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         Aids Dementia Complex:     more detail
  1. The Cellular Basis of Central Nervous System Hiv-1 Infection And the AIDS Dementia Complex by Richard W Price, John J Sidtis, 1996-02-09
  2. The Cellular Basis of Central Nervous System HIV-1 Infection and the AIDS Dementia Complex. (book reviews): An article from: Journal of Neuroscience Nursing by Genell Hilton, 1996-08-01
  3. Aids Dementia Complex Medical Guide by Qontro Medical Guides, 2008-07-09
  4. JOURNAL OF NEURO-AIDS: THE CELLULAR BASIS OF CENTRAL NERVOUS SYSTEM HIV-1 INFECTION AND THE AIDS DEMENTIA COMPLEX. (Volume 1, Number 1).
  5. Practitioner's Guide to the Neuropsychiatry of HIV/AIDS
  6. HIV, AIDS, And the Brain (Research Publications (Association for Research in Nervous and Mental Disease)) by Richard W. Price, 1994-01
  7. AIDS And the Impact of Cognitive Impairment: A Treatment Guide for Mental Health Providers (Ucsf Ahp Monograph ; No. 1) by Penelope Zeifert, Mark Leary, et all 1995-09
  8. HIV Neurology by Bruce James Brew, 2001-03-15
  9. The Neuropathology of HIV Infection
  10. HIV and the Brain: New Challenges in the Modern Era (Current Clinical Neurology)
  11. Brain drain. (Bottom Lines).(HIV dementia): An article from: HIV Treatment: ALERTS!
  12. HIV and heavy drinking can trigger brain loss: despite antiviral Tx. (treatment).(Dermatologic Therapy): An article from: Skin & Allergy News by Mitchel L. Zoler, 2003-10-01
  13. HIV triggers brain tissue loss despite antiviral Tx: alcohol exacerbates problems. (treatment).(Adult Psychiatry): An article from: Clinical Psychiatry News by Mitchel L. Zoler, 2003-09-01
  14. HIV-1 protein gp120 rapidly impairs memory in chicks by interrupting the glutamate-glutamine cycle [An article from: Neurobiology of Learning and Memory] by S.P. Fernandes, T.M. Edwards, et all 2007-01-01

61. Edward King - Anti-HIV Drugs And Dementia - 12/07/97
The effects of the latest therapies at treating orpreventing aids dementia complex (12/07/97).
http://www.users.dircon.co.uk/~eking/features/dementia.htm
Anti-HIV drugs and dementia
Dateline: 12/07/97 (Updated and expanded: 12/31/97) Early in the AIDS epidemic, there were fears that as many as 40% of HIV-infected people might develop neurological problems due to HIV's effects on the brain. In practice, the true figure has been very much lower. One possibility is that anti-HIV drugs have helped to prevent these problems.
Background on dementia
As summarized in NAM's short factsheet on dementia, HIV-related brain impairment has been given several different names, including AIDS dementia complex or ADC. Last week the American Medical Association published a detailed overview of current thinking on how HIV affects the central nervous system. And of course, apart from HIV's direct effects, opportunistic infections such as toxoplasmosis and cryptococcal meningitis can also affect the brain. The CDC has just published a new brochure on avoiding toxoplasmosis. More information is also contained in Project Inform's factsheet on dementia.
The effects of AZT
Studies in the late 1980s, including two placebo-controlled trials conducted by the

62. Speakeasy Guide - A
ADC See aids dementia complex. The exact cause of aids dementia complexis unknown but it is associated with an HIV infection of the brain.
http://www.quac.org.au/qpp/services/speakeasy/speaka.htm
A B C D E ... X Y Z
ABACAVIR
An antiretroviral drug of the nucleoside reverse transcriptase inhibitor class (trade name Ziagen). ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS)
A disorder of the immune system characterised by advanced immune deficiency due to HIV infection. A diagnosis of AIDS is made based on the onset of any one of a number of conditions referred to as AIDS-defining conditions and a positive HIV test. ACTIVITY
The measure of a drugs ability to control or inhibit a pathogen. ACUTE
The term used to describe a condition or stage in a condition that has intense short-term symptoms. Acute conditions have the potential to develop into chronic conditions. ADC
See AIDS Dementia Complex ADHERANCE
The degree to which a person follows a drug regime. Adherance is a synonym for compliance. AFAO Australian Federation of AIDS Organisations. AIDS
See Acquired Immune Deficiency Syndrome AIDS-DEFINING CONDITIONS (AIDS-DEFINING EVENT)
Any one of a number of serious illnesses that occur in HIV infection as a result of advanced immune deficiency. AIDS defining conditions include, MAC, PCP, AIDS dementia complex, AIDS-related wasting syndrome, toxoplasmosis, CMV retinitis, invasive cervical cancer and Kaposi's sarcoma.

63. ClinicalTrials.gov - Linking Patients To Medical Research: Study Details
A Multicenter PlaceboControlled Double-Blind Trial to Evaluate Azidothymidine(AZT) Treatment of the aids dementia complex and Central Nervous System (CNS
http://www.clinicaltrials.gov/ct/gui/show/NCT00000702?order=29

64. Diagnostic Medical Testing In Psychiatric Disorders - Dementia - HIV-Associated
Neurosyphilis CNS lymphoma; The direct effect HIV1 virus encephalopathy has beentermed the aids dementia complex with synonyms of HIV-associated dementia
http://www.upcmd.com/dot/diseases/01080/disinfo_hiv.html

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Dementia
Mild Cognitive Impairment
Synonyms-Specific Diseases
DSM-IV and ICD9 Coding HIV-Associated Dementia
Introduction/Terminology Prevalence Diagnostic Criteria Introduction/Terminology ref
  • Neurologic complications of human immunodeficiency virus type 1 (HIV-1) occur via 2 basic pathogenic mechanisms:
      Direct effect HIV-1 virus on nervous system tissue
        Peripheral neuropathy Myelopathy Encephalopathy
      Secondary to the effect of opportunistic infections of the CNS
        Cryptococcal meningitis Toxoplasma encephalitis Cytomegalovirus (CMV) encephalitis Progressive multifocal leukoencephalopathy Neurosyphilis CNS lymphoma
    • The direct effect HIV-1 virus encephalopathy has been termed the "AIDS dementia complex" with synonyms of HIV-associated dementia and HIV-associated cognitive motor complex.
    • The Working Group of the American Academy of Neurology AIDS Task Force proposed the term "HIV-1-associated cognitive/motor complex" for the AIDS dementia complex & subdivided associated conditions [ ref
        Severe manifestations
          HIV-1-associated dementia complex HIV-1-associated myelopathy
        Mild manifestations
          HIV-1-associated minor cognitive/motor disorder
        Prevalence: Prior to availability of antiviral therapy for HIV, ~60% of HIV-1 infected patients developed HIV-1-associated dementia [

65. ASHM
What is aids dementia complex? There is a care guide available AIDS DementiaComplex. A Guide to Management and Care at Home, van Reyke P, May 1997.
http://www.ashm.org.au/index.php?&PageCode=106

66. University Of Sydney Medical Library. Medline Guide.
AIDS Arteritis, Central Nervous System, 0, aids dementia complex, 1905, AIDSArteritis, Central Nervous System, 0, aids dementia complex, 1905,
http://www.library.usyd.edu.au/subjects/medicine/medltree.html

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The tree can be displayed, from the mapping screen, by clicking on the hypertext link for the relevant subject heading. The tree display allows the searcher to:
  • View subject headings in their hierarchical context. View surrounding headings, ensuring that the best term or terms may be chosen. Display subject headings in all contexts.
The tree is arranged conceptually with broader and narrower branches relating to each specific term. The broader term is always at the left of the screen and narrower terms are indented. Some headings are found in more than one branch of the tree structure. To view other branches click on the Contexts button located at the top left of the screen.
The image below is of Contexts screen for the subject heading HIV Infections. Select Subject Heading Hits Explode Focus Scope Note Lentivirus Infections HIV Infections Acquired Immunodeficiency Syndrome AIDS-Associated Nephropathy AIDS Arteritis, Central Nervous System

67. Protease Inhibitors May Reverse AIDS Dementia
In the United States, about one third of the adults and half of the children withAIDS eventually develop aids dementia complex, with symptoms that range from
http://jama.ama-assn.org/issues/v279n6/ffull/jmn0211-3.html

68. AIDS Dementia Complex. The American Heritage® Dictionary Of The English Languag
aids dementia complex. The American Heritage® Dictionary of the EnglishLanguage Fourth Edition. 2000. 2000. aids dementia complex.
http://www.bartleby.com/61/45/A0154550.html
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69. MGH Neuroradiology Research Programs - Molecular Neuroimaging Of AIDS Dementia
for the noninvasive quantification of neuronal loss, neuronal dysfunction and brainmetabolic abnormalities in a simian model of the aids dementia complex (ADC
http://www.mghneuroradiology.org/NewFiles/aidsdementia.html
Molecular Neuroimaging of AIDS Dementia - Animal Models
Investigators:
R. Gilberto Gonzalez, MD, PhD
Ken Sakaie, MD
Lani Lee, MD

A) To non-invasively quantify by proton MR spectroscopic imaging, the regional distribution, pattern and extent of changes in NAA and other metabolites in the SIV infected macaque in vivo at different stages of infection.
B) To verify the in vivo measurements by high resolution in vitro spectroscopy of brain extracts from the same animal.
C) To determine the cellular pathology that underlies these metabolic alterations by quantitative studies of neuronal content, synaptic and dendritic density, and astrocytosis.
D) To determine the relationship of viral localization to the metabolic and pathological abnormalities observed.
View Other Research Topics
MR Guided Stroke Therapy
MRS of SIV Brain Injury Pain Neuroimaging and Therapy Research Predicting Brain Tumor Sensitivity ... Radiology

70. Publications
Trypsin inhibition a potential cause of cobalamin deficiency common to thepathogenesis of Alzheimertype dementia and aids dementia complex?.
http://www.mccaddon.demon.co.uk/cobalz/publics.htm
A list of COBALZ publications: Title - (click to go to abstract) Journal Authors Analogues, Ageing and Aberrant Assimilation of Vitamin B12 in Alzheimer's Disease Dementia and Geriatric Cognitive Disorders 12:2:2001, 133-137 McCaddon A
Hudson P
Abrahamsson L
Olofsson H
Regland B Homocysteine and Cognitive decline in healthy elderly Dementia and Geriatric Cognitve Disorders
in press McCaddon A
et al Total serum homocysteine in senile dementia of Alzheimer type. International Journal of Geriatric Psychiatry. 13(4):235-9, 1998 Apr. McCaddon A
Davies G.
Hudson P.
Tandy S.
Cattell H. Trypsin inhibition: a potential cause of cobalamin deficiency common to the pathogenesis of Alzheimer-type dementia and AIDS dementia complex? Medical Hypotheses. 45(2):200-4, 1995 Aug McCaddon A. Regland B. Fear CF. Familial Alzheimer's disease and vitamin B12 deficiency. McCaddon A. Kelly CL. Familial Alzheimer's disease. A pedigree with a mis-sense mutation in the amyloid precursor protein gene (amyloid precursor protein 717 Brain. 116 ( Pt 2):309-24, 1993 Apr. Kennedy AM.

71. Types Of Dementia
Also, the increased incidence of aids dementia complex, which results from HIVinfection, helps account for the increased dementia in recent history.
http://www.cchs.net/health/health-info/docs/2300/2340.asp?index=9170

72. Harvard AIDS Institute The AIDS Report-Fall 1993
Diagnosing aids dementia complex Accurate diagnosis and treatment of neuropsychiatricproblems can make a dramatic difference in quality of life for people
http://www.hsph.harvard.edu/hai/news_publications/tar/fall93/fall93-3.html

73. Searchalot Directory For AIDS Dementia Complex
Related Web Sites. aids dementia complex This article is from theDec. MedicineNet - A brief article about aids dementia complex.
http://www.searchalot.com/Top/Health/ConditionsandDiseases/NeurologicalDisorders
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  • AIDS Dementia Complex - This article is from the Dec. 96 Bulletin of Experimental Treatments for AIDS. In depth and covers the symptoms, classifications, diagnosis, treatment and prevention.
  • AIDS Knowledge Base - AIDS Dementia Complex: An introduction, definitions and terminology, incidence and natural history, pathogenesis, clinical presentation, differential diagnosis, diagnostic studies and treatment.
  • AIDS Dementia Complex - A comprehensive guide to this condition called ADC, dementia, sub acute encephalitis or HIV encephalitis from AEGIS.

74. Transforming Growth Factor Beta-1 And Interferon-alpha In The Aids Dementia Comp
Transforming growth factor beta1 and interferon-alpha in the aids dementia complexpossible relationship with cerebral viral load? European Cytokine Network.
http://www.john-libbey-eurotext.fr/articles/ecn/12/1/51-5/en-resum.htm
European Cytokine Network. Vol. 12, Issue 1, March 2001
Transforming growth factor beta-1 and interferon-alpha in the aids dementia complex: possible relationship with cerebral viral load?
European Cytokine Network. Vol. 12, Issue 1, March 2001: 51-5, Original articles Summary:
Author(s): O. Perrella, P.B. Carreiri, A. Perrella, C. Sbreglia, F. Gorga, D. Guarnaccia, G. Tarantino Keywords: transforming growth factor-beta1, HIV-RNA, AIDS-dementia complex, interferon-alpha. © John Libbey Eurotext

75. KlinPsy - Neuropsychologie
AidsDementie. Organisaties Ziekte Tom Peters Aids and the nervous systema focus on the aids dementia complex . Bowers Mark aids dementia complex .
http://users.glo.be/allemeesch/KlinPsy/Neuropsy.htm
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76. NPEL: Neuropathology Of AIDS
intracellulare Cytomegalovirus Progressive Multifocal Leukoencephalopathy HerpesSimplex Virus Varicella Zoster Virus aids dementia complex Vacuolar myelopathy
http://www.uvm.edu/~jkessler/NP/neuAIDS.htm
NEUROPATHOLOGY OF AIDS
CATS Home About CATS CATS Teaching Modules Course Outline ...
VI. PERIPHERAL NERVOUS SYSTEM INVOLVEMENT

VOCABULARY TERMS
Terms you should be familiar with:
AIDS
Primary brain lymphoma
Kaposi sarcoma
Human immune deficiency virus
Tropism
Toxoplasma gondii
Cryptococcus Candidiasis Coccidioidomycosis Histoplasmosis Escherichia coli Mycobacterium tuberculosis M. avium intracellulare Cytomegalovirus Progressive Multifocal Leukoencephalopathy Herpes Simplex Virus Varicella Zoster Virus AIDS dementia complex Vacuolar myelopathy OBJECTIVES: The objectives of this hour are to recognize the central and peripheral nervous systems as primary targets of the infectious agent of AIDS, to be aware of some of the opportunistic infections and neoplasms of the CNS that affect AIDS patients, and to become familiar with the most frequent neuropathologic lesion of AIDS, the AIDS Dementia Complex. I. SUMMARY The nervous system is involved in 75% of cases of AIDS examined postmortem. The most significant pathologic processes are related to direct infection by HIV. Other lesions include primary brain lymphoma, opportunistic infections, and a variety of peripheral neuropathies and myopathies. II. INTRODUCTION

77. Opioid Analogue May Slow Spread Of HIV In Brain
In some HIVinfected patients, HIV-1 infection in the brain leads to a disease syndromecalled aids dementia complex, which results in apathy, difficulties
http://www.drugabuse.gov/NIDA_Notes/NNVol11N4/Opioid.html
Research Advances Volume 11, Number 4
September/October 1996
Opioid Analogue May Slow Spread of HIV in Brain
By Neil Swan , NIDA NOTES Staff Writer Synthetic compounds, or analogues, related to the opiates morphine and heroin can limit the growth of HIV - the virus that causes AIDS - in the brain, according to NIDA-funded research findings. The study with human cell culture suggests that a synthetic compound that binds to the brain's kappa opioid receptors (KOR) may curtail a virus subtype called HIV-1 from spreading in the brains of people infected with the AIDS virus. A drug analogue is a chemical compound that differs slightly from another drug. Although the study was performed in cell culture, the results suggest the possibility that a medication could be developed to prevent a particularly destructive aspect of AIDS - the loss of intellectual capacity. This research is part of a broad range of NIDA-supported studies of the complex relationship between drugs of abuse and AIDS, including studies of the effects of drug use on the body's immune system and, subsequently, on infection and disease progression. The study also provides an example of how research on drugs of abuse can have benefits in other areas of medicine. In some HIV-infected patients, HIV-1 infection in the brain leads to a disease syndrome called "AIDS dementia complex," which results in apathy, difficulties in muscle control and movement, and problems in performing complex tasks. The mental capacity of patients with dementia complex may deteriorate until they are incapable of voluntary acts.

78. AIDS Fact Sheet: Dementia And Central Nervous System Problems
At first, these were all called aids dementia complex . However, thereis a wide range of AIDSrelated nerve troubles. AIDS Dementia
http://www.aids.org/FactSheets/504-dementia.html
Educating - Raising Awareness - Building Community Donate Online Now Information Fact Sheets
Dementia and Central Nervous System Problems
WHAT ARE NERVOUS SYSTEM PROBLEMS?
The nervous system has two parts. The brain and spinal cord are the central nervous system (CNS). The nerves and muscles are the peripheral nervous system. Peripheral means around the outside. People with HIV disease can have several nerve problems. A common problem is peripheral neuropathy. This causes nerve and muscle pain, especially in the feet, legs, and hands. See Fact Sheet 555 for more information. CNS problems include depression and problems with sleeping, balance, walking, thinking and memory. At first, these were all called "AIDS Dementia Complex". However, there is a wide range of AIDS-related nerve troubles. AIDS Dementia means ongoing major problems with thinking, memory, and usually also with controlling the legs and arms. Before combination antiviral therapy was available, about 20% of people with AIDS developed dementia. There are many fewer cases now. The exact rate is not known.

79. UBC SON: Faculty And Staff
(1997). Nursing care guidelines for people with aids dementia complex. Wyness, MA(1994). aids dementia complex Guidelines for nursing care. Axon 16, 3746.
http://www.school.nursing.ubc.ca/faculty/facultydir/wyness_Anne.asp

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M. Anne Wyness, RN, MN
Associate Professor
School of Nursing, University of British Columbia
T201-2211 Wesbrook Mall
Vancouver, British Columbia
CANADA V6T 2B5
Phone: (604) 822-7485
Fax: (604) 822-7466
E-Mail: wyness@interchange.ubc.ca
Educational Background
  • MN, University of Washington, Seattle BSN, University of British Columbia
Current Teaching
Current Professional Practice and Service
  • Archivist and Board Member, Canadian Association of Neuroscience Nurses. Member, Editorial Board, Axon, Journal of the Canadian Association of Neuroscience Nurses. Education Committee Member, Association of Nurses in AIDS Care Conference Planning Committee Member, Canadian Association of Nurses in AIDS Care, Nursing Council, St. Paul's Hospital Member, Nursing Advisory Committee, Trinity Western University
Current Research and Scholarship
Recent Funded Projects
  • Preoperative Education and Information Needs of Patients and Key Family Members Related to Surgical Management of Skull Base Neoplasms, (Principle Investigator, M. Borozny). World Federation of Neurosciences Nurses, Agnes Marshall Research Award, $3000 (U.S.), 1997 - 2001 Outcome Evaluation of N. 409D - HIV/AIDS: The Challenge of Caring, Health Canada, $4,863, 1998.

80. MSN Health - What Is Dementia, From The Cleveland Clinic
Also, the increased incidence of aids dementia complex, which results from HIV infection,helps account for the increased dementia in recent history, although
http://content.health.msn.com/content/article/45/1626_50487
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Alzheimer's Guide Get the Facts Prevention Tests You Take ... Caregiving What is Dementia? Dementia is the loss of mental functions such as thinking, memory, and reasoning that is severe enough to interfere with a person's daily functioning. Dementia is not a disease itself, but rather a group of symptoms that are caused by various diseases or conditions. Symptoms can also include changes in personality, mood, and behavior. In some cases, the dementia can be treated and cured because the cause is treatable. Examples of this include dementia caused by drugs or alcohol, or hormone or vitamin imbalances. In some cases, although the person may appear to have dementia, a severe depression can be causing the symptoms. This is known as pseudo-dementia (false dementia) and is highly treatable. In most cases, however, dementia cannot be cured. Dementia develops when the parts of the brain that are involved with learning, memory, decision-making, and language are affected by one or more of a variety of infections or diseases. The most common cause of dementia is Alzheimer's disease, but there are as many as 50 other known causes. Most of these causes are very rare.

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