{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T10:34:21Z","timestamp":1716892461495},"reference-count":31,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,4,18]],"date-time":"2013-04-18T00:00:00Z","timestamp":1366243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2013,9]]},"abstract":"Objectives<\/jats:title>The objective of this study was to establish the level of awareness of HAND<\/jats:styled-content> among healthcare providers, the screening tools that are currently used in its detection and factors that limit cognitive assessments.<\/jats:p><\/jats:sec>Methods<\/jats:title>We distributed a 12\u2010item questionnaire to doctors and nurses who work in the Department of Genitourinary Medicine and Infectious Disease (GUIDE<\/jats:styled-content>) service and also to doctors who work in the emergency department (ED<\/jats:styled-content>) at St J<\/jats:styled-content>ames H<\/jats:styled-content>ospital.<\/jats:p><\/jats:sec>Results<\/jats:title>35 surveys were collected, 54% (n\u2009=\u200919) from the GUIDE<\/jats:styled-content> service and 46% (n\u2009=\u200916) from the ED<\/jats:styled-content>. 82% (n\u2009=\u200929) of participants were doctors from interns to consultants. There was reasonable appreciation among participants with regards the prevalence of neurocognitive impairment (estimated at 29.1% among patients on HAART<\/jats:styled-content>, and 39.3% among patients not on HAART<\/jats:styled-content>). Screening tools were rarely used by GUIDE<\/jats:styled-content> and ED<\/jats:styled-content> clinicians (25% vs.<\/jats:italic> 15% of the time). The M<\/jats:styled-content>ini M<\/jats:styled-content>ental S<\/jats:styled-content>tate E<\/jats:styled-content>xamination (MMSE<\/jats:styled-content>) was previously used by 37% (n\u2009=\u200913) of the group. Very few people had used the HIV D<\/jats:styled-content>ementia S<\/jats:styled-content>cale (HIVDS<\/jats:styled-content>) 6% (n\u2009=\u20092). 34% of respondents felt that \u2018Orientation in P<\/jats:styled-content>erson, P<\/jats:styled-content>lace and T<\/jats:styled-content>ime was a sufficient screening tool for cognitive assessment\u2019. Lack of time, exposed environment and lack of availability of screening tool were cited as limitations to cognitive screening in the E<\/jats:styled-content>D environment.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>This study examines awareness of HAND<\/jats:styled-content> among healthcare providers and also reasons for inadequate assessment. There is a need for consensus on screening guidelines. A quick, easy to use and readily available screening tool may have a role in the acute setting in identifying high\u2010risk patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.12036","type":"journal-article","created":{"date-parts":[[2013,4,18]],"date-time":"2013-04-18T08:34:50Z","timestamp":1366274090000},"page":"497-502","source":"Crossref","is-referenced-by-count":10,"title":["Limitations to the identification of HIV<\/scp>\u2010associated neurocognitive disorders in clinical practice"],"prefix":"10.1111","volume":"14","author":[{"given":"D","family":"Morley","sequence":"first","affiliation":[{"name":"Infectious Disease Cork University Hospital Cork Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"McNamara","sequence":"additional","affiliation":[{"name":"Emergency Department St James Hospital Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Kennelly","sequence":"additional","affiliation":[{"name":"Geriatric Medicine Tallaght Hospital Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"McMahon","sequence":"additional","affiliation":[{"name":"Emergency Department St James Hospital Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Bergin","sequence":"additional","affiliation":[{"name":"Emergency Department St James Hospital Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,4,18]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000287431.88658.8b"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11481-010-9205-z"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e318200d727"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/503565"},{"key":"e_1_2_5_6_1","article-title":"Interactive effects of morphine on HIV infection: role in HIV\u2010associated neurocognitive disorder","volume":"2012","author":"Reddy PV","year":"2012","journal-title":"AIDS Res Treat"},{"key":"e_1_2_5_7_1","volume-title":"Guide for HIV\/AIDS Clinical Care","author":"HIV\u2010Associated Dementia and Other Neurocognitive Disorders","year":"2012"},{"key":"e_1_2_5_8_1","first-page":"45","article-title":"Neurologic complications of HIV disease and their treatment","volume":"18","author":"Letendre SL","year":"2010","journal-title":"Top HIV Med"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-12-39"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e318042e1ee"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200418001-00004"},{"key":"e_1_2_5_12_1","unstructured":"R HeatonDF WoodsSet\u2009al.Asymptomatic mild HIV\u2010associated Neurocognitive Disorder Increases Risk for Future Symptomatic Decline. (CROI 2012)2012: Seattle."},{"key":"e_1_2_5_13_1","unstructured":"Slainte DoHAR.Childrens Hospital Submission St James Hospital.2012."},{"key":"e_1_2_5_14_1","unstructured":"TuiteH Horgan.M MallonPWGet\u2009al.Antiretroviral treatment and viral load responses in HIV\u2010infected patients accessing specialist care in Ireland. Poster. European Congress of Clinical Microbiology and Infectious disease (ECCMID)2012March 31st\u2010April 3rd 2012."},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis975"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199910010-00011"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/13550280290101094"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis367"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1258\/095646204773557794"},{"key":"e_1_2_5_20_1","article-title":"Relationships among neurocognitive status, medication adherence measured by pharmacy refill records, and virologic suppression in hiv\u2010infected persons","author":"Andrade AS","year":"2012","journal-title":"J Acquir Immune Defic Syndr"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6394(1998)7:4<178::AID-DA6>3.0.CO;2-6"},{"key":"e_1_2_5_22_1","first-page":"98","article-title":"Report on the 13th European AIDS Conference\/EACS","volume":"69","author":"Dragovic G","year":"2012","journal-title":"Vojnosanitetski Pregled Military\u2010Medical and Pharmaceutical Review"},{"key":"e_1_2_5_23_1","article-title":"Validation of the EACS guidelines 2011 algorithm for detecting HAND in the CHARTER cohort","author":"Perez\u2010Valero I","year":"2012","journal-title":"19th Conference on Retroviruses and Opportunistic Infections"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100040154"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410190602"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcm051"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1293.2008.00679.x"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir524"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/13550280500384966"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1293.2010.00910.x"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540260701861989"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2012-131226"}],"container-title":["HIV Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fhiv.12036","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.12036","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T06:43:58Z","timestamp":1696315438000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hiv.12036"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,18]]},"references-count":31,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2013,9]]}},"alternative-id":["10.1111\/hiv.12036"],"URL":"https:\/\/doi.org\/10.1111\/hiv.12036","archive":["Portico"],"relation":{},"ISSN":["1464-2662","1468-1293"],"issn-type":[{"value":"1464-2662","type":"print"},{"value":"1468-1293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4,18]]}}}