Biomedical subjects

M Rodríguez Alvarez

Publications and source records attributed to M Rodríguez Alvarez.

5 recordsLinked to original sources

PubMed2006

Neuropsychological impairment among asymptomatic HIV-positive former intravenous drug users.

OBJECTIVE: To evaluate the influence of human immunodeficiency virus (HIV) infection and situation of drug consumption on neuropsychological impairment in asymptomatic HIV-positive (HIV+) former intravenous drug users (IVDUs) of Spanish nationality. BACKGROUND: Currently, we have no data about neuropsychological impairment in asymptomatic HIV+ IVDUs taking into account different situations of drug consumption. METHOD: A neuropsychological evaluation was made of four groups of IVDUs: 33 abstinent HIV+ IVDUs, 21 methadone-maintained HIV+ IVDUs, 27 abstinent HIV-negative (HIV-) IVDUs, and 21 methadone-maintained HIV- IVDUs. Their neuropsychological impairment rates were determined taking as a reference the performance of 23 HIV- subjects without history of drug abuse. RESULTS: The rate of neuropsychological impairment of methadone-maintained HIV+ patients (48%) and that of those in abstinence (24%) is greater than that of HIV- subjects in a similar condition (19% and 11%). The impairment rate of the methadone-maintained HIV+ group is significantly greater than that of the abstinent HIV+. Methadone-maintained HIV+ subjects with neuropsychological impairment have fewer education years than those not impaired; likewise, the percentages of subjects with significant immunodepression, detectable viral load, and without antiretroviral treatments are higher among methadone-maintained subjects with neuropsychological impairment. CONCLUSIONS: This study emphasizes the association of asymptomatic HIV infection with neuropsychological impairment in IVDUs and reveals the importance of the drug consumption situation in relation to this risk, being methadone-maintained IVDUs more likely to suffer from it. This fact seems to be related to the worsening of the infection and its treatment and to educational level.

Adult↗

PubMed2003

Neuropsychological performance in HIV/AIDS intravenous drug users.

It is known that HIV can directly infect the CNS and, as a result of such infection, neuropsychological alterations with cognitive, behavioural and motor manifestations can be developed. In this study we seek to determine whether seropositivity is associated with a poor neuropsychological performance in patients with a history of intravenous drug consumption (n=90). For this purpose we carried out an extensive neuropsychological evaluation and compared their performance with that of two seronegative control groups, one comprised of subjects with no history of drug abuse (n=22), which allowed us to obtain a reference of normal neuropsychological performance, and the other of seronegative subjects with a history of drug abuse (n=48), which allowed us to differentiate whether the performance of the seropositive subjects derives from their history of drug abuse. The results reveal that HIV infection in drug users is associated with deficits in attention, verbal and visual memory, verbal skills, concept formation and reasoning, visual-constructive skills, manual dexterity, and perceptive-motor speed, which cannot be attributed to a history of drug abuse. However, the seronegative drug users also showed some of these alterations, which suggests that seropositivity is not only associated with a decrease in performance in these tasks, but also adds to the alterations seen in seronegative subjects as a consequence of drug abuse.

Acquired Immunodeficiency Syndrome↗

PubMedDate not supplied

Normal aging and AIDS.

Normal aging is accompanied by a wide range of changes in brain structure and function. In this work we seek to examine the hypothesis that normal aging results in neuropsychological findings similar to those produced by neuropsychological impairment related to AIDS. Specifically, we attempt to compare the level of neuropsychological performance in three groups: a normal elderly group (n = 46), a young group of AIDS patients (n = 36), and a young group of normal subjects (n = 22). The results indicated that, despite age differences between the normal elderly and AIDS patients, there was great similarity in the neuropsychological test performance of these two groups. In contrast, both groups demonstrated significantly different neuropsychological test performance than that evidenced by the younger normal controls. These results support the notion that neuropsychological changes related to normal aging are of a nature similar to those observed in AIDS and, therefore, affect functions subserved by frontal-subcortical brain regions.

Acquired Immunodeficiency Syndrome↗

PubMedDate not supplied

[Influence of infection related factors on neuropsychological performance of HIV seropositive subjects].

There are no definitive risk factors which predict the development of neuropsychological deficits associated to HIV infection, and, taking into account that neuropsychological impairment is a risk factor of early death in all stages of HIV infection, there is a pressing need to determine those factors, either related or foreign to HIV, which help to explain the existing intragroup differences and that may also be associated with the development and progression of the dysfunction. The aim of this work is to revise those factors related with the infection that can influence neuropsychological functioning of the seropositive patients, such as antiretroviral treatments, immunological impairment, viral load and the advance of the infection. Identification of these risk factors will help us to outline characteristics of the seropositive subjects who are neuropsychologically more vulnerable, in order to detect them early with a view to preventing the manifestation of neuropsychological disturbances, and offer quick, suitable treatment.

Anti-HIV Agents↗

PubMedDate not supplied

[Opioid dependence and word learning].

We study the influence of the drug use story of polydrug users which use heroin as a principal drug in learning a new material. We assess the learning of a list of words in 31 heroin users and we compare their performance with a group of 31 non drug users with the same personal and sociocultural characteristics. The obtained results show an impairment in the performance of drug users which not depend of the length of addiction, abstinence, and either the presence of a polydrug use.

Adolescent↗