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HIV Care Today


How to Interpret Medical Breakthroughs in the Mainstream Media
By Paul E. Sax, M.D.
May 2, 2013

There it is, right in your daily paper, on your tablet or computer screen, or wherever you get your news today -- a headline about a great medical breakthrough everyone's been waiting for:

Scientists on Brink of HIV Cure
Researchers believe that there will be a breakthrough in finding a cure for HIV "within months."

Yes, I read this exact headline recently.

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Lost and Found: Helping Patients Develop Emotional Resilience
By David Fawcett, Ph.D., L.C.S.W.
April 30, 2013

Widespread publication of the treatment cascade has heightened the level of concern for engaging and retaining patients in HIV care. A significant percentage of persons living with HIV are unaware of their status, and an astonishingly low number of people have successfully suppressed their viral loads. Despite recent articles that have reported potential variation in these calculations, it is clear that a significant number of people remain out of care, marginally engaged or worse.

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Data Safety Monitoring Board Closes HIV Vaccine Study -- the End of Adenovirus as a Vaccine Vector?
By Paul E. Sax, M.D.
April 29, 2013

On Friday, the NIH announced that HVTN 505, a clinical trial of an HIV vaccine using an adenovirus vector, would be stopped based on a finding of futility by an independent DSMB.

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Postexposure Prophylaxis (PEP) After Blast Injuries
By Paul E. Sax, M.D.
April 20, 2013

From a colleague came this query:

We are being consulted by surgeons who are finding within blast victims tissues from other humans. We have been offering post-exposure prophylaxis. Have you folks developed any policies re PEP for explosion victims?
Welcome your thoughts,
P

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How Often Do You Measure CD4 Cell Counts?
By Paul E. Sax, M.D.
March 28, 2013

Over in Clinical Infectious Diseases, a recent study pretty much nails the fact that routine measurement of CD4 cell counts in clinically stable patients is an all but useless exercise. As summarized by Abbie Zuger in Journal Watch, here's the key finding:

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Redefining Expanded Access for Patients With Multidrug-Resistant HIV
By Nelson Vergel, B.S.Ch.E., M.B.A.
March 21, 2013

In a host of meetings on treatment access and HIV research, we have repeatedly heard the following statements about multidrug-resistant HIV (MDR-HIV) patients:

"These patients no longer exist -- they're either dead or have responded to the latest ARVs."

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Really Rapid Review: CROI 2013, Atlanta
By Paul E. Sax, M.D.
March 10, 2013

As noted previously by Carlos del Rio in his nice summary, the Conference on Retroviruses and Opportunistic Infections (CROI) turned 20 this year. It also made it's first-ever stop in Atlanta, home of many things that begin with "C" -- CDC (note that insiders rarely say, "the CDC"), CNN, Coca Cola, and Carlos himself.

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Exploring the Media Fascination With the Baby Cured of HIV
By Paul E. Sax, M.D.
March 5, 2013

As undoubtedly you've heard by now, there's another person cured of HIV out there -- this time, it's a baby born to an HIV-infected mother.

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Meth Makes an Ominous Comeback Among Gay Men
By David Fawcett, Ph.D., L.C.S.W.
March 3, 2013

She's back. Tina, that is. Crystal, crank, meth, ice, amp -- all slang for the same drug: methamphetamine. In the early part of the millennium, meth was pervasive both in rural America and in urban gay communities. Its use peaked around 2005 when, following a federal law limiting access to its primary precursor, pseudoephedrine, usage seemed to drop. In gay communities, men became aware of its hazards as they watched friends lose lovers, jobs, health, freedom and even their lives. Pursued by law enforcement, hardcore users went underground but never really went away. Now, because of the cycles of recreational drugs, a new generation, short memories, and the seductive power of this dopamine-releasing supermolecule, the drug appears to be making a comeback, at least in the gay community.

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An Adherence Intervention That Works -- But There's a Catch
By Paul E. Sax, M.D.
February 17, 2013

In a previous post, we reviewed the various flavors of medication non-adherence, and concluded with this tantalizing line:

Next up: "An Adherence Intervention that Actually Works -- But There's a Catch"
Well here it is, just published on-line in JAMA Internal Medicine.

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This article was provided by TheBodyPRO.com.
 

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