The differences in DSM-III-R psychiatric diagnoses between HIV-positive and HIV-negative patients were assessed. Subjects were patients admitted for psychiatric treatment to a metropolitan, state-supported facility. Experimental group subjects consisted of all adult patients identified as HIV-positive. Control group subjects were non-HIV-positive adult patients of the same gender and within 10 years in age of the experimental group subjects. Results suggest that HIV-positive subjects were significantly more likely to have received a personality disorder diagnosis and to have a history of intravenous psychoactive substance use. The likelihood of HIV-positive subjects to have a lower incidence of thought disorder diagnosis than non-HIV-positive subjects approached significance. No significant differences were obtained for diagnoses of psychoactive substance use disorders, psychoactive substance-induced organic mental disorders, mood disorders, or schizoaffective disorder. The diagnosis of a personality diso...
{"title":"HIV Status, Substance Dependency, and Psychiatric Diagnosis","authors":"Deane McGurk, T. W. Miller, Donald E Eggerth","doi":"10.1089/APC.1994.8.328","DOIUrl":"https://doi.org/10.1089/APC.1994.8.328","url":null,"abstract":"The differences in DSM-III-R psychiatric diagnoses between HIV-positive and HIV-negative patients were assessed. Subjects were patients admitted for psychiatric treatment to a metropolitan, state-supported facility. Experimental group subjects consisted of all adult patients identified as HIV-positive. Control group subjects were non-HIV-positive adult patients of the same gender and within 10 years in age of the experimental group subjects. Results suggest that HIV-positive subjects were significantly more likely to have received a personality disorder diagnosis and to have a history of intravenous psychoactive substance use. The likelihood of HIV-positive subjects to have a lower incidence of thought disorder diagnosis than non-HIV-positive subjects approached significance. No significant differences were obtained for diagnoses of psychoactive substance use disorders, psychoactive substance-induced organic mental disorders, mood disorders, or schizoaffective disorder. The diagnosis of a personality diso...","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"16 1","pages":"328-330"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1994.8.328","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60796115","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}
P. Gerst, F. Kashan, A. Mukherjee, P. Rosario, S. Palekar
{"title":"Small Cell Cancer of the Lung in an AIDS Patient","authors":"P. Gerst, F. Kashan, A. Mukherjee, P. Rosario, S. Palekar","doi":"10.1089/APC.1994.8.249","DOIUrl":"https://doi.org/10.1089/APC.1994.8.249","url":null,"abstract":"","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"15 1","pages":"249-250"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1994.8.249","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60794988","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}
D. Ascher, S. Blatt, C. Hendrix, C. Roberts, A. Fowler
The HIV p24 antigen has demonstrated predictive value for HIV disease progression independent of CD4 count. An acidification procedure has resulted in 40–70 percent p24 antigen positivity across HIV clinical stages, although the predictive value of post-acidification p24 antigen for disease progression has not been fully validated. We hypothesized that there would be significant differences in p24 antigen positivity between matched cohorts of rapid progressors (RP) and slow progressors (SP). Seven hundred sixteen people enrolled in the USAF HIV Natural History Study were stratified according to the slope of CD4 change over time. RP were defined as people in the fastest 15 percent of CD4 decline who also progressed at least 2 Walter Reed (WR) stages. SP were defined as people in the slowest 15 percent of CD4 decline who did not progress more than 1 WR stage. Twenty-five RP were matched to 25 SP based on initial CD4 count (median CD4 RP=750, SP=720), WR stage, age, and duration of follow-up (RP=1086 das, SP...
HIV p24抗原已被证明对HIV疾病进展具有独立于CD4计数的预测价值。尽管酸化后p24抗原对疾病进展的预测价值尚未得到充分验证，但酸化过程已导致40 - 70%的p24抗原在HIV临床阶段呈阳性。我们假设在匹配的快速进展者(RP)和慢进展者(SP)队列中p24抗原阳性存在显著差异。参加美国空军HIV自然历史研究的716人根据CD4随时间变化的斜率进行分层。RP被定义为CD4下降速度最快的15%的人，同时也进展了至少2个沃尔特·里德(WR)期。SP被定义为CD4下降最慢的15%，进展不超过1个WR期的人。根据初始CD4计数(中位CD4 RP=750, SP=720)、WR分期、年龄和随访时间(RP=1086 das, SP=720)， 25例RP与25例SP匹配。
{"title":"Validation of post-acidification p24 antigen as a prognostic marker for HIV disease progression","authors":"D. Ascher, S. Blatt, C. Hendrix, C. Roberts, A. Fowler","doi":"10.1089/APC.1994.8.251","DOIUrl":"https://doi.org/10.1089/APC.1994.8.251","url":null,"abstract":"The HIV p24 antigen has demonstrated predictive value for HIV disease progression independent of CD4 count. An acidification procedure has resulted in 40–70 percent p24 antigen positivity across HIV clinical stages, although the predictive value of post-acidification p24 antigen for disease progression has not been fully validated. We hypothesized that there would be significant differences in p24 antigen positivity between matched cohorts of rapid progressors (RP) and slow progressors (SP). Seven hundred sixteen people enrolled in the USAF HIV Natural History Study were stratified according to the slope of CD4 change over time. RP were defined as people in the fastest 15 percent of CD4 decline who also progressed at least 2 Walter Reed (WR) stages. SP were defined as people in the slowest 15 percent of CD4 decline who did not progress more than 1 WR stage. Twenty-five RP were matched to 25 SP based on initial CD4 count (median CD4 RP=750, SP=720), WR stage, age, and duration of follow-up (RP=1086 das, SP...","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"8 1","pages":"251-253"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1994.8.251","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60795067","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":"When Therapist and Client are HIV Positive","authors":"J. Neville, G. Greif","doi":"10.1089/APC.1994.8.260","DOIUrl":"https://doi.org/10.1089/APC.1994.8.260","url":null,"abstract":"","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"8 1","pages":"260-264"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1994.8.260","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60795152","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}
With the rapid growth of HIV infection among women, the issue of how medical problems influence psychological functioning in the female population has acquired new meaning and urgency for health care policy on patient care. To develop effective strategies to meet the mental health needs of infected women we need a better understanding of the pattern of association between HIV and psychological distress. The objective of this study is to test several hypotheses that predict depression and anxiety in 95 adult females with HIV. This analysis addresses the following question: Is the level of perceived coherence, i.e., the extent to which individuals derive meaning and purpose in their lives despite their stage of HIV illness and degree of symptomatology, related to the level of psychological functioning?
{"title":"HIV Illness and Mental Distress in Female Clients of AIDS Care and Referral Centers","authors":"J. Linn, M. Anema, J. Estrada, V. Cain, D. Usoh","doi":"10.1089/APC.1994.8.254","DOIUrl":"https://doi.org/10.1089/APC.1994.8.254","url":null,"abstract":"With the rapid growth of HIV infection among women, the issue of how medical problems influence psychological functioning in the female population has acquired new meaning and urgency for health care policy on patient care. To develop effective strategies to meet the mental health needs of infected women we need a better understanding of the pattern of association between HIV and psychological distress. The objective of this study is to test several hypotheses that predict depression and anxiety in 95 adult females with HIV. This analysis addresses the following question: Is the level of perceived coherence, i.e., the extent to which individuals derive meaning and purpose in their lives despite their stage of HIV illness and degree of symptomatology, related to the level of psychological functioning?","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"8 1","pages":"254-259"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1994.8.254","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60795133","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":"Quality of Life in PWAs","authors":"M. Rizzi, S. Marchesi, E. Morelli, M. Avogadri","doi":"10.1089/APC.1994.8.265","DOIUrl":"https://doi.org/10.1089/APC.1994.8.265","url":null,"abstract":"","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"8 1","pages":"265-268"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1994.8.265","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60795317","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":"Nutrition Knowledge of People with HIV Infection in Broward County","authors":"S. Meyer","doi":"10.1089/APC.1994.8.279","DOIUrl":"https://doi.org/10.1089/APC.1994.8.279","url":null,"abstract":"","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"8 1","pages":"279-281"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1994.8.279","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60795414","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 Lower Eastside Service Center, Inc. (LESC) HIV CTRPN/Primary Care Unit has been consistent in providing HIV education, with the view toward getting clients to take responsibility on negotiating and insisting upon safer sex practices. The following paper will outline issues pertaining to sex, sexuality, and safer sex practices. Focus will be on these issues in the context of the professional worker/client relationship. Additionally, this information can be applied by the worker in his/her nonwork life. LESC is one of the largest nonhospital substance abuse treatment centers in New York City. The agency's mission is to help individuals and families combat drug dependency and find a new beginning. LESC provides substance abuse treatment, mental health care, and social services for those whose lives have been disrupted by chemical dependency. LESC's CTRPN/Primary Care Unit provides confidential HIV counseling and testing, comprehensive medical care, and case management services.
下东区服务中心公司(LESC) HIV CTRPN/初级保健单位一直在提供HIV教育，目的是让客户承担起协商和坚持安全性行为的责任。下面的文章将概述与性、性行为和安全性行为有关的问题。重点将放在专业工作者/客户关系背景下的这些问题上。此外，这些信息可以被工人应用在他/她的非工作生活中。LESC是纽约市最大的非医院药物滥用治疗中心之一。该机构的使命是帮助个人和家庭对抗毒品依赖，并找到一个新的开始。LESC为那些生活因化学依赖而中断的人提供药物滥用治疗、精神保健和社会服务。LESC的CTRPN/初级保健单位提供保密的艾滋病毒咨询和检测，全面的医疗保健和病例管理服务。
{"title":"How to Discuss Sex with Clients","authors":"C. Dustow","doi":"10.1089/APC.1994.8.282","DOIUrl":"https://doi.org/10.1089/APC.1994.8.282","url":null,"abstract":"The Lower Eastside Service Center, Inc. (LESC) HIV CTRPN/Primary Care Unit has been consistent in providing HIV education, with the view toward getting clients to take responsibility on negotiating and insisting upon safer sex practices. The following paper will outline issues pertaining to sex, sexuality, and safer sex practices. Focus will be on these issues in the context of the professional worker/client relationship. Additionally, this information can be applied by the worker in his/her nonwork life. LESC is one of the largest nonhospital substance abuse treatment centers in New York City. The agency's mission is to help individuals and families combat drug dependency and find a new beginning. LESC provides substance abuse treatment, mental health care, and social services for those whose lives have been disrupted by chemical dependency. LESC's CTRPN/Primary Care Unit provides confidential HIV counseling and testing, comprehensive medical care, and case management services.","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"8 1","pages":"282-287"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1994.8.282","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60795669","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":"Family Caregivers for People with AIDS in Rural Communities","authors":"R. Alexander","doi":"10.1089/APC.1994.8.206","DOIUrl":"https://doi.org/10.1089/APC.1994.8.206","url":null,"abstract":"","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"8 1","pages":"206-211"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1994.8.206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60794872","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 Florida dental AIDS tragedy involving Dr. David J. Acer and at least six patients represents one of the greatest unsolved mysteries in the annals of medicine. This article compares the social and psychological profile of the dentist with those obtained by studying two groups of serial killers and a set of people who knowingly exposed others to HIV. With each comparison, a very close match was found providing evidence that the doctor-to-patient transmissions were most likely intended. A discussion of the correlates, predictors, and theoretical motives for the infections is provided.
佛罗里达牙科艾滋病的悲剧涉及到Dr. David J. Acer和至少六名患者，这是医学史上最大的未解之谜之一。这篇文章将牙医的社会和心理特征与研究两组连环杀手和一组故意让他人感染艾滋病毒的人所获得的结果进行了比较。通过每次比较，都发现了非常接近的匹配，这提供了证据，证明医生对患者的传播很可能是有意的。讨论了感染的相关因素、预测因素和理论动机。
{"title":"Correlates and Predictors of Sexual Homicide with HIV in the Florida Dental AIDS Tragedy","authors":"L. Horowitz","doi":"10.1089/APC.1994.8.220","DOIUrl":"https://doi.org/10.1089/APC.1994.8.220","url":null,"abstract":"The Florida dental AIDS tragedy involving Dr. David J. Acer and at least six patients represents one of the greatest unsolved mysteries in the annals of medicine. This article compares the social and psychological profile of the dentist with those obtained by studying two groups of serial killers and a set of people who knowingly exposed others to HIV. With each comparison, a very close match was found providing evidence that the doctor-to-patient transmissions were most likely intended. A discussion of the correlates, predictors, and theoretical motives for the infections is provided.","PeriodicalId":80390,"journal":{"name":"AIDS patient care","volume":"8 1","pages":"220-229"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/APC.1994.8.220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60794902","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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