Project B.R.I.E.F. (Behavior intervention, Rapid HIV test, Innovative video, Efficient cost and health care savings, and Facilitated seamless linkage to outpatient HIV care) began in 2003 as a collaboration between two physicians looking to make a difference in the Bronx, NY community. As attending physicians at Jacobi Medical Center, both Dr. Jason Leider and I experienced first-hand the impact of HIV on the Bronx, a community with one of the highest rates of HIV prevalence in the nation.
ATV pediatric powder formulation
An oral powder formulation of atazanavir has been approved by the FDA for use in infants and children older than 3 months and weighing 10 to <25 kg. It must administered with ritonavir, and used in combination with other antiretrovirals. For infants, it may be mixed with formula (or other liquid) and given with an oral syringe or cup. For older infants and young children, it may be mixed with yogurt or applesauce.
Antacids, laxatives, mineral supplements, and other compounds that contain metal cations (eg, calcium, magnesium, aluminum, and iron) may decrease levels of integrase inhibitors if taken close in time to each other. Results of two studies help to assess the magnitude of this effect and assist in determining how to manage it.
Efavirenz and Bone Mineral Density
Persons with HIV infection have a number of risk factors for decreased bone mineral density (BMD), related not just to effects of HIV or resulting illness but also to ART. For example, BMD decreases by as much as 5-6% after initiation of ART, and certain ARVs (eg, tenofovir, protease inhibitors) cause greater losses over time than do others. It also is becoming clearer that vitamin D deficiency or insufficiency is common among HIV-infected persons, and that efavirenz can further lower levels of vitamin D.
The New England AIDS Education and Training Center (NEAETC) has provided opportunities for physicians and nurses to hone their HIV skills for over 27 years. The HIV epidemic now seems to take a backseat to other trending health related crises in the US; Hepatitis C and Opioid overdoses to name two and yet we continue to receive applications from those looking for a chance to learn HIV practice in some world class institutions of Infectious Disease (ID) care.
Combination antiretroviral therapy (cART) has substantially reduced HIV-related morbidity and mortality in the United States. HIV-infected persons today are living healthier and longer lives with expected lifespans near equal to those of uninfected person if the infection is effectively treated . CDC estimates that by year 2020, over half of the HIV-infected persons in the United States will be aged 50 years or older .
May was Mental Health Awareness month. How aware of mental health issues are we in our own lives as well as in those we treat every day? As HIV care providers, how often do we hear “I am so down,” “I haven’t had fun in so long,” or “I’m so stressed.” Often in our patient’s lives everything becomes a problem, so do we truly recognize the stress they may be experiencing? With clinic visits becoming shorter and patient volume growing larger, checking in on a person’s mood often falls by the wayside.