5983. HIV Incidence, Prevalence, and Undiagnosed Infections in U.S. Men Who Have Sex With Men.
作者: Sonia Singh.;Ruiguang Song.;Anna Satcher Johnson.;Eugene McCray.;H Irene Hall.
来源: Ann Intern Med. 2018年168卷10期685-694页
HIV infection is a persistent health concern in the United States, and men who have sex with men (MSM) continue to be the most affected population.
5986. Colonoscopy and Colorectal Cancer Mortality in the Veterans Affairs Health Care System: A Case-Control Study.
作者: Charles J Kahi.;Heiko Pohl.;Laura J Myers.;Dalia Mobarek.;Douglas J Robertson.;Thomas F Imperiale.
来源: Ann Intern Med. 2018年168卷7期481-488页
Colonoscopy is widely used in the Veterans Affairs (VA) health care system for colorectal cancer (CRC) prevention, but its effect on CRC mortality is unknown.
5990. Engaging Survivors of Human Trafficking: Complex Health Care Needs and Scarce Resources.
作者: Abigail M Judge.;Jennifer A Murphy.;Jose Hidalgo.;Wendy Macias-Konstantopoulos.
来源: Ann Intern Med. 2018年168卷9期658-663页
Human trafficking, also known as modern-day slavery, is an egregious human rights violation associated with wide-ranging medical and mental health consequences. Because of the extensive health problems related to trafficking, health care providers play a critical role in identifying survivors and engaging them in ongoing care. Although guidelines for recognizing affected patients and a framework for developing response protocols in health care settings have been described, survivors' ongoing engagement in health care services is very challenging. High rates of disengagement, lost contact, premature termination, and attrition are common outcomes. For interventions to be effective in this marginalized population, challenges in engaging survivors in long-term therapeutic primary and mental health care must be better understood and overcome. This article uses the socioecological model of public health to identify barriers to engagement; offers evidence- and practice-based recommendations for overcoming these barriers; and proposes an interdisciplinary call to action for developing more flexible, adaptable models of care.
5993. Effect of a Digital Health Intervention on Receipt of Colorectal Cancer Screening in Vulnerable Patients: A Randomized Controlled Trial.
作者: David P Miller.;Nancy Denizard-Thompson.;Kathryn E Weaver.;L Doug Case.;Jennifer L Troyer.;John G Spangler.;Donna Lawler.;Michael P Pignone.
来源: Ann Intern Med. 2018年168卷8期550-557页
Screening for colorectal cancer (CRC) reduces mortality, yet more than one third of age-eligible Americans are unscreened.
5994. Direct-Acting Antiviral Prophylaxis in Kidney Transplantation From Hepatitis C Virus-Infected Donors to Noninfected Recipients: An Open-Label Nonrandomized Trial.
作者: Christine M Durand.;Mary G Bowring.;Diane M Brown.;Michael A Chattergoon.;Guido Massaccesi.;Nichole Bair.;Russell Wesson.;Ashraf Reyad.;Fizza F Naqvi.;Darin Ostrander.;Jeremy Sugarman.;Dorry L Segev.;Mark Sulkowski.;Niraj M Desai.
来源: Ann Intern Med. 2018年168卷8期533-540页
Given the high mortality rate for patients with end-stage kidney disease receiving dialysis and the efficacy and safety of hepatitis C virus (HCV) treatments, discarded kidneys from HCV-infected donors may be a neglected public health resource.
5995. Palliative Care.
Palliative care prioritizes symptom management and quality of life throughout the course of serious illness. Regardless of whether care is inpatient or outpatient, primary or subspecialty, a solid understanding of the basics of effective communication, symptom management, and end-of-life care is crucial. This article reviews these essentials and provides an overview of current evidence to support patient-centered palliative care.
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