Theodoros F. Katsivas, M.D., M.A.S., of UC San Diego Owen Clinic, presents "San Diego Primary Care Providers' Attitudes to HIV and HIV Testing" at AIDS Clinical Rounds
This document discusses stigma, discrimination, disclosure, and legal issues related to HIV. It begins by defining stigma and its impacts. It then discusses the roots of HIV stigma, including fear of contagion and negative assumptions about those infected. Multiple stigmas can compound issues for those living with HIV. Legal duties around disclosure are complex, with unclear guidelines around what constitutes significant risk of transmission. Non-disclosure can result in criminal charges but disclosure may not fully protect against prosecution. Community organizations have duties around confidentiality but not mandatory reporting.
This document provides information about the Ontario HIV and Substance Use Training Program (OHSUTP). It summarizes the vision, mission, and mandate of OHSUTP, which is to provide training to substance use and mental health service providers to increase knowledge of HIV/AIDS and promote skills development. It also provides an overview of Fife House, the supportive housing organization that OHSUTP operates out of. Key information includes descriptions of Fife House's supportive housing programs and services for people living with HIV/AIDS.
Kathleen Brady of the PDPH presented the annual report on the HIV epidemic in Philadelphia at the February 2017 meeting of the Philadelphia Ryan White Part A Planning Council.
The document discusses the social determinants of health that influence HIV risk and outcomes, including early childhood development, education, employment, income, food/housing security, health/transportation access, social exclusion, and stigma. It notes that people living with HIV often experience high levels of stigma, leading to negative consequences like reduced testing/treatment, financial/social difficulties, and poorer mental/physical health. Intimate partner violence is also discussed as putting individuals at increased risk for HIV through barriers to condom negotiation, abuse if condoms are used, and health effects that weaken the immune system.
Alex Shirreffs, the HIV/HCV Project Coordinator at the Philadelphia Department of Public Health, presented on Hepatitis C and HIV co-infection at the April 2017 meeting of the Positive Committee.
Theodoros F. Katsivas, M.D., M.A.S., of UC San Diego Owen Clinic, presents "San Diego Primary Care Providers' Attitudes to HIV and HIV Testing" at AIDS Clinical Rounds
This document discusses stigma, discrimination, disclosure, and legal issues related to HIV. It begins by defining stigma and its impacts. It then discusses the roots of HIV stigma, including fear of contagion and negative assumptions about those infected. Multiple stigmas can compound issues for those living with HIV. Legal duties around disclosure are complex, with unclear guidelines around what constitutes significant risk of transmission. Non-disclosure can result in criminal charges but disclosure may not fully protect against prosecution. Community organizations have duties around confidentiality but not mandatory reporting.
This document provides information about the Ontario HIV and Substance Use Training Program (OHSUTP). It summarizes the vision, mission, and mandate of OHSUTP, which is to provide training to substance use and mental health service providers to increase knowledge of HIV/AIDS and promote skills development. It also provides an overview of Fife House, the supportive housing organization that OHSUTP operates out of. Key information includes descriptions of Fife House's supportive housing programs and services for people living with HIV/AIDS.
Kathleen Brady of the PDPH presented the annual report on the HIV epidemic in Philadelphia at the February 2017 meeting of the Philadelphia Ryan White Part A Planning Council.
The document discusses the social determinants of health that influence HIV risk and outcomes, including early childhood development, education, employment, income, food/housing security, health/transportation access, social exclusion, and stigma. It notes that people living with HIV often experience high levels of stigma, leading to negative consequences like reduced testing/treatment, financial/social difficulties, and poorer mental/physical health. Intimate partner violence is also discussed as putting individuals at increased risk for HIV through barriers to condom negotiation, abuse if condoms are used, and health effects that weaken the immune system.
Alex Shirreffs, the HIV/HCV Project Coordinator at the Philadelphia Department of Public Health, presented on Hepatitis C and HIV co-infection at the April 2017 meeting of the Positive Committee.
This document summarizes disparities in Philadelphia's HIV continuum of care. It identifies several priority populations that experience lower rates of HIV status awareness, retention in medical care, and viral load suppression. These include racial/ethnic minority youth, transgender persons who have sex with men, heterosexual men of color, and persons who inject drugs. The document also finds geographic disparities, with lower continuum measures in collar counties surrounding Philadelphia. It concludes by recommending several areas for action to decrease disparities, such as increasing PrEP access, HIV testing, and linkage to and retention in medical care.
Michael Tang, MD
Infectious Disease Fellow
Division of Infectious Diseases and Global Public Health
Department of Medicine
University of California, San Diego
Global Medical Cures™ | HIV TESTING IN USA
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
This workshop is designed to talk about the impact of STDs on youth under the age of 25. This workshop will discuss the importance of sexual health screenings, partner management, and current data around STD morbidity rates. We will also talk about current STD clinical recommendations for the treatment of gonorrhea, chlamydia, and syphilis. Participants will engage in an interactive activity where they will sharpen their skills on effective partner management strategies.
This study examined circumstances surrounding HIV testing and factors that facilitate or impede linkage to care among transwomen in Indiana. Eighteen transwomen participated in interviews. Routine testing was prompted by intake at prisons/jails or other health screenings, while self-initiated testing occurred due to perceived risk or a new relationship. Recommended testing followed a partner's positive diagnosis. Timely linkage occurred with psychosocial support, peer guidance, and direct referrals. Lack of privacy, denial, and poor information delayed care. Policy changes are needed to better address the unique needs of transwomen in testing and care programs.
This document discusses enhancing collaboration between HIV/AIDS, viral hepatitis, STD, and TB prevention programs. It provides an agenda for a webcast on this topic, including presentations from CDC and health department directors. The presentations will cover the synergistic nature of these epidemics, barriers to collaboration, and strategies for implementing program collaboration and service integration (PCSI) at national, state, and local levels to provide more comprehensive prevention and care.
Dr. Kathleen Brady of the AIDS Activities Coordinating Office discussed three cycles of the National HIV Behavioral Surveillance in Philadelphia, including cycles with men who have sex with men (MSM), high-risk heterosexuals, and injection drug users. This presentation took place at the Philadelphia EMA HIV Integrated Planning Council meeting on Thursday, January 11, 2018.
1) About 33% of people living with HIV/AIDS in the US are over 50 years old, and by 2015 over 50% are projected to be over 50. Older African Americans and gay men are disproportionately affected.
2) In New York City, 75% of people with HIV/AIDS are over 40, and 38% are over 50. There are three groups of older adults with HIV - newly infected, newly diagnosed, and longtime survivors.
3) Older adults experience stigma around both HIV status and aging, which can lead to isolation, depression, and challenges accessing care. Health providers must address the long-term effects of HIV and aging.
This document summarizes a community-based HIV/STI case management project in a First Nations community in Saskatchewan. The project aims to decrease new HIV/STI cases, reduce stigma, and build community and professional capacity. A multi-disciplinary mobile team provides culturally-competent care, including testing, treatment, counseling and referrals. Key lessons learned include the importance of community readiness, aligning resources to meet client needs, and effective ongoing partnerships. Evaluation found the project achieved its goals through a quality improvement and evidence-based approach.
Getting to scale: How we can achieve the reach required of prevention service...HopkinsCFAR
This document discusses disparities in HIV/STI rates among Black and White MSM in Atlanta from 2009-2014. The study found significantly higher rates of new HIV infections, prevalent HIV infections, and STIs among Black MSM compared to White MSM. Factors contributing to the disparities included higher community-level HIV prevalence among Black MSM networks, increased likelihood of Black MSM encountering an HIV-positive partner, geographic clustering of Black MSM in high-poverty/high-stigma neighborhoods, and higher rates of condom failures or incomplete use among Black MSM. The document advocates for scaling up multiple prevention interventions like PrEP to achieve sufficient coverage levels to meaningfully reduce new HIV transmissions.
Shaun Staunton (Tascahrd) reports on a Qld study of HIV nurses and recommends that HIV nurses could play a greater role in HIV health promotion and prevention. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.
Burden of HIV and Research Gaps Among Key Populations in Sub-Saharan AfricaHopkinsCFAR
Key populations including sex workers, men who have sex with men, and people who inject drugs experience disproportionately high HIV burdens in sub-Saharan Africa due to various biological, behavioral, and structural factors. HIV prevalence among female sex workers ranges from 10.9% in Eastern Europe to 36.9% in sub-Saharan Africa, where sex workers are 12 times more likely to be infected than other women. Men who have sex with men also experience high HIV prevalence, though data remains limited in sub-Saharan Africa. Combination prevention approaches including behavioral, biomedical, and structural interventions are needed to address the outsized impact of HIV on key populations.
Changes of sexual practices of people living with hiv after initiation of ant...PinHealth
This document discusses changes in sexual practices among people living with HIV in Albania after initiating antiretroviral therapy (ART). It hypothesizes that adherence is related to sexual desire, moderated by depression level, and that ART increases unprotected sex. A study of 20 ART patients examined relationships between adherence, depression, and unprotected sex. It is expected that sexual desire diminishes on ART, low adherence is linked to high depression, and depression reduces desire and increases risky sex. Improving mental healthcare for PLWH may help their sexual well-being.
PPT Castelli "Dall'HIV all'AIDS fino alla coinfezione: una diagnosi difficile?"StopTb Italia
This document discusses the challenges of diagnosing HIV, AIDS, and co-infections. It notes that distinguishing between HIV infection, AIDS, and co-infections can be difficult. Point-of-care rapid tests have helped increase HIV testing, though they cannot identify acute HIV infections. The document emphasizes the importance of confirming positive rapid HIV tests with supplemental tests due to the potential for false positives in low prevalence populations.
This study analyzed data from 2009 on newly reported HIV cases and their sexual partners in Dallas County, Texas. Of the 530 sexual partners tested who were contacts of people newly diagnosed with HIV, 74.7% (396 people) were previously aware of their positive HIV status, while 25.3% (134 people) were newly diagnosed. Although contact investigations are still effective, the majority of contacts for people newly diagnosed were already aware of their HIV positive status. Increasing HIV testing and early diagnosis can help lower transmission rates by decreasing the number of unaware infections.
SBIRT and SAMHSA's 8 Strategic Initiativessideponytail
Slides from a webinar held by the National SBIRT ATTC. Video is on TheIRETAChannel on Youtube: http://www.youtube.com/watch?v=f6NrKuGlGRs&feature=share&list=PLiML4AFpuB72LBaPShcu2yQv_WpsGY9a9
This document provides an overview of the President's Emergency Plan for AIDS Relief (PEPFAR) program, including its goals, strategies, and challenges. PEPFAR aims to control the HIV/AIDS epidemic through strategies like testing and treatment (95-95-95 goals), focusing on high-risk populations and geographic hotspots, and strengthening HIV testing services. However, PEPFAR faces ongoing challenges like ensuring accurate HIV testing and achieving viral suppression targets among youth. The document discusses ongoing efforts to address weaknesses in HIV testing practices and increase testing quality through proficiency testing, monitoring, and training.
The document is a brief note from Carlo M. Rosa about location scouting he did for a TV program in Roatan, Honduras. He had been living in Roatan for almost 8 months before bringing the TV program there to scout locations. He forgot to mention the location scouting he did personally in his previous summary for the program.
Este documento promueve la creación de presentaciones Haiku Deck en SlideShare, permitiendo que los usuarios se inspiren y creen sus propias presentaciones de diapositivas de forma fácil y creativa.
This document summarizes disparities in Philadelphia's HIV continuum of care. It identifies several priority populations that experience lower rates of HIV status awareness, retention in medical care, and viral load suppression. These include racial/ethnic minority youth, transgender persons who have sex with men, heterosexual men of color, and persons who inject drugs. The document also finds geographic disparities, with lower continuum measures in collar counties surrounding Philadelphia. It concludes by recommending several areas for action to decrease disparities, such as increasing PrEP access, HIV testing, and linkage to and retention in medical care.
Michael Tang, MD
Infectious Disease Fellow
Division of Infectious Diseases and Global Public Health
Department of Medicine
University of California, San Diego
Global Medical Cures™ | HIV TESTING IN USA
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
This workshop is designed to talk about the impact of STDs on youth under the age of 25. This workshop will discuss the importance of sexual health screenings, partner management, and current data around STD morbidity rates. We will also talk about current STD clinical recommendations for the treatment of gonorrhea, chlamydia, and syphilis. Participants will engage in an interactive activity where they will sharpen their skills on effective partner management strategies.
This study examined circumstances surrounding HIV testing and factors that facilitate or impede linkage to care among transwomen in Indiana. Eighteen transwomen participated in interviews. Routine testing was prompted by intake at prisons/jails or other health screenings, while self-initiated testing occurred due to perceived risk or a new relationship. Recommended testing followed a partner's positive diagnosis. Timely linkage occurred with psychosocial support, peer guidance, and direct referrals. Lack of privacy, denial, and poor information delayed care. Policy changes are needed to better address the unique needs of transwomen in testing and care programs.
This document discusses enhancing collaboration between HIV/AIDS, viral hepatitis, STD, and TB prevention programs. It provides an agenda for a webcast on this topic, including presentations from CDC and health department directors. The presentations will cover the synergistic nature of these epidemics, barriers to collaboration, and strategies for implementing program collaboration and service integration (PCSI) at national, state, and local levels to provide more comprehensive prevention and care.
Dr. Kathleen Brady of the AIDS Activities Coordinating Office discussed three cycles of the National HIV Behavioral Surveillance in Philadelphia, including cycles with men who have sex with men (MSM), high-risk heterosexuals, and injection drug users. This presentation took place at the Philadelphia EMA HIV Integrated Planning Council meeting on Thursday, January 11, 2018.
1) About 33% of people living with HIV/AIDS in the US are over 50 years old, and by 2015 over 50% are projected to be over 50. Older African Americans and gay men are disproportionately affected.
2) In New York City, 75% of people with HIV/AIDS are over 40, and 38% are over 50. There are three groups of older adults with HIV - newly infected, newly diagnosed, and longtime survivors.
3) Older adults experience stigma around both HIV status and aging, which can lead to isolation, depression, and challenges accessing care. Health providers must address the long-term effects of HIV and aging.
This document summarizes a community-based HIV/STI case management project in a First Nations community in Saskatchewan. The project aims to decrease new HIV/STI cases, reduce stigma, and build community and professional capacity. A multi-disciplinary mobile team provides culturally-competent care, including testing, treatment, counseling and referrals. Key lessons learned include the importance of community readiness, aligning resources to meet client needs, and effective ongoing partnerships. Evaluation found the project achieved its goals through a quality improvement and evidence-based approach.
Getting to scale: How we can achieve the reach required of prevention service...HopkinsCFAR
This document discusses disparities in HIV/STI rates among Black and White MSM in Atlanta from 2009-2014. The study found significantly higher rates of new HIV infections, prevalent HIV infections, and STIs among Black MSM compared to White MSM. Factors contributing to the disparities included higher community-level HIV prevalence among Black MSM networks, increased likelihood of Black MSM encountering an HIV-positive partner, geographic clustering of Black MSM in high-poverty/high-stigma neighborhoods, and higher rates of condom failures or incomplete use among Black MSM. The document advocates for scaling up multiple prevention interventions like PrEP to achieve sufficient coverage levels to meaningfully reduce new HIV transmissions.
Shaun Staunton (Tascahrd) reports on a Qld study of HIV nurses and recommends that HIV nurses could play a greater role in HIV health promotion and prevention. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.
Burden of HIV and Research Gaps Among Key Populations in Sub-Saharan AfricaHopkinsCFAR
Key populations including sex workers, men who have sex with men, and people who inject drugs experience disproportionately high HIV burdens in sub-Saharan Africa due to various biological, behavioral, and structural factors. HIV prevalence among female sex workers ranges from 10.9% in Eastern Europe to 36.9% in sub-Saharan Africa, where sex workers are 12 times more likely to be infected than other women. Men who have sex with men also experience high HIV prevalence, though data remains limited in sub-Saharan Africa. Combination prevention approaches including behavioral, biomedical, and structural interventions are needed to address the outsized impact of HIV on key populations.
Changes of sexual practices of people living with hiv after initiation of ant...PinHealth
This document discusses changes in sexual practices among people living with HIV in Albania after initiating antiretroviral therapy (ART). It hypothesizes that adherence is related to sexual desire, moderated by depression level, and that ART increases unprotected sex. A study of 20 ART patients examined relationships between adherence, depression, and unprotected sex. It is expected that sexual desire diminishes on ART, low adherence is linked to high depression, and depression reduces desire and increases risky sex. Improving mental healthcare for PLWH may help their sexual well-being.
PPT Castelli "Dall'HIV all'AIDS fino alla coinfezione: una diagnosi difficile?"StopTb Italia
This document discusses the challenges of diagnosing HIV, AIDS, and co-infections. It notes that distinguishing between HIV infection, AIDS, and co-infections can be difficult. Point-of-care rapid tests have helped increase HIV testing, though they cannot identify acute HIV infections. The document emphasizes the importance of confirming positive rapid HIV tests with supplemental tests due to the potential for false positives in low prevalence populations.
This study analyzed data from 2009 on newly reported HIV cases and their sexual partners in Dallas County, Texas. Of the 530 sexual partners tested who were contacts of people newly diagnosed with HIV, 74.7% (396 people) were previously aware of their positive HIV status, while 25.3% (134 people) were newly diagnosed. Although contact investigations are still effective, the majority of contacts for people newly diagnosed were already aware of their HIV positive status. Increasing HIV testing and early diagnosis can help lower transmission rates by decreasing the number of unaware infections.
SBIRT and SAMHSA's 8 Strategic Initiativessideponytail
Slides from a webinar held by the National SBIRT ATTC. Video is on TheIRETAChannel on Youtube: http://www.youtube.com/watch?v=f6NrKuGlGRs&feature=share&list=PLiML4AFpuB72LBaPShcu2yQv_WpsGY9a9
This document provides an overview of the President's Emergency Plan for AIDS Relief (PEPFAR) program, including its goals, strategies, and challenges. PEPFAR aims to control the HIV/AIDS epidemic through strategies like testing and treatment (95-95-95 goals), focusing on high-risk populations and geographic hotspots, and strengthening HIV testing services. However, PEPFAR faces ongoing challenges like ensuring accurate HIV testing and achieving viral suppression targets among youth. The document discusses ongoing efforts to address weaknesses in HIV testing practices and increase testing quality through proficiency testing, monitoring, and training.
The document is a brief note from Carlo M. Rosa about location scouting he did for a TV program in Roatan, Honduras. He had been living in Roatan for almost 8 months before bringing the TV program there to scout locations. He forgot to mention the location scouting he did personally in his previous summary for the program.
Este documento promueve la creación de presentaciones Haiku Deck en SlideShare, permitiendo que los usuarios se inspiren y creen sus propias presentaciones de diapositivas de forma fácil y creativa.
Este documento presenta las planeaciones de clase para el cuarto bloque de cuarto grado. Los estudiantes explorarán y completarán diferentes formatos para comprender su función y aprender a enviarlos. Completarán formularios de inscripción y discutirán la información requerida. También construirán juguetes usando propiedades de la luz y la electrización.
This document outlines lesson plans for teaching students about Dr. Martin Luther King Jr. It includes activities for students to: quickly write about who Dr. King was; select inspiring quotes from one of his speeches; discuss the quotes in pairs; and write an essay responding to their selected quote. The essay asks students to explain what they think Dr. King meant by the quote, why they chose it, and what it means to them today. Finally, students write a letter to Dr. King outlining their "blueprint," or life goals and plans. The overall document provides a framework for lessons honoring Dr. King's legacy and encouraging students to reflect on his message.
CBE16 - Funding Sources and Considerations (Fisher)CraftBev
What funding do you need to finance the growth of your company? As a producer who wants to grow, you need to understand the different sources of funding available to you and their advantages and disadvantages based on your unique situation. What will be the costs? What regulatory and reporting considerations do you need to consider? Join this discussion to better understand various sources of capital and how they compare and contrast for each producer’s particular needs.
CBE16 - water manage your business thru the ebbs and the flowsCraftBev
Craft breweries and wineries face water and wastewater issues related to their operations. These industries produce high-strength wastewater that can exceed regulations for biochemical oxygen demand (BOD) and total suspended solids (TSS). Larger facilities over 100,000 barrels per year of production may consider on-site biological wastewater treatment to reduce costs. Both industries should minimize water and wastewater usage through practices like leak detection, process integration, and segregating waste streams. Proactive planning and working with utilities can help craft beverage producers manage water resources sustainably over time.
Hi52Hlth: Using Mobile Technology to Access Healthcare for TeensYTH
Hi52Hlth is a mobile application (app) created to engage adolescents and young adults in the search for resources in the Houston area. The app allows the user to search for locations of clinics and community organizations with directions, articles and videos on HIV/AIDS, ability to ask questions directly to health avatars ("Tiff" and "Ty"), PEP (Post-Exposure Prophylaxis) and PrEP (Pre-Exposure Prophylaxis) information, and a frequently asked questions section.
This document provides an overview of a webinar on integrating HIV prevention into primary care. The webinar covers HIV epidemiology, prevention strategies like PrEP and treatment as prevention, and implementation approaches. Presenters discuss taking a sex positive, status neutral approach to discussing sexual health with patients. They review HIV testing recommendations, PrEP regimens and monitoring, and how treatment can prevent transmission when a person living with HIV is virally suppressed. The goal is to identify those at risk for HIV testing and care, and those not infected but at risk can initiate PrEP for prevention.
HIV Nursing and Home & Community Care Conference griehl
This joint presentation by Susann Nasewich and Greg Riehl will describe HIV Nursing as it relates to pre and post test counseling, and what is important to know for home and community care nurses and aides.
Routine HIV Testing in the Community Health CenterMPCA
Routine HIV screening in primary care settings can help identify undiagnosed cases of HIV infection earlier. Late HIV testing leads to poorer health outcomes compared to earlier diagnosis. The CDC now recommends opt-out routine HIV screening for patients ages 13-64 in primary care. A model developed by health centers successfully integrated routine HIV screening and achieved high testing rates, identifying new HIV cases and linking patients to care.
Representatives from the Philadelphia Department of Public Health (PDPH) presented an update on their strategic plan for sexual health at the February 2015 meeting of the Philadelphia Ryan White Part A Planning Council.
C-YA! Philadelphia EMA's Plan to Connect our Co-infected Community to a Cure ...Office of HIV Planning
Alex Shirreffs of the Philadelphia Department of Public Health provided this overview of the Philadelphia area's plan to end HIV and Hepatitis C coinfections to the HIV Integrated Planning Council on May 10, 2018.
This study examines the impact of non-medical case managers on re-linking HIV-positive individuals to care in Houston, Texas. The study utilizes data from multiple sources, including HIV surveillance databases, care databases, STD surveillance databases, and a public records database, to identify individuals presumed to be out of HIV care. These individuals are then referred to non-medical case managers for an attempt at re-engagement in care. The study aims to determine the proportion of individuals who are successfully re-linked to care following interaction with a case manager, and to identify challenges in locating these individuals using the available data sources. Results will help prioritize referrals and allocate resources to maximize public health impact.
This document summarizes a study on youth access to HIV testing in Wards 7 and 8 of Washington D.C. The study found that of the 17 clinics surveyed in these areas, 12 had policies that complied with D.C. law allowing confidential HIV testing for minors. However, 8 clinics required payment for testing and 4 required parental permission. Most clinics were open after school hours and accessible by public transportation. While many clinics have removed barriers to testing, the results suggest that factors other than accessibility may still prevent D.C. youth from getting tested regularly for HIV.
Iowa TelePrEP: Delivering PrEP through Telemedicine and Public Health Partner...YTH
Telemedicine is a collection of means or methods for enhancing health care, public health and health education delivery and support using telecommunications technologies. With more than 95% of adults, and 100% of young adults between the age of 18-29 owning a cell phone in the United States, a technology-based health intervention can be available to hard-to-reach populations or underserved areas.
Panelists will engage a rich dialogue and showcase innovative and effective ways to create prevention programs for HIV and STDs using the potential telehealth can offer, specifically with linking young people to HIV pre-exposure prophylaxis, or PrEP. This plenary brings together leaders in the field of HIV prevention, research and policy along with private organizations and companies that are currently active on the field of biomedical prevention.
Iowa TelePrEP: Delivering PrEP through Telemedicine and Public Health Partner...YTH
Telemedicine is a collection of means or methods for enhancing health care, public health and health education delivery and support using telecommunications technologies. With more than 95% of adults, and 100% of young adults between the age of 18-29 owning a cell phone in the United States, a technology-based health intervention can be available to hard-to-reach populations or underserved areas.
Panelists will engage a rich dialogue and showcase innovative and effective ways to create prevention programs for HIV and STDs using the potential telehealth can offer, specifically with linking young people to HIV pre-exposure prophylaxis, or PrEP. This plenary brings together leaders in the field of HIV prevention, research and policy along with private organizations and companies that are currently active on the field of biomedical prevention.
Do One Thing Youth Engagement in an HIV Media, Testing and Treatment Health C...YTH
The document summarizes the Do One Thing program, which provides HIV/HCV outreach, testing, and treatment in Southwest Philadelphia. The program targets youth through social media campaigns, street outreach, and volunteer opportunities for students. Youth represent 30% of HIV tests conducted and 0% tested positive for HCV. Over 70 volunteers, many of whom are students, were trained to conduct testing and educate about health disparities. The comprehensive media strategy and community engagement have helped the program effectively reach youth and address the HIV epidemic in the target area.
Worlds AIDS Day 2016 (Peurto Rican Cultural Center & Vida SIDA) Tahseen Siddiqui
This document provides information about the HIV epidemic in the United States, with a focus on its impact and statistics regarding the Hispanic/Latino community. It discusses that Hispanics/Latinos account for a disproportionate number of HIV diagnoses compared to their population percentage. Specifically, it notes that in 2014 Hispanics/Latinos accounted for 24% of new HIV diagnoses while only representing 17% of the US population. It also summarizes some of the challenges facing the Hispanic/Latino community in terms of HIV, such as lower rates of retention in HIV care and higher rates of other sexually transmitted diseases.
This document describes the case of a man diagnosed with HIV after multiple visits to an IHS clinic. It outlines the IHS HIV care team that successfully treated the patient's physical and mental health issues. This included pharmacists, physicians, a nurse specialist, nutritionist, and traditional healer. The care team works to improve HIV screening, treatment, and destigmatize HIV in American Indian communities.
Philadelphia’s Citywide Interfaith HIV Prevention Campaign: Results and Lesso...CDC NPIN
The document summarizes a citywide interfaith HIV prevention campaign in Philadelphia. It found that African Americans made up 43% of Philadelphia's population but accounted for 69% of new HIV cases in 2006, with incidence rates 5 times the national average. The campaign partnered with over 50 faith-based institutions (FBIs) to conduct educational activities and HIV testing in underserved communities. While challenging to assess impact, it demonstrated the potential of partnering with religious leaders to reduce HIV stigma and engage high-risk groups. The campaign aims to expand these partnerships and prevention efforts.
The document discusses issues related to HIV and young people, including risk factors, biological susceptibility, prevention strategies, testing and counseling considerations, positive living, and difficult situations. It provides information on the global and local HIV epidemic as well as strategies to support young people living with and affected by HIV.
Planning, implementation and evaluation of education program on HIV/AIDS. .SanjayChaudhary27
1) The document outlines a plan for an education program on HIV/AIDS in Nepal. It includes an introduction to HIV/AIDS, problem statement on prevalence in Nepal, objectives to reduce transmission and stigma through education, and an evaluation plan.
2) A needs assessment identifies risk factors like unsafe sex, lack of access to healthcare, and stigma. The program's goals are to reduce infection rates, increase access to treatment, and coordinate national response.
3) The education program will provide information on transmission, prevention, treatment services, and address stigma through activities like discussion, counseling, and role-playing with targets like key populations and the community.
The document provides information on HIV/AIDS, including:
1. It defines HIV and AIDS, describing how HIV weakens the immune system and AIDS is the final stage when the immune system is severely damaged.
2. It outlines how HIV is transmitted through unprotected sex, blood transmission, needle sharing, and from mother to child, but not through casual contact.
3. It describes how HIV can be prevented through condom use, needle exchange programs, antiretroviral treatment, and avoiding breastfeeding for HIV+ mothers.
Philadelphia Department of Public Health HIV Prevention ActivitiesOffice of HIV Planning
Coleman Terrell of the Philadelphia Department of Public Health presented on the PDPH's HIV Prevention Activities at the Philadelphia HIV Prevention Planning Group's December 2014 meeting.
This document discusses sexually transmitted infections (STIs), including their importance, testing, diagnosis, transmission, and management. It provides details on taking a sexual history, screening and diagnosing for HIV, and care for HIV-positive mothers and children. Common STIs like chlamydia, gonorrhea, and trichomoniasis can now be easily tested for using sensitive molecular tests. Support is needed to enable patients to feel comfortable undergoing STI screening. Proper management of STIs is important for preventing transmission and complications.
The document discusses using HIV program data to evaluate gaps and disparities in linkage to care. It provides examples of how Louisiana measures linkage, retention, and viral suppression, and presents continuum of care data for the state overall and by region, race/ethnicity, and testing site. Linkage to care rates for newly diagnosed individuals are shown to be improving over time but still vary between regions and community-based organizations. The document encourages evaluating one's own agency's linkage data and identifying opportunities for the State HIV Program to provide more useful data support.
Overview of the 2018 Update to the Integrated Plan and PrEP Workgroup Draft R...Office of HIV Planning
Mari Ross-Russell (Office of HIV Planning) and Matthew McClain (Public Health Policy & Planning Consultant) presented these slides to the PrEP Workgroup of the Philadelphia EMA HIV Integrated Planning Council on January 16, 2019.
Dr. William R. Short presented this review of PrEP research from the Conference on Retroviruses and Opportunistic Infections to the PrEP Workgroup of the HIPC's Prevention Committee in April 2018.
Sebastian Branca of the AIDS Activities Coordinating Office provided this overview of AACO's quality management program to the HIV Integrated Planning Council on May 10, 2018. This presentation includes discussion of secret shoppers, quality improvement plans, and quality management initiatives.
The document outlines information about the Client Services Unit (CSU) of the AIDS Activities Coordinating Office (AACO) in Philadelphia. It discusses the CSU's mission to help and advocate for people living with HIV/AIDS. It provides data on the 1976 client intakes completed in 2017, including demographics and most common needs. It also describes the transition of AACO's Housing Services Program to the City's Office of Homeless Services and details the consumer feedback process for AACO-funded services.
This presentation was provided to the Philadelphia EMA HIV Integrated Planning Council by Briana Morgan of the Office of HIV Planning. It includes data related to population-level data, race/ethnicity, STIs, risk behaviors, HIV, and more.
Increasing Treatment Access and Saving Lives in the Dual Opioid and Overdose ...Office of HIV Planning
Silvana Mazzella of Prevention Point Philadelphia gave this presentation on medication assisted treatment to the Philadelphia EMA HIV Integrated Planning Council on March 8, 2018.
Caitlin Conyngham and Erika Aaron of the AIDS Activities Coordinating Office began the initial meeting of the PrEP Working Group with this presentation on November 15, 2017.
Antonio Boone of the Office of HIV Planning reviewed major points from the Mayor's Task Force to Combat the Opioid Epidemic in Philadelphia at the June 12, 2017 Positive Committee meeting.
Marcy Witherspoon, MSW, LSW of the Health Federation of Philadelphia discussed trauma-informed care with the Philadelphia EMA HIV Integrated Planning Council on November 9, 2018.
OHP's Antonio Boone gave this presentation on different prevention continuum examples at the July meeting of the Prevention Committee of the Philadelphia EMA HIV Integrated Planning Council.
Integrated HIV Surveillance and Prevention Programs for Health Departments - ...Office of HIV Planning
Caitlin Conyngham, Prevention Coordinator at the AIDS Activities Coordinating Office at the Philadelphia Department of Public Health, gave an overview of the new HIV prevention notice of funding opportunity to the HIPC's Prevention Committee on 07-26-2017.
Opioid Awareness - Report Review: The Mayor's Task Force to Combat the Opioid...Office of HIV Planning
The document summarizes a report by the Mayor's Task Force to Combat the Opioid Epidemic in Philadelphia. It finds that prescription opioid sales doubled from 2000-2012, fueling high rates of opioid use, overdoses, and deaths. The Task Force made recommendations in areas of prevention, treatment, overdose prevention, and criminal justice system involvement. Key recommendations included expanding access to medication-assisted treatment, naloxone distribution, and treatment services in prisons. The report calls for increased monitoring and evaluation to assess progress combating the epidemic.
Planning Council Co-Chair and Prevention Committee member Jen Chapman presented on integrated planning and concurrence at the May 2017 meeting of the HIV Integrated Planning Council.
Ryan White HIV AIDS Program (RWHAP) Services and Policy Clarification Notice ...Office of HIV Planning
At the April meeting of the Comprehensive Planning and Needs Assessment Committees, Jessica Brown of AACO presented on Ryan White service categories. She also reviewed changes enacted by PCN 16-02.
At the April meeting of the Comprehensive Planning and Needs Assessment Committees, Jessica Brown of AACO presented on Ryan White service categories. She also reviewed changes enacted by PCN 16-02.
Creating Digital Bridges to HIV Prevention: Online interventions for adolesce...Office of HIV Planning
The document discusses HIV prevention for adolescents and young adults. It begins by discussing theoretical approaches to HIV transmission and the importance of social factors. It then summarizes statistics showing the increased burden of HIV among young men who have sex with men in the US. The remainder of the document discusses using technology and tailored digital interventions for HIV prevention in this high-risk group. It describes a study testing an online and mobile tool called "Get Connected" that provides tailored HIV/STI testing information and connects users to local testing sites. The tool was found to be acceptable to users and showed potential for increasing HIV/STI testing rates among young men who have sex with men.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
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Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
1. Stacey B. Trooskin, MD PhD
Assistant Professor
Drexel University College of Medicine
Using Community-Engaged Research toUsing Community-Engaged Research to
Address Racial and GeographicAddress Racial and Geographic
Disparities in HIV and HCV InfectionDisparities in HIV and HCV Infection
2. Racial Disparities in HIV InfectionRacial Disparities in HIV Infection
• African Americans represent 14% of the
population and 45% of HIV infections
• African Americans are more likely to present
later in the course of their infection and have
higher rates of AIDS-related mortality
• Traditional behavioral risk factors don’t explain
disparities
– More limited access to HIV testing, lower insurance
rates
– Structural and social factors
– Complex sexual networks
3. Geographic DisparitiesGeographic Disparities
• In many urban areas, a few
neighborhoods account for a
large share of HIV infections
• HIV infections cluster
• Some neighborhoods have
HIV infection rates similar to
sub-Saharan Africa
• Maps tell us where to focus
intensive prevention and
treatment efforts Source: AIDSVu
4. • Philadelphia has infection rates 5 times the national average
• Heterosexual epidemic
• Zipcode 19143 (in Southwest Philadelphia) is the second most
populous zipcode in the city (60,000 people)
– 86% African American, 30% people < poverty line
• Zipcode 19143 has the 2nd
highest number of people living
with HIV/AIDS (1,014 individuals in 2010)
– Approximately 1.8% seropositivity
• Rates of Hepatitis C (HCV) in 19143 unknown, but likely high
• 19143 has few medical and health resources
HIV & HCV in SouthwestHIV & HCV in Southwest
PhiladelphiaPhiladelphia
5. Rates of Persons Living with HIV/AIDS by Zip
Code and Census Tract, 2009
Source: AIDSVu
6. Do One Thing OverviewDo One Thing Overview
• Southwest Philadelphia, PA is a medically underserved area with high
rates of HIV and HCV infection & few HIV and HCV testing & treatment
services
• Do One Thing is a testing, linkage to care and treatment campaign that
stimulates demand for and provides HIV and HCV testing and treatment
across an entire zipcode
• Do One Thing includes:
• A large-scale social marketing and media campaign
• Community outreach and mobilization
• Partnerships with business, community organizations, and faith institutions
• A partnership with a federally qualified health center in Southwest
Philadelphia to routinely offer HIV testing to all patients over age 13
• Rapid HIV and HCV testing in a mobile unit, door-to-door testing in 4 census
tracts
• Community service and volunteerism
• Monitoring and evaluation
9. Social Marketing CampaignSocial Marketing Campaign
• Website: 1nething.com
• Texting service
• Yard signs, door knockers, door to door
outreach
• Palm cards
• Street outreach
• Twitter feed with map of mobile
unit of of mobile unit
locations
12. Routine HIV Testing at theRoutine HIV Testing at the
Health Annex, a FQHCHealth Annex, a FQHC
13. Victories and Challenges withVictories and Challenges with
Routine Testing in Clinical SettingRoutine Testing in Clinical Setting
Clinical Challenges and Lessons learned
• Policy Change: Leadership is most important factor
• Integrated Model: Know your patient flow and model
– NP clinical model with MAs testing model
• EMR Enhancement
• Staff and Provider Training
• Financial incentives
14. Victories and Challenges withVictories and Challenges with
Routine Testing in Clinical SettingRoutine Testing in Clinical Setting
Clinical Challenges and Lessons learned
• Offer rate has plateaued at 70%
– Next step: incentivize acceptance rate
improvements
• High decline rate: most commonly cited reasons
are “recently tested” and “wasn’t expecting an
HIV test”
• Behavioral risk profiles: most new positives have
“no identified risk;” most are young, African
American women
• Lower seropositivity than expected: 0.4%
• 95% linkage and retention in care rate; has been
sustained over time
18. Demographic Percentage
Gender Female 45%
Male 54.4%
Transgender .6%
Race African American 90%
African 3%
Other 7%
Education Less than high school 20%
High School 50%
Some college/AA 21%
4 year college 8%
Household Income <$10,000/yr 43%
$10,000-15,000/yr 15%
$15,000-20,000/yr 12%
>$20,000/yr 30%
Employment Unemployed 37%
Part-time 15%
Disabled 11%
Full-time 31%
Other 6%
Demographi
c
Percentage
Health Insurance
Status
None 37%
Medicaid 36%
Private 18%
Other (Medicare,
Veterans, etc)
9%
Sexual Orientation
(self-report)
Heterosexual 89%
Gay/Lesbian 6%
Bisexual 5%
19. Risk Behavior Percentage
Multiple sexual partners 22%
Believe partner has multiple sexual
partners
24%
Ever injected drugs 6.7%
Ever used crack or cocaine Cocaine 15%
Crack 14%
Tattoos 49%
If tattooed, received tattoo at
tattoo
party
24%
Ever tested for HIV? 85%
Ever tested for HCV? 36%
Reported venue for testing for HCV Doctor’s Office 56%
Reported reason for testing for HCV Participant asked for the test 41%
Doctor Recommended 33%
Other 26%
20. Clinical and Non-ClinicalClinical and Non-Clinical
HIV Testing TrendsHIV Testing Trends
• Clinical Settings
– Tested 2,100 people for HIV in clinical settings
– Health Annex (FQHC) seropositivity: 0.4%
– Greatest challenge: 55% decline rate
• Non Clinical Settings
– Tested 900 people for HIV in non-clinical settings
• 1.3% HIV seropositivity
– Tested 350 people for HCV in non-clinical settings since December
2012
• 4.8% HCV seropositivity
21. Linkage to Care Protocol
OraQuick® rapid HCV
antibody test reactive
OraQuick® rapid HCV
antibody test reactive
Confirmatory test is
positive
Confirmatory test is
negative x 2
D1T staff notifies
patient and provides
counseling
D1T staff notifies
patient : counseling +
insurance status
Insured with a
primary care provider
Referral
Insured with no known
primary care provider
PCP visit followed by
referral
Uninsured with no
primary care provider
Social worker works w/
clients to gain
insurance + then refers
OraQuick® rapid HIV
antibody test reactive
D1T staff immediately
links patient to HIV
care within 24-48 hrs
If
uninsur-
able,
refer to
health
center
Repeat test Blood
draw for confirmatory
Western blot
Repeat test Blood
draw for confirmatory
HCV PCR quant
Repeat test Blood
draw for confirmatory
HCV PCR quant
22. Preliminary linkage to HIV carePreliminary linkage to HIV care
trends: Non-clinical Testingtrends: Non-clinical Testing
12 People Tested Preliminary Positive
10 confirmed
positives
2 discordant
confirmatory results
8 known positives 2 new diagnoses
4 currently in care
1 LTFU
6 being linked to
care
1 awaiting
viral load
results
23. Demographic characteristics of HIV-positiveDemographic characteristics of HIV-positive
patients in non-clinical settingpatients in non-clinical setting
• Average age HIV+ = 44 years old
• African American
• Transmission risk factors: MSM (2),
Heterosexual (5), no identified risks (5)
• 2 co-infected with HCV
24. Preliminary Linkage to Care Trends forPreliminary Linkage to Care Trends for
Non-clinical Testing: HCVNon-clinical Testing: HCV
17 People Tested Preliminary Positive
13 chronically infected 2 cleared virus
10 previously known 3 new diagnoses
1 currently in care 2 in process of
linkage
10 linked to care
outreach services
2 uninsured 10 have insurance
2 with insurance
pending
6 referrals
pending
4
awaiting
referrals
2 awaiting results
25. • Average age is 52
• One third are NOT in baby boomer birth cohort
• Mode of transmission: no identified risk (7),
IDU/cocaine use (7), Heterosexual (1)
• 2 co-infected with HIV
• Tattooing in unregulated environments
Demographic Trends of HCV positiveDemographic Trends of HCV positive
Patients in non-clinical SettingPatients in non-clinical Setting
26. • Continuing Quality Improvement (CQI) is critical
• Many are known HIV and HCV positive and not in care
• Comprehensive campaign is a way to raise awareness,
fight stigma and re-engage patients in care
• Biggest challenge in non-clinical setting: retaining HIV
patients in care
• Biggest HCV challenge: payment and linkage
– insurance and referrals for HCV care
Lessons Learned and ImplicationsLessons Learned and Implications
27. • Biggest challenge in clinical setting: high decline rate
• 74% of patients testing for HIV at clinic were women; men
more frequently decline HIV testing in clinical setting
• More new diagnoses in clinical settings than non-clinical
settings
• Offering HIV and HCV testing together may enhance testing
rates
• Street and door to door outreach is effective, especially for
reaching youth and men
• High HCV seropositivity rate; few clients are in care
• Volunteers reduce staff costs and enhance sustainability
Surprising FindingsSurprising Findings
28. WhatWhat is next?is next?
• Enhancing routine testing at FQHC
– Boost our offer rate and reduce our decline rate
• Develop a complete neighborhood-based diagnosis,
treatment and care cascade
• GIS mapping of hotspots for HIV and HCV
• Trial comparing control and treatment neighborhoods
• Cost-effectiveness study
• Complete program evaluation, including improvements
from baseline
• Mapping transmission using HIV sequences at
neighborhood level
29. • Principal Investigator
Amy Nunn, ScD
Brown University
• Gladys Thomas, Project Director
• Gilead Sciences
• Health Annex partners
• 80 Volunteers
• The Southwest Philadelphia community
AcknowledgementsAcknowledgements
Editor's Notes
N=900
HIV confirmatory Western blot
HCV confirmatory PCR quant
Assist client, go to appts, follow up
Uninsured still a big challenge. Tried to overcome by creating avenue for individuals to receive insurance.
Safety net of health center if uninsurable