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Open AccessJournal ArticleDOI

HIV-associated neurologic disease incidence changes: Multicenter AIDS Cohort Study, 1990–1998

TLDR
The proportion of new cases of HIV dementia with a CD4 count in a higher range since 1996 may be increasing, and the introduction of highly active antiretroviral therapy (HAART) may be responsible.
Abstract
This study examined the temporal trends in the incidence rates of HIV dementia, cryptococcal meningitis, toxoplasmosis, progressive multifocal leukoencephalopathy, and CNS lymphoma from January 1990 to December 1998 in the Multicenter AIDS Cohort Study. The incidence rates for HIV dementia, cryptococcal meningitis, and lymphoma decreased following the introduction of highly active antiretroviral therapy (HAART). The proportion of new cases of HIV dementia with a CD4 count in a higher range (i.e., 201 to 350) since 1996 may be increasing.

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Journal ArticleDOI

HIV/AIDS and psychiatry: Towards the establishment of a pilot programme for detection and treatment of common mental disorders in people living with HIV/AIDS in Cape Town

TL;DR: It is argued that the role of mental health in ARV programmes is central, and screening tools for mental disorders should be incorporated into routine ARV care, with support from dedicated HIV mental health services.
Book ChapterDOI

Public Health Importance of Cryptococcal Disease: Epidemiology, Burden, and Control

TL;DR: This chapter focuses primarily on HIV-associated cryptococcosis, due to its much greater public health burden, and discusses the challenges to public health agencies in addressing the threat of Cryptococcus gattii in North America.
Journal ArticleDOI

Chronic Viral Neuroinflammation: Speculation on Underlying Mechanisms.

TL;DR: This commentary addresses four questions: What drives the development of human immunodeficiency virus (HIV)-associated neurocognitive disorders, does the phenotype of macrophages in the CNS spur development of HIV encephalitis (HIVE), does continual activation of astrocytes drive theDevelopment of HIV-associated neuroCognitive disorders/subclinical disease, and neuroinflammation: friend or foe?
Book ChapterDOI

HIV-1-Associated Neurocognitive Disorders in the HAART Era

TL;DR: Changes have occurred across the spectrum of HIV-1-associated neurocognitive disorders since the introduction of HAART, and both the neuropathological and the clinical aspects of the syndrome seem to be less severe than those observed in the pre-HAART era.
References
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Journal Article

Surveillance for waterborne-disease outbreaks : united states, 1995-1996

TL;DR: In this paper, the authors reported a total of 22 waterborne-disease outbreaks associated with drinking water and recreational lake water, which caused an estimated total of 2,567 persons to become ill. No deaths were reported.
Journal ArticleDOI

The multicenter aids cohort study: rationale, organization, and selected characteristics of the participants

TL;DR: The Multicenter AIDS Cohort Study was designed to elucidate the natural history of the infection causing acquired immunodeficiency syndrome (AIDS), identify risk factors for occurrence and clinical expression of the virus, and establish a repository of biologic specimens for future study.
Journal ArticleDOI

Effectiveness of Potent Antiretroviral Therapy on Time to AIDS and Death in Men With Known HIV Infection Duration

TL;DR: In the calendar period when potent antiretroviral therapy was introduced, the time to development of AIDS and time to death were extended, and rate of CD4 cell count decline was arrested.
Journal ArticleDOI

Changing incidence of AIDS-defining illnesses in the era of antiretroviral combination therapy.

TL;DR: The incidence of AIDS-defining events in patients with advanced HIV infection at Frankfurt University Hospital has declined by more than 70% from 1992 to 1996, with a trend for malignancies and single opportunistic infections, with the exception of mycobacterial diseases.
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