University of Illinois at Chicago

H. Robert Malinowsky


ISSN 1068-4174

Number 22 - December 1995

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Note: There was no issue for November, 1995.

Reviewed in this issue:

446. HIV Disease: Lesbians, Gays and the Social Services, edited by Gary A. Lloyd, Mary Ann Kuszelewicz.
447. Cellular Basis of Central Nervous System HIV-1 Infection and the AIDS Dementia Complex, edited by Richard W. Price, John J. Sidtis.
448. AIDS Weekly Plus. periodical.
449. Impact of AIDS in New York City's Gay Community, edited by Laura Dean.
450. InfoPack, v.4, no.2, Fall, 1995.
451. Medical Alert, v.3, no.4, Sept/Oct, 1995 and a special edition.
452. AIDS Education and Prevention: An Interdisciplinary Journal, v.7, no.5, Oct, 1995.
453. Double Legacy: Reflections on a Pair of Deaths, by Rachel Hadas.
454. Sometimes My Heart Goes Numb: Love and Caregiving in a Time of AIDS, by Charles Garfield.
455. Understanding AIDS: A Guide for Mental Health Professionals, by Seth C. Kalichman.
456. Strong Shadows: Scenes from an Inner City AIDS Clinic, by Abigail Zuger.
457. HIV and AIDS in the Public Schools: A Handbook, edited by A. Odasuo Alali.
458. Nutrition and HIV: A New Model for Treatment, by Mary Romeyn.
459. Mindblowing Sex in the Real World: Hot Tips for Doing It in the Age of Anxiety, by Sari Locker.
460. Legal and Ethical Aspects of HIV-Related Research, by Sana Loue.
461. Cell Activation and Apoptosis in HIV Infection: Implications for Pathogenesis and Therapy, edited by Jean-Marie Andrieu, Wei Lu.
462. Home Herbal: A Practical Family Guide to Making Herbal Remedies for Common Ailments, Penelope Ody.
463. T-Cells and Sympathy: Monologues in the Age of AIDS, by Michael Kearns.
464. HIV Drug Book, by Project Inforom.

446. HIV Disease: Lesbians, Gays and the Social Services, edited by Gary A. Lloyd, Mary Ann Kuszelewicz. 1995 Harrington Park Press/Haworth Press, 10 Alice St., Binghamton, NY 13904-1580. 194p., bibliog., index. (Journal of Gay & Lesbian Social Services, v.2, no.3/4, 1995) ISBN 1-56024-749-5. $12.95. (Descriptors: Social Work with Gays, Social Work with Lesbians, Medical Social Work, Gay Men, Lesbians, HIV Infections, Services for Patients, Afro-American Gays, Hispanic Americans) (Contributors to this volume: George A. Appleby, Ronald J. Mancoske, Taryn Lindhorst, Joan Dworkin, Dean Kaufer, Carol Glassman, Theresa L. Roberts, Julio Morales, Mary Ann Kuszelewicz, Gary A. Lloyd, Paul A. Wilson, Roger A. Roffman, Blair Beadnell, Rosemary Ryan, Lois Downey, Carole A. Campbell, Michael D. Peck)

"The challenges raised by HIV/AIDS have mobilized the gay and lesbian community in a unique way to become increasingly visible and politically active to counter the deleterious impact of homophobia on providing care for people affected by HIV disease." Gays and lesbians have worked hard to ward off the homophobia that has been associated with AIDS by providing care to those who are infected. This volume contains many articles that will provide the reader an understanding of how gays and lesbians have responded to this disastrous disease. It is unfortunate that we have to fight so hard to shove homophobia into the background in order to educate the public. It is also unfortunate that our elected officials sometimes ignore the demands and suggestions that gays and lesbians offer. It seems that in their minds, second class citizens deserve second class understanding. What really is at issue is the second class minds of the officials. This book should be required reading for those individuals.

The ten chapters cover "AIDS and Homophobia/Heterosexism," "The Ecological Context of HIV/AIDS Counseling: Issues for Lesbians and Gays and Their Significant Others," "Social Services and Bereavement in the Lesbian and Gay Community," "Lesbians and HIV Disease," "African American Gay Males with HIV/AIDS: Building upon Cultural Capacities to Survive," "Latinos and AIDS: A Framework for HIV/AIDS Prevention Curriculum," "Lesbians and Gays of Color and HIV/AIDS: A Literature Review 1988-1993," "AIDS Service Organizations: Current Issues and Future Challenges," "Telephone Group Counseling in Reducing AIDS Risk in Gay and Bisexual Males," and "Issues in HIV/AIDS Service Delivery to High Risk Youth." Throughout all of these chapters is very evident that homophobia and heterosexism still prevail and prevent us from doing the job that needs to be done. On the bright side, however, is the fact that gays and lesbians have been the leaders and have managed to take care of their own, regardless of what others may say. Although AIDS is affecting more people of color, drug injectors, women, and children than ever before, gay men continue to be the largest affected group. The editors ask: "Will gay men give time and energy to helping those other communities draw upon the gay experience with HIV? Will lesbians continue to work in coalition with gay men?" The answer to the first question is yes if we are accepted as equals with the straight world. The answer to the second is yes if we don't let our sex get in the way of working together.

Of particular note is service to gay and lesbian youths. Many of these are homeless because they have been forced from their home because of their sexuality. They embark upon a long and endless journey of drugs and prostitution. Since they are under-aged, many adult gays and lesbians are afraid to help because of the homophobic idea that we all prey upon youths in order to proliferate our community. These individuals are lost souls and at very high risk. The last chapter covers this issue and concludes that they will continue to be lost souls unless we adults do something and do it quickly. This is a highly recommended book for all public, medical, and academic libraries. It should be required reading for any elected official who has to vote on AIDS funding and it should be required reading for the clergy so that they understand just how difficult it is to be gay or lesbian and also be HIV positive.

447. Cellular Basis of Central Nervous System HIV-1 Infection and the AIDS Dementia Complex, edited by Richard W. Price, John J. Sidtis. 1995. Haworth Medical Press/ Haworth Press, 10 Alice St., Binghamton, NY 13904-1580. 173p., illus., bibliog. ( Journal of Neuro-AIDS, v.1, no.1, 1996) ISBN: 1-56024-774-6, 1-56023-080-0pbk. $39.95, $19.95pbk. Subscription to the Journal of Neuro-AIDS is $40.50individuals, $54.00institutions, $75.00libraries. (Descriptors: AIDS Dementia Complex, Lymphocytes) (Contributors to this volume: Richard W. Price, Kenneth C. Williams, William F. Hickey, Dennis W. Dickson, Sunhee C. Lee, Ashlee V. Moses, Stephan G. Stenglein, Jay A. Nelson, Carol K. Petito, Holly K. Patton, Etty N. Benveniste, Dale J. Benos, Margaret M. Esiri, Christine S. Morris, Eliezer Masliah, Nianfeng Ge, Cristian L. Achim, Richard DeTeresa, Clayton A. Wiley)

This is the first issue of a new journal that will include articles on the "practical clinical issues related to characterization, diagnosis and treatment of nervous system complications of HIV-1 infection" as well as "considerations of more basic issues related to the neurobiology, virology, immunology and pathogenesis of HIV-1 infection." This first issue contains 8 papers: "The Cellular Basis of Central Nervous System HIV-1 Infection and the AIDS Dementia Complex: Introduction," "Traffic of Lymphocytes into the CNS During Inflammation and HIV Infection," "Microglia in HIV-Related CNS Neuropathology," "HIV Infection of the Brain Microvasculature and Its Contribution to the AIDS Dementia Complex," "Ependyma and Choroid Plexus," "Astrocytes and the AIDS Dementia Complex," "Cellular Basis of HIV Infection of the CNS and the AIDS Dementia Complex: Oligodendrocyte," and "Patterns of Neurodegeneration in HIV Encephalitis."

These are well-researched papers dealing with AIDS dementia that should be of interest to anyone in the medical profession. The contributors have presented information that will be of great value to other researchers in the field. Until there is a cure for AIDS or a method of suppressing the HIV virus, we will be faced with a never ending list of diseases that are the direct result of being HIV positive. This publication is a welcome addition to the medical field covering a topic that is as frightening to read about as it is to research. Highly recommended for all clinicians and laboratory investigators as well for medical and academic libraries.

448. AIDS Weekly Plus. 1995. Charles Henderson, P.O. Box 830409, Birmingham, AL 35283-0409. Weekly. $1,595.00 per year. (Descriptors: Research, Conference Reports, Periodical Abstracts)

This weekly publication, an expansion of AIDS Weekly, is intended to be a comprehensive, reliable source of the latest information on AIDS research. The 48 to 52 pages per week offer the researcher the latest news on AIDS topics, coverage of international developments, updates on research presented at leading conferences, and journal abstracts from the world's medical, social and health periodicals. The October 2, 1995 issue provided 32 brief news reports from conference coverage to international reports to new therapies and vaccine research. The research report section contained 19 reports and the periodical report contained 12 reviews. Also included are announcements of upcoming national and international conferences. Although expensive, this periodical contains a wealth of very current information on such topics as global control, blood testing diagnosis, treatment, prevention, behavioral research, impact of HIV, vaccine development, new drugs, immunotherapies, law and ethics, occupational safety, hospital policies, and women, children and minorities. Recommended for medical and large academic libraries. The same publisher publishes the monthly updated AIDS Therapies which is a loose-leaf directory of standard and experimental treatments for AIDS, experimental HIV vaccines, and a guide to AIDS-related opportunistic infections.

449. Impact of AIDS in New York City's Gay Community, edited by Laura Dean. 1995. Guilford Publications, 72 Spring St., New York, NY 10012. 100p., bibliog. (AIDS Education and Prevention, v.7, supplement, 1995) ISSN 0899-9546. part of the subscription to the journal--AIDS Education and Prevention, $37.50individuals, $115.00institutions. (Descriptors: Social Aspects, Gay Men, New York City) (Contributors to this volume: E. James Fordyce, Rosalyn D. Williams, Ilona W. Surick, Roy T. Shum, Renee A. Quintyne, Pauline A. Thomas, Ilan H. Meyer, Laura Dean, Martina Morris, Jane Zavisca, Margaret E. Kemeny, Robin Lin Miller, Suzanne C. Ouellette, J. Brian Cassel, Halena Maslanka, L.M. Wong, John-Manuel Andriote, Michael T. Isbell)

New York City has been studying AIDS in the gay community for quite sometime and has discovered that "community-based advocates in New York City have less relevant information on which to base their prevention strategies than do San Franciscans." The papers in this special issue provide some insight to New York City's programs on HIV primary prevention as well as articles on AIDS-epidemiology, AIDS-bereavement and AIDS-volunteers. The 9 articles are: "Trends in the AIDS Epidemic Among Men Who Reported Sex with Men in New York City: 1981-1993," "Patterns of Sexual Behavior and Risk Taking Among Young New York City Gay Men," "Social and Sexual Networks: Their Role in the Spread of HIV/AIDS Among Young Gay Men," "Effects of AIDS-Related Bereavement on HIV Progression Among New York City Gay Men," "Assisting Gay Men to Maintain Safer Sex," "GMHC Volunteers and the Challenges and Hopes for the Second Decade of AIDS," "A Typology of AIDS Volunteers," "AIDS Service Organizations and the Gay Community," and "HIV Prevention Efforts Impaired in New York City."

These are thought provoking articles and present a challenge to New York City to increase the literature on the impact of AIDS in New York's gay community. Everything possible needs to be done in order to properly educate the gay communities everywhere since there is a tendency to "forget safe sex" and live as if it were the seventies. More effort needs to be directed at the minorities where there is an ever increasing incidence of individuals who are HIV positive. This is an excellent special issue to a very informative journal and is recommended for all public, medical, and academic libraries.

450. Community Prescription Service InfoPack, v. 1, no.2, fall, 1995. Community Prescription Service, 349 W. 12th St., New York, NY 10014. 20p. a free newsletter. (Descriptors: Research, Therapies) (Contributors to this issue: Timothy Healea, Rick Loftus, Tim Horn, Stephen Gendin, Annette Henry)

This issue of a highly recommended newsletter contains 5 major articles: "The Mixed Bay of Interleukin-2 Research," "Fatigue and AIDS," "Oral Manifestations of HIV Infections," "Evaluating Weight Gain Powders, Foods, and Bars," and "User's Guide for Nutritional Supplements." These are well-written articles for the layperson. Especially good is the article on fatigue, an exasperating experience for anyone who is on maintenance drugs. The article talks frankly and provides insight on other causes of fatigue that may be amplifying those that are caused by drugs. There is good information here and excellent advice. Also in this issue, as is in all issues, are two directories: "State AIDS Drug Assistance Programs" providing telephone numbers for each state and "Payment Assistance" that lists drugs that can be supplied to people who don't have insurance and can't qualify for other programs. A highly recommended newsletter for any HIV positive individual and for all libraries.

451. Medical Alert, v.3, no.4, Sept/Oct, 1995 and special edition. National Association of People With AIDS (NAPWA), 1413 K St. NW, Washington, DC 20005. a free newsletter. (Descriptors: Social Aspects, Research, Therapies)

Issue no. 4 of volume 5 contains a major article on "Herbal Extract Studied" where preliminary data suggests that it increases CD4+ counts, reduced fatigue, and improved the sense of well-being. This article is also in Spanish. Other articles are: "Thalidomide and AIDS-Related Weight Loss," "ClMV Retinitis Implant," "Hyperthermia Tested," and "Hypogonadism and HIV Disease. The special edition issue contains one article in both English and Spanish: "HERVS, HIV and AIDS." HERVS is human endogenous retroviruses, an overlooked factor in AIDS treatment. This is an excellent newsletter that is for the layperson. Highly recommended for all individuals and all libraries.

452. AIDS Education and Prevention: An Interdisciplinary Journal, v.7, no.5, Oct, 1995. Guilford Publications, 72 Spring St., New York, NY 10012. pp.379-467. ISSN 0899-9546. $37.50individuals, $115.00institutions. (Descriptors: Education, Prevention)

This excellent journal has been previously reviewed and is highly recommended for all medical and academic libraries. It is listed here to provide the table of contents for those who may not have direct access to the publication: "Outcomes of a Risk-Reduction Intervention with High-Risk Populations: The Harlem AIDS Project," by Sherry Deren, W. Rees Davis, Mark Beardsley, Stephanie Tortu, Michael Clatts; "Quasi-Experimental Evaluation of Three AIDS Prevention Activities for Maintaining Knowledge, Improving Attitudes, and Changing Risk Behaviors of High School Seniors," by Mike U. Smith, Harold P. Katner; "Condom Awareness and Use in the Arusha and Kilimanjaro Regions, Tanzania: A Population-Based Study," by Kagoma S. Mnyika, Knut-Inge Klepp, Gunnar Kvale, Aksel Schreiner, Ahmed M. Seha; "Perception of AIDS Risk and High-Risk Behaviors in African-American Methadone-Dependent Women," by Ruth M. Harris, Kathryn Hopkins Kavanagh; "Stress, Coping, and Attitudes Toward HIV Treatment in Injecting Drug Users: A Qualitative Study," by Penelope Demas, Ellie E. Schoenbaum, Thomas A. Wills, Lynda S. Doll, Robert S. Klen; "The Nurses' Attitudes About AIDS Scale (NAAS): Development and Psychometric Analysis," by Deborah Bray Preston, Elaine Wilson Young, Patricia Barthalow Koch, Esther M. Forti; and "Pharmacists as HIV/AIDS Information Resources: Survey of Alabama Pharmacists, by Dianne Binkley, Lance Waller, Linda Potts, Janet Bronstein.

453. Double Legacy: Reflections on a Pair of Deaths, by Rachel Hadas. 1996. Faber and Faber, 50 Cross St., Winchester, MA 01890. 159p. 0-571-19878-3. $19.95. (Descriptors: Reminiscences, Death, Mourning)

Rachel Hadas is the author of ten books of poetry and prose, including Pass It On, Living in Time, and Unending Dialoge: Voices from an AIDS Poetry Workshop. This latest collection of essays was written after the deaths of her mother from cancer and a friend from AIDS. She remembers both individuals with emotions that depict the many sides of grief and death. She comes to grips with the emptiness that is the result of losing someone so dear. She writes about her friend: "Grief cannot be given away. Rightly, for who would want it? And wrongly, for it is everyone's portion: pain shared out as nourishment." She makes ample use of passages from such writers as Tennyson and Shakespeare to illustrate how she feels about life, death, and grief. A quote that she used from Tennyson sums it all up very well: "That loss is common would not make My own less bitter, rather more." This is a highly recommended book for all libraries. It will require reading and re-reading to fully understand the inner feelings of a person who can write so eloquently.

454. Sometimes My Heart Goes Numb: Love and Caregiving in a Time of AIDS, by Charles Garfield, Cindy Spring, Doris Ober. 1995. Jossey-Bass, 350 Sansome St., 5th Fl., San Francisco, CA 94104-1342. 316p., index. (Josey-Bass Health Series) ISBN 0-7879-0105-9. $22.00. (Descriptors: Shanti Project, Patient Care)

This excellent book provides intimate stories or portraits of 20 caregivers in the age of AIDS. "Some people are born to be caregivers. Some embrace caregiving to heal their own wounds. And some have caregiving thrust upon them by life circumstances." This book contains all of these situations and more. Most of the people that are described have been on the front lines of the AIDS pandemic for many years. They have experienced many losses, some they have known for a long time, others for a relatively short time. They are constantly at risk for "traumatic stress syndrome." Each chapter is about a different caregiver: Eric Shifler, Danny Castelow, Cecilia Worth, Micaela Salort, Larry Hjort, Wayne Corbitt, Mary Corwin, Lisa Capaldini, Eric Poche, Joellen Sheerin, Bharat Lindemood, Sister Jacinta, George Simmons, Tom Schiller, Gary Shepard, Richard Jackson, Penny Chernow, Carol Kleinmaier, Alex Martinez, and John McGrann.

These 20 individuals are representative of thousands of caregivers throughout the world who are working with AIDS patients. "To those of our readers who may be caring or anticipating caring for someone with AIDS, our message to you is that you are not alone." This excellent book will help you to "say the right thing", help set healthy limits, help understand gratitude, know how to give encouragement when someone is at death's door, and help identify your own needs. A highly recommended book for all caregivers and a book that should be in every library.

455. Understanding AIDS: A Guide for Mental Health Professionals, by Seth C. Kalichman. 1995. American Psychological Association, 750 First St. NE, Washington, DC 20002. 421p., bibliog., index. ISBN 1-55798-284-8. $40.00. (Descriptors: Psychological Aspects, Social Aspects, Counseling of Patients, Mental Health Personnel)

Care and commitment are the foundation of any disease. In the case of AIDS it is even more important since so many of those with AIDS are without family and friends. This book outlines many of the problems that are associated with AIDS and demonstrates what can be done. Above all, it "demonstrates that individuals with HIV and AIDS can be helped in very specific ways and that they can have good lives even in the presence of their disabilities." This is a comprehensive book that covers a wide range of topics from the biological to the psychological to the social. Part one: "Virology, Epidemiology, and Clinical Manifestations," begins with an introductory and historical chapter that describes "The HIV-AIDS Pandemic." The other two chapters in this first part are "Clinical Course and Manifestations" and "Illness-Related and Environmental Stressors." Part two: "Psychological, Neuropsychological, and Social Sequelae," contains three chapters: "Psychological Sequelae," "Neuropsychological Sequelae," and "Social Sequelae." Finally the last part: "Psychological and Social Adjustment," covers "Coping and Adjustment," "Social Adjustment and Social Support," and "Counseling and Psychotherapy."

These well-written chapters provide a broad overview that will be very useful for psychologists, psychiatrists, counselors, psychotherapists, social workers, and various other members of the health professions. The literature on AIDS and HIV is rapidly expanding. Each new book is a small window in the research that is being conducted. This book is based on the experiences of 63 men and women of diverse ethnic and HIV-risk backgrounds. Continued research using the experiences of other individuals will be necessary to fully understand what can be done and what changes need to be made in our current therapies. Committed and caring mental health professionals are essential in the fight to prevent the further spread of HIV. This book will certainly be an important book in providing these individuals information about AIDS and HIV. Highly recommended for all medical and academic libraries.

456. Strong Shadows: Scenes from an Inner City AIDS Clinic, by Abigail Zuger. 1995. W. H. Freeman, 41 Madison Ave., New York, NY 10010. 243p. ISBN 0-7167-2916-4. $22.95. (Descriptors: Case Studies, Poor, Medical Care, Inner Cities)

Zuger has work with the inner city poor most of his professional life. "AIDS is long out of the closet, with spokespersons and foundations, million-dollar budgets, a commission and a czar. AZT and vaccine trials are dinner-table conversation. Novels and movies, sitcoms and confessionals, have all presented to the American public one face of AIDS." This book provides a look at a face that is not as familiar, that of the poor and homeless in the inner city. The media reports about the crisis in the inner city but these are faceless reports. Zuger fills "in the faces" and gives "them mouths and lets them speak." The stories of a few of these individuals from the inner city are presented here so that the rest of us can understand the misery and chaos that surrounds these patients. They may be the fourth or tenth member of a circle of individuals who are infected; they juggle court dates and have parole violations; their children are fostered-out; and the medications that they are given are likely as not to be sold for more illicit drugs. These are heart-wrenching stories that make you angry at society for letting it happen. They are stories that everyone should read, especially those in the position to help. "The poor live and die, for the most part, in the shadows. This remarkable and memorable book brings them into the light." Recommended for all libraries.

457. HIV and AIDS in the Public Schools: A Handbook for Curriculum Development, Teacher Education, and the Placement of Affected Students; with a Directory of Resources, edited by A. Odasuo Alali. 1995. McFarland & Co., P.O. Box 611, Jefferson, NC 28640. 202p., bibliog., index. ISBN 0-7864-0135-4. $38.50. (Descriptors: Study and Teaching, Handbook, Health Education, Curricula, Patients, HIV-Positive Persons) (Contributors: A. Odasuo Alali, Danny J. Ballard, Benjamin W. Brucker, Gary Byrd, Fidelis Ejianreh, Larry D. Farrell, James T. Girvan, Wayne H. Hall, Doris Helge, Daryl L. Hitchcock, B.A. Jinadu, M. David Miller, National Coalition of Advocates for Students, Beth M. Rienzi, Gordon Thornton, Wemme E. Walls, Hannelore Wass, David M. White)

"This book is devoted to clarifying the educational issues that AIDS raises, and to presenting strategies to help fulfill the urgent need for effective AIDS education in the public schools." AIDS education in the public schools is a challenge. There are those who say it has no place in the schools based solely on the idea that this is a gay disease and therefore does not concern everyone else. There are those who feel that it can be part of sex education but you can't talk about condoms as a prevention! Those individuals need to pull their heads out of the sand, wake up, and see what is really happening to the youth in the world. Yes, abstinence can be emphasized, but condom use has to also be emphasized. Added to this, because of the ignorance or deaf ears of AIDS education, are the difficult rights of those students who are HIV positive or have AIDS. We all know of the angry parents who withdraw their children from school because they may have to sit next to someone who is infected. "Schools should understand that protecting students from the adverse effects of the AIDS epidemic requires a dual strategy of prevention: educating students about the disease; and providing access or support services to those infected with HIV."

The first part: "Understanding the Challenge," contains 8 chapters: "Introduction: AIDS, Public Policy, and the Education of Students," "AIDS Education in the U.S. Public Schools," "Confusion Regarding HIV/AIDS and Sexual Orientation," "HIV/AIDS Education at a Typical Urban High School," "HIV/AIDS Education in Rural Schools," "HIV/AIDS Curriculum Implementation in Rural Schools," "The Status of AIDS/HIV Education in the Professional Preparation of Preservice Elementary Teachers," and "AIDS in the Classroom." These are all provocative chapters, causing major discussions in some areas of the U.S. The second part: "Facing the Challenge," also, 8 chapters: "Placement of Students with HIV in Public Schools," "Guidelines for HIV and AIDS Student Support Services," "Integrating Community-Based Resources into AIDS Education Curricula," "Criteria for Evaluating AIDS Curriculum," "Selecting and Evaluating Audiovisuals for an AIDS/HIV Education," "Selected Audiovisuals for HIV/AIDS Education," "Resources Directory for HIV/AIDS Information, Education and Prevention," and "Suggestions for Further Reading."

This is a no-nonsense handbook that should be required reading for any school educator, board member, or elected official. Until we get education about HIV and AIDS firmly into the minds of everyone, but especially into the minds of our youth, we will continue to see a rise in the number of cases in this age group. A highly recommended handbook for all libraries.

458. Nutrition and HIV: A New Model for Treatment, by Mary Romeyn. 1995. Jossey-Bass, Inc., 350 Sansome St., San Francisco, CA 94104. 353p., bibliog., index. ISBN 0-7879-0107-5. $18.95. (Descriptors: Nutritional Aspects, Diet Therapy)

Wasting is one of the serious parts of AIDS. Little is known about this disease, but much is now being written to try and help those who are afflicted. Many individuals have taken it upon themselves to make sure that this does not happen to them. This book is for those who do not know what to do. "It offers a conceptual approach to understanding the nature and progression of HIV infection, particularly from the standpoint of nutrition." It also "offers some practical approaches to recognizing, diagnosing, treating, and prevention the causes of wasting in HIV and AIDS." The four parts cover: "Nutrition and HIV," "What You Can Do for Yourself," "What You Can Do with Your Doctor," and "Taking Charge: How to Direct Your Own Healing." AIDS can attack our intake, absorption, metabolic rate, and metabolism of nutrients, resulting in wasting.

In the chapter that discusses what you can do, various options are considered, including the use of vitamins, minerals and trace elements; other supplements; improving your appetite; improving your environment; and sex, drugs, and exercise. There is a great deal of technical as well as practical information in this handy book. It is highly recommended as a personal book for those who are HIV positive or have AIDS. Romeyn speaks frankly and up front about the diseases that are associated with AIDS, which may upset some readers but all in all the information is extremely useful. Any library will find this a welcome addition to their AIDS resources. Highly recommended.

459. Mindblowing Sex in the Real World: Hot Tips for Doing It in the Age of Anxiety, by Sari Locker. 1995. HarperCollins, 10 East 53rd St., New York, NY 10022. 258p., index. ISBN 0-06-095099-4. $10.00. (Descriptors: Safer Sex, Sex Instruction for Youth, Young Adult Sexual Behavior, Generation X)

"Today's society tries to ignore the fact that young adults deserve sexual pleasure, presenting us instead with a sexual paradox." There are many individuals who feel that the sexual urge in young people can be suppressed until they are "of age" or are married. They demand, sometimes, that schools not be so explicit in their sex education because it might promote promiscuous behavior. Parents are shocked when their child brings home a brochure that shows how to use a condom. They, also, say AIDS will never be problem with their children because AIDS is a gay disease. It seems that sex education should be done in a hushed environment and should not mention such things as condoms, foreplay, intercourse, anal sex, masturbation, or, heaven forbid, the term, blow job.

The title of this book will prevent it, unfortunately, from finding its way into our schools. One moralistic parent will read "Hot tips for doing it in the age of anxiety" and demand that the book be pulled and burned! This book is intended to provide information "that can help make sex blissful, comfortable, pleasurable, exciting--and completely mindblowing." This is a frank and up front book that discusses sex in terminology that young people can relate to, yet it does not encourage sex just for the sake of having sex. The chapter "Mindblowing Sex with Condoms?!?" is an excellent chapter about safer sex. It explains the HIV virus in simple, understandable language that any young person will read and appreciate. The simple statement, "When people are HIV positive, you cannot tell by looking at them," says a great deal. This is followed with amusing, yet very instructive sayings that every teenager can relate to: "Cover your tree or get HIV," "Don't be silly, protect your willy," "The right selection: protect your erection," "Don't be a fool; protect your jewel," "Cover your snake if you're on the make," "No cover wang, no get bang," "If you go into heat, package your meat," "If you're not going to sack it, go home and whack it," "If you're gona bean her, cover your weiner," "If you think she's spunky, cover your monkey," and "Love me, love my condom."

Loosen up, parents, buy this book for your teenager. It does not promote sex. It merely helps those who have the urge, and every teenager gets that urge, to practice sex safely and still receive enjoyment. The chapter on condoms would help educate more teenagers about AIDS than any other brochure that has been developed. Yes, abstinence is to be advocated, but we all know that many youths cannot resist experimenting. Let us help them learn the right way and not the wrong and sometimes deadly way. Highly recommended for all libraries, even though school libraries will object.

460. Legal and Ethical Aspects of HIV-Related Research, by Sana Loue. 1995. Plenum Press, 133 Spring St., New York, NY 10013. 218p., bibliog., index. ISBN 0-306-45055-0. $39.50. (Descriptors: Legal Aspects, Research, Clinical Trials, Confidentiality, Legislative Advocacy)

"This book represents an effort to advise HIV researchers and individuals interested in pursuing HIV research of the basic legal and ethical principles related to such research." It will be useful to attorneys who may be called upon to advise researchers and research institutions. It is hoped that it will help researchers more fully understand the ethical and legal concepts of their research, providing them the guidance on how to implement all the principles that may arise in a specific context. Part one: "Prestudy Planning," contains chapters on "The Evolution of Protections for Research Participants," "Governing Principles," "Clinical Trials," and "Recruitment." Special attention should be made of the chapter on clinical trials since this is where many ethical questions arise. Part two: "Issues Arising During the Study," covers "Confidentiality," "Potential Conflict," and "Scientific Misconduct." Misconduct is more and more a concern, so this chapter should be highlighted.

Part three: "Following the Study," covers "Participants and Records" and "Publication and the Dissemination of Research Results." Especially important here is the publication and dissemination where findings should be accurate and truthful so that misunderstandings do not arise. "Further, the communication of study results must be done in a socially responsible manner, to avoid as much as possible the stigmatization of groups or media misinterpretation of findings." The final part: "New Roles for the HIV Researcher," covers "An Overview of the Legal System," "The HIV Researcher as an Expert Witness," "The HIV Researcher and Legislative Advocacy," and "The HIV Researcher in the Regulatory Arena." Legislators should be very sensitive to ethical issues, but many times they ignore these issues altogether and go down a path of misrepresentation.

This is a very well organized book that should be in all libraries as well as in the private libraries of attorneys, researchers, and others who may become involved in ethical issues as they relate to AIDS and HIV.

461. Cell Activation and Apoptosis in HIV Infection: Implications for Pathogenesis and Therapy, edited by Jean-Marie Andrieu, Wei Lu. 1995. Plenum Press, 233 Spring St., New York, NY 10013. 245p., illus., bibliog., index. (Advances in Experimental Medicine and Biology, v. 374). ISBN 0-306-45063-1. $79.50. (Descriptors: HIV Infections, Pathophysiology, Apoptosis, Lymphocyte Transformation, Immunology, Therapy) (67 worldwide contributors to this volume)

This book represents the proceedings of the First International Symposium on Cellular Approaches to the Control of HIV Disease, held July 11-12, 1994, in Paris, France.

During the past decade, research in the control of HIV disease was concentrated on the search for anti-retroviral agents. This book show the need to continue this research as well as research on "basic and clinical aspects of T-cell activation/apoptosis in HIV infection and their implications for immunotherapy." The 21 highly technical papers report ongoing research in the area of cell activation and apoptosis. The chapters are arranged under 4 broad areas: "T-Cell/Macrophage Activation and HIV Infection," "Apoptosis and Viropathogenesis of HIV Disease," "Apoptosis and Immunopathogenesis of HIV Disease," and "Mediators of T-Cell Activation/Apoptosis and Therapeutic Applications." Some of the papers cover such topics as HIV-1 replication, autologous T-Cells, programmed death of T cells in the course of HIV infection, clonal expansion of T cells, AIDS as immune system activation, and prospective views of HIV pathology. This highly technical book is recommended for all medical libraries.

462. Home Herbal, by Penelope Ody. 1995. Dorling Kindersley, Inc., 95 Madison Ave., New York, NY 10016. 144p., illus., index. ISBN 1-56458-863-7. $19.95. (Descriptors: Herbs, Therapeutic Use of Herbs)

In this day of AIDS and HIV it is more important than ever to take charge of one's body and make sure that the body stays as healthy as possible. Eating right, rest, exercise, and peace of mind are all part of staying healthy. This book is intended to supplement all of this and provide some added remedies to many of the common every day ills. Many part of the world still depend heavily on herbs to help the body get rid of something or ward off a disease. Herbs are not a cure all and should not be taken in place of a doctor's prescribed medication, but herbal medicine can, also, help the body cure itself. No, it will not cure AIDS or prevent one from picking up the HIV virus. Herbs can, however, help the body stay healthy in other ways so that if a medication is prescribed, it may have a better chance of working. With AIDS, the minor ills can be major ills unless we make an effort to fight them from the beginning.

The first part of this interesting book discusses the various stages of life. This is followed with an A to Z dictionary of medicinal herbs. It is arranged by botanical name and contains 60 herbs used in remedies for various common ailments, describing their therapeutic properties and key uses. Some 30 pages are then devoted to growing herbs and making remedies; and, finally, the last part of the book contains remedies for common ailments including coughs and colds, digestive problems, headaches, male problems, female problems, and urinary tract problems. An interesting book that contains a lot of information about herbs and their use. Recommended for home libraries as well as public, medical, and academic libraries.

463. T-Cells & Sympathy: Monologues in the Age of AIDS, by Michael Kearns. 1995. Heinemann/Reed Elsevier, 361 Hanover St., Portsmouth, NH 03801-3912. 142p. ISBN 0-435-08676-6. $9.95. (Descriptors: Patients, Monologues)

Michael Kearns "is an openly gay, publicly HIV-positive actor/playwright who has artistically dealt with issues surrounding AIDS for more than a decade." This is a book of 34 theatrical "monologues that cross the lines of age, race, gender, class, and sexual preference." His monologues show that there is life beyond the disease that an individual may have. Kearn writes: "Breathing life into a disease which might kill me wasn't an option; my heart and soul and guts dictated I must. AIDS was the catalyst that led me to find my voice as an actor and a writer; the monologue became the vessel." Each of these monlogues provides the reader an opportunity of identification. There is Michael, a thirtysomething gay male; Big Red, a female black street hooker; Mary, a southern religious fanatic in her sixties; Paul, a hearing-impaired young man in his mid thirties; Cissy Stuff, an imprisoned African American transvestite; Robert Sr., a distinguished and handsome, still sexy at sixty something; and many others. This is a book to be picked up to be read and re-read. It "personalizes, and thus demystifies, HIV/AIDS." Highly recommended for all libraries.

464. HIV Drug Book: Project Inform's Comprehensive, Illustrated Guide to the Most-Used HIV/AIDS Treatments. The Only Reference Available that List and Describes All the Drugs Used by People with HIV, Their Effects and Interactions, by Project Inform, edited by Steven Petrow. 1995. Pocket Books/Siomon & Schuster, 1230 Ave. of the Americas, New York, NY 10020. 688p., illus., index. ISBN 0-671-53518-8. $16.00. (Descriptors: Drugs, Medications)

This highly recommended book should be in the hands of every person who has AIDS or is HIV positive as well as all professionals in the medical and social fields who work with these patients. It is one of the most comprehensive books available written for the layperson. Of extreme importance is its use by people living with HIV disease who "will find personal empowerment in this book by understanding--independently of their physician--the medications they are using."

For each drug that is listed, the following information is given: brand names, manufacturers, type of drug, use, general information, treatment, prevention, maintenance, cautions and warnings, side effects, pregnancy/breast-feeding information, use in children, use in the elderly, drug interactions, food interactions, and other drugs used for similar conditions. It not only includes AIDS/HIV drugs but all drugs that may be prescribed to AIDS/HIV patients, including antibiotics, anticancer, antidiarrheal, antifungal, antihistamines, antinausea, antivomiting, antiprotozoal, antiseizure, antiulcer, antiviral, antiwasting, corticosteroids, immune-based, neuropathy, pain, psychoactive, vaccines, and miscellaneous. In addition there is information about healthful eating, nutrient supplementation, alternative and holistic therapies, clinical trials, and hotline treatment information. There is no other similar book that has so much information about medications, written in straight forward language, understandable by everyone. Highly recommended for all libraries.

[ AIDS BOOK REVIEW JOURNAL | UIC University Library ]

Last updated:12/19/95