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We are fortunate in HIV medicine to have robust treatment and prevention guidelines, but there is always room for improvement.

The advances we continue to see are driven, in part, by the controversies surrounding optimal prevention, treatment and cure strategies as evidence-based outcomes are continually reassessed.

Every year the Conference on Retrovirology and Opportunistic Infections CROI is packed with important new information and this program focuses on the advances in antiretroviral therapy to improve standards of care and point the way to future advances through emerging research and drug development.

What happens after genital or anal exposure to HIV, and how fast can infection take hold? When and where can this infection be stopped after exposure and what is the virus doing during the eclipse and window periods before it can be detected in blood?

Internet hook-up trends for gay men, in combination with recreational drugs, including crystal meth, to decrease inhibitions and increase sexual pleasure, are the drivers of what has become known as chemsex.

This phenomenon is not limited to the UK and Europe, where the term was first used—it is international in scope, including New York City, and can lead to substance use disorders and mental illness.

Chemsex also greatly increases the risk for non-adherence to HIV medication, PrEP, and condom use, while elevating the risk for transmission of HIV and other sexually transmitted diseases.

How can we understand and help in a non-judgmental way? This program by Drs. Vaty Poitevien and Pierre Arty tackles this important and too-often overlooked problem.

But how are the demographics changing? What are the emerging disparities? And how can we address the evolving needs of New Yorkers who are newly infected or at ongoing risk for transmission in all of our diverse communities?

Achieving a scalable and broad-based cure for HIV-infected individuals is a daunting challenge, but Cure research is ongoing, including immune-based strategies that boost the host immune response against the virus.

Clinical trials aimed at achieving ART-free HIV-remission will need to include placebo groups and analytical treatment interruption and plasma viremia as an end point.

The newer drugs we now have to treat Hepatitis C have never been more tolerable, efficacious, or easier to use.

And better yet, they can be used safely in acute HCV, people who continue to inject drugs, and even in people with end-stage liver disease and cirrhosis.

If you are not already treating your patients with HCV, now is the time to watch this exciting program by Kristen Marks, and consider expanding your practice to treat and cure your patients with hepatitis C.

Yes, its curable, and you can do this! You may not be seeing facial lipoatrophy or buffalo humps like we did in the early years of HAART, but body fat changes persist now, even with newer regimens.

In this program, Todd Brown discusses the past and present body fat changes in the long-term management of HIV disease, the critical importance of lifestyle changes for the management of liopohypertrophy and obesity in HIV, the risk and benefits of pharmacologic approaches to treatment, and research strategies to guide treatment in the future.

The treatment and prevention of HIV disease, Hepatitis C and their myriad complications are constantly changing—and the evolution of state-of-the-art management is almost always forecasted by research presented at major scientific meetings both nationally and internationally.

Even with early initiation of combination antiretroviral therapy, there is still a gap in life expectancy between our HIV-positive and HIV-negative patients, and age-associated morbidities and multimorbidities are more common in people aging with HIV.

Thankfully, we see KS infrequently now, but still need to keep it in the back of our minds. So what are the implications for these patient populations as they age?

When anal cancer prevention efforts fail, or when initial physical exam and screening lead to the diagnosis of malignancy, what next?

This presentation by Stephen Goldstone, a surgeon, and Peter Kozuck, an oncologist, will walk you through the typical and atypical presentations of anal cancer, standard approaches to therapy, post-treatment follow-up, and consequent morbidities that that your patients may face.

Current data shows that anal cancer is increasing in general population and will remain the most common preventable cancer in our HIV-positive patients.

So, what can we do to help prevent HPV-associated anal cancer? The preventive HPV vaccine is safe and highly efficacious, but what about anal cancer prevention in our patients already infected with oncogenic strains of HPV?

This presentation by Joel Palefsky will bring you up-to-date on all current prevention modalities, how to evaluate your patients at risk, efforts to block progression to cancer, and scientific advances that may help us improve screening and prevention moving forward.

With this background, Dr. Due to the length of this program, we have split this into two parts. Be sure to watch both! Efforts to prevent mother-to-child transmission of HIV are the oldest and most successful examples of HIV prophylaxis, and a model for post-exposure prophylaxis and the expanded efforts we now have, such as Treatment as Prevention.

But even though it is rare, we still see mother-to-child transmission of HIV, especially when mothers become acutely infected during pregnancy or while nursing.

It is important to understand the deficiencies and oversights in routine standards of care, if we hope to finally reduce perinatal HIV infection to zero.

Growing up is always difficult. But growing up with perinatal HIV infection, adds new dimensions to the physical and psychosocial challenges that children face as they struggle simply to survive, and hopefully thrive.

This important presentation by Elaine Abrams will help you identify interventions that may help you improve the outcomes of young people growing up with HIV and care for them with a deeper understanding when they transition to adult medical care.

We hear more and more about the microbiome these days, but what impact does the microbiome have in people with or at risk for HIV infection?

We know the gut lymphoid system is rapidly and permanently impaired by HIV, and chronic use of antiretroviral drugs for HIV and antibiotic prophylaxis against opportunistic infections can affect the gut, but need we be concerned about the microbiome?

This fascinating program will help you understand what is presently known about the interplay of the bacterial microbiome and mucosal immunity, the resulting effects on HIV susceptibility and HIV-associated chronic inflammation, and the latest efforts to leverage the microbiome to prevent HIV transmission and improve health for those living with HIV.

Injection drug use is a growing problem across the country, and a well-known risk for transmission of hepatitis C.

But can HCV in our patients who continue to inject drugs be successfully be treated? Can they be re-infected with HCV once cured?

This important program grapples with the barriers, both real and imagined, that stand in our way.

As a medical provider, you can have a powerful impact on the behavioral health of your patients living with HIV, but you need to know how to sort out what is required and what is optional, and utilize practical behavioral strategies to evaluate and manage depression, anxiety and stress.

This presentation by Dr. Francine Cournos is packed with clinical pearls that will help you serve your patients mental health needs more effectively, while preserving your own sanity.

If we do not address mental health issues at the primary care level, we are very unlikely to be able to bring an end to the HIV epidemic. Mental health problems contribute not only to HIV acquisition, but also to poorer outcomes at every step in the HIV treatment cascade.

Since people living with HIV disease have significantly higher rates of mental health disorders than that of the general population, in this program, Dr.

Robert Remien focuses on strategies we can use to integrate mental health assessment and treatment into routine HIV care. PRN is pleased to offer this new CME opportunity designed for physicians, nurse practitioners and physician assistants caring for patients with or at risk for HIV disease and its many complications.

Based on content from The PRN Notebook , credit for each course will be available for a limited period of time noted on each activity.

Member Area Become a Member. Since , helping busy clinicians master the science and art of caring for people with HIV disease.

All rights reserved. Proprietary Images Protected by Digimarc. Roy M. Thomas J. Mark J. Martin H. And does underlying HIV-infection make a difference?

Jane R. Michelle S. Elizabeth A. Stephen E. David J. Bernard M. Sapna A. Christina M. If you don't love it, simply ship it back to us using our return center for a full refund.

No questions asked! Our current Breeze holds up to 6 patients. In August we will be releasing custom pages to add extra pages!

Stay tuned! Make sure to sign up for the PDF template above, that way you can be on our email list when we release new options!

I love the breeze. I ordered a blank one with the Medsurg inserts so I had extra room for notes. I just wish the medication box was bigger.

Otherwise, loving it and it keeps me organized throughout my shifts! I like the ease of using my blank breeze from moxie PRN. I also ordered the med Surg sheets and it gives me plenty of space for notes and important info to pass along in report or physicians.

I would have to waste time trying to find the one I was looking for and drove me crazy! I just started as a new RN and almost everyone I meet asks me about it.

I am a new nurse and have showed many of my new coworkers my breeze. They have all stated that it was a brilliant idea. I only wish that it came with an explanation of what everything was.

I currently use sharpie markers on it and the alcohol takes it right off. So much information can fit on there as well. I bought this on a whim, mainly curious about how it would work for me.

I bought the breeze with blank pages and then also bought the six patient pages to add to it. I prefer to have an area to write a narrative so I use the blank pages for that and the the page next to it for specific patient data.

This little book is amazing. It has everything I need in it. It erases easily and dries quickly. Could not be more perfect for me.

I was so excited to find Moxie PRN and their Breeze books, and even more thrilled when I found they were releasing the blank books.

It was exactly what I needed. Its perfect for me as I find my way of taking report and allows me to change information or how I take report without wasting more paper.

I absolutely love it! I was having problems being unorganized during clinicals and flipping through loose notes for info.

This has helped me look more professional and keeps my info neat and organized! I got the blank breeze and put the extra report sheets into it.

I love how much room I have to write and how easy it is to clean. Multiple coworkers have asked me about it and are looking to get their own.

Your cart. Close Cart. Say Goodbye to Paper

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This program by Drs. Vaty Poitevien and Pierre Arty tackles this important and too-often overlooked problem.

But how are the demographics changing? What are the emerging disparities? And how can we address the evolving needs of New Yorkers who are newly infected or at ongoing risk for transmission in all of our diverse communities?

Achieving a scalable and broad-based cure for HIV-infected individuals is a daunting challenge, but Cure research is ongoing, including immune-based strategies that boost the host immune response against the virus.

Clinical trials aimed at achieving ART-free HIV-remission will need to include placebo groups and analytical treatment interruption and plasma viremia as an end point.

The newer drugs we now have to treat Hepatitis C have never been more tolerable, efficacious, or easier to use. And better yet, they can be used safely in acute HCV, people who continue to inject drugs, and even in people with end-stage liver disease and cirrhosis.

If you are not already treating your patients with HCV, now is the time to watch this exciting program by Kristen Marks, and consider expanding your practice to treat and cure your patients with hepatitis C.

Yes, its curable, and you can do this! You may not be seeing facial lipoatrophy or buffalo humps like we did in the early years of HAART, but body fat changes persist now, even with newer regimens.

In this program, Todd Brown discusses the past and present body fat changes in the long-term management of HIV disease, the critical importance of lifestyle changes for the management of liopohypertrophy and obesity in HIV, the risk and benefits of pharmacologic approaches to treatment, and research strategies to guide treatment in the future.

The treatment and prevention of HIV disease, Hepatitis C and their myriad complications are constantly changing—and the evolution of state-of-the-art management is almost always forecasted by research presented at major scientific meetings both nationally and internationally.

Even with early initiation of combination antiretroviral therapy, there is still a gap in life expectancy between our HIV-positive and HIV-negative patients, and age-associated morbidities and multimorbidities are more common in people aging with HIV.

Thankfully, we see KS infrequently now, but still need to keep it in the back of our minds. So what are the implications for these patient populations as they age?

When anal cancer prevention efforts fail, or when initial physical exam and screening lead to the diagnosis of malignancy, what next?

This presentation by Stephen Goldstone, a surgeon, and Peter Kozuck, an oncologist, will walk you through the typical and atypical presentations of anal cancer, standard approaches to therapy, post-treatment follow-up, and consequent morbidities that that your patients may face.

Current data shows that anal cancer is increasing in general population and will remain the most common preventable cancer in our HIV-positive patients.

So, what can we do to help prevent HPV-associated anal cancer? The preventive HPV vaccine is safe and highly efficacious, but what about anal cancer prevention in our patients already infected with oncogenic strains of HPV?

This presentation by Joel Palefsky will bring you up-to-date on all current prevention modalities, how to evaluate your patients at risk, efforts to block progression to cancer, and scientific advances that may help us improve screening and prevention moving forward.

With this background, Dr. Due to the length of this program, we have split this into two parts. Be sure to watch both! Efforts to prevent mother-to-child transmission of HIV are the oldest and most successful examples of HIV prophylaxis, and a model for post-exposure prophylaxis and the expanded efforts we now have, such as Treatment as Prevention.

But even though it is rare, we still see mother-to-child transmission of HIV, especially when mothers become acutely infected during pregnancy or while nursing.

It is important to understand the deficiencies and oversights in routine standards of care, if we hope to finally reduce perinatal HIV infection to zero.

Growing up is always difficult. But growing up with perinatal HIV infection, adds new dimensions to the physical and psychosocial challenges that children face as they struggle simply to survive, and hopefully thrive.

This important presentation by Elaine Abrams will help you identify interventions that may help you improve the outcomes of young people growing up with HIV and care for them with a deeper understanding when they transition to adult medical care.

We hear more and more about the microbiome these days, but what impact does the microbiome have in people with or at risk for HIV infection?

We know the gut lymphoid system is rapidly and permanently impaired by HIV, and chronic use of antiretroviral drugs for HIV and antibiotic prophylaxis against opportunistic infections can affect the gut, but need we be concerned about the microbiome?

This fascinating program will help you understand what is presently known about the interplay of the bacterial microbiome and mucosal immunity, the resulting effects on HIV susceptibility and HIV-associated chronic inflammation, and the latest efforts to leverage the microbiome to prevent HIV transmission and improve health for those living with HIV.

Injection drug use is a growing problem across the country, and a well-known risk for transmission of hepatitis C. But can HCV in our patients who continue to inject drugs be successfully be treated?

Can they be re-infected with HCV once cured? This important program grapples with the barriers, both real and imagined, that stand in our way.

As a medical provider, you can have a powerful impact on the behavioral health of your patients living with HIV, but you need to know how to sort out what is required and what is optional, and utilize practical behavioral strategies to evaluate and manage depression, anxiety and stress.

This presentation by Dr. Francine Cournos is packed with clinical pearls that will help you serve your patients mental health needs more effectively, while preserving your own sanity.

If we do not address mental health issues at the primary care level, we are very unlikely to be able to bring an end to the HIV epidemic.

Mental health problems contribute not only to HIV acquisition, but also to poorer outcomes at every step in the HIV treatment cascade. Since people living with HIV disease have significantly higher rates of mental health disorders than that of the general population, in this program, Dr.

Robert Remien focuses on strategies we can use to integrate mental health assessment and treatment into routine HIV care. PRN is pleased to offer this new CME opportunity designed for physicians, nurse practitioners and physician assistants caring for patients with or at risk for HIV disease and its many complications.

Based on content from The PRN Notebook , credit for each course will be available for a limited period of time noted on each activity.

Member Area Become a Member. Since , helping busy clinicians master the science and art of caring for people with HIV disease. All rights reserved.

Proprietary Images Protected by Digimarc. Roy M. Thomas J. Mark J. Martin H. And does underlying HIV-infection make a difference?

Jane R. Michelle S. Elizabeth A. Stephen E. David J. Bernard M. Sapna A. Christina M. Wyatt, MD Update on The Kidney in HIV Treatment and Prevention Update on The Kidney in HIV Treatment and Prevention Whether we are initiating antiretroviral therapy for HIV infection or pre-exposure prophylaxis to prevent it, we must not forget to screen for underlying kidney disease, and to establish baselines from which nephrotoxicity secondary to treatment can be detected and managed.

Craig W. Rajesh T. Vaty M. Poitevien, MD and Pierre R. Demetre C. Todd T. Peter W. Susan E. I love the breeze. I ordered a blank one with the Medsurg inserts so I had extra room for notes.

I just wish the medication box was bigger. Otherwise, loving it and it keeps me organized throughout my shifts! I like the ease of using my blank breeze from moxie PRN.

I also ordered the med Surg sheets and it gives me plenty of space for notes and important info to pass along in report or physicians.

I would have to waste time trying to find the one I was looking for and drove me crazy! I just started as a new RN and almost everyone I meet asks me about it.

I am a new nurse and have showed many of my new coworkers my breeze. They have all stated that it was a brilliant idea.

I only wish that it came with an explanation of what everything was. I currently use sharpie markers on it and the alcohol takes it right off.

So much information can fit on there as well. I bought this on a whim, mainly curious about how it would work for me.

I bought the breeze with blank pages and then also bought the six patient pages to add to it. I prefer to have an area to write a narrative so I use the blank pages for that and the the page next to it for specific patient data.

This little book is amazing. It has everything I need in it. It erases easily and dries quickly. Could not be more perfect for me. I was so excited to find Moxie PRN and their Breeze books, and even more thrilled when I found they were releasing the blank books.

It was exactly what I needed. Its perfect for me as I find my way of taking report and allows me to change information or how I take report without wasting more paper.

I absolutely love it! I was having problems being unorganized during clinicals and flipping through loose notes for info.

This has helped me look more professional and keeps my info neat and organized! I got the blank breeze and put the extra report sheets into it.

I love how much room I have to write and how easy it is to clean. Multiple coworkers have asked me about it and are looking to get their own.

Your cart. Close Cart. Say Goodbye to Paper Truly a must have for any nurse wanting to stay organized, save time and feel confident. Nurse Hip Pack.

Shift Essentials. Write, Erase and Repeat! Breeze Collection. No reviews.

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