SlideShare a Scribd company logo
1 of 21
“ My memory is not what it used to be. Am I just getting older or is this something I should worry about?” Issues in HIV-associated Neurocognitive Disorder  Peggy Bain Clinical Neuropsychologist St Vincent’s Hospital
[object Object],[object Object],[object Object],[object Object]
Types of Dementias ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Updated terminology – HIV-associate neurocognitive disorder (HAND) – Antinori et al 2007 ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Manifestations of HIV related impairment  (Sidtis, 1994) ,[object Object],[object Object],[object Object],[object Object]
Changes since the introduction of HAART  ,[object Object],[object Object]
Complaints warranting further consideration in HIV +ve individuals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complaints warranting further consideration in HIV +ve individuals (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Impact of Neurocognitive impairment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Benefits of Early Detection ,[object Object],[object Object],[object Object],[object Object]
HIV, the aging brain and adherence ,[object Object],[object Object],[object Object]
HIV and the Aging Brain ,[object Object],[object Object],[object Object]
Multifactorial aetiology of cognitive/behavioural disorders in older HIV +ve adults   (Valcour & McMurtray 2009) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIV +ve individuals with co-existing/co-morbid factors ,[object Object],[object Object],[object Object]
HIV +ve individuals with co-existing or co-morbid factors and cognitive complaints ,[object Object],[object Object],[object Object],[object Object]
Some Final Basic Considerations ,[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot (20)

Schizophrenia
SchizophreniaSchizophrenia
Schizophrenia
 
Depression in elderly
Depression in elderlyDepression in elderly
Depression in elderly
 
Alzheimer’s disease
Alzheimer’s diseaseAlzheimer’s disease
Alzheimer’s disease
 
Bipolar affective disorder
Bipolar affective disorderBipolar affective disorder
Bipolar affective disorder
 
Delirium
DeliriumDelirium
Delirium
 
Geriatric psychiatry
Geriatric psychiatryGeriatric psychiatry
Geriatric psychiatry
 
Delirium Tremens
Delirium Tremens Delirium Tremens
Delirium Tremens
 
Bipolar disorder management
Bipolar disorder managementBipolar disorder management
Bipolar disorder management
 
What is bipolar disorder
What is bipolar disorderWhat is bipolar disorder
What is bipolar disorder
 
Manic/ Bipolar Disorder
Manic/ Bipolar DisorderManic/ Bipolar Disorder
Manic/ Bipolar Disorder
 
Neuropsychiatric aspects of HIV
Neuropsychiatric aspects of HIVNeuropsychiatric aspects of HIV
Neuropsychiatric aspects of HIV
 
Dementia
Dementia Dementia
Dementia
 
Depression
DepressionDepression
Depression
 
Depression
DepressionDepression
Depression
 
Impulse control disorders
Impulse control disordersImpulse control disorders
Impulse control disorders
 
Dementia
DementiaDementia
Dementia
 
Depression studies
Depression studiesDepression studies
Depression studies
 
Psych
PsychPsych
Psych
 
Vascular Dementia Final
Vascular Dementia FinalVascular Dementia Final
Vascular Dementia Final
 
Dementia
DementiaDementia
Dementia
 

Similar to Issues in HIV-associated Neurocognitive Disorder

Dementia dementedness could be a neurological disease that aff.docx
Dementia dementedness could be a neurological disease that aff.docxDementia dementedness could be a neurological disease that aff.docx
Dementia dementedness could be a neurological disease that aff.docxtheodorelove43763
 
Physiotherapy Rehabilitation for Dementia in Elderly Population (Abin Abraham...
Physiotherapy Rehabilitation for Dementia in Elderly Population (Abin Abraham...Physiotherapy Rehabilitation for Dementia in Elderly Population (Abin Abraham...
Physiotherapy Rehabilitation for Dementia in Elderly Population (Abin Abraham...ABIN ABRAHAM MAMMEN (PHYSIOTHERAPIST)
 
Bidaki fcd presentation 22 azar 99
Bidaki fcd presentation 22 azar 99Bidaki fcd presentation 22 azar 99
Bidaki fcd presentation 22 azar 99Reza Bidaki
 
Difficulties in Treating Patients with Traumatic Brain injury
Difficulties in Treating Patients with Traumatic Brain injuryDifficulties in Treating Patients with Traumatic Brain injury
Difficulties in Treating Patients with Traumatic Brain injuryjamesyoungmd
 
CLE PRESENTATION_sjk
CLE PRESENTATION_sjkCLE PRESENTATION_sjk
CLE PRESENTATION_sjkSharon Kernen
 
PSY209 Research Paper
PSY209 Research PaperPSY209 Research Paper
PSY209 Research PaperBridget Pody
 
Dimentia
DimentiaDimentia
DimentiaHMENI
 
Discussion #1What are the possibilities for change in Mrs. Smi.docx
Discussion #1What are the possibilities for change in Mrs. Smi.docxDiscussion #1What are the possibilities for change in Mrs. Smi.docx
Discussion #1What are the possibilities for change in Mrs. Smi.docxmecklenburgstrelitzh
 
Comparing Cognitive Changes
Comparing Cognitive ChangesComparing Cognitive Changes
Comparing Cognitive ChangesDebbie Fernando
 
Evaluation of the geriatric patients with behavioural dysfunction
Evaluation of the geriatric patients with behavioural dysfunctionEvaluation of the geriatric patients with behavioural dysfunction
Evaluation of the geriatric patients with behavioural dysfunctionDr Wasim
 
Systematic assessment of early symptoms of unspecified dementias in people wi...
Systematic assessment of early symptoms of unspecified dementias in people wi...Systematic assessment of early symptoms of unspecified dementias in people wi...
Systematic assessment of early symptoms of unspecified dementias in people wi...Premier Publishers
 
Neurocognetive disorder due to hiv, vascular and other medical conditions
Neurocognetive disorder due to hiv, vascular and other medical conditionsNeurocognetive disorder due to hiv, vascular and other medical conditions
Neurocognetive disorder due to hiv, vascular and other medical conditionsShünün G. Abrha
 

Similar to Issues in HIV-associated Neurocognitive Disorder (20)

Dementia
DementiaDementia
Dementia
 
Dementia dementedness could be a neurological disease that aff.docx
Dementia dementedness could be a neurological disease that aff.docxDementia dementedness could be a neurological disease that aff.docx
Dementia dementedness could be a neurological disease that aff.docx
 
Physiotherapy Rehabilitation for Dementia in Elderly Population (Abin Abraham...
Physiotherapy Rehabilitation for Dementia in Elderly Population (Abin Abraham...Physiotherapy Rehabilitation for Dementia in Elderly Population (Abin Abraham...
Physiotherapy Rehabilitation for Dementia in Elderly Population (Abin Abraham...
 
Bidaki fcd presentation 22 azar 99
Bidaki fcd presentation 22 azar 99Bidaki fcd presentation 22 azar 99
Bidaki fcd presentation 22 azar 99
 
Difficulties in Treating Patients with Traumatic Brain injury
Difficulties in Treating Patients with Traumatic Brain injuryDifficulties in Treating Patients with Traumatic Brain injury
Difficulties in Treating Patients with Traumatic Brain injury
 
Dementia
DementiaDementia
Dementia
 
Dementia
DementiaDementia
Dementia
 
CLE PRESENTATION_sjk
CLE PRESENTATION_sjkCLE PRESENTATION_sjk
CLE PRESENTATION_sjk
 
PSY209 Research Paper
PSY209 Research PaperPSY209 Research Paper
PSY209 Research Paper
 
Dimentia
DimentiaDimentia
Dimentia
 
Discussion #1What are the possibilities for change in Mrs. Smi.docx
Discussion #1What are the possibilities for change in Mrs. Smi.docxDiscussion #1What are the possibilities for change in Mrs. Smi.docx
Discussion #1What are the possibilities for change in Mrs. Smi.docx
 
Document3.pdf
Document3.pdfDocument3.pdf
Document3.pdf
 
Comparing Cognitive Changes
Comparing Cognitive ChangesComparing Cognitive Changes
Comparing Cognitive Changes
 
Huntington
Huntington Huntington
Huntington
 
Huntington
HuntingtonHuntington
Huntington
 
Evaluation of the geriatric patients with behavioural dysfunction
Evaluation of the geriatric patients with behavioural dysfunctionEvaluation of the geriatric patients with behavioural dysfunction
Evaluation of the geriatric patients with behavioural dysfunction
 
Systematic assessment of early symptoms of unspecified dementias in people wi...
Systematic assessment of early symptoms of unspecified dementias in people wi...Systematic assessment of early symptoms of unspecified dementias in people wi...
Systematic assessment of early symptoms of unspecified dementias in people wi...
 
Neurocognitive seminar
Neurocognitive seminarNeurocognitive seminar
Neurocognitive seminar
 
Neurocognetive disorder due to hiv, vascular and other medical conditions
Neurocognetive disorder due to hiv, vascular and other medical conditionsNeurocognetive disorder due to hiv, vascular and other medical conditions
Neurocognetive disorder due to hiv, vascular and other medical conditions
 
Robbins Alzheimers Dementia Toma 2006
Robbins Alzheimers Dementia Toma 2006Robbins Alzheimers Dementia Toma 2006
Robbins Alzheimers Dementia Toma 2006
 

More from Australian Federation of AIDS Organisations

Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...
Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...
Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...Australian Federation of AIDS Organisations
 
HIV and CALD communities: A directory of health promotion programs and resources
HIV and CALD communities: A directory of health promotion programs and resourcesHIV and CALD communities: A directory of health promotion programs and resources
HIV and CALD communities: A directory of health promotion programs and resourcesAustralian Federation of AIDS Organisations
 
Community of Practice for Action on HIV and Mobility: Launch of the Interim R...
Community of Practice for Action on HIV and Mobility: Launch of the Interim R...Community of Practice for Action on HIV and Mobility: Launch of the Interim R...
Community of Practice for Action on HIV and Mobility: Launch of the Interim R...Australian Federation of AIDS Organisations
 
Understanding what works and why in peer and community based programs for HIV...
Understanding what works and why in peer and community based programs for HIV...Understanding what works and why in peer and community based programs for HIV...
Understanding what works and why in peer and community based programs for HIV...Australian Federation of AIDS Organisations
 

More from Australian Federation of AIDS Organisations (20)

HIV and CALD communities: Strengthening the health promotion partnership
HIV and CALD communities: Strengthening the health promotion partnershipHIV and CALD communities: Strengthening the health promotion partnership
HIV and CALD communities: Strengthening the health promotion partnership
 
Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...
Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...
Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...
 
Future Focus – AFAO
Future Focus – AFAOFuture Focus – AFAO
Future Focus – AFAO
 
HIV and mobility in Australia: Roadmap for Action
HIV and mobility in Australia: Roadmap for ActionHIV and mobility in Australia: Roadmap for Action
HIV and mobility in Australia: Roadmap for Action
 
HIV and CALD communities: Mapping HIV health promotion
HIV and CALD communities: Mapping HIV health promotionHIV and CALD communities: Mapping HIV health promotion
HIV and CALD communities: Mapping HIV health promotion
 
Medicare Ineligible PLHIV: Lessons from the ATRAS Study
Medicare Ineligible PLHIV: Lessons from the ATRAS StudyMedicare Ineligible PLHIV: Lessons from the ATRAS Study
Medicare Ineligible PLHIV: Lessons from the ATRAS Study
 
HIV in Culturally and Linguistically Diverse Populations: Surveillance Update
HIV in Culturally and Linguistically Diverse Populations: Surveillance UpdateHIV in Culturally and Linguistically Diverse Populations: Surveillance Update
HIV in Culturally and Linguistically Diverse Populations: Surveillance Update
 
Late HIV Diagnoses in Australia and Delayed HIV Testing
Late HIV Diagnoses in Australia and Delayed HIV TestingLate HIV Diagnoses in Australia and Delayed HIV Testing
Late HIV Diagnoses in Australia and Delayed HIV Testing
 
HIV and CALD communities: A directory of health promotion programs and resources
HIV and CALD communities: A directory of health promotion programs and resourcesHIV and CALD communities: A directory of health promotion programs and resources
HIV and CALD communities: A directory of health promotion programs and resources
 
Lessons from ATRAS
Lessons from ATRASLessons from ATRAS
Lessons from ATRAS
 
South Australian Policy Response to HIV and Mobility
South Australian Policy Response to HIV and MobilitySouth Australian Policy Response to HIV and Mobility
South Australian Policy Response to HIV and Mobility
 
Community of Practice for Action on HIV and Mobility: Launch of the Interim R...
Community of Practice for Action on HIV and Mobility: Launch of the Interim R...Community of Practice for Action on HIV and Mobility: Launch of the Interim R...
Community of Practice for Action on HIV and Mobility: Launch of the Interim R...
 
QuAC and Pre Exposure Prophylaxis: an awareness campaign
QuAC and Pre Exposure Prophylaxis: an awareness campaignQuAC and Pre Exposure Prophylaxis: an awareness campaign
QuAC and Pre Exposure Prophylaxis: an awareness campaign
 
Hand in hand: addressing BBV/STI stigma
Hand in hand: addressing BBV/STI stigma Hand in hand: addressing BBV/STI stigma
Hand in hand: addressing BBV/STI stigma
 
2 Spirits: promoting healthy Aboriginal and Torres Strait islander communities
2 Spirits: promoting healthy Aboriginal and Torres Strait islander communities2 Spirits: promoting healthy Aboriginal and Torres Strait islander communities
2 Spirits: promoting healthy Aboriginal and Torres Strait islander communities
 
PrEP: Research update and implementation program in NSW
PrEP: Research update and implementation program in NSWPrEP: Research update and implementation program in NSW
PrEP: Research update and implementation program in NSW
 
Remembering - Reconciling - Responding
Remembering - Reconciling - RespondingRemembering - Reconciling - Responding
Remembering - Reconciling - Responding
 
HIV and mobility: AFAO's African communities project
HIV and mobility: AFAO's African communities projectHIV and mobility: AFAO's African communities project
HIV and mobility: AFAO's African communities project
 
Understanding what works and why in peer and community based programs for HIV...
Understanding what works and why in peer and community based programs for HIV...Understanding what works and why in peer and community based programs for HIV...
Understanding what works and why in peer and community based programs for HIV...
 
Targeting stigma and discrimination
Targeting stigma and discriminationTargeting stigma and discrimination
Targeting stigma and discrimination
 

Recently uploaded

Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 

Recently uploaded (20)

Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
 

Issues in HIV-associated Neurocognitive Disorder

  • 1. “ My memory is not what it used to be. Am I just getting older or is this something I should worry about?” Issues in HIV-associated Neurocognitive Disorder Peggy Bain Clinical Neuropsychologist St Vincent’s Hospital
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.