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Discordance Between Viral Load Suppression and CD4 Cell Recovery: How Often and Why?
John G. Bartlett, MD, discusses a study that reviews some of the reasons why your HIV patient's CD4 count may not recover despite viral load suppression.
Experts And Viewpoints, November 24, 2009
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What Should Patients Do With Unused Narcotics?
Clinicians often tell patients to save their remaining narcotics for "next time." According to guidelines, this may not be the best advice.
Experts And Viewpoints, November 18, 2009
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Plasma HIV RNA is a Risk Factor for Non-Hodgkin's Lymphoma
John G. Bartlett, MD, comments on this observational study that establishes viral load as a risk factor for non-Hodgkin's lymphoma in people living with HIV/AIDS.
Experts And Viewpoints, November 17, 2009
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Liver Fibrosis in Patients With Chronic Hepatitis C and Persistently Normal Liver Enzymes: Influence of HIV Infection
Investigators evaluated the influence of HIV infection in patients with chronic HCV and persistently normal alanine aminotransferase (PNALT) compared with patients with elevated aminotransferases.
Journal Article, November 17, 2009
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Physicians Are Talking About: Tort Reform: Does Saying "I'm Sorry" Help?
Physicians are often reluctant to apologize for clinical errors because their words can be used in malpractice litigation as admissions of fault. MPC members discuss whether saying "I'm sorry" can help.
Experts And Viewpoints, November 16, 2009
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Regulation of Angiogenesis in Malignancies Associated With Epstein-Barr Virus and Kaposi's Sarcoma-Associated Herpes Virus
New treatment modalities that target members of the VEGF family have gained approval for clinical use in cancer.
Journal Article, November 12, 2009
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12th European AIDS Conference/European AIDS Clinical Society (EACS)
Read clinically focused news coverage of key developments from the meeting.
Conference Coverage, November 11, 2009
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Rising Rates of HIV Infection Among Young US Men Who Have Sex With Men
A resurgence of HIV infection among young minority men who have sex with men is reversing the recent downward trend in incidence of HIV infection. This article offers suggestions for reducing the risky sexual behaviors of these young men.
Journal Article, November 10, 2009
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Doctors and Social Media: Benefits and Dangers
Doctors use Facebook as well as physician community sites for clinical information and medical opinions. There are benefits and dangers to watch for.
Article, November 9, 2009
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Physicians Are Talking About: A Death Foretold
Would you operate on a patient who experienced a premonition of death? Is this a contraindication surgery? Medscape Physician Connect members discuss whether to ignore or heed premonitions.
Experts And Viewpoints, November 4, 2009
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AIDS Vaccine Shows Promise; New Era for Treatment-Experienced Patients
Paul E. Sax, M.D., provides perspective on the recent AIDS vaccine study, and the TRIO trial in treatment-experienced patients with multidrug-resistant HIV
Experts And Viewpoints, October 30, 2009
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Active Tuberculosis and Mycobacterium tuberculosis Latent Infection in Patients with HIV/AIDS
This study from Brazil uncovered missed opportunities for preventing TB in patients with HIV/AIDS and suggests effective ways to lower TB rates in this population.
Journal Article, October 30, 2009
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HIV-Infected Persons Continue to Lose Kidney Function Despite Successful Antiretroviral Therapy
This study set out to identify risk factors associated with loss of kidney function in HIV-infected persons, and to assess the renal effects of the complex interaction between ART, CD4 cell count, and viral load.
Journal Article, October 30, 2009
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Physicians Are Talking About: Is It Worth Getting the H1N1 Vaccine?
Are you getting vaccinated against the swine flu? Medscape Physician Connect members debate their reasons for and reservations against receiving the vaccine.
Experts And Viewpoints, October 28, 2009
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Risk Factors for Treatment-Limiting Toxicities in Patients Starting Nevirapine-Containing Antiretroviral Therapy
A single lab test may be all it takes to identify patients who are more likely to have to stop nevirapine-containing ART because of toxicity.
Journal Article, October 28, 2009
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Prevalence of Unprotected Anal Intercourse Among HIV-Diagnosed MSM in the United States: A Meta-Analysis
This meta-analysis moves beyond previous qualitative reviews to provide quantitative information on the population of men who engage in this risky practice
Journal Article, October 28, 2009
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How High Should the CD4 Cells Go?
A meta-analysis set out to define a single CD4 cell threshold that correlated with reduced risk for infection or death.
Journal Article, October 28, 2009
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Rapid Assessment of HIV Risk Behavior in Drug-Using Sex Workers in Three Cities in South Africa
This study explored the HIV risks, and barriers to risk reduction, that lie at the intersection of drug use and commercial sex.
Journal Article, October 28, 2009
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Must You Still Practice Defensive Medicine to Avert a Malpractice Lawsuit?
Doctors feel pressure to lower healthcare costs, but the threat of malpractice lawsuit remains, and doctors continue to order tests to protect themselves in the event of a lawsuit.
Article, October 27, 2009
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Discordance in HIV-1 Viral Loads and Antiretroviral Drug Concentrations Comparing Semen and Blood Plasma
When a male patient has undetectable plasma viral loads thanks to HAART, is he sexually noninfectious? Maybe not, if the drugs aren't penetrating to his genital tract.
Journal Article, October 27, 2009
