Assuntos
Aterosclerose/diagnóstico , Infecções por HIV/sangue , HIV-1/fisiologia , Lipídeos/sangue , Viremia/metabolismo , Aterosclerose/etiologia , Testes Diagnósticos de Rotina , Feminino , Infecções por HIV/complicações , Infecções por HIV/tratamento farmacológico , Humanos , Masculino , Pessoa de Meia-Idade , Carga Viral , Viremia/complicações , Viremia/tratamento farmacológicoRESUMO
Distance to HIV care may be associated with retention in care (RIC) and viral suppression (VS). RIC (≥ 2 HIV visits or labs ≥ 90 days apart in 12 months), prescribed antiretroviral therapy (ART), VS (< 200 copies/mL at last visit) and distance to care were estimated among 3623 DC Cohort participants receiving HIV care in 13 outpatient clinics in Washington, DC in 2015. Logistic regression models and geospatial statistics were computed. RIC was 73%; 97% were on ART, among whom 77% had VS. ZIP code-level clusters of low RIC and high VS were found in Northwest DC, and low VS in Southeast DC. Those traveling ≥ 5 miles had 30% lower RIC (adjusted odds ratio (aOR) 0.71, 95% CI 0.58, 0.86) and lower VS (OR 0.70, 95% CI 0.52, 0.94). Geospatial clustering of RIC and VS was observed, and distance may be a barrier to optimal HIV care outcomes.
Assuntos
Fármacos Anti-HIV/uso terapêutico , Continuidade da Assistência ao Paciente/estatística & dados numéricos , Infecções por HIV/tratamento farmacológico , HIV/efeitos dos fármacos , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Retenção nos Cuidados/estatística & dados numéricos , Carga Viral/efeitos dos fármacos , Adulto , Análise por Conglomerados , Estudos de Coortes , District of Columbia , Feminino , Humanos , Masculino , Viabilidade Microbiana/efeitos dos fármacos , Pessoa de Meia-Idade , Pacientes Desistentes do Tratamento/estatística & dados numéricosRESUMO
It was found [Vision Res. 36 (1996) 2125] that reaction times for repeated targets were longer in detection and location discrimination tasks (inhibition of return; IOR) and shorter in color and orientation discrimination tasks (facilitation of return; FOR). The present experiment, using a more detailed analysis, shows that both IOR and FOR can be found in the discrimination tasks. Overall, the results are inconsistent with the notion that IOR and FOR effects reside in separate visual pathways. Rather, the results are accounted for by repetition priming and IOR that occur with specific combinations of target features and task demands.
