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Thursday, December 18, 2008
The leader of U2 received the Peace Prize
Nobel Peace Prize awarded in Paris, U2 leader Bono Award "Man Of Peace" for establishing a fund to combat AIDS and malaria, and work actively to write off debts of African countries, reported AFP.
Prize to musician was given by the Mayor of Paris Bertrand Delane. At the awarding ceremony attended by former South African president Frederik Willem de Klerk, Polish politician Lech Walesa, Irish politician John Hume.
"For me this is a very important award because, let me be honest, it is very close to the Nobel Peace Prize" - Bono said.
In 2007, the prize of peace "Man Of Peace" was awarded to George Clooney and Don Chidlu.
Awards took place at the annual three-day summit of Nobel laureates. One of the organizers of the summit in favor of Mikhail Gorbachev Foundation. Gorbachev himself was unable to attend the awarding ceremony for health reasons.
British activists need to stop the deportation of people with HIV
Representatives of organizations in conjunction with its appeal to the World Human Rights Day, celebrated on 10 December. Activists believe that you'd like to prevent the deportation of people with HIV in those countries where they would be prohibitively treatment.
Britain, as a member of Group of Eight, has signed a promise to provide universal access to HIV treatment for all who need it by 2010. At the same time, the British government deports people living with HIV without assurances that the country of destination for them will be available treatment, which is contrary to this promise. For many people living with HIV, lifting or suspension of the treatment is life-threatening.
Titise Code, executive director of AHPN, explains: "At the international level, Britain has become a leader in support of universal access to treatment for all who need it. But that leadership does not occur at home, where the practice of deporting people to countries without access to treatment. This violates the rights of HIV-positive people and questioned the intentions of the Government in respect of human rights. "
Deborah Jack, executive director of NAT, believes that "Human Rights Day, the British Government should immediately review the process of deportation, which does not guarantee people that their therapy against HIV will not be disrupted in Britain and the destination country. Deportation people living with HIV without regard to their treatment The Government has ignored the right to health and putting their lives at risk. "
Organization launched a campaign, which demands that the Government deferred the deportation of people living with HIV in the UK until the treatment becomes more affordable in their home country.
Earlier this year, the organization released a report NAT "The Myth of HIV-tourism", which belies the stereotype that people often emigrate to the UK just to get a costly treatment, such as therapy against HIV.
Wednesday, December 17, 2008
The vaccine Gardasil can protect young men from cancer
Initially, the vaccine Gardasil, was tested only among girls and women as well as it's main objective - to protect women against cervical cancer, which can cause HPV. This is the first test of vaccine for men.
HPV infections related to HIV infection. Among men, the virus can lead to anal cancer, which most often occurs in HIV-positive people.
The study was conducted by the University of California, San Francisco, as reported UCSF Today. The study involved 4,065 men and boys aged 16 to 26 years. The vaccine protects against four types of HPV - 6, 11, 16 and 18, which most often leads to cancer. Among the half of the participants who received the vaccine were 15 cases of infection, one of the varieties of the virus. In the control group receiving a placebo, was recorded 101 cases of infection.
Gardasil approved in the U.S. and Europe, they often vaccinate girls from 9 years and older in school vaccination programs. Previously it was shown that Gardasil effective in preventing HPV strains 16 and 18, which cause 70% of cases of cervical cancer. The vaccine also reduces the risk of genital warts - warts, other effects of HPV - 90%.
Although the vaccine is little tested on men, in some countries, its application for boys and men have already endorsed. Now pharmacy campaign going to apply for approval of the vaccine in the U.S. for men from 9 to 26 years to prevent genital warts and precancerous entities.
HPV can potentially lead to cancer penis, but the disease is relatively rare. Mass vaccination to prevent genital warts and cancer of the penis can not be justified in terms of value. But scientists note that there are other reasons for the vaccination of men. If vaccinating both men and women, it would drastically reduce the incidence of HPV in the general population.
Another reason for vaccination - anal cancer, which is particularly common among homosexual men. Most HIV-positive men have chronic HPV infection. For people with HIV both sexes, there is an increased risk of anal cancer. In addition, HPV is a risk factor for certain types of cancer of the mouth, which often occur in men.
The preparation of antibodies can stop AIDS: only monkeys
The group of scientists said that they have developed the drug can protect monkeys from immunodeficiency caused by HIV monkeys (SIO).
The virus is the closest relative of HIV, which leads to AIDS in humans. Nine rhesus macaque infected VIO, and then they were treated to new medication, and all of them, thanks to him, survived.
A new method of treatment aimed at preventing the virus "deceive" the immune system, said the site drugs.com. While there is no guarantee that a similar drug will do the same effective for humans. However, if this proves true, people with HIV will be able to renounce permanent receiving drugs suppress the virus - the drug will protect them from development stage of AIDS by the end of life.
This was announced by Research Rama Rao Amara, professor at Emory University. "Imagine you had to drink medicine every day, and now you wake up and realize that you do not need to drink now, no pills - is a huge breakthrough in the treatment" - he said.
In addition, according to Amara modern medicines against HIV are very expensive and they have potential side effects. Of course, existing drugs are very effective - they allow people with HIV stay healthy and lead a normal life. Nevertheless, there is always a risk that the virus will become resistant to taking drugs. "The virus is changing, and after a while drugs can stop working," - said Amara.
In the new study, Amara and his colleagues have introduced nine monkeys antibody that blocks the signal virus, "saying" immune cells - "do not kill me." This message appears on the surface of cells infected with the ODS, and cell-killers think - this is not the enemy, this friend.
" However, if the signal is blocked, the cell-killers immune systems are starting to do their work and destroy the virus.
Researchers have introduced four injections of antibodies monkeys for 10 days and then watched what happened. Monkeys that were infected with the ODS for 21 months, were able to almost completely suppress the virus.
The level of virus in their blood were low, monkeys survived, while most monkeys usually die from VIO during the first four months. "It's just amazing how you can dramatically change these cells killers. Now they have a really good cells", - said Amara.
However, monkeys, which now hopes for a new HIV treatment is now waiting for the sad fate - they put to sleep because scientists do not have the means to continue to support them and monitor them.
If the same treatment developed for people, the cost will be about 2000 dollars per dose, however, said Amara, the total cost of treatment will be less than that of modern therapies against HIV. Dr. Mark Connors, a specialist in the field of AIDS research, believes that the study "a true and very interesting." "I am confident that it will cause more heated debate, and within the next year we'll talk about that matter the results," - he said.
Even skeptics agree that this method of treatment can reduce the level of virus in the body, said Connors, who heads the office of the HIV-specific immunity at the National Institute of Allergy and Infectious Diseases USA.
Sam Connors said he was "cautiously optimistic" about what this drug can be applied to people, possibly in combination with other methods of treatment.
In the United States to register a new condom for women
As reported by Reuters, the Administration for food and medicines USA began its review of applications for the registration of a new, less expensive female condom to prevent unwanted pregnancies, HIV and other sexually transmitted infections.
Female condom FC2 was designed by the "Female Health Co".
It is made of synthetic rubber, which is similar to the material for male condoms, which makes production less labor and reduces its value.
Throughout the world, known male condoms, a variety of brands which cost from 50 cents to $ 2 per piece. However, many people do not even know that there are not only male but female condoms. Mostly female condoms less to spread because of high costs - from 2.80 to 4 dollars.
Now the company is trying to approve a new version of the female condom. "The whole idea is to increase their accessibility," - said Mary Ann Liper, counselor and former president of the company. However, the Administration for food and medicines demanded that the company hold a special clinical trials that show how FC2 effective in protecting against pregnancy and infections.
The company said that it was not conducted tests, because condoms are made from new material, but in other respects they are the same as the old female condoms, which are sold in the U.S. market. The company insists that additional testing is needed. The administration will now consider the matter again.
Female condoms are composed of a plastic ring on the ground, which is attached a condom. Inside a condom is a second plastic ring, which is mounted on the cervix and outer ring remains outside the body of women. The company complains that have not been able to achieve successful marketing of products, but now she is looking for a partnership with another company - producer of male condoms or pharmacy company, which funds HIV prevention programs.
The women's version of a condom offers women the opportunity to control their own protection - a woman enters a condom before sexual intercourse. In many poor countries have already approved and circulated a new version of condoms for HIV prevention. Female condoms also have advantages over men.
They rarely break, cover female genitals from the outside, they are less reduces sensitivity during sex.
Because of the AIDS epidemic, the Chinese residents of the village are forced to grow mushrooms
Villagers Venlou in the central Chinese province of Henan, face discriminatory treatment in relation to HIV / AIDS.
In the village live ordinary Chinese who, despite their talents and hard work, anywhere can not find work outside their district.
The fault to the prevailing image everywhere, that all residents of the town of HIV-positive. They did not want to hire, and that is grown on the side of the village, because of the prejudices little bad sale at the provincial markets.
Even visiting these places Wen Jiabao, Premier of State Council of China last month, when he shook the hand of a man with HIV and eat local vegetables, has not brought tangible results for the villagers to sell vegetable products, reported the newspaper "China Daily".
The AIDS epidemic has come to the province of Henan at the end of the last century. HIV began to spread in rural areas of the province, according to the newspaper, after the blood transfusion has not been peasants, seek medical help. Another explanation for the causes of mass spread of the virus among the villagers did not exist because the local population had no other risk factors.
The most problematic in this regard has been Village Venlou - 70% of village families, people living with HIV, which then many moved to the stage of AIDS. Over the past few years, hundreds of peasants died of diseases associated with AIDS. Villagers were left virtually without income. It has become very difficult to sell products as soon as the buyers found out where she is.
Local businessman Yue Dunfen organized peasants to grow mushrooms. However, sales of mushrooms in the markets is far too difficult - playing the role of "bad" image of the village, despite the fact that HIV-positive are only permitted to grow mushrooms, and collecting and dealing with crop farmers do not have the virus.
Yue Dunfen plans to sell Mushrooms foreign buyers, because, he said, more than tolerate relate to people with HIV.
Thursday, December 11, 2008
Access to treatment for HIV / AIDS: first steps
Groups of people living with HIV public organizations and various associations have always been at the forefront of prevention and care from the very beginning of the AIDS epidemic. The mobilization of various organizations and people living with HIV helps to ensure the best quality of services in the field of HIV / AIDS. It also depends on change the world about AIDS and people living with HIV. Lack of access to modern HIV / AIDS in many regions - this is a problem whose solution is impossible without the involvement of community and government organizations, and groups of people with HIV/AIDS.
Access to treatment is difficult and tense area for several reasons:
Drugs such as anti-retrovirals and other essential medicines available to people in many parts of the world. Even if they are available, many factors make them unacceptable. These factors include: discrimination against people with HIV, the inadequacy of the medical facilities and other factors that prevent people receive treatment, which they need. Access to treatment is not only access to medicines, but also to other means: laboratory tests, syringes, condoms, etc.
Failure to enforce the right to health means that people with HIV and their loved ones, is organic choice for the treatment of HIV infection, if such a choice at all.
Anti-retrovirals have been able to radically change the length and quality of life for people living with HIV. But these same drugs have raised some important issues. Do the people living in poor regions, the right to receive medical treatment, on which depends their lives? If so, what can we do to this treatment has become affordable and acceptable? What should I change in the health system to enable the provision of expensive treatment?
Also often forgotten that there are other aspects of treatment, in addition to anti-retroviral drugs. For quality care, you need: housing, food, clean water, access to information, treatment of other infections, etc.
In medicine still believed that treatment - an issue which does not have the right to intervene themselves, patients and representatives of communities and community organizations. Experience shows, however, that the approach to treatment, based on the active role of community leads to the treatment process less mysterious and mythologize that "the laity can understand the purpose and limitations of drugs, and that only active participation of people with HIV can maintain their health.
The attitude and actions in the area of treatment
Safe and effective treatment of HIV / AIDS is vital for many people. That is why, attitudes and actions in the treatment of those who provide or receive care must also be safe and effective. Even drugs need to support the atmosphere to work well.
Underlying these actions must be "based on a relationship." Their goal - improving the quality of life of people with HIV. This two-sided process in which both sides should treat each other with trust and respect.
A relationship can arise not only from physicians and their patients. They also include family members, pharmacists, consultants, representatives of churches and many others. The establishment of such relations requires:
knowledge - understanding and information about the new treatment and drugs, HIV transmission, nutrition, living with HIV in general, etc.
skills - the ability to listen to others, make responsible decisions, advise, assess, etc.
attitude - an honest approach that promotes the attainment of power by people with HIV, based on humanity, tolerance and common sense.
Also important aspect of access to treatment is ethics - a code of conduct to inflict evil, reduce suffering and give people the opportunity to make decisions independently. This is particularly important in the treatment of HIV / AIDS, given all the complexities and contradictions related to this matter.
The introduction of ethics in access to treatment can be very effective. For example, you can not deal with access to treatment, not knowing the Constitution, national legislation on AIDS, the Convention of Human Rights, as well as all laws prohibiting discrimination.
Information on treatment
Full information on the treatment needed to ensure safe and effective care for HIV / AIDS. More information is needed and health workers and patients to help them cooperate with each other for access to adequate treatment, optimal for the patient. Without adequate information, is always the risk of improper treatment, medical errors and lack of treatment in principle.
Good information on the treatment consists of many different elements. There is no doubt that health workers need clear guidelines on the appointment and security products. As for people living with HIV, it did not have information about treatment options, they simply will not apply to him. All the people who have it, or otherwise relates to the treatment must have full information about the possibilities of medicine at the moment. Without it possible effective action to improve access to treatment.
Co-operation and willingness to be circulated in the area of treatment depends on what people know about the current treatment method of its actions, its positive and negative effects. There is a need to know how treatment would affect the daily lives of people, but it can cost as professionals and what preparations are needed for the appointment of treatment, a medical equipment and facilities may be needed.
People initially may be knowledge about the disease and treatment, but this information is often misleading. Information on treatment has already "runs" in different organizations and the community of HIV-positive. People learn from their experience and expertise of others. Also, patchy information appears in the media and other sources outside the medical field. However, this information is often unreliable. The representation of people on treatment there are serious gaps to be filled by various myths, which, in turn, hampers access to treatment. So in one seminar in Zambia, participants tried to portray their understanding of and treatment of diseases associated with HIV / AIDS. As a result, it turned out that among the participants, who were working in different organizations and represented community of people with HIV, there was a real knowledge and serious gaps. For example, no mention was made all preparations, often cited ineffective drugs, people confused brand names and official titles. Also, not all the participants emerged presentation that the treatment may take a person with HIV not only with the disease, but also to prevent their occurrence.
Treatment and individual groups
The life of every person with HIV is unique, she was influenced by various factors, it has various resources. Where possible, treatment of HIV / AIDS must be implemented in accordance with individual rights and personal needs.
Very often, services for the care and treatment do not take into account the needs of individual groups, especially those who reject society because of their age, sex, behavior, profession or status. Representatives of these groups face
When working with own groups, it is important that services meet the real needs of those whom they are intended to help. For example, injecting drug users may need advice on how drugs to treat HIV infection can interact with drugs. Moreover, in many cases, it is important not only take care of the needs of specific groups, but also to deal with possible discrimination by health workers and other people with HIV and society as a whole. Even if the differences in the care and treatment in relation to a particular group due to well-intentioned, they only reinforce prejudice and isolation. The approach to treatment must be holistic - it must meet the unique experience of the individual, rather than just diagnosing and discriminatory labels.
It also must take into account the needs of the families of those living with HIV. Thus, the treatment of HIV-positive parents directly affect the lives and welfare of their children, even if the children themselves do not have HIV infection. After all, in case an adult, the child will receive less care and concern, but if he is an adult, he himself will become a nurse. The families of HIV-positive, especially children - are another group of people in need in the modern treatment of HIV infection, even if they do not take it themselves.
even greater obstacles in obtaining treatment. For example, in India, women receive care only in second place after the men. In Ecuador, homosexual men can not get adequate medical care because of discrimination by doctors. In Russia and other countries of the former Soviet Union, injecting drug users are usually ineligible to receive anti-retroviral drugs, because it is believed that they were not able to comply with the complicated regimen.
Development cooperation
No person, organization or an entire sector can not make changes in the treatment of HIV / AIDS alone. Partnership is essential, and it will also help guarantee the effectiveness of action. The partnership is especially important in the treatment, because it guarantees that the measures taken is equal to the needs of people with HIV, and that different patterns of health (services for the prevention, reproductive health, HIV / AIDS, tuberculosis) are working to achieve a common goal.
The partnership should develop between the different groups: community of people with HIV, regional entities, religious organizations, pharmaceutical companies, representatives business and various media. For example, a network of positive people in India had worked closely with local authorities. The team of volunteers and consultants visited 3-4 network of local hospitals, providing support for people with HIV and increasing the knowledge and training of health workers. This has helped to significantly improve the quality of care for HIV in the region.
Involving people living with HIV
People with HIV are not just "take" treatment. They may also provide care, information, assessment of the situation and defend their interests. Involving people living with HIV as individuals and as groups become increasingly important. For example, a study in Ecuador showed that the participation of people with HIV to take decision help increase access to medicines. In Zambia, the involvement of people living with HIV prevention programs make the diagnosis of HIV infection earlier, allowing people to contact a doctor before any health problems.
Involving people living with HIV is important not only at the stage of program implementation, but also in the development phase, especially if it is to make the service more relevant and "friendly" for people with HIV. On the other hand, people with HIV play a central role in the advocacy of access to treatment. In the field of HIV-positive use of the expertise and skills, and his direct experience, for example, of side effects and compliance with treatment regimens.
Experience shows that the involvement of people living with HIV in the design, implementation and evaluation of the effectiveness of programs is vital to improve access to treatment for HIV / AIDS. People with HIV choose the degree of their participation. This can be either defending their own rights to treatment, as well as volunteering or permanent work in an organization dealing with the treatment.
Types of participation of people with HIV may also be different. It can be educational and advisory work on treatment. Here, people with HIV helps their personal experience and the opportunity to serve as positive role models for others. On the other hand, without the necessary preparation of their advice may facilitate the spread was not correct information.
Also, people with HIV may judged access to care among health workers and government representatives, speaking from the perspective of their own experience, which often leads to a constructive dialog between the parties.
Community Involvement
Involvement of people, decision-makers and ordinary citizens need to improve access to treatment. This can reduce the stigma and discrimination associated with HIV, and to ensure that the needs of people with HIV will be taken into account when allocating resources.
Community may be involved in work on access to treatment at different levels. Thus, they can participate in the evaluation of needs and progress in increasing access. They can provide support to various organizations and groups of people with HIV, for example, by providing them with resources and engaging in their work. Representatives of communities can become a volunteer organization or to support other private. For example, in Cambodia, the involvement of volunteers in providing psychosocial support to people affected by the epidemic, allowing health workers to devote his work exclusively health issues, also volunteers consultants were able to establish relationships with doctors and traditional healers, which was overcome mutual distrust between these groups .
Remember also that the political situation and economic opportunities are changing rapidly. These changes can make anti-etroviral treatment more affordable than ever before. But to anti-retroviral drugs actually became available community must "prepare" for them. To do this, it is necessary to understand the submission of these products, Existing in this community, to provide education on HIV / AIDS treatment to potential patients. It is not possible without the involvement of community as a whole and people with HIV. It also would require an active dialogue with people, decision makers, including those who work outside the health sector. It is imperative that the entire society has been growing awareness and knowledge about contemporary treatment of HIV infection and the need for its implementation.
What is immune reconstruction?
Studies show that if effective drugs against HIV, the immune system, in most cases, restores itself.
Immune reconstruction means that the organism is increasingly struggling with infections that otherwise could cause serious illness. Drugs control HIV, and it allows the body to increase the number of cells CD4, which shows the restoration of the immune system.
So what is a syndrome of immune reconstruction?
Remember that the immune system destroys HIV, and with the recovery of inflammatory processes are not well expressed. There arises a high temperature, redness, edema and the like, despite the presence of infectious. When the immune system is restored, the ability of these inflammatory processes returns. Consider the example LZ and eye infections. Treatment with antibiotics killed most of the microorganisms that cause infection eyes. Because the immune system LZ was destroyed, there was no inflammation.
When drugs against HIV strengthen the immune system, the body "felt" eye infections - organisms that remain after treatment with antibiotics. Sensing the presence of these organisms, recently restored the immune system launches inflammatory response, leading to fever, redness and edema eyes. Although the immune system LZ become more healthy, the eye condition had deteriorated ... in this irony immune deficiency syndrome reconstruction.
It is dangerous immune reconstruction?
Although the syndrome of immune reconstruction said on healing the immune system, it alone can be very dangerous. Depending on the exacerbation of infection it caused, it is necessary to appoint an aggressive treatment of the opportunists to prevent serious complications. In most cases, the syndrome of immune reconstruction of acute infection following:
- Pneumocystic pneumonia
- Herpes
- TSMV infection
- MAC infection
- Ulcerous lesions in the mouth
- TB
What should I do with syndrome of immune reconstruction?
Once again:
the restoration of the immune system - this is a good process and it should be retained, but with opportunistic infections and inflammatory processes must be as soon as possible to deal with.
Treatment with the syndrome of immune reconstruction following:
- Continuation of receiving antiretroviral therapy.
- Aggressive treatment of opportunistic infections: antibiotics or antiviral drugs.
- Short-receiving drugs based on steroids, which suppress inflammatory processes in the body.
Reconstruction immune deficiency syndrome - is a very complex and controversial issue because it raises "very high" effectiveness of therapy against HIV/AIDS. If there is such a problem, immediately contact your doctor, ask him to be more questions and participate in planning further treatment, which in the case of the syndrome should be very careful.
What manifests itself immune system work?
When the infective organism enters the body, takes place a few reactions that signal the immune system, it is time to fight infection. All these reactions collectively referred to as inflammatory reactions. Signs of inflammation, which show the work of the immune system include:
- Increasing the body temperature
- Swelling around the wound or place of infection
- Reddening skin lesions on the spot
- Allocation of pus and liquid from the place of infection
- Heat and pain at the site of infection
If a person's immune system damaged by HIV, such manifestations of the immune system may be poorly expressed or absent.
AIDS reconstruction
There is LZ with HIV, hand with the opportunistic diseases - the defeat of the right eye due to TSMV infection. After several days of treatment of eye disease significantly reduced and LZ discharged from the hospital. A week later, he turned to a specialist on HIV and began receiving standard antiretroviral therapy. It was only logical. His eyes recovered, and his aim was to suppress reproduction of a doctor with HIV in his body to keep the immune system and prevent such infections in the future.
However, after several weeks of receiving anti-retro viral drugs, he developed fever, visual impairment and swelling around the eye. Strangely, it was that the number of CD4 he has begun to rise very rapidly, immediately after the start of treatment. What's happening? His immune system is restored, but the eye condition has deteriorated significantly. LZ asked the doctor, and he was diagnosed - immune deficiency syndrome reconstruction.
What is immune deficiency syndrome reconstruction? Reconstruction of literally rebuilding. It sounds like something good, why did exacerbation LZ has an eye infection? To understand this strange and paradoxical syndrome, you need to first understand the work of the immune system.
The immune system
The immune system - is layered system to protect the body from various infections. The immune system includes several types of cells and processes that recognize and neutralize bacteria, parasites and viruses. Unfortunately, when HIV is happening damage the immune system, because HIV is attacking one of its cells - cells CD4. So if you have HIV need to monitor levels of CD4, the higher the level of CD4: the better your immune system works.
Tuesday, December 9, 2008
Principal HIV/AIDS-associated cardiovascular abnormalities
1.Type. Dilated cardiomyopathy.
Possible etiologies and associations:
HIV/AIDS, Toxoplasma gondii, Coxsackievirus group B,Epstein-Barr virus, Cytomegalovirus, Adenovirus
Autoimmune response to infection
Drug-related
Cocaine, possibly nucleoside analogs
IL-2, doxorubicin, interferon
Metabolic/endocrine
Nutritional deficiency/wasting
Selenium, B12, carnitine
Thyroid hormone, growth hormone
Adrenal insufficiency, hyperinsulinemia
Cytokines
TNF-, nitric oxide, TGF-, endothelin-1
Hypothermia
Hyperthermia
Autonomic insufficiency
Encephalopathy
Acquired immunodeficiency
HIV/AIDS viral load, length of immunosuppression
Incidence:
15.9 patients/1,000 asymptomatic
HIV/AIDS- infected persons before the introduction of HAART
2 Type. Coronary heart disease.
Possible etiologies and associations:
Protease-inhibitor-induced metabolic and coagulative disorders. Arteritis
Incidence:
Studies on the risk of coronary heart
disease among HIV/AIDS-infected individuals receiving protease inhibitor including HAART have not shown a consistent association
3Type. Systemic arterial hypertension.
Possible etiologies and associations:
HIV/AIDS-induced endothelial dysfunction.
Vasculitis in small, medium, and large vessels in the form of leukocytoclastic vasculitis; atherosclerosis secondaryto HAART;
aneurysms of the large vessels such as the carotid, femoral, and abdominal aorta with impairment of flow to the renal arteries; PI-induced insulin resistance with increased sympathetic activity and sodium retention
Incidence:
20%–25% of HIV-infected persons before the introduction of HAART Up to 74% in HIV/AIDS-infected persons with HAART-related metabolic syndrome
4Type. Pericardial effusion.
Possible etiologies and associations:
Bacteria: Staphylococcus, Streptococcus, Proteus,Nocardia, Pseudomonas, Klebsiella Enterococcus, Listeria, Mycobacteria (Mycobacterium tuberculosis, Mycobacterium avium intracellulare, Mycobacterium kansaii)
Viral pathogens
HIV, herpes simplex virus, herpes simplex
virus type 2, cytomegalovirus
Other pathogens
Cryptococcus, Toxoplasma, Histoplasma
Malignancy
Kaposi’s sarcoma
Malignant lymphoma
Capillary leak/wasting/malnutrition
Hypothyroidism
Prolonged acquired immunodeficiency
Incidence:
11%/year in asymptomatic AIDS patients before the introduction of HAART
Congenital Cardiovascular Malformations in HIV-Infected Children
In the neonatal cohort, 36 lesions were seen in 36 patients, yielding an overall congenital cardiovascular malformation prevalence of 6.5% (36/558), with an 8.9% (8/90) prevalence in HIV-infected children and a 5.6% (25/449) prevalence in HIV-uninfected children [3]. Two children (2/558, 0.4%) had cyanotic lesions. In the older HIV-infected cohort, there was a congenital cardiovascular mail information prevalence of 7.5% (15/201). The distribution of lesions did not differ significantly
between the groups. There was no statistically significant difference in congenital cardiovascular
malformation prevalence in the HIV-infected compared to the HIV-uninfected children born to HIV-infected women. With the use of early screening echo cardiography, rates of congenital cardiovascular malformations in both the HIV-infected and HIV-uninfected children were five- to tenfold higher than rates reported in population-based epidemiologic studies, but not higher than in normal populations similarly screened.
Evolution of the Involvement of the Cardiovascular System in HIV/AIDS Infection
performed before the introduction of highly active anti-retroviral therapy (HAART) regimens suggest that cardiac lesions are present in 25%–75% of patients with acquired immunodeficiency syndrome (AIDS). HAART regimens have significantly modified the course of HIV disease, with longer survival rates and improvement of life quality in HIV infected subjects expected. However, early data
raised concerns about HAART being associated with an increase in both peripheral and coronary arterial diseases. HAART is only available to a minority of HIV-infected individuals worldwide, and studies
prior to HAART therapy remain globally applicable.
As 36.1 million adults and children are estimated to be living with HIV/AIDS and 5.3 million adults and children are estimated to have been newly infected with HIV during the year 2000, HIV-associated symptomatic heart failure may become one of the leading causes of heart failure worldwide. A variety of potential etiologies have been postulated for HIV-related heart disease, including myocardial infection
with HIV itself, opportunistic infections, viral infections, autoimmune response to viral infection, drug related cardiology, nutritional deficiencies, and prolonged immune suppression.
Friday, November 14, 2008
How has your relationship after you have opened status HIV/AIDS
I am concerned about one question.
How has your relationship after you have opened their status HIV to their partner?
The company Pfizer has developed a new means of therapy for patients with HIV
The company Pfizer has developed a new means of therapy for patients with HIV
6 August, 2007 company Pfizer has received the endorsement of health supervision over the quality of food and drugs USA (FDA) to use a new drug (active ingredient - maravirok) for the treatment of patients with a certain type of HIV (CCR5) already receiving antiviral treatment.
Earlier, in late July 2007, the company Pfizer received a positive opinion of the medicines to treat human (CHMP), a member of the European Medicines Agency (EMEA), regarding this product, which will be the first in a new class of HIV therapy: CCR5-antagonists.
The mechanism by which HIV reproduces in the body is: on the surface of human cells for a number of receptors and co-receptors responsible for interaction of cells with different substances and other cells. The virus HIV-1 (the main subspecies virus in the primary infection), like hackers, uses a security hole, connected to co-receptors, called CCR5, and then dissolves the skin cells and let in it its genetic material. Further, the cell starts producing new viruses.
There are people who have co-receptor CCR5 is blocked due to genetically mutate. Such people are resistant to infection with the HIV virus-1. That discovery that mutations in 1996, ran scientists to believe: that if you create a drug that would artificially block these receptors? A few years specialists Pfizer, always ready to support innovative projects, worked on the development of such drugs and have reached this success.
So far, the most effective in treating AIDS was considered antiretroviral therapy: drugs that can inhibit reproduction of the virus through exposure to members of its composition proteins. By using such therapy can be achieved significant success in reducing the quantities of virus in the body, but it has two main disadvantages. First, almost all antiretroviral drugs are toxic, and second, patients often develop resistance (addictive) to the drug - are new, resistant strains of the virus. The new Pfizer drug for a different mechanism of action: it blocks the CCR5 co-receptors and thus prevents the entry of virus into the cell and, accordingly, its spread in the body. It should also be noted that the drug taken inside - it is extremely important, given the duration of therapy.
The research new drugs are involved in these patients with HIV receive the so-called optimized background therapy: the most effective at this time drug regimen using different drugs. It is often received in addition to its new drug, and some - a placebo. Reaching non diagnosis viral load - that is, the decline in the number of HIV in the body that he no longer determined by laboratory methods - managed about twice as many patients receiving the new drug twice a day (in addition to optimized background therapy) than among those , Who received a placebo. In addition, it was found that the frequency of adverse side effects (diarrhea, nausea and headache) when receiving the new medicine is not higher than when receiving placebo.
Currently, the company Pfizer filed an application to market a new medicine around the world. In the U.S., the drug could be available as early as mid-September. In Europe, the positive conclusion of the medicines will be reviewed by the European Commission, which has the power to approve the use of medicines in the European Union. The company Pfizer believes that the final decision will be made in the coming months, after which it will be possible to begin mass production of drugs.
Of course, the new drug Pfizer - not a miracle cure: when applying the virus remains in the body and use the already infected cells. However, the reduction of the number of AIDS translates into a chronic form, in which case, subject to continuing therapy, can live for years, without suffering from the main damaging factors virus - reducing immunity
Thursday, October 30, 2008
Conclusion of AIDS Cure
Treatment of HIV infection is a complex health issue.
Drug suppression of increasing viral load does not solve all the impact of HIV due to the development of drug resistance and side-adverse effects of drugs on the body. Favorable thermal effects on the body and effective reduction of viraemia can be used in the integrated treatment of HIV-infected patients. The safety of peak hyperthermia allows for thermal treatment courses on the scheme, repeatedly
Contacts:
Russia, 633205, Novosibirsk region, Iskitim-5, st. Nagornaya, 14A.
Phone: 8 (383) 331-10-35
Phone: 8 903-904-1111
Fax: 8 (383) 330-14-77
E-mail: sibniig@ngs.ru
The method of total peak hyperthermia (PG)
To create a safe way to the overall hyperthermia, we assumed a total of thermodynamics and heat stress on the body. The figure presents options for general heating body, which proposes to develop our version of the total peak hyperthermia (Figure 1) to heat stress on the body 5-6 times smaller than the well-known, used worldwide
In order to establish a protocol, using the method (PG), a thermal uniform treatment 30 HIV-infected patients. Shown the safety of this technique. The effectiveness as measured by changes in the level of CD4 + lymphocytes and viral load in the blood.
Description of PG
Under the scheme of treatment a patient three procedures hyperthermia peak at a frequency of 1 every 3-4 days, after which the patient is on outpatient observation for a period of 2 months, then be 4-I procedure.
The procedure peak hyperthermia is carried out under total intravenous anesthesia with myoplegia and high Ventilator pure oxygen.
For 2 days before the procedure, the patient is held pre procedure training methene (10 mg / kg 3 times a day per os). A standard fluid preparation (Sol. NaCl 0,9% - 400,0 ml + Sol. Trentali 5,0 ml, Sol.Glucosae 10% - 400,0 ml + Sol. KCl 4% - 30,0 ml + Sol. MgSO4 25% - 5,0 ml + Sol. Insulin 6 pcs.) is purifying enema.
The morning of the procedure is repeated fluid preparation (Sol. NaCl 0,9% - 400,0 ml + Sol. Trentali 5,0 ml, Sol. Glucose 10% - 400,0 ml + Sol. KCl 4% - 30,0 ml + Sol. MgSO4 25% - 5,0 ml + Sol. Insulin 6 pcs.)
After induction anesthesia and the introduction of muscle relaxants patient to intubate, transferred to the HIV IVL installed sensor sensitive 0,05 ° C (Ist and IInd trimester - in the middle third of esophagus, III-s - in the course of the bow) temperature recorded the maximum of testimony. If it’s necessary, organize set nasogastric probe. After anesthesia patient into the bathtub with water (water temperature 45 - 45,5 ° C). After a period of adaptation (1-2 minutes) begin warming the patient's immersion-convection way. Gradually, the water temperature brought to 46 - 46,5 ° C. During the procedure, the patient entered migraine & other episodic disorders and metabolic drugs. For 15-20 minutes the patient's body temperature brought to 43 - 43,5 ° C and warming stops. We establish a urinary catheter, a fluid therapy to correct volumeter disorders. Cooling the patient is happening passively for 30 - 50 minutes.
During the warm blood pressure is controlled with a period of 30-45 seconds, with continuous monitoring heart rate. (AD allowed to systolic blood pressure - 140 - 200 mm RT. Art., Diastolic blood pressure - 80 - 0 mm RT. Art., HR> 120 per minute, <170> 50 ml / h. After the procedure, the patient may experience nausea and vomiting.
All the time between procedures, the patient must take methene (10 mg / kg 3 times a day per os).
Safety of PG
It held 120 procedures peak hyperthermia from 30 patients suffering from HIV infection stage III and IVA (classification V. Pokrovsky).
Phase III diagnosed among 87% of patients (26 people), stage IVA from 13% (4).
Average time warming, the maximum temperature, cooling time and overall time Ventilator, when (PG) in HIV - infected patients.
Time warming n = 120 n = maximum temperature of 120 cooling time n = 120 Total IVL n = 120
17 ± 1 min 43,4 ± 0,2 o 16 ± 2 min 46 ± 4 min
Compare the clinical and biochemical indicators in the first procedure, the first day after the third procedure and the second day after the fourth procedure peak hyperthermia. R-graph of light and ECG did not identify any changes, as compared to baseline.
Trased with overall target Conducted to assess the overall security procedures for monitoring the peak hyperthermia major hematological indicators: the content of erythrocytes, hemoglobin, white blood cells, differential, platelets and SOE has not identified significant changes. In the overall analysis of urine to climb on the same points, pathology has been identified
After 3 procedures peak hyperthermia, with 12 people a decline in viral load at 1 - 40%, from 18 people - 60 - 99% from baseline (Fig.3).
As shown in Figure 4, after the 4th procedure peak hyperthermia, 90% of patients viral load dropped by more than 91% of the original values, while 10% of patients have reduced vermin from 70 to 90%.
There is reason to believe that the peak hyperthermia not only stimulates immunity, but also has a direct effect viral that justifies its use in the treatment of HIV infection.
Reduced viral load and increased immunity to allow prophylaxis progression of the disease in HIV-infected patients, and possibly the development of immunodeficiency (AIDS).
Contraindications to the use of PG
1. Intolerance of drugs used for the peak hyperthermia.
2. Organ violations and lack of function of vital organs.
3. Changes in clinical and biochemical indicators:
- Leucocytes <3> 10 * 10 ^ 9 / L, platelets <150>
- The level of bilirubin, ALT, AST greater than 2-fold rule;
- The level of urea, creatinine increased more than 10% of the border rules.
4. HIV - the infection stage IVB, IVV, V.
5. Pregnancy.
Methods of general hyperthermia
Techniques hyperthermia applied in practice fall into three categories: contact, perfusion, Electromagnetic. They have long been used in oncology, as adjuvant therapy.
Overall hyperthermia (OG) is applied with the help of non-invasive methods of heat: hot air, water, ozocerite, ultrasound, electromagnetic radiation, by way of invasive extracorporal warm blood. Each method has its advantages and disadvantages. For non-invasive methods are: the difficulty of monitoring and the low level of hyperthermia. For invasive ways - the need for vascular surgery, direct contact with the blood of the patient an opportunity to opportunistic infections.
A patient with complete remission showed negative results of tests for HIV in culture and indefinable viral load in the blood (!).
The content of CD4 + increased from 250 to 800 and remained at that level (Alonso K., Pontiggia P. Inhibition of HIV replication and augmentation of cellular cytotoxic response following systemic hyperthermia Abstr. 88th Ann. Sci. Assam. South Med. Assoc.Orlando, FLA, Nov. 2-6, 1994 South Med. J -1994, 87, # 9, p.131)
After hyperthermic treatment of HIV, found the reduction in viral load in patients, increasing their activity CD8 cytotoxic T-lymphocytes and natural killer cells. Increased the survival time of patients (24 out of 31, with the expected 6) for a period of 2 years discussed a mechanism of positive impact OUG.
Italy, clinic Clinica di Cura Citta, Pavia.
Studied the safety and effectiveness of double hyperthermia (with an interval of 4 days) in 30 patients with AIDS (not receiving protease inhibitors), randomized to:
1) Control group without treatment
2) group, which used hyperthermia low 40 ° C for 1 hour and repeat 96 hours later, and
3) group, which used hyperthermia high 42 ° C for 1 hour, repeating 96 hours later.
In a one-year observation after hyperthermia, there were positive therapeutic effects of treatment on the frequency of complications of AIDS, and the Index Karnovsky and maintaining body weight. However, the effect of treatment on the levels of HIV RNA and CD4 + was transitory. Two consecutive hyperthermia procedures were the same applied to the 4 patients receiving protease inhibitors / tri therapy. These patients noted improvements in HIV RNA and CD4 + and the good general condition. (Extracorporeal whole body, hyperthermia treatments for HIV infection and AIDS, (Ash, Steinhart, Curfman, Gingrich, Sapir, Ash, Fausset, and Yatvin1997)).
These studies indicate that the clinical application of hyperthermia can reduce viral load, but the available temperature range of 41-42 ° C is not enough to express the effect on the level of viraemia and the complexity and side effects extracorporal techniques further restrict the use of CG in HIV-infected.
Historical background of AIDS Cure
The scientific assumptions in the application of common hyperthermia in the treatment of HIV-infected and AIDS patients, expressed Weatherburnet al. in the late 80-ies ( "New Sci", 1987, 116, # 1588, 28), (Weatherburn H. Hyperthermia and AIDS-treatment. Br. J Radiol - 1988, v.61, # 729, p.862 - 3.) Yatvin and hypotheses about the use for this purpose a combination of hyperthermia and modifiers of biological membranes (Yatvin MB An approach to AIDS therapy using Hyperthermia and membrane modification. Med. Hypotheses Nov 1988, 27 (3) p.163-5) have been implemented in 1990 the American group of researchers under the leadership of K. Alonso.
In the first clinical experiment K. Alonso, extracorporal arteriovenous overall level of hyperthermia 42 ° C was used in patients with advanced resistant disseminated Kaposi sarcoma and the level of CD4 less than 50. The choice of cases dictated by experience of hyperthermia in oncology. Regression pockets sarcoma was within 48 hours after the procedure and reached a peak for the sixth week, but the full permission of pockets sarcoma did not happen. The level of CD4 increased from 50 to 330, and the activity of reverse transcriptase in the blood decreased by 70%. Publication of the clinical case had great public resonance in the U.S. and immediate negative comments from professionals and power structures that ultimately forced the author to seek the support of the Italian colleagues. (Alonso K. Total body hyperthermia in the treatment of Kaposi's sarcoma in an HIV positive patient. Med. Oncol. Tumor Pharmacoter 1991, 8 (1), p45-7).
In 1991, an Italian clinic Clinica di Cura Citta, Pavia passed Phase I clinical trials of hyperthermia in the treatment of HIV-associated Kaposi sarcoma. In the study, ten patients with Kaposi sarcoma suffered hyperthermia single conversation with temperatures reaching the "core" body 42 ° C for 1 hour. During the 30-day observation after hyperthermia marked a complete and 7 partial remission. Two mixed response was observed in patients with autocrine growth of tumors. For 60 days, two of the 7 patients with partial remission were to show signs of tumor progression. The case of complete remission lasted 120 days. Bullets activity of HIV infection dropped from all responding to treatment. In now case had been observed activation of HIV. Hirsute cellular leukoplakia resolved in all patients. For 8 patients with baseline CD4 less than 60, this figure has not changed. However, two patients with baseline CD4 more than 400, the level of CD 4 has increased dramatically during the treatment. No deaths were observed. (K. Alonso, P. Pontiggia, C. Nardi, A. Sabato, and Curto F. Cuppone. Systemic hyperthermia in the treatment of HIV-related Kaposi's sarcoma. A phase I study. Biomed.Pharmacother. 46 (1): 21 -24, 1992.)
Further investigation of this group of scientists on long-term monitoring of patients with Kaposi sarcoma, endured a total one-time perfusion hyperthermia which was attended by 29 men and 2 women with disseminated Kaposi sarcoma and expressed violations of immunity, gave a very interesting results despite the fact that two of the 31 patients died of secondary complications (arrhythmia, bleeding in the central nervous system). Also mentioned 2 cases DVS.
After 30 days after the procedure, 20 out of 29 patients was complete or partial remission. After 120 days - from 14 out of 29. But after 360 days, with 4 out of 29 patients remained tumor regression, including one complete remission (26 months).
For what purpose is create a common technology hyperthermia ceiling?
Preventing HIV
About AIDS Cure Work
Overall hyperthermia (OH)
Man has long been known therapeutic effect of heat. Artificial warming the entire body and its parts are many centuries, used to combat various diseases.
More than 25 years in the Russian health practice artificial hyperthermia. So far it is mainly used in the treatment of the last stages of cancer. It was found that a certain temperature kills virtually all types of malignant cells. At the same time, existing methods of hyperthermia did not allow the patient's body heat above 42 ° C without serious complications that threaten his life. Any temperature stress poorly transferred human body. Starting with 41 C °, many proteins of blood undergoing partial denaturation and temperature 43 ° C for warm-considered unattainable. An employee of the institution was able to do what was considered impossible. 20 years ago in Novosibirsk was an attempt to create a secure way of artificial warm person above 42 ° C.
As a result, "SibNIIG in conjunction with the Novosibirsk Medical University has developed and patented a way to the Common Hyperthermia (CH), the human body, whose principal novelty is that the body of the patient safely warmed up to temperature 43,5-44 C °.
For what purpose was created a common technology hyperthermia high level?
First, the sick and malignant cells of the human body are detrimental effect only high temperatures.
Secondly, high temperatures can also destroy many micro-organisms and viruses. Easy to move, without the effects and complications, a high total hyperthermia person can only under anesthesia.
Therefore, this therapeutic technique includes intubation anesthesia with intravenous general anesthetize and Ventilator pure oxygen.
Aids Cure Reports
1 Report of AIDS Cure
Patient is treating by including 5 of procedures in PG in first year of the scheme, work out in the clinic.
After 3 procedures PG patient significantly reduce the size of axillary lymph nodes, recovered appetite, increased immunity, decreased viral load. After 2 months before the fourth procedure PG level CD4 lymphocytes was 746 cells and viral load of 6800 copies of RNA ml of blood serum. The patient noted a significant decrease in fatigue, increased efficiency (works long-distance truck driver "), normalization of sleep, good appetite. There have been 4th, and then six months and the 5th procedure PG. Since then, the level of CD4 lymphocytes rose to 960 cells and viral load dropped to 670 copies of RNA ml of blood serum.
Patient recommended passage of a general conversation hyperthermia in the year.
In June 2007, patient K spend the 6 procedure, so he feels well, to live a full life without any complaints of health. Drug antiretroviral therapy was undertaken. Rates of common, biochemical and immunological tests are within the norm. Viral load the patient is now 920 copies of RNA ml of blood serum.
Landmark conclusion: as a result of hyperthermal treatment eliminated immunodeficiency (AIDS) and implemented its prevention.
Aids cure main page
Siberian Research Institute of hyperthermia in Novosibirsk
SRHN established by the Novosibirsk State Medical University in 2002.
The main scientific and practical orientation Institute is to develop protocols and schemes thermotherapy (hyperthermia overall) of HIV infection, hepatitis C, as well as prevention of progression of cancer and AIDS. The Institute actively collaborates with scientists from the Institute of Cancer in Washington, the Institute of Applied Medicine in Dresden, University Hospital of Rome and Milan, as well as the offices of clinical hyperthermia in Minsk and Obninsk. Leading members of the institution as a formal member of the International Society of Clinical hyperthermia (ICHS) participated in the annual congress this society.