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Students Present Their Scientific Contributions at Soma Weiss Day

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Sirtuin Protein SIRT1 Links Stress with Cell Survival

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Hinton-Wright Society Takes New Name from the Late Harold Amos

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Front Page
MEDICAL EDUCATION

Students Present Their Scientific Contributions at Soma Weiss Day

The boon afforded by new AIDS drugs is not being shared by the poorest and most marginalized members of our society. "An African-American woman in Dorchester is 15 times more likely to die of the disease than a white male in Boston," said Mitul Kadakia (above), at the 64th annual Soma Weiss Student Research Day, on April 15, featuring keynote speaker Jerome Groopman, the Dina and Raphael Recanati professor of medicine at Beth Israel Deaconess. In his poster and his talk, Kadakia, a first-year medical student, said that the problem is not access to treatment but lack of compliance due to factors like poverty, substance abuse, homelessness, mental illness, and social isolation.

With the Prevention and Access to Care and Treatment (PACT) project and its patron organization Partners in Health, Kadakia has embarked on a pilot study that combines daily observed therapy (DOT) and home-based case management in an effort to deliver treatment to 15 difficult-to-reach patients with advanced AIDS in inner-city Boston. The approach, pioneered by Partners in Health in Haiti to treat TB and HIV patients, appears to be feasible here, Kadakia said. Adherence rates of participants receiving therapy averaged 97 percent. Eleven patients had undetectable levels of HIV in their bloodstream at the end of the pilot. Kadakia concluded his talk with a quote from one of the patients: "The medications saved our life, but the hand that gives it to us means so much." (Photo by Liza Green, HMS Media Services)