ISSN:0361-1817    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

After eight decades of decline, cases of tuberculosis (TB) have Increased substantially since 1985. This increase is attributed largely to a reactivation of disease in persons who are coinfected with TB and human immunodeficiency virus (HIV). Multiple-drug resistant tuberculosis (MDR-TB) has a high mortality rate (70 to 90%), mostly occurring in individuals with HIV. Death often results within 4 to 16 weeks of diagnosis. The pathogenesis, screening, chemoprophylaxis, diagnosis, and treatment of persons coinfected TB and HIV is reviewed. Attention is given to infection control and occupational exposure. A chart of commonly prescribed antituberculosis medications Is listed, including recommended adult dosages, side effects, and drug interactions. Clinicians must incorporate meticulous TB screening and treatment for all patients coinfected with HIV and TB.

ISSN:0361-1817    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

The major objective of this study was to explore and examine common stressors and coping strategies of rural adolescents. Coping was defined as a cognitive and transactional process between a person and the person's environment. A survey of 222 normal adolescents attending a rural southwestern Pennsylvania high school reported experiencing stressful events related to school, family, friendship, health, and transportation. The coping strategy reported as being the most commonly used was optimistic. However, the coping strategy reported to be most effective in dealing with stressful events was supportant. The results of this study contribute to the limited information on adolescent coping in rural areas. This study should help health care providers further their understanding of this vulnerable population. Clinicians can enhance the effective coping and overall health of the rural adolescent by screening for and discussing coping strategies.

ISSN:0361-1817    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Within the past decade, anaphylaxis from latex products has been a recognized clinical crisis. Immediately after contact with latex, the patient can experience urticaria, nasorhinitis, conjunctivitis, asthma, hypotension, and shock. Health care workers, children with spina bifida, patients with a history of urogenital procedures, and employees of rubber manufacturing plants have the highest incidence. The most common denominators include frequent contact with latex and a history of allergies, although cases without these components have been reported. The increased incidence is linked to the increase of glove and condom use In preventing the spread of the HIV virus. Sensitization to the natural rubber protein is the allergen, although the specific protein has not been Isolated. A thorough medical and surgical history and a history of previous allergies and allergic events should be collected on all patients with complaints of any latex contact symptoms. Latex-sensitive patients should wear a Medic AlertTMbracelet and carry an epinephrine autoinjector kit. Health care providers must be alert for the possible occurrence of latex sensitivities in their patients.

ISSN:0361-1817    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1993

数据来源: OVID