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July 2014 Briefing - HIV & AIDS

Last Updated: August 01, 2014.

Here are what the editors at HealthDay consider to be the most important developments in HIV & AIDS for July 2014. 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.

Slow Progress Toward Meaningful Use Stage 2

WEDNESDAY, July 30, 2014 (HealthDay News) -- Providers and hospitals are making slow progress toward achieving meaningful use stage 2, according to an article published July 10 in Medical Economics.

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IOM Recommends Restructuring GME Financing

TUESDAY, July 29, 2014 (HealthDay News) -- Medicare support for graduate medical education (GME) should be restructured and based on its value and contribution to the nation's health needs, according to a report published July 29 by the Institute of Medicine (IOM).

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Access for Pharmaceutical Sales Reps Continuing to Decline

MONDAY, July 28, 2014 (HealthDay News) -- Pharmaceutical sales representatives' access to physicians is continuing to decrease, even in previously rep-friendly specialties, according to a report published by ZS Associates.

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Survey IDs Patients' Views on Health Care Provider Quality

FRIDAY, July 25, 2014 (HealthDay News) -- Most Americans focus on provider quality related to doctor-patient interactions rather than effectiveness of care when defining provider quality, according to a report published by the Associated Press-NORC (AP-NORC) Center for Public Affairs Research.

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Bacteria in Semen May Affect HIV Transmission, Levels

FRIDAY, July 25, 2014 (HealthDay News) -- HIV infection appears to alter the relationship between semen bacteria and immune factors, which could play a role in the sexual transmission of HIV, according to a new study published online July 24 in PLOS Pathogens.

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Number of Uninsured Down After ACA Open Enrollment

THURSDAY, July 24, 2014 (HealthDay News) -- There has been a decrease in the number of uninsured following the open enrollment period of the Affordable Care Act (ACA), according to a report published online July 23 in the New England Journal of Medicine.

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Preexposure HIV Prophylaxis Doesn't Impact Pregnancy

THURSDAY, July 24, 2014 (HealthDay News) -- For HIV-serodiscordant couples, preexposure prophylaxis (PrEP) does not impact pregnancy incidence or outcomes, according to a study published in the July 23/30 issue of the Journal of the American Medical Association, a theme issue on HIV/AIDS. This issue has been released early to coincide with AIDS 2014, the International AIDS Conference, held from July 20 to 25 in Melbourne, Australia.

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HIV Remission Ceases With Antiretroviral Tx Interruption

WEDNESDAY, July 23, 2014 (HealthDay News) -- HIV can rebound even after long-term remission of HIV following allogeneic hematopoietic stem cell transplantation (HSCT) if patients stop antiretroviral treatment, according to research published online July 22 in the Annals of Internal Medicine.

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American Red Cross Issues Urgent Call for Blood Donations

WEDNESDAY, July 23, 2014 (HealthDay News) -- Blood donations to the American Red Cross are down substantially, and the agency says an "emergency situation" could arise within weeks.

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Home Care Option Prompts Antiretroviral Therapy Initiation

WEDNESDAY, July 23, 2014 (HealthDay News) -- Following HIV self-testing, more Malawian adults are likely to initiate antiretroviral therapy (ART) if they are offered the option of home care, according to research published in the July 23/30 issue of the Journal of the American Medical Association, a theme issue on HIV/AIDS. This issue has been released early to coincide with AIDS 2014, the International AIDS Conference, held from July 20 to 25 in Melbourne, Australia.

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Online Reviews Show Patients Value Docs' Interpersonal Skills

TUESDAY, July 22, 2014 (HealthDay News) -- Patient reviews indicate that the attributes most valued in physicians include interpersonal skills and bedside manner, according to a report published online July 16 by Vitals.

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Physician Offices Investing in Patient Portals for EHRs

THURSDAY, July 10, 2014 (HealthDay News) -- Practitioners are continuing to invest in electronic health records (EHRs), specifically to improve access for patients, according to an article published June 13 in Medical Economics.

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National Survey Finds Most U.S. Physicians Are Satisfied

MONDAY, July 21, 2014 (HealthDay News) -- Most U.S. physicians are satisfied, with satisfied physicians more likely to report positive trends in medicine, according to a report published by Jackson Healthcare.

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Good Response for Sofosbuvir + Ribavirin in HIV/HCV Coinfection

MONDAY, July 21, 2014 (HealthDay News) -- Patients coinfected with HIV and hepatitis C (HCV; genotype 1, 2, or 3) have high rates of sustained virologic response (SVR) with the oral, interferon-free combination of sofosbuvir and ribavirin, according to a study published in the July 23/30 issue of the Journal of the American Medical Association, a theme issue on HIV/AIDS. This issue has been released early to coincide with AIDS 2014, the International AIDS Conference, held from July 20 to 25 in Melbourne, Australia.

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Tesamorelin Cuts Visceral Fat in HIV Patients

MONDAY, July 21, 2014 (HealthDay News) -- For HIV-infected patients with abdominal fat accumulation, the growth hormone-releasing hormone analog tesamorelin is associated with reductions in visceral fat and modest reductions in liver fat, according to a study published in the July 23/30 issue of the Journal of the American Medical Association, a theme issue on HIV/AIDS. This issue has been released early to coincide with AIDS 2014, the International AIDS Conference, held from July 20 to 25 in Melbourne, Australia.

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Decrease in HIV Diagnosis Rate From 2002 to 2011

MONDAY, July 21, 2014 (HealthDay News) -- From 2002 to 2011 there was a decrease in the annual HIV diagnosis rate, with decreases in almost all demographic populations, according to a study published in the July 23/30 issue of the Journal of the American Medical Association, a theme issue on HIV/AIDS. This issue has been released early to coincide with AIDS 2014, the International AIDS Conference, held from July 20 to 25 in Melbourne, Australia.

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CDC: Many Sexually Active U.S. Teens Not Tested for HIV

FRIDAY, July 18, 2014 (HealthDay News) -- Only one in five sexually active U.S. teens have been tested for HIV, a new government report shows. The U.S. Centers for Disease Control and Prevention report, which looked at data from 1991 to 2013, is to be presented July 23 at AIDS 2014, the International AIDS Conference, held from July 20 to 25 in Melbourne, Australia.

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Protease Inhibitor + NRTIs Safe, Effective in HIV Treatment

FRIDAY, July 18, 2014 (HealthDay News) -- An HIV treatment regimen of a boosted protease inhibitor (lopinavir) combined with nucleoside reverse-transcriptase inhibitors (NRTIs) is safe and effective in low-resource settings, according to a study published in the July 17 issue of the New England Journal of Medicine.

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Recent Drop in AIDS-Related Deaths Tied to CD4 Improvement

FRIDAY, July 18, 2014 (HealthDay News) -- From 1999 to 2011 the rate of AIDS-related deaths decreased, in association with continued improvement in CD4 count, according to a study published in the July 19 issue of The Lancet. The study appears in a special issue of The Lancet published ahead of AIDS 2014, the International AIDS Conference, held from July 20 to 25 in Melbourne, Australia.

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Legal Risks for Providing Financial Assistance to Patients

THURSDAY, July 17, 2014 (HealthDay News) -- Physicians need to be aware of the ramifications of providing financial assistance to patients, according to an article published July 8 in Medical Economics.

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Case Study Shows Importance of Single-Pill HIV-1 Treatment

THURSDAY, July 17, 2014 (HealthDay News) -- A single-pill combination HIV-1 treatment may be appropriate in certain cases, according to a case vignette published in the July 17 issue of the New England Journal of Medicine.

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Doctors More Likely Than Public to Be Registered Organ Donors

THURSDAY, July 17, 2014 (HealthDay News) -- Physicians are more likely to register to be organ donors than the general public, according to a research letter published in the July 16 issue of the Journal of the American Medical Association.

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United Nations: AIDS Epidemic May Be Subsiding

WEDNESDAY, July 16, 2014 (HealthDay News) -- At the end of 2013, an estimated 35 million people worldwide were living with HIV, according to a new United Nations report. However, the report notes that the trend in recent years is promising.

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Increasing Flow of Information Has Impact on Patient Consent

WEDNESDAY, July 16, 2014 (HealthDay News) -- The increasing flow of information as part of health information exchanges raises certain issues for patient consent, according to an article published July 8 in Medical Economics.

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Medical Schools Being Challenged to Find Training Sites

MONDAY, July 14, 2014 (HealthDay News) -- Medical schools are working to find solutions to ensure their students can continue to receive clinical training in spite of the escalating shortage of training sites, according to an article published by the American Academy of Family Physicians (AAFP).

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Social/Behavioral Intervention Ups Minority Study Enrollment

FRIDAY, July 11, 2014 (HealthDay News) -- A social/behavioral intervention vastly increases the number of African-American and Latino individuals living with HIV/AIDS who enroll in HIV/AIDS medical studies (HAMS), according to an article published online June 25 in AIDS and Behavior.

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Mississippi Girl Thought Cured of HIV Shows Signs of Infection

THURSDAY, July 10, 2014 (HealthDay News) -- A Mississippi girl born with HIV who was thought to be cured by immediate and aggressive drug treatment has relapsed, with new tests showing detectable levels of the AIDS-causing virus in her bloodstream, disappointed federal officials announced Thursday afternoon.

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ACOs Require Overhaul to Health Care Delivery System

WEDNESDAY, July 9, 2014 (HealthDay News) -- The accountable care organization (ACO) model requires an overhaul for health care delivery, according to an article published June 24 in Medical Economics.

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Most Docs Find M.B.A. Training Advantageous to Their Careers

TUESDAY, July 8, 2014 (HealthDay News) -- Graduates with dual training in medicine and business increasingly pursue leadership roles and report greater career acceleration, according to a study published online June 20 in Academic Medicine.

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Don't Forget Patient Privacy When Marketing Your Practice

MONDAY, July 7, 2014 (HealthDay News) -- Use of marketing by health care providers must be in accordance with federal and state regulations relating to patient privacy, according to an article published June 24 in Medical Economics.

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HIV-Infected Individuals Less Likely to Receive Cancer Tx

MONDAY, July 7, 2014 (HealthDay News) -- HIV-infected individuals with cancer are less likely to receive treatment, according to a study published online June 30 in the Journal of Clinical Oncology.

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Efavirenz Tied to Increased Suicidality

THURSDAY, July 3, 2014 (HealthDay News) -- Initial treatment with the antiretroviral efavirenz is associated with an increased risk for suicidality, according to a study published in the July 1 issue of the Annals of Internal Medicine.

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Three Opportunities Presented for Practice Growth

THURSDAY, July 3, 2014 (HealthDay News) -- Maximizing the growth potential of a practice over time requires physicians to consider various opportunities, including increasing the size of medical groups, embracing technology, and use of marketing, according to an article published June 24 in Medical Economics.

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AMA: Tips for Managing Medical School Loans

THURSDAY, July 3, 2014 (HealthDay News) -- Creating a budget and other tips can help medical school graduates to manage their loan repayments, according to an article published by the American Medical Association (AMA).

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Recommendations Made for Partnering Patients in Health Care

THURSDAY, July 3, 2014 (HealthDay News) -- Changes need to be implemented in the education system in order to fully integrate patients and their families as equal partners in health care, according to a report based on recommendations made at a conference convened by the Macy Foundation.

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Tips Offered for Improving Practice Financial Management

WEDNESDAY, July 2, 2014 (HealthDay News) -- Establishing clear financial policies for practices and making it easy for patients to pay are two suggestions for improving practices' financial management, according to an article published online June 24 in Medical Economics.

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AAFP Urges Changes in Telemedicine Compensation

WEDNESDAY, July 2, 2014 (HealthDay News) -- Significant changes should be made to delivery and payment of telemedicine services, according to an article published by the American Academy of Family Physicians (AAFP).

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Health Care Expenditure Has Slowed in United States

WEDNESDAY, July 2, 2014 (HealthDay News) -- The growth in U.S. health care expenditure has slowed in recent years, coming some way toward closing the gap with other countries of the Organisation for Economic Co-operation and Development (OECD), according to an article in the health of Americans series published online July 1 in The Lancet.

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ACA Offers Opportunities for Prevention, Public Health

TUESDAY, July 1, 2014 (HealthDay News) -- The Patient Protection and Affordable Care Act is fostering collaboration between the public health and health care systems and can improve quality of care and advance population health, according to an article in the health of Americans series published online July 1 in The Lancet.

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Protection Against HSV-2 Is Added Benefit of Tenofovir

TUESDAY, July 1, 2014 (HealthDay News) -- Tenofovir for HIV-1 preexposure prophylaxis (PrEP) provides the added benefit of protection against herpes simplex virus type 2 (HSV-2) acquisition, according to a study published in the July 1 issue of the Annals of Internal Medicine.

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