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Shayesta Dhalla

Publications and source records attributed to Shayesta Dhalla.

2 recordsLinked to original sources

Complementary and alternative medicine use in British Columbia--a survey of HIV positive people on antiretroviral therapy.

In 2002, the British Columbia (BC) Centre for Excellence in HIV/AIDS collected final detailed data on complementary and alternative medicine (CAM) use in their HIV treatment program. This cross-sectional study of 682 participants examines types and determinants of CAM use in this program, and examines adverse effects associated with CAM use and antiretroviral therapy (ART). Among the 47% ever CAM users in the included population, vitamins/minerals (81%), meditation/yoga (36%), massage (31%), marijuana (30%), dietary supplements (24%), and herbal medicines (19%), were most commonly used. Multivariate analysis indicated CAM users were less likely to have low education (AOR=0.51), more likely to be unemployed (AOR=1.52), more likely to have been on ART longer (AOR=1.19), and more likely to experience objective, action-requiring (OA) side effects (AOR=1.45). CAM use is common. Both patients and health professionals should be aware of potential toxicities and drug interactions related to the use of CAM and HIV/AIDS treatment.

Adult↗

Postsurgical tetanus.

The incidence of tetanus declined dramatically in the 20th century owing to routine vaccination and prompt attention to wound care. Postsurgical tetanus is uncommon, with both exogenous and endogenous sources being responsible for disease. The majority of cases of postoperative tetanus have been observed after intra-abdominal surgery. Those at high risk for developing tetanus include immigrants, the elderly, injection drug users, patients with diabetes and people of Hispanic ethnicity. Although most patients with tetanus can recover if managed appropriately, prevention through active and passive immunization is the main goal. This paper reviews postsurgical tetanus and provides an approach to its prevention and treatment.

Canada↗