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Delayed Diagnosis of AIDS Dementia Complex 艾滋病痴呆复合体的延迟诊断
Pub Date : 1994-08-01 DOI: 10.1089/APC.1994.8.183
A. Katz
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引用次数: 0
Using Acupuncture and Herbs for the Treatment of HIV Infection 针灸和草药治疗HIV感染
Pub Date : 1994-08-01 DOI: 10.1089/APC.1994.8.194
H. Moffett, P. Sanders, T. Sinclair, K. Ergil
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引用次数: 9
Anal Neoplasia in Homosexual and Bisexual Men 同性恋和双性恋男性肛门肿瘤
Pub Date : 1994-08-01 DOI: 10.1089/APC.1994.8.185
S. Strigle
Anal neoplasia is a sexually transmitted disease seen with increasing frequency in anoreceptive homosexual and bisexual men. It bears a striking embryologic, histopathologic, and epidemiologic resemblance to another venereal pathology, cervical neoplasia in women. Although very similar, there is a significant difference between these two preventable processes. The incidence of cervical cancer has decreased, largely due to cancer screening programs; i.e., annual pelvic examination with Papanicolaou smear. To date, no ongoing screening program is in place for the early detection of anal neoplasia in this high-risk male population, accounting for the increasing incidence in anal carcinoma being seen. The following case report best illustrates how the lack of such a routine screening program can impact on a high-risk population; a population that is already besieged with the devastating effects of HIV infection. How such a screening program could be easily implemented is discussed.
肛门肿瘤是一种性传播疾病,在同性恋和双性恋男性中发病率越来越高。它具有惊人的胚胎学,组织病理学和流行病学相似的另一种性病病理,宫颈瘤在妇女。虽然非常相似,但这两个可预防的过程之间存在显著差异。宫颈癌的发病率已经下降,主要是由于癌症筛查项目;即每年进行盆腔检查和巴氏涂片检查。迄今为止,在这一高危男性人群中,没有持续的筛查计划来早期发现肛门肿瘤,这是肛门癌发病率不断上升的原因。以下病例报告最好地说明了缺乏这种常规筛查计划如何影响高风险人群;这个群体已经被艾滋病毒感染的破坏性影响所包围。讨论了这样一个筛选程序如何容易实施。
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引用次数: 1
AIDS and the Likelihood of Invasive Treatment 艾滋病和侵入性治疗的可能性
Pub Date : 1994-08-01 DOI: 10.1089/APC.1994.8.200
P. Rutsohn, N. Ibrahim
A number of studies have been conducted evaluating the attitudes of physicians and other health care providers toward treating PWAs or people who have tested positive for HIV (PHIVs). However, a majority of these studies have either concentrated on house staff physicians in regions which characteristically have a high-risk population base or have targeted primary care practitioners (family practice and internal medicine). This study focuses on exposure-prone physicians primarily engaged in invasive procedures (surgeons, OB/GYN, and emergency room physi cians) who practice within a "moderate-risk" population base (SMSA with a population of 475,000). Based on analysis of survey responses, the authors concluded that the majority of physicians engaged in exposure-prone invasive procedures are willing to treat PWA and PHIVs. Multiple discriminant analysis was utilized to determine if a relationship existed between a physician's willingness to perform elective surgery on a known AIDS patient and various demogra...
已经进行了一些研究,评估医生和其他保健提供者对治疗PWAs或艾滋病毒检测呈阳性的人的态度。然而,这些研究大多集中在具有高风险人口基础的地区的家庭医生或针对初级保健从业人员(家庭执业和内科)。本研究的重点是在“中等风险”人群(47.5万人口的SMSA)中从事侵入性手术的易暴露医生(外科医生、妇产科医生和急诊室医生)。根据对调查结果的分析,作者得出结论,大多数从事易暴露侵入性手术的医生愿意治疗PWA和phiv。采用多元判别分析来确定医生是否愿意对已知艾滋病患者进行选择性手术与各种人口统计数据之间存在关系。
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引用次数: 0
Hyperbaric oxygen therapy to relieve chronic fatigue associated with HIV/AIDS. 高压氧治疗缓解HIV/AIDS相关慢性疲劳。
Pub Date : 1994-06-01 DOI: 10.1089/APC.1994.8.106A
M. Reillo, R. Altieri, R. Neubauer
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引用次数: 2
A survey of gay and bisexual men age 50 and older. AIDS related knowledge, attitude, belief, and behavior. 一项针对50岁及以上的同性恋和双性恋男性的调查。与艾滋病有关的知识、态度、信念和行为。
Pub Date : 1994-06-01 DOI: 10.1089/APC.1994.8.114
L. Kooperman
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引用次数: 8
Psychosocial considerations of HIV infection in the older adult. 老年人艾滋病毒感染的社会心理因素。
Pub Date : 1994-06-01 DOI: 10.1089/APC.1994.8.127
Joni Lavick
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引用次数: 14
Providing long-term care for persons with AIDS. Results from a survey of nursing homes in the United States. 为艾滋病患者提供长期护理。这是一项针对美国养老院的调查结果。
Pub Date : 1994-06-01 DOI: 10.1089/APC.1994.8.130
D. Gentry, T. Fogarty, S. Lehrman
In this pilot study, a random sample of 50 nursing homes located in each of the five U.S. cities with the highest AIDS incidence were surveyed (total N = 250) to determine: (1) the frequency of admission inquiries by, and actual admissions of PWAs, (2) the frequency of adoption of formal AIDS admission policies, (3) the industry's concerns regarding provision of care in traditional nursing homes, and (4) the industry's preferred way of delivering long-term care (LTC) to PWAs. The majority of the facilities cited ability to meet special care needs, the costs of this care, and inadequate reimbursement as important admission policy issues. The majority indicated a preference for either special care units for AIDS or AIDS-specific skilled nursing facilities as the most appropriate setting for the provision of LTC to persons living with AIDS. While almost half (48.2 percent) of the facilities had been approached, at least informally, about admitting a PWA, only 15.4 percent of the nursing homes had admitted a resident with AIDS.
在这项试点研究中,随机抽取了美国艾滋病发病率最高的5个城市的50家养老院(总N = 250)进行调查,以确定:(1)pwa的入院查询频率和实际入院频率,(2)采用正式艾滋病入院政策的频率,(3)行业对传统养老院提供护理的关注,以及(4)行业向pwa提供长期护理(LTC)的首选方式。大多数机构将满足特殊护理需求的能力、护理费用和报销不足列为重要的入院政策问题。大多数人表示,对于向艾滋病患者提供长期护理服务来说,最合适的环境是艾滋病特别护理单位或艾滋病专门技术护理机构。虽然几乎有一半(48.2%)的养老院(至少是非正式的)接触过接收艾滋病患者,但只有15.4%的养老院接收了艾滋病患者。
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引用次数: 4
AIDS and long-term care. An examination of Florida's Medicaid incentive reimbursement program. 艾滋病和长期护理。对佛罗里达州医疗补助奖励报销计划的审查。
Pub Date : 1994-06-01 DOI: 10.1089/APC.1994.8.121
P. Cruise
People living with HIV/AIDS will have a greater need for long-term care options as the disease develops into a chronic, rather than an acute, condition. Nursing homes, a major component in the long-term care continuum, traditionally have been reluctant to admit PWAs, forcing some states to adopt incentive programs to encourage such admissions. The efficacy of such programs, however, has not been studied. This article will examine Florida's Medicaid AIDS nursing home admission incentive program, focusing on its effect on PWA admission rates in the state.
随着艾滋病毒/艾滋病发展成为慢性而非急性疾病,艾滋病毒/艾滋病感染者将更需要长期护理选择。养老院是长期护理的主要组成部分,传统上一直不愿意接纳pwa,迫使一些州采取激励计划来鼓励这类入院。然而,这些项目的效果尚未得到研究。本文将研究佛罗里达州的医疗补助艾滋病养老院入院激励计划,重点关注其对该州PWA入院率的影响。
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引用次数: 1
Advances in the diagnosis and treatment of Mycobacterium avium complex (MAC) disease. 鸟分枝杆菌复合体(MAC)病的诊断和治疗进展。
Pub Date : 1994-06-01 DOI: 10.1089/APC.1994.8.138
C. Benson
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引用次数: 0
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AIDS patient care
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