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Counseling in HIV Infection

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4161. Point-of-care testing for HIV: HIV counselling and testing (PubMed)

Point-of-care testing for HIV: HIV counselling and testing 18159377 2011 07 14 2018 11 13 1180-2332 13 2 2002 Mar The Canadian journal of infectious diseases = Journal canadien des maladies infectieuses Can J Infect Dis Point-of-care testing for HIV: HIV counselling and testing. 85-8 Johnston Bl B Queen Elizabeth II Health Sciences Centre and Dalhousie University, Halifax, Nova Scotia; Conly Jm J eng Journal Article Canada Can J Infect Dis 9425856 1180-2332 2007 12 27 9 0 2007 12 27 9 1 2007 12 (...) CE1-19a1-CE6-19a1 11718472 Can Commun Dis Rep. 2000 Apr 1;26(7):49-59 10826347 CMAJ. 1996 Mar 1;154(5):665-71 8603322 J Infect Dis. 1991 Oct;164(4):656-64 1894929 Ann Intern Med. 1996 Sep 15;125(6):471-5 8779459 J Clin Microbiol. 1995 Nov;33(11):2899-902 8576342 MMWR Morb Mortal Wkly Rep. 1990 Jun 8;39(22):380-3 2111436 J Clin Microbiol. 1998 Aug;36(8):2235-9 9665998 J Clin Epidemiol. 2001 May;54(5):448-61 11337207 J Acquir Immune Defic Syndr. 2001 Jul 1;27(3):292-300 11464151 Ann Emerg Med. 1999

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2002 The Canadian Journal of Infectious Diseases

4162. Reduced HIV risk-taking and low HIV incidence after enrollment and risk-reduction counseling in a sexually transmitted disease prevention trial in Nairobi, Kenya. (PubMed)

Reduced HIV risk-taking and low HIV incidence after enrollment and risk-reduction counseling in a sexually transmitted disease prevention trial in Nairobi, Kenya. There is an urgent need in sub-Saharan Africa to develop more effective methods of HIV prevention, including improved strategies of sexually transmitted infection (STI) prevention or an HIV vaccine. The efficacy of these strategies may be tested through clinical trials within cohorts at high risk for STI and HIV, such as female (...) commercial sex workers. For ethical reasons, standard HIV prevention services, including access to free condoms, risk-reduction counseling, and STI therapy, will generally be offered to all study subjects. Because study subjects would often not otherwise have access to these prevention services, it is possible that enrollment in such clinical trials will itself reduce incidence rates of STI and HIV below expected levels, reducing the power to test the efficacy of the randomized intervention. We show

2002 Journal of acquired immune deficiency syndromes (1999) Controlled trial quality: uncertain

4163. Specialized Cognitive-Behavioral Counseling Intervention to Reduce HIV Transmission Risk Behavior in HIV-Infected Men

Specialized Cognitive-Behavioral Counseling Intervention to Reduce HIV Transmission Risk Behavior in HIV-Infected Men Specialized Cognitive-Behavioral Counseling Intervention to Reduce HIV Transmission Risk Behavior in HIV-Infected Men - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Specialized Cognitive-Behavioral Counseling Intervention to Reduce HIV Transmission Risk Behavior in HIV-Infected Men The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00218712 Recruitment Status : Completed First Posted

2005 Clinical Trials

4164. Breast health problems are rare in both HIV-infected and HIV-uninfected women who receive counseling and support for breast-feeding in South Africa. (PubMed)

Breast health problems are rare in both HIV-infected and HIV-uninfected women who receive counseling and support for breast-feeding in South Africa. Breast problems, including mastitis, can interfere with the duration and exclusivity of breast-feeding. However, there are no large prospective studies documenting the prevalence, duration, and timing of such problems in breast-feeding women, particularly those who are infected with human immunodeficiency virus (HIV).Women enrolled prenatally (...) underwent a breast-feeding counseling intervention until 6 months after delivery. Breast health problems were documented per breast for 180 days after delivery, with 14-day recall histories.Breast health problems were rare, and there were no significant differences between HIV-infected and HIV-uninfected women for any of the following conditions: engorgement, 39 HIV-infected women (3.5%) versus 33 HIV-uninfected women (2.7%; P=.30); breast thrush, 17 (1.5%) versus 12 (1.0%; P=.25); bleeding nipple, 6

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2007 Clinical Infectious Diseases

4165. Impact of counseling in voluntary counseling and testing programs for persons at risk for or living with HIV infection. (PubMed)

Impact of counseling in voluntary counseling and testing programs for persons at risk for or living with HIV infection. Persons with or at risk for human immunodeficiency virus (HIV) infection need client-centered counseling and information about the disease. One of the best opportunities to provide counseling and information is during an HIV testing encounter. New testing guidelines from the Centers for Disease Control and Prevention encourage less counseling before and after testing. We (...) review the evidence regarding voluntary counseling and testing (VCT). There is clear endorsement in peer-reviewed scientific journals for VCT as part of an evidence-based bundle of interventions to prevent HIV infection. For persons who test seropositive, VCT has an impact, but it is hard to uncouple the impact of counseling from that of testing. For persons who test seronegative, counseling in clinical settings has a beneficial impact on risk behaviors and sexually transmitted disease incidence

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2007 Clinical Infectious Diseases

4166. Real-time, universal screening for acute HIV infection in a routine HIV counseling and testing population. (PubMed)

Real-time, universal screening for acute HIV infection in a routine HIV counseling and testing population. Acute human immunodeficiency virus (HIV) infection cannot be diagnosed by routine antibody tests and is rarely diagnosed in clinical practice. However, HIV nucleic acid-based testing is widely used to screen for antibody-negative acute infection among low-risk blood donors.To assess the feasibility of screening in high-volume laboratories for acute and long-term HIV infection in a routine (...) HIV testing population, in which HIV infection prevalence is low, using specimen pooling and HIV RNA reverse transcriptase-polymerase chain reaction (RT-PCR) tests.Clinical diagnostic performance evaluation at a state-funded public health virology and serology laboratory.A total of 8505 consecutive individuals presenting for routine HIV counseling and testing during a total of 20 business days to simulate a month of testing in August and December 2001 at 110 publicly funded testing sites in North

2002 JAMA

4167. Clinical screening for HIV in a health centre setting in urban Kenya: an entry point for voluntary counselling, HIV testing and early diagnosis of HIV infection? (PubMed)

Clinical screening for HIV in a health centre setting in urban Kenya: an entry point for voluntary counselling, HIV testing and early diagnosis of HIV infection? A study was conducted among patients attending a public health centre in Nairobi, Kenya in order to (a) verify the prevalence of HIV, (b) identify clinical risk factors associated with HIV and (c) determine clinical markers for clinical screening of HIV infection at the health centre level. Of 304 individuals involved in the study,107 (...) (35%) were HIV positive. A clinical screening algorithm based on four clinical markers, namely oral thrush, past or present TB, past or present herpes zoster and prurigo would pick out 61 (57%) of the 107 HIV-positive individuals. In a resource-poor setting, introducing a clinical screening algorithm for HIV at the health centre level could provide an opportunity for targeting voluntary counselling and HIV testing, and early access to a range of prevention and care interventions.

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2007 Tropical Doctor

4168. Knowledge of HIV infection and AIDS, and attitudes to testing and counselling among general practitioners in Northern Ireland. (PubMed)

Knowledge of HIV infection and AIDS, and attitudes to testing and counselling among general practitioners in Northern Ireland. All 922 general practitioners in Northern Ireland were sent a questionnaire on human immunodeficiency virus (HIV) infection and the acquired immune deficiency syndrome (AIDS). Five hundred and ninety four general practitioners (64.4%) returned the questionnaire. Thirty eight respondents (6.4%) knew of an HIV positive patient in their practice and 93.3% felt they should (...) be informed if one of their patients was found to be HIV positive at a genitourinary medicine clinic, even without the patient's consent. Of the respondents, 76.8% were willing to be involved in the management of AIDS patients in their practice in cooperation with hospital colleagues but only 37.5% felt confident to provide AIDS counselling and advice. Of the 368 general practitioners who did not feel confident to provide AIDS counselling and advice, 41.3% felt that they had insufficient knowledge

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1990 The British Journal of General Practice

4169. Food counseling for persons infected with HIV: strategy for defensive living. (PubMed)

Food counseling for persons infected with HIV: strategy for defensive living. More than a million people in the United States are now infected with human immunodeficiency virus (HIV), and by 1991, the United States will record 270,000 cases of acquired immunodeficiency syndrome (AIDS). At present, there is no way to estimate the number of AIDS patients who will be living in 1991. Intestinal diseases exert considerable morbidity and mortality on AIDS patients and persons with AIDS-related (...) complex. The elevated frequency of certain intestinal infectious diseases in homosexual male AIDS patients has been attributed to sexual practices, but food seems a probable vector for some proportion of the infections in all AIDS-affected groups. Intestinal infectious diseases and resulting systemic infections can be life-threatening to AIDS patients. The infections may serve as cofactors that hasten HIV disease progression to AIDS, but absolute proof of this hypothesis is lacking. The longer the HIV

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1989 Public Health Reports

4170. A randomized controlled trial evaluating nutrition counseling with or without oral supplementation in malnourished HIV-infected patients. (PubMed)

A randomized controlled trial evaluating nutrition counseling with or without oral supplementation in malnourished HIV-infected patients. To evaluate the effects of nutrition counseling with or without oral supplementation in malnourished patients infected with the human immunodeficiency virus (HIV).Randomized controlled trial.HIV-infected men (n=118) who were less than 90% of usual weight for height or who had lost more than 10% of body weight.Nutrition counseling alone (control group) vs (...) in energy intake in about 50% of malnourished HIV-infected patients. Although further study is needed to evaluate long-term effects, these findings suggest that nutrition counseling has an important role in the management of malnourished HIV-infected patients.

1998 Journal of the American Dietetic Association Controlled trial quality: uncertain

4171. Oral supplements as adjunctive treatment to nutritional counseling in malnourished HIV-infected patients: randomized controlled trial. (PubMed)

Oral supplements as adjunctive treatment to nutritional counseling in malnourished HIV-infected patients: randomized controlled trial. To compare nutritional counseling with and without oral supplements in HIV-infected patients with recent weight loss.Randomized non-blinded controlled trial, stratified for change in antiretroviral treatment at baseline.HIV-infected patients with recent weight loss (> 5% of total, and >3% in the last month).Nutritional counseling to increase dietary intake (...) kcal/kg as supplements, and their total energy intake was 6 kcal/kg higher than in group A (P<0.01). Total energy intake was not different between groups at weeks 6 and 8.Nutritional counseling and oral supplements are both feasible methods to restore food energy intake in malnourished HIV-infected patients. Although normal food intake is partially replaced, oral supplements may improve the adherence to a weight gain regimen.Copyright 1999 Harcourt Publishers Ltd.

1999 Clinical nutrition (Edinburgh, Scotland) Controlled trial quality: uncertain

4172. Nutritional supplements combined with dietary counselling diminish whole body protein catabolism in HIV-infected patients. (PubMed)

Nutritional supplements combined with dietary counselling diminish whole body protein catabolism in HIV-infected patients. Weight loss and protein malnutrition are frequent complications in HIV-infected patients. The effect of an oral nutritional supplement combined with nutritional counselling on whole body protein metabolism was assessed.HIV-infected individuals with a body mass index < 21 kg m-2 or CD4-T cells < 500 micro L-1 in stable clinical condition were randomly allocated to [1 (...) in the nutritional intervention group from 84 +/- 2 to 86 +/- 2 per cent (P < 0.05) and fat mass decreased from 17 +/- 2 to 14 +/- 2 per cent (P < 0.05) of total body weight whereas neither mass changed in the control group. Nutritional intervention had no significant effect on lymphocyte CD4 counts, on plasma TNFR 55, TNFR 75 and ILR 2 concentrations and on quality of life.The data demonstrate an anticatabolic effect of nutritional supplements combined with dietary counselling in HIV-infected subjects

2000 European journal of clinical investigation Controlled trial quality: uncertain

4173. HIV infection and pregnancy status among adults attending voluntary counseling and testing in 2 developing countries. (PubMed)

HIV infection and pregnancy status among adults attending voluntary counseling and testing in 2 developing countries. This study investigated the impact of HIV voluntary counseling and testing (VCT) on reproduction planning among 1634 adults in 2 sub-Saharan countries.Data were obtained from a multisite randomized controlled trial.At 6 months post-VCT, the women more likely to be pregnant were younger (odds ratio [OR] = 2.5; 95% confidence interval [CI] = 1.0, 6.5), not using contraceptives (...) (OR = 0.1; 95% CI = 0.1, 0.3), and HIV infected (OR = 3.0; 95% CI = 1.3, 7.0). An interaction emerged linking pregnancy intention at baseline and HIV serostatus with pregnancy at follow-up (OR = 0.1; 95% CI =.0, 0.4) Partner pregnancy rates did not differ by HIV serostatus among men.HIV diagnosis may influence reproduction planning for women but not for men.

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2002 American Journal of Public Health Controlled trial quality: uncertain

4174. Pre-HIV Test Counseling Intervention to Reduce HIV Infection Risk Behavior in Men Who Are Not HIV Infected

Pre-HIV Test Counseling Intervention to Reduce HIV Infection Risk Behavior in Men Who Are Not HIV Infected Pre-HIV Test Counseling Intervention to Reduce HIV Infection Risk Behavior in Men Who Are Not HIV Infected - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100 (...) ). Please remove one or more studies before adding more. Pre-HIV Test Counseling Intervention to Reduce HIV Infection Risk Behavior in Men Who Are Not HIV Infected The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00218699 Recruitment Status : Completed First Posted : September 22, 2005 Last Update Posted

2005 Clinical Trials

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