Browsing Department of Family Medicine by Subject

Now showing items 1-20 of 90

Subject
: Structured counselling,Routine advice, Lifestyle modification, Blood Pressure Control, Hypertension [1]
Abuja [1]
Adolescents, Blood glucose, Blood lipids, Blood pressure, Obesity [1]
Alcoholic drinks [1]
Almajiri pupils, Almajiri school, infection, intestinal parasites, intestinal parasitosis, risk factors, Zaria [1]
Analgesia, Infants, Oral Sucrose, Pain Measurement, Routine Immunization [1]
Antiretroviral‑care [1]
Artificial intelligence, expectation, knowledge, perception, practice [1]
Background. Decentralization of antiretroviral therapy (ART) services is a key strategy to achieving universal access to treatment for people living with HIV/AIDS. Our objective was to assess clinical and laboratory outcomes within a decentralized program in Nigeria. Methods. Using a tiered hub-and-spoke model to decentralize services, a tertiary hospital scaled down services to 13 secondary-level hospitals using national and program guidelines. We obtained sociodemographic, clinical, and immunovirologic data on previously antiretroviral drug na¨ıve patients aged ≥15 years that received HAART for at least 6 months and compared treatment outcomes between the prime and satellite sites. Results. Out of 7,747 patients, 3729 (48.1%) were enrolled at the satellites while on HAART, prime site patients achieved better immune reconstitution based on CD4+ cell counts at 12 (𝑃 < 0.001)and24 weeks (𝑃 < 0.001)withsimilarresponsesat48weeks(𝑃 = 0.11) and higher rates of viral suppression (<400c/mL)at12(𝑃 < 0.001) and 48 weeks (𝑃 = 0.03), but similar responses at 24 weeks (𝑃 = 0.21). Mortality was 2.3% versus 5.0% (𝑃 < 0.001)atprimeand satellite sites, while transfer rate was 8.7% versus 5.5% (𝑃 = 0.001)atprimeandsatellites.Conclusion. ART decentralization is feasible in resource-limited settings, but efforts have to be intensified to maintain good quality of care [1]
bacterial, vaginosis, women delivery, pregnancy outcomes [1]
Body mass index; health personnel; obesity; overweight; weight perception [1]
Breast cancer, breast cancer screening, breast self-examination, clinical breast examination, mammography, Nigeria [1]
Burnout, Health-care-professionals, patient-safety, healthcare, burnout measures, burnout-interventions [1]
Caregiver burden. [1]
Cervical cancer, Dalhatu Araf Specialist Hospital Lafia, Papanicolaou smear, visual inspection with acetic acid [1]
climate change [1]
Compliance, healthcare workers, infection control, injection safety, standard precautions [1]
Coping [1]
Cord care, Lewllem Community, infections, Jos [1]
Dare’s formula; Keffi; Nigeria; abdominal girth; birth weight prediction; symphysio-fundal height. [1]

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