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At least 505 records · Page 28Linked to original sources

Throwing the spotlight on older people in the UK.

This article, brought to you in association with Help the Aged, highlights the Charity's Spotlight report, which provides an annual snapshot of the concerns and preoccupations of the UK's older people.

Aged↗

Evidence-based practice and support surfaces: are we throwing the baby out with the bath water?

OBJECTIVE: This study aimed to explore aspects of the effectiveness of three pressure-redistributing support surfaces in routine clinical practice. METHOD: A non-randomised prospective cohort study was used, with skin outcomes reported for 219 subjects at risk of pressure ulcer development. RESULTS: Few instances of new pressure damage were observed; these related to specific clinical issues, such as incontinence and inadequate use of cushions when sitting. Of the 77 subjects (33.3%) with pressure ulcers on recruitment into the study, most (n=70) either improved or remained unchanged following allocation of the support surface. CONCLUSION: Cohort studies do not indicate the efficacy of an intervention but may give an indication of effectiveness--that is, the clinical outcomes that may be observed in routine clinical practice.

Adult↗

"Throwing the dice": pregnancy decision-making among HIV-positive women in four U.S. cities.

CONTEXT: Although AIDS-related deaths among U.S. women have decreased, the number of HIV-positive women, especially of reproductive age, has increased. A better understanding of the interaction between HIV and family planning is needed, especially as antiretroviral medications allow HIV-positive women to live longer, healthier lives. METHODS: Qualitative methods were used to examine pregnancy decision-making among 56 HIV-positive women in four U.S. cities. Biomedical, individual and sociocultural themes were analyzed in groups of women, categorized by their pregnancy experiences and intentions. RESULTS: Regardless of women's pregnancy experiences or intentions, reproductive decision-making themes included the perceived risk of vertical transmission, which was often overestimated; beliefs about vertical transmission risk reduction strategies; desire for motherhood; stigma; religious values; attitudes of partners and health care providers; and the impact of the mother's health and longevity on the child. Most women who did not want children after their diagnosis cited vertical transmission risk as the reason, and most of these women already had children. Those who became pregnant or desired children after their diagnosis seemed more confident in the efficacy of risk reduction strategies and often did not already have children. CONCLUSIONS: Future studies may help clarify the relationship between factors that influence pregnancy decision-making among HIV-positive women. HIV-positive and at-risk women of childbearing age may benefit from counseling interventions sensitive to factors that influence infected women's pregnancy decisions.

Abortion, Induced↗

Pharmaceutical promotion: don't throw the baby out with the bathwater.

Spending on prescription drugs and promotion by the pharmaceutical industry grew substantially during the past ten years. Does the greater exposure offered by promotion fill a needed educational gap, or does it merely promote inappropriate use? This paper uses two recent studies to explore this question, presenting a framework in which the impact of promotion depends upon the level of evidence and consensus on drug use.

Consensus↗

Throw it away, Sam.

Explore the source record for details and available documents.

Periodicals as Topic↗