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HIV clinicians are seeing growing numbers of teenagers and adults under age 25 among new HIV infection cases. It's a phenomenon that has researchers and public health officials scrambling to develop biomedical HIV prevention interventions specifically for youth.
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As HIV researchers, clinicians, and public health officials continue to wait for an evidence-based biomedical prevention intervention, there remains a need for proven HIV prevention interventions targeting adolescents and young adults.
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Researchers studied the nature of the HIV epidemic in Maryland to show in one microcosm of the U.S. epidemic that different populations of at-risk individuals have different sub-types of the virus and will need to be handled differently.
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Editor's note: As this issue of AIDS Alert was going to press, the White House released its National HIV/AIDS Strategy. The is summarized as follows. Look to future issues of AIDS Alert for analysis and updates on plan.
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Although lower extremity fractures are much less common than upper extremity fractures in children, the correct diagnosis and management of this type of injury is critical. In the second part of this series the authors review common lower extremity fractures, fractures common in abused children and the diagnosis and treatment of radial head subluxation. Children are much more likely to sustain fractures rather than ligamentous injuries and identification of injuries and timely management will maximize an optimal outcome. Awareness of certain unique pediatric fractures such as the triplane juvenile fracture and the juvenile Tillaux fracture will allow for prompt treatment and referral. The authors also provide a table encompassing guidelines for ED management and treatment of common pediatric orthopedic injuries.
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In a prospective study of the actual oral nutritional intake of patients with respiratory failure in the first week following extubation, average intake failed to exceed 50% of daily requirements on all seven days.
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In this retrospective study of patients hospitalized because of severe chronic liver disease, venous thromboembolism was relatively common and "auto-anticoagulation" in the form of an elevated INR had no apparent protective effect.
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The use of angiotensin converting enzyme (ACE) inhibitors in all acute myocardial infarction (MI) patients is controversial. Thus, these investigators from the Register of Information and Knowledge about Swedish Heart Intensive Care Admissions (RIKS-HIA) examined the association between ACE inhibitor therapy and mortality in unselected patients with acute MI.
