doi.org/10.1177/0272684x19833847.
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Background The World Health Organization has described oral diseases as a global health problem in developing countries and this is mainly attributed to low level of oral health awareness. It, therefore, becomes imperative to investigate how people are informed about oral health care. Aim To determine the sources of oral health-care information and predictors of oral health awareness among individuals seeking dental care at a major tertiary health institution in sub-Saharan Africa. Methods A cross-sectional study was conducted among patients aged 16 years and older attending the dental outpatients of a major teaching hospital using structured questionnaires. Data obtained were analyzed with SPSS version 23. Results A total of 292 patients with a mean age of 38.4 ( SD = 16.3) years participated in the study of which 188 (64.4%) had been educated about oral health prior to the dental consultation. The major source of oral health-care information was dental clinics for 174 (92.6%) participants. The educators or resource persons were mainly dentists 105 (55.9%) and nurses or therapists 67 (35.6%). Females were more likely to have received oral health-care information (odds ratio [ OR] = 1.8, CI [1.1, 3.0], p = .021). Those with previous dental visits were also more likely to have received information about oral health care ( OR = 2.6, CI [1.6, 4.2], p < .001). Conclusion Dental clinics and dentists were the major sources of oral health-care information; being female and previous dental visits were significant positive predictors of being a recipient of oral health-care information. Dental public health education through mass and social media should be made a priority to improve access to oral health-care information.
Dissertationen zum Thema "HIV-positive persons Dental care"
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Behardien, Nashreen. „Oral mucosal and facial manifestations of HIV/AIDS in children (Cape Peninsula, South Africa)“. Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&.
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Currently, HIV/AIDS is one of the greatest threats to child survival in South Africa. It is estimated that approximately 6000 newborn babies become infected with the HIV virus monthly i.e. approximately 200 babies per day. During a 24 month period (October 1999 &ndashOctober 2001), a descriptive prevalence study of the oro-facial manifestations affecting HIV-positive children was conducted in the Cape Peninsula, South Africa. The study population consisted of 268 vertically infected HIV-positive children. The study was motivated by the lack of data regarding oral mucosal lesions in children with vertically acquired HIV-infection.
The study design was descriptive, and the population included consecutive, vertically infected HIV-positive patients sourced from out-patient clinics, hospital wards and special child-care facilities. The children were examined once consent was obtained from caregivers. The findings were documented using data capturing sheets. The data was captured on the Microsoft Excel program and analysed using the Epi 2000 program. The results indicated that a large proportion of HIV-infected children presented with orofacial manifestations at some stage during the course of HIV-infection. Oro-facial manifestations were observed in 70.1% of the study population. The prevalence of the most commonly observed manifestations were: oral candidiasis, 38.8%
parotid gland enlargement, 10.8%
oral ulceration, 5.6%
molluscum contagiosum, 7.8%
periodontal conditions, 3.4%
and herpes simplex infection, 0.7%.It can be concluded that in this sample of HIV-infected children, the prevalence of orofacial manifestations is higher than, and comparable with the findings of similar studies conducted in other regions of the world.
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Albougy, Hany Ahed. „A systematic review of the management of oral candidiasis associated with HIV/AIDS“. Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/52713.
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On t.p.: Degree MSc Dental Science (Community Dentistry)Thesis (MSc)--Stellenbosch University, 2002.
ENGLISH ABSTRACT: The purpose of this review was to investigate the management of oral candidiasis in HIV/AIDS patients and to evaluate the different guidelines that are available for its management. To achieve this aim, three objectives were identified: (i) to identify and report on the different interventions used to manage oral candidiasis, in patients with HIV/AIDS, (ii) to determine the efficacy of these interventions, and (iii) to provide guidelines for management. A thorough systematic search of the literature was carried out and all relevant papers were graded into three levels of evidence (A, B, and C) and scored for quality according to set criteria. A number of topical and systemic antifungal medications are used to treat oral candidiasis in HIV-positive patients. These include the poleyne antibiotics, nystatin and amphotericin B. Milder episodes of oral candidiasis respond to topical therapy with nystatin, clotrimazole troches or oral ketoconazole. Fluconazole has been extensively evaluated as a treatment for candidiasis. With HIV-infection, a cure rate of 82% has been achieved with a daily oral dose of 50 mg. Fluconazole was found to be a better choice of treatment for relapsing oropharyngeal candidiasis, resulting in either better cure rates or better prevention of relapse. Intravenous amphotericin B has been found to be effective therapy in azole refractory candidiasis where it was shown to be safe and well tolerated. Topical therapies were found to be effective treatment for uncomplicated oropharyngeal candidiasis, however patients relapsed more quickly than those treated with oral systemic antifungal therapy. Overall, nystatin appears less effective than clotrimazole and the azoles in the treatment of oropharyngeal candidiasis. With regard to the resolution of clinical symptoms, clotrimazole was found to be just as effective as the azoles, except when patient compliance was poor. Fluconazole-treated patients were more likely to remain disease-free during the fluconazole follow-up period than with those treated with other interventions. Relatively few studies were qualified to address the provision of guidelines for the management of oral candidiasis in primary health care settings. Most of the studies found were of moderate and low quality level of evidence. These studies included the assessment of different guidelines for identification, treatment and dental needs. They stressed that patients with HN need dentists who will act as primary health care providers, together with other providers to ensure adequate overall care. Given the level of interest and importance of candidiasis associated with treatment of HN -positive patients, it is surprising to find that little high quality research has been undertaken. As such, it is hoped that this review would provide researchers, oral health care workers and other health care providers with an overview of the management of oral candidiasis associated with HN/AIDS.
AFRIKAANSE OPSOMMING: Die doelstelling van die oorsig was om ondersoek in te stel na die hantering van orale kandidiase in HIV/AIDS pasiënte asook om die verskillende beskikbare riglyne vir die behandeling daarvan te evalueer. Ter verwesenliking van hierdie doelstelling is drie doelwitte geïdentifiseer: (i) om die intervensies wat gebruik word in die hantering van orale kandidiase behandeling te identifiseer, (ii) om die effektiwiteit van hierdie intervensies te identifiseer en (iii) om op grond hiervan riglyne vir die hantering voor te stel. 'n Sistematiese literatuursoektog is uitgevoer en alle relevante artikels is in drie groepe geklassifiseer (A, B en C) op grond van die data kwaliteit. 'n Verskeidenheid topikale en sistemiese antifungale middels word gebruik om orale kandidiase in HIV-positiewe pasiënte te behandel. 'n Sukseskoers van 82% is met die gebruik van 'n daaglikse dosis van 50 mg medikament gerapporteer. Fluconazole was die beter keuse van middel vir die behandeling van terugkerende orofaringeale kandidiase. Topikale behandeling was effektief in die behandeling van ongekompliseerde orofaringeale kandidiase, hoewel die kans op terugkeer van die toestand groter was as met die sistemiese middels. Pasiënte wat met flukonasool behandel is, het 'n groter kans gehad om siektevry te bly vergeleke met pasiënte op die ander intervensies. Meeste van die studies was van middelmatige tot lae kwaliteit en gevolglik was dit moeilik om behandelingsriglyne te stel. Wat egter wel duidelik is, is dat HIV pasiënte primêre mondsorg benodig wat saam met ander versorging omvattende sorg sal verseker.
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Seng, Vuthy Santhat Sermsri. „Influences of stigmatization and discrimination on care for people living with hiv/aids (plwha) : a study of home based care services in Phnom Penh, Cambodia /“. Abstract, 2007. http://mulinet3.li.mahidol.ac.th/thesis/2550/cd400/4838029.pdf.
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Setwaba, M. B. „Stress and dysfunction in families caring for members physically deteriorating due to HIV/Aids in Limpopo Province : resilience as a moderating factor“. Thesis, University of Limpopo, 2015. http://hdl.handle.net/10386/1207.
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Thesis (Ph.D. (Psychology)) -- University of Limpopo, 2015The study aims at assessing the stress and dysfunction among families affected by the sudden reality of experiencing physically deteriorating family members due to HIV/AIDS progression, and to identify resilience factors that moderate the impact. Three-hundred and sixteen families were conveniently selected to participate in this study. The experimental group of the HIV/AIDS affected families (n=122), with two control groups of families caring for family members ailing because of a non- HIV/AIDS physical ailment (n=132) and the families not involved in the caring of any family member (n=62). Family resilience and stress questionnaires were used to collect the data. Family resilience questionnaires included Family Hardiness Index (FHI), Social Support Index (SSI), Relative and Friend Support (RFS), F-COPES, Family Time and Routine Index (FTRI), Family Problem Solving Communication (FPSC) Family Attachment and Changeability Index 8 (FACI 8). The family caregiver stress was measured by the Relative Stress Scale. Univariate and multivariate regression analysis were used to determine the moderating effect of the family qualities on the stress levels, and specific qualities unique in the families that bounce back. Stress was found to be high in the HIV/AIDS affected families when compared with the control families. Furthermore, the demographic information indicated that more stress was experienced in the HIV/AIDS affected families with a younger sick member and in poor economic conditions as well as when the sick person was a breadwinner. This indicated that stress elevation in the HIV/AIDS affected families was a function of economic conditions in the families and that caregivers may have experienced stress due to lack of proper resources and the stress of having sympathy for a young sick person who was expected to have a long life ahead of him or her. Social support (SSI), relative and friend support (RFS), and spending time together and engaging in similar routine collectively (FTRI) were found to moderate stress in HIV/AIDS affected families. Further research is needed to highlight the dynamics and the relationship with stress elevation around the new trend of HIV/AIDS infection of the younger age group as well as the economic burden or the impact of lack of resources in caring for the infected. More in-depth research must also be done with an emphasis on the dynamics between stigmatisation, stress moderation and resilience of families using more diverse families engaging in various caregiving situations of sick family members within various ecological and socio economic conditions.
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Williams, Margaret. „A chronic care coordination model for HIV-positive children requiring antiretroviral therapy“. Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1020346.
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The human immunodeficiency virus / acquired immune deficiency syndrome pandemic (HIV/AIDS) continues to increase in prevalence worldwide, particularly in South Africa. There is a concurrent and distinct increase in the prevalence of HIV/AIDS and HIV-related diseases in the paediatric population in South Africa, particularly those using public sector health services, with a corresponding increase in morbidity and mortality rates (Abdool Karim & Abdool Karim, 2010:363), which impacts greatly on paediatric healthcare services. Adding to this, the provision of paediatric antiretroviral care has numerous stumbling blocks, not least of which is lack of decentralisation of facilities to provide treatment. There is the additional shortage of staff, which includes staff that are comfortable dealing with children, lack of training programmes on the provision of antiretroviral therapy to children, and minimal on-site mentorship of staff regarding HIV/AIDS disease in children. This lack of capacity in the healthcare system means that not all of those who require treatment will be able to access it, and this is particularly pertinent to paediatric patients (Meyers et al., 2007:198). Therefore the purpose of this research was to develop a nursing model that would assist healthcare professionals, in particular professional nurses, to optimise the comprehensive treatment, care and support for HIV-positive children who require antiretroviral therapy at PHC clinics. To achieve the purpose of this study, a theory-generating design based on a qualitative, explorative, descriptive and contextual approach was implemented by the researcher to gain an understanding of how the healthcare professionals and parents/caregivers of HIV-positive children experienced the comprehensive treatment, care and support provided at primary healthcare clinics. The information obtained was used to develop a chronic care coordination model for the optimisation of comprehensive treatment, care and support for HIV-positive children requiring antiretroviral therapy. The study design comprised the following four steps: Step One of the research design focused on the identification, classification and definition of the major concepts of the study. This involved describing and selecting the research population and the sampling process prior to conducting the field work which comprised in-depth interviews with two groups of participants, namely healthcare professionals and parents/caregivers who accompany their HIV-positive children to PHC clinics in order to receive antiretroviral therapy. Step Two of the research design focused on the development of relationship statements in order to bring clarity and direction to the understanding of the phenomenon of interest. Step Three of the design concentrated on the development and description of the chronic care coordination model for optimising comprehensive treatment, care and support for HIV-positive children who require antiretroviral therapy in order to ensure a well-managed child on ART. A visual representation of the structure of the model for chronic care coordination was given and described as well as a detailed description of the process of the model. Step Four was the last step of the research design and its focus was the development of guidelines for the operationalisation of the model for chronic care coordination for the optimisation of comprehensive treatment, care and support for HIV-positive children requiring antiretroviral therapy at PHC clinics. Guidelines and operational implications for each of the five sequential steps of the model were developed. The evaluation criteria of Chinn & Kramer (2008:237‒248) were used to evaluate the model. It is therefore concluded that the researcher succeeded in achieving the purpose for this study because a chronic care coordination model that is understandable, clear, simple, applicable and significant to nursing practice has been developed for use by healthcare professionals, particularly professional nurses, in order to optimise the comprehensive treatment, care and support for HIV-positive children requiring antiretroviral therapy at primary healthcare clinics.
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Keleekai, Nowai L. „Associations between engagement in the patient-provider relationship and quality of life and adherence among persons living with HIV/AIDS“. Connect to this title online, 2004. http://hdl.handle.net/1811/178.
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Thesis (Ph. D.)--Ohio State University, 2004.Title from first page of PDF file. Document formatted into pages; contains 27 p. Includes bibliographical references (p. 21-24). Available online via Ohio State University's Knowledge Bank.
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Breet, Elsie-Marie. „The relationship between intimate partner violence, HIV-related stigma, social support, and mental health among people living with HIV“. Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/71951.
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Thesis (MSc)--Stellenbosch University, 2012.ENGLISH ABSTRACT: Global estimates show that sub-Saharan Africa has the largest portion of HIV cases with South Africa having more people living with HIV than any other country in the world. Moreover, studies have shown a high incidence of intimate partner violence (IPV) among people living with HIV. IPV has been shown to be associated with mental health problems. Considerable empirical studies have demonstrated that HIV is a highly stigmatized disease. In addition, HIV-related stigma has also been shown to be a risk factor for mental health problems among persons living with HIV. However, no empirical studies have examined the combined effect of IPV and HIV-related stigma on mental health. This thesis builds on the existing body of research by examining to what extent the linear combination of IPV (timing and frequency) and HIV related stigma explained variation in symptoms of common mental health disorders in both men and women living with HIV. In addition, theoretical and empirical studies have suggested that social support may serve as a protective factor in the relationship between IPV, HIV-related stigma, and mental health. Yet, despite the increasing attention, no known studies have focused on the mediating or moderating role of social support in the relationship between IPV or HIV-related stigma, and mental health. This thesis examined the extent to which social support played a mediating or moderating role in these relationships. The study used a cross-sectional research design to study a convenience sample of 210 people living with HIV in three peri-urban areas in the Western Cape, South Africa. Participants completed a battery of self-report questionnaires that assessed IPV (timing and frequency), HIV-related stigma, social support, and symptoms of common mental health. The results from the hierarchical multiple regression analysis demonstrated that the linear combination of psychological aggression frequency and HIV related stigma explained a significant portion of the variance in symptoms of depression. Likewise, both physical assault timing and psychological aggression timing combined with HIV-related stigma explained a significant portion of variance in symptoms of depression. Psychological aggression timing combined with HIV-related stigma significantly explained variance in symptoms of posttraumatic stress disorder (PTSD). The results from the product-term regression analyses indicated that social support played a mediating role in the relationship between HIV-related stigma and symptoms of PTSD, but not depression. Social support did not moderate the relationship between HIV-related stigma and symptoms of common mental health disorders. In conclusion, the combination of IPV (physical assault and psychological aggression) and HIV-related stigma explained a significant portion of the variance in symptoms of common mental health disorders. Future research is needed for a better understanding of these relationships. A longitudinal experimental design is recommended in order to explore the direction of these relationships and to examine the context in which the IPV, HIV-related stigma, and social support is experienced.
AFRIKAANSE OPSOMMING: Wêreldwye beramings toon dat sub-Sahara Afrika die grootste gedeelte van HIV gevalle te wêreld het, terwyl Suid-Afrika meer mense het wat met MIV leef as enige ander land in die wêreld. Verder het studies getoon dat daar 'n hoë voorkoms van intiemepaargeweld (IPV) is onder mense wat met MIV leef. Daar is al getoon dat IPV verband hou met geestelike probleme. Aansienlike empiriese studies het getoon dat MIV 'n hoogs gestigmatiseer siekte is. Daarbenewens, is daar getoon dat MIV-verwante stigma 'n risiko faktor is vir geestelike probleme onder persone wat leef met MIV. Daar is egter geen empiriese studies wat die gekombineerde effek van IPV en MIV-verwante stigma op geestesgesondheid ondersoek nie. Hierdie tesis bou voort op die bestaande navorsing deur te ondersoek tot watter mate die lineêre kombinasie van IPV (tydsberekening en frekwensie) en MIV-verwante stigma variasie in die simptome van algemene geestesgesondheid afwykings verduidelik in beide mans en vroue wat met MIV leef. Daarbenewens, het teoretiese en empiriese studies voorgestel dat sosiale ondersteuning kan dien as 'n beskermende faktor in die verhouding tussen IPV, MIV-verwante stigma, en geestesgesondheid. Tog, ten spyte van die toenemende aandag, het daar al geen studies gefokus op die bemiddelende of modererende rol van sosiale ondersteuning in die verhouding tussen IPV of MIV-verwante stigma, en geestesgesondheid. Hierdie tesis ondersoek die mate waarin sosiale ondersteuning 'n bemiddelende of modererende rol speel in hierdie verhoudings. Die studie het 'n deursnee-navorsing ontwerp gebruik om 'n gerieflikheidsteekproef van 210 mense wat met MIV leef in drie peri-stedelike gebiede in die Wes-Kaap, Suid-Afrika te bestudeer. Deelnemers het 'n battery van self-verslag vraelyste voltooi wat IPV (tydsberekening en frekwensie), MIV-verwante stigma, sosiale ondersteuning, en simptome van algemene geestesgesondheid geassesseer het. Die resultate van die hiërargiese meervoudige regressie-analise het getoon dat die lineêre kombinasie van sielkundige aggressie frekwensie en MIV-verwante stigma 'n beduidende deel van die variansie in simptome van depressie verduidelik. Net so, het beide fisiese aanranding tydsberekening en sielkundige aggressie tydsberekening gekombineer met MIV-verwante stigma 'n beduidende deel van die variansie in simptome van depressie verduidelik. Sielkundige aggressie tydsberekening gekombineer met MIV-verwante stigma het „n beduidende variansie in simptome van post-traumatiese stresversteuring (PTSV) verduidelik. Die resultate van die produk-term regressie-analises het aangedui dat sosiale ondersteuning 'n bemiddelende rol speel in die verhouding tussen MIV-verwante stigma en simptome van PTSV, maar nie depressie nie. Sosiale ondersteuning het nie die verhouding tussen MIV-verwante stigma en simptome van algemene geestesgesondheid versteurings modereer nie. Ten slotte, die kombinasie van IPV (fisiese aanranding en sielkundige aggressie) en MIV-verwante stigma het 'n beduidende deel van die variansie in simptome van algemene geestesgesondheid versteurings verduidelik. Toekomstige navorsing is nodig vir 'n beter begrip van hierdie verhoudings. 'n Longitudinale eksperimentele ontwerp word aanbeveel om die rigting van hierdie verhoudings te verken en die konteks waarin die IPV, MIV-verwante stigma en sosiale ondersteuning ervaar is te ondersoek.
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Chow, Maria Yui Kwan. „Client needs and satisfaction in an HIV facility“. University of Sydney, 2008. http://hdl.handle.net/2123/4022.
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Master of Philosophy (Medicine)Health care evaluation serves the purpose of monitoring the quality of health care provided by Health Care Providers (HCP), so that health care services can be provided most effectively and efficiently. Patient satisfaction studies are widely used to assess the quality of outpatient care. A client satisfaction study was conducted at an HIV health care facility in Sydney, Australia during 2007-2008. There were three objectives: 1.) To validate a questionnaire for future determination of client satisfaction in HIV health care facilities. 2.) To identify the levels of satisfaction of clients, and investigate any dissatisfaction and unmet needs towards HIV health care. 3.) To provide recommendations for improving client satisfaction levels in HIV health care. This research used a mixed method approach and consisted of two phases. The first phase was a quantitative survey conducted with 166 clients (both HIV positive and negative) at Albion Street Centre (ASC) using a newly-devised questionnaire. Clients were asked to answer demographic questions, rate their levels of satisfaction with each aspect and each HCP category, and provide suggestions for improvement. Quantitative statistical analysis was conducted to obtain a general view of client satisfaction levels. Dissatisfaction and unmet needs of clients were then investigated in-depth in the second phase of the research through qualitative face-to-face semi-structured interviews. Twenty-two clients (both HIV positive and negative) at ASC were interviewed individually and asked about their attitudes, perceptions, and experiences towards their HCP and the HIV health care services received. Thematic analysis was used to categorise and interpret the qualitative data. More than 90% of the clients were satisfied with most of the aspects covered in the survey, with a mean overall satisfaction score of 84 out of 100. Clients were most iii satisfied with the “technical quality” and “interpersonal manner” of the HCP, and were least satisfied with “waiting time” and “availability of HCP”. The HCP category with which the clients has the highest level of satisfaction was “nurses” (86%), followed by “psychologists” (84%), then “doctors” (83%). Clients who were HIV negative, had a full time job, visited ASC less frequently, or did not possess any type of Health Care Card were more satisfied with the services overall. No common dissatisfaction or unmet needs towards HIV health care service were identified. “Technical quality of HCP” and “the relationship with HCP” were the two most important determinants of client satisfaction, which outweighed the inconvenience contributed by the poor availability of HCP and the location of ASC. The maintenance of “confidentiality/privacy” was shown to be fundamental in HIV health care facilities. The multi-disciplinary nature of ASC increased the degree of convenience and satisfaction level among clients. Suggestions for improvement in client satisfaction levels include increasing the attractiveness of the physical environment and the variety of educational reading materials in the waiting area; introducing beverages, and encouraging clients to be involved in their treatment decisions. Health care administrative staff in particular are reminded not to neglect the importance of the availability of HCP, accessibility, and physical environment when establishing a new HIV health care facility. The mixed method approach (quantitative survey and qualitative interviews) proved beneficial. It increased the validity of the findings by assessing client satisfaction levels using more than one method. This enabled clarification of ambiguities noted in the initial survey through probes used in the interviews, and also allowed investigation of the determinants of client satisfaction through understanding their experiences in HIV health care. Future client satisfaction studies would benefit from using this approach.
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Hutchinson, Angela Blair. „A health technology assessment of HIV counseling and testing technologies“. Diss., Georgia Institute of Technology, 2004. http://hdl.handle.net/1853/8077.
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DiDona, Toni Marie. „An evaluation of depression, self-efficacy, satisfaction with life and perceived access to medical care across stages of HIV infection“. FIU Digital Commons, 1994. http://digitalcommons.fiu.edu/etd/2815.
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This survey was designed to identify the incidence and scope of depression, satisfaction with life, self-efficacy and perceived access to medical care for those who are infected with the HIV virus. It also determined whether or not factors such as sexual orientation, ethnicity and socioeconomic status are intervening variables with respect to mental health issues.
Subjects were recruited through a purposive sample from South Florida. A total of 871 surveys were used in the analysis. The overall response rate was nearly 90%.
The incidence of depression was found to be higher than 75% across all stages of HIV infection. Furthermore, the incidence of depression increased as HIV disease progressed. Satisfaction with life and for the most part, self efficacy were found to decrease slightly as HIV disease progressed. Significant variance in depression, life satisfaction and self efficacy were found across stages of HIV infection. No significant differences between groups that were HIV infected, were found for depression, life satisfaction and self efficacy.
The severity of depression was found to vary significantly with self efficacy, life satisfaction and access to medical care but not with socioeconomic status. Life satisfaction was found to vary significantly with socioeconomic status, depression and self efficacy but not with access to medical care, Self-efficacy was found to vary significantly with socioeconomic status, depression and life satisfaction but not with access to medical care.
Gender and ethnicity were not found to be significant precedent variables in depression for HIV infected individuals. Sexual orientation was found to be a significant precedent variable for depression, life satisfaction and self efficacy.
Bücher zum Thema "HIV-positive persons Dental care"
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S, Greenspan John, und Greenspan Deborah 1940-, Hrsg. Oral manifestations of HIV infection: Proceedings of the Second International Workshop on the Oral Manifestations of HIV Infection, January 31-February 3, 1993, San Francisco, California. Chicago: Quintessence Pub. Co., 1995.
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Todrys, Katherine Wiltenburg. Discrimination, denial, and deportation: Human rights abuses affecting migrants living with HIV. New York, NY: Human Rights Watch, 2009.
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George, Pereira, Hrsg. HIV and pastoral care. New Delhi: Catholic Bishops' Conference of India, Commission for Health, 1999.
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Positive carers: The rights and responsibilities of HIV positive health care workers. London: Cassell, 1996.
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United States. Health Resources and Services Administration, Hrsg. Guide for HIV/AIDS clinical care. Rockville, MD: U.S. Dept. of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau, 2011.
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Namibia. Ministry of Health and Social Services. Nutrition in HIV care in Namibia: A needs assessment. Windhoek: Republic of Namibia, Ministry of Health and Social Services, 2008.
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A kinship of bones: AIDS, intimacy, and care in Rural KwaZulu-Natal. Scottsville, South Africa: University of KwaZulu-Natal Press, 2012.
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Benedict, Susan. Access and barriers to health care for HIV+ individuals: Final report of client data. Charleston, S.C: Medical University of South Carolina, 1996.
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Corcoran, Jay. Undetectable: A film by Jay Corcoran. [Alexandria, Va.]: PBS, 2001.
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Sullivan, Louis Wade. Demonstrations to provide Medicaid coverage for HIV-positive individuals. Baltimore, Maryland?]: Department of Health and Human Services, Health Care Financing Administration, 1993.
Den vollen Inhalt der Quelle findenBuchteile zum Thema "HIV-positive persons Dental care"
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Duggal, M. S., und P. F. Day. „Operative treatment of dental caries in the primary dentition“. In Paediatric Dentistry. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780198789277.003.0017.
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While there is no doubt that the best way to tackle the problem of dental caries is through an effective programme of prevention, as outlined in previous chapters, it is unfortunate that many children still suffer from the disease and its consequences. Hence, there is a need to consider operative treatment to prevent the breakdown of the dentition. As discussed in earlier chapters, there are a number of different techniques and philosophies for treating dental caries. This chapter will concentrate mainly on the methods of complete caries removal (a ‘surgical’ approach). Research to support different philosophies, techniques, and materials frequently lacks evidence from randomized controlled trials, which are considered as the gold standard. Consequently, lower levels of evidence are used to support different techniques. More importantly, dentists need to be skilled in different techniques and philosophies to ensure that appropriate care is provided to each and every child. The removal of caries is not a new concept for the treatment of dental decay. Over the years the treatment of dental caries in children has been discussed and many attempts have been made to rationalize the management of the disease. Writing more than 150 years ago, Harris (1839) was one of the first to address the problem of restoring the primary dentition. Even in those days he was emphasizing the importance of prevention by good toothbrushing. Caries could be arrested by ‘plugging’, but from his description he obviously found treatment for the young patient difficult and not as successful as for adults. However, he did emphasize the importance of looking after children’s teeth: ‘If parents and guardians would pay more attention to the teeth of their children, the services of the dentist would much less frequently be required’, and ‘Many persons suppose that the teeth, in the early periods of childhood, require no attention, and thus are guilty of the most culpable neglect of the future well-being of those entrusted to their care’. Unfortunately, this statement still applies today. Caries removal can be a stressful experience for the child, the parent, and the dentist. Therefore it is important that there is a positive health gain from any treatment that is provided.
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Minukhin, Valeriy, Anatoliy Mel’nyk und Inna Torianyk. „INFLAMMATORY PARODONTIC DISEASES. CLASSICAL TRADITIONS OF MEDICAMENTAL THERAPY AND CONTEMPORANEITY“. In Integration of traditional and innovative scientific researches: global trends and regional aspect. Publishing House “Baltija Publishing”, 2020. http://dx.doi.org/10.30525/978-9934-26-001-8-3-11.
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Dental pathology is represented by a wide range of diseases of hard and soft tissues of these organs, various types of injuries, anomalies of shape, number, location, periodontitis. Inflammatory periodontal diseases are one of the most common human diseases, which lead to significant socio-economic losses and reduced quality of life. At the beginning of the XXI century, prevention and treatment of inflammatory periodontal diseases remains an urgent problem of medicine. The high frequency of periodontal lesions is largely due to the peculiarities of its structure and function, general human health, the constant influence of microorganisms, among which the dominant role is played by opportunistic and pathogenic bacteria. The microflora in inflammatory periodontal diseases differs from the microflora of the oral cavity of a healthy person by the presence of peculiar symbiotic associations with a specific dominant species of the pathogen. The main element of the modern protocol of medical care for periodontal disease is the systemic or local use of antimicrobials. Modern antibiotics and chemotherapeutics used in dental practice for the treatment of CPD, totally affect all parts of the biocenosis of the oral cavity and lead to its undesirable changes. In addition, even a short-term positive effect of the use of these drugs can be combined with a selective increase in the resistance of pathogens to antibacterial drugs, which generally reduces the expected effectiveness of traditional therapy. Inflammatory periodontal diseases, prospects of their treatment by classical methods and with the use of modern medical technologies were studied in the work. For the objectification of the study used archival materials and their own work over the past 15 years. The purpose of the study: to identify promising areas of integrated use of traditional and innovative treatments for inflammatory periodontal disease. The subject of the study was to clarify the issues of antibacterial, antifungal activity of hop products, the rate of formation of resistance in microorganisms, the adequacy of physical, physicochemical properties of gel compositions. Particular attention was paid to the use of antibacterial properties of gel compositions based on hop products. It is established that the use of antibiotics and chemotherapeutics in modern medical practice for the treatment of inflammatory periodontal diseases has a number of significant limitations due to the short duration of their therapeutic effect, negative impact on human microbiocenosis and the formation of acquired resistance of pathogenic microflora to widely used drugs. The results of previous studies have demonstrated the prospects of herbal medicines, namely, created on the basis of hop products for the prevention and treatment of diseases of microbial origin. It was found that the antibacterial and antifungal action of gel preparations of optimal composition with EHV 0.5% significantly exceeds the specified indicators of such known and currently used drugs. Therefore, it is clear the scientific and practical meaning of the use in protocols for the treatment of inflammatory periodontal diseases (as drugs for local therapy) phytomedicine based on hop herbal substance. Thus, a clear prospect of using new compositions of drugs with high antibacterial properties based on plant raw materials (including hops) for the treatment and prevention of periodontal disease. Solving this problem is a timely and socially appropriate fact.