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HIV InSite Gateway to HIV and AIDS Knowledge

Details: Comprehensive, up-to-date information on HIV and AIDS treatment, prevention, and policy from the University of California San Francisco.

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HIV InSite Patient and Public Page

Details: HIV InSite's information for patients and the public. Includes Basics, Getting Tested, Just Diagnosed, Treatment Decisions, and Daily Living

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San Francisco General Hospital Positive Health Program

Details: San Francisco General Hospital Positive Health Program Grand Rounds: The Division of HIV, ID and Global Medicine, UCSF Department of Medicine at Zuckerberg San Francisco General Hospital is an interdisciplinary organization of health care professionals providing HIV research, CME-accredited HIV education, and comprehensive HIV care through its renowned Ward 86 clinic.

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Ethical Dimensions of HIV/AIDS

Details: Health care providers may also be permitted to disclose a patient's HIV infection to persons at risk of infection without legal penalty. In some states, such as California, a health care provider may not warn sexual or drug-using partners of infected patients without first informing the patient of the intended disclosure. This exception to

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Databases and Listings of HIV/AIDS Service Providers

Details: CDC's National Prevention Information Network Resources and Services Database A searchable database of over 19,000 organizations that provide services related to HIV/AIDS, STDs, and TB in the U.S., including case management, counseling and testing, prevention, education and outreach, health care, support services, housing assistance, and legal

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Inpatient Management of the Adult with Advanced HIV Disease

Details: In 1990, the Agency for Health Care Policy and Research estimated that each person with advanced HIV disease will have 1.6 hospital admissions for each patient-year and an average hospital stay of 15.8 days per patient-year. Many changes in clinical management have occurred since that time.

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Epidemiology of HIV/AIDS in the United States

Details: This method was tested against observed incidence rates in the San Francisco Men's Health Study, a 10-year cohort study, and the estimate from the dual assay method agreed well with the observed incidence over the 10-year period although the rates for individual years did not all agree well. One source of variation with this method is the viral

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HIV Prevention In Injection Drug Users

Details: Health risk appraisals and assessments of drug users high-risk behaviors nevertheless are similar in that they involve a microscopic examination of participants'/subjects' behavior as it relates to the probability of disease and death. Behavioral assessments with drug users, however, frequently elicit information not only about behavior but

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How to Tell Patients They Have (or Do Not Have) HIV

Details: Introduction: The almost limitless diversity of physician experience and attitudes, as well as variability from patient to patient in prognosis and social setting, makes the title of this chapter seem at first glance hopelessly naive.

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Epidemiology of Disease Progression in HIV

Details: HIV-infected male homosexuals in the San Francisco Men's Health Study heterozygous for the 32-base pair deletion in the CCR-5 receptor (also called CCKR5 and CKR5) had a significant survival advantage. The role of the 32-base pair deletion in CCR-5 in slowing disease progression has been reported by several investigators. CCR-5 is a co-receptor

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Human Rights and HIV/AIDS

Details: Examining public health through a human rights lens involves looking not only at the technical and operational aspects of public health interventions but also at the civil, political, economic, social, and cultural factors that surround them. These factors may include, for example, gender relations, religious beliefs, homophobia, or racism.

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Coping with HIV/AIDS: Mental Health

Details: Mental health refers to the overall well-being of a person, including a person's mood, emotions, and behavior. Many people have strong reactions when they find out they are HIV positive, including feelings such as fear, anger, and a sense of being overwhelmed. Often people feel helpless, sad, and anxious about the illness.

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Outpatient Administration of Intravenous Therapies in

Details: Outpatient Administration of Intravenous Therapies in Patients with HIV Infection: HIV InSite Knowledge Base Chapter October 2004; Content reviewed February 2006: Huey-Ling Lei, RN, MSN, University of California San Francisco Edward Lor, PharmD, San Francisco General Hospital Christine Schwartz, RD, San Francisco General Hospital Hopkins Stanley, RN, MS, CNS, University of California San

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Global HIV Resources

Details: World Bank HealthStats is the World Bank's comprehensive database of health, nutrition, and population statistics. It includes over 250 data points on topics such as health financing, HIV/AIDS, malaria, tuberculosis, health workforce, nutrition, and reproductive health, with background information on poverty, labor force, economy, and education.

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How risky is oral sex?

Details: What it means: Oral sex is sex that involves the mouth and the penis, vagina, or anus (butt hole). Some other words for different kinds of oral sex are "blow job," "giving head," "going down on," "eating out," "sucking," "cunnilingus," or "rimming."

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Surgery in Patients with HIV

Details: Since the onset of the epidemic, HIV transmission to patients has been associated with two health care providers, a Florida dentist and a French orthopedist. Since 1990, "at least 22,759 patients have received medical care from 53 U.S. health care providers with HIV infection (including 29 dental care workers and 15 surgeons and obstetricians

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Evaluation and Quality Improvement

Details: Joint Commission on Accreditation of Healthcare Organizations The JCAHO evaluates and accredits more than 17,000 health care organizations and programs in the United States. An independent, not-for-profit organization, JCAHO is the nation's predominant standards-setting and accrediting body in health care.

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Complementary Therapies

Details: In addition to getting mainstream medical care, many people use complementary treatments to improve their overall health or to help with specific health problems. Complementary therapies can include physical therapies (such as yoga and acupuncture), relaxation techniques (such as meditation), and herbal medicines.

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Health Care and Multiple Diagnosis Issues of Homeless People

Details: A handout from HIV, Hepatitis, Abscesses and Social Suffering Among Homeless Addicts: Anthropological and Clinical Perspectives, by Philippe Bourgois and Barry Zevin, November 9, 1998.: This outline was prepared by Barry Zevin, MD, Medical Director of the Tom Waddell Health Center , 50 Lech Walesa St., S.F., CA 94102, phone: 554-2950 Fax 554-2919.

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HIV Transmission and Prevention in Prisons

Details: The World Health Organization (WHO) published guidelines for management of HIV in prison 1987 and 1993, and the APHA included guidelines in its book of standards in 1986, updated in 1996 and 2003. Medical personnel, public health advisers, prison administrators, legislators, courts, and the electorate all have influenced policy development for

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Education and Training

Details: Family Health International (FHI) In collaboration with developing country colleagues, FHI develops training programs, educational materials, and communication-based interventions to enable health organizations to meet their program and research objectives.

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U.S. Health Care Financing

Details: State Health Facts Online From the Kaiser Family Foundation. Offers health policy information on a broad range of issues, e.g., managed care, health insurance coverage and the uninsured, Medicaid, Medicare, women's health, minority health, and HIV/AIDS. Includes individual state profiles and ability to compare and rank data across states.

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Distance Learning for Healthcare Works in Resource-Limited

Details: Johns Hopkins University School of Public Health Open CourseWare Courses on infectious diseases, biostatistics, public health, global health, MCH, and nutrition. Free. John Hopkins University School of Public Health Online Courses Offer a variety of short and long online courses in public health. Some courses use a mix of on-site sessions and

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Clinical Overview of HIV Disease

Details: The risk from occupational needlesticks to health care workers from known HIV-positive source patients in case series performed prior to the availability of potent ART was found to be 0.33-0.5%. Factors increasing the risk of HIV acquisition from an occupational needlestick include deep injury, injury with a visibly bloody device, or injury

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Latinos and HIV: Cultural Issues in AIDS Prevention

Details: Lurie P, Reingold A, Bowser B, et al. The public health impact of needdle exchange programs in the U.S. and abroad: Summary, conclusions and recommendations. School of Public Health, University of California, Berkeley, and UCSF Institute of Health Policy Studies. Prepared for the Centers for Disease Control and Prevention, 1993.

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Palliative Care of Patients with HIV

Details: As with ART and other treatments, the issue of access remains a serious issue for palliative care in resource-limited settings.(36,37,38,39) International health organizations including the WHO recognize the importance of adequate pain control, symptom management, and psychosocial support as part of the equitable distribution of health

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Professional Associations and Provider Lists

Details: Professional Associations: American Academy of HIV Medicine (AAHIVM) U.S. organization of HIV health care providers dedicated to promoting excellence in HIV/AIDS care through advocacy and education.: American Medical Association (AMA) Develops and promotes standards in medical practice, research, and education; advocates on behalf of patients and physicians; and provides timely information on

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The Transgender Community Health Project

Details: The Transgender Community Health Project (TCHP) is a quantitative study designed to assess HIV risk among Male-To-Female (MTF) and Female-To-Male (FTM) transgendered persons in San Francisco. From July 1, 1997 to December 31, 1997 we conducted an anonymous survey and HIV testing with 392 MTF and 123 FTM transgendered individuals. All

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Forced Migration and Transmission of HIV and Other

Details: The list was published as The Reproductive Health Kit for Emergency Situations; UNFPA packaged the items into units ready for deployment. The Reproductive Health for Refugees (RHR) Consortium was established in February 1995 by five relief and reproductive health agencies to conduct collaborative and multidisciplinary work in the field.

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Adherence to HIV Antiretroviral Therapy

Details: A related public health implication of medication nonadherence is the potential for the increased viremia associated with nonadherence to raise the overall transmissibility and incidence of HIV. There is a strong, albeit imperfect,

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Interactions between Nutritional supplements/herbs and

Details: 1200 mg (soft gel caps) TID with food x 4 days: Garlic capsules (3.6 mg/caplet) BID on days 5-24: Saquinavir AUC: decreased 51%; Cmax: decreased 54%; Cmin: decreased 49%After a 10 day garlic washout period, pharmacokinetic values returned to only 60-70% of baseline

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Sex and HIV Education Programs: Their Impact on Sexual

Details: J Adolesc Health. 2007 Mar;40(3):206-17. Objective To conduct a systematic review of worldwide studies of youth to: a. determine the impact of curriculum-based sex- and HIV-education programs on sexual risk behaviors, STDs, and pregnancy rates, and on mediating factors such as knowledge and attitudes; b. identify characteristics of those

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How You Can Help Your Patients Reduce the Level of Stress

Details: Because the C.D.C. and the Public Health Service have linked the drinking of municipal tap water to both biological and chemical contaminants, patients with CD4 counts below 50 cells/mm3 should be encouraged to drink boiled or bottled water (see "Is It Safe to Drink the Water?" on pages 7-8 of Vol. 1, No. 1 of AIDS Care). 12.

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U.S. Treatment Guidelines

Details: Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents U.S. Department of Health and Human Services Panel on Antiretroviral Guidelines for Adults and Adolescents -- A Working Group of the Office of AIDS Research Advisory Council (OARAC). See also from the AETC National Resource Center.

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Pulmonary Manifestations of HIV

Details: Given the public health risks of a missed diagnosis, clinicians should be familiar with the two most characteristic radiographic presentations of M tuberculosis pneumonia. Finally, because it is the most common pulmonary neoplasm, clinicians should be familiar with the characteristic presentation of pulmonary Kaposi sarcoma.

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Guidelines and Recommendations

Details: Guidelines for Health Education and Risk Reduction Activities Centers for Disease Control and Prevention, National Center for Prevention Services, Division of Sexually Transmitted Diseases/HIV Prevention, April 1, 1995.

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Coping with Stress

Details: Comprehensive treatment programs like the L.I.F.E. Program can have an appreciable impact on stress levels and health behaviors in participants who complete these courses. In our own program, roughly 70% of successful graduates report significant reductions in psychological distress and in behaviors that adversely affect immune function.

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After You Start Therapy

Details: Your health care provider can give you a list of drugs and foods to avoid, depending on what kind of medicine you are taking. Ask for this information for each drug that you are taking. Also, be sure that you tell your doctor about every single medication, drug, and herb you are taking--whether you got them by prescription or not.

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Immediate Initiation of Antiretroviral Therapy in the

Details: Pilcher CD, Ospina-Norvell C, Dasgupta A, et al. The effect of same-day observed initiation of antiretroviral therapy on HIV viral load and treatment outcomes in a U.S. public health setting. J Acquir Immune Defic Syndr. 2017 Jan 1;74(1):44-51. Getting to Zero San Francisco. RAPID ART Program Initiative: How immediate ART improves health outcomes.

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Palliative Care and End-of-Life

Details: Palliative Care, Pain Management, and Hospice: African Palliative Care Association APCA's mission is to promote and support affordable and culturally appropriate palliative care throughout Africa. APCA's goal is to support the scaling-up of palliative care provision across Africa through a culturally appropriate public health approach that strives to balance quality with coverage.

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Task shifting of antiretroviral delivery from health care

Details: Global Health Sciences Literature Digest Published May 12, 2011: Journal Article. Selke HM, Kimaiyo S, Sidle JE, Vedanthan R, Tierney WM, Shen C, Denski CD, Katschke AR, Wools-Kaloustian K. .Task shifting of antiretroviral delivery from health care workers to persons living with HIV/AIDS: clinical outcomes of a community-based program in Kenya.

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HIV Transmission and Prevention in Adolescents

Details: In the briefest of the three interventions, African-American male teens attending an STD clinic received either a 14-minute video, or a one-on-one session with a health educator, or standard care.(J) All male teens received the results of their STD tests and appropriate treatment. The experimental design was a rather strong one, but the

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The National Institute of Mental Health Project Accept

Details: The National Institute of Mental Health (NIMH) Project Accept is an HIV prevention trial in which 34 communities in Africa (in South Africa, Tanzania, and Zimbabwe) and 14 communities in Thailand are being randomized to receive either a community-based HIV voluntary counseling and testing (CBVCT) intervention plus standard clinic-based VCT (SVCT), or SVCT alone.

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Coping with the Psychological Stressors of HIV: Related

Details: The Body's Mental Health Page Articles from HIV newsletters on depression, anxiety, stress, relationships, and other mental health issues.: National Alliance for the Mentally Ill Grassroots, self-help and family advocacy organization solely dedicated to improving the lives of people with severe mental illnesses such as schizophrenia, bipolar disorder (manic depression), major depression

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President's Emergency Plan for AIDS Relief (PEPFAR): An

Details: Health Systems/ Workforce: Mentioned briefly; not major focus. Includes significantly greater emphasis on health work force training and capacity building, with specific work force target (training at least 140,000 new health workers) Food and Nutrition: Support for food and nutrition assistance given as "Sense of Congress"

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Community-Based Care in the Developing World: Related

Details: Includes commentary from the UCSF Institute for Global Health. Two-year virologic outcomes of an alternative AIDS care model: evaluation of a peer health worker and nurse-staffed community-based program in Uganda Chang LW, Alamo S, Guma S, et al. J Acquir Immune Defic Syndr 2009;50:276-82. Includes commentary from the UCSF Institute for Global

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HIV Transmission and Prevention in Adolescents: Related

Details: Go Ask Alice! is the health question and answer Internet service produced by Alice!, Columbia University's Health Education Program--a division of Columbia University Health and Related Services. Let's Talk Internet bulletin board for teens to discuss issues related to sex and sexuality, from the Coalition for Positive Sexuality .

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Expert Commentary: Retention in Care for HIV-Infected

Details: Public health planners must find a way to meet patients halfway. Better ways of measuring and studying retention in care to identify the effects of these alternative models of care also must be found. To date, study investigators often consider patients who are lost to follow-up (ie, those for whom outcomes are unknown) to be defaulters (ie

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