Who is seeking antiretroviral treatment for HIV now? Characteristics of patients presenting in Kenya and South Africa in 2017-2018.

We describe demographic, socioeconomic and clinical characteristics of patients randomized to the same-day initiation arm for both studies. RESULTS AND DISCUSSION: A total of 240 and 296 participants were enrolled in Kenya and South Africa. The majority were female (59% and 64% respectively), with a median age of 35 years. In both countries, most subjects were newly diagnosed with HIV on the day of enrolment (62%, 55%), believed they already had adequate knowledge to begin ART (78%, 68%), and preferred to start ART immediately (same-day) (98% in both countries). About 40% of all patients had at least one symptom related to tuberculosis (cough, fever, night sweats, weight loss) and/or cryptococcal meningitis (continuous headache). More than a third of patients (37%, 36%) presented with advanced disease (CD4 
Source: Journal of the International AIDS Society - Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research

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Authors: Conan N, Coulborn RM, Simons E, Mapfumo A, Apollo T, Garone DB, Casas EC, Puren AJ, Chihana ML, Maman D Abstract INTRODUCTION: Gutu, a rural district in Zimbabwe, has been implementing comprehensive HIV care with the support of Médecins Sans Frontières (MSF) since 2011, decentralizing testing and treatment services to all rural healthcare facilities. We evaluated HIV prevalence, incidence and the cascade of care, in Gutu District five years after MSF began its activities. METHODS: A cross-sectional study was implemented between September and December 2016. Using multistage cluster samplin...
Source: Journal of the International AIDS Society - Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research
CONCLUSIONS: The distribution of sexually acquired HCV was sparsely scattered across countries/cities in the Asia-Pacific region. The threat of overlapping risk differed by locations, whereas transnational outbreaks remained uncommon. The paucity of information has hindered progress with comprehensive assessment in the Asia-Pacific region, where seroprevalence of HCV among HIV-positive MSM was relatively high. PMID: 32969173 [PubMed - in process]
Source: Journal of the International AIDS Society - Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research
CONCLUSION: Optic nerve infiltration in systemic metastatic retinal lymphoma may have initial occult signs but with profound visual loss. Ocular infections like CMV retinitis and tuberculosis may mask and delay the diagnosis in immunocompromised patients. PMID: 32967510 [PubMed - as supplied by publisher]
Source: Ocular Immunology and Inflammation - Category: Allergy & Immunology Tags: Ocul Immunol Inflamm Source Type: research
Conclusion: CPC can occasionally show AFP immune-positive hyaline globules. PMID: 32969735 [PubMed - as supplied by publisher]
Source: Fetal and Pediatric Pathology - Category: Pathology Tags: Fetal Pediatr Pathol Source Type: research
AbstractPurpose of ReviewThis narrative review examines the use of behavioral interventions for acute treatment of headache and pain in the emergency department (ED)/urgent care (UC) and inpatient settings.Recent FindingsBehavioral interventions demonstrate reductions of pain and associated disability in headache, migraine, and other conditions in the outpatient setting. Behavioral treatments may be a useful addition for patients presenting with acute pain to hospitals and emergency departments.SummaryWe review challenges and limitations and offer suggestions for implementation of behavioral interventions in the acute sett...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
Publication date: Available online 24 September 2020Source: Journal de Mycologie MédicaleAuthor(s): Lurdeti Bastos da Silva, Douglas Bock, Gabriel Baracy Klafke, Karine Ortiz Sanchotene, Rossana Patricia Basso, Jéssica Louise Benelli, Vanice Rodrigues Poester, Felipe Almeida da Silva, Luciana Trilles, Cecília Bittencourt Severo, David A. Stevens, Melissa Orzechowski Xavier
Source: Journal of Medical Mycology - Category: Biology Source Type: research
Publication date: Available online 24 September 2020Source: Biochimica et Biophysica Acta (BBA) - General SubjectsAuthor(s): Swanandi Pote, Sangita Kachhap, Nicholas J. Mank, Leily Daneshian, Vincent Klapper, Sarah Pye, Amy K. Arnette, Linda S. Shimizu, Tomasz Borowski, Maksymilian Chruszcz
Source: Biochimica et Biophysica Acta (BBA) General Subjects - Category: Biochemistry Source Type: research
(Natural News) Essential oils are known for their use in aromatherapy and massage therapy. When inhaled or applied topically, these natural products exert beneficial effects on mental health. Essential oils can also be used as remedies for common health problems, such as headache, constipation, sinus infections and skin infections. In fact, various essential oils are well-known for their...
Source: NaturalNews.com - Category: Consumer Health News Source Type: news
by Justin C. Smith Molldrem and Smith’s thoughtful article “Reassessing the Ethics of Molecular HIV Surveillance in the Era of Cluster Detection and Response: Toward HIV Data Justice,” calls attention to vitally important considerations in the implementation of molecular HIV surveillance (MHS) in HIV cluster detection response (CDR) efforts. The authors are rightly concerned with the myriad ethical questions posed by how these efforts are carried out, and they echo concerns that some members of the HIV advocacy community in the United States have raised.…
Source: blog.bioethics.net - Category: Medical Ethics Authors: Tags: Editorial-AJOB Featured Posts HIV/AIDS Technology Source Type: blogs
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 009 The diagnosis of HIV is no longer fatal and the term AIDS is becoming less frequent. In many countries, people with HIV are living longer than those with diabetes. This post will hopefully teach the basics of a complex disease and demystify some of the potential diseases you need to consider in those who are severely immunosuppressed. While trying to be comprehensive this post can not be exhaustive (as you can imagine any patient with ...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Cases Tropical Medicine AIDS art cryptococcoma cryptococcus HIV HIV1 HIV2 PEP PrEP TB toxoplasma tuberculoma Source Type: blogs
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