By Michael W. Adler,Simon G. Edwards,Robert F. Miller, et al.John Wiley & Sons, Inc.|Wiley||BMJ BooksAdult NonfictionMedical, Reference, Text BookLanguage(s): EnglishOn sale date: 23.05.2012Street date: 30.04.2012
An authoritative consultant to the epidemiology, prevalence, trying out and prognosis and administration of HIV and AIDS.
From a global professional editor and contributor crew, this new 6th variation contains extended insurance of HIV trying out, evaluation and regimen stick with up and new chapters outlining complicated stipulations linked to HIV and AIDS. Prevention ideas, early prognosis and antiretroviral medicines and pharmacotherapy are lined intimately in addition to kids and girls with HIV. It additionally addresses key mental and psychological health and wellbeing matters, sufferer views and the position of sufferer engagement.
As wisdom into the disease grows and significant advances in HIV treatment see extra humans residing with HIV locally, the ABC of HIV and AIDS, 6e offers transparent sensible advice for normal practitioners, sanatorium medical professionals, nurses, scientific scholars, counsellors, allied medical experts and someone operating and taking care of sufferers with HIV and AIDS.
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Additional info for ABC of HIV and AIDS
Confirmatory algorithms may include assays for the detection of p24 antigen alone in cases when recent infection is suspected, although HIV RNA (or less commonly proviral DNA) detection in peripheral blood provides an alternative approach. HIV RNA or proviral DNA testing is also used to diagnose vertical HIV transmission in newborns from HIV-positive mothers as maternal HIV antibodies persist for up to 18 months, making serology results difficult to interpret. Children are typically tested at birth, 6 weeks and 12 weeks of age.
B-cell hyperreactivity is also reflected in hypergammaglobulinaemia and bone marrow plasmacytosis, but is paradoxically associated with attenuated B-cell (antibody) responses to vaccination, suggesting impairment of specific B-cell function that mirrors the effects of HIV-1 on T cells. Macrophage and dendritic cell dysfunction during HIV-1 infection are also recognized. These cells are involved in innate immune recognition of pathogens, early recruitment of host defences to the site of an infection and augmentation of adaptive immune responses.
In most cases three or four separate CTL clones can be demonstrated that recognize different HIV-1 epitopes. During primary infection. the appearance of CTLs correlate temporally and quantitatively with the fall in HIV-1 viral load. Furthermore, greater numbers of CTLs and a broader repertoire of CTL clones both correlate with delay in disease progression and the onset of AIDS. The role of interferon (IFN) and antibody responses in the control of viraemia during primary HIV infection is less clear.
ABC of HIV and AIDS by Michael W. Adler,Simon G. Edwards,Robert F. Miller, et al.John Wiley & Sons, Inc.|Wiley||BMJ BooksAdult NonfictionMedical, Reference, Text BookLanguage(s): EnglishOn sale date: 23.05.2012Street date: 30.04.2012