Lower prevalence of late HIV-diagnosis through rapid, voluntary and confidential testing in an ambulatory care center in Buenos Aires City

We aimed to identify subgroups within age, racial/ethnic, and transmission categories that drive increased risk for late HIV diagnosis (LHD). A 1996–2013 retrospective study of HIV-diagnosed individuals (N = 77,844) was conducted. The proportion of individuals with LHD (AIDS diagnosis within 365 days of HIV diagnosis) was determined, stratified by age, race/ethnicity, and transmission category. Logistic regression with interaction terms was used to identify groups/subgroups at risk for LHD during 1996–2001, 2002–2007, and 2008–2013. Respectively, 78%, 27%, 38%, and 31% were male, White, Black, and Hispanic. Overall, 39% had LHD with a 6.7% reduction for each year increase (OR = 0.93, 95% CI = 0.93–0.94, p < 0.01). Older age was significantly associated with increased odds of LHD (OR range = 1.90–4.55). Compared to their White counterparts, all Hispanic transmission categories (OR range = 1.31–2.58) and only Black female heterosexuals and men who have sex with men (MSM) (OR range = 1.14–1.33) had significantly higher odds of LHD during 1996–2001 and/or 2002–2007. Significance was limited to Hispanic MSM (all age categories), MSM/IDUs (30–59 years), and heterosexuals (18–29 years) and Black MSM (30–39 years) during 2008–2013. Older individuals and Hispanics (driven by MSM) are at increased risk for LHD. HIV testing interventions directed at seniors and Hispanic MSM can further reduce rates of LHD.

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CD4 Cell Counts at HIV Diagnosis among HIV Outpatient Study Participants, 2000–2009

AIDS Research and Treatment ◽

10.1155/2012/869841 ◽

2012 ◽

Vol 2012 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Kate Buchacz ◽

Carl Armon ◽

Frank J. Palella ◽

Rose K. Baker ◽

Ellen Tedaldi ◽

...

Keyword(s):

Hiv Testing ◽

Population Level ◽

Cd4 Count ◽

Hiv Diagnosis ◽

Cell Counts ◽

Late Hiv Diagnosis ◽

Cd4 Cell Counts ◽

The Usa ◽

Study Participants ◽

Cd4 Cell

Background. It is unclear if CD4 cell counts at HIV diagnosis have improved over a 10-year period of expanded HIV testing in the USA.Methods. We studied HOPS participants diagnosed with HIV infection ≤6 months prior to entry into care during 2000–2009. We assessed the correlates of CD4 count <200 cells/mm3at HIV diagnosis (late HIV diagnosis) by logistic regression.Results. Of 1,203 eligible patients, 936 (78%) had a CD4 count within 3 months after HIV diagnosis. Median CD4 count at HIV diagnosis was 299 cells/mm3and did not significantly improve over time (P=0.13). Comparing periods 2000-2001 versus 2008-2009, respectively, 39% and 35% of patients had a late HIV diagnosis (P=0.34). Independent correlates of late HIV diagnosis were having an HIV risk other than being MSM, age ≥35 years at diagnosis, and being of nonwhite race/ethnicity.Conclusions. There is need for routine universal HIV testing to reduce the frequency of late HIV diagnosis and increase opportunity for patient- and potentially population-level benefits associated with early antiretroviral treatment.

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Climatological aspects of the daytime mixing height in Buenos Aires city, Argentina

Atmospheric Environment ◽

10.1016/s1352-2310(97)00396-8 ◽

1998 ◽

Vol 32 (9) ◽

pp. 1615-1622 ◽

Cited By ~ 25

Author(s):

Ana G Ulke ◽

Nicolás A Mazzeo

Keyword(s):

Buenos Aires ◽

Mixing Height ◽

Buenos Aires City

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BUENOS AIRES, CITY OF STATUES

The Yale Review ◽

10.1111/j.1467-9736.2012.00810.x ◽

2012 ◽

Vol 100 (3) ◽

pp. 124-130

Author(s):

BONNIE COSTELLO

Keyword(s):

Buenos Aires ◽

Buenos Aires City

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Abstract 448: Impact of Novel Healthcare Facility First Responder Training on Resuscitation Task Self-Efficacy Measures

Circulation ◽

10.1161/circ.140.suppl_2.448 ◽

2019 ◽

Vol 140 (Suppl_2) ◽

Author(s):

Les R Becker ◽

Cheryl Camacho ◽

Sheryl J Titus ◽

Janet L Thorne ◽

Munish Goyal

Keyword(s):

Ambulatory Care ◽

Self Efficacy ◽

Repeated Measures ◽

Care Center ◽

Tertiary Care ◽

Sudden Cardiac Arrest ◽

Healthcare Facility ◽

Care Hospital ◽

Ambulatory Care Setting ◽

Before And After

Introduction: When sudden cardiac arrest occurs in non-resuscitation focused care settings, bedside clinicians may not intervene prior to dedicated resuscitation team arrival. As perceived self-efficacy (SE) contributes to cognitive functioning, facilitating effective intervention, we developed and evaluated a mock code training approach, First Five (FF) , to enhance bedside responders’ resuscitation task SE using an entity’s defibrillator and manikin. Self-efficacy is knowing that one can perform actions in principle and envision performing the steps to reach a goal. Hypotheses: Participants’ resuscitation SE will improve after FF training; 2) Inpatient (IP) and Ambulatory Care Center (ACC) providers will differ in their pre-SE and post-SE in response to FF training. Methods: Participants enrolled from ACCs and medical-surgical IP units at a large, urban tertiary care hospital from May 2018 to April 2019 completed a de-identified 10-point Likert-scale SE survey before and after they were trained to perform initial bedside resuscitation tasks (Figure 1 x-axis labels). Matched, complete, pre/post data for 85 in-hospital and 107 ACC participants were analyzed via repeated measures multivariate analysis of variance. Results: Patterns of reported change in the seven resuscitation task SE measures of IP personnel differed significantly from those of ACC personnel [Pillai’s Trace = .222, F(7,184)=7.483, p=.0005, partial η 2 = .222]. In both settings, post-session SE measures increased significantly from pre-session SE measures [Pillai’s Trace = .588, F(7,184)=37.438, p=.0005, partial η 2 = .588]. Moreover, though ACC providers consistently reported lower pre-training SE resuscitation task scores, post-training scores from both settings were comparable (Figure 1). Conclusions: First Five training is effective in enhancing resuscitation task SE among inpatient and ambulatory care setting providers that are not resuscitation-focused.

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