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HIV Care Today


Rilpivirine Approved -- the "iPod" of NNRTIs?
By Paul E. Sax, M.D.
May 23, 2011

FDA approved Edurant (rilpivirine) 25 mg tablets, a new non-nucleoside reverse transcriptase inhibitor (NNRTI) for the treatment of HIV. Rilpivirine is an antiviral drug that helps to block reverse transcriptase, an enzyme necessary for HIV replication. The recommended dose of rilpivirine is one 25 mg tablet once daily taken orally with a meal.

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HIV Exceptionalism and the Department of Unintended Consequences
By Paul E. Sax, M.D.
May 18, 2011

Maybe I'm being presumptuous here, but one of these -- virologic suppression -- completely blows the rest of them away. Sure, the others are worthwhile, but data linking them to improved outcomes for people with HIV are either pretty weak (adherence counseling, flu vaccine) or nonexistent (toxoplasmosis serology).

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HPTN 052 Results -- Another Win for Early HIV Therapy
By Paul E. Sax, M.D.
May 12, 2011

The results of the HPTN Study 052 -- which randomized 1,763 serodiscordant couples to early vs delayed ART to evaluate whether this reduced the risk of HIV transmission -- have just been released:

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Is There a Future for HIV-Infected Patients in "Deep Salvage"?
By Nelson Vergel, B.S.Ch.E., M.B.A.
May 3, 2011

"Deep salvage patients no longer exist. The ones in that situation are already dead or have responded to the latest HIV antiretrovirals."

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A "New" Antiretroviral Option Quietly Enters the Market
By Paul E. Sax, M.D.
April 25, 2011

There's a new antiretroviral option out there, a 400-mg extended-release tablet formulation of nevirapine that can be dosed once daily.

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Organ Transplants From HIV-Infected Donors
By Paul E. Sax, M.D.
April 18, 2011

On the heels of last month's report of HIV transmission from an organ donor -- covered here in Journal Watch -- comes this remarkable article in The New York Times about lifting the ban on organ donation from donors known to be HIV positive.

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Where Are the Clinical Trials That Focus on HIV-Affected Women?
By Bethsheba Johnson, G.N.P.-B.C., A.A.H.I.V.S.
April 12, 2011

As I look back over the recent past in HIV research, I am impressed at what advancements we have made, yet disturbed at what little we know and have done regarding HIV prevention and treatment in women.

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Journal Club: Even When You Think You Should Wait, It's Probably Time to Start
By Paul E. Sax, M.D.
April 8, 2011

Both apply to certain patients in whom we might consider waiting to start treatment -- but both these studies suggest we do otherwise.

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Tips From the Frontlines on Providing the Best Possible HIV Care for Women
By Bethsheba Johnson, G.N.P.-B.C., A.A.H.I.V.S.
April 5, 2011

We marked U.S. National Women and Girls HIV/AIDS Awareness Day on March 10. The theme this year was "Now it's time for you to decide: What can you do?" Although the day is meant to raise awareness among the general population, and although it passed weeks ago, in my opinion we need to have that awareness every day as health care providers. We regularly see people in our HIV agencies/organizations that, if health education had reached them the way it should, would have never walked through the door in the first place.

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The Healing Power of Being Present
By David Fawcett, Ph.D., L.C.S.W.
March 29, 2011

When I was going through clinical supervision before licensure, my mentor pointed out that one's particular therapeutic modality, be it cognitive, behavioral, psychodynamic, Gestalt or whatever, is often not as important for good clinical results as simply being present with the patient. Because at that time I was very focused on mastery of particular skills, I was somewhat incredulous. But I have since come to understand that beneath good technique there is indeed a realm of energetic exchange with a patient that is often non-verbal and that has great power for healing. I call it being present at both physical and emotional levels.

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This article was provided by TheBodyPRO.com.
 

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