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A Project Using Pre-exposure Prophylaxis (PrEP) in the Urgent Care Setting

A Project Using Pre-exposure Prophylaxis (PrEP) in the Urgent Care Setting
Author: Tanya Clesie Cavallaro-Moretti
Publisher:
Total Pages: 152
Release: 2018
Genre: AIDS (Disease)
ISBN:
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The Pre-Exposure Prophylaxis (PrEP) guidelines 2014, supported by scientific evidence, recommends the use of antiviral therapy (ART) prophylaxis to prevent human immunodeficiency virus (HIV) infection in patients at high-risk for HIV infection. The literature is limited on PrEP guidelines use in the urgent care (UC) settings. The purpose of this project was to determine the knowledge of urgent care providers regarding the PrEP guidelines and their practices of assess patients at high-risk for HIV infection. Additionally, the project aimed to determine the feasibility of providers to prescribe, implement and follow patients to whom they have prescribed the PrEP guidelines. The diffusion of innovation theory was used as the framework of this project to assist in process of the adoption of the PrEP in the urgent care settings. This project used quantitative descriptive methodology using a survey and chart review that identified the current HIV preventive practice in the UC in Arizona. There were four clinical questions (CQs) that investigated the healthcare provider's knowledge, practice, and attitude toward HIV prevention. There were 208 HIV screening tests ordered in 2016 in the UC, and there were 20 patients that received ART prophylaxis prescribed by nurse practitioner and from those, only six prescribed Truvada® were for PrEP. Truvada® was given to 2.88% of 208 of the patients screened for HIV. The project identified barriers to implementation of the PrEP guidelines in UC and the DIT can assist with diffusion of PrEP guidelines. The project identified algorithms to facilitate the application of prep guidelines into urgent care. The applicability of the PrEP guidelines into the UC settings was investigated and the UC is prepared to indicate ART to those who have clinical indications for PrEP, in addition to HIV screening and education.

Disease Control Priorities, Third Edition (Volume 6)

Disease Control Priorities, Third Edition (Volume 6)
Author: King K. Holmes
Publisher: World Bank Publications
Total Pages: 1027
Release: 2017-11-06
Genre: Medical
ISBN: 1464805253
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Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.

Pre-Exposure Prophylaxis Educational Intervention in Primary Care

Pre-Exposure Prophylaxis Educational Intervention in Primary Care
Author: Harold Cruz Sarmiento
Publisher:
Total Pages: 70
Release: 2022
Genre:
ISBN:
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Background: Around 1.2 million people in the United States (U.S.) are currently infected with Human Immunodeficiency Virus (HIV) (Centers for Disease Control and Prevention [CDC], 2021). Pre-exposure prophylaxis (PrEP), an essential tool in HIV prevention, is safe and highly effective in preventing HIV infection. However, PrEP remains underutilized among primary care providers (PCPs) (CDC, 2021). According to CDC (2021), the low adoption and implementation of PrEP among PCPs are multifactorial, including a lack of knowledge, perceived appropriateness, limited time, and lack of target incentives. Because of these reasons, many PCPs do not prescribe PrEP and refer their at-risk patients to infectious disease (ID) providers. Thus, interventions to increase PCPs' knowledge and prescription of PrEP as an HIV prevention strategy are needed. Objectives: This PrEP educational intervention (PrEP-EI) aims to provide PCPs an in-depth knowledge of PrEP to help them implement and prescribe PrEP in their clinical practice. Methods: A comprehensive virtual one-hour PrEP-EI was implemented for PCPs in a large health system in Los Angeles. PrEP-EI was recorded for those PCPs who were unable to attend the live session. The project design was quasi-experimental and used pre-test and post-test surveys. PCPs' PrEP knowledge was measured and compared pre- and post- PrEP-EI. Paired t-test was used to assess the comparison of pre-and post-test surveys. Results: A total of 35 PCPs attended both PrEP-EI sessions. Paired t-test showed a significant difference between the pre-and post-surveys of PrEP knowledge among PCPs (p

Urban Emergency Medicine

Urban Emergency Medicine
Author: Mark Curato
Publisher: Cambridge University Press
Total Pages: 209
Release: 2023-08-03
Genre: Medical
ISBN: 1009181564
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An accessible, practical book presenting a range of topics in urban emergency medicine to enhance patient care in all cities.

Urgent Care Medicine Secrets E-Book

Urgent Care Medicine Secrets E-Book
Author: Robert P. Olympia
Publisher: Elsevier Health Sciences
Total Pages: 435
Release: 2024-01-29
Genre: Medical
ISBN: 044310901X
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For more than 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Urgent Care Medicine Secrets, 2nd Edition, offers practical, up-to-date coverage of the full range of essential topics in this dynamic field. This highly regarded resource features the Secrets’ popular question-and-answer format that also includes lists, tables, pearls, memory aids, and an easy-to-read style – making inquiry, reference, and review quick, easy, and enjoyable. The proven Secrets Series® format gives you the most return for your time – succinct, easy to read, engaging, and highly effective. Fully revised and updated throughout, covering the full range of topics for understanding today’s practice of adult and pediatric urgent care—essential information for physicians, nurse practitioners, and physician assistants. Provides an evidence-based approach to medical and traumatic complaints presenting to urgent care centers, focusing on presenting signs and symptoms, differential diagnosis, office management, and when to refer for higher level of care. New chapters on Head and Neck Trauma, Chest and Abdominal Trauma, Toxicology, Diagnostic Imaging, Obstetrical Complaints, and more. Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams. Clear illustrations, figures, and flow diagrams expedite reference and review. Portable size makes it easy to carry with you for quick reference or review anywhere, anytime. An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. · New chapters!o Urgent Care Medicine: the past, present, and futureo Head and Neck Traumao Chest and Abdominal Traumao Toxicologyo General concepts in Diagnostic Imaging

M-Track

M-Track
Author: Centre for Communicable Diseases and Infection Control (Canada)
Publisher:
Total Pages: 84
Release: 2011
Genre: Bisexual men
ISBN:
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"M-Track primary objectives (Phase 1): [1] To ensure a core set of comparable behavioural measures among MSM in all sentinel surveillance sites, while addressing data needs on local and regional issues and questions of specific local interest. [2] To describe the changing patterns and trends in sexual behaviour among MSM from participating surveillance sites across Canada. [3] To determine the prevalence of HIV, hepatitis C virus (HCV), and syphilis from a biological sample. [4] To identify patterns of HIV, other sexually transmitted infection (STI), and viral hepatitis testing"--Page 1.

Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection

Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection
Author: World Health Organization
Publisher:
Total Pages: 429
Release: 2016
Genre: AIDS (Disease)
ISBN: 9789241549684
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These guidelines provide guidance on the diagnosis of human immunodeficiency virus (HIV) infection, the use of antiretroviral (ARV) drugs for treating and preventing HIV infection and the care of people living with HIV. They are structured along the continuum of HIV testing, prevention, treatment and care. This edition updates the 2013 consolidated guidelines on the use of antiretroviral drugs following an extensive review of evidence and consultations in mid-2015, shared at the end of 2015, and now published in full in 2016. It is being published in a changing global context for HIV and for health more broadly.

Digital Innovation and Global Public Health: Pathways for Sustainable Entry of Digital Innovations into LMIC Health Systems

Digital Innovation and Global Public Health: Pathways for Sustainable Entry of Digital Innovations into LMIC Health Systems
Author: Pratap Kumar
Publisher: Frontiers Media SA
Total Pages: 157
Release: 2024-03-11
Genre: Medical
ISBN: 283254603X
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Digital technologies have rapidly changed how we bank, borrow and lend, commute, or order food. The scale of these changes, and the relatively low barriers for individuals to drive such systemic change, have raised great expectations for digital technologies to also impact health and healthcare globally. The COVID-19 pandemic has further exacerbated the need for improved health data from low- and middle-income countries (LMICs), and the expectation for digital technologies to provide solutions.

Fag Hags, Divas and Moms

Fag Hags, Divas and Moms
Author: Victoria Noe
Publisher:
Total Pages: 226
Release: 2019-03-29
Genre: Medical
ISBN: 9780990308195
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The history of the AIDS epidemic has largely been told from the perspective of gay men: their losses, struggles, and contributions. But what about women - in particular, straight women? Not just Elizabeth Taylor and Princess Diana, but thousands whose accomplishments have never been recognized?Drawing on personal interviews and archival research, Fag Hags, Divas and Moms: The Legacy of Straight Women in the AIDS Community is the first book to share the stories of women around the world, throughout the epidemic. Victoria Noe assures their place in women's history, for their determination to educate and advocate, to end the epidemic, once and for all.

Emergency Medicine

Emergency Medicine
Author: Sascha Fulde
Publisher: Elsevier Health Sciences
Total Pages: 1347
Release: 2020-01-01
Genre: Medical
ISBN: 0729587231
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Comprehensively updated with contributions from more than 60 notable emergency medicine clinicians 26 new chapters, with new topics including pain management, caring for Indigenous patients, emergency medicine in a rural setting, sexual assault and domestic violence, common misses in x-ray, and CT ordering and interpretation Increased coverage of topical issues such as deep vein thrombosis (economy class syndrome) and street drugs A focus on a career in emergency medicine, lifestyle, wellness and success