Case report: HIV-associated neurocognitive disorder & myelopathy in patient with preserved CD4, but high viral load

HIV-associated neurocognitive disorder and HIV-associated myelopathy in a patient with a preserved CD4, but high viral load-a rarely reported phenomenon: a case report and literature review. 

Ayele, B.A., Amogne, W. & Gemechu, L.

BMC Infect Dis 20, 574 (2020). https://doi.org/10.1186/s12879-020-05297-9

This case supports the current understanding regarding the persistent occurrence of HIV-associated neurocognitive disorder and HIV-associated myelopathy even decades after introduction of cART. Therefore, it’s important to screen HIV+ patients for the HAND and HAM even if they have relatively preserved immunity.

Because patient can be easily shifted to ART drugs with better CNS penetrating potential to achieve acceptable virological suppression level, to observe sound clinical improvement.

Marie Stopes Australia seeks signatories to open letter re changes to telehealth

July 2020
 
There are changes to Telehealth from Monday, July 20th which mean that clients who have not attended a service within the last 12 months – that is, new clients or clients who have not used a service in the last 12 months – will no longer be eligible for a Telehealth appointment.
 
Marie Stopes Australia has written an open letter about the impact of this change access to sexual and reproductive health services. If you are interested in endorsing the letter, you can add your name as a private individual or an organisation. 
 

New Question Builder tool assists patients’ health literacy

Australian Commission on Safety and Quality/Healthdirect Australia

The Australian Commission on Safety and Quality in Health Care and Healthdirect Australia have jointly launched the Question Builder, a free web-based tool to help people prepare for their medical appointment and make the best use of the time with their doctor. 

Question Builder is a free web-based tool to help you prepare for a visit to the doctor. The tool enables you to build a list of questions that you would like to ask your doctor, and consider questions your doctor might ask you. Question Builder guides you through a series of steps, from selecting which type of appointment you are preparing for, to developing the questions that you would like to ask and helping you to prioritise the most important questions to ask first. These questions can then be printed or emailed to a phone/device for use during the appointment.

Question Builder is designed to be used with general practitioners and specialists in Australia.  It encourages you to ask questions that matter most to you, participate in the appointment and share decisions with your doctor about your own health care.

Whether you are seeing a doctor for a new condition, having a check-up, talking about a recurring health condition, or discussing medication, a test or surgery, Question Builder can help you to get the most out of your appointment with your doctor.

The Commission has developed Question Builder in partnership with Healthdirect Australia.  It is available via the healthdirect website.

  • You can find Question Builder here 

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