Southern medical journal
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Southern medical journal · Sep 2014
Migration patterns among Floridians with AIDS, 1993-2007: implications for HIV prevention and care.
To characterize migration patterns among people diagnosed as having and who died of acquired immunodeficiency syndrome (AIDS) from 1993 to 2007 because migrating to a new community can disrupt human immunodeficiency virus/AIDS care delivery and patients' adherence to care and affect migrants' social services and healthcare needs. ⋯ A sizable percentage of people, particularly younger people and people with a transmission mode of IDU and IDU&MSM, migrated at least once between the time of their AIDS diagnosis and death. This has important implications for care and treatment, as well as efforts to prevent the disease. Further research is needed to explore barriers and facilitators to access to care upon migration and to assess the need for programs to help people transfer their human immunodeficiency virus/AIDS care, ensuring continuity of care and adherence.
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Southern medical journal · Sep 2014
Adolescents with sickle cell disease in a rural community: are they ready to transition to adulthood?
Most patients with sickle cell disease (SCD) survive to adulthood; however, young adults with SCD have high rates of morbidity and mortality and may struggle in the transition to a healthy adulthood. The purpose of this study was to determine the readiness of a rural SCD population for the transition to adulthood and adult medical care. ⋯ Adolescents with SCD in a rural community identify potential barriers in the transition to adult health care. Several barriers mirror what young adults report encountering. A rural SCD transition clinic can provide individualized preparation to promote a successful transition to adulthood.
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Southern medical journal · Sep 2014
Successful use of intravenous dexmedetomidine for magnetic resonance imaging sedation in autistic children.
Autism and autism spectrum disorders (A/ASD) represent a family of neurodevelopmental conditions that are associated with overactive, difficult-to-control behaviors. Sedating these patients for magnetic resonance imaging (MRI) poses challenges. Children with A/ASD were examined against clinical controls to determine the effectiveness and safety of intravenous (IV) dexmedetomidine for deep sedation. ⋯ Children with A/ASD can be successfully sedated for MRIs with IV dexmedetomidine without complications.