New AIDS math could halve need for CD4 tests after ART in developing countries

In wealthy countries, antiretroviral therapy (ART) has transformed AIDS into an often-manageable chronic condition, as patients can receive both the therapeutics and the constant monitoring that ensures the therapies remain effective. Read More

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Sande's HIV/ AIDS Medicine: Medical Management of AIDS 2012, 2e
Sande's HIV/ AIDS Medicine: Medical Management of AIDS 2012, 2e :: Amazon Access the latest information available in the challenging area of HIV/AIDS management with Sande's HIV/AIDS Medicine, 2nd Edition. Authored

Biostatistics research could improve resource use in AIDS treatment in poor nations

New statistical tools can help decide how to allocate resources to the patients who need them the most

AMHERST, Mass. – One of the major problems that has slowed progress toward universal access to life-saving antiretroviral therapy (ART) to treat AIDS in developing nations has been limited availability of laboratories and trained medical staff to conduct blood tests of immune system CD-4 T-cell levels that indicate when to start ART. Read More

New findings reported by Microbicide Trials Network researchers at HIV prevention meeting

No added HIV risk with hormonal contraceptives, 1 study finds: Results presented at Microbicides 2012

SYDNEY, April 17 – An HIV prevention trial that pre-dates the shift to antiretroviral (ARV)-based approaches is nonetheless helping to answer some of the most relevant and topical questions the field is facing today. More than three years after reporting the primary results of HPTN 035, one of the last trials of the so-called first generation microbicides, researchers from the National Institutes of Health-funded Microbicide Trials Network (MTN) reported two new sets of findings gleaned from the study’s trove of statistical data and laboratory specimens. Read More

University students and HIV in Namibia: an HIV prevalence survey and a knowledge and attitude survey

Background:
With an overall adult HIV prevalence of 15.3%, Namibia is facing one of the largest HIV epidemics in Africa. Young people aged 20 to 34 years constitute one of the groups at highest risk of HIV infection in Namibia. However, little is known about the impact of HIV on this group and its access to healthcare. The purpose of this study was to estimate HIV prevalence, to assess the knowledge of and attitudes towards HIV/AIDS, and to assess access to healthcare among university students in Namibia. Read More

Effectiveness and safety of 30mg versus 40mg stavudine regimens: a cohort study among HIV-infected adults initiating HAART in South Africa

Background:
As stavudine remains an important and widely prescribed drug in resource-limited settings, the effect of a reduced dose of stavudine (from 40 mg to 30 mg) on outcomes of highly active antiretroviral therapy (HAART) remains an important public health question. Read More

Family model of HIV care and treatment: a retrospective study in Kenya

Background:
Nyanza Province, Kenya, had the highest HIV prevalence in the country at 14.9% in 2007, more than twice the national HIV prevalence of 7.1%. Only 16% of HIV-infected adults in the country accurately knew their HIV status. Targeted strategies to reach and test individuals are urgently needed to curb the HIV epidemic. The family unit is one important portal. Read More

Estimation of HIV incidence in Malawi from cross-sectional population-based sero-prevalence data

Background:
Incidence is a better measure than prevalence for monitoring AIDS, but it is not often used because longitudinal HIV data from which incidence can be computed is scarce. Our objective was to estimate the force of infection and incidence of HIV in Malawi using cross-sectional HIV sero-prevalence data from the Malawi Demographic and Health Survey conducted in 2004. Read More

Prevalence and factors associated with cryptococcal antigenemia among severely immunosuppressed HIV-infected adults in Uganda: a cross-sectional study

Background:
Cryptococcal infection is a common opportunistic infection among severely immunosuppressed HIV patients and is associated with high mortality. Positive cryptococcal antigenemia is an independent predictor of cryptococcal meningitis and death in patients with severe immunosuppression. We evaluated the prevalence and factors associated with cryptococcal antigenemia among patients with CD4 counts of 100 cells/mm3 or less in Mulago Hospital, Kampala, Uganda. Read More

Controversies in HIV cure research

Background:
Antiretroviral therapy significantly reduces HIV viral burden and prolongs life, but does not cure HIV infection. The major scientific barrier to a cure is thought to be the persistence of the virus in cellular and/or anatomical reservoirs. Read More

Computer simulations help explain why HIV cure remains elusive

A new article in the journal Genetics suggests that even in early infection, when the virus population is low and has reduced genetic variation, HIV rapidly evolves to evade immune defenses and treatments

Bethesda, MD – March 15, 2012 — A new research report appearing in the March 2012 issue of the journal Genetics shows why the development of a cure and new treatments for HIV has been so difficult. In the report, an Australian scientist explains how he used computer simulations to discover that a population starting from a single human immunodeficiency virus can evolve fast enough to escape immune defenses. These results are novel because the discovery runs counter to the commonly held belief that evolution under these circumstances is very slow. Read More

SFU researchers help discover new HIV vaccine-related tool

A new discovery involving two Simon Fraser University scientists could lead to a little known and benign bacterium becoming a vital new tool in the development of a vaccine against human immunodeficiency virus (HIV). Read More

Performance evaluation of the point-of-care CD4 analyser Pima using capillary blood sampling in field tests in South Africa

Background:
Point-of-care CD4 testing can provide immediate CD4 reporting at HIV-testing sites. This study evaluated performance of the point-of-care Pima CD4 device using capillary blood sampling in representative primary health care clinics doing HIV testing. Read More

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