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HIV Care Today


Excessive Online Support Can Be Harmful to HIV Patients
By David Fawcett, Ph.D., LCSW
April 18, 2018

From the beginning of the internet era, both HIV-positive people and heath care providers alike have sought medical information online. Over the course of the HIV epidemic, web-based platforms have grown in numbers and sophistication. However, because anyone can post virtually anything on the internet, it is necessary to employ both caution and critical thinking when attempting to self-diagnose a medical condition or to evaluate health care information, including implausible cures.

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Case Management Improves Linkage to Care for People Living With HIV Post-Release From Prison or Jail, New Study Shows
By Barbara Jungwirth
March 28, 2018

People living with HIV who spent time in Connecticut correctional facilities and received transitional case management were more likely to be promptly linked to care after their release than those who did not receive such services, a study published in The Lancet found. The study found several factors that negatively impacted linkage to care when released from custody, including sentences less than 30 days, serving more than one year, conditional release, and reincarceration.

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Depression in People With HIV May Increase Missed Appointments, Detectable Viral Load, and Mortality, Says New Study
By David Fawcett, Ph.D., LCSW
March 16, 2018

Depression has long been recognized not only as a condition that increases risk for acquiring the HIV virus but also as a factor that dramatically impacts the quality of life of and health outcomes for persons living with HIV/AIDS. Researchers have fair agreement on the high occurrence of depression in HIV-positive patients (as high as 40%), but the long-term impact of co-occurring depression and HIV has received little attention. A new study examines the association between increased chronicity of depression in people living with HIV and health outcome indicators, such as HIV appointment attendance, treatment failure, and mortality. The findings reveal both the significant impact of depression and the need for more comprehensive assessment and treatment of depression among people with HIV at various stages in the care continuum.

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Long-Term Treated HIV No Defense Against Diabetes Risk
By Barbara Jungwirth
March 2, 2018

It has long been thought that the heightened risk of diabetes among people living with HIV was mostly due to early-generation antiretroviral drugs that raised glucose levels. But a longitudinal Australian study published in the Feb. 20, 2018, issue of AIDS found that, even in the modern treatment era, HIV-positive men who have sex with men (MSM) developed diabetes at an extremely high rate.

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Why Finding New HIV Targets Takes So Long: Some Basics About Basic Research
By Christy Gaines
January 4, 2018

Although great strides have been made at combating human immunodeficiency virus, leading to better quality of life and a longer life expectancy for those living with the virus, significant problems remain.

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Injection Drug Use-Related HIV Cases Increase in Massachusetts -- Is This the Start of a Trend?
By Paul E. Sax, M.D.
December 11, 2017

Recently the Massachusetts Department of Public Health sent out this concerning notice:

The Massachusetts Department of Public Health (MDPH) has noted an increase in newly diagnosed and acute HIV infections among persons who inject drugs (PWID). To date in calendar year 2017 (through November 21), there have been 64 HIV infections reported among individuals who inject drugs in Massachusetts ... Over the past 5-10 years, newly diagnosed HIV infection in PWID amounted to 32-62 cases annually, representing a stable proportion of 4-8% of all reported HIV infections. Investigation of cases is ongoing.

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Could We Safely Reduce the Frequency of Treatments for HIV-Positive People?
By Caroline Petit
December 7, 2017

Most HIV-positive people in France under treatment take a daily dose of antiviral drugs for life. However, a major trial is currently underway that may confirm that patients could omit several days of treatment a week without risk to their health.

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Price's 'Quarantine' Comment a Startling Example of Remaining HIV Stigma and Ignorance
By Paul E. Sax, M.D.
October 23, 2017

In case you missed it, Betty Price, a Georgia state representative, said the following last week:

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The Best Antiretroviral Therapy for Pregnant Women? The Controversy Continues
By Paul E. Sax, M.D.
October 17, 2017

There's considerable controversy in an area of HIV medicine that one would think should be all but solved by now.

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What Should We Do About Persistent Low-Level Viremia?
By Paul E. Sax, M.D.
October 10, 2017

Here's a most entertaining email about a tricky case (some details changed for the usual reasons), with my annotations in brackets:

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This article was provided by TheBodyPRO.
 

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