11/28. imipenem resistance in a case of AIDS with relapsing pseudomonas meningitis.We describe an AIDS patient who had a recurrence of pseudomonas meningitis to illustrate three points. First, the use of sulfamethoxazole-trimethoprim in AIDS patients for prophylaxis of pneumocystis carinii pneumonia may cause the various body sites to be colonized with resistant species such as P aeruginosa. Second, pseudomonas meningitis can recur in a patient with AIDS after a month of appropriate therapy. Finally, imipenem is a poor choice for pseudomonas meningitis, even when alternative therapies appear much less attractive. High doses of imipenem should not be used for fear of seizures, and lower doses only produce resistant organisms in the CSF.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
12/28. Evaluation and treatment of mental disorders in patients with AIDS.Mental symptoms are common in patients with AIDS. Optimal management involves the identification and treatment of underlying mental disorders rather than symptomatic treatment alone. Organic mental disorders are very frequent in AIDS, particularly with seriously ill patients who are medical inpatients. There is a high priori probability that such common symptoms as agitation, irritability, and insomnia will be caused by an organic mental disorder. psychopharmacology in the patient with AIDS requires considerable caution. Lower doses and careful surveillance for subtle neuropsychiatric side effects are necessary. Routine medical contact with a compassionate physician may be of inestimable value to the patient in coping with the fear and dread that surround the illness.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
13/28. Prolonged fear of AIDS as an early symptom of schizophrenia.A modern complaint--fear of AIDS--is making its way into the world of psychopathology and is becoming a symptom of a wide range of psychiatric disorders, including severe ones. We present a case of a young man who developed a pathological bizarre preoccupation of having AIDS and underwent various unnecessary medical procedures, until finally he was diagnosed as suffering from a paranoid schizophrenic disorder. With the high media profile that AIDS has achieved in recent years, it is expected that AIDS has become the object of psychopathological processes. However, the length of time elapsed between the onset of symptoms and the appropriate psychiatric diagnosis, despite being examined by other medical professionals, is surprising. The discussion focuses on the diagnostic questions and on issues related to primary and secondary psychiatric prevention.- - - - - - - - - - ranking = 5keywords = fear (Clic here for more details about this article) |
14/28. Children with AIDS: issues and future directions.Throughout the history of nursing, the care of people with communicable disease has comprised a substantial part of nursing practice. With the advent of the acquired immunodeficiency syndrome (AIDS) epidemic in the early 1980s, nurses once again began caring for persons with infectious disease. Lack of knowledge about the disease process itself, as well as fear of exposure to the virus, continue to cause concern within the health care community. This article is intended to provide nurses with current information about AIDS in the pediatric population as well as its implications for nursing practice.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
15/28. Psychosocial issues of AIDS patients in hospice: case studies.Hospice programs which, through experience, have become aware of the psychosocial issues of patients with AIDS, need to share their observations. Patients react to the physical realities of the disease while experiencing the stigma and fear which society imposes on AIDS. Hospice support of parents of patients with AIDS focuses on issues of guilt and shame while encouraging validation of the lives of their children. Hospice workers find rewards include personal growth in self-awareness and perspective.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
16/28. AIDS as a current psychopathological theme. A report on five heterosexual patients.Five patients are described, whose common fear of contracting, or a belief of having contracted, AIDS is the presenting feature. There is a need for liaison with psychiatrists in the provision of counselling services for AIDS patients.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
17/28. acquired immunodeficiency syndrome and mycotic abdominal aortic aneurysms: a new challenge? Report of a case.The case of a 64-year-old white man with acquired immunodeficiency syndrome and ruptured abdominal aortic aneurysm infected with salmonella is presented. Five points related to this case are addressed. It is feared that the vascular surgeon may face patients with acquired immunodeficiency syndrome and abdominal aortic aneurysms infected with salmonella with increasing frequency in the future. This case raises medical, ethical, and moral questions.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
18/28. A diagnosis of AIDS: understanding the psychosocial impact.acquired immunodeficiency syndrome (AIDS) was discovered in 1981. It is now estimated that 1.5 million persons have become infected and that, by the year 1991, there will be 270,000 cases of the disease and 179,000 associated deaths. An extraordinary aspect of the AIDS epidemic is the high level of fear manifested by large numbers of people, in a manner disproportionate to the objective threat. AIDS has been referred to in the press as the greatest public health problem in America today. While dental journals are replete with studies enumerating the oral manifestations, and appropriate infection control guidelines, the psychosocial aspects of AIDS have generally been confined to media reports. Appropriate dental management of patients at high risk for the development of AIDS/aids-related complex requires a complete understanding of the psychosocial environment confronting these persons.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
19/28. Psychosocial occupational therapy intervention with AIDS patients.The role of psychosocial occupational therapy with AIDS patients is explored. The clinical picture is defined, information regarding the transmission, incidence, diagnosis, and treatment is presented, and the impact of the illness on the developmental life cycle is described. The occupational behavior framework is used to guide evaluation and intervention and case examples are provided. Finally, fears and issues affecting therapists working with these patients are explored.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
20/28. fear of AIDS: the impact of public anxiety in young people.Two young adolescents are reported in whom fears of contracting AIDS were a prominent part of their clinical presentation. Public anxiety, specific developmental vulnerability, and exposure to the media information campaign about hiv infection and AIDS are discussed as factors in the genesis and precipitation of emotional disorder in these youngsters.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
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