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WITH HUSBAND RINKE ROOYENS BY HER SIDE JOANNA PRZETAKIEWICZ THE POLISH FASHION DESIGNER ON HOW SHE’S BUILT HER DREAM LIFE AND HOME
WALTZING THEIR WAY INTO THE NATION’S HEARTS JOHANNES RADEBE AND JOHN WHAITE THE DANCING DUO ON BREAKING DOWN BARRIERS — AND WINNING ‘STRICTLY’
JOINED BY HER CHILDREN AT THE ‘ETERNALS’ PREMIERE ANGELINA JOLIE THE FAMILY STUN IN SUSTAINABLE FASHION — AND A VERY SPECIAL HAND-ME-DOWN
MIKE TINDALL ENJOYS A DAY OF ADVENTURE WITH HIS LITTLE PUMPKIN MIA
DANNII MINOGUE HAPPY TO BE BLUE ON HER GOLDEN BIRTHDAY
DAME MARY BERRY SHOWSTOPPING INVESTITURE IS THE ICING ON THE CAKE
MILLIE MACKINTOSH BALLOONS AND BOUQUETS AT HER BEAUTIFUL BABY SHOWER
KOURTNEY KARDASHIAN BEAU TRAVIS BARKER’S ROMANTIC BEACH PROPOSAL COMES UP ROSES
ORE AND PORTIA ODUBA DANCING WITH JOY AS BABY GENIE ARRIVES
JAMIE REDKNAPP AND FRIDA ANDERSSON SHARE SOME GREAT SHOTS OF THEIR WEDDING DAY
SARAH JESSICA PARKER AND JUST LIKE THAT, CARRIE’S LOVE LIFE TAKES A COLOURFUL TWIST
ADELE HAS A BALL COURTING WITH HER NEW MAN
WITH HER NINE CHILDREN AT HER SIDE AMANDA OWEN THE YORKSHIRE SHEPHERDESS ON T.V. SUCCESS AND HOW REBELLING LED TO LIFE ON THE FARM
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• Woman dies on set after Alec Baldwin fires prop gunBILL AND MELINDA’S ELDER DAUGHTER JENNIFER GATES MARRIES HER OLYMPIAN HUSBAND IN A DREAM WEDDING
SLOWING DOWN ON DOCTORS’ ORDERS THE QUEEN ‘IN GOOD SPIRITS’ AFTER AN OVERNIGHT STAY IN HOSPITAL
AT THE STARRY PRINCE’S TRUST AWARDS THE PRINCE OF WALES IS THANKED BY KATE
‘Not taking medications and taking medication, it was the same thing:’ perspectives of antiretroviral therapy among people hospitalised with advanced HIV disease
- Research
- Open access
- Published:
BMC Infectious Diseasesvolume 24, Article number: 819 (2024) Cite this article
Abstract
Background
Despite HIV's evolution to a chronic disease, the burden of advanced HIV disease (AHD, defined as a CD4 count of < 200 cells/uL or WHO clinical Stage 3 or 4 disease), remains high among People Living with HIV (PLHIV) who have previously been prescribed antiretroviral therapy (ART). As little is known about the experiences of patients hospitalised with AHD, this study sought to discern social forces driving hospitalisation with AHD. Understanding such forces could inform strategies to reduce HIV-related morbidity and mortality.
Methods
We conducted a qualitative study with patients hospitalised with AHD who had a history of poor adherence. Semi-structured interviews were conducted between October 1 and November 30, 2023. The Patient Health Engagement and socio-ecological theoretical models were used to guide a thematic analysis of interview transcripts.
Results
Twenty individuals participated in the research. Most reported repeated periods of disengagement with HIV services. The major themes identified as driving disengagement included: 1) feeling physically well; 2) life circumstances and relationships; and 3) health system factors, such as clinic staff attitudes and a perceived lack of flexible care. Re-engagement with care was often driven by new physical symptoms but was mediated through life circumstances/relationships and aspects of the health care system.
Conclusions
Current practices fail to address the challenges to lifelong engagement in HIV care. A bold strategy for holistic care which involves people living with advanced HIV as active members of the health care team (i.e. ‘PLHIV as Partners’), could contribute to ensuring health care serv Polish singer-songwriter Katarzyna Magdalena Rooijens (née Szczot; born 5 November 1967 in Warsaw), professionally known as Kayah, is a Polish singer-songwriter performing a variety of music genres, including pop, soul, jazz, world and dance. She has also experimented with disco, funk, electronica as well as Balkan and Jewish music. Kayah released her first self-written album in 1995 and has since established herself as one of the most critically and commercially successful Polish singers. She is one of the most awarded artists by the Polish Society of the Phonographic Industry (ZPAV) and has placed fourth on Polish music magazine Machina's list of "50 best Polish female singers". Kayah has sold over one million records in Poland and most of her albums have been certified platinum or gold by ZPAV. Particularly successful was the 1999 collaborative album Kayah i Bregović, recorded with Yugoslav musician Goran Bregović, which was certified diamond for selling over 700,000 copies, and spawned hit singles "Śpij kochanie, śpij" and "Prawy do lewego". Her other hits include "Fleciki", "Na językach", "Supermenka", "Testosteron", "Prócz ciebie, nic" with Polish singer Krzysztof Kiljański and "Po co" with Israeli musician Idan Raichel. She has also collaborated with Cape Verdean singer Cesária Évora. In the early 2000s, Kayah co-founded her own record label, Kayax, which has since signed many successful artists and released numerous critically acclaimed albums. She has also hosted a number of television and radio shows and occasionally appeared in TV series and films in Poland. Kayah has also been outspoken politically, having supported Poland's Women's Party and the Committee for the Defence of Democracy. She is also an ally and supporter of the Polish LGBT community. .Kayah (singer)
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