{"title":"Meal consumption of AIDS patients and home delivered meals.","authors":"C. Hannema, M. M. Chan, D. Canty","doi":"10.1089/APC.1995.9.290","DOIUrl":"https://doi.org/10.1089/APC.1995.9.290","url":null,"abstract":"","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"9 6 1","pages":"290-2"},"PeriodicalIF":0.0,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1995.9.290","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60798292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Vedhara, K. Nott, S. M. Richards, C. Bradbeer, E. Davidson, E. Ong, Marcus H Snow
Despite uncertainty over their reliability, CD4+ cell counts are used extensively in both clinical and research settings to document progression in HIV infection. We examined, therefore, whether the performance of a simple statistical test would facilitate greater accuracy in the use of this marker. CD4+ cell count data were collected from a cohort of deceased (N = 60) and living HIV-positive gay men (N = 100). Pearson's product moment correlation coefficients were calculated for each individual in order to examine the association between CD4+ counts and time since diagnosis. Correlations of 0.7 or greater were obtained in approximately 50 percent of cases in each cohort. For these individuals, CD4+ cell counts were deemed to be a reliable indicator of rate of progression. The results suggest that the proposed technique ensures greater precision in the use of CD4+ cell counts and that the technique cna be used in individuals with either complete (deceased patients) or partial (living patients) CD4+ data.
{"title":"A technique for accurate use of CD4+ cell counts.","authors":"K. Vedhara, K. Nott, S. M. Richards, C. Bradbeer, E. Davidson, E. Ong, Marcus H Snow","doi":"10.1089/APC.1995.9.276","DOIUrl":"https://doi.org/10.1089/APC.1995.9.276","url":null,"abstract":"Despite uncertainty over their reliability, CD4+ cell counts are used extensively in both clinical and research settings to document progression in HIV infection. We examined, therefore, whether the performance of a simple statistical test would facilitate greater accuracy in the use of this marker. CD4+ cell count data were collected from a cohort of deceased (N = 60) and living HIV-positive gay men (N = 100). Pearson's product moment correlation coefficients were calculated for each individual in order to examine the association between CD4+ counts and time since diagnosis. Correlations of 0.7 or greater were obtained in approximately 50 percent of cases in each cohort. For these individuals, CD4+ cell counts were deemed to be a reliable indicator of rate of progression. The results suggest that the proposed technique ensures greater precision in the use of CD4+ cell counts and that the technique cna be used in individuals with either complete (deceased patients) or partial (living patients) CD4+ data.","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"9 6 1","pages":"276-80"},"PeriodicalIF":0.0,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1995.9.276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60797950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hyperbaric oxygen therapy as adjunctive therapy for PCP.","authors":"J. Zebley, R. Altieri, M. Reillo, R. Geckler","doi":"10.1089/APC.1995.9.270","DOIUrl":"https://doi.org/10.1089/APC.1995.9.270","url":null,"abstract":"","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"9 6 1","pages":"270"},"PeriodicalIF":0.0,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1995.9.270","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60797780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical information about HIV/AIDS on the Internet.","authors":"Makulowich Js","doi":"10.1089/APC.1995.9.311","DOIUrl":"https://doi.org/10.1089/APC.1995.9.311","url":null,"abstract":"","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"9 1","pages":"311-312"},"PeriodicalIF":0.0,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1995.9.311","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60798216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Following the patient's wishes: living wills and powers of attorney.","authors":"C. Hacker, J. Watson, R. Grimes","doi":"10.1089/APC.1995.9.293","DOIUrl":"https://doi.org/10.1089/APC.1995.9.293","url":null,"abstract":"","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"53 1","pages":"293-6"},"PeriodicalIF":0.0,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1995.9.293","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60798468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Hogg, M. Schechter, A. Schilder, R. Le, S. Strathdee, I. Goldstone, M. O'Shaughnessy
OBJECTIVE To determine the patterns and determinants of mobility in persons with HIV infection or AIDS on a population basis. DESIGN Descriptive cross-sectional population health study. TARGET POPULATION 650 full members (i.e., HIV-positive) of the Vancouver Persons with AIDS Society who were residents of British Columbia and who allow the society to include unsolicited material with their monthly newsletter. MAIN OUTCOME MEASURES Migration history, access to HIV-related care at diagnosis, current and pre-HIV sociodemographic characteristics, and current health status. RESULTS Two hundred and fifty-two persons living with HIV/AIDS participated in the study. At the time of the survey, the majority of subjects were male (94 percent), aged between 30 and 54 years (87 percent), and able to carry out daily activities without assistance (84 percent). The median time since the known date of HIV infection was 6 years. Access to care at diagnosis was associated in this population with being diagnosed in the largest metropolitan area in the province (OR = 2.14; 95 percent CI: 1.18, 3.87), a pre-HIV income of $30,000 or more per annum (OR = 0.49; 95 percent CI: 0.27, 0.89), a known date of diagnosis prior to 1990 (78 percent versus 64 percent; p = 0.019), and living in the same residence from the date of known HIV diagnosis to the date of the survey (63 percent versus 51 percent; p = 0.024). CONCLUSION Although no definitive causal association can be provided by this cross-sectional analysis, our results clearly highlight several ways in which the need for treatment and care potentially affect where persons with HIV/AIDS choose to live.
{"title":"Access to health care and geographic mobility of HIV/AIDS patients.","authors":"R. Hogg, M. Schechter, A. Schilder, R. Le, S. Strathdee, I. Goldstone, M. O'Shaughnessy","doi":"10.1089/APC.1995.9.297","DOIUrl":"https://doi.org/10.1089/APC.1995.9.297","url":null,"abstract":"OBJECTIVE\u0000To determine the patterns and determinants of mobility in persons with HIV infection or AIDS on a population basis.\u0000\u0000\u0000DESIGN\u0000Descriptive cross-sectional population health study.\u0000\u0000\u0000TARGET POPULATION\u0000650 full members (i.e., HIV-positive) of the Vancouver Persons with AIDS Society who were residents of British Columbia and who allow the society to include unsolicited material with their monthly newsletter.\u0000\u0000\u0000MAIN OUTCOME MEASURES\u0000Migration history, access to HIV-related care at diagnosis, current and pre-HIV sociodemographic characteristics, and current health status.\u0000\u0000\u0000RESULTS\u0000Two hundred and fifty-two persons living with HIV/AIDS participated in the study. At the time of the survey, the majority of subjects were male (94 percent), aged between 30 and 54 years (87 percent), and able to carry out daily activities without assistance (84 percent). The median time since the known date of HIV infection was 6 years. Access to care at diagnosis was associated in this population with being diagnosed in the largest metropolitan area in the province (OR = 2.14; 95 percent CI: 1.18, 3.87), a pre-HIV income of $30,000 or more per annum (OR = 0.49; 95 percent CI: 0.27, 0.89), a known date of diagnosis prior to 1990 (78 percent versus 64 percent; p = 0.019), and living in the same residence from the date of known HIV diagnosis to the date of the survey (63 percent versus 51 percent; p = 0.024).\u0000\u0000\u0000CONCLUSION\u0000Although no definitive causal association can be provided by this cross-sectional analysis, our results clearly highlight several ways in which the need for treatment and care potentially affect where persons with HIV/AIDS choose to live.","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"9 6 1","pages":"297-302"},"PeriodicalIF":0.0,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1995.9.297","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60798199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Samuels, L. Shi, C. H. Stoskoph, D. Richter, S. L. Baker, F. Sy
Primary care physicians in South Carolina were asked about their knowledge, attitudes, beliefs, and services provided to HIV/AIDS patients. The study focused on conditions under which physicians would provide additional services in an effort to develop more effective state policies regarding HIV/AIDS. There was a 66 percent (597/900) response rate. This analysis focuses on a group of 338 physicians that identified themselves as rural (nonurban) physicians. Of the rural physicians responding, 42 percent had not treated a case of HIV/AIDS during the last year and 52 percent had seen only 1 to 9 patients. They identified lack of specialty back-up support, likelihood of losing patients, legal and ethical issues, and lack of community services as the primary barriers to service. Gaps in rural physician knowledge included when to refer HIV/AIDS cases to specialists and information on legal and ethical issues. They, like their urban colleagues, would provide additional services to HIV/AIDS patients with specialty back-up (57 percent), better community and social services support (54 percent), additional training (48 percent), and limited liability (47 percent). The authors conclude that policy changes addressing these areas in the broader contexts of rural health issues would expand access to care for persons with HIV infection in rural states.
{"title":"Rural physicians: a survey analysis of HIV/AIDS patient management.","authors":"M. Samuels, L. Shi, C. H. Stoskoph, D. Richter, S. L. Baker, F. Sy","doi":"10.1089/APC.1995.9.281","DOIUrl":"https://doi.org/10.1089/APC.1995.9.281","url":null,"abstract":"Primary care physicians in South Carolina were asked about their knowledge, attitudes, beliefs, and services provided to HIV/AIDS patients. The study focused on conditions under which physicians would provide additional services in an effort to develop more effective state policies regarding HIV/AIDS. There was a 66 percent (597/900) response rate. This analysis focuses on a group of 338 physicians that identified themselves as rural (nonurban) physicians. Of the rural physicians responding, 42 percent had not treated a case of HIV/AIDS during the last year and 52 percent had seen only 1 to 9 patients. They identified lack of specialty back-up support, likelihood of losing patients, legal and ethical issues, and lack of community services as the primary barriers to service. Gaps in rural physician knowledge included when to refer HIV/AIDS cases to specialists and information on legal and ethical issues. They, like their urban colleagues, would provide additional services to HIV/AIDS patients with specialty back-up (57 percent), better community and social services support (54 percent), additional training (48 percent), and limited liability (47 percent). The authors conclude that policy changes addressing these areas in the broader contexts of rural health issues would expand access to care for persons with HIV infection in rural states.","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"9 6 1","pages":"281-9"},"PeriodicalIF":0.0,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1995.9.281","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60797730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Beitler, R. V. Smith, C. Silver, R. Mitnick, I. Habib, J. Bello, L. Davis
{"title":"Cosmetic control of parotid gland hypertrophy using radiation therapy.","authors":"J. Beitler, R. V. Smith, C. Silver, R. Mitnick, I. Habib, J. Bello, L. Davis","doi":"10.1089/APC.1995.9.271","DOIUrl":"https://doi.org/10.1089/APC.1995.9.271","url":null,"abstract":"","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"9 6 1","pages":"271-5"},"PeriodicalIF":0.0,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1995.9.271","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60797891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dapsone/pyrimethamine versus aerosolized pentamidine as prophylaxis against PCP in HIV infection.","authors":"L. Dorrell, A. McCallum, Marcus H Snow, E. Ong","doi":"10.1089/APC.1995.9.224","DOIUrl":"https://doi.org/10.1089/APC.1995.9.224","url":null,"abstract":"","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"9 5 1","pages":"224-8"},"PeriodicalIF":0.0,"publicationDate":"1995-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1995.9.224","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60797233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The phenomena of self-initiated isolation and social withdrawal of people dying from AIDS is described and explained in the context of its irony and detriment to the patients' well being, minimizing access to social support resources. The psychological and the therapeutic relevance of social support during the critical transition phase is explored. Recommendations for curbing the phenomena of self-imposed social death in PWAs, as well as suggestions for future research on the value of psychosocial support to the PWA's well being during the transition phase, are also discussed.
{"title":"Elephant people: the phenomena of social withdrawal and self-imposed isolation of people dying with AIDS.","authors":"R. Barrett","doi":"10.1089/APC.1995.9.240","DOIUrl":"https://doi.org/10.1089/APC.1995.9.240","url":null,"abstract":"The phenomena of self-initiated isolation and social withdrawal of people dying from AIDS is described and explained in the context of its irony and detriment to the patients' well being, minimizing access to social support resources. The psychological and the therapeutic relevance of social support during the critical transition phase is explored. Recommendations for curbing the phenomena of self-imposed social death in PWAs, as well as suggestions for future research on the value of psychosocial support to the PWA's well being during the transition phase, are also discussed.","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"9 5 1","pages":"240-4"},"PeriodicalIF":0.0,"publicationDate":"1995-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1995.9.240","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60797862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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