Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0019693 (HIV)
 170,526 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Reiki is an Asian theory that assumes humans are energy, and that by manipulating this energy with the hands, healing can occur. The healing art of Reiki is presently practiced by 200,000 practitioners throughout the world. It is believed that this gentle form of healing, while not capable of harming anyone, can result in a detoxification of the body that may produce some mild discomfort, such as headache, fatigue, or even mild flu-like symptoms, for a short time after treatment. For some with HIV/AIDS, this can be especially disconcerting. Some Reiki practitioners charge $80 or more for treatment. This price is viewed as excessive, and those seeking treatment should select someone offering a sliding scale or a flat rate fee of no more than $40 per session.
 ...
PMID:Reiki as an alternative healing method. 1136 56

Major challenges related to counseling about sex within the HIV environment are highlighted, defining sources of discomfort and giving attention to special topics. For clients, discomfort can center around the fear of talking about sex, personal responsibility, making mistakes, or the feeling that elimination of sexual risk will mean the end of sexual pleasure. For counselors, discomfort can arise from concerns about the unknown, lack of experience, and lack of clarity. Discomfort in the client and/or the therapist can pose obstacles to productive therapy. Counselors can develop skills for counseling about sex, and must be able to speak explicitly and precisely about sex. They can follow the client's lead in defining the language of the session, and not assume that clients share their definitions of general terms. Finally, in any sexual counseling session, pleasure is as essential a topic as risk and safety.
 ...
PMID:Counseling about sex. 1136 82

An HIV-positive Pennsylvania inmate, [name removed], filed a lawsuit claiming that prison physicians were indifferent to his medical needs because they tried to wean him from addictive analgesics. [Name removed]'s suit alleged deliberate indifference to his pain. Prison physicians first prescribed Darvon, and then Percocet, a very powerful painkiller, to lessen [name removed]'s discomfort. However, a new medical director at the State Correction Institution at Mahanoy City determined that Percocet was not warranted, and initiated a gradual reduction in the dosage. [Name removed]'s lawsuit was dismissed by a Pennsylvania Federal judge.
 ...
PMID:Denial of specific medicine is not 'deliberate indifference'. 1136 68

The last stages of HIV infection are marked by increasing pain, gastrointestinal discomfort, and depression. These conditions should be treated aggressively with restorative and prophylactic therapies. Patients who are bedridden or are suffering from an inflammatory or infiltrative process may suffer from somatic or visceral pain, which can be treated with analgesics. Patients with chronic pain and a history of narcotic abuse are not likely to develop addictions to opiates, and narcotics can be prescribed. Meanwhile, neuropathic pain, characterized as burning and tingling, is treated with tricyclic antidepressants and antiepileptic drugs. Also, depression, which affects up to 30 percent of HIV-positive patients, should be treated with the selective serotonin reuptake inhibitors. As a patient approaches death, talking with the patient, providing physical contact, and encouraging spiritual reflection can be beneficial. Current hospice care for AIDS patients needs to be improved, and palliation of the HIV disease should be predicated on patient preference, ease of administration, and minimization of side effects.
 ...
PMID:Palliative care and HIV, part II: systemic manifestations and late-stage issues. 1136 57

The accommodations that employers should consider offering employees with HIV and AIDS are outlined. These include general accommodations such as wheelchair access, flexible schedules, and specific accommodations for weight loss, vision problems, fatigue, weakness, breathing difficulties, and concentration and memory problems. Employers should consider that every accommodation potentially sets a precedent and that accommodations should address the employee's disability rather than other people's discomfort. It is also noted that accommodations must be documented.
 ...
PMID:Accommodating workers with AIDS. 1136 66

Transsexuals with HIV disease are frequently restricted from gender reassignment surgery, as physicians worry that HIV disease will affect the post-surgical healing process. Many doctors hesitate to prescribe hormones to these patients without further research into the effects of the hormones on disease progression. The physical transition from one gender to another is also very costly, and may not be covered by insurance. Special considerations in treating these patients are described, including the crucial step for health care workers to move beyond their discomfort with gender ambiguity.
 ...
PMID:Counseling pre-operative transsexuals with HIV disease. 1136 20

Chris Camp, a 43-year-old who has been active in AIDS work since 1982, was diagnosed with HIV in 1986. He is a volunteer in the Multicenter AIDS Cohort Study (MACS), and is a training specialist in the area of HIV prevention for the State of Maryland Department of Health and Mental Hygiene. Camp's experiences in dealing with HIV are presented. He describes the difficulties of maintaining safe sexual practices, and has concerns about younger men who are often misinformed about HIV and HIV prevention. In addition, Camp discusses discomfort associated with drug side effects, as well as a general change in attitude towards people with HIV.
 ...
PMID:MACS volunteer describes life with HIV infection. 1136 29

It is a challenge for clinicians to appropriately diagnose neurological conditions associated with HIV and treat the pain effectively. Research estimates that 85 percent of AIDS patients are being undertreated for pain, according to World Health Organization guidelines. HIV affects the entire nervous system, and peripheral nerve disorders are a common complication that adversely affects quality of life. Peripheral neuropathy typically causes a great deal of discomfort, and progressively worsens until the pain is severe. Treatments for peripheral neuropathy include plasmapheresis, and immunosuppressive therapy. IVIg is an expensive and less widely available therapy for neuropathy. HIV patients respond well to the same treatments that work in other patients with these problems, and drug-related neuropathy is often easily resolved by changing medications. Several kinds of neuropathy associated with HIV and AIDS are described.
 ...
PMID:Neurological treatment of HIV patients can be tricky. 1136 89

A 44-year-old man presented with bilateral punctate corneal epitheliopathy complaining of worsening discomfort and photophobia over the previous several days. He was HIV positive, had a recent CD4 count of 4 x 10(6), and had started on highly active antiretroviral therapy (HAART) 14 days prior. Failure to respond to lubricant therapy with worsening of the epitheliopathy over the following week led to corneal biopsy and diagnosis of corneal microsporidiosis. Investigations revealed that he remained anergic and that his CD4 count had not changed. However, his viral load had decreased by at least 0.9 log10 units since HAART intiation. Therapy with albendazole led to complete resolution of his pre-existing symptoms of nasal congestion and epistaxis, as well as all recently occurring ocular signs and symptoms. It was concluded that the microsporidiosis was a pre-existing opportunistic infection, whose presence was unmasked by a form of immune restoration induced by HAART.
 ...
PMID:Microsporidial keratoconjunctivitis after HAART. 1172 Jan 61

A 46-year-old man with HIV infection and AIDS presented with a large perianal ulcerated vegetative lesion that developed over a 1-year period. He had a past history of recurrent genital herpes infection, treated successfully each time with acyclovir. The perianal lesion developed while he was taking prophylactic acyclovir. Clinically, there were features suspicious of a carcinoma and a biopsy was reported as showing dysplasia. Therefore, the lesion was resected in its entirety. Histologically, there were prominent pseudo-epitheliomatous hyperplasia and chronic ulceration associated with herpesvirus infection. There was no evidence of dysplasia or malignancy. It is important to be aware of chronic vegetant herpesvirus infection, as clinical appearances are unusual and some methods of identification, such as smears or biopsy, may not be sufficient for diagnosis. Viral culture or PCR may need to be performed for a definite diagnosis to alleviate prolonged discomfort and avoid unnecessary radical surgery.
 ...
PMID:Atypical presentation of herpes simplex (chronic hypertrophic herpes) in a patient with HIV infection. 1182 27


<< Previous 1 2 3 4 5 6 7 8 9 10 Next >>