Contact Information:

Media Contact

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB P
NCHHSTPMediaTeam@cdc.gov
404-639-8895

Twitter: JAMA_current

http://www.jamamedia.org




Kredyty mieszkaniowe Kredyty mieszkaniowe

Sprawdź aktualny ranking najlepszych kredytów mieszkaniowych w Polsce - atrakcyjne kredytowanie nieruchomości.

PRESS-NEWS.org - Press Release Distribution
FREE PRESS RELEASES DISTRIBUTION
RSS - Press News Release
Add Press Release

Examining service delivery, patient outcomes in Ryan White HIV/AIDS Program


2015-08-31
(Press-News.org) Outpatient human immunodeficiency virus (HIV) health care facilities funded by the federal Ryan White HIV/AIDS Program (RWHAP) were more likely to provide case management, mental health, substance abuse and other support services than those facilities not funded by the program, according to an article published online by JAMA Internal Medicine.

RWHAP was established in 1990 to provide funds to states, metropolitan areas and clinics to increase access to high-quality HIV care and treatment for low-income, uninsured and underinsured individuals and families affected by HIV. Implementation of the Patient Protection and Affordable Care Act is expected to increase health care coverage for HIV-infected persons. While increased access to Medicaid and private insurance will provide coverage for medical care, it might not provide coverage for support services so it is likely that the RWHAP will continue to play a key role in providing these crucial services. In this changing health care environment, a better understanding of the differences in patient needs and services delivered at RWHAP-funded and non-funded facilities may help inform policy decisions, according to the study background.

John Weiser, M.D., M.P.H., of the Centers for Disease Control and Prevention, Atlanta, and coauthors examined differences in patient outcomes between RWHAP-funded and non-RWHAP-funded facilities. Their study used data from the 2009 and 2011 cycles of the Medical Monitoring Project, a national sample of 8,038 HIV-infected adults receiving medical care at 989 outpatient health care facilities.

The authors report that overall, 34.4 percent of facilities received RWHAP funding and 72.8 percent of patients received care at RWHAP-funded facilities.

Many of the patients at RWHAP-funded facilities had multiple social determinants of poor health, with patients at RWHAP-funded facilities more likely to be ages 18 to 29; female; black or Hispanic; have less than a high school education; income at or below the poverty level; and lack health care coverage.

Despite the greater likelihood of poverty, unstable housing and lack of health care coverage, nearly 75 percent of patients receiving care at RWHAP-funded facilities achieved viral suppression. The percentage of ART (antiretroviral therapy) prescribing was similar for patients at RWHAP-funded compared with non-funded facilities.

Patients at RWHAP-funded facilities were less likely to be virally suppressed. However, individuals at or below the poverty level and those ages 30 to 39 who received care at a RWHAP-funded facility compared with those who received care at a non-RWHAP-funded facility were more likely to achieve viral suppression, according to the study.

"This finding supports the premise that RWHAP-funded facilities, which provide substantial support services for marginalized persons (e.g., those living at or below the poverty level), provide better care for poor persons compared with non-RWHAP-funded facilities," the authors conclude. (JAMA Intern Med. Published online August 31, 2015. doi:10.1001/jamainternmed.2015.4095. Available pre-embargo to the media at http://media.jamanetwork.com.)

Editor's Note: Funding for the Medical Monitoring Project is provided by the Centers for Disease Control and Prevention. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures.

Commentary: Future of the Ryan White HIV/AIDS Program In a related commentary, Stephen F. Morin, Ph.D., of the University of California, San Francisco, writes: "Now 25 years old, this congressionally appropriated program has been at the center of the U.S. response to many challenges posed by the HIV/AIDS epidemic. As the challenges have changed, the program has proven remarkably flexible. The question now is how the program will adapt to expanded medical care coverage under the Affordable Care Act (ACA). The answer is informed by the findings reported by Weiser and colleagues from the Centers for Disease Control and Prevention (CDC) published in this issue. ... Over the next 10 years, the Ryan White Program will be a key component of meeting ambitious national goals for both HIV treatment and prevention." (JAMA Intern Med. Published online August 31, 2015. doi:10.1001/jamainternmed.2015.4724. Available pre-embargo to the media at http://media.jamanetwork.com.)

Editor's Note: Dr. Morin worked on the authorization of the Ryan White program and providing oversight and funding for the program as a member of Congresswomen Nancy Pelosi's staff between 1987 and 1998. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures

INFORMATION:

Media Advisory: To contact study corresponding author John Weiser, M.D., M.P.H., call the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention at 404-639-8895 or email NCHHSTPMediaTeam@cdc.gov. To contact commentary author Stephen F. Morin, Ph.D., call Jeff Sheehy at 415-845-1132 or email jeff.sheehy@ucsf.edu.


ELSE PRESS RELEASES FROM THIS DATE:

Religion, physicians and surrogate decision-makers in the intensive care unit

2015-08-31
Religious or spiritual considerations were discussed in 16 percent of family meetings in intensive care units and health care professionals only rarely explored the patient's or family's religious or spiritual ideas, according to an article published online by JAMA Internal Medicine. Understanding how frequently discussions of spiritual concerns take place - and what characterizes them - is a first step toward clarity regarding best practices of responding to spiritual concerns in advanced illness. Douglas B. White, M.D., M.A.S., of the University of Pittsburgh School ...

Exclusive breastfeeding and the effect on postpartum multiple sclerosis relapses

2015-08-31
Women with multiple sclerosis (MS) who intended to breastfeed their infants exclusively for two months had a lower risk of relapse during the first six months after giving birth compared with women who did not breastfeed exclusively , according to an article published online by JAMA Neurology. About 20 percent to 30 percent of women with MS experience a relapse within the first three to four months after giving birth and there are no interventions for effective prevention of postpartum relapse. The effect of exclusive breastfeeding on postpartum risk of MS relapse is ...

Epigenomic changes are key to innate immunological memory

2015-08-31
It was long believed that acquired immunity--a type of immunity mediated by T- and B-cells--had memory, meaning that it could learn from new pathogens, making subsequent reactions more effective, whereas innate immunity--which is mediated by macrophages and other types of cells that react to certain molecules typically associated with pathogens--did not. However, it gradually became clear that things were not so simple. Plants and insects, which only have innate immunity, also seem to have immunological memory. Further, it has been reported that herpes virus infection increases ...

'Eat me' signal whets appetites for tumor-devouring dendritic cells

2015-08-31
By changing the mouse model they use to study how the immune system responds to cancer, a team of researchers hopes to shift the focus for one emerging form of cancer immunotherapy back to the standard approach--relying on antigen-presenting dendritic cells--and away from the current upstart, macrophages. Although macrophages, like dendritic cells, also take up antigens, they are more likely to degrade them than present them to T cells. The recent emphasis on macrophages stems, in part, from promising, but problematic, efforts to develop an effective macrophage-driven ...

CNIO scientists propose attacking bioenergetic metabolism to improve anti-cancer therapies

CNIO scientists propose attacking bioenergetic metabolism to improve anti-cancer therapies
2015-08-31
Cancer cells become addicted to glucose, which they use as their regular source of energy to grow and develop. Although this was observed over nine decades ago by the German physiologist, Otto Warburg; there is still not therapeutic strategy today that can effectively take advantage of this special energy requirement. The initial approach appears to be simple: the lack of glucose could specifically induce the death of cancer cells. A new study by the Spanish National Cancer Research Centre Cell and Cancer Unit, headed by the Cell Division and Cancer group of the Spanish ...

DNA-guided 3-D printing of human tissue is unveiled

2015-08-31
A UCSF-led team has developed a technique to build tiny models of human tissues, called organoids, more precisely than ever before using a process that turns human cells into a biological equivalent of LEGO bricks. These mini-tissues in a dish can be used to study how particular structural features of tissue affect normal growth or go awry in cancer. They could be used for therapeutic drug screening and to help teach researchers how to grow whole human organs. The new technique -- called DNA Programmed Assembly of Cells (DPAC) and reported in the journal Nature Methods ...

Closer to a treatment for the 'asthma of the esophagus'

2015-08-31
Scientists from the D'Or Institute of Research and Education (IDOR), the Federal University of Rio de Janeiro (UFRJ) and the Yale University School of Medicine have elucidated the chemical process behind a mysterious gastrointestinal disease that is becoming more frequent every day: the eosinophilic esophagitis (EoE), also known as the "asthma of the esophagus". The researchers identified a molecule which plays a key role in this condition and that can be a target in a new therapeutic strategy. The eosinophilic esophagitis is a chronic inflammatory disorder of the esophagus. ...

The 5-colour nutritional labelling system is the most effective for consumers

2015-08-31
While the French High Council for Public Health (HCSP) made public on Monday, 24 August 2015, a positive opinion regarding the relevance of the 5-colour code for the public, a team of researchers (Inserm/INRA/Paris 13 University) directed by Serge Hercberg, on publication of their article in the journal Nutrients, demonstrated that the 5-colour nutrition label (5-CNL) is the most effective nutritional information system for allowing consumers to recognise and compare the nutritional quality of foods, including "at-risk" populations (older subjects, those with a lower educational ...

Preventive medicine experts speak out about reducing firearm violence

2015-08-31
Amsterdam, NL, August 31, 2015 -- Every week in the U.S. an average of 645 people lose their lives to firearm violence and 1,565 more are treated in an emergency department for a firearm-related injury. Most of these events do not make headlines, but they account for about 7% of the premature deaths before age 65 in the U.S. In a special issue of Preventive Medicine, preventive medicine and health policy experts address a wide range of critical topics related to firearm violence, from the interaction of alcohol abuse with gun violence, effects of changes to gun laws in ...

Alzheimer's disease -- Overlooked for 30 years: A new kid on the block

2015-08-31
Alzheimer's disease is associated with the appearance of characteristic neurotoxic protein aggregates in various regions in the brain. Chemical analysis of these insoluble deposits reveals that they are made up of a family of short protein fragments, referred to as beta-amyloid peptides, which are derived from a precursor protein called APP by the sequential action of two enzymes. An international team of researchers led by Christian Haass (Professor of Metabolic Biochemistry at LMU and Speaker for the German Center for Neurodegenerative Diseases in Munich) and Dr. Michael ...

LAST 30 PRESS RELEASES:

How your brain decides blame and punishment -- and how it can be changed

Uniquely human brain region enables punishment decisions

Pinpointing punishment

Chapman University publishes research on attractiveness and mating

E-cigarettes: Special issue from Nicotine & Tobacco Research

Placental problems in early pregnancy associated with 5-fold increased risk of OB & fetal disorders

UT study: Invasive brood parasites a threat to native bird species

Criminals acquire guns through social connections

Restoring ocean health

Report: Cancer remains leading cause of death in US Hispanics

Twin study suggests genetic factors contribute to insomnia in adults

To be fragrant or not: Why do some male hairstreak butterflies lack scent organs?

International team discovers natural defense against HIV

Bolivian biodiversity observatory takes its first steps

Choice of college major influences lifetime earnings more than simply getting a degree

Dominant strain of drug-resistant MRSA decreases in hospitals, but persists in community

Synthetic biology needs robust safety mechanisms before real world application

US defense agencies increase investment in federal synthetic biology research

Robots help to map England's only deep-water Marine Conservation Zone

Mayo researchers identify protein -- may predict who will respond to PD-1 immunotherapy for melanoma

How much water do US fracking operations really use?

New approach to mammograms could improve reliability

The influence of citizen science grows despite some resistance

Unlocking secrets of how fossils form

What happens on the molecular level when smog gets into the lungs?

Using ultrasound to clean medical instruments

Platinum and iron oxide working together get the job done

Tiny silica particles could be used to repair damaged teeth, research shows

A quantum lab for everyone

No way? Charity's logo may influence perception of food in package

[Press-News.org] Examining service delivery, patient outcomes in Ryan White HIV/AIDS Program
Press-News.org is a service of DragonFly Company. All Rights Reserved.
Issuers of news releases are solely responsible for the accuracy of their content.