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Directly Administered ART Improves Short-Term Outcomes
Adapting antiretroviral therapy (ART) for direct administration poses challenges. Might monitored dosing of ART be feasible and successful in improving treatment response in HIV-infected drug users?
AIDS Clinical Care, October 2007
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Raltegravir in Treatment-Naive Patients: 48-Week Data
Raltegravir rapidly decreases viral load in treatment-experienced, HIV-infected patients. Might raltegravir have similarly potent effects in treatment-naïve patients after 48 weeks of therapy?
AIDS Clinical Care, September 2007
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Effectiveness of Pneumococcal Vaccine in HIV-Infected Patients
The 23-valent pneumococcal vaccine is recommended for HIV-infected patients with CD4 counts of at least 200 cells/mm3. Is it effective for patients with CD4 counts that are less than 200 cells/mm3?
AIDS Clinical Care, September 2007
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A Quick Blood Test for PCP?
ß-glucan, a fungal cell-wall component, can be present in the sera of persons with overwhelming systemic fungal infection. Might ß-glucan be a good marker of Pneumocystis jiroveci pneumonia infection?
AIDS Clinical Care, August 2007
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Limitations of Rapid Testing
Rapid HIV tests have advantages that lead to their preferred use for HIV screening, especially in many resource-limited settings. But how accurate are the results from sequential rapid HIV testing?
AIDS Clinical Care, July 2007
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Persistence of Neuropsychologic Impairment After Starting ART
Neurocognitive impairment is a complication of advanced HIV infection that potent ART cannot always completely reverse. Persistence of neuropsychological deficits is associated with what factors?
AIDS Clinical Care, July 2007
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Febrile Respiratory Symptoms in HIV: Think Flu
HIV-infected outpatients presenting with fever and respiratory symptoms could have influenza. What is the actual incidence of the flu in such patients and what impact does flu vaccination have?
AIDS Clinical Care, July 2007
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Viral Rebound Rates Decrease Over Time in Suppressed Patients
Viral rebound risk exists for people who've fully suppressed HIV replication. What does UK cohort study data show for rebound rates for suppressed patients with and without treatment failure history?
AIDS Clinical Care, July 2007
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Primary HIV Infection–Predicting the Set Point
Early diagnosis of acute HIV infection, an uncommon event, has advantages that aren't always apparent to the patient or provider. What factors related to primary HIV infection predict viral set point?
AIDS Clinical Care, June 2007
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ART-Free Weekends?
Clinicians and patients remain highly interested in the concept of structured treatment interruption. One such approach involves patients cycling on and off ART for defined periods of time.
AIDS Clinical Care, May 2007
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The Travels of a Multidrug-Resistant Strain of HIV
Clinicians and patients remain highly interested in the concept of structured treatment interruption. One such approach involves patients cycling on and off ART for defined periods of time.
AIDS Clinical Care, May 2007
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Antiretroviral Therapy and Cardiovascular Disease
Dr. Paul Sax reviews the latest report from the DAD Study Group which suggests that long-term treatment with PI- but not NNRTI-based therapy slightly, but significantly, increased the risk for MI.
AIDS Clinical Care, April 2007
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Does HIV Infection Predispose to the Metabolic Syndrome?
Study of a large Midwestern cohort suggests that metabolic syndrome is no more common among the HIV-infected than among uninfected peers; lipid abnormalities were prominent in HIV-infected, however.
AIDS Clinical Care, April 2007
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Who Will Benefit from CCR5 Inhibitors?
Correlates of co-receptor tropism were investigated in a population of highly-treatment experienced patients.
AIDS Clinical Care, March 2007
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Do HIV Testing Rates Improve When Written Consent Is No Longer Required?
Elimination of risk-based testing is part of the CDC's new HIV testing recommendations.
AIDS Clinical Care, March 2007
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Long-Term CD4 Response: Where You Start Predicts Where You End Up
After 6 years of successful antiretroviral therapy for HIV, the only patients likely to achieve a low-to-normal CD4-cell count were those who had started treatment with CD4s >350.
AIDS Clinical Care, February 2007
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NNRTIs Best PIs ... Again
In a randomized trial of treatment-naive HIV patients, the most virologically active strategy was 2 NRTIs plus an NNRTI; a triple-class strategy yielded greater toxicity but not greater efficacy.
AIDS Clinical Care, February 2007
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High Lung Cancer Rates in AIDS Not Entirely Due to Smoking
Elevated lung cancer risk remains despite the advent of HAART. Young people are at a particularly elevated riskmore than 10-fold relative to HIV-negative people.
AIDS Clinical Care, February 2007
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After Virologic Rebound, Should T-20 Be Continued?
Continuing a failing antiretroviral regimen is usually not advised, but in some cases, even failing regimens continue to exert a modest anti-HIV effect. Is that true for T-20?
AIDS Clinical Care, February 2007
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HCV Clinical Practice: Few Referred for Treatment, Even Fewer Respond
In a large urban HIV clinic, fewer than 1% of coinfected individuals were successfully treated for HCV.
AIDS Clinical Care, December 2006
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Successful Antiretroviral Therapy Eliminates Virus from the CSF
New findings suggest that antiretroviral effects are magnified, not muffled, in the CNS.
AIDS Clinical Care, December 2006
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Intermittent HIV Treatment Fails Dramatically
The SMART study leaves little doubt that continuous antiretroviral therapy, for all its problems, is better for overall health than intermittent therapy.
AIDS Clinical Care, November 2006
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High Mortality in a South African XDR TB Outbreak
Researchers found alarmingly high prevalences of both multidrug-resistant and extensively drug-resistant TB among HIV-coinfected people in rural South Africa.
AIDS Clinical Care, November 2006
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Is Nonoccupational PEP Effective?
HIV seroconversion occurred in approximately 1% of adults who received PEP after nonoccupational exposure. Whether these seroconversions represent failures of PEP is unclear.
AIDS Clinical Care, November 2006
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CD4-Cell Decline Not Predicted by Viral Load
New findings suggest that baseline viral load, although very useful for assessing response to HIV therapy, should play a limited role in determining when to start treatment.
AIDS Clinical Care, October 2006