Study: Peer-referral programs can increase HIV-testing in emergency departmentsPublic release date: 17-May-2013 [ | E-mail | Share ]
Contact: Katy Cosse kcosse@gmail.com 513-558-0207 University of Cincinnati Academic Health Center
CINCINNATIResearchers at the University of Cincinnati (UC) have found that incorporating a peer-referral program for HIV testing into emergency departments can reach new groups of high-risk patients and brings more patients into the hospital for testing.
Co-author and assistant professor of emergency medicine Michael Lyons, MD, says public health officials study multiple approaches to increasing early diagnosis of HIV. These approaches include a recent emphasis on expanding testing in health care centers, particularly emergency departments (EDs) that treat disadvantaged, at-risk populations.
"There's another high-yield way to identify people, which is to take those who are at risk of infection or who are HIV-positive and have them refer their social contacts or partners for testing," he says. "This 'social network testing' is typically used in public health departments to efficiently identify high-risk populations by targeting the social network of those high-risk or HIV-positive individuals."
But he says researchers do not know which program is more important, or, if used together, whether they inefficiently target the same population within a community.
In their prospective observational study, Lyons and fellow researchers implemented a social network and partner testing program from May to September 2011 in an urban academic health center ED.
Through an ED-based targeted HIV testing program, they recruited high-risk or HIV-positive individuals to participate in a paid coupon program, in which individuals receive coupons for HIV testing to give to their friends or partners. If an individual recruited a friend to come to the ED for HIV testing, that friend could also participate in the coupon program.
During the process, researchers reviewed hospital records to determine whether people tested by the peer-referral program also had study-site ED visits or HIV tests within the previous five years.
At the end of the study, the program had diagnosed four new cases of HIV. Of the participating individuals, 34 percent had no prior visits to the ED and 69 percent had never been tested by the ED HIV testing program.
Lyons said the results show that social network programs can be implemented in health care settings, providing valuable access into high-risk, uninsured populations with minimal difficulty.
"We were able to use an existing ED-based program to reach out into the community beyond what the ED would otherwise able to do. This suggests the two HIV-testing approaches may be complementary rather than fully redundant, illustrating the ways in which health centers can feed social network and partner testing programs."
###
The team is presenting their abstract, "Can a Social Network HIV Testing Program Expand HIV Testing Beyond the Usual Emergency Department Population?" at the Society for Academic Emergency Medicine annual meeting, held May 14-17 in Atlanta. Co-authors include Robbie Paulsen, Andrew Ruffner, Christopher Lindsell, Kimberly Hart, Christopher Barczak, Alexander T. Trott and , Carl J. Fichtenbaum and Michael Lyons.
The project was supported by the National Institute of Allergy and Infectious Diseases at the National Institutes of Health.
[ | E-mail | Share ]
?
AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.
Study: Peer-referral programs can increase HIV-testing in emergency departmentsPublic release date: 17-May-2013 [ | E-mail | Share ]
Contact: Katy Cosse kcosse@gmail.com 513-558-0207 University of Cincinnati Academic Health Center
CINCINNATIResearchers at the University of Cincinnati (UC) have found that incorporating a peer-referral program for HIV testing into emergency departments can reach new groups of high-risk patients and brings more patients into the hospital for testing.
Co-author and assistant professor of emergency medicine Michael Lyons, MD, says public health officials study multiple approaches to increasing early diagnosis of HIV. These approaches include a recent emphasis on expanding testing in health care centers, particularly emergency departments (EDs) that treat disadvantaged, at-risk populations.
"There's another high-yield way to identify people, which is to take those who are at risk of infection or who are HIV-positive and have them refer their social contacts or partners for testing," he says. "This 'social network testing' is typically used in public health departments to efficiently identify high-risk populations by targeting the social network of those high-risk or HIV-positive individuals."
But he says researchers do not know which program is more important, or, if used together, whether they inefficiently target the same population within a community.
In their prospective observational study, Lyons and fellow researchers implemented a social network and partner testing program from May to September 2011 in an urban academic health center ED.
Through an ED-based targeted HIV testing program, they recruited high-risk or HIV-positive individuals to participate in a paid coupon program, in which individuals receive coupons for HIV testing to give to their friends or partners. If an individual recruited a friend to come to the ED for HIV testing, that friend could also participate in the coupon program.
During the process, researchers reviewed hospital records to determine whether people tested by the peer-referral program also had study-site ED visits or HIV tests within the previous five years.
At the end of the study, the program had diagnosed four new cases of HIV. Of the participating individuals, 34 percent had no prior visits to the ED and 69 percent had never been tested by the ED HIV testing program.
Lyons said the results show that social network programs can be implemented in health care settings, providing valuable access into high-risk, uninsured populations with minimal difficulty.
"We were able to use an existing ED-based program to reach out into the community beyond what the ED would otherwise able to do. This suggests the two HIV-testing approaches may be complementary rather than fully redundant, illustrating the ways in which health centers can feed social network and partner testing programs."
###
The team is presenting their abstract, "Can a Social Network HIV Testing Program Expand HIV Testing Beyond the Usual Emergency Department Population?" at the Society for Academic Emergency Medicine annual meeting, held May 14-17 in Atlanta. Co-authors include Robbie Paulsen, Andrew Ruffner, Christopher Lindsell, Kimberly Hart, Christopher Barczak, Alexander T. Trott and , Carl J. Fichtenbaum and Michael Lyons.
The project was supported by the National Institute of Allergy and Infectious Diseases at the National Institutes of Health.
[ | E-mail | Share ]
?
AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.
KABUL (Reuters) - A suicide bomber in a car attacked a convoy of foreign troops in Kabul on Thursday, killing at least 15 people including six Americans, Afghan and foreign officials said, in one of the worst attacks in the Afghan capital in months.
Forty people were wounded in the blast at around 8 a.m. (0330 GMT) during the morning rush-hour. It caused heavy damage to mud-built houses in the vicinity.
The Hezb-e-Islami insurgent group, which is allied with the Taliban, claimed responsibility For the attack on the two-vehicle convoy.
NATO's International Security Assistance Force (ISAF) said the bomber killed two of its members and four civilian contractors. It declined to give nationalities.
But two senior officials, one Afghan and the other from ISAF, said the two ISAF soldiers and four contractors were all American.
Afghan officials said nine Afghan civilians were killed, including two children.
"Some of the dead civilians were badly burnt and cannot be recognized," Kaneshka Baktash, a spokesman for the Health Ministry, told Reuters.
Helicopters buzzed over Kabul's diplomatic area after the attack and sirens whined.
"We were in our home drinking tea when the we heard a blast and our windows shattered, the glass wounded all of us," Zohra, a wounded girl who only gave her first name, said from a hospital bed. Her head was wrapped in a bandage.
A Hezb-e-Islami spokesman told Reuters U.S. military advisers were the targets.
"We planned this attack for over a week," the spokesman, Haroon Zarghoun, said by telephone.
Last year, in a similar attack, the group killed seven South African and Russian pilots on their way to work in Kabul.
Hezb-e-Islami, which means Islamic Party, is a radical militant group which shares some of the anti-foreigner, anti-government aims of the Taliban.
But the political wing of the group, founded by warlord and former anti-Soviet fighter Gulbuddin Hekmatyar, has been in exploratory talks with Afghan President Hamid Karzai on a peace deal to end the 12-year war.
The National Directorate of Security, Afghanistan's intelligence agency, says it thwarts a large number of attacks on the capital on a weekly basis.
The last suicide bomb attack in Kabul was in March, when a man blew himself up at a Defense Ministry gate, killing nine Afghans, during a visit by U.S. Defense Secretary Chuck Hagel.
(Additional reporting by Hamid Shalizi, writing by Amie Ferris-Rotman, Editing by Robert Birsel)
BALTIMORE (AP) ? All eyes will be on Kentucky Derby winner Orb in the Preakness Stakes on Saturday. The 3-year-old colt will take on eight challengers in the second leg of the Triple Crown. If he wins, Orb will attempt to become the first Triple Crown champion since Affirmed in 1978 at the Belmont Stakes on June 8. In the Preakness, Orb will be facing five horses he defeated in the Derby and three who did not run in the race.
Here's a guide to watching the race:
___
? INSIDE START. Orb will start from the inside, No. 1 gate. If this was the Kentucky Derby that could be a major problem because there would be more of a chance of getting squeezed back in the pack. The Derby field was 19; the Preakness is nine, with a longer run to the first turn than at Churchill Downs. However, since 1961 only one horse ? Tabasco Cat in 1994 ? has won from the No. 1 post.
? FIRST TURN. By the first turn, we'll know whether Orb, under jockey Joel Rosario, has established clear-running position. The question is how far back he'll settle. In the Derby, with its much larger field, Orb dropped 18 lengths off the pace. Look for him to be much closer as Govenor Charlie, Goldencents, Itsmyluckyday and Titletown Five vie for the early lead.
? BACKSTRETCH: Around the turn and into the backstretch, Orb should find a comfortable groove as the field sorts into clusters: speed horses, midpack runners and closers. If the early pace is fast, Orb could be farther back; if it's slow, he could be in the middle.
? FINAL TURN: Heading into the final turn is when Orb should be making his move. In the Derby, Rosario waited patiently to make the call and when he did, Orb went from 16th to the lead in the final half-mile and won by 2? lengths.
? HEADED FOR HOME: The stretch run is anyone's guess, but if all goes according to form, Orb should be in the mix to win no matter what the pace. Among proven closers in the field are Mylute, Departing and Will Take Charge. If the sloppy track was the reason both Goldencents and Itsmyluckday ran so poorly, then either or both could rebound with a big race and prove hard to catch in the lane.
___
Follow Richard Rosenblatt on Twitter at: http://www.twitter.com/rosenblattap
May 15 (Reuters) - Post positions for the 138th running of the Preakness Stakes, to be run at Pimlico on Saturday (Post Position, Horse, Jockey, Trainer, Odds) 1. Orb, Joel Rosario, Shug McGaughey, even 2. Goldencents, Kevin Krigger, Doug O'Neill, 8-1 3. Titletown Five, Julien Leparoux, D. Wayne Lukas, 30-1 4. Departing, Brian Hernandez, Al Stall, 6-1 5. Mylute, Rosie Napravnik, Tom Amoss, 5-1 6. Oxbow, Gary Stevens, D. Wayne Lukas, 15-1 7. Will Take Charge, Mike Smith, D. Wayne Lukas, 12-1 8. Govenor Charlie, Martin Garcia, Bob Baffert, 12-1 9. ...
It should be warm this weekend, May 17-19, for Washington, D.C., though we might see some rain showers or thunderstorms, according to forecasts. No matter what the weather, though, there's lots going on in and around D.C. -- read on for details.
Winemaker Tasting: Chris Gambitsis From Lake Chalice, New Zealand
Friday, May 17, 7 p.m.
1309 Fifth St. NE, Washington, D.C.
Free
If you're already downtown, why not try a glass of 2011 Marlborough Pinot Noir? This wine, compliments of Lake Chalice Winery, will be offered at a discount price, as will four other Lake Chalice wines at Union Market. Note that you must be 21 years or older to sample.
Jesus at Guantanamo
Friday-Saturday, May 17-18, 7:30 p.m.
DC Arts Center
2438 18th St. NW, Washington, D.C.
$18, $15 seniors and students, $12 members
As the play's title suggests, audience members are asked to consider what it would be like if Jesus were captured in the Middle East as an unlawful enemy combatant and detained at Guantanamo Bay. With an at times humorous take on serious subjects, Matthew Vaky's character explores the nature of torture and his time with biblical figures such as Peter and Mary Magdalene.
Fourth Annual Semper Fi 5K
Saturday, May 18, 8 a.m.
Anacostia Park, Washington, D.C.
$18
The Semper Fi Fund benefits Marines, Sailors, and members of other armed forces who were injured in post 9/11 combat or training. Proceeds also help families of those affected who have hospitalization and recovery financial issues.
This year's race at Anacostia Park will be capped at 1,000 participants, so get in your registration now. National park regulations prohibit same-day registration. The final day for registration is Friday, May 17.
Art Museum Day
Saturday, May 18, 10 a.m.-5 p.m.
The Corcoran -- 1200 16th St. NW, Washington, D.C.
The National Museum of Women in the Arts -- 1250 New York Ave NW, Washington, D.C.
The Phillips Collection-- 600 21st St. NW, Washington, D.C.
Free
In celebration of Art Museum Day, the National Museum of Women in the Arts, the Corcoran, and the Phillips Collection will all be free to visitors during their usual visitation hours on Saturday. Normally ranging in admission price from $10 to $12, you can check out these private collections that are often missed by Smithsonian visitors downtown.
Eurovision Song Contest Viewing Party
Saturday May 18, 2 p.m.-7 p.m.
Embassy of Sweden
2900 K St. NW, Washington, D.C.
$15, $5 for children under 15
If you're missing a taste of Europe and want to be part of the fun of the annual Eurovision Song Contest, the Swedish Embassy has a treat for you. Check out the fun, snacks, and bars set up for party-goers who want to cheer for their favorite country this year. You'll find six large high-definition screens are available for viewing, courtesy of last year's contest winner, Sweden, which is also the host country for this year's competition. Your admission pays for one drink.
Juniper Lane
Saturday, May 18, 9 pm.
Iota Club and Cafe
2832 Wilson Blvd., Arlington, VA
$12
D.C.'s Juniper Lane brings radio-friendly pop rock to the Iota Club, featuring the vocals of Vivion, a clear-voiced singer with an echo of Paramore's Hayley Williams defining her style. Also performing at the Iota Club are fellow local musicians Ditched by Kate, a five-piece alternative rock group. Ditched by Kate will perform songs from their newly minted debut album, "Nostalgia."
Soundbites -- Music, Food, Change
Sunday, May 19, 1 p.m.
9:30 Club
815 V St. NW, Washington, D.C.
$40
Admission to this year's Soundbites gets you access to seven musical acts, a mixology contest, and food tastings from area food trucks and restaurants. Performing acts include Lee Fields and the Expressions, DEATHFIX, DJ Will Eastman, The Razz, Kid Congo and His Kid Congo Power Hour, Richard Morel's Hot Sauce, and Batala. Proceeds benefit the DC Central Kitchen, a job training and healthy food anti-poverty and anti-hunger organization.