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Query: UMLS:C0019693 (HIV)
 170,526 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The revised HIV Adult Standard of Care guidelines, produced by ACT UP/Philadelphia, are printed. The extensive table summarizes the minimum standard of care needed for individuals with HIV infection to maximize their quality and length of life. Divided into sections by T4 cell count, the table includes diagnostic tests and exams that patients may wish to have done at certain times in their disease progression. Treatment options are suggested for HIV disease, opportunistic infections, and other AIDS-related symptoms. Highlights of the many discussions on protease inhibitors at the 11th International AIDS Conference in Vancouver are described. Saquinavir has the lowest bioavailability of the three approved protease inhibitors and is awaiting new formulation. Ritonavir works to raise CD4 counts, drop viral load and decrease morbidity and mortality. However, it is poorly tolerated in about half of all users who describe gastrointestinal trauma. Indinavir has been shown to decrease viral loads to undetectable levels for 48 weeks, and shows promise for sustaining that measure for longer periods. Nelfinavir will likely be approved in early 1997. In addition, viral load monitoring has become a significant measure in guiding the efficacy of combination therapies, when used in conjunction with CD4 tests. The Philadelphia Water and Health Departments are suggesting that individuals not boil their water, despite outbreaks among people with AIDS of cryptosporidium. Filtered and bottled water are safer alternatives until there is a resolution.
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PMID:HIV adult standard of care. ACT UP. 1136 24

Large differences between European countries exist on how HIV-infected patients get educated on available therapies. In Southern European countries and Eastern Europe, treatment education is still underdeveloped, with Spain being the furthest advanced in this area. In the United Kingdom, the AIDS Treatment Project provides telephone counseling and advocacy, and community organizations have recently launched a campaign encouraging compliance with treatment regimens. Other organizations offering education include ACT UP Paris, Info SIDA, Action Traitements, and Arcat SIDA. A European network, the European AIDS Treatment Group, links treatment activists and educators. Community organizations are looking to the pharmaceutical industry to support their work, but financial support for treatment education is a problem, partly because of the suspicion people with HIV have of any messages emanating from pharmaceutical companies.
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PMID:Who will pay for patient education? 1136 55

The North Carolina Supreme Court affirmed an administrative rule that requires people who seek HIV testing to give their names and addresses on a confidential basis. This decision ends anonymous testing in the State effective May 1, 1997. Previously, North Carolina gave people the option of either anonymous or confidential tests. In 1994, the State Commission of Health Services decided that anonymous testing was no longer necessary from a public health standpoint due to lessened stigma and laws that prohibit discrimination. Anonymous testing hampered partner notification. ACT-Up and other advocacy groups challenged the rule that was finally decided in the State Supreme Court. A study conducted at the University of North Carolina/Chapel Hill indicates that people are more apt to select an anonymous HIV test when both anonymous and confidential tests are available. State health officials dispute the results of the study.
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PMID:High court affirms rule ending anonymous tests in N.C. 1136 6

Persons with HIV have been ineligible for organ transplants since 1985 due largely to the earlier perception that HIV patients would soon die and therefore would not benefit from a transplant. However, Jeff Getty of ACT UP/Golden State is working to overcome the automatic HIV exclusion and have HIV patients evaluated based on their medical needs. Only two transplant centers currently do liver and kidney transplants for HIV patients and very few insurance policies cover the surgery. United National Organ Sharing (UNOS) guidelines say that people with HIV should not be excluded from transplant lists; however, the 266 regional centers that perform the surgery have rules against people with HIV receiving an organ. Donor organs are not accepted from HIV-positive people or from people who are gay, regardless of their HIV status.
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PMID:Organ transplants: interview with Jeff Getty, on ending the exclusion of people with HIV. Interview by John S. James. 1136 44

More than 100 HIV-related groups, including ACT UP, have endorsed the Fair Pricing Consensus Statement, which requires DuPont to reduce the price of its non-nucleoside reverse transcriptase inhibitor (NNRTI) Sustiva. Sustiva costs nearly twice as much as other NNRTIs. This high cost makes it difficult for programs to support the drug and for individuals to afford it.
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PMID:The high cost of fighting HIV. 1136 35

California's fiscal 1999-2000 budget, signed into law June 1999, includes $1 million for research on organ transplant options for HIV-infected individuals. This new research may help to end discrimination against persons with HIV who are often excluded from receiving transplants, because of fears of disease transmission and ignorance about possible interactions between antiretrovirals and the immune-suppressive drugs used after transplantation. Credit for the passing of this law is given to several organizations and individuals, including ACT UP/Golden Gate.
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PMID:Organ transplants: one million dollars for research. 1136 63

Eric Sawyer, co-founder of ACT UP/New York and director of the HIV/AIDS and Human Rights Project, was interviewed regarding a meeting on compulsory licensing of essential medical technologies. Approximately 90 percent of those who are HIV-positive do not have access to modern medicines. Poverty and the unconscionable trade rules were reported as reasons for inaccessibility to those medicines. The key concepts of compulsory licensing and parallel importing, as well as controversies regarding these issues are discussed. Suggestions for making medicines accessible, such as redesigning trade policies and changing research and development provisions for the pharmaceutical industry, are presented.
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PMID:New frontier of AIDS activism: international trade rules and global access to medicines. Interview by John S. James. 1136 92

A roundtable discussion held at the 1999 National Conference on Women and HIV/AIDS discussed new developments in clinical trials that enroll women. Persistence and influence from several groups, including the HIV Law Project, ACT UP, N.O.W., and the American Civil Liberties Union, helped change the Food and Drug Administration's (FDA) policy on women in clinical testing. Although the FDA changed the criteria for incorporating women into research, it does not enforce this directive and continued pressure is needed to focus attention on this issue. Information about the Study-Link project, which refers clients to ongoing clinical trials through a computerized database, was also presented at the forum. A presentation on a clinical trial designed in part by Women Alive participants was announced. AT-LAST (Anti-retroviral Trial Looking at Sex and Treatment) will study HIV treatment differences between men and women. Contact information about AT-LAST and Study-Link is provided.
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PMID:Round table session on interdisciplinary clinical trials -- we've come a long way baby. 1136 21

The U.S. District Court, Northern District of Ohio, Western Division affirmed the jury verdict against a physician and a hospital that had improperly considered a patient's HIV seropositive status in refusing to admit him to the hospital. The patient who sought treatment in the emergency room for an allergic drug reaction unrelated to his HIV status, was denied admission to the hospital because he was HIV-positive. The court reasoned that in accordance with the Americans with Disabilities ACT (ADA), which recognized AIDS as a disability, such practices are prohibited and as such upheld the verdict.
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PMID:Howe v. Hull. 1164 85

Karmajibi Kallyan (KKS) and Save the Children Fund Australia (SCFA) are implementing a program that integrates HIV/AIDS prevention and income generation activities aimed at the pre-adolescent girl servants of commercial sex workers in the Rajbari district of Bangladesh. The initial objectives of the program were to identify and establish alternative income generating activities for 150 girl servants; provide literacy education to these girls based on such topics as primary health care (HIV/AIDS prevention), credit, and small business management; and promote HIV/AIDS awareness in the wider community. Since implementation, the program has adjusted its objectives in order to meet the needs of the community. Many of the girls are much younger than the project originally planned for--most are only 7 or 8 years old--therefore, KKS and SCFA have begun identifying income generation possibilities for their mothers and encouraging the girls to focus on their education. They are also hoping to expand their literacy programs to other children in the community. For more information, please contact HIDNA (HIV/AIDS and International Development Network of Australia), ACFOA, Private Bag 3, Deakin ACT 2600, Australia; tel: +61 6 285 1816; fax: +61 6 285 1720; e-mail: acfoa@peg.apc.org. (ECHIDNA, Bulletin No. 5, September 1995)
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PMID:PVO / NGO initiatives, Asia. Karmajibi Kallyan (KKS), Bangladesh and Save the Children Fund Australia (SCFA). 1229 Sep 12


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