Effect of Hepatitis C Infection on Progression of HIV Disease and Early Response to Initial Antiretroviral Therapy  

AIDS Vol. 20; No. 8: P. 1171-1179, (05.12.2006)   Patrick S. Sullivan; Debra L. Hanson; Eyasu H. Teshale; Linda L. Wotring; John T. Brooks

The authors analyzed data from a longitudinal medical records review project conducted in over 100 US medical clinics from 1998 to 2004 to describe the effect of hepatitis C virus (HCV) on the progression of HIV and on early changes in the CD4 cell count and HIV viral load after HAART initiation.

The researchers examined data from HIV patients receiving antiretroviral therapy (ART), calculated adjusted hazard ratios describing the hazard of death or progression to an AIDS-defining opportunistic illness (AIDS-OI) associated with prevalent HCV infection, and estimated the change in CD4 cell count and HIV viral load after HAART initiation, stratified by HCV status.

Of a total of 10,481 HIV patients followed for a median of 1.9 years, 19 percent had HCV. HCV infection was not associated with progression to AIDS-OI or death after controlling for important confounding conditions. Factors significantly confounding the risk of both death and diagnosis of an AIDS-OI were alcoholism, drug-induced hepatitis, and the type of ART prescribed. Acute and chronic hepatitis B infection confounded the risk of AIDS-OI diagnosis. During the 12 months after beginning HAART, proportional increases in CD4 cell counts did not differ between HCV-infected and HCV-uninfected individuals. Likewise, the short-term change in viral load did not differ.

"In our cohort, HCV did not increase the risk of death or AIDS-OI, and did not affect the early immunological or virological response to initial HAART," the investigators concluded. "Clinicians should evaluate patients with HCV for other, manageable problems, including alcoholism and other viral hepatitis."

http://www.cdcnpin.org/scripts/News/NewsList.asp?strTempOrLive=Live#45608

June 5, 2006

  Friends and colleagues.

  http://www.nytimes.com/2006/06/05/health/05aids.html

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At least 3.0 million years of life have been saved in the United
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The Journal of Infectious Diseases    2006;194:11-19

http://www.journals.uchicago.edu/JID/journal/issues/v194n1/35845/35845.html

Jobs: Executive Secretary - Brooklyn Hospital Center The PATH Center
>
> Posted by Dan Sendzik on Monday, June 05, 2006 - 05:50 am:
>
> The Brooklyn Hospital Center
> The PATH Center
>
> EMPLOYMENT OPPORTUNITY
>
> Executive Secretary
>
> The PATH Center provides comprehensive primary care and psychosocial
> services to HIV-affected adults, children and adolescents. The
> Executive Secretary is the primary support staff member. He or she
> reports to and assists the Executive Director.
>
> RESPONSIBILITIES:
>
> • Utilizes the Eagle clinic information management system for patient
> appointment scheduling, registration, closing out (billing) of
> completed encounters.
> • Manages patient medical records (pulls prior to clinic, files,
> swipes out to track).
> • Collects and aggregates data from project staff, prepares narrative
> and data programmatic reports.
> • Maintains patient information in electronic medical record system.
> Generates reports.
> • Answers phones.
> • Maintains office supplies. Prepares and tracks requisitions for
> office items. Monitors expenditures against annual budget.
> • Conducts correspondence, typing, record-keeping.
> • Assists in collection and tabulation of quality-of-care data;
> prepares for PI meetings.
> • Participates in and prepares agenda and minutes for staff meetings.
> • Prepares biweekly staff timecards for Executive Director’s approval.
> Maintains timekeeping records.
> • Coordinates volunteers.
> • Handles confidential staff information and administrative matters.
>
> OTHER REQUIREMENTS:
>
> Understanding of computer-based patient appointment systems.
> Strong computer (word processing and spreadsheet) skills.
> Strong oral and written communication skills; good math skills.
> Knowledge of credit and collection procedures and principles,
> including managed care procedures.
> Excellent interpersonal skills, punctuality and attendance.
> Requires late session and/or Saturday hours.
> Bilingual English/Spanish or English/Creole preferred.
>
> Interested candidate should fax or email a resume and cover letter, as
> follows:
>
> Attention
> Dan Sendzik, Executive Director
> The PATH Center
> Fax: 718/940-5515
> Email: DPS9001@...
>
> pathexecutivesecretaryflyer
>
>
>
> ------------------------------------------------------------
>  DO NOT REPLY TO THIS MESSAGE!  It is an automatic e-mail
>  notification message from the discussion board indicating
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>  turn off the e-mail notification option.
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>  http://www.generes.net/cgi/discus/show.cgi?155/503
>
>

Jobs : Manager-Plan Operations - NewYork-Presbyterian System
SelectHealth
>
> Posted by Eli Camhi on Monday, June 05, 2006 - 04:10 pm:
>
> Manager-Plan Operations
>
> Job Description: Directs, coordinates and manages operational
> activities for NewYork-Presbyterian System SelectHealth, an HIV SNP,
> in the Client Services, Provider Relations, and Marketing/Enrollment
> Departments to ensure coordination, communication and the attainment
> of common objectives. Serves as liaison to other Health Plan Units.
> Monitors and ensures compliance with regulatory reporting and
> standards. Keeps abreast of all current, new or pending regulatory
> standards and ensures incorporation into Plan operations. Drafts and
> coordinates responses to requests made by regulatory agencies for the
> Executive Director’s review and approval. Works closely with the
> Executive and Medical Directors of the Plan.
>
> Bachelor’s Degree in health cares management, health policy or
> business administration. Master's Degree preferred. Minimum three to
> five year’s operations experience in a managed care program and/or
> healthcare administration.
>
> Governmental program experience preferred. Ability to develop and
> maintain detailed, complex, and varied operational systems to meet
> common organizational goals and objectives.
>
> Medicaid Managed Care knowledge is a must. Knowledge of complex
> academic hospital and Health System based Ambulatory Care operations,
> is required. Candidate must be proficient in database and
> word-processing software. Knowledge of HIV Special Needs Plans,
> Designated AIDS Centers and Medicaid enhanced rates for HIV primary
> care.
>
> Send Resume
>
> Eli Camhi, LMSW
> Executive Director
> elc9016@...
>
> Fax 212-404-4894
>
> NewYork-Presbyterian System SelectHealth is an HIV Special Needs Plan.
>
> www.nyp.org/selecthealth
>
>
>
> ------------------------------------------------------------
>  DO NOT REPLY TO THIS MESSAGE!  It is an automatic e-mail
>  notification message from the discussion board indicating
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>  receive further e-mail notification messages from this
>  discussion board, edit your user or moderator profile to
>  turn off the e-mail notification option.
>
> Use this link to go directly to the discussion:
>  http://www.generes.net/cgi/discus/show.cgi?155/504
>
>