March 2011 Briefing - HIV & AIDS

Here are what the editors at HealthDay consider to be the most important developments in HIV & AIDS for March 2011. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Online Health Records Less Used by Minorities, Poor

WEDNESDAY, March 30 (HealthDay News) -- Online personal health records (PHRs) are less frequently used by racial or ethnic minorities and patients with low annual income, according to a study published in the March 28 issue of the Archives of Internal Medicine.

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Inadequacies Identified in HIV Health Care Provision

TUESDAY, March 29 (HealthDay News) -- The health system is inadequately prepared for the challenges of addressing the health needs of HIV-positive individuals, according to the report "HIV Screening and Access to Care," published online March 17 by the Institute of Medicine of the National Academies.

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Decline Seen in Global Youth Mortality Over Last 50 Years

TUESDAY, March 29 (HealthDay News) -- Overall mortality declined substantially between 1955 and 2004 in children aged 14 years or younger and in females aged 15 to 24, but a smaller decline was evident for males aged 15 to 24 years, according to a study published online March 29 in The Lancet.

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Fracture Rates Slightly Higher in HIV Patients

FRIDAY, March 25 (HealthDay News) -- People with HIV infection have a higher bone fracture rate compared to the general U.S. population, according to a study published online March 10 in Clinical Infectious Diseases.

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Window Period Infection Risk Low in High-Risk HIV Donors

THURSDAY, March 24 (HealthDay News) -- Among HIV high-risk donors (HRDs), the predicted risk of window period (WP) infection is low and varies significantly according to donor behavior, according to a meta-analysis published online March 2 in the American Journal of Transplantation.

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Reduced Hours for Trainees Has Had Little Effect in U.S.

THURSDAY, March 24 (HealthDay News) -- Reducing work hours for doctors in training to less than 80 per week has had little impact on patient outcomes or postgraduate training in the United States, according to a literature review published online March 22 in BMJ.

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HIV Tropism Testing Guidelines Established

TUESDAY, March 22 (HealthDay News) -- The European Consensus Group on the clinical management of tropism testing has established guidelines for tropism testing prior to the initiation of maraviroc therapy for HIV; the guidelines have been published online March 22 in The Lancet Infectious Diseases.

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CDC: HIV Transmitted Through Living Kidney Donation

THURSDAY, March 17 (HealthDay News) -- Despite HIV screening of the donor, using serologic testing, HIV was transmitted from a living kidney donor to the transplant recipient recently in New York City, according to a report in the March 18 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Professional Values of U.S. and U.K. Doctors Examined

THURSDAY, March 17 (HealthDay News) -- A core of professional values exists among doctors in the United States and the United Kingdom, though significant differences exist in how these values are expressed and prioritized, according to a study published online March 7 in BMJ Quality & Safety.

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U.S. Death Rate Reaches All-Time Low

WEDNESDAY, March 16 (HealthDay News) -- The age-adjusted death rate for the United States has fallen for 10 straight years and has reached an all-time low of 741 per 100,000, or 2,436,682 deaths, in 2009, down 2.3 percent from 2008, according to a new report issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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U.S. Has Higher Rates of Chronic Disease Than England

MONDAY, March 14 (HealthDay News) -- Americans experience higher rates of chronic disease and markers of disease than their English counterparts at all ages, according to a study published online March 9 in the American Journal of Epidemiology.

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CDC: Many HIV-Exposed Children Get Pre-Chewed Food

FRIDAY, March 11 (HealthDay News) -- Approximately one-third of caregivers of HIV-exposed children aged 6 months or older provide the children with premasticated food from themselves or someone else, with younger and black caregivers reporting premastication more frequently than older and non-black caregivers, according to a report in the March 11 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Statins May Lower Markers of Immune Activation in HIV

THURSDAY, March 10 (HealthDay News) -- Atorvastatin use decreases cellular markers of immune activation and inflammation in patients infected with HIV type 1 (HIV-1), though it does not affect plasma HIV-1 RNA levels, according to a study published online Feb. 15 in The Journal of Infectious Diseases.

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Ethnic Differences Seen in Academic Measures for U.K. Docs

WEDNESDAY, March 9 (HealthDay News) -- United Kingdom-trained physicians and medical students with ethnic minority backgrounds tend to underperform academically compared to their white peers, according to a meta-analysis published online March 8 in BMJ.

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Pharmacological Meta-Analyses Rarely Report Disclosures

TUESDAY, March 8 (HealthDay News) -- Meta-analyses of pharmacological treatments rarely include information addressing primary study funding and conflicts of interest (COIs) of the authors for the included randomized control trials (RCTs), according to a study published in the March 9 issue of the Journal of the American Medical Association.

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FDA: Adverse Events Tied to Kaletra in Preterm Infants

TUESDAY, March 8 (HealthDay News) -- The U.S. Food and Drug Administration has notified health care providers of a revision to the label of lopinavir/ritonavir (Kaletra) oral solution to include a new warning, as administration of the oral solution may result in serious health problems among premature babies.

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Sexual Behavior in U.S. Adults Little Changed Since 2002

THURSDAY, March 3 (HealthDay News) -- Most adults in the United States have experienced vaginal sex, but the number of younger adults reporting no sexual contact has increased since 2002, according to the March issue of the U.S. Centers for Disease Control and Prevention's National Health Statistics Report.

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HPV Incidence, Clearance in Men Linked to Sexual Behavior

TUESDAY, March 1 (HealthDay News) -- Incidence and clearance of genital human papillomavirus (HPV) infection in men are strongly associated with sexual behavior, according to a study published online March 1 in The Lancet.

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