Association of HIV with MGUS: Retrospective Analysis of HIV-Positive Veterans at the Veterans Affairs: A Pilot Study

2019 ◽  
Vol 19 ◽  
pp. S331
Author(s):  
Joseph Edmund ◽  
Allison Carilli ◽  
Minh Ho
Keyword(s):  
Pilot Study ◽  
Retrospective Analysis ◽  
Veterans Affairs ◽  
Hiv Positive

Tuberculosis in HIV Seropositive Individuals—A Retrospective Analysis

1992 ◽  
Vol 3 (1) ◽  
pp. 38-41 ◽  
Author(s):  
D R Tomlinson ◽  
F Moss ◽  
M McCarty ◽  
D Mitchell ◽  
J Main ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Pulmonary Infection ◽  
Clinical Suspicion ◽  
Hiv Positive ◽  
Mycobacterium Tuberculosis Infection ◽  
Wide Range ◽  
Extra Pulmonary ◽  
Aids Diagnosis ◽  
Culture Positive ◽  
Hiv Seropositive

A retrospective analysis of all culture-positive cases of Mycobacterium tuberculosis infection in HIV positive individuals, over a 5 year period, revealed 18 cases, drawn from a population of approximately 1500. The prevalence of culture proven M. tuberculosis over the 5 year period was therefore 1.2% and was strongly associated with either a concomitant, or a subsequent, AIDS diagnosis. Sixty-one per cent had pulmonary tuberculosis, 17% had both extra-pulmonary and pulmonary infection and 22% had extra-pulmonary infection alone. Although a wide range of radiological abnormalities was seen, segmental consolidation was the commonest, occurring in 57% of cases. Only 55% of the specimens were positive on initial stains for M. tuberculosis, with a mean duration of 4 weeks to become culture positive, emphasizing that early diagnosis rests on clinical suspicion.

scholarly journals AGE- AND ETHNICITY-RELATED DISPARITIES IN TECHNOLOGY USE AMONG HIGH-RISK VETERANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S333-S334
Author(s):  
Kiranmayee Muralidhar ◽  
Willy Marcos Valencia ◽  
Kaicheng Wang ◽  
Diana Ruiz ◽  
Carlos Gomez-Orozco ◽  
...  
Keyword(s):  
Pilot Study ◽  
High Risk ◽  
Functional Ability ◽  
Technology Use ◽  
Veterans Affairs ◽  
High School Education ◽  
Secure Messaging ◽  
Black African ◽  
Disabled Veterans ◽  
Higher Functioning

Abstract Using predictive analytic modelling, the Veterans Affairs has identified Veterans considered to be High Need High Risk (HNHR) requiring increased support. This pilot study sent needs assessment questionnaires to 1112 HNHR Veterans to better understand gaps regarding technology use, access, physical function, and mobility. There were 341(30.7%) respondents: 270(80.4%) Non-Hispanic, 64(18.8%) Hispanic/Latino; 210(61.6%) White, 119(34.9%) Black/African Americans; and 310(90.4%) had ≥high school education. Average Barthel(ADL) score was 81.5±22.8 and Lawton(IADL) score was 5.8±2.2. Younger Veterans (age<70) were more likely able to use Internet ((117(65%) vs 74(46%)),(p≤0.01) and email (106(58.9%) vs 67(41.6%),( p≤0.01). They were also more likely enrolled in MyHealtheVet (87(48.3%) vs 58(36%),(p=0.043). Secure messaging was used by 62(34.3%) younger and 37(23%) older Veterans,(p=0.026). More higher functioning Veterans (140(55.1%)) used email than lower functioning (33(37.9%)),(p=0.018). Among higher functioning Veterans, 148(58.3%) were willing to use videoconference for care coordination and 116(45.7%) owned a smartphone or computer with camera for this; more than lower functioning Veterans (33(37.9%) and 28(32.2%)), (p≤0.01 for both). Less dependent Veterans preferred to be contacted via cellphone (88(62.4%)) or Internet (10(7.1%)) compared to the more dependent (96(48%) and 6(3%)) respectively (p=0.01). Only 71(44.1%) of older Veterans were willing to use videoconference (p≤0.01) and 54(33.5%) owned a smartphone or computer with camera,(p≤0.01). There are significant variations in technology use by age and ethnicity. However, although there are differences by functional ability, a significant number of disabled veterans are willing and able to use technology, and this may provide a way to address access barriers in this population.

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