University of Illinois at Chicago

H. Robert Malinowsky


ISSN 1068-4174

Number 33-March, 1997

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Please note that there was no review published for number 638 of the previous issue of February, 1997.

643. Answering Your Questions About AIDS, by Seth C. Kalichman.
644. Bisexualities and AIDS: International Perspectives, edited by Peter Aggleton.
645. On the Margins: Men Who Have Sex with Men and HIV in the Developing World.
646. Treating the Changing Family: Handling Normative and Unusual Events, edited by Michele Harway.
647. Perfect Enemies: The Religious Right, the Gay Movement, and the Politics of the 1990s, by John Gallagher, Chris Bull.
648. Medical Management of HIV and AIDS, edited by Ann Millar.
649. POZ, February, 1997.
650. InfoPack, v.7, no.1, February, 1997.
651. Tangled Memories: The Vietnam War, the AIDS Epidemic, and the Politics of Remembering, by Marita Sturken.
652. When Men Meet: Homosexuality and Modernity, by Henning Bech, translated by Teresa Mesquit, Tim Davies.
653. Women's Experiences with HIV/AIDS: An International Perspective, edited by Lynellyn D. Long, E. Maxine Ankrah.
654. AIDS/HIV Reference Guide for Medical Professionals, 4th ed., edited by John L. Fahey, Diana Shin Flemmig.
655. GSH Phenomenon: Nature's Most Powerful Antioxidant and Healing Agent, by Alan H. Pressman, Sheila Buff.
656. AIDS Clinical Trials, edited by Dianne M. Finkelstein, David A. Schoenfeld.
657. Growin g Up Positive: Stories from a Generation of Young People Affected by AIDS, by Ian Lucas.
658. Mosby's Complete Drug Reference: Physicians GenRx, 7th ed. 1997.

643. Answering Your Questions About AIDS, by Seth C. Kalichman. 1996. American Psychological Association, 750 First St., NE, Washington, DC 20002. 273p., bibliog., index. ISBN 1-55798-339-9. $19.95. (Descriptors: Miscellanea, Questions and Answers)

"This book represents a sorting through of the questions people phoned into AIDS hotlines." It asks and answers questions at all levels with the approach "that there is no such thing as a question not worth asking." How much more educated this country would be if everyone took that approach and asked as many questions as they could without feeling ignorant or embarrassed. Unfortunately, society has forced us to not ask the questions, especially in schools where any education on AIDS is limited by what administrators feel is proper and will not upset parents. We are all inquisitive and we all deserve answers to questions that pertain to AIDS. This is a very tricky and deadly disease that deserves a great amount of respect. "Much of the mistaken information people have, comes in the form of half-truths taken to be the truth or taken from news reports of a single research finding." Even though this book makes an excellent attempt in answering a multitude of questions about AIDS, some of the information is changing, requiring the reader to look towards more recent publications or sending their questions to Seth C. Kalichman.

The questions are covered in 9 chapters: "HIV--The Virus that Causes AIDS," "HIV Infection and How It Causes AIDS," "Sex, Drugs, and AIDS," "People at Risk," "Can I Get AIDS From...?," "HIV Testing," "Caring for People with AIDS," "Ethics and the Law," and "Preventing AIDS." Each chapter contains questions that pertain to the topic of the chapter. The questions are brief and to the point with the answers being quite detailed in some instances. Examples of questions include: "Does HIVB always lead to AIDS?," "How much risk is there for someone who has more than one sex partner?," "Can HIV be transmitted through tears?," "Can HIV be spread by sharing cigarettes with a person who has AIDS?," "If a dog or cat bites someone with HIV, can the virus be passed on to another person?," "Whom does an HIV-positive person have to tell?," "How effective is the female condom?," and "Are one-night stands risky for straight people?"

There is a very selective glossary of terms, glossary of selected medications commonly used in HIV infection, a list of symptoms of sexually transmitted diseases, and a list of AIDS-defining opportunistic illnesses. A very well organized book with a great amount of information for anyone who wants to know more about AIDS. Highly recommended for all libraries, especially all school libraries where individuals can read questions that they may be afraid to ask.

644. Bisexualities and AIDS: International Perspectives, edited by Peter Aggleton. 1996. Taylor & Francis, 1900 Frost Road, Ste. 101, Bristol, PA 19007. 234p., bibliog., index. (Social Aspects of AIDS) ISBN 0-7484-0393-0, 0-7484-0394-9pbk. $75.00, $24.95pbk. (Descriptors: Bisexuality, Social Aspects, Great Britain, Canada, Australia, France, Mexico, Costa Rica, Dominican Republic, Peru, Brazil, India, China, Papua New Guinea, Philippines) (Contributors: Peter Aggleton, Dan Allman, Mary Boulton, Carols F. Caceres, June Crawford, E. Antonio de Moya, Ray Fitzpatrick, Rafael Garcia, Miguel Gonzales Block, Carol L. Jenkins, Shivananda Khan, Susan Kippax, Ana Luisa Liguori, Johnny Madrigal, Antoine Messiah, Ted Myers, Suiming Pan, Richard G. Parker, Garrett Prestage, Jacobo Schifter, Michael L. Tan)

Male bisexuality is a very complex phenomenon that occurs throughout the world, crossing all ethnic and cultural barriers. A great many men will admit that they have bisexual behavior but will not admit that they identify as bisexual. Men who exhibit bisexual behavior consider themselves as normal and rarely will they admit that they may be "partially homosexual." Very few male bisexual relationships are considered symmetrical. That is, they do not have an equal amount of sex with women and men. The fact is "Rather less is known, however, about variations in sexual identity and erotic desire that may accompany these behavioural patterns." This book studies all aspects of bisexuality, "seeking to identify the roots of male bisexuality in cultural and historical variables as diverse as economic need, the social segregation of women and men, religious edict and cultural expectations about masculinity and virility." So, why should we study bisexuality in men? There has always been the statement that bisexuals are the bridge between gay and straight in the passing of the HIV virus. To understand more fully how the male bisexual thinks and experiences his sexual urges will certainly help in educating a large number of people in the world.

Each of the 13 chapters covers a different country outside of the United States: "Bisexual Men in Britain," "Bisexuality and HIV/AIDS in Canada," "Not Gay, Not Bisexual, but Polymorphously Sexually Active: Male Bisexuality and AIDS in Australia," "Bisexuality and AIDS: Results from French Quantitative Studies," "Bisexuality and HIV/AIDS in Mexico," "Bisexual Communities and Cultures in Costa Rica," "AIDS and the Enigma of Bisexuality in the Dominican Republic," "Male Bisexuality in Peru and the Prevention of AIDS," "Bisexuality and HIV/AIDS in Brazil," "Under the Blanket: Bisexualities and AIDS in India," "Male Homosexual Behaviour and HIV-Related Risk in China," "The Homosexual Context of Heterosexual Practice in Papua New Guinea," and "Silahis: Looking for the Missing Filipino Bisexual Male."

This an extremely important book for anyone doing AIDS research. The number of individuals who do not admit to being bisexual is great, yet these individuals many times do not practice safer sex with either their male or female partner. This group of people needs to be targeted with education but we first have to understand all of the social, religious, and other aspects of being bisexual. Highly recommended book for all public, academic, and medical libraries.

645. On the Margins: Men Who Have Sex with Men and HIV in the Developing World, by Neil McKenna. 1996/1997. Panos Institute/Paul & Company, PO Box 442, Concord, MA 01742. 112p., bibliog. ISBN 1-870670-37-X. $19.95. (Descriptors: Social Aspects, Gay Men, Persecution, Epidemiology)

"This report has been financially supported by the Norwegian Red Cross with additional funding being provided by the Netherlands Interchurch Organization for Development Cooperation (ICCO). The Panos AIDS Programme is also supported by the Swedish International Deployment Authority, the Ministry of Foreign Affairs, Denmark and the Ford Foundation."

The taboos against gay sex throughout the world has made it extremely difficult to track AIDS outside some of the developed countries. In many parts of the world "Very few men who have sex with other men are likely to admit the fact, even in private, if such an admission leads to social ostracism and legal sanctions." Many of these men will deny the truth to themselves with the result that they do not recognize the risks of such sexual behavior which results in unsafe sex. The statement is always made that in undeveloped countries, AIDS is primarily a heterosexual problem, but is it? We have made great strides in educating gay men in the developed countries about safer sex but little is done to target the gay men in the underdeveloped countries because these men will stay as far in the closet as they can in order to not be recognized as gay. "The overall conclusion of the report is that much more research needs to be undertaken in this area and the range and number of AIDS prevention initiatives targeting men who have sex with men must be increased."

The 12 chapters cover: "Information," "The absence of research," "The extent of men who have sex with men," "The types of men who have sex with men," "Invisibility and visibility," "Stigma and persecution," "A question of epidemiology," "The risks of sex," "Prevention," "The funding gap," "A problem of community," and "The way forward." Each of these chapters is brief but full of documentation and facts. For those of us in the United States it is difficult to understand how invisible gay sex is in other parts of the world. As a result, it is even more difficult to find these individuals in order to educate them about safer sex and AIDS. The overriding policy seems to be the same as we have adopted for the military in the U.S.--"Don't ask, don't tell." In many of these underdeveloped countries, one can be arrested if you become too inquisitive about the sexual activities of your patients. One of the most disturbing facts that the Panos Institute has shown is that many African countries have the belief that HIV transmission is only between male and female and that male sex, that is anal intercourse, is totally safe.

Much has to be done in many countries around the world to convince the populations that male sex has to be recognized without fear of repercussions. It is time to change. There can be no excuse for keeping male sex invisible. Governments are going to have to be educated and be tolerant of male sex in order to fight HIV. If they are not tolerant, then there is no hope. "AIDS prevention efforts among men who have sex with men in the developing world will be ineffective, uncoordinated and grossly inadequate unless and until there is clear, determined and sustained international leadership, backed up by an international determination to address the issue." This report should be on the desks of all government officials throughout the world. It speaks to the issues and provides some provocative views of what can be done. A highly recommended book for all public, academic, and medical libraries.

646. Treating the Changing Family: Handling Normative and Unusual Events, edited by Michele Harway. 1996. John Wiley & Sons, 605 Third Ave., New York, NY 10158-0012. 374p., bibliog., index. (Wiley Series in Couples and Family Dynamics and Treatment) ISBN 0-471-07905-7. $47.50. (Descriptors: Family Psychotherapy, Family, Life Change Events) (Contributors: Nancy Boyd-Franklin, Karen Carlson, Israel Cuellar, Irene Deitch, Patricia Edmister, Robert Geffner, Mark Glazer, Marsali Hansen, Michele Harway, Lawrence K. Horberg, June R. Husted, Christopher W. Kahler, Luciano L'Abate, Harriet P. Lefley, Howard A. Liddle, Diane T. Marsh, Barbara S. McCrady, Mark Odell, Ruth Baugher Palmer, Thomas H. Peake, Joseph M. Rosenthal, Susan G. Rosenzweig, B. B. Robbie Rossman, Janis V. Sanchez-Hucles, Stephen E. Schlesinger, Lita Linzer Schwartz, Thomas H. Seibt, Gloria L. Steiner, A. Melton Strozier, Jr., Gil Tunnell, Kathy Wexler, Mary Beth Williams, Jeffrey M. Williamson, Ronald D. Wynne)

This book concentrates on the nontraditional family. The traditional family is described as one with a working father, a stay-at-home mother, and two school-age children. The facts are, this ideal family is declining. It may have all four of the individuals--mother, father, and two school-age children--but the father may not be working, the mother is probably working, and there are probably more than two school-age children. The parents may be biologically related to the children or one may be and the other not or the child may be adopted. It may be a single parent, married parents, or cohabiting parents. They may be straight or gay/lesbian. In all cases, understanding the complexities of these families and treating their problems has become more and more of a challenge. The first part of the book is an introduction that sets the stage for treating and understanding this new family concept. It also covers the impact of culture on the family. The second part--"Nontraditional Family Constellations"--looks at the nontraditional family as a whole and specifically at gay and lesbian families. "Challenges to the Family Life Cycle" makes up part three and discusses the aging problems and adoptive families.

Part four--"Impact of Unusual Events on Families"-- looks at families that are coping with mental illness, trauma, domestic violence, the impact of the environment, disabled children, chronic illness and disability, HIV illness, and addictions. The last part--"Reviewing the Role of the Clinician"--looks at expanding practices and roles of family clinicians and family resiliency. This is a thoroughly documented book with hundreds of references. The book is written as a review of articles that have been previously published, providing a synthesis that makes the book an essential research book on family study. Many case models are cited followed with detailed summaries that point out the problems and possible solutions. It is stressed that clinicians are challenged more and more today in their working with nontraditional families. They need to recognize the many changes early on in their work in order to help a much larger number of families than in the past. A recommended book for all medical and academic libraries and required reading for all family therapists.

647. Perfect Enemies: The Religious Right, the Gay Movement, and the Politics of the 1990s, by John Gallagher, Chris Bull. 1996. Crown Publishers, 201 E 50th St., New York, NY 10022. 300p., index. ISBN 0-517-70198-7. $26.00. (Descriptors: Religious Right, Gays, Political Aspects)

"This book chronicles the emergence of gay rights as the social issue--perhaps the most divisive political issue--of the 1990s." The most fervent opponents to gay rights are conservative Christians called the religious right. This group has a lot of power and in many instances has influenced how much, if any, funding is given to AIDS research and education. Obviously, their religious convictions make it very difficult to provide AIDS education since talking about sex, use of condoms, and other matters is strictly opposed. The book is included here for those who do not understand the politics of how the religious right and the gays are constantly arguing. The book looks at all of the anti-gay movements in the U.S., including those in Colorado, Cincinnati, Georgia, and Texas. It discusses gay marriage and parenting and devotes a full chapter to the Republican Revolution and the 1996 presidential race.

The conclusion that the authors put forth is "If the religious right and the gay movement are ever to enjoy the mainstream political acceptance that they seek, they are going to have to put aside their more destructive urges and engage in the hard work of politics: educating the public about the merits of their positions." A very interesting book that will open your eyes to a war that is being fought in every corner of the country. Recommended for all libraries.

648. Medical Management of HIV and AIDS, edited by Ann Millar. 1996. Springer-Verlag, 175 Fifth Ave., New York, NY 10010. 260p., illus., bibliog., index. ISBN 3-540-19958-6. $120.00. (Descriptors: Treatment, HIV Infections, Therapy) (Contributors: Chris Bunker, Duncan Churchill, Sean Connolly, Mary Fell, Patrick French, Alison Harris, Sally E. Kinsey, Ruth McAllister, Ian McGowan, Adam Malin, Hadi Manji, Ann Millar, Stanton Newman, Anton Pozniak, Christopher Sonnex, Alan Thompson, Shamil Wanigaratne)

This book is based on the actual work with HIV positive individuals during the first ten years of the AIDS epidemic in Great Britain at the Middlesex Hospital in London. The authors were frontline staff that saw the need for hospital beds rise from 2 beds in 1986 to two wards today. "The aim of the book is to provide an insight into HIV and AIDS as a overview for someone starting to work in this field or who sees such patients occasionally and requires some basic guidelines." The ten chapters cover: "The Out-Patient Management of HIV Infection," "Counselling and Clinical Psychology in HIV Infection and AIDS," "Psychological and Psychiatric Aspects of HIV and AIDS," "Respiratory Problems of HIV Infection and AIDS," "Gastroenterological Problems of HIV Infection and AIDS," "Neurological Complications of HIV Infection and AIDS," "Dermatological Problems in HIV Infection and AIDS," "Haematological Complications of HIV Infection, AIDS and HIV-associated Lymphoma," "Clinical Manifestations of HIV Infection and AIDS in Injecting Drug Users," and "AIDS in Africa."

These are extremely well-researched papers that provide a summary of what was actually observed together with how each situation was handled. Extensive bibliographic references are included. The chapter on AIDS in Africa is especially good in that it gives an excellent overview of the problem of AIDS in Africa. It covers such topics as transmission modes, origins of the disease in Africa, HIV-2, the natural history of HIV infection in Africa, gastrointestinal disease, Pulmonary disease, tumors, skin diseases, sexually transmitted diseases, rheumatological problems, neurological disease, pediatric problems, and other tropical diseases. A recommended book for all medical libraries and for practicing physicians who do not specialize in AIDS care but need to know about HIV infection.

649. POZ, February, 1997, edited by Sean O'Brien Strub. POZ Publishing, 349 W. 12th St., New York, NY 10014-1721. ISSN 1075-5705. $24.95 per year. (Descriptors: Treatments, Drugs, Social Aspects, Legal Aspects)

POZ continues to provide excellent coverage of the social and research aspects of HIV infection through articles that have a wide appeal. It is a publication intended for HIV positive individuals and, as a result, provides advertising, much of it drug and treatment related, that is targeted to these individuals. The six key articles in this issue are: "1996 POZ Honors," edited by David Thomas, looks back at 1996 and asks "What's going on?;" "He is What He Is," by David Patrick Stearns, an article about showtune master Jerry Herman whose HIV positive status was ungracefully made public in 1992; "AIDS-Involved Drama Syndrome," by William M. Hoffman who tells how the AIDS-Involved Drama Syndrome is the prime cause of countless plays, performance pieces, anthologies and critical works; "Trick Questions," by Hal Rubenstein, about an HIV positive prostitute that spills all; "Prisoners in Desire," by Michael Brennan, discusses how man-on-man rape and IV-drug use are helping HIV rip through the prison system while the corrections officials stick their heads in the sand; and "The Morning After," by Mike Barr who talks about the latest protease combos failing some individuals.

In the chapter about AIDS-involved drama syndrome, the author identifies 41 theater productions that have an AIDS theme from 1984 with "Night Sweats" to 1996 with "Rent." Regular features also include obituaries, to the editor, read this, health, treatment, and diet. Brief profiles are provided for Jaime Martinez, Mark Oka, Tom Viola, Karen Dior, Imani Harrington, and Morris Freed. This is a highly recommended publication for all libraries and for anyone who is HIV positive, as well as all health care providers.

650. InfoPack, v.7, no.1, February, 1997, by Community Prescription Service. Community Prescription Service, 349 W. 12th St., New York, NY 10014. Free to CPS customers, AIDS service organizations, and referring doctors. (Descriptors: Treatment, Drugs)

This interesting newsletter continues to provide key articles and information about HIV treatment. This issue has an excellent article, adapted from Nature Medicine: "Measuring Viral Load: Impact on Therapeutic Strategies in HIV Infection," by Andrew Pavia. This articles provides up-to-date information about viral load testing along with the various cocktail drug treatments that are now being used. This is a highly informative newsletter that is recommended for all libraries and health care providers.

651. Tangled Memories: The Vietnam War, the AIDS Epidemic, and the Politics of Remembering, by Marita Sturken. 1997. University of California Press, 2120 Berkeley Way, Berkeley, CA 94720. 358p., illus., bibliog., index. ISBN 0-520-08653-8, 0-520-20620-7pbk. $45.00, $16.95pbk. (Descriptors: Memory, Political Aspects, Political Culture, History, Vietnamese Conflict, Persian Gulf War, Popular Culture, Television and History, Motion Pictures and History)

This is a book about cultural memory--"memory that is shared outside the avenues of formal historical discourse yet is entangled with cultural products and imbued with cultural meaning." Sturken looks at two primary events--the American participation in the Vietnam War from 1959 to 1975 and the AIDS epidemic from the early 1980s to the present--plus some other events that have shaped the culture history of the United States. The process of recording history through cultural memory is analyzed, especially the popularization of history, "specifically how histories are told through popular culture, the media, public images, and public memorials." Objects figure very much into cultural memory such as the AIDS Quilt and the Vietnam War Memorial. Both of these events have had a profound impact on the American people and they will not be forgotten.

The seven chapters provide an excellent insight into cultural memory: "Camera Images and National Meanings," "The Wall and the Screen Memory: The Vietnam Veterans Memorial," "Reenactment and the Making of History: The Vietnam War as Docudrama," "Spectacles of Memory and Amnesia: Remembering the Persian Gulf War," "AIDS and the Politics of Representation," "Conversations with the Dead: Bearing Witness in the AIDS Memorial Quilt," and "Bodies of Commemoration: The Immune System and HIV." The chapter on the AIDS Memorial Quilt is a moving account of how a disease has brought people together to create a memorial to individuals regardless of who they were, how poor or rich they were, what color they were, whether they were gay or straight, old or young. It is truly an example of cultural memory that will be with us for years to come, each year adding more panels for more memories.

A very interesting book that is recommended for all libraries.

652. When Men Meet: Homosexuality and Modernity, by Henning Bech, translated by Teresa Mesquit, Tim Davies. 1997. University of Chicago Press, 5801 S. Ellis Ave., Chicago, IL 60637. ISBN 0-226-04021-6, 0-226-04022-4pbk. $42.00, $18.95pbk. (Descriptors: Homosexuality, Gay Men)

This book was first published in Denmark in 1987 as Nar Maend Modes. This is not a book about AIDS but a book about the modern gay male and his identity in modern society. It is briefly reviewed here to help those doing AIDS research that involves gays so that gays can be better understood. There are many misconceptions about the gay male and gay identity that results in homophobic reactions. The book also looks at the sexual and male qualities of gays as well as how gays interact in today's society. Topics that are discussed include persecution, prison studies, motion pictures with gay themes, homophobia, heterosexualization, violence, homosexualization, loneliness, oppression, sex, and the cultural wardrobe. In the essay, "Death of the Homosexual," AIDS is identified as a disease that threatens the entire gay community. It has unfortunately produced a somber picture of gays by reactivating "the slumbering imagery of sickness and extinction, destruction and filth, aliens and the unnatural, and again lets the homosexual embody evil." There is some good that AIDS has created. It has brought gays closer together, taught everyone about safer sex, and has educated the general public about gays in general.

A very interesting book to read, providing some provocative statements as well as some interesting historical observations. Recommended for all public and academic libraries.

653. Women's Experiences with HIV/AIDS: An International Perspective, edited by Lynellyn D. Long, E. Maxine Ankrah. 1996. Columbia University Press, 562 W. 113th St., New York, NY 10025. 426p., bibliog., index. ISBN 0-231-10604-1, 0-231-10605-Xpbk. $49.50, $17.50pbk. (Descriptors: Women, Diseases, HIV Infections, Sex Factors) (Contributors: Priscilla Alexander, Luiza Klein Alonson, E. Maxine Ankrah, Carrie Auer, Katherine C. Bond, Jeanine M. Buzy, Kathleen Cash, Michel Cayemittes, David D. Celentano, Christopher J. Elias, Helene D. Gayle, Robert Gringle, Geeta Rao Gupta, Lori L. Heise, Joyce Hunter, Carl Kendall, Mubina Hassanali Kirmani, Lynellyn D. Long, Purnima Mane, Anna C. Martin, Jaclyn Miller, Dorothy Munyakho, Chloe O'Gara, Anne Outwater, Barbara Parker, David Patterson, Elizabeth A. Preble, Debbie Runions, Martin Schwartz, Galia D. Siegel, Christine Thomas, Priscilla R. Ulin, Chayan Vaddhanaphuti, Ellen Weiss)

"Prevention and Treatment programs designed to curb the spread of sexually transmitted diseases, including HIV (human immunodeficiency virus), among women have not sufficiently addressed the complex web of cultural, economic, and structural constraints that hinder the ability of women, worldwide, to protect themselves from HIV/AIDS." This book provides an insight into the experiences of women from diverse backgrounds and cultures. It is hoped that it will be another piece of research that will help to understand how the AIDS epidemic can be halted.

Part one--"Living with HIV/AIDS"--covers: "Negative in the Beginning, Positive in the End," "I Have a Life, I Will Live," "Women Who Sleep with Women," and "HIV/AIDS: A Personal Perspective." The second part--"Economic and Sociocultural Perspective," covers: "Making a Living: Women Who Go Out," "Bargaining for Life: Women and the AIDS Epidemic in Haiti," "The Socioeconomic Impact of AIDS on Women in Tanzania," "I'm Not Afraid of Life or Death: Women in Brothels in Northern Thailand," "Women's Social Representation of Sex, Sexuality, and AIDS in Brazil," and "The Impact of Structural Adjustment Programs on Women and AIDS." Part three--"Issues and Concerns"--covers: "The Epidemiology of HIV and AIDS in Women," "Sexually Transmitted Diseases as Catalysts of HIV/AIDS in Women," "HIV and Breast-feeding: Informed Choice in the Face of Medical Ambiguity," "Women, Children, and HIV/AIDS," and "Care and Support Systems." The last part--"Promising Directions"--is very positive: "Dilemmas for Women in the Second Decade," "Women Educating Women for HIV/AIDS Prevention," "Talking about Sex: A Prerequisite for AIDS Prevention," "Challenges for the Development of Female-Controlled Vaginal Microbicides," and "The Ethics of Social and Behavioral Research on Women and AIDS."

An epilogue looks at what should happen next on the policy agenda. This is a book full of well-researched information that is understandable at the general layperson level but still an extremely important research book for researchers who are studying HIV/AIDS and women. Highly recommended for all libraries.

654. AIDS/HIV Reference Guide for Medical Professionals, 4th edition edited by John L. Fahey, Diana Shin Flemmig. 1997. Williams & Wilkins, 351 W. Camden St., Baltimore, MD 21201-2436. 536p., bibliog., index. ISBN 0-683-02960-6. $29.95. (Descriptors: Handbook, Therapy, Community Health Services) (Contributors: Martin M. Anderson, Pamela J. J. Boyer, Yvonne J. Bryson, Suzanne M. Donovan, Lewis Roy Eversole, John L. Fahey, Diana Shin Flemmig, Donna Futterman, Sheila Gillette, Gary N. Holland, Ann K. Johiro, Peter Katona, Douglas Longshore, Lesley MacArthur-Chang, Steven A. Miles, Ronald T. Mitsuyasu, Pari Nishanian, Adeline Nyamathi, Mary Jane Rotheram-Borus, Elyse J. Singer, Jorge Vargas, Barbara R. Visscher, Lorenz Von Seidlein)

The first edition of this book was published in 1985 as AIDS Reference Guide for Medical Professionals. Now in its fourth edition, this has become a recommended guide and primary resource for all health care providers with clinical, laboratory, social, preventive, behavioral, epidemiologic, legal or personal interests in HIV/AIDS. A great deal has changed since 1985 but there is still no cure or vaccine. This book provides the basic information that health care providers need in order to make well thought out decisions on what therapies should be initiated or maintained. Chapter one--"Epidemiology and HIV Transmission"-- is an overview of HIV/AIDS, its transmission, classification, and definition. It also provides some background on the global aspects of HIV/AIDS. Chapter two--"HIV Counseling and Testing"--is a good general review of counseling in general, risk assessment, antibody testing, and disclosure of HIV status. The third chapter--"Laboratory Diagnosis and Evaluation of HIV Infection"--is an important chapter for any health care provider, giving information about the diagnosis of HIV infection, staging and prognosis, and evaluation of therapy.

Chapter four--"Clinical Aspects of HIV Infection"--covers such topics as the spectrum of illness, therapy of HIV spectrum diseases, protease inhibitors, hematologic aspects, neoplastic aspects, neurological aspects, ophthalmic manifestations, oral manifestations, tuberculosis, and nutritional guidelines. The next three chapters cover specific groups: "Women and HIV Infection," "Pediatric AIDS," and "Adolescents and HIV Infection." Chapter eight--"Precautions for the Health Care Worker"--goes into detail outlining precautions at all levels from emergency room to operating room to the dentist chair to housekeeping. Chapter nine--"Risk Reduction and Prevention"--is an excellent educational chapter covering safer sex, risk reduction, substance abuse, gay men sex, and prevention considerations for African-Americans and Latin Americans. The final textual chapter--"Self-Care for Persons with HIV"--is directed at the individual, covering precautions, nutrition, health promotion and maintenance, caring for infants and children, and guidelines for caregivers. The last chapter is a directory of resources: international resources, AIDS hotlines and information resources, national organizations, state and local organizations, selected newsletters and published resources, and additional patient resources. Also included are a list of acronyms and abbreviations plus a glossary.

This is a highly recommended book for anyone in the medical professions. It would also serve as a very good reference book, giving brief information that is easily located through the index. Recommended for all libraries.

655. GSH Phenomenon: Nature's Most Powerful Antioxidant and Healing Agent, by Alan H. Pressman, Sheila Buff. 1997. St Martin's Press, 175 Fifth Ave., New York, NY 10010. 228p., bibliog., index. ISBN 0-312-15135-7. $23.95. (Descriptors: Popular Works, Glutathione)

Glutathione is "A tripeptide made of cysteine, glutamate, and glycine. Found abundantly in the body, it is a powerful antioxidant and detoxifier." GSH is the abbreviation for the reduced form of glutathione. So why should we pay attention to GSH? There are toxins in our food, water, air, and our bodies. Glutathione are the antioxidant molecules that fight these toxins. It is found in the bloodstream and appears to help fight cancer, heart disease and some eighty other diseases. It has been shown that the lower the glutathione level in those who are HIV positive, the more likely the immune system will falter. Pressman presents his views on how glutathione can help to make one healthier. It is an easily read book that is intended for the layperson. The advice that is given is intended to supplement whatever medical treatments that you may be on.

The human body gets some glutathione from food but it manufactures most of it from the amino acids--cysteine, glutamic acid, and glycine. Some amino acids are essential such as these three and others are non-essential. Cysteine removes heavy metals and free radicals and contains sulfur; glutamic acid is needed to synthesize glutamine in the brain, synthesize neurotransmitters and can raise blood sugar levels; and glycine is necessary to build collagen and connective tissues and helps remove waste products. The chapter on glutathione and the immune system is especially helpful in explaining why the immune system needs to be in good working order and how glutathione can help to improve the immune system. The final chapter discusses foods and diet providing some recipes and tables that identify foods high in glutathione. These foods include acorn squash, asparagus, avocado, grapefruit, orange, potato, strawberries, tomato, and watermelon.

A recommended book for all public libraries and for personal use.

656. AIDS Clinical Trials, edited by Dianne M. Finkelstein, David A. Schoenfeld. 1995. John Wiley & Sons, 605 Third Ave., New York, NY 10158-0012. 458p., bibliog., index. ISBN 0-471-58823-7. $52.95. (Descriptors: Research, Methodology, Clinical Trials, Drug Therapy, Research Design) (Contributors: David A. Amato, Yiannis C. Bassiakos, Paul Beninger, Julie E. Buring, Kathryn Chaloner, Deborah J. Cotton, Anne P. Cross, Victor De Gruttola, Lisa M. Dunkle, Susan S. Ellenberg, Michael L. Feldstein, Terence Fenton, Dianne M. Finkelstein, Mary A. Foulkes, Mitchell H. Gail, Heidi Geheb, Richard D. Gelber, Rebecca Gelman, Sylvan B. Green, Charles H. Hennekens, Donald R. Hoover, Michael D. Hughes, Ann H. Korzun, Sandra L. Kweder, Stephen W. Lagakos, Dale N. Lawrence, William R. Lenderking, Jane C. Lindsey, Samantha MaWhinney, Ross E. McKinney, Jr., Alvaro Munoz, Robert T. O'Neill, A. David Paltiel, Stuart J. Pocock, Kathleen J. Propert, Wasima N. Rida, David A. Schoenfeld, Cathie Spino, Kenneth Stanley, Aaron A. Stinnett, Pamela Stratton, Kathryn M. Taylor, Marcia A. Testa, Paige L. Williams)

If there were no clinical trials, there would not be the progress we now have on drug therapy for HIV/AIDS people. Clinical trials have provided the needed avenue to test new therapies that are being developed to combat HIV/AIDS. Although this book is two years old, it is still a very useful book that provides "guidance on all aspects of clinical trials research including design and conduct of a trial, data collection and forms development, and analysis of results." It is also intended to "serve as a general reference for planning, designing, conducting, and analyzing AIDS trials." It is written for statisticians and clinicians who have a basic knowledge of statistics, including familiarity with the concepts of p-value, type I and II error, and hypothesis testing.

There 24 chapters following the introductory chapter covering: "The Natural History of HIV Infection," "The New Drug Evaluation Process: FDA Perspective," "The New Drug Evaluation Process: Industry Perspective," "Protocol Development," "Data Issues in AIDS Clinical Trials," "Current Methods and Future Trends in the Design and Analysis of Phase I and Phase I/II Clinical Trials in AIDS," "Selection of Endpoints for Assessment of Treatment Efficacy in an AIDS Trial," "The Uses of CD4 Lymphocyte Count to Evaluate Therapy for HIV Disease," "Sample Size Calculations for Failure Time Data," "The Design and Analysis of Equivalence Trials," "Interim Monitoring of Clinical Trials," "Behavioral Science and the Design and Conduct of Randomized AIDS Trials," "Compliance in AIDS Clinical Trials," "Quality-of-Life Considerations in AIDS Clinical Trials," "Issues in Analysis of AIDS Clinical Trials," "Issues in the Testing Drug Combinations," "Issues in the Conduct of Clinical Trials for HIV-Infected Children," "Clinical Trials to Reduce the Risk of Maternal-Infant Transmission of HIV Infection," "Obstetrical and Gynecological Issues in AIDS Clinical Trials," "Prophylactic HIV Vaccine Trials," "Large Simple Trials of HIV Therapies," "Economic Analysis and AIDS Clinical Research," "Use of Observational Data for Evaluating AIDS Therapies," and "Use of Cohort Studies for Evaluating AIDS Therapies."

This is an extremely well-organized book that will be very useful to those researchers who are involved in clinical trials. Recommended for all medical and academic libraries.

657. Growing Up Positive: Stories from a Generation of Young People Affected by AIDS, by Ian Lucas. 1995. Cassell, 215 Park Avenue South, New York, NY 10003. 149p. 0-304-33207-0. $16.95. (Descriptors: Personal Accounts)

The more we can reach young people to tell them about AIDS, the more lives we will save in the long run. It is difficult to catch these individual's attention, resulting in a myriad of myths and misinformation. This book is the result of interviews of people who work with young people and of the personal stories and biographies of young people. It gives an excellent insight into how these young people see AIDS and HIV impacting their everyday lives and affecting their ideas and futures. Twelve stories are presented, all true, stretching from Uganda and South Africa to Birmingham, London and Edinburgh. It tells how they have overcome suicide, prison, drug use, running away from home, broken relationships, coming to terms with sexuality, physical abuse, and seeking political asylum.

A highly recommended book for all school libraries as well as public and academic. It is a book for young people.

658. Mosby's Complete Drug Reference: Physicians GenRx, 7th edition edited by L. Suzanne BeDell, Mark K. Hulbert. 1997. Mosby--Year Book, Inc., 11830 Westline Industrial Drive, St. Louis, MO 63146. 1v. various paging. ISBN 0-8151-7203-6, ISSN 1064-7783. $62.95. (Descriptors: Drugs, Drug Compendium)

This is one of the most comprehensive drug compendia, providing drug information about every drug that is currently available through prescription. Each drug is fully described, providing brand names, formularies, costs, prescribing information, and how supplied. The introduction contains information on how to use the book, FDA pregnancy categories, poison control centers, discontinued products, manufacturers listed by NDC number, and drug ID imprint guide. This is followed by a keyword index and a full-color drug identification guide. The largest section, 2,133 pages, contains the complete prescribing information for each drug. The last section gives supplier profiles, including NDC number, addresses, telephone numbers, and corporate officers. This is a must book for any major library and should be available to all health care providers. For the price, there is no other book that contains as much information as this one. Highly recommended.

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Last updated: 04/09/97