DIVISION OF DIVISION OF DISEASE PREVENTION DISEASE PREVENTION Director Principal Investigator G Shor-Posner, PhD WORKSHOP COORDINATOR R. DIAZ SR. STAFF ASSOCIATE (Fogarty/Massage) FOGARTY ADMINISTRATOR P. O’DONOGHUE RESEARCH COORDINATOR N. QUINTERO RESEARCH ASSOCIATE (Fogarty/Massage) EDUCATION J. LEWIS, PhD (Fogarty/Massage) Family Medicine INTERNATIONAL T. BREWER, MD (Fogarty/Massage) CAP FOGARTY TRAINEES Brazil Colombia Dominican Republic Jamaica Peru LABORATORY VOLUNTEER A. Posner, PhD CONSULTANTS G. Moreno-Black, PhD G. Zhang, MD
DIVISION OF DISEASE PREVENTION . Director Principal Investigator G Shor-Posner, PhD. EDUCATION J. LEWIS, PhD (Fogarty/Massage) Family Medicine. INTERNATIONAL T. BREWER, MD (Fogarty/Massage) CAP. FOGARTY ADMINISTRATOR P. O’DONOGHUE. RESEARCH COORDINATOR N. QUINTERO - PowerPoint PPT Presentation
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S P S P S P S PS P S P S P S P BaselineBaseline One YearOne Year BaselineBaseline One YearOne Year State Anxiety Trait AnxietyState Anxiety Trait Anxiety >35 >35>35 >35
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Shor-Posner et al. Intl J Psychiatr in Med 2003.
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ARVARV
HIV Wasting in the HAART HIV Wasting in the HAART EraEra
Nutrition in the HAART EraNutrition in the HAART EraPharmacotherapy ChallengesPharmacotherapy Challenges
1.Potential Interactions with Food
2.Body Metabolism3.Side Effects
HIV/AIDSERA OF ERA OF HAARTHAART
55%55%
Coleburdaset et al. Intl J STD & AIDS 2003;14:672-4.Coleburdaset et al. Intl J STD & AIDS 2003;14:672-4.deVisser & Grierson. AIDS Care 2002;14:599-606deVisser & Grierson. AIDS Care 2002;14:599-606Hsiad et al. JAIDS 2003;33:157-165.Hsiad et al. JAIDS 2003;33:157-165.
CAM CAM USEUSE
NCCAM MAJOR TYPES OF CAM
• ALTERNATIVE MEDICAL SYSTEMS•Homeopathic Medicine, Ayurveda
• MIND-BODY INTERVENTIONS•Prayer, Meditation, Art, Dance, Music
Side effects of ARV drugsSide effects of ARV drugs
REASONS FOR CAM USE IN HIV/AIDS
UMIAMI – Touch Research Institute UMIAMI – Touch Research Institute (1992)(1992)
First Center in the world devoted solely to the First Center in the world devoted solely to the study of touch and its application in science and study of touch and its application in science and
medicine medicine
MASSAGE
Universal InstinctUniversal Instinct Touch is beneficialTouch is beneficial
Touch – integral part of primate Touch – integral part of primate social systemsocial system
TRI MASSAGE STUDIES IN HIVGay Men (n=29, 20 HIV+, 9 HIV-)1
Massage vs Within-Subjects Control Group(daily for 1 month)
NK cell numberNK cell cytotoxicitySoluble CD8
No changes in CD4, -2, NeopterinIronson et al. Intern J Neurosci 1996;84;205-Ironson et al. Intern J Neurosci 1996;84;205-17.17.
Implement interventions Implement interventions to reduce the burden of to reduce the burden of disease.disease.
MILESTONESMILESTONES
• Training: 280 scholars Training: 280 scholars from 26 different from 26 different countries in Latin countries in Latin America and Caribbean;America and Caribbean;
• Development of Development of effective scientific effective scientific infrastructures for infrastructures for biomedical research in biomedical research in Brazil, Colombia, the Brazil, Colombia, the Dominican Republic Dominican Republic and Peru.and Peru.
CHALLENGES OFCHALLENGES OF INTERNATIONAL INTERNATIONAL
RESEARCHRESEARCHHIV/AIDS IN LATIN AMERICAHIV/AIDS IN LATIN AMERICA
Highly Highly DiverseDiverse Parallel Epidemic of Parallel Epidemic of
TBTBAccess to Access to CareCare
Stigma and Stigma and DiscriminationDiscriminationARTART
ChallengesChallenges• Parenting (PMTCT-PLUS)Parenting (PMTCT-PLUS)• Optimal feeding practicesOptimal feeding practices• Coping with HIVCoping with HIV
Do not stop with Do not stop with childbirthchildbirth
THE NEEDS OF MOTHERSTHE NEEDS OF MOTHERS
OPTIMAL TREATMENT AND OPTIMAL TREATMENT AND MANAGEMENT OF HIV/AIDSMANAGEMENT OF HIV/AIDS