Reflection as a Tool for Personal and Professional Development.

Purpose: To evaluate the use of reflection by radiography students and radiographers.

Methods: Radiography students and radiographers completed reflection assignments as a part of capstone courses, which were taken near graduation in an entry-level bachelor of science radiography program (BSRS) and a bachelor of science completion program (registered technologist to BSRS). Responses were evaluated to determine achievement of predetermined outcomes and objectives.

True durability: HIV virologic suppression in an urban clinic and implications for timing of intensive adherence efforts and viral load monitoring.

Although the majority of HIV-infected patients who begin potent antiretroviral therapy should expect long-term virologic suppression, the realities in practice are less certain. Durability of viral suppression was examined to define the best timing of targeted adherence strategies and intensive viral load monitoring in an urban clinic population with multiple challenges to ART adherence. We examined the risk of viral rebound for patients who achieved two consecutive viral loads lower than the lower limit of quantification (LLOQ) within 390 days.

Better but not ideal acceptance of routine inpatient HIV point-of-care testing among veterans in a high prevalence area.

Background: The most recent guidance statement from The American College of Physicians recommends that clinicians adopt human immunodeficiency virus screening as part of routine medical care. Inpatient HIV testing at the Vetarns Affairs Medical Center in Washington, DC has been predominantly targeted at patients with disclosed risk factors.

Method: We implemented the first voluntary inpatient HIV testing program within a Veterans Affairs hospital using the OraQuick Advance Rapid HIV-1/2 Antibody Test on both oral secretion and whole blood samples.