It's not over till it's over.
نویسنده
چکیده
Case studies are presented of three HIV-infected patients, one heterosexual, one bisexual, and one homosexual, who continued to engage in unsafe sex. Western countries have seen an increase in unsafe sex practices since the early 1990s, raising the specter of a new wave of HIV infections. Increasing rates of sexually transmitted diseases are already being reported in case studies and by the Centers for Disease Control and Prevention (CDC). Many gay men appear to share the fatalistic viewpoint that it is better to become HIV-positive rather than live in fear of the virus. The availability of antiretroviral therapies that appear to be effective at controlling the disease's progression further encourages this behavior. Patient education is increasingly critical under these circumstances. Issues to be brought up during educational encounters are the probability of reinfection with more virulent strains of the disease and increased risk for exposure to aggressive opportunistic pathogens such as cytomegalovirus. Patients should be made aware that they may be infectious even if their viral load is below the level of detection. Also, they need to be reminded of their responsibility not to knowingly infect another person with HIV.
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Effective and efficient use of implantable defibrillators: sometimes it's over when it's over.
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ورودعنوان ژورنال:
- AIDS clinical care
دوره 10 3 شماره
صفحات -
تاریخ انتشار 1989