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Written by Donna Stidham, RN
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Wednesday, 01 October 2008 07:00 |
The Centers for Disease Control and Prevention (CDC) reported at the 17th International AIDS Conference in Mexico City this past summer that the total number of Americans affected yearly by AIDS is about 56,000, some 40 percent more than previous estimates had warranted.
It is a difficult task to judge history when history is still being made. What can we make of AIDS 27 years after it was first classified as a specific disease? Is it a one-time terror that countries and organizations around the world are continually reigning in? Or a brutal epidemic that has revealed but a mote of its fury?
When a single cause is attributed to the deaths of 2 million people in a given year it is hard to discount the severity of such a disease.That was the estimate released by UNAIDS,a multi-party initiative of the United Nations,in a report in late July.But the same report shows that worldwide prevalence and deaths are in decline.From 2001 to 2007, new HIV infections declined from 3 million to 2.7 million.While much of the decline has been seen in Africa,the overall numbers do not dictate with authority that the disease is under control.The UNAIDS report listed eight countries in which new infections are on the rise,including China,Indonesia,Kenya,Mozambique,Papua New Guinea,the Russian Federation,Ukraine and Vietnam.
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Written by DR. LAWRENCE A. LAVERY
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Wednesday, 01 October 2008 07:00 |
USING THE DIABETIC FOOT AS A PLATFORM FOR DIABETES DISEASE MANAGEMENT The “diabetic foot”may be a perfect disease state for disease management.Managed care organizations and disease management companies often fail to recognize that diabetic foot complications provide an opportunity to improve clinical outcomes,reduce recidivism, and reduce costs.Despite evidence that diabetic foot prevention programs work,most disease management programs do not have evidence-based clinical pathways for treating complex wounds or preventing foot ulcers,infections and amputations. |
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Written by TRACY K. WOOLRICH, RN, HHP
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Wednesday, 01 October 2008 07:00 |
AN INTEGRATIVE APPROACH TOWARD THE TREATMENT OF CHRONIC PAIN AND FATIGUEMerriam-Webster defines pain as “localized physical suffering associated with bodily disorder.” However, it also defines pain as “acute mental or emotional distress and suffering.” Both of these definitions are correct, but a combination of both might be more accurate. As a holistic case manager I have been able to intermesh both of these definitions through a combination of traditional and alternative healing practices. In the tradition of complimentary and alternative medicine (CAM), integration can be obtained with a goal toward true health and wellness. |
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