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Tilley D Author
Subjects of specialization
Affiliation
HIV
Maple Leaf Medical Clinic, Canada
Biography
Family Physician, Anatomic and General pathology training at Dalhousie University, Halifax and Montifiore Hospital, Bronx, NYC. Internal medicine training at New York Infirmary Beekman Downtown hospital NYC.
Medical Examiner Halifax county. Started medical practice in Toronto in 1988, have continuously cared for the needs of the community since then. I believe in a holistic medical practice that includes both western and eastern influences.
Publications
Research Article Open Access
Impact of Baseline NNRTI Resistance in Antiretroviral-naïve Patients with HIV in A Large Urban Clinic
Author(s): Steinberg S, Loutfy M, Sandler I, Varriano B, Smith G, Kovacs C, Brunetta J, Chang B, Merkley B, Tilley D, Fletcher D, Acsai M, Knox D and Crouzat F
Background: Non-nucleoside reverse transcriptase inhibitors (NNRTIs) are prone to baseline resistance and potential early treatment failure. We investigated the NNRTI resistance profiles of antiretroviral therapy (ART)–naive patients with HIV in a large urban clinic and assessed their response to initial ART.
Materials and Methods: This was a retrospective cohort study of ART-naive patients, who had baseline genotypes, starting ART prior to July 16, 2015. Cox regression was used to determine the impact on time to viral suppression with baseline NNRTI resistance as the primary covariate of interest. Of those who achieved virologic suppression, Cox regression was used to determine the impact on viral rebound [viral load (VL) ≥ 200 copies/... view more»
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