Over time various programs have been adopted and organizations founded, utilizing the best specialists of the world to fight against HIV and AIDS. So far, no antidote has been found, which makes the disease impossible to cure. In addition to “Hospitals of Solidarity Against HIV and AIDS,” another program was established named “Healthy Measures Program,” funded by an international organization of health care and drug distribution.

This program is promoting health measures to prevent the spread of the virus in hospitals. There are three stages in this program:

- Interviewing hospital staff regarding the risk of HIV spreading in hospitals.

- Assessment of hospitals regarding processes, procedures as well as products used in the current medical system;

- Implementation of an action plan related to hygiene and sanitation in hospitals.

In addition, this program “Healthy Measures” provides the hospitals: checklists, educational and training materials, monthly advice and access to the extensive research about HIV and the disease AIDS, disinfection of the hospital environment and patient care equipment. These strategies are essential in preventing the spread of HIV in hospitals.

Patients being admitted to a hospital are already in a vulnerable state, putting them at a higher risk for HIV infection. Therefore, it is extremely important for hospitals to consider these preventive measures, for the protection of their patients and to reduce the incidence of mortality in hospitals. According to research approximately 100,000 deaths occur each year in U.S. hospitals caused by HIV and AIDS, respectively.

The international organization which sponsors “Healthy Measures Program Against AIDS” is committed to providing and supporting a high standard of  medical services for people infected with HIV. The main objective for each international program remains ongoing development of a quality program management that reflects not only the ability to analyze and continuously improve HIV treatment, but also for patients to receive quality services of care and support.

Research shows that these factors should not be overlooked; they are the main factors which influence the selection of hospitals by patients. An online survey about the experiences of patients in hospitals, completed by more than 2,000 patients in the U.S. who have health insurance or Medicare, indicates that hospitals need to improve in terms of services offered. An opinion poll was also conducted among doctors to determine whether or not they agree with the requirements of patients on these issues. Doctors claim that the patient should be placed first. They want their patients to have a positive experience every time they cross the threshold of a hospital, without incident. According to the doctors’ opinion poll, a doctor will often send a patient to a hospital with a better reputation, at the request of the patient. This is the case particularly if the current hospital does not have the necessary equipment or technology for treatment or surgery.

Few doctors understand what it means in terms of value to a hospital, for the patient to feel secure that their expectations are being met. Many doctors do not know how and when to act in order to respond to the expectations of patients. The majority of hospital executives believe it is enough to measure and increase patient satisfaction, and also to resolve their complaints.

It requires more than the basics, because competition for patients who have medical insurance intensifies. Patients can be more selective regarding the hospital they choose for their treatment and care.

In order to enhance the quality of the hospital experience for a patient, it is required that the doctor:

- Inform patients about treatment regularly, both during and after consultation;

- Observe the consultations;

- In case of hospitalization,  provide an appropriate room for the patient, offering convenience and ease of use of facilities;

- Inform families regarding the visiting hours;

- Allow patient access to medical records;

- Simplify the hospitalization and/or treatment bill.

Assuring a part of these services, hospitals can achieve a better reputation, offering patients a positive experience.

One of the most important issues that hospitals face nowadays is how the hospitals are built. This is an important consideration because patients, their families and the staff working in a hospital can experience much stress. For instance, a hospital that is noisy, with poor ventilation and low air quality may contribute to infections, medical errors, lack of sleep and anxiety for the patients, all  of which can lead to slow healing process or even serious injury.

Thus, many hospitals in the U.S., Europe and Asia may have recourse to health center design experts and a non-profit research project in collaboration with health care providers named Pebble Project.

Pebble Project consists in:

a) Individual rooms for patients and family space. The benefits include reducing the rate of infections, medical errors, and noise; and increasing patient confidentiality and ensuring better communication between staff and patients.

b) Rooms appropriate for patient acuity, which reduces number transfers of patients from one room to another to receive care according to their level of acuity. These rooms are equipped with acuity adaptable headwalls, equipped with gases and equipment necessary to provide care where patient acuity has changed.

c) Access to windows and light for patients. It has been scientifically proven that light is essential for human functioning, and is beneficial for patients as well as hospital staff in fulfilling visual tasks.

d) Filter HEPA (High Efficiency Particulate Air), helps to provide a clean and efficient way of controlling the pollution and filter air;

e) Ceiling lifts help to ensure better movement of hospital staff and patients and is vital in cases of emergency;

f) Decentralized work stations and supplies.

This project has been adopted on the basis of research evidence concerning efficiency of hospital before and after project implementation. The research results showed lower costs, fewer nosocomial infections, fewer medical errors, increased recruitment and also improved the quality of healthcare to patients.

But choosing an older doctor, even if he has more experience and intuition better than a young doctor, may also have disadvantages such as:

1. Communication between patient and a older doctor is sometimes more difficult;
2. The difference of years between doctor and patient is important;
3. Adapting to new technologies and medical information;
4. Old doctors are usually more conservative and are tend to use old treatments.

Opposed to older doctors, young doctors who have just graduated are up to date with new treatments and ready to use them. Young doctors in general are more willing to communicate and explain better than older, being more open to alternative medicine approaches. One of the disadvantages of collaborating with a young doctor it is that many times they believe that they have all the answers and they do not need to ask advice of other older doctors. Another disadvantage is the lack of experience and intuition.

These are only some of the aspects that could help you in selecting a doctor. An ideal doctor would be one who exhibits a balance between the two generations: the open communication and updated knowledge of a young doctor, and the experience and intuition of an older doctor.

After graduating from medical school, a residency program follows, which lasts from 3 to 7 years, or more for professional formation. Residents are constantly supervised by senior doctors. The duration of training varies depending on specialty the resident has selected; such as family medicine, internal medicine or pediatrics ~ each of which  lasts three years of training. Surgery residency generally lasts five years. For additional training into a subspecialty,  physicians can opt for scholarships which last from 1 to 3 years.

After graduating from pre-university, medical school and medical university, a doctor must go through a number of exams to obtain licensed to practice medicine. The majority of doctors choose to have board certification. They are tested to assess their knowledge, skills and experience in a specialty and their ability to provide quality healthcare in that specialty.  Doctors can be qualified in 36 general medical specialties and in an optional 88 subspecialties. These certifications must be renewed after six or 10 years, depending on the specialty selected.

Even if a doctor goes through all these steps, he needs to learn constantly and keep updating his knowledge, in order to receive credit for continuing medical education (CME). Also, some states require a doctor to have a certain number of credits per year to ensure that the doctor has the current knowledge and skills.

There are many ways that you can express this feeling of happiness, such as:

1. Write a list of 100 things that makes you happy. Once you start to think and write down things and moments that make you happy, you’ll see that the rest comes naturally. You can write about a funny moment from work, your favorite music, a rainbow, or meeting with friends. After you’ve finished, you can post this list in a place where you will see it every day.
2. Keep a journal of happiness. How much you experience happy moments depends largely on  how receptive you are to the kinds of stimuli that make you happy. Recording a happy moment in your journal every day will make you more aware.
3. Maintain a healthy diet. Eating well does not mean eating a lot, but eating healthy foods that you like and your body needs. A healthy diet helps you to keep emotionally balanced and allows you to experience positive feelings.
4. Try new things, discover new hobbies that can make you happy (a new book or a movie, physical exercise for your health). All these things are meant to make you feel better and happy.
5.  Accept sadness and sorrow as part of daily life. Sometimes these phases of your life are crucial because they help you to appreciate the things you have.
6. A smile can be considered the best make-up. People who smile are considered more beautiful, more pleasant, and thus are more easily accepted in the community.

There are plenty of things that can make you happy. Smiling is probably the most beautiful skill that humanity has. Smiling makes you better, healthier and happier.

When you perform physical activities, your body discharges substances called endorphins. These substances kill pain and reduce stress. Additionally, physical exercise decreases any anxiety or depression, causing a feeling of comfort and well being. Only one exercise can release some other series of natural antidepressants in the medicine cabinet of your body, some of which are: dopamine, norepinephrine and serotonin. Studies have shown that a serious regimen of exercise is very effective in trying to reduce the feelings of anger, depression, confusion and tension. Meanwhile, studies indicate that the sudden movements of an easy exercise can develop a new attitude toward life and craft you to be less anxious.

Regular physical activities showed sold proof to be the true enemy of stress and a great weapon against exhaustion. A number of hormones combined with beneficial chemicals that occur during exercise comprise a major part of an arsenal that can protect the body from the noxious substances created by any kind of stress.

Physical activity can improve your attitude toward yourself, offering you more self- confidence. The way you feel will directly affect the way you use your body, and even how you look. There are many physical activities that you can push the boundaries. Yoga may be one of these exercises, because it contains some breathing techniques to help you build your confidence and your self-esteem. The yoga position that involves this activity creates a good positioning of the spine to help you sit up straight, improving the fluidity of your movements. These open the chest for regular and deep breathing that will help you to calm nerves and ease your mind.

Regular exercise produces various beneficial substances that help you feel fit physically, mentally and emotionally. You have to find a physical activity that you enjoy and add a dose of health on your life daily to stay fit and happy.