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HIV-1 and alcohol

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https://www.readbyqxmd.com/read/27903948/characterizing-patients-with-very-low-level-hiv-viremia-a-community-based-study
#1
Elie Helou, Sheela Shenoi, Tassos Kyriakides, Marie-Louise Landry, Michael Kozal, Lydia Aoun Barakat
OBJECTIVE: Very-low-level viremia (VLLV) is a relatively new concept in the realm of human immunodeficiency virus (HIV) care. Newer generation assays are now able to detect plasma HIV RNA Viral Load (VL) levels as low as 20 copies/mL. The authors characterized patients with VLLV (VL between 20 and 50 copies/mL) in order to identify possible risk factors associated with virologic failure and poor clinical outcomes. METHODS: The authors reviewed 119 consecutive charts of patients with VLLV...
November 30, 2016: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/27898683/mortality-in-hiv-infected-alcohol-and-drug-users-in-st-petersburg-russia
#2
Nadia S Fairbairn, Alexander Y Walley, Debbie M Cheng, Emily Quinn, Carly Bridden, Christine Chaisson, Elena Blokhina, Dmitry Lioznov, Evgeny Krupitsky, Anita Raj, Jeffrey H Samet
In Russia, up to half of premature deaths are attributed to hazardous drinking. The respective roles of alcohol and drug use in premature death among people with HIV in Russia have not been described. Criminalization and stigmatization of substance use in Russia may also contribute to mortality. We explored whether alcohol, drug use and risk environment factors are associated with short-term mortality in HIV-infected Russians who use substances. Secondary analyses were conducted using prospective data collected at baseline, 6 and 12-months from HIV-infected people who use substances recruited between 2007-2010 from addiction and HIV care settings in a single urban setting of St...
2016: PloS One
https://www.readbyqxmd.com/read/27895278/paracoccidioidomycosis-in-brazilian-patients-with-and-without-human-immunodeficiency-virus-infection
#3
Fabrício Arantes Almeida, Fernando Freitas Neves, Delio Jose Mora, Tarcisio Albertin Dos Reis, Diego Moelas Sotini, Barbara De Melo Ribeiro, Leonardo Eurípedes Andrade-Silva, Gabriel Nogueira Nascentes, Kennio Ferreira-Paim, Mario León Silva-Vergara
Paracoccidioidomycosis (PCM) is endemic to Latin America, where 10 million people may be infected with Paracoccidioides brasiliensis/Paracoccidioides lutzii and 1,600,000 individuals live with human immunodeficiency virus (HIV) infection. An epidemiological overlapping of these infections occurred early in acquired immunodeficiency syndrome era with nearly 180 published cases. This study presents epidemiological, clinical, and outcome profiles for 31 PCM/HIV-infected patients diagnosed in a teaching hospital in Brazil, and includes an update of previously reported cases...
November 28, 2016: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/27891291/knowledge-about-hiv-in-a-community-sample-of-urban-african-americans-in-the-south
#4
H Klein, C E Sterk, K W Elifson
PURPOSE: Race and HIV are intertwined in complex ways. African Americans, particularly those residing in the southern United States, are at great risk for contracting and subsequently transmitting HIV. Research on the extent to which members of this population understand the risks associated with engaging in specific behaviors is limited. This paper examines HIV knowledge among at-risk adult African American men and women and the factors associated with levels of HIV knowledge. METHODS: Based on a conceptual model derived from Social Disorganization Theory and Syndemics Theory, interviews were conducted between 2009 and 2011...
October 2016: Journal of AIDS & Clinical Research
https://www.readbyqxmd.com/read/27888664/ebv-associated-but-hhv8-unrelated-double-hit-effusion-based-lymphoma
#5
Bo-Jung Chen, David Yen-Ting Chen, Chun-Chi Kuo, Shih-Sung Chuang
Effusion-based lymphoma is a rare and unique type of large B-cell lymphoma presenting in effusion without a mass lesion. It shares many clinicopathological features with primary effusion lymphoma (PEL), but is distinct from PEL by the absence of HHV8 association. Double hit lymphoma (DHL) is an aggressive B-cell lymphoma, defined by concurrent rearrangement of MYC and BCL2 or BCL6. DHL often presents as lymphadenopathy or an extranodal mass, but rarely occurs in effusion. Here we report a 61-year-old male with alcoholic cirrhosis presenting as massive ascites and left pleural effusion...
November 26, 2016: Diagnostic Cytopathology
https://www.readbyqxmd.com/read/27883927/randomized-pilot-trial-of-a-cognitive-behavioral-alcohol-self-harm-and-hiv-prevention-program-for-teens-in-mental-health-treatment
#6
Christianne Esposito-Smythers, Wendy Hadley, Timothy W Curby, Larry K Brown
Adolescents with mental health conditions represent a high-risk group for substance use, deliberate self-harm (DSH), and risky sexual behavior. Mental health treatment does not uniformly decrease these risks. Effective prevention efforts are needed to offset the developmental trajectory from mental health problems to these behaviors. This study tested an adjunctive cognitive-behavioral family-based alcohol, DSH, and HIV prevention program (ASH-P) for adolescents in mental healthcare. A two group randomized design was used to compare ASH-P to an assessment only control (AO-C)...
November 12, 2016: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/27876616/protocol-for-three-parallel-multi-site-stepped-care-effectiveness-studies-for-unhealthy-alcohol-use-in-hiv-positive-patients
#7
E Jennifer Edelman, Stephen A Maisto, Nathan B Hansen, Christopher J Cutter, James Dziura, Lynn E Fiellin, Patrick G O'Connor, Roger Bedimo, Cynthia Gibert, Vincent C Marconi, David Rimland, Maria C Rodriguez-Barradas, Michael S Simberkoff, Amy C Justice, Kendall J Bryant, David A Fiellin
Unhealthy alcohol use is common among HIV-positive patients, yet effective evidence-based treatments are rarely provided in clinical settings providing HIV care. Further, given patient variability in response to initial treatments, stepped care approaches may be beneficial. We describe the rationale, aims and study design for the current StartingTreatment forEthanol inPrimary care Trials (STEP Trials); three parallel randomized controlled effectiveness trials being conducted in five Infectious Disease Clinics...
November 19, 2016: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/27865150/event-level-analysis-of-alcohol-consumption-and-condom-use-in-partnership-contexts-among-men-who-have-sex-with-men-and-transgender-women-in-lima-peru
#8
Jeanne R Delgado, Eddy R Segura, Jordan E Lake, Jorge Sanchez, Javier R Lama, Jesse L Clark
BACKGROUND: We explored the association between alcohol use and condomless receptive (CRAI) and insertive (CIAI) anal intercourse within partnership contexts of men who have sex with men (MSM) and transgender women (TGW) in Lima, Peru. METHODS: From 2012-2014, we surveyed men and TGW (n=1607) who reported anal intercourse with ≥1 male or TGW. Alcohol use with up to 3 sexual partners during the prior 90days was evaluated. Bivariate and multivariate analyses used generalized estimating equations to assess event-level associations between alcohol use, CRAI, CIAI, and partnership characteristics while adjusting for participant clustering from multiple partners...
November 3, 2016: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/27863014/a-multicenter-study-of-diet-quality-on-birth-weight-and-gestational-age-in-infants-of-hiv-infected-women
#9
Tracie L Miller, Denise L Jacobson, Gabriel Somarriba, Daniela Neri, Joy Kurtz-Vraney, Patricia Graham, Matthew W Gillman, David C Landy, Suzanne Siminski, Laurie Butler, Kenneth C Rich, Kristy Hendricks, David A Ludwig
We determined factors associated with diet quality and assessed the relationship between diet quality, birth weight, and gestational age in a prospective national multicenter cohort study. We evaluated diet quality with the Healthy Eating Index (HEI, scale 0-100) in the third trimester of pregnancy with three 24-hr multiple-pass dietary recalls in 266 HIV+ women enrolled in the Pediatric HIV/AIDS Cohort Study. Covariates included demographics, food security, pre-pregnancy body mass index, HIV disease severity, substance use, and antiretroviral exposures...
November 8, 2016: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/27856821/determinants-of-early-life-lung-function-in-african-infants
#10
Diane Gray, Lauren Willemse, Ane Visagie, Dorottya Czövek, Polite Nduru, Aneesa Vanker, Dan J Stein, Nastassja Koen, Peter D Sly, Zoltán Hantos, Graham L Hall, Heather J Zar
BACKGROUND: Low lung function in early life is associated with later respiratory illness. There is limited data on lung function in African infants despite a high prevalence of respiratory disease. AIM: To assess the determinants of early lung function in African infants. METHOD: Infants enrolled in a South African birth cohort, the Drakenstein child health study, had lung function measured at 6-10 weeks of age. Measurements, made with the infant breathing via a facemask during natural sleep, included tidal breathing, sulfur hexafluoride multiple breath washout and the forced oscillation technique...
November 17, 2016: Thorax
https://www.readbyqxmd.com/read/27852641/does-age-matter-sexual-event-level-analysis-of-age-disparate-sexual-partners-among-gay-bisexual-and-other-men-who-have-sex-with-men-gbm-in-vancouver-canada
#11
K Closson, N J Lachowsky, Z Cui, S Shurgold, P Sereda, A Rich, D M Moore, E A Roth, R S Hogg
BACKGROUND: To determine factors associated with age-disparate sexual partners among Vancouver gay, bisexual and other men who have sex with men (GBM). METHODS: Sexually active GBM aged ≥16 years were recruited from February 2012 to February 2014. Participants self-completed a questionnaire on demographics, attitudes and sexual behaviour and substance use at last sexual event with five most recent partners. Two generalised linear mixed models identified factors associated with: (1) 'same-age' (referent), 'younger' or 'much-younger' and (2) 'same-age' (referent), 'older' or 'much-older' partners...
November 16, 2016: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/27851714/preexposure-prophylaxis-for-hiv-prevention-in-a-large-integrated-health-care-system-adherence-renal-safety-and-discontinuation
#12
Julia L Marcus, Leo B Hurley, Charles Bradley Hare, Dong Phuong Nguyen, Tony Phengrasamy, Michael J Silverberg, Juliet E Stoltey, Jonathan E Volk
BACKGROUND: Placebo-controlled and open-label studies have demonstrated the safety and efficacy of daily oral preexposure prophylaxis (PrEP) in preventing HIV infection, but data are limited on real-world PrEP use. METHODS: We conducted a cohort study from July 2012 through June 2015 of Kaiser Permanente Northern California members initiating PrEP. We assessed pharmacy refill adherence and discontinuation, decreases in estimated glomerular filtration rate (eGFR), and sexually transmitted infection (STI)/HIV incidence...
December 15, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/27844313/the-association-between-men-s-concern-about-demonstrating-masculine-characteristics-and-their-sexual-risk-behaviors-findings-from-the-dominican-republic
#13
Paul J Fleming, Clare Barrington, Wizdom Powell, Ann Gottert, Leonel Lerebours, Yeycy Donastorg, Maximo O Brito
Quantitative analyses exploring the relationship between masculinities and men's sexual risk behaviors have most commonly used one dimension of masculinities: men's gender ideology. Examining other dimensions may enhance our understanding of and ability to intervene upon this relationship. In this article, we examined the association between gender role conflict/stress (GRC/S)-men's concern about demonstrating masculine characteristics-and three different sexual risk behaviors (having two or more sex partners in the last 30 days; never/inconsistent condom use with non-steady partners; and drinking alcohol at last sex) among a sample of heterosexual men in the Dominican Republic who were participating in an HIV prevention intervention (n = 293)...
November 14, 2016: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/27837424/social-support-and-the-mediating-roles-of-alcohol-use-and-adherence-self-efficacy-on-antiretroviral-therapy-art-adherence-among-art-recipients-in-gauteng-south-africa
#14
Connie T Kekwaletswe, Esmé Jordaan, Sebenzile Nkosi, Neo K Morojele
We sought to (a) replicate and (b) extend (via the addition of alcohol use) Cha et al.'s cross-sectional multi-component model of ART adherence on the relationship between social support, depression, self-efficacy beliefs, and antiretroviral therapy (ART) adherence, among HIV patients in Tshwane, South Africa. Using purposive sampling, 304 male and female ART recipients were recruited. ART adherence was assessed using three manifest indicators: total adherence ratio, the CASE adherence index and 1-month adherence measure...
November 11, 2016: AIDS and Behavior
https://www.readbyqxmd.com/read/27826056/prognosis-of-patients-with-chronic-hepatitis-b-in-france-2008-2013-a-nationwide-observational-and-hospital-based-study
#15
Vincent Mallet, Kamal Hamed, Michaël Schwarzinger
BACKGROUND AND AIMS: How risk factors associated with chronic hepatitis B (CHB) modify liver disease progression and mortality has been scarcely reported outside of Asia. METHODS: All individuals discharged with CHB from acute and post-acute care hospitals in Metropolitan France between January 2008 and December 2013 were selected. Associations between liver- and non-liver-related risk factors and both liver disease progression (end-stage liver disease or hepatocellular carcinoma) and mortality were assessed by multivariate Cox proportional hazard models...
November 5, 2016: Journal of Hepatology
https://www.readbyqxmd.com/read/27816863/the-effects-of-alcohol-on-spontaneous-clearance-of-acute-hepatitis-c-virus-infection-in-females-versus-males
#16
Judith I Tsui, Ali Mirzazadeh, Judith A Hahn, Lisa Maher, Julie Bruneau, Jason Grebely, Margaret Hellard, Arthur Y Kim, Naglaa H Shoukry, Andrea L Cox, Maria Prins, Gregory J Dore, Georg Lauer, Andrew R Lloyd, Kimberly Page
BACKGROUND: Approximately one quarter of persons exposed to hepatitis C virus (HCV) will spontaneously clear infection. We undertook this study to investigate the impact of alcohol on likelihood of HCV spontaneous viral clearance stratified by sex groups. METHODS: Pooled data from an international collaboration of prospective observational studies of incident HIV and HCV infection in high-risk cohorts (the InC3 Study) was restricted to 411 persons (or 560.7 person-years of observation) with documented acute HCV infection and data regarding alcohol use...
October 26, 2016: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/27815018/-against-medical-advice-discharges-among-hiv-infected-patients-health-and-health-services-outcomes
#17
David Alfandre, Jingyan Yang, Katherine Harwood, Peter Gordon, Helen-Maria Lekas, Steven J Chang, Michael T Yin
Nurses are often first to identify and manage a patient leaving against medical advice (AMA), and so they are critical contributors to the development of strategies to address this problem. We studied AMA discharge in order to help develop useful interventions. We performed a cross-sectional analysis of 55,938 discharges from a single urban hospital for the years 2002-2003 and 2012-2013. AMA discharge rates were higher for HIV-infected patients than for patients with alcohol-related disorders or sickle cell anemia in both time periods, even after adjustment for age, race, sex, insurance status, and household income...
October 21, 2016: Journal of the Association of Nurses in AIDS Care: JANAC
https://www.readbyqxmd.com/read/27809253/developing-hiv-1-protease-inhibitors-through-stereospecific-reactions-in-protein-crystals
#18
Folasade M Olajuyigbe, Nicola Demitri, Rita De Zorzi, Silvano Geremia
Protease inhibitors are key components in the chemotherapy of HIV infection. However, the appearance of viral mutants routinely compromises their clinical efficacy, creating a constant need for new and more potent inhibitors. Recently, a new class of epoxide-based inhibitors of HIV-1 protease was investigated and the configuration of the epoxide carbons was demonstrated to play a crucial role in determining the binding affinity. Here we report the comparison between three crystal structures at near-atomic resolution of HIV-1 protease in complex with the epoxide-based inhibitor, revealing an in-situ epoxide ring opening triggered by a pH change in the mother solution of the crystal...
October 31, 2016: Molecules: a Journal of Synthetic Chemistry and Natural Product Chemistry
https://www.readbyqxmd.com/read/27808576/prevalence-and-correlates-of-marijuana-use-among-hiv-seropositive-and-seronegative-men-in-the-multicenter-aids-cohort-study-macs-1984-2013
#19
Chukwuemeka N Okafor, Robert L Cook, Xinguang Chen, Pamela J Surkan, James T Becker, Steve Shoptaw, Eileen Martin, Michael W Plankey
BACKGROUND: Marijuana use is common among HIV+ individuals, but few studies have examined long-term trends in prevalence and correlates of use. METHODS: We evaluated trends (1984-2013) in the annual prevalence of current (past 6-month use) and daily (among current users) marijuana use and determined correlates of use among 2742 HIV-seropositive (HIV+) and 3172 HIV-seronegative (HIV-) men who have sex with men in the Multicenter AIDS Cohort Study (MACS). Poisson regression models were used to estimate prevalence ratios of marijuana use separately for the men who were enrolled before 2001 (early-cohort) and after 2001 (late-cohort)...
November 3, 2016: American Journal of Drug and Alcohol Abuse
https://www.readbyqxmd.com/read/27797699/alcohol-use-partner-characteristics-and-condom-use-among-hiv-infected-russian-women-an-event-level-study
#20
Jennifer L Brown, Ralph J DiClemente, Jessica M Sales, Eve S Rose, Nicole K Gause, Polina Safonova, Olga Levina, Nikolay Belyakov, Vadim V Rassokhin
OBJECTIVE: Alcohol use is a prominent factor correlated with HIV risk behavior engagement. Hazardous drinking is prevalent among Russian women and may contribute to decreased condom use. Event-based studies suggest that HIV risk behaviors may vary based on situational factors including partner characteristics and alcohol use. This study investigated the effect of situational factors on condom use during the most recent sexual encounter among a sample of HIV-infected Russian women. METHOD: HIV-infected women (n = 239; mean age = 30...
November 2016: Journal of Studies on Alcohol and Drugs
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