7,177,388 research outputs found

    Standard Operating Procedures for HIV Testing and Counseling (HTC) Services

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    Chronic Disease Self-Management Challenges among Rural Women Living with HIV/AIDS in Prakasam, Andhra Pradesh, India: A Qualitative Study.

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    Rural women living with HIV/AIDS (WLHA) in India experience challenges self-managing HIV/AIDS in their rural communities. The purpose of this qualitative study was to explore factors influencing their care and antiretroviral treatment (ART) adherence. Themes that emerged from the qualitative focus groups among WLHA (N = 24) in rural Prakasam, Andhra Pradesh, India, included: (1) coming to know about HIV and other health conditions, (2) experiences being on ART, (3) challenges maintaining a nutritious diet, (4) factors affecting health care access and quality, and (5) seeking support for a better future. Chronic disease self-management in rural locales is challenging, given the number of barriers which rural women experience on a daily basis. These findings suggest a need for individual- and structural-level supports that will aid in assisting rural WLHA to self-manage HIV/AIDS as a chronic illness

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    A comparative review of palliative care development in six countries represented by the Middle East Cancer Consortium (MECC)

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    Palliative care development and services were reviewed in the region represented by the six members of the Middle East Cancer Consortium: Cyprus, Egypt, Israel, Jordan, the Palestinian Authority, and Turkey. The multimethod review synthesized evidence from ethnographic field visits to inpatient units, home care hospice teams and free-standing hospices, including interviews with hospice and palliative care clinicians, administrators, volunteers, policy makers and academic researchers. Public health data and relevant literature were collated together with internet-accessed information on services and health care systems. A total of 69 services were located; two country members have a history of relatively sustained development of hospice and palliative care, but provision across the Middle East Cancer Consortium region is highly variable at a local level. Considerable barriers to service development were identified in a region already struggling with many military and political conflicts. Key problems are a lack of secure funds and government support, inadequate professional training programs, opioid phobia in professionals and the public, and a lack of awareness and understanding of palliative care needs at public, government, and professional levels. Key areas for further attention were increasing national and international professional training and public education programs, improving opioid legislation and health care policies, negotiating for secure government or health insurance funding provision, raising awareness about the need for pediatric services and for patients with other illnesses, as well as for those with cancer, and working to integrate palliative care into mainstream health service provision and education

    A conservative control strategy for variable-speed stall-regulated wind turbines

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    Simulation models of a variable-speed, fixed-pitch wind turbine were investigated to evaluate the feasibility of constraining rotor speed and power output without the benefit of active aerodynamic control devices. A strategy was postulated to control rotational speed by specifying the demanded generator torque. By controlling rotor speed in relation to wind speed, the aerodynamic power extracted by the blades from the wind was manipulated. Specifically, the blades were caused to stall in high winds. In low and moderate winds, the demanded generator torque and the resulting rotor speed were controlled to cause the wind turbine to operate near maximum efficiency. Using the developed models, simulations were conducted of operation in turbulent winds. Results indicated that rotor speed and power output were well regulated. Preliminary investigations of system dynamics showed that, compared to fixed-speed operation, variable-speed operation caused cyclic loading amplitude to be reduced for the turbine blades and low-speed shaft and slightly increased for the tower loads. This result suggests a favorable impact on fatigue life from implementation of the proposed control strategy
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