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Positive Living December 2009

Cover Story

Mind your head

Positive Living article — Thursday, 26 November 2009

You are usually the first one to notice if something is going wrong with your health. If you’re lucky, the symptoms are simple to explain and to treat. If they’re a little more mercurial in nature and involve your neurocognitive functions, then you and your doctor need to work a little bit harder to sort things out . . . read more »

Tags: neurological conditions

News

Not so positive about HIV status

Positive Living article • Adrian Ogier • 26 November 2009

One out of five gay men with HIV in Australia may not know they are living with it, according to a survey conducted in Melbourne in 2008.

Investigators in the ‘Suck-it-and-see’ studyA clinical trial is a research study to answer specific questions about vaccines or new therapies or new ways of using known treatments. Clinical trials are used to determine whether new drugs or treatments are both safe and effective. Carefully conducted clinical trials are the fastest and safest way to find treatments that work in people. Trials are in four phases: Phase I tests a new drug or treatment in a small group; Phase II expands the study to a larger group of people; Phase III expands the study to an even larger group of people; and Phase IV takes place after the drug or treatment has been licensed and marketed. collected saliva samples from 745 men at a number of gay community venues throughout Melbourne only to discover that 20 out of the 100 men whose samples tested positive were unaware of the fact. read more »

US travel ban finally lifted

Positive Living article • Adrian Ogier • 26 November 2009

Public health and community leaders have hailed President Obama for finally bringing to an end the two­decade ban on people with HIV from entering the United States.

The process to end the travel ban was started last year by Congress and the Bush administration. The current President completed the process by publishing the final rules to eliminate the ban on 30 October. read more »

Efavirenz dose reduction possible

Positive Living article • www.aidsmap.org • 26 November 2009

People who experience ongoing central nervous system (CNS) side effects from the treatment efavirenz will be pleased to know that they may soon be able to take a lower dose of the drug. read more »

Antiretrovirals and your kidneys

Positive Living article • www.aidsmap.org • 26 November 2009

Despite having been linked to the kidneys, tenofovir (Viread and also in the combination pill Truvada) appears not to cause more problems than other NRTIA type of anti-HIV drug that works by inhibiting a stage of the HIV life cycle called reverse transcription. Non-nucleosides work in a similar way, but are chemically different. drugs, US investigators have reported. read more »

Vaccine research worth supporting

Positive Living article • Adrian Ogier • 26 November 2009

Two ‘broadly neutralising’ antibodies have recently been isolated from a sub­Saharan African donor.

Apparently, these particular antibodies not only target multiple strains of HIV (i.e., they are broadly neutralising) but they also bind tightly to the virusA small infective organism which is incapable of reproducing outside a host cell. and work at minute levels compared to previously discovered neutralising antibodies. read more »

Chin Wag hits Botswana

Positive Living article • Adrian Ogier • 27 November 2009

The ninth AIDS Impact Conference, held in Gaborone, Botswana in September, provided a platform for social researchers and community project workers to profile research and data which supports interventions in the HIV response. read more »

Orgasms are good for you

Positive Living article • Adrian Ogier • 26 November 2009

Two large studies, reported in 2003 and 2004, found that middle­aged men who had (or remember having) at least four orgasms a week throughout their 20s, 30s and 40s had a reduced risk of prostate cancer by as much as one­third. Some researchers speculate that ejaculations may clear the prostate of carcinogens. read more »

ETRAVIRINE SEVERE RASH WARNING

Positive Living article • Adrian Ogier • 26 November 2009

The US Food and Drug Administration (FDAThe U.S. Department of Health and Human Services agency responsible for ensuring the safety and effectiveness of all drugs, biologics, vaccines, and medical devices, including those used in the diagnosis, treatment, and prevention of HIV infection, AIDS, and AIDS-related opportunistic infections. The FDA also works with the blood banking industry to safeguard the nation's blood supply. The Australian equivalent is the Therapeutic Goods Administration (TGA).) has added a new warning to the package insert for etravirine (Intelence), the most recently­ approved non­-nucleoside (NNRTI)– an important drug classA group of anti-HIV drugs with the same target of action. Anti-HIV drug classes include nucleoside analogue reverse transcriptase inhibitors, protease inhibitors and non-nucleoside analogue reverse transcriptase inhibitors, as well as several others. Combining drugs from three or more classes is the basis of Highly Active Antiretroviral Therapy (HAART). that also includes nevirapine and efavirenz.

The FDA found that one to two percent of people who start the new drug develop a serious rash, particularly within the first six weeks. read more »

Healthy T-cells help keep cancers at bay

Positive Living article • www.aidsmap.org • 4 December 2009

Maintaining a CD4 cell count above 500 helps protect you from a range of AIDS-defining and non-AIDS-defining cancers, French investigators report.

Researchers followed over 50,000 positive people between 1998 and 2006 and found that the seven* most common cancers were found least in those whose counts stayed consistently above 500. read more »

Topical treatment for pre-anal cancer

Positive Living article • www.aidsmap.org • 4 December 2009

A course of topical trichloroacetic acid appears to provide a safe and effective treatment for anal intraepithelial neoplasia (AIN) – the name given to pre-cancerous cell changes in the anus, US investigators report.

Higher rates of anal cancer are seen in gay men, especially those with HIV. The treatment, however, proved just as effective on both positive and negative men. read more »

Second Line treatment trial begins

Positive Living article • Adrian Ogier • 4 December 2009

A treatment regimen consisting of one nonnucleoside (1NNRTI) and two nucleosides (2NRTIs) has become the internationally accepted first-line therapy of choice. But effective as the combination is, it doesn’t work for everyone. And those it fails need a reliable back-up. read more »

New drug company launched

Positive Living article • Adrian Ogier • 4 December 2009

The global launch of a new specialist HIV drug company happened in Australia last month.

ViiV Healthcare, established by GlaxoSmithKline (GSK) and Pfizer, can currently boast a portfolio of ten medicines with a further seven in the pipeline. read more »

Vale Dennis Martin

Positive Living article • Adrian Ogier • 4 December 2009

NAPWA acknowleges the passing of Dennis Martin and the important contribution he made to the Positive Aboriginal and Torres Strait Islander Network (PATSINPositive Aboriginal Torres Strait Islander Network. A NAPWA-auspiced national membership-based network of Indigenous people living with HIV/AIDS.). read more »

Throwing the book at them

Positive Living article • Adrian Ogier • 4 December 2009

The key to limiting HIV transmission lies in behaviour modification in an enabling environment,’ Senator Louise Pratt told those gathered at the launch of the NAPWA HIV criminalisation monograph in October.

The Canberra launch was hosted by Senator Pratt, who chairs the Parliamentary Liaison Group for HIV/AIDS, Blood-Borne VirusesA small infective organism which is incapable of reproducing outside a host cell. and STIs[Sexually Transmissible (or Transmitted) Infection] Infections spread by the transfer of organisms from person to person during sexual contact. Also called venereal disease (VD) (an older public health term) or sexually transmitted diseases (STDs). read more »

The cheek of some people

Positive Living article • Adrian Ogier • 26 November 2009

The Commonwealth’s recent decision to list Sculptra on the PBS[Pharmaceutical Benefits Scheme] The federal government program which subsidises medication costs in Australia. Anti-HIV drugs are part of a special part of the PBS called Section 100 (S100) which is used for expensive, highly specialised drugs. is exciting news for Australia’s positive community. Anyone with HIV treatment­associated facial lipoatrophy is now subsidised to receive up to eight vials for their first treatment followed by top­ups of two vials every two years read more »

Have you had your swine flu vaccine?

Positive Living article • Adrian Ogier • 4 December 2009

The National Health and Medical Research Council (NHMRC) have endorsed the federal government’s immunisation plan to offer free swine fluA highly contagious and relatively common viral infection of the respiratory system, transmitted by infected droplets of moisture which may be spread through coughing and sneezing. Most people with flu recover but some go on to develop secondary infections such as pneumonia which may be fatal. pandemic vaccination to all Australians ten years and over. read more »

Feature

Positive Voices

30 Minutes with Bill Whittaker

Positive Living article • David Menadue • 27 November 2009

After stepping down as NAPWA’s Co-convenor of the Health, Treatments and Research Portfolio, Bill Whittaker talks with David Menadue. read more »

Sugar in the Blood

Positive Living article • Neil McKellar Stewart • 1 December 2009

It’s a normal day in the diabetes[Diabetes mellitus] A disorder in which sugars in the diet cannot be metabolised into energy due to a lack of the enzyme insulin. Late-onset diabetes mellitus may be a long-term side effect of some anti-HIV drugs. clinic of St Vincent’s Hospital in Sydney. In the waiting room are three people waiting to see the specialist. One is a short, elderly woman of eastern European extraction. Another is an overweight man in his sixties. And the third is a lean, fitlooking man in his early forties who happens to be living with HIV. Neil McKellar-Stewart finds out why HIV puts us in the room. read more »

Obituary for Robbie

Positive Living article • Kathleen Noonan • 4 December 2009

Most of us make mistakes and survive. We pick the wrong car to get into, go to the wrong party, kiss the wrong boy or girl, drive when we should have walked, walk when we should have caught a cab, say yes when we should have said no, try things not worth trying, trust someone not worth trusting, wake up in dumb places. read more »

Does smoking have a hold on you?

Positive Living article • Adrian Ogier • 4 December 2009

Based on material from the Queeensland Smoking Cessation Working Party of Queensland Positive People (QPP) "Positively Quitting" campaign, this article may give you the motivation to break the habit! read more »

Regular

What's Your Problem?

What's your problem?

Positive Living article • Dr Louise Owen • 4 December 2009

Doctor Louise Owen answers readers questions. This month: the uses of blood samples from trials, and the possibility of 'over-treatment'. read more »

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Positive Living is NAPWA's national HIV treatments publication, published four times a year. More information.

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HIV Clinical Trials update

Recently updated entries from the NAPWA Clinical Trials database.