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https://www.readbyqxmd.com/read/28433855/the-electrophysiology-of-neurohiv-a-systematic-review-of-eeg-and-meg-studies-in-people-with-hiv-infection-since-the-advent-of-highly-active-antiretroviral-therapy
#1
Ana Lucia Fernández-Cruz, Lesley K Fellows
OBJECTIVE: The Human Immunodeficiency Virus (HIV) has an impact on the brain, even when the infection is well-controlled with modern highly-active antiretroviral therapy (HAART). While dementia is rare in those on HAART, milder cognitive impairment is common. The causes, patterns, and evolution of brain dysfunction in people living with HIV remain uncertain. We evaluate whether electrophysiological methods provide informative measures of brain dysfunction in this population. METHODS: A systematic literature search identified studies that used EEG or MEG to evaluate persons living with HIV published between 1996 (when HAART became available) and 2016...
March 31, 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/28429289/the-nature-and-consequences-of-cognitive-deficits-among-tobacco-smokers-with-hiv-a-comparison-to-tobacco-smokers-without-hiv
#2
Joseph D Harrison, Jessica A Dochney, Sonja Blazekovic, Frank Leone, David Metzger, Ian Frank, Robert Gross, Anita Hole, Karam Mounzer, Steven Siegel, Robert A Schnoll, Rebecca L Ashare
HIV-infected smokers lose more years of life to tobacco-related disease than HIV. Since neurocognitive deficits are common among those with HIV and are associated with smoking persistence, these deficits may be a unique barrier to smoking cessation among HIV-infected smokers. Documenting unique differences in and correlates of cognition among HIV-infected smokers is a critical step towards developing a population-specific tobacco cessation treatment. We compared neurocognitive function between HIV-infected (n = 103) and HIV-uninfected smokers (n = 70), accounting for demographic and smoking-related variables...
April 20, 2017: Journal of Neurovirology
https://www.readbyqxmd.com/read/28424453/comorbid-human-immunodeficiency-virus-hiv-and-muscle-specific-kinase-musk-myasthenia-gravis-a-case-report-and-literature-review
#3
Michael Sherpa, Ravi K Metai, Viki Kumar, Tinu Hirachan, Kawser U Ahmed, Sharon J Atkinson
BACKGROUND HIV infections with concomitant immunologically-mediated disorders have been frequently described but there has been little research on the association between HIV and myasthenia gravis. MuSK myasthenia gravis coexisting with HIV is an even a rarer entity and can occur as a part of immune restoration disease. We report the case of a patient with asymptomatic HIV infection who presented with new-onset MuSK myasthenia gravis. CASE REPORT A 44-year-old African-American woman with HIV since 2004 and on highly active antiretroviral therapy (HAART) presented to the ED with complains of double vision and difficulty swallowing for 2 weeks...
April 20, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/28419007/persistence-of-hepatitis-b-immunity-following-3-dose-infant-primary-series-in-hiv-infected-thai-adolescents-and-immunologic-response-to-revaccination
#4
Keswadee Lapphra, Paveena Oungkananukit, Supawan Saihongthong, Wanatpreeya Phongsamart, Orasi Wittawatmongkol, Supattra Rungmaitree, Kulkanya Chokephaibulkit
BACKGROUND: HIV infection may alter immunologic response and the establishment of immune memory to infant hepatitis B virus (HBV) vaccination. This study aimed to determine the need to revaccinate perinatally HIV-infected Thai adolescents. METHODS: Cross-sectional serologic tests for HBV, including hepatitis B surface antigen (HBs-Ag), anti-hepatitis B surface antibody (anti-HBs), and anti-hepatitis B core antibody (anti-HBc) were performed in perinatally HIV-infected adolescents...
April 17, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/28410829/metabolic-syndrome-among-hiv-infected-patients-a-comparative-cross-sectional-study-in-northwestern-nigeria
#5
Fakhraddeen Yahya Muhammad, Ibrahim Danjummai Gezawa, Andrew Uloko, Ahmad Maifada Yakasai, Abdulrazaq Garba Habib, Garba Iliyasu
INTRODUCTION: The increasing availability of antiretroviral drugs has made HIV-positive patients to live longer, and conditions that are associated with longevity such as metabolic syndrome and other cardiovascular related conditions have become relevant in them. This is less well studied among African populations. Therefore the study aimed at estimating and comparing the prevalence of and associated risk factors for the metabolic syndrome (MS) among African HIV infected patients. METHOD: In this comparative cross-sectional study, we analyzed the data of 300 participants matched for age and gender who satisfied the inclusion criteria with half of the subjects on HAART, while the other half was HAART naïve...
April 5, 2017: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/28410587/overview-of-cancer-incidence-and-mortality-among-people-living-with-hiv-aids-in-british-columbia-canada-implications-for-haart-use-and-nadm-development
#6
Connie G Chiu, Danielle Smith, Kate A Salters, Wendy Zhang, Steve Kanters, David Milan, Julio S G Montaner, Andy Coldman, Robert S Hogg, Sam M Wiseman
BACKGROUND: The objective of this study is to evaluate the incidence of non-AIDS defining malignancies (NADMs) among people living with HIV/AIDS (PLWHA) in British Columbia, focusing on clinical correlates, highly active antiretroviral therapy (HAART) use, and survival, in order to elucidate mechanisms for NADM development. METHODS: A retrospective population based analysis was carried out for individuals with HIV/AIDS that began their treatment between 1996 and 2008...
April 14, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28399823/alcohol-use-disorders-among-people-living-with-hiv-aids-in-southern-brazil-prevalence-risk-factors-and-biological-markers-outcomes
#7
Cláudio Moss da Silva, Raúl Andrés Mendoza-Sassi, Luisa Dias da Mota, Maíba Mikhael Nader, Ana Maria Barral de Martinez
BACKGROUND: Alcohol abuse is an important public health problem, frequently unrecognized among people living with HIV/AIDS (PLWHA), and requires investigation and intervention. It is usually associated with lower adherence to highly active antiretroviral therapy (HAART). It can also produce adverse clinical outcomes, such as changes in certain HIV markers, particularly CD4 cell counts and HIV viral loads (VLs). Thus, this study aimed to evaluate the prevalence of alcohol abuse among PLWHA, its associated risk factors and effects on CD4 cell counts and HIV VLs in southern Brazil...
April 11, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28393664/use-of-placebo-pills-before-treatment-initiation-in-youth-with-hiv-are-they-ready
#8
Lisa M Ingerski, Megan L Wilkins, Amanda M Rach, Nehali Patel, Aditya H Gaur
Highly active antiretroviral therapy (HAART) nonadherence is related to negative health outcomes and is well-documented in adolescents and young adults (AYAs) with behaviorally acquired HIV. Few studies describe methods to improve adherence in this population. This retrospective study describes placebo pill trial use (ie, pills with inert substance prescribed to practice taking HAART) in AYAs initiating HAART and its relation to disease outcomes. Sixty-two AYAs initiated HAART during the review period. Disease outcomes during the first year of standard clinical care were abstracted from medical records...
January 1, 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28391953/-efficacy-of-the-treatment-and-secondary-antifungal-prophylaxis-in-aids-related-histoplasmosis-experience-at-the-francisco-j-mu%C3%A3-iz-infectious-diseases-hospital-in-buenos-aires
#9
Ricardo Negroni, Fernando Messina, Alicia Arechavala, Gabriela Santiso, Mario Bianchi
BACKGROUND: Classic histoplasmosis is a systemic endemic mycosis due to Histoplasma capsulatum var. capsulatum. A significant reduction in the morbidity and mortality of AIDS-related histoplasmosis has been observed since the introduction of highly active antiretroviral therapy (HAART) and secondary antifungal prophylaxis. AIMS: The aim of this study was to determine the current state of prognosis and treatment response of HIV-positive patients with histoplasmosis in the Francisco J...
April 5, 2017: Revista Iberoamericana de Micología
https://www.readbyqxmd.com/read/28388647/impact-of-probiotic-saccharomyces-boulardii-on-the-gut-microbiome-composition-in-hiv-treated-patients-a-double-blind-randomised-placebo-controlled-trial
#10
Judit Villar-García, Robert Güerri-Fernández, Andrés Moya, Alicia González, Juan J Hernández, Elisabet Lerma, Ana Guelar, Luisa Sorli, Juan P Horcajada, Alejandro Artacho, Giuseppe D Auria, Hernando Knobel
Dysbalance in gut microbiota has been linked to increased microbial translocation, leading to chronic inflammation in HIV-patients, even under effective HAART. Moreover, microbial translocation is associated with insufficient reconstitution of CD4+T cells, and contributes to the pathogenesis of immunologic non-response. In a double-blind, randomised, placebo-controlled trial, we recently showed that, compared to placebo, 12 weeks treatment with probiotic Saccharomyces boulardii significantly reduced plasma levels of bacterial translocation (Lipopolysaccharide-binding protein or LBP) and systemic inflammation (IL-6) in 44 HIV virologically suppressed patients, half of whom (n = 22) had immunologic non-response to antiretroviral therapy (<270 CD4+Tcells/μL despite long-term suppressed viral load)...
2017: PloS One
https://www.readbyqxmd.com/read/28387430/esophageal-mucosa-in-hiv-infection-a-deeper-look-at-this-little-spoken-organ
#11
Ana Luiza Werneck-Silva, Carla Pagliari, Roseli A Patzina, Cleusa Fumica Hirata Takakura, Maria Irma Duarte
BACKGROUND: Although the esophagus is a common site of opportunistic infection in AIDS patients little is known about the impact of HIV as well as opportunistic infection in the esophageal mucosa. Our aim is to analyze the esophageal immune profile in HIV+ patients with different immunological status with and without the opportunistic Candida infection. METHODS: Immunohistochemistry to CD4+ and CD8+ T-cells, IFN-γ, TGF-β, IL-4, IL-6, IL-13 and IL-17 was performed in esophageal samples of 40 chronically HIV+ patients under HAART (16 with Candida esophagitis, 12 virologicaly non-supressed with blood CD4 count <500, and 12 virologicaly suppressed with blood CD4 count >500; the latter two groups without esophageal candidiasis)...
April 7, 2017: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/28380114/morphological-changes-in-the-digestive-system-of-322-necropsies-of-patients-with-acquired-immune-deficiency-syndrome-comparison-of-findings-pre-and-post-haart-highly-active-antiretroviral-therapy
#12
Lucinda Calheiros Guimarães, Ana Cristina Araújo Lemos da Silva, Adilha Misson Rua Micheletti, Everton Nunes Melo Moura, Mario Léon Silva-Vergara, Sebastião Tostes, Sheila Jorge Adad
Involvement of the digestive system in AIDS pathologies or injuries is frequent. Aiming at comparing the frequency, the importance that these lesions have for death and the survival time in patients using or not using HAART, we studied 322 necropsies classified as follows: Group A - without antiretroviral drugs (185 cases); B - one or two antiretroviral drugs or HAART for less than six months (83 cases); C - HAART for six months or longer (54 cases). In the overall analysis of the digestive system, changes were present in 73...
April 3, 2017: Revista do Instituto de Medicina Tropical de São Paulo
https://www.readbyqxmd.com/read/28376825/antiretroviral-therapy-supply-chain-quality-control-and-assurance-in-improving-people-living-with-hiv-therapeutic-outcomes-in-cameroon
#13
M P Ngogang Djobet, David Singhe, Julienne Lohoue, Christopher Kuaban, Jeanne Ngogang, Ernest Tambo
BACKGROUND: Evaluation of medication efficacy and safety is an essential guarantee to successful therapeutic outcome in public health practices. However, larger distribution chain supply in developing countries such as Cameroon is often challenged by counterfeit drugs, poor manufacturing, storage and degradation leading to health and patient adverse consequences. Yet, access to supply chain management in strengthening ARVs quality assurance and outcomes remains poorly documented. More than 53,000 patients have been enrolled on free ARVs medications, but little is documented on quality assurance and validity of safety for affected populations along the supply chain management since 2008...
April 4, 2017: AIDS Research and Therapy
https://www.readbyqxmd.com/read/28376805/patients-who-restart-antiretroviral-medication-after-interruption-remain-at-high-risk-of-unfavorable-outcomes-in-ethiopia
#14
Alula M Teklu, Kesetebirhan D Yirdaw
BACKGROUND: Achieving optimal adherence to highly active antiretroviral therapy (HAART) is necessary to attain viral suppression and hence optimal clinical outcome. Interruptions in antiretroviral therapy medication often occur, but a substantial proportion restart treatment. Long-term care engagement practices and clinical outcomes have not been described among cohorts of individuals on HAART in Ethiopia. METHODS: In this study we describe treatment interruption patterns over time among clients who interrupt and subsequently resume HAART, and those who are continuously engaged in treatment, and determine clinical factors associated with loss to engagement...
April 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28374653/mother-to-child-hiv-transmissions-in-israel-1985-2011
#15
Z Mor, R Sheffer, D Chemtob
Mother-to-child transmission (MTCT) is the leading cause of paediatric HIV-infection in Israel. This study aimed to assess MTCT rates and analyse temporal changes in relation to highly active antiretroviral therapy (HAART) introduction in 1996. This historical prospective study included all HIV-infected women who delivered in Israel between 1988 and 2011. Demographic, clinical, laboratory and therapy characteristics were compared between HIV-infected newborns with all others, and between infants born before and after 1996...
April 4, 2017: Epidemiology and Infection
https://www.readbyqxmd.com/read/28367350/immune-reconstitution-inflammatory-syndrome-occurring-in-a-kidney-transplant-patient-with-extrapulmonary-tuberculosis
#16
Jose Iglesias, Kandria Jumil Ledesma, Paul J Couto, Jessie Liu
Tuberculosis (TB) occurring in solid organ transplantation (SOT) is associated with significant morbidity and mortality usually due to delays in diagnosis, drug toxicity encountered with antimycobacterial therapy, and drug-drug interactions. TB in SOT patients may mimic other infectious and noninfectious posttransplant complications such as posttransplant lymphoproliferative disorder (PTLD) and systemic cytomegalovirus infection. Immune reconstitution inflammatory syndrome (IRIS) is a host response resulting in paradoxical worsening of an infectious disease which occurs after the employment of effective therapy and reversal of an immunosuppressed state...
2017: Case Reports in Transplantation
https://www.readbyqxmd.com/read/28366011/change-in-patterns-of-hiv-status-disclosure-in-the-haart-era-and-association-of-hiv-status-disclosure-with-depression-level-among-women
#17
Chenglong Liu, Lakshmi Goparaju, Andrew Barnett, Cuiwei Wang, Paul Poppen, Mary Young, Maria Cecilia Zea
Whether widespread use of HAART changed patterns of HIV status disclosure among women living with HIV is largely unknown. In addition, the association between time to first HIV disclosure and depression has not been fully explored among women. A retrospective cross-sectional survey was conducted among HIV-infected women from the Washington, DC site of the Women's Interagency HIV Study to collect detailed information about their HIV status disclosure behavior. A sample of 202 HIV-positive women, 102 diagnosed prior to and 100 post-HAART era participated in this study...
April 1, 2017: AIDS Care
https://www.readbyqxmd.com/read/28357381/recent-insights-into-the-hiv-aids-pandemic
#18
REVIEW
Juan C Becerra, Lukas S Bildstein, Johannes S Gach
Etiology, transmission and protection: Transmission of HIV, the causative agent of AIDS, occurs predominantly through bodily fluids. Factors that significantly alter the risk of HIV transmission include male circumcision, condom use, high viral load, and the presence of other sexually transmitted diseases. Pathology/Symptomatology: HIV infects preferentially CD4(+) T lymphocytes, and Monocytes. Because of their central role in regulating the immune response, depletion of CD4(+) T cells renders the infected individual incapable of adequately responding to microorganisms otherwise inconsequential...
September 5, 2016: Microbial Cell
https://www.readbyqxmd.com/read/28348464/liver-function-tests-abnormalities-and-hepatitis-b-virus-hepatitis-c-virus-co-infection-in-human-immunodeficiency-virus-hiv-infected-patients-in-india
#19
P Puri, P K Sharma, A Lolusare, V K Sashindran, S Shrivastava, A K Nagpal
BACKGROUND: While highly active anti-retroviral therapy (HAART) has improved survival of HIV-infected patients, there is increasing liver disease and progressive Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) related liver disease. AIMS: To study the liver function tests (LFT) and HBV and HCV co-infection in HIV-infected patients. MATERIAL AND METHODS: All HIV-positive patients presenting to a tertiary level hospital from April 2009 to April 2011 were evaluated...
March 2017: Journal of Clinical and Experimental Hepatology
https://www.readbyqxmd.com/read/28343818/comparative-performances-of-serologic-and-molecular-assays-for-detecting-htlv-1-and-htlv-2-in-patients-infected-with-hiv-1
#20
Karoline Rodrigues Campos, Maria Gisele Gonçalves, Nadia Aparecida Costa, Adele Caterino-de-Araujo
The present study evaluated several techniques currently available (commercial kits and in-house assays) for diagnosing human T lymphotropic viruses types 1 and 2 (HTLV-1/-2) in two groups of patients enrolled at HIV/AIDS specialized care services in São Paulo: Group 1 (G1), n=1608, 1237 male/371 female, median age 44.3 years old, majority using highly active antiretroviral therapy (HAART); G2, n=1383, 930 male/453 female, median age of 35.6 years old, majority HAART naïve. Enzyme immunoassays [(EIA) Murex and Gold ELISA] were employed for HTLV-1/-2 screening; Western blotting (WB), INNO-LIA (LIA), real-time PCR pol (qPCR), and nested-PCR-RFLP (tax) were used to confirm infection...
March 23, 2017: Brazilian Journal of Infectious Diseases
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