Development of a nursing intervention to facilitate optimal antiretroviral-treatment taking among people living with HIV

<p>Abstract</p> <p>Background</p> <p>Failure by a large portion of PLHIV to take optimally ARV treatment can have serious repercussions on their health. The absence of a systematic treatment-taking promotion program in Quebec prompted stakeholders to develop jointly a theory- and evidence-based nursing intervention to this end. This article describes the results of a collective effort by researchers, clinicians and PLHIV to share their knowledge and create an appropriate intervention.</p> <p>Methods</p> <p>Intervention mapping was used as the framework for developing the intervention. First, the target population and environmental conditions were analyzed and a literature review conducted to identify predictors of optimal treatment taking. The predictors to emerge were self-efficacy and attitudes. Performance objectives were subsequently defined and crossed-referenced with the predictors to develop a matrix of change objectives. Then, theories of self-efficacy and persuasion (the predictors to emerge from step 1), together with practical strategies derived from these theories, were used to design the intervention. Finally, the sequence and content of the intervention activities were defined and organized, and the documentary material designed.</p> <p>Results</p> <p>The intervention involves an intensive, personalized follow-up over four direct-contact sessions, each lasting 45–75 minutes. Individuals are engaged in a learning process that leads to the development of skills to motivate themselves to follow the therapeutic plan properly, to overcome situations that make taking the antiretroviral medication difficult, to cope with side-effects, to relate to people in their social circle, and to deal with health professionals.</p> <p>Conclusion</p> <p>The intervention was validated by various health professionals and pre-tested with four PLHIV. Preliminary results support the suitability and viability of the intervention. A randomized trial is currently underway to verify the effectiveness of the intervention in promoting optimal antiretroviral treatment taking.</p

Irrigation Management Strategies to Increase Crop-Water Productivity and Grain Quality of Direct Seeded Rice in North West IGP: A Review

Due to its great productivity and profitability, rice (Oryza sativa L.) is farmed in alluvial irrigated tracts of northwest India. For half of the world's population as well as in our country, rice serves as the main source of calories. However, excessive groundwater use in rice farming has resulted in an alarming decline in water table, indicating overuse of groundwater. Therefore, it is necessary to investigate alternative, resource-conserving methods that can sustain rice production. Direct seeded rice presents a compelling option when the future of rice production is in jeopardy due to worldwide water constraint and rising labour costs. The oldest method of crop establishment in this regard, direct seeded rice (DSR), is becoming more and more well-liked constraints minimal input requirements. It has certain benefits, including labour savings, a reduction in water and manpower requirements, early crop maturity, cheap production costs, improved soil physical conditions for crops, a reduction in methane emissions, and greater options for being the best match in various cropping systems. For dry-seeded rice, management strategies that cut irrigation water use and boost crop-water production are needed. Some of the interventions in this respect include cultivars with short growing seasons, tillage, and irrigation scheduling. High crop-water productivity is ensured with optimal yields thanks to irrigation scheduling that aims to eliminate over- or under-irrigation. Tillage changes the edaphic environment of the soil, which impacts crop development. Because of their shallow root systems, rice plants are unable to use the water in the deeper layers of the soil. In order to increase the deep root growth of rice cultivars, deep tillage has become the preferable method. The present research evaluates irrigation management options to raise crop-water productivity and grain quality of DSR in northwest IGP based on the available evidence