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Query: UMLS:C0021051 (immunodeficiency)
71,517 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Over 50 years of risk-reduction efforts for sexually transmitted diseases (STD) exist as a foundation for Acquired Immunodeficiency Disease Syndrome (AIDS) prevention programs in the military, yet very few innovative prevention concepts have been generated. However, the military has used interactive media successfully in medical education to supplement instructional lessons, demonstrate surgical procedures, and train soldiers in mass casualty and combat trauma. The Department of Defense plans to use interactive media in the military's STD clinics for AIDS education. The media combines the visual flexibility of an interactive videodisc with the storage and retrieval capabilities of a computer to display text, graphics, photos, and full-motion media. Rather than a completely descriptive or didactic approach to STD and AIDS prevention activities, a novice user can see and interact with an immediate-motion video representation on the screen. This is important in modifying behavior patterns and demonstrating their relationship to the transmission of the AIDS virus. The development of an interactive videodisc on HIV prevention for use in the military's STD clinics will be discussed, as well as the expedience of their multifaceted use in delivering AIDS information.
Mil Med 1990 Jun
PMID:The use of interactive media for HIV/AIDS prevention in the military community. 170 Mar 38

Congestive cardiomyopathy has been described in 18% (25/141) of studied patients with acquired immunodeficiency syndrome (AIDS) or AIDS-related complex, and myocarditis has been suspected as the etiology in 70% (14/20) of patients studied. In previous reports the cardiomyopathy has either been asymptomatic or has been progressive and directly caused significant patient mortality and morbidity. We report a patient with human immunodeficiency virus (HIV)-related cardiomyopathy due to a presumed myocarditis which caused life-threatening congestive heart failure and ventricular fibrillation. This patient's course was unique in that she had clinical, echocardiographic, and electrocardiographic resolution of her cardiomyopathy. This report adds new knowledge to the etiology and prognosis of patients with HIV-related cardiomyopathy.
Mil Med 1991 May
PMID:Clinical, echocardiographic, and electrocardiographic resolution of HIV-related cardiomyopathy. 205 82

Ninety-five randomly selected human immunodeficiency virus (HIV)-seropositive Air Force personnel were psychiatrically examined during a routine medical evaluation. Of the 95, 95% did not have acquired immunodeficiency syndrome and were largely asymptomatic; 61.1% had clinical axis I diagnoses, which included simple phobia, adjustment disorders, hypoactive sexual desire disorder, alcohol use disorder, major depression, and organic mental disorders; 30.5% had personality disorders. Significantly higher frequencies (p less than 0.05) of simple phobia and hypoactive sexual desire disorder were noted with knowledge of HIV seropositivity. Disorders that occurred more commonly than in age-matched Epidemiologic Catchment Area (ECA) participants included: simple phobia, antisocial personality disorder, alcohol abuse, and organic mental disorders. The high prevalence of major psychiatric illness in this sample supports the notion that screening for psychiatric illness, and counseling where indicated, should be integral to HIV screening programs.
Mil Med 1990 Feb
PMID:Prevalence of psychiatric disorders in a mandatory screening program for infection with human immunodeficiency virus: a pilot study. 210 56

Following mandatory military-wide testing for the human immunodeficiency virus (HIV), Army medical facilities have gained extensive experience with HIV-positive persons who undergo special stresses as a result of their affiliation with the military. The consequences of evacuation to medical centers for evaluation of HIV status are presented and the impact of this process on the medical center staff are considered. This paper is a description of one system designed to evaluate, treat, and support HIV-positive soldiers and their families.
Mil Med 1990 Mar
PMID:Dealing with the stress of an HIV-positive diagnosis at an Army medical center. 210 73

During U.S. Marine Corps Reserve summer 2-week active duty for training periods, 6,482 people were tested for human immunodeficiency virus (HIV). Testing at an initial exercise, Solar Flare, trained a cadre of contact teams to, in turn, train other personnel in phlebotomy and the HIV protocol at three other exercises (141 Navy Reserve and Inspector-Instructor hospital corpsmen were trained). Corpsmen could be trained with an indoctrination of 120 minutes and a mean of 15 phlebotomies. After 50 phlebotomies, the administration, identification, and labeling process plus phlebotomy could be completed in 90 seconds. HIV testing during military exercises is both good for training and cost-effective.
Mil Med 1989 Dec
PMID:Benefits of HIV testing during military exercises. 251 26

This study addressed the experience of being told that one has become infected with the human immunodeficiency virus (HIV) while serving in the United States Navy. Responses to a questionnaire, administered to 150 HIV-positive service members, indicated that feelings of fear, shock, disbelief, and embarrassment were experienced by study participants upon learning of their HIV-positive status. The manner in which their HIV diagnosis was disclosed was generally viewed in favorable terms and more so in recent years relative to the earliest days of the Navy's HIV program. Having a medical officer as a disclosing official was associated with more negative experiences than was the case for other categories of disclosing officials. Lastly, post-disclosure events were often excessively stressful, and no improvement in this regard over 6 years of the Navy's HIV program was evident.
Mil Med 1995 Feb
PMID:On being informed you are HIV positive: experiences of Navy service members. 778 24

Seven cases of Pneumocystis carinii pneumonia with granulomatous reaction in patients infected with the human immunodeficiency virus are described. The patients were all adult men between the ages of 32 and 45 years, with different high-risk factors. Clinically, all the patients presented with a history of non-productive cough and shortness of breath. Two of the patients had a past history of pulmonary pneumocystosis. Radiologically, six patients had diffuse pulmonary infiltrates and one nodular pulmonary infiltrate. Transbronchial lung biopsies were obtained in four patients and open lung biopsies in three. All presented a predominant granulomatous reaction composed of epithelioid and multinucleated giant cells. Several other special stains to detect the presence of other microorganisms to account for the granulomatous reaction were negative.
Mil Med 1993 Sep
PMID:Granulomatous Pneumocystis carinii in AIDS patients. 823 7

We studied the epidemiology, morbidity, and etiology of dermatologic and non-human immunodeficiency virus venereologic disease (Derm/STD) aboard a deployed aircraft carrier to revise Derm/STD training objectives for shipboard primary care providers. Onboard supplies for treatment of Derm/STD were also evaluated. Over 3 months, 929 Derm/STD patients were treated for 1,320 diagnoses generating 2,011 visits. Derm/STD caused 22% of the total morbidity. Pyoderma alone accounted for nearly one-half of that morbidity and involved many work-center groups. Air wing, aircraft maintenance, and engineering work-center groups had lower burdens of pyoderma. Bacterial cultures were performed on 248 exudative dermatoses. Staphylococcus aureus was the dominant pathogen and was overwhelmingly sensitive in vitro to common, inexpensive antibiotics. Strategies to encourage prevention, earlier diagnosis, and rapid treatment of Derm/STD by deployed primary care providers are discussed.
Mil Med 1996 Jul
PMID:The epidemiology of dermatologic and venereologic disease in a deployed operational setting. 875 10

In response to the human immunodeficiency virus (HIV) epidemic, the U.S. military established comprehensive policies to protect individual and public health and to assure military readiness. Central to this effort was the creation of a total-force HIV screening program. As representative of these military programs, the U.S. Army's HIV testing program is described. The first decade of this program is assessed from financial, research, policy, and epidemic-control perspectives. We conclude that the government's investment has been a prudent one, leaving the U.S. military better positioned to counter the threats posed by the HIV pandemic.
Mil Med 1996 Feb
PMID:The U.S. Army HIV testing program: the first decade. 885 27

Sexually transmitted diseases (STDs) present a challenge for military medical personnel in their efforts to maintain a ready and healthy force. Many tactics have been used in military STD control programs. This paper is a review of the literature outlining some past strategies used in the United States military and how they have shaped current STD policy. These efforts have included financial and administrative penalties, stigmatization and shame, screening programs, and sharing of resources with other government agencies. Punishments and stigmatization have not proven to be useful strategies and have been eliminated from current policy. Cooperation with other government agencies and screening programs are examined as tactics that have been found useful and are part of the program used by the military today to control not only the traditional STDs, but also the more recently discovered human immunodeficiency virus.
Mil Med 1997 Feb
PMID:Sexually transmitted disease control in the armed forces, past and present. 903 24


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