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PubMed1989

AIDS/HIV counselling in occupational health.

AIDS/HIV counselling will increasingly become part of the role of occupational health professionals. Issues that arise in the occupational setting include: occupational transmission, knowledge and attitudes, problems with family and friends, AIDS dementia, and uncertainty. Dilemmas can occur in relation to contamination incidents, HIV positive employees, or staff refusing to work because of fears of HIV/AIDS. It it easier to deal with the problems that arise if the issues have been thought through beforehand. Examples are given of problems that have occurred in a setting of occupational health in the British Health Service and their resolution is discussed.

Counseling↗

PubMed2003

No sex or safe sex? Mothers' and adolescents' discussions about sexuality and AIDS/HIV.

The authors examined in this study whether mothers and adolescents discussed abstinence and safer sex, and how these discussions relate to demographic characteristics. Fifty mother-adolescent dyads (25 girls and 25 boys, aged 11-15) participated in videotaped conversations about two topics: (1) dating and sexuality, and (2) AIDS/HIV. These conversations were coded for specific topics. Both discussions of abstinence and safer sex occurred relatively infrequently during both conversations, although they were more common during AIDS than sexuality conversations and more for mothers than adolescents. The two topics were related--dyads who discussed one were more likely to discuss the other. Adolescents who discussed safer sex with their mothers tended to be older, less religious and have more educated mothers than those who did not. Using observational rather than self-report measures, this study revealed that the extent to which mothers and adolescents discuss abstinence and safer sex can depend on individual (age, gender, socioeconomic status and religious involvement) and contextual (conversational topic) factors.

Adolescent↗

PubMed1989

AIDS/HIV infection and employment: the role of occupational health services.

Occupational health services need to be active in the development of local policies about AIDS/HIV and employment. Employment issues include the possible hazards from HIV infected employees, which are more fears than real risks, and the problems faced by HIV infected employees. Pre-employment HIV screening does not eliminate HIV from the workforce and involves much extra work. The occupational health service can be a source of confidential counselling for HIV infected individuals and will need to advise on work fitness. HIV as a bar to certain jobs is difficult to justify. The problems relating to HIV infection at work are best dealt with by education of staff at all levels.

Acquired Immunodeficiency Syndrome↗

PubMed1998

AIDS/HIV and university students in Delhi, India: knowledge, beliefs, attitudes and behaviors.

Eight hundred eighty-seven students in social work, nursing, and humanities from two major universities in Delhi were compared regarding their knowledge about AIDS/HIV and attitudes toward PWAs and homosexuals. Their scores on the 20-item knowledge test indicate fair degree of knowledge; however, they lacked information in crucial areas of AIDS prevention and human sexual anatomy. Unmarried, female and older students and those in social work and nursing disciplines scored significantly higher on correct answers. Social work students were likely to be more positive in their attitudes toward AIDS victims than those in nursing or humanities. Knowledge was positively related to attitudes and perception of risk. Despite their awareness of personal risks only four in ten used condoms sometimes during intercourse. Educational strategies to increase cognitive and affective understanding of AIDS and its victims are discussed.

Acquired Immunodeficiency Syndrome↗

PubMed1998

Organizational factors related to AIDS/HIV education in outpatient substance abuse treatment units.

The association of HIV and AIDS with intravenous drug use is well documented. Given this, substance abuse treatment providers must figure prominently in any effective national response to HIV/AIDS. The strategies employed by human service managers to address AIDS may be important in explaining how substance abuse treatment units implement policies and programs concerning AIDS-related prevention services. This paper utilizes data from the National Drug Abuse Treatment System Survey to examine how strategic activities concerning AIDS/HIV undertaken by outpatient substance abuse treatment unit managers impacted the provision of preventive AIDS-related services to clients. Results of multiple regression analysis indicate collaboration with other human service organizations and environmental scanning activities are important variables in explaining variation among substance abuse treatment units in the provision of AIDS prevention education to clients. Based on these findings, implications for future research and policy concerning AIDS prevention within the context of substance abuse treatment are made.

Acquired Immunodeficiency Syndrome↗

PubMed1997

Conjuring medical science: the 1986 referendum on AIDS/HIV policy in California.

Medical science occupies a peculiar status in American life. On the one hand, people often view medical science as a privileged and authoritative body of knowledge that transcends other kinds of knowledge. On the other hand, medical-scientific authority can be easily conjured from the popular symbols of science, e.g., credentials, technical terms, and white lab coats. This problem can be converted into an anthropological question of meanings and symbols, based on Geertz's interpretive anthropology and Baudrillard's sociology of hyperreality. This article uses these frameworks to explore the cultural construction of medical-scientific authority in the case of a 1986 referendum on AIDS/HIV policy in California. The interpretation of that construction raises some difficult problems concerning anthropology's treatment of medical science.

Acquired Immunodeficiency Syndrome↗

PubMed2002

[Health and power: the political emergence of AIDS/HIV in Brazil].

This analysis of the construction of political responses to AIDS in Brazil is grounded on a study of the epidemic since its first appearance, against a backdrop formed by the recent history of Brazilian health policy, the period's emerging social movements, and data on AIDS/HIV evolution. Together with period documents, oral sources constitute a fundamental part of the research. The article sees official responses to AIDS from the time of the disease's political emergence in Brazil as evolving through different stages and eventually -- after some problems and not without certain limitations--becoming characterized first and foremost by society's participation.

Acquired Immunodeficiency Syndrome↗

PubMed1996

Epidemiology of AIDS/HIV in Japan.

The data obtained from the national reporting system of acquired immune deficiency syndrome (AIDS) and its causative immune deficiency virus (HIV), the epidemic pattern of AIDS cases and HIV carriers in Japan from 1985 to 1995 could be summarized as follows: 1) the total number of reported AIDS cases and HIV carriers were 1,154 and 3,524 which included 167 and 915 foreigners, respectively; 2) among them the number of HIV carriers in hemophiliacs transmitted through HIV contaminated blood products was 1,806, including 582 AIDS victims; 3) excluding these hemophiliacs, there are 572 AIDS cases (167 foreigners) which shared risk factors for heterosexual contacts (37%) and homosexual contacts (31%), respectively; 4) on the other hand, more than 50% were heterosexuals and only 20% were homosexuals in 1,718 HIV carriers (915 foreigners); 5) the peak incidence is 33% in the 30s in AIDS, while more than 50% are in their 20s; 6) male-to-female ratio was 6.8 in AIDS cases but only 1.1 in HIV carriers; 7) the estimated number of HIV carriers in 2000 was 6,300-8,500 in Japanese and 700-1,700 in foreigners, respectively. From the above mentioned epidemic pattern of AIDS/HIV in Japan, we have to recognize that the recent number of HIV infection is actually increasing and the most of current HIV carriers even in foreigners are infected with HIV in our country and general activities for AIDS prevention in Japan and neighboring Asian countries should be promoted.

Acquired Immunodeficiency Syndrome↗

PubMedDate not supplied

Perception of learning needs and preferred learning methods about AIDS/HIV among registered nurses working in the community in Texas.

It is important for nurses and other healthcare workers to recognize that patients who present themselves for health care could already be infected with human immunodeficiency virus (HIV). Therefore, appropriate and sensible infection control precautions should be taken at all times. An assessment of nurses' knowledge of acquired immunodeficiency syndrome (AIDS)/HIV provides information to guide further continuing education efforts. This study describes the learning needs and preferred learning methods regarding AIDS/HIV among registered nurses working in a community in Texas. Respondents confirmed the need for important content areas regarding primary, secondary, and tertiary prevention such as universal precautions, protection from infectious diseases, and occupational hazards for healthcare providers. Several teaching methodologies were included. Self-paced instruction was the least preferred teaching-learning method; hands-on methodology was most preferred for the topics of clinical manifestations, long-term care, testing, and counseling.

Attitude of Health Personnel↗

PubMed1997

Professional nurses knowledge and understanding of AIDS/HIV infection.

This study examined professional nurses' knowledge and understanding of AIDS/HIV infection. The sample was formed by 53 professional nurses; 27 being those that have done the AIDS counselling course (trained counsellors) and 26 who have not done the course. This sample was randomly chosen from a population of 192 professional nurses representing all departments. Questionnaires were sent to the participants and focus group interviews formed by a group of 21 participants, were done to elicit any information that may not have been obtained through the use of a questionnaire. The results showed good knowledge of general information which included the mode of spread of infection. Lack of knowledge in identification of high risk groups, symptoms, diagnostic tests and use of universal precautions in specific areas was identified.

Acquired Immunodeficiency Syndrome↗

PubMed1994

Impact of AIDS/HIV on medical directors.

The decade of AIDS/HIV has changed the way insurance medicine is practiced by medical directors. One director details some of these changes.

Acquired Immunodeficiency Syndrome↗

PubMed1993

An evaluation of a school-based AIDS/HIV education program for young adolescents.

This study evaluated the efficacy of a school-based AIDS/human immunodeficiency virus (HIV) education program on 6th and 7th grade students. Using a quasi-experimental pretest-posttest control group design, a control group and an education group (intervention I) received both pretest and posttest questionnaires and a second education group (intervention II) was posttested only. Students were evaluated using a modified version of the Centers for Disease Control's Health Risk Survey. Students who received AIDS education were less likely (p < or = 0.0001) than the control group to report that they had changed their behavior to avoid getting AIDS, but thought they had a greater (p < or = 0.0002) chance of acquiring AIDS as an adult. In the intervention I group, males who had never received prior AIDS instruction were more worried about acquiring AIDS as an adult (p < or = 0.013). In the intervention II group, the education had a significant impact on the level of knowledge about AIDS/HIV infection (p < or = 0.0003) and the degree of tolerance toward students with AIDS (p < or = 0.0008), but the effect was not greater than the learning that occurred in the other 2 groups from testing alone. Students who were pretested were also less worried that they had been exposed to AIDS (p < or = 0.0001), more worried that they would die if they acquired AIDS (p < or = 0.05), and less likely to think AIDS patients should be isolated (p < or = 0.0005). Although this AIDS education program appeared to be moderately successful in this group of younger adolescents, significant learning also occurred fro testing alone.

Acquired Immunodeficiency Syndrome↗

PubMed2003

Knowledge about AIDS/HIV infection among female college students.

OBJECTIVE: To determine the level of awareness about HIV/ AIDS infection among female college students of Lahore. DESIGN: Cross-sectional survey. PLACE AND DURATION OF STUDY: The study was conducted in three different girls colleges of Lahore (Pakistan). PATIENTS AND METHODS A total of 600 students were interviewed with the help of anonymous semi-structured questionnaire from September, 1999 to November 1999. RESULTS: Ninety-five percent students had heard about HIV/ AIDS and its presence in Pakistan, 61.7% students knew that HIV/AIDS is caused by germs and 91.2% knew about its transmissibility. Over 70% of students knew that HIV can be transmitted through sexual contact, infected blood transfusion, and re-use of infected injection needles. Moreover, only 19.2% mentioned ear/nose piercing with infected needles while 46.8% mentioned breast feeding as sources of transmission of HIV/AIDS. However, 57% were of the view that second hand clothing cannot spread AIDS. Individuals having multiple sexual partners (78.2%), drug addicts (38.8%), homosexuals (39.2%), commercial sex workers (52.2%) and health care workers (16.2%) were identified as high risk groups. Only 33.2% of students perceived that women are at higher risk of acquiring HIV as compared to men. Regarding prevention of AIDS, 61.0% mentioned avoiding promiscuous sex, 49.3% knew use of condoms and 60.2% were aware that AIDS can be prevented by avoiding homosexuality. Sixty-eight percent and 70.2% students respectively held the view that avoiding used needles for injections in hospitals and laboratories for screening blood or blood products can prevent AIDS, while 78.2% and 55.8% respectively knew that there is no cure or vaccine available for AIDS. Majority of the students (71.5%) have discussed AIDS with their friends while discussion with siblings, parents and teachers was not common. CONCLUSION: The general level of awareness regarding HIV/AIDS transmission and prevention was satisfactory among college girls included in the study. However, a number of misconceptions and myths like getting HIV/AIDS through nose/ear piercing, its relation to Islam, and use of second hand clothing need to be clarified.

Acquired Immunodeficiency Syndrome↗

PubMed1992

Short and medium term projections of the AIDS/HIV epidemic by a dynamic model with an application to the risk group of homo/bisexual men in Amsterdam.

Several methods exist for short term projection of the numbers of AIDS cases. Some use extrapolation of empirical curves fitted to data up to a given time, whereas others such as the popular method of 'back projection' or actuarial methods also use information about the process. In this paper we describe a dynamic model based on a distributed modelling technique allowing for variability both in infectiousness and in age distribution of the population at risk. Some model parameters are taken from the literature, others are estimated from AIDS incidence data from the homo/bisexual population in Amsterdam. The model described here simulates prevalence and incidence of HIV infection. We present prediction intervals for two years from January 1990 onwards. We discuss three scenarios based on the estimated model, two of which consider early treatment with anti-viral drugs. Given the model and the state of the epidemic in Amsterdam, early treatment intervention must be combined with very drastic measures for reducing infectivity in order to have any serious impact on the course of the epidemic.

Acquired Immunodeficiency Syndrome↗

PubMed1995

Perforated acute appendicitis in a patient with AIDS/HIV infection: report of a case.

We report herein the case of a 40-year-old man with AIDS who was admitted to hospital with severe abdominal pain, fever, and chills. He underwent an emergency laparotomy which revealed a perforated appendix with suppurative peritonitis. An appendectomy with peritoneal drainage was carried out, but the postoperative course was complicated by fever without leukocytosis; however, he gradually improved following treatment with intravenous antibiotics, granulocyte colony-stimulating factor (G-CSF) and immunoglobulins, and made a complete recovery. His postoperative course demonstrates the effectiveness of this treatment regimen for patients with AIDS complicated by infection without an increase in the white blood cell count (WBC).

AIDS-Related Opportunistic Infections↗

PubMed1993

AIDS/HIV in the US military.

HIV infection (AIDS) burst upon the scene a decade ago. Because it is a sexually transmitted disease that infects blood and kills its victim, it is military relevant and will impact on all aspects of the military. The US Army Medical Research and Development Command as 'Lead Agent for Infectious Disease Research' in the Department of Defense has developed a comprehensive approach to address military concerns: surveillance of infection rates (intelligence) around the world and in the military; behavioural research to develop more effective means of education to change behaviour; and biological research to develop a quick and easy field test, and a vaccine or drug to prevent the disease from occurring despite exposure. Its success will influence the success of the Army in the future.

AIDS Vaccines↗

PubMed1992

L-arginine: a therapeutic option for AIDS/HIV infection?

Numerous studies implicate cellular immunological effector systems in the partial containment of virus replication during the early stages of HIV infection. Immunostimulatory therapeutic regimes designed to enhance virus clearance are therefore theoretically attractive, but are accompanied by the risk of concomitant activation of HIV replication. Supra-normal levels of L-arginine have been shown to induce broad immune stimulation in vitro and in vivo, but do not increase HIV gene expression in vitro. These observations, together with the lack of toxicity of this agent, suggest a novel therapeutic approach to HIV disease.

Acquired Immunodeficiency Syndrome↗

PubMedDate not supplied

Update on AIDS/HIV.

Associated with the AIDS epidemic are some of the most difficult policy dilemmas society faces. The issues surrounding HIV are complex and involve legal, medical, ethical, and practice issues. In addition, many policy issues have received and will continue to receive attention--education, public health measures, health care delivery and financing issues, legal issues, state laws and regulations, labor and employment issues, and international concerns. The debate will most certainly continue to heat up. To contribute positively to the public policy debate, nurse practitioners must become knowledgeable about the disease--including its epidemiology--and examine their own practices, feelings, and attitudes regarding this deadly disease.

AIDS Serodiagnosis↗