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Release date: March 31, 2008
Available for credit through: March 31, 2009

Program Description:
HIV Patients and Weight Loss: Optimizing Care to Improve Outcomes is presented by Dr. Robert Demling, Professor of Surgery at Harvard Medical School and Director of the Burn-Trauma Center at Brigham and Women’s Hospital, Dr. Christine Wanke, Professor of Medicine and Public Health and Director of the Division of Nutrition and Infection at Tufts University School of Medicine and Dr. Donald Kotler, Professor of Medicine at Columbia University College of Physicians and Surgeons and Chief of the Division of Gastroenterology and Liver Disease at St. Luke’s Roosevelt Hospital Center.

HIV-associated wasting was first identified by the Centers for Disease Control as an AIDS defining condition in 1987. With the advent of highly active antiretroviral therapy, it was hoped that control of viral count would result in the elimination of wasting as a major sequel of HIV infection. This has turned out not to be the case. HIV wasting remains a serious, debilitating, and sometimes life-threatening condition. Care providers need to be vigilant to identify and properly treat patients who suffer from this disorder.

This activity will review the pathogenesis of protein energy malnutrition in general and its relation to the etiology of HIV-related weight loss. Additionally, we will discuss the epidemiology of HIV-associated wasting and the treatment options available.

Accreditation & Credit Designation:
ArcMesa Educators is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ArcMesa Educators designates this educational activity for a maximum of 1 AMA PRA Category 1 credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ArcMesa Educators is accredited by the Accreditation Council for Pharmacy Education as a Provider of continuing pharmacy education. (UPN 200-000-08-002-H02-P). Pharmacists will receive 1 contact hour (0.1 CEU) for successful completion of this activity. 

ArcMesa Educators is an approved provider of continuing education in nursing by ASNA, an accredited approver by the ANCC Commission on Accreditation. (ANCC AL #5-85). ArcMesa is an approved provider by the Florida Board of Nursing (#FBN2002). Nurses will receive 1 contact hour (0.1 CEU) for successful completion of this activity.

How to Receive Credit:
By reviewing the course content and successfully completing the post-test and evaluation, physicians are entitled to receive 1 AMA PRA category 1 credit.™, nurses and pharmacists will receive 1 contact hour. Statement of credit will be available to print from your user history page.

Educational Objectives:
Upon completion of this activity, participants should be able to:

  • List physiologic factors affecting energy intake and metabolic abnormalities that may lead to weight loss in HIV positive patients
  • Discuss the need for pharmacologic and nonpharmacologic approaches to improve weight in HIV positive patients
  • Examine the impact of HIV related weight loss on patient outcomes
  • Develop management strategies to address weight loss in HIV positive patients

Target Audience:
This activity is intended for physicians, pharmacists, and nursing professionals involved with the care of patients with HIV.

Faculty Disclosure Declarations
Robert Demling, MD
Nothing to Disclose

Donald Kotler, MD
Grants/Research Support recipient, Speakers’ Bureau, Consultant – EMD Serono Laboratories

Christine Wanke, MD
Nothing to Disclose

Staff Disclosure Declarations:
The employees of ArcMesa Educators have no financial relationships to disclose.

Disclosure Policy
It is the policy of ArcMesa Educators to ensure balance, independence, objectivity, and scientific rigor in all its educational activities. All faculty/authors are expected to disclose any relevant financial relationships they may have with commercial interests in relation to this activity. These relationships, along with the educational content of this program, have been reviewed and any potential conflicts of interest have been resolved to the satisfaction of ArcMesa Educators.

Disclaimer
©2008 ArcMesa Educators, LLC. All rights reserved. None of the contents may be reproduced in any form without prior written permission from ArcMesa Educators.

The recommendations made in this program are based upon a combination of randomized clinical trials, current guidelines, and the clinical practice experience of the participating panelists. Any medications, diagnostic procedures or treatments discussed by the panelists should not be utilized without evaluation of their patient's conditions. Participants are urged to consult the full prescribing information on any drug mentioned in this activity for recommended dosage, indications, contraindications, warnings, precautions, and adverse effects before prescribing any medication.  

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   Faculty:

Robert Demling, MD - Chair

Professor of Surgery, Harvard Medical School
Director of the Burn-Trauma Center, Brigham and Women’s Hospital, Boston, MA

Donald Kotler,
MD
Professor of Medicine, Columbia University College of Physicians and Surgeons
Chief, Division of Gastroenterology and Liver Disease, St. Luke’s Roosevelt Hospital Center, NY, New York

Christine Wanke,
MD
Professor of Medicine and Public Health
Director, Division of Nutrition and Infection Associate Chair, Department of Public Health Tufts University School of Medicine, Boston, MA


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