AIDS BOOK REVIEW JOURNAL No. 31

A I D S B O O K R E V I E W J O U R N A L

University of Illinois at Chicago

H. Robert Malinowsky

Editor

ISSN 1068-4174

Number 31-January, 1997


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NOTE: With the December holidays over, this journal will now be back on its regular publication schedule of an issue or more each month. Watch for an HBO movie called "Miss Evers' Boys," to air on February 22, 1997. For background on this movie consult the video, Susceptible to Kindness, that was reviewed October, 1995. Also, see James Jones' book Bad Blood!: The Tuskegee Syphilis Experiment.


613. HIV, AIDS, and the Law: A Guide to Our Rights and Challenges, by Mark S. Senak.
614. AIDS, Communication, and Empowerment: Gay Male Identity and the Politics of Public Health Messages, by Roger Myrick.
615. HIV/AIDS and HIV/AIDS-Related Terminology: A Means of Organizing the Body of Knowledge, by Jeffrey T. Huber, Mary L. Gillaspy.
616. HIV/AIDS Community Information Services: Experiences in Serving Both At-Risk and HIV-Infected Populations, by Jeffrey T. Huber.
617. Cellular Basis of Central Nervous System HIV-1 Infection and the AIDS Dementia Complex, edited by Richard W. Price, John J. Sidtis.
618. Last Night on Earth, by Bill T. Jones.
619. Why Him? Why Now?: A Mother, Her Son and AIDS, by Louise Walker.
620. Epidemic of Silence: The Facts About Women and AIDS, by Ben Sonder.
621. HIV, AIDS and Childbearing: Public Policy, Private Lives, edited by Ruth R. Faden, Nancy E. Kass.
622. Novel Chemotherapeutic Agents: Preactivation in the Treatment of Cancer and AIDS, by Kirpal S. Gulliya.
623. Living Our Dying: A Way to the Sacred in Everyday Life, by Joseph Sharp.
624. Secrets of Serotonin, by Carol Hart.
625. Outpatient Management of HIV Infection, 2nd edition by Joseph R. Masci.
626. AIDS Crossing Borders: The Spread of HIV Among Migrant Latinos, edited by Shiraz I. Mishra, Ross F. Conner, J. Raul Magana.

613.HIV, AIDS, and the Law: A Guide to Our Rights and Challenges, by Mark S. Senak. 1996. Insight Books/Plenum, 233 Spring St., New York, NY 10013-1578. 249p., bibliog., index. ISBN 0-306-45268-5, 0-306-45269-3pbk. $25.95, $15.95pbk. (Descriptors: Patients, Legal Status, Gay Men)

This book "is a self-help guide for those individuals and families affected by HIV who want to define the disease on their own terms. It has the legal terms and advice that will give practical guidance to people; it has the real life stories of people with HIV to give context, support, and hope that challenging this disease is a way of life and it is worth living every day to its fullest." The legal encounters of people with AIDS have become increasingly more complicated. There are laws that try to protect, but some of the laws have very fuzzy boundaries and loopholes that prevent HIV positive individuals and people with AIDS from enjoying day to day life in it fullest. Now, more than ever, there is hope for these individuals with all of the new drugs that are being developed, pushing AIDS more and more into the chronic illness category rather than the end of the line category. "AIDS does not make victims. People do. People do it to others, they do it to themselves." That means that the bottom line is that we are dealing with people who have made others victims and themselves victims.

This excellent book tries to emphasize that those who are infected are not victims, waiting for something dreadful to happen. Instead they are individuals who are struggling to live a dignified life. They are not victims. Senak has used actual happenings to illustrate how these individuals can fight for what is right. The first chapter covers wills--property, rights, writing, and powers of attorney. It is straight forward, providing good, sound recommendations. The second chapter covers child custody and the third chapter looks into "owing", a problem that is encountered by so many who are infected because they loose their jobs or are unable to work. Following this is a chapter on what is owed to you or entitlements. A key part is the discussion on applying for benefits with a summary of both federal and state programs. Since discrimination is high on the list of problems, it is discussed in chapter five.

Chapter six covers "The Most Precious Thing--Insurance." "The Story of Bob" is told in chapter seven. Medical help is never easy, especially if you are not in one of the large metropolitan areas where HIV positive individuals and people with AIDS are treated. The last two chapters provide some excellent information on testing and confidentiality and the ethical aspects of your physician. One needs to know what can happen and be prepared to challenge any wrong doings. "Law bestows no rights on you. Your rights belong to you inherently. Law merely issues you the tools with which to meet the challenges you encounter in society." This book gives you some insight into some of those tools. "The legal pitfalls for a person with AIDS or for an institution that encounters people with AIDS can, for the most part, be anticipated and avoided, given careful planning." This is definitely sound advice to be followed by everyone.

This is a very informative book that should be part of every persons personal library who is HIV positive or has AIDS. Attorneys should have the book as a handy reference and every library should have a copy. Highly recommended.

614.AIDS, Communication, and Empowerment: Gay Male Identity and the Politics of Public Health Messages, by Roger Myrick. 1996. Haworth Press, 10 Alice St., Binghamton, NY 13904-1580. 141p., bibliog., index. ISBN 1-5023-884-4. $19.95. (Descriptors: Social Aspects, AIDS in Mass Media, Gays, Health Promotion, Mass Media in Health Promotion, Public Opinion)

This book is about the institutional power that labels and fixes identity. Nothing is more true than AIDS and gays where, in the early years, AIDS was labelled as the gay disease. Unfortunately, it took several years to shake off that identity, resulting in very slow research and governmental intervention. It is always there, invisible, causing us to constantly bash our heads against brick walls when talking to those in power. Although the research for this book was done on white gay men, the results can be applied to any group, especially to African Americans and Hispanics. "This book examines the cultural construction of gay men in light of discourse used in messages about AIDS that are often represented as educative, scientific, and informational, but that are in fact politically charged." The result has been that we have done much targeted education, resulting in communicative strategies that at times work against the groups being addressed.

The five chapters cover: "The Construction of the Homosexual as Subject According to Michel Foucault," "Recent Histories of Sexuality and Their Relevance for Gay Identity," "Contemporary Cultural Analysis of Constructions of Gay Identity in Representations of AIDS," "The Cultural Construction of the General Public in a National Public Service Announcement Health Campaign," and "The Cultural Construction of Marginal Identity in Community-Based AIDS/HIV Education." In his conclusion, Myrick states "that the cultural analysis of communication about AIDS and gays is useful for understanding the political consequences of public health campaigns in the 1980s and 1990s." If we understand this, then we can take control of our own education about AIDS to make it more effective. Statistics are showing that young people of all colors are not practicing safe sex. Much of that can be attributed to the mainstream messages that still point the finger at gays, they deserve what they are getting, not realizing that the straight population is becoming more and more at risk to getting the HIV virus.

This is a well researched book, providing a different look at the problems that we are encountering today. Recommended for all academic libraries.

615.HIV/AIDS and HIV/AIDS-Related Terminology: A Means of Organizing the Body of Knowledge, by Jeffrey T. Huber, Mary L. Gillaspy. 1996. Haworth Press, 10 Alice St., Binghamton, NY 13904-1580. 107p., index. (Haworth Medical Information Sources) ISBN 1-56024-970-6. $24.95. (Descriptors: Terminology, HIV Infections, Subject Headings)

This book is intended to help those who are organizing the growing amount of literature that pertains to HIV and AIDS. There are broad subject classification systems such as those from the Library of Congress, National Library of Medicine, and Sears but they "do not adequately represent the complex, cross-disciplinary nature of the disease." AIDS/HIV literature is still growing at a phenomenal rate and includes everything from journals to books to pamphlets to posters to artifacts. There are many collections throughout the world, organized in some way but not always consistent and not easily understood across various collections in different places. Having a book such as this is an attempt to standardize how these collections are organized so that researchers can move from collection to collection with ease. "It has been alpha-tested in the Phil Johnson Library of the AIDS Resource Center in Dallas, Texas, and refined through an iterative process over time." It is intended for any person, group, organization, or library that has AIDS/HIV specific collections. "In short, this structured vocabulary is intended for use by individuals in any arena concerned with the creation, collection, organization, management, or dissemination of HIV/AIDS-related information and materials."

The work has three sections: Instructions for Use, Domains and Headings, and Alphabetical Index. The Domains and Headings section contains the needed information to easily organize the collection. There are ten broad subject areas: generalities; epidemiology and transmission; education and prevention; clinical manifestations of HIV: complications, malignancies, and infections associated with AIDS; treatments and therapies: medical management of HIV disease; psychosocial and religious issues, case management; legal, ethical, economic, political aspects; organizations, funding opportunities, and health policy; fine arts; and Belles Lettres and nonfiction. Within each of these broad subject headings are specific terms arranged hierarchically. For example, under education and prevention will be found specific categories of: prevention; outreach; continuing education; continuing education for professions other than medical; education during training; education for other adult groups; strategies, curricula, campaigns; safe, safer sex; safer injection drug use, other risk behaviors; and infection control. Also, included, are universal subdivisions that can be used to facilitate access to the information such as age ranges, sexual orientation, gender, stages of infection, ethnic groups, geographic names, at-risk populations, and religious faiths.

The detailed index provides a means of locating where a particular subject should be placed. However, the authors stress that terms should be added as required since new terminology is always being defined. An example of a new term would be protease inhibitors. This is an excellent book that will be very useful to many individuals. Any academic library with a special collection of AIDS/HIV information should consider using this guide to organize their collection. Highly recommended for all libraries.

616.HIV/AIDS Community Information Services: Experiences in Serving Both At-Risk and HIV-Infected Populations, by Jeffrey T. Huber. 1996. Haworth Press, 10 Alice St., Binghamton, NY 13904-1580. 144p., bibliog., index. (Haworth Medical Information Sources) ISBN: 1-56024-940-4. $22.95. (Descriptors: Information Services, Community Health Services)

"The purpose of this book is to facilitate the provision of information services--both educational and recreations--to individuals infected with the human immunodeficiency virus and to promote the dissemination of instructional materials to those individuals who are at risk for infection." It is not a comprehensive resource but, rather, an examination of the "theoretical approach to the nature of the information and the provision of services." Many examples are provided. Hopefully it will help in the "creation, accession, collection, organization, dissemination, and sharing of information concerning the HIV/AIDS epidemic." The five chapters cover "The Complex Nature of the Epidemic," "HIV/AIDS Information," "HIV/AIDS Information Resources and Services," "Information Networking and Partnerships," and "Looking Beyond Existing Resources and Services." Each of these chapters ends with a conclusion that sums up what was discussed followed by a detailed bibliography.

Of special use are the four appendices: "Case Definitions of AIDS," "AIDS Classification Systems," "Internet Resource Sites," and "Organization Information." These appendices provide some excellent reference materials for any reference desk. This is a recommended book for all types of libraries plus an extremely useful work for any organization that needs to organized its AIDS/HIV resources.

617.Cellular Basis of Central Nervous System HIV-1 Infection and the AIDS Dementia Complex, edited by Richard W. Price, John J. Sidtis. 1996. Haworth Medical Press/Haworth Press, 10 Alice St., Binghamton, NY 13904-1580. 200p., bibliog., index. (Journal of Neuro-AIDS, v.1, no.1, 1996) ISBN 1-56024-774-6. $39.95. (Descriptors: Central Nervous System, Infections, AIDS Dementia Complex, HIV Infections, Pathology, Cellular Pathology, Complications, Physiopathology) (Contributors: 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)

AIDS Dementia Complex (ADC) is "now also referred to as HIV-1-associated cognitive/motor complex and in its more severe form involving cognitive impairment as HIV-1-associated dementia." It was recognized early in the AIDS epidemic and there remains to be controversy in its nomenclature and formal diagnosis. It is, however, recognized as a common and clinically important complication of late HIV-1 infection. The seven papers that were presented at a symposia by the same name as the title of the book focus on one or more of the cell types that are either within or travel through the central nervous system. Each of these cells is very important when one studies ADC. The purpose of these papers is to provide a "cell-based" view which will influence future research into ADC.

The seven papers are: "Traffic of Lymphocytes into the CNS During Inflammation and HIV Infection," "Microglia in HIV-Related CNS Neuropathology: An Update," "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 highly technical papers by some leading researchers throughout the U.S., providing an insight into an aspect of AIDS research that is ongoing and very important. All medical libraries should have a copy of this book if they do not have a subscription to the Journal of Neuro-AIDS.

618.Last Night on Earth, by Bill T. Jones with Peggy Gillespie. 1995. Pantheon Books/Random House, 201 E. 50th St., New York, NY. 286p., illus. ISBN 0-679-43926-9. $30.00. (Descriptors: Choreographers, Biography, Dancers)

With the help of a free-lance journalist, Peggy Gillespie, Bill T. Jones takes us on a visual trip of his life as a choreographer with his beloved friend Arnie Zane. Bill and Arnie formed the Bill T. Jones/Arnie Zane Dance Company, touring the world as a duet dance team. Their choreographed productions were emotional and powerful. Arnie died in 1988, but Bill continued to dance even though he was HIV positive. Last Night on Earth is a "performance in text" that documents the creation of several of his pieces. It is a personal, historical document that tells his life as he lived and remembered it. "Jones illuminates the process through which his work has become a way of expressing profound emotion; of exploring ideas around memory, sexuality, race, and mortality; of imposing order and beauty on chaos and despair." His piece, Last Supper at Uncle Tom's Cabin/The Promised Land, is biographical and moving. It shows the power that Jones has in creating a performance that sticks in your mind by making you uneasy. He writes: "My history is a fragmented chronology that divides me from my past, from my mother's faith, from the hopeful naivete of the sixties counterculture. I decided that Last Supper at Uncle Tom's Cabin/The Promised Land would acknowledge this division and attempt to go past it. This work, with its fragmented black voice, would strive to speak to the broadest, most varied audience. It would speak about being human. About how we are the places we have been, the people we have slept with. How we are what we have lost and what we dream for."

This is a beautiful book by a young man who came from a share crop family and became one of the world's most acclaimed dancers. Jones has been the recipient of two New York Dance and Performance (Bessie ) Awards, a Dorothy B. Chandler Performing Arts Award, the Dance Magazine award, and, in 1994, a MacArthur Fellowship. He lives in a small town outside of New York City. A highly recommended book for all libraries, documenting the joys and sadness of someone who is so talented.

619.Why Him? Why Now?: A Mother, Her Son and AIDS, by Louise Walker. 1995. Rare Visions, 1142 Auahi St., Ste. 2825, Honolulu, HI 96814-4996. 129p., illus. ISBN 0-9646361-0-7. $15.00. (Descriptors: Reminiscences, Poems)

"This book is the spontaneous writings from a year-long journey accompanying an adult son through the final stages of AIDS. It is my hope that the spirit of love, the celebration of a Mother's soul connection to her child, and a sharing in the depth of grief that comes with death, can bring us together in this book." Wow! How this mother can write! Her writings are beautiful, providing inspiration to others who have lost loved ones to AIDS. Her love for her son was never ending even after he passed away. She begins with her learning that Ted has full-blown AIDS and ends with a writing , "Full Circle." These are powerful, spontaneous words. They will bring tears to your eyes. In one of her writings she writes what Ted has told her: "I don't think that most people have any idea how painful it is to be a gay man in 1993. Remember, Mom, my friends are dying. I'm dying, too." In another she tells of Ted's wants: "Today in clear language Ted told his Dad and me, "I want to die, I want this over."" Finally, only as a truly devoted mother can be to her son she puts into words "Reminiscing": "I came out in your midst, Had my first drink at your bar, Danced at your clubs, Bought leis at your stand. Wore a tux at your coronations, Bought tickets to your fund-raisers, Helped decorate your floats, and walked in your parades. I have loved at your hands and played in your baths. I have visited you in the hospitals, and cried at your funerals. AIDS will not make Gay go away. Keep loving and living, Celebrating who you are in Waikiki."

A highly recommended book for everyone to read and a book that should be in every library.

620.Epidemic of Silence: The Facts About Women and AIDS, by Ben Sonder. 1995. Franklin Watts, 95 Madison Ave., New York, NY 10016. 111p., bibliog., index. (Women Then--Women Now). ISBN 0-531-11243-8. $22.70. (Descriptors: Women, Diseases)

"This book is designed to educate you so that you can better understand the AIDS crisis. The stories it tells really turned out as they did, but that does not mean they will happen the same way to anyone whose story is similar." AIDS is a nondiscriminating epidemic that can afflict men, women, and children. There are few books that specifically speak about AIDS and women. Women are more susceptible to the virus than men and tend to contact the disease at an earlier age. The book discusses specific issues that arise from women's experiences with HIV. The seven chapters cover: "Portrait of an Activist," "Piecing Together the Puzzle of AIDS," "Women and AIDS: A Clearer Picture," "The Public Faces of Women and AIDS: Victims, Criminals, and Activists," "Women Who Get AIDS," "The Routes of Infection," and "The Search for Solutions." There are also four appendices that provide a chronology, safer sex guidelines for women, resources for women, and suggested readings and videos.

Although this is a small book, it contains some very good information and advice. It is intended for all levels of readers and is recommended for all libraries, especially school and public.

621. HIV, AIDS and Childbearing: Public Policy, Private Lives, edited by Ruth R. Faden, Nancy E. Kass. 1996. Oxford University Press, 198 Madison Ave., New York, NY 10016. 492p., bibliog., index. ISBN 0-19-509958-3. $39.95. (Descriptors: AIDS in Pregnancy, AIDS in Infants, HIV-Positive Women, Legal Status, Human Reproduction, Law and Legislation) (Contributors: Katherine L. Acuff, Anita Allen, Jean Anderson, Taunya Lovell Banks, M. Gregg Bloche, Richard Chaisson, Sylvia Cohn, Lois Eldred, Ruth Faden, Nancy Hutton, Nancy Kass, Patricia A. King, Marsha Lillie-Blanton, Mary E. McCaul, Deven C. McGraw, Madison Powers, Karen H. Rothenberg, Alfred Saah, Liza Solomon, Dace S. Svikis, Lawrence Wissow)

"This book addresses head-on the complex ethical, legal, social, medical, and public health issues raised by childbearing in the context of HIV infection." It is also a book that forms the framework for debating reproductive choice, a topic that has created terrorism at many of our abortion clinics in the U.S. "Reproductive choice is among the most elemental and most cherished components of our rights to autonomy and privacy. Any interference with reproductive choice, even directive counseling, requires justification. When only a small segment of society is singled out for such interference, the potential for moral wrong is great. In the context of HIV disease, the target group is disproportionately poor women of color; issues of sexism, racism, and even genocide must be squarely addressed." So, the stage is set for this very important book.

The best way to describe the mammoth amount of information that is put forth is to provide the chapter titles. Part 1: "Medical and Public Health Issues," has seven chapters: "The Epidemiology of HIV and AIDS in Women," "The Clinical Course of HIV Infection in Women," "Gynecological and Obstetrical Issues for HIV-Infected Women," "Health Prospects for Children Born to HIV-Infected Women," "Psychosocial Issues for Children Born to HIV-Infected Mothers," "Access to, and Utilization of, Health Services for HIV-Infected Women," and "Drug Use, HIV Status, and Reproduction." Part 2: "Legal Issues" covers: "Legal Challenges: State Intervention, Reproduction, and HIV-Infected Women," "Reproductive Choice and Reality: An Assessment of Tort Liability for Health-Care Providers and Women with HIV/AIDS," and "Perinatal Drug Use: State Interventions and the Implications for HIV-Infected Women." Part 3: "Ethical and Social Issues" is probably the most controversial subject: "Clinical Counseling and the Problem of Autonomy-Negating Influence," "The Moral Right to Have Children," "Reproductive Choices of Adolescent Females with HIV/AIDS," and "Moral Multiculturalism, Childbearing, and AIDS."

Part 4: "Voices from the Community," provides an understanding from those who are affected: "Practices and Opinions of Health-Care Providers Serving HIV-Infected Women" and "In Women's Words: The Values and Lived Experiences of HIV-Infected Women." The concluding chapter: "HIV Infection and Childbearing: A Proposal for Public Policy and Clinical Practice," gives recommendations on what the government should not do and what it should do. The recommendations further state that women and men should make "responsible decisions" and "empowering them to make choices that truly reflect their values and commitments but also in the desire to minimize the suffering that can result when actions such as having a child, particularly when one has a chronic and ultimately fatal illness, proceed without forethought."

This is an extremely important book that should be available in all public, academic, and medical libraries. It provides much for everyone to think about.

622.Novel Chemotherapeutic Agents: Preactivation in the Treatment of Cancer and AIDS, by Kirpal S. Gulliya. 1996. R.G. Landes Company/Chapman & Hall, 115 Fifth Ave., New York, NY 10003. 212p., illus., bibliog., index. (Medical Intelligence Unit). ISBN 0-412-11301-5. $79.95. (Descriptors: Cancer, Photochemotherapy, Neoplasms, Drug Therapy, Antineoplastic Agents, Antiviral Agents, Photosensitizing Agents, Pharmaceutical Chemistry)

"This book describes the discovery of a new technology termed preactivation. Preactivation is a process by which protoactive compounds are first exposed to light and thereby converted into new potential drugs that function independent of light." Gulliya is placing his career on the line by doing research in an area that has many professional risks. He provides his scientific findings about preactivation technology and the biological effects of novel compounds that are derived from the process. The five chapters cover: "Challenges and Opportunities in New Drug Development," "Preactivation-Discovery and Biological Effects of Novel Chemotherapeutic Agents," "Photochemistry and Photophysics of Merocyanine 540," "Prelinical Studies of Preactivated Merocyanine 540 and Merodantoin," "The Role of Topoisomerases and Apoptosis in the Mechanism of Action of Preactivated Compounds," and "Modulation of Oncogenes with Preactivated Compounds."

This is a highly technical book recommended for all medical libraries.

623.Living Our Dying: A Way to the Sacred in Everyday Life, by Joseph Sharp. 1996. Hyperion, 114 Fifth Ave., New York, NY 10011. 234p., bibliog. ISBN 0-7868-6230-0. $19.95. (Descriptors: Terminally Ill, Spiritual Life, Religious Life, Death)

Death and dying are not topics that most people like to talk about. Death is so final but dying begins from the time we are born. This reviewer becomes irritated when someone says they are dying of AIDS. All of us are dying of something, if nothing more than old age. So, why are we so afraid to talk about death and dying. That is just what Joseph Sharp asks. He is a long-term survivor of AIDS living with his partner, Barry, in New Mexico. He has worked with many people who were terminally ill, teaching them how to live rather than giving up. The recent Cardinal Bernardin embraced death and taught the people of Chicago that you can face dying and still live a full life. Sharp strongly believes "that repressing thoughts of death makes living less vital and that coming to terms with our dying enables us to live more fully and exuberantly." This book is Sharp's views on how to live our dying. "Dying is inseparable from living" and as a result we should be just as aware of dying as we are living.

Through the use of poems, prayers, moving quotations, and personal experiences, this book is intended to help individuals live a fuller life. It is an inspiring book for anyone who is able to look death straight in the eye and continue to live a good life. This is not a book for just those who may have a terminal illness, it is, also, a book for anyone who wants to wake up and live. Recommended for all public libraries and especially for home use.

624.Secrets of Serotonin, by Carol Hart. 1996. St. Martin's Press, 175 Fifth Ave., New York, NY 10010. 290p., bibliog. ISBN 0-312-96087-5. $5.99. (Descriptors: Serotonin, Stress, Depression, Nutrition)

Serotonin is a natural hormone manufactured by your own body. It affects the brain causing mood changes and appetite changes. A note of caution: "Research about serotonin is ongoing and subject to conflicting interpretations." Consult a physician regarding treatment of all health problems. Since people with AIDS face mood changes, impulses, appetite problems, aches, depression, and other out-of-control conditions, this book may be a good supplement to what physicians prescribe, helping one to produce and store more serotonin that helps treat the aforementioned conditions. The book is for the layperson, it is not a medical text. It is intended to inform individuals of what serotonin can and cannot do. Part three gives information on how to boost serotonin naturally with the right foods and exercise. It is stressed that one has to maintain a food-mood-activity journal and to set goals of which a primary goal should be to change unhealthy habits.

This is an interesting pocketbook that will help some people and do nothing for others. Again, it is not to replace the physician. Recommended for public and home libraries.

625.Outpatient Management of HIV Infection, 2nd edition by Joseph R. Masci. 1996. Mosby-Year Book, 11830 Westline Industrial Drive, St. Louis, MO 63146. 436p., spiral bound, bibliog., index. ISBN 0-8151-6144-1. $39.95. (Descriptors: HIV Infections, Treatment, Ambulatory Medical Care, Therapy)

"This book is offered as an aid in caring for persons with HIV infection at all stages of disease. Its emphasis is on the care of adults, and the approaches recommended are based on systems of care available in the United States." It is a book for the caregiver, providing them the information to interpret symptoms, signs, and laboratory abnormalities so that the proper preventive therapy can be put into place. It is a handbook that is spiral bound and can easily fit into the pocket of a jacket or smock. Each chapter ends with extensive bibliographies so that further information can be consulted. The text is brief but very complete, providing all of the information that any caregiver would need. There are numerous charts and boxed highlights. In many of the chapters there are sections labeled "Educating the Patient."

The 15 chapters cover: "Overview of the HIV/AIDS Epidemic," "Natural History of HIV, Type 1, Infection," "Extent of the HIV Epidemic: HIV Seroprevalence," "Testing for HIV Infection," "Overview of HIV-Related Disorders," "Medical Evaluation and Management of the Asymptomatic HIV-Infected Patient," "Symptom-Oriented Evaluation and Management of the HIV-Infected Patient," "Diagnosis and Management of Minor Medical Problems," "Therapy of Serious HIV-Related Infections," "Therapy for HIV-Related Malignancies," "Antiretroviral Therapy," "HIV Infection in Women," "HIV Infection in Pregnancy," "Issues in the Care of the Terminal AIDS Patient," and "Case Studies."

This is one of the better concise guides on the management of HIV infection. It includes much of the latest therapies, including those using protease inhibitors. A highly recommended book for all health care providers and a must for any medical library. Public libraries would find this to be a useful reference book.

626.AIDS Crossing Borders: The Spread of HIV Among Migrant Latinos, edited by Shiraz I. Mishra, Ross F. Conner, J. Raul Magana. 1996. Westview Press, 5500 Central Ave., Boulder, CO 80301-2877. 214p., illus., bibliog. ISBN 0-8133-8988-7. $49.00. (Descriptors: Latinos, Migrant Workers, Mexico) (Contributors: Jaime L. Amsel, Armida Ayala, Sandra Benavides-Vaello, Mario Bronfman, Joseph Carrier, Ross F. Conner, Olivia de la Rocha, Katherine Fennelly, Joao B. Ferreira-Pinto, J. Raul Magana, Shiraz I. Mishra, Sergio Lopez Moreno, Miguel A. Perez, Rebeca L. Ramos, Michele Shedlin, Kristi Skjerdal)

The primary impetus for producing this book was to provide some insight on the impact of HIV/AIDS in the Latino farmworker communities. Little research has been conducted in this area, yet it is known that HIV/AIDS is present in these communities. Seven research studies are brought together that "examine issues such as the HIV prevention needs of Latino farmworking women and their children, the sexual beliefs and behaviors of Latino migrant workers, the effects of migration on changes in sexuality and sexual practices, the risk for HIV through use of sex workers, knowledge about the HIV/AIDS epidemic, the effectiveness of prevention programs, and policies and programs that may stem the spread of HIV among this population." This is the first book to present such information.

After an introductory chapter, "Migrant Workers in the United States: A Profile from the Fields," the 7 research reports are: "A Growing HIV/AIDS Crisis Among Migrant and Seasonal Farmworker Families," "Perspectives on HIV/AIDS Prevention Among Immigrants on the U.S.-Mexico Border," "Sexual History and Behavior of Mexican Migrant Workers in Orange County, California," "The Underground World of Latina Sex Workers in Cantinas," "Mexican Men, Female Sex Workers and HIV/AIDS at the U.S.-Mexico Border," "Risk Factors for HIV and AIDS Among Latino Farmworkers in Pennsylvania," and "Evaluation of an HIV Prevention Program Among Latino Farmworkers." A concluding chapter provides some solutions--"HIV Prevention Policies and Programs: Perspectives from Researchers, Migrant Workers and Policymakers."

A very interesting book delving into an untouched area until now. Unfortunately, Latino migrant workers are not the only groups that have been under-studied. It is sad to see that the more poor the group, the less likely the attention and care. A recommended book for all medical and academic libraries. Should, also, be in public libraries where there are large Latino communities.


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Last updated: 01/29/97
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