A I D S B O O K R E V I E W J O U R N A L No. 36


University of Illinois at Chicago

H. Robert Malinowsky


ISSN 1068-4174

Number 36-June, 1997

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693. AIDS: A Moral Issue: The Ethical, Legal and Social Aspects, 2nd edition edited by Brenda Almond.
694. HIV Law: A Survival Guide to the Legal System for People Living with HIV, by Paul Hampton Crockett.
695. Positive Carers: The Rights and Responsibilities of HIV-Positive Health Care Workers, by Paul Mayho.
696. HIV/AIDS in Prisons: Final Report, prepared by Ralf Jurgens.
697. Removing the Risk: Abstinence for High School Students, by Richard P. Barth, Nancy Abbey.
698. Witness: The Artist's Vision in the Face of AIDS, by Jackie Kirk, Barbara Swift Brauer.
699. Seropositive Patient: The Initial Encounter, by Joel E. Gallant.
700. HIV Pathogenesis and Viral Markers, by Daniel R. Kuritzkes.
701. CMV Prophylaxis and Intraocular Therapy, by Baruch D. Kuppermann.
702. Cytomegalovirus (CMV) Retinitis and Treatment, by Charles van der Horst.
703. Atlas of Sexually Transmitted Diseases and AIDS, 2nd edition edited by Stephen A. Morse, Adele A. Moreland, King K. Holmes.
704. Disability Evaluation, by Stephen L. Demeter, Gunnar B. J. Anderson, George M. Smith.
705. Vitamin A and the Immune Function: A Symposium, edited by Chris Kjolhede, William R. Beisel.
706. Experiencing HIV: Personal, Family, and Work Relationships, by Barry D. Adam, Alan Sears.
707. Diet and Nutrition: A Guide for Students and Practitioners, by Brenda Piper.
708. Color Atlas of AIDS, 2nd edition by Alvin E. Friedman-Kien, Clay J. Cockerell.
709. AIDS: Etiology, Diagnosis, Treatment and Prevention, 4th edition edited by Vincent T. DeVita, Jr., Samuel Hellman, Steven A. Rosenberg, James Curran, Max Essex, Anthony S. Fauci.

693. AIDS: A Moral Issue: The Ethical, Legal and Social Aspects, 2nd edition edited by Brenda Almond. 1996. St. Martin's Press, 175 Fifth Ave., New York, NY 10010. 162p., bibliog., index. ISBN 0-312-16152-2, 0-312-16153-0pbk. $39.95, $17.95pbk. (Descriptors: Social Aspects, Moral and Ethical Aspects) (Contributors: Brenda Almond, Anthony Coxon, Roger Crisp, Grant Gillett, Anthony Lovegrove, Julian Meldrum, Alstair Orr, Anthony Pinching, Jane Pritchard, Michael Smithurst, Carole Ulanowsky, Patricia Wilkie)

Increasingly "there is wider recognition that AIDS is an issue for everyone--not necessarily in the sense that everyone's behaviour places them at personal risk, but because even complacent mature heterosexuals, looking back on twenty or more years of a settled relationship, may find that the virus affects their lives too, in the threat that it poses to their sons and daughters, and even earlier, in the necessity they find themselves under to support one or other policy in the contentious area of school sex education, and to decide how to answer their own children's questions." AIDS presents many problems for many individuals. It is compounded by the fact that it is a sexually transmitted disease for the most part and it is deadly in that without any treatment you are sure to die. Once infected, you are infected for life and you are contagious.

The impressive list of contributors to this small book have provided a good look at how AIDS is affecting everyone, especially from the point of view of ethical, legal and social aspects. The religious right tries to dictate its views, while legislators grapple with the discrimination issues, and the underdeveloped parts of the world are quickly recognizing that this is a serious threat to their people, being spread by heterosexuals and not homosexuals. As the legislators consider legislation they are constantly being reminded of the ethical constraints within which the legislation must operate. The first part of the book looks at the medical perspective: "AIDS: Clinical and Scientific Background," "Haemophilia, AIDS and HIV: Some Social and Ethical Considerations," "HIV and Pregnancy," "AIDS and Confidentiality: The Doctor's Dilemma," and "Autonomy, Welfare and the Treatment of AIDS."

The second part covers the community perspective: "The Role of the Media and the Reporting of AIDS," "Risk, Discrimination and Utility," "The Legal Implications of AIDS and HIV Infection in Britain and the United States," and "Outside the Legal Society: AIDS, Welfare Benefits and Insurance." Finally the last part delves into the personal perspective: "Coping with the Threat of Death," "AIDS: Some Theological Reflections," and "Personal Issues and Personal Dilemmas." These are very interesting papers that cover a wide area of concerns. One of the best ways to combat this disease is through education, but the religious right is so opposed to sex education in schools and the use of condoms, that the education never reaches those who need it. These individuals look at AIDS as a way to combat sexual liberation; bluntly, they would advocate that those who are infected, especially the gays, should not be treated, left to die, and the problem would then go away. They just cannot face the reality of sexuality in any of its forms. The problem can be summed up very well with the final statement of the editor: "AIDS is a moral issue--one requiring human beings urgently to reach a consensus on the promotion of an appropriate range of moral values: the sort of values which can, like the virus itself, transcend boundaries of culture, class, colour and religion."

A recommended book for all libraries and one that all government officials should consider reading before they quickly enact legislation that has ethical, legal, and social ramifications.

694. HIV Law: A Survival Guide to the Legal System for People Living with HIV, by Paul Hampton Crockett. 1997. Three Rivers Press/Crown Publisher, 201 E 50th St., New York, NY 10022. 240p., index. ISBN 0-609-80023-X. $12.95. (Descriptors: Legal Aspects)

The HIV virus has produced a multitude of problems for society with the disease itself only one of them. This vicious disease has created hatred, fear, discrimination, anxiety, depression, and, ultimately, death without dignity. True, there have been many advances that have tempered some of these concerns, but, as long as we have the Reverend Phelps and the likes of him, we will have to deal with all of the concerns. We are having some very good results along the medical front, but the legal issues still are of concern. No one can really say when a person who is HIV positive should be labeled as disabled. Yet, employers are quick to isolate these individuals in some situations. There are laws in place to protect the rights of these individuals but those individuals have to seek out proper advice to interpret these laws so that they are not taken advantage of. "The purpose of this book is to present a nutshell guide to some of the key legal issues raised by HIV, and to offer some guidance through that maze. Our goal has been to present, for perhaps the first time under one cover, up-to-date and accurate information on the broad range of practical legal problems confronting people with HIV."

This is a survival guide for those who need to make a quick decision. HIV positive individuals have to fight for what is rightfully theirs. There are people whom you can count on for support, but there are probably more people who will not give you support. "To get what you need, you may have to insist upon your rights or fight for them, and you may not prevail unless you have armed yourself with knowledge." Everyone has to understand that the laws that pertain to HIV and AIDS vary from state to state. This book guides you to the needed information from which you should then consult an attorney for advice. When hiring an attorney, ask as many questions as you can. You can do this only by doing your homework with the help of this book. Since the laws change rather rapidly, Crockett has a website on the internet that gives current information. See this website at http://www.HIVLawToday.com.

The book touches on every major concern that anyone would have who has a life-threatening disease: wills, trusts, your estate, title to your home, guardianship, powers of attorney, bank accounts, health care needs, health care proxy, living will, keeping your documents up to date and safe, insurance, health insurance, social security, creditors, bankruptcy, discrimination, and survival in the workplace. The book is written in down-to-earth prose so that anyone can follow what is being said easily. Hopefully, there will be a day when this book will just be history. In addition to the excellent advice, there is a glossary of terms and a list of resources for further information and access to legal representation.

A highly recommended book for everyone and a good reference source for any library. Everyone who is HIV positive should have a copy for consultation.

695. Positive Carers: The Rights and Responsibilities of HIV-Positive Health Care Workers, by Paul Mayho. 1996. Cassell, 127 W 24th St., New York, NY 10011. 132p., index. ISBN0-304-33275-5, 0-304-33277-1pbk. $70.00, $21.95pbk. (Descriptors: Care Givers, Health Care Workers)

Although this is a British publication, the information that is contained applies throughout the world. It should be considered in light of the laws that govern each country as they pertain to HIV and AIDS. "This book discusses the rights and responsibilities of HIV-positive health care workers. It looks at the issues an infected worker may face and takes into account the existing guidance on the management of such workers." It takes into account the current transmission risk data, counters the misinformation and prejudices that have arisen, and looks at how these individuals are portrayed in the British press. The HIV positive health care worker has been the subject of many vicious attacks by the press, the religious right, and the misinformed public. This book should help them understand what their rights are or should be.

The first part of the book discusses the rights and responsibilities of the HIV positive health care worker and the second part covers the attitudes and their consequences. The problems of ethics, morality, confidentiality, and mandatory testing are discussed. Of especial interest is the second part that deals with attitudes and their consequences. Here, the various laws and edicts are discussed as they pertain to Great Britain. Also, the views of the British press are given. All in all, this is a very good book that should provide the basis for further research. There are 4 very important appendices: "Department of Health Guidance on the Management of HIV-Infected Health Care Workers;" "UKCC Position Statement on HIV-infected Health Care Workers;" "UKCC Code of Professional Conduct;" and "UK Advisory Panel for Health Care Workers Infected with Blood-borned Viruses General Counter Infection Measures for the Clinical Setting."

A recommended book for all medical and academic libraries.

696. HIV/AIDS in Prisons: Final Report, prepared by Ralf Jurgens for the Canadian HIV/AIDS Legal Network and the Canadian AIDS Society. 1996. Canadian HIV/AIDS Legal Network, 4007 de Mentana, Montreal, Quebec H2L 3R9. 130p., 5 appendices, bibliog. ISBN1-896735-04-5. Write for price or e-mail at aidslaw@web.net. (Descriptors: Prisons, Prisoners, Legal Aspects, Drugs)

This excellent report provides the results of an extensive study of HIV/AIDS in the prisons of Canada. It reviews the history of the response to HIV/AIDS in prisons, nationally and internationally; presents new developments; examines whether there is a legal and/or ethical obligation to provide prisoners with the means that would allow them to protect themselves against contracting HIV; addresses the issue of the potential liability for not providing condoms, bleach, and sterile needles and the resulting transmission of HIV; and it makes recommendations for action. The report is intended to assist Canadian authorities in their efforts to reduce HIV transmission in prisons. "The Final Report urges Canadian federal and provincial prison systems to adopt a long-term, coordinated, strategic approach to HIV/AIDS and drug use in prisons."

The first part discusses the historical response to HIV/AIDS in prisons. It states that some progress has been made in the prison systems but much needs to be done. The second part delves into new developments throughout the world, including reports from Scotland, Australia, United States, Netherlands, Canada, France, Thailand, United Kingdom, Switzerland, Germany, and Spain. It provides an insight on the increasing evidence of HIV transmission in prisons, the increase in hepatitis C, needle exchange programs, and methadone maintenance treatment. The next section outlines the responsibility of prison systems and includes information about the international law and the Canadian law. The last part provides recommendations for action that include research, testing and confidentiality, educational programs for inmates, preventive measures for inmates, responding to drug use, education of staff, protective measures for staff, health care, compassionate release, women inmates, aboriginal inmates, young offenders, and drug policy.

In conclusion the report states: "Clearly, prison systems have a moral and legal responsibility to do whatever they can to prevent the spread of infectious diseases among inmates and to staff and the public, and to care for inmates living with HIV and other infections. Currently, they are failing to meet this responsibility." There are 5 appendices: "The Role of the Law of Negligence in Preventing Prisoners' Exposure to HIV While in Custody," "Prisoners' Constitutional Right to Sterile Needles and Bleach," "List of Submissions and responses to the Discussion Paper," "The Joint Network/CAS Project on Legal and Ethical Issues Raised by HIV/AIDS," and "WHO Guidelines on HIV Infection and AIDS in Prisons." This is an excellent report that should be useful to anyone who is doing research in this area. It raises a multitude of questions and provides information that until now was not widely known. Any prison, anywhere in the world, would benefit from reading this report. Highly recommended for all libraries.

697. Removing the Risk: Abstinence for High School Students, by Richard P. Barth, Nancy Abbey. 1997. ETR Associates, PO Box 1830, Santa Cruz, CA 95061-1830. 138p. ISBN1-56071-542-1. $20.00. Also, includes a 35p. student workbook. (Descriptors: Abstinence, Relationships)

Sex education for teens can be a very controversial subject. Many parents and religious leaders object to schools talking about sex, safe sex, and condoms. They want this topic to be their responsibility. The facts are, however, that many do not follow through with what is their responsibility and the result is an unwanted pregnancy, STD, and even becoming HIV positive. Barth and Abbey have provided what they believe is a very acceptable alternative to those who believe the sexual activity of a teen can be delayed through abstinence. "The student-centered, interactive lessons affirm students' ability to postpone sexual involvement, to build loving, healthy relationships that do not include sexual intercourse, and to avoid high-risk behaviors that may result in pregnancy, HIV and other STD." The 10 lessons are intended for eighth and ninth grade students, focusing on the skills and motivation to promote abstinence.

The book is arranged in a typical course outline format giving preparation, ground rules for classroom discussion, steps for parent notification and permission, and other matters that will insure that parents are properly informed of what is being taught. The 10 classes cover: introduction to relationships, relationship expectations, refusals, using refusal skills, delaying tactics, ways to show love and affection without having sex, avoiding pregnancy, skills integration, reinforcing abstinence, and a second class on skills integration. This is a recommended book that should be available to all schools. It should be an acceptable alternative for those parents who do not feel that their child is sexually active and will not go out and practice unsafe sex. Unfortunately, if abstinence was the only thing that was taught, there would be more teens who would become infected with an STD or become HIV positive or would become pregnant. One cannot just assume that all teens will practice abstinence without instructing them about safe sex, the use of condoms, or the use of birth control methods. Therefore, schools should stress that both avenues of sexual education should be conducted so that students can have a choice.

698. Witness: The Artist's Vision in The Face of AIDS, paintings by Jackie Kirk, text by Barbara Swift Brauer. 1996. Pomegranate Artbooks, PO Box 6099, Rohnert Park, CA 94927. 57p., illus. ISBN 0-7649-0018-8. $24.95. (Descriptors: Patients, Portraits)

This interesting and fascinating book provides the reader with an intriguing insight to a side of AIDS that is rarely seen. Jackie Kirk has painted 25 portraits in acrylic on paper of individuals who were HIV positive or were diagnosed with AIDS. Her subjects were men, women, and children. The remarkable and interesting aspect of the book is that with each of the 25 portraits, Kirk did a self-portrait that became a release for the emotional strain that she endured while doing the portraits. "The resulting body of work is a humanistic and penetrating series, focusing on both the afflicted and the artistic observer with revealing, sometimes devastatingly strong insight." These 25 portraits and 25 self-portraits are a startling visual feeling of stamina, patience, compassion, and artistic insight. These are unique in that no one has ever attempted to depict how painting something changes and transforms the person who is doing the painting.

The paintings depict people as they are without any judgment. "They allow us to see differently and feel more, so they help us heal some of our own loneliness, isolation, projection, denial, pain, and fear." Kirk began painting the portraits in 1987 and finished the last portrait in 1991. They were displayed at a one-woman exhibition at the Achenbach Foundation from March 28 to June 16, 1991. Accompanying each portrait is a beautifully written text by Barbara Brauer that lets the viewer know a little about the subject and an indication of what some of the emotional strain was on Kirk. This is a fascinating and moving book. It was done at a time when AIDS patients had little hope of survival. These are the images of life and the fear of death that make you stop and think--"Why is this happening?" A recommended book for all libraries.

699. Seropositive Patient: The Initial Encounter, by Joel E. Gallant. 1996. Healthcare Communications Group, 10819 Pleasant Hill Drive, Potomac, MD 20854. 22p., bibliog. (Continuum of Care Series). Write for copies or access through the WEB at http://www.healthcg.com or http://www.ama-assn.org. (Descriptors: Seropositive, Testing, Viral Load, CD4 Cell)

This booklet and the next three are part of several continuing education courses that were developed to provide medical professionals and students with a convenient and accessible way to stay current on the latest developments in the rapidly changing field of HIV/AIDS without leaving their home or office. It is approved by the American Medical Association and is free to all participants through a grant from the Roche Laboratories. There are 8 courses in the Continuum of Care Series: "The Seropositive Patient--The Initial Encounter," "HIV Pathogenesis and Viral Markers," "Antiretroviral Therapy--Part I," "Antiretroviral Therapy--Part II," "Management of Opportunistic Infections--Part I," "Management of Opportunistic Infections--Part II," "Wasting/Diarrhea in HIV," and "Women and HIV." This is an excellent series that all medical personnel should be aware of and access if they treat those who are HIV positive. This booklet and the one following are part of this series. The next two booklets are examples of other courses that are available. All of the courses are highly recommended and should be available in all medical libraries. They are available through the internet.

This particular course discusses: "Specific issues in the initial history and physical examination related to the natural history of HIV," "Appropriate laboratory studies, including the utilization of CD4+ cell count and viral load assays," "Strategies for the staging of HIV infection," "Immunization protocols," and "Follow-up care guidelines, including health promotion, prophylaxis of opportunistic infections, psychosocial concerns and patient compliance."

700. HIV Pathogenesis and Viral Markers, by Daniel R. Kuritzkes. 1997. HealthCare Communications Group, 10819 Pleasant Hill Drive, Potomac, MD 20854. 14p., bibliog. (Continuum of Care Series). Write for copies or access through the Web at http://www.healthcg.com or http://www.ama-assn.org. (Descriptors: Pathogenesis, Viral Load)

This course covers: "The pathogenesis of HIV infection," "The impact of recent advances on the approach to antiretroviral therapy," "Virologic markers of HIV infection," "Appropriate use of virologic markers in clinical decision-making," and "Clinical strategies, outlined in a case history."

701. CMV Propohylaxis and Intraocular Therapy, by Baruch D. Kuppermann. 1996. HealthCare Communications Group, 10819 Pleasant Hill Drive, Potomac, MD 20854. 18p., bibliog. (Clinical Care Options for HIV). Write for copies or access through the Web at http://www.healthcg.com or http://www.ama-assn.org. (Descriptors: Cytomegalovirus)

This course covers: "The role of oral ganciclovir in the prevention of CMV disease," "Future strategies for the identification of patients at greatest risk for CMV disease," "Management strategies utilizing the ganciclovir intraocular implant," "The role of systemic prophylaxis in combination with the ganciclovir implant," and "New directions and emerging drugs for local intraocular therapy of CMV retinitis."

702. Cytomegalovirus (CMV) Retinitis and Treatment, by Charles van der Horst. 1996. HealthCare Communications Group, 10819 Pleasant Hill Drive, Potomac, MD 20854. 13p., bibliog. (Clinical Care Options for HIV). Write for copies or access through the Web at http://www.healthcg.com or http://www.ama-assn.org. (Descriptors: Cytomegalovirus)

This course covers: "Epidemiology, pathogenesis and natural history," "Appropriate diagnostic strategies," "Treatment protocols," "Expected clinical outcomes," and "Potential complications of treatment."

703. Atlas of Sexually Transmitted Diseases and AIDS, 2nd edition edited by Stephen A. Morse, Adele A. Moreland, King K. Holmes. 1996. Mosby, 11830 Westline Industrial Drive, St. Louis, MO 63146. 344p., color illus., bibliog., index. ISBN 0-7234-2143-9. $169.95. (Descriptors: Sexually Transmitted Diseases, Syphilis, Chancroid, Chlamydia, Granuloma Inguinale, Gonorrhea, Genital Mycoplasmas, Genital Herpes, Hepatitis) (Contributors: Miriam J. Alter, Robert J. Arko, Ronald C. Ballard, Robert C. Barnes, Consuelo Beck-Sague, John Bryan, Gail H. Cassell, Sharon Hillier, Catherine Ison, Peggy Keen, Joan S. Knapp, Sandra A. Larsen, Joel S. Lewis, John G. Long, Bhagirath Majmudar, Marilynne McKay, Adele A. Moreland, Stephen A. Morse, Jorma Paavonen, Philip Pellett, Roselyn J. Rice, Samuel K. Sarafian, Julius Schachter, Stephen D. Shafran, Craig Shapiro, David Spach, David Taylor-Robinson, Sumner E. Thompson, Suzanne D. Vernon, Ken B. Waites, William Whittington)

This excellent, well-illustrated atlas is intended for the practicing clinician and for the intern who needs to understand the essential facts about sexually transmitted diseases and AIDS. It is a very explicit book with full color illustrations and photographs that gives essential and practical information. It is not a book for the layperson. Each of the chapters that discusses a specific STD begins with an introduction followed with epidemiology, clinical manifestations, laboratory tests, treatment, and bibliography. These are highly technical accounts of the diseases. Charts, graphs, and maps help to place each disease in its place and provide an overview of how widespread that disease is. The first chapter provides "genital anatomy and dermatologic examination." The following chapters cover each disease in detail: "Syphilis," "Chancroid," "Chlamydia," "Granuloma Inguinale," "Gonorrhea," "Gental Mycoplasmas," "Pelvic Inflammatory Disease," "Vaginal Infections," "HIV and AIDS," "Genital Herpes," "Genital Human Papillomavirus Infections," and "Hepatitis."

The second to the last chapter covers "Sexually Transmitted Infections in Infants, Children and Adolescents" and the last chapter covers "Infestations" which includes scabies and Phthirus Pubis. There are two appendices: "Selection and Evaluation of Test and Quality Control" and Media, Reagents, Test Procedures, Stains." This very thorough atlas is a must for all medical libraries.

704. Disability Evaluation, edited by Stephen L. Demeter, Gunnar B. J. Andersson, George M. Smith. 1996. Mosby, 11830 Westline Industrial Drive, St. Louis, MO 63146. 638p., illus., bibliog., index. ISBN 0-8151-2400-7. $75.00. (Descriptors: Disability Evaluation) (Contributors: John Allen, Harvey L. Alpern, Gunnar B. J. Andersson, Thomas J. Armstrong, Gerald M. Aronoff, Peter S. Barth, Christopher Bell, Donald S. Bloswick, Margaret Bryant, Don B. Chaffin, Moira Chan-Yeung, Mark S. Cohen, Alan L. Colledge, Michael Cooper, Edward M. Cordasco, Stephen L. Demeter, Donald F. Eipper, James M. Elegante, Donald Elisburg, Martin Fritzhand, John D. Frymoyer, Steven R. Garfin, Aram Glorig, Judith Goodwin Greenwood, Tee L. Guidotti, Scott Haldeman, James E. Hansen, Philip Harber, Rowland G. Hazard, Richard J. Herzog, George B. Holmes, Jr., David L. Horwitz, Karen Jacobs, Eric L. Jenison, Richard E. Johns, Jr., Barbara Judy, Arthur H. Keeney, Jeffrey D. Klein, J. Bruce Kneeland, Philip Levy, Thomas A. Loiudice, James V. Luck, Jr., John H. Mather, Leonard N. Matheson, Thomas Mayer, John A. McCulloch, John D. McLellan, Jr., Mark N. Ozer, Kenneth C. Pals, Lawrence P. Postol, David Robbins, Anthony A. Romeo, Jeffrey A. Saal, Joel S. Saal, Robert Thayer Sataloff, Brian Schulman, Christopher A. Sheppard, George M. Smith, Leonard J. Swinyer, James S. Taylor, Paul D. Teynor, Moshe Torem, Ralph O. Wallerstein, Ronald J. Washington, Karlman Wasserman, Kenneth M. Willner, Timothy Wolfe, Lee C. Woods, Dennis J. Wright)

When talking about disability management, the ideal compendium "would include information on the financial impact of disability, the role of physicians in diagnosing and quantifying impairment, the role of lay professionals (most notable lawyers) in translating medically derived impairment into legally allowable disability for financial disbursement, and an analysis of the social and legal constructs upon which disability determination is based." This hefty book speaks to all of those issues. It is estimated that there are some 35 to 46 million Americans who could be designated as disabled and, in 1980, the costs associated with these individuals exceeded $177 billion. This is a book for physicians, attorneys, and other health care workers who need to assess an individuals medical condition to determine if they qualify for disability. Needless to say, there are individuals who are fraudulent in designating the term disability, resulting in needless lawsuits and monetary payouts that were not needed.

"From the financial perspective alone, a book such as this one is needed to improve the disability process. On a more humanistic level, improvement in the impairment evaluation and disability process is necessary to ensure that an impaired individual is fairly treated, properly managed, and appropriately compensated." The first part of the book contains basic concepts, including evaluation, legal construct, economic costs, disability systems in the United States and Canada, workers' compensation, social security disability systems, medical evaluation, biostatistics, and epidemiology. The second and largest part discusses disability as it is related to the various organ systems: musculoskeletal, internal medicine, neurologic, and psychiatric. A typical section such as the one on hand and wrist, discusses each problem, its diagnosis, treatment, and results of treatment. It ends with a clinical example. It also indicates at what level or class the impairment can be labelled.

Although HIV/AIDS is not specifically designated as an impairment, there are many maladies that do classify as an impairment that are a direct result of being HIV positive. Therefore, this book can be very useful in evaluating these individuals. A recommended book for all medical, academic, and law libraries.

705. Vitamin A and the Immune Function: A Symposium, edited by Chris Kjolhede, William R. Beisel. 1996. Haworth Medical Press, 10 Alice St., Binghamton, NY 13904-1580. 156p., bibliog., index. (Journal of Nutritional Immunology, v.4, no.1/2, 1995). ISBN 1-56024-757-6. $29.95. (Descriptors: Vitamin A, Immunology, Human Nutrition) (Contributors: Chris Kjolhede, William R. Beisel, James Allen Olson, Frank Chytil, A. Catharine Ross, Tim R. Kramer, Richard D. Semba, Anna Coutsoudis, Gerald T. Keusch)

"This symposium on the relationship between vitamin A and immune function was hosted on September 20, 1993, by the Division of Human Nutrition, Department of International Health, The Johns Hopkins University, School of Hygiene and Public Health, Baltimore, Maryland." Vitamin A deficiency has long been the study of researchers since it is identified with the problems of public health in many of the developing countries. Vitamin A deficiency has been found to increase child morbidity. With the advent of HIV/AIDS, there has been a focus on vitamin A deficiency and the immune system. By increasing the research in this area, there could be positive results not only for HIV/AIDS individuals but for anyone who has a compromised immune system.

The 8 papers cover: "Historical Overview of Nutrition and Immunity, with Emphasis on Vitamin A," "Vitamin A Metabolism During Infection," "Molecular Mechanisms of Vitamin A Action and Their Relationship to Immunity," "Vitamin A Status and the Antibody Response to Bacterial Antigens," "Relationship Between Vitamin A Status and T-Lymphocyte Responsiveness," "Linking Vitamin A and Childhood Immunizations," "The Relationship Between Vitamin A Status and Immune Function During Measles," and "Symposium on Vitamin A and Immunity: Salient Points and Directions for Future Research." These are well written papers that should be of interest to any researcher on vitamins. A recommended book for all medical libraries.

706. Experiencing HIV: Personal, Family, and Work Relationships, by Barry D. Adam, Alan Sears. 1996. Columbia University Press, 562 W 113th St., New York, NY 10025. 182p., bibliog., index. ISBN 0-231-10120-1, 0-231-10121-Xpbk. $45.00, $15.00pbk. (Descriptors: Positive Persons, Interviews)

"This book focuses on living with HIV disease and AIDS to show the many ways in which people deal, adequately or inadequately, with the difficulties posed by the syndrome." It is a book about coping, especially about how 60 HIV positive individuals from southeastern Michigan and southwestern Ontario are coping in each of their own unique way. These individuals are black and white, male and female, gay and heterosexual, well off and poor, and American and Canadian. It is, also, about how HIV affects social relationships, and, in turn, how these relationships affect living with HIV. Needless to say it involves more than just being HIV positive. It involves homophobia, harassment, discrimination, and any number of other reasons that have resulted in these individuals being labelled as different. Read these accounts and you will quickly see a real side of HIV and AIDS. Each person has a unique way of dealing or not dealing with a disease, but when it comes to AIDS, there seems to be a thousand and one roadblocks to being accepted into society.

The book is arranged thematically: "In the Beginning," "Managing Symptoms," "Discourse and Identity," "Sex and Love," "Family and Friends," "Working," and "Experiencing Health Care in Two Nations." "This book has emphasized the ways in which people make lives for themselves in the face of the challenges and barriers imposed by HIV and AIDS. It is a record of courage and creativity as well as mistakes and missed opportunities." This is a must read book for anyone who is HIV positive and a highly recommended book for all libraries. Education and understanding are still needed for everyone to cope with this disease. Those who are positive are learning to cope, but the rest of the population many times turns its head and refuses to cope or believe that such a thing could happen to them.

707. Diet and Nutrition: A Guide for Students and Practitioners, by Brenda Piper. 1996. Chapman & Hall/Singular Publishing Group, 401 West A St., Ste. 325, San Diego, CA 92101-7904. 425p., biliog., index. ISBN 0-412-59700-4. $39.95. (Descriptors: Diet, Nutrition, Dietary Planning, Food)

"The aim of this text is to offer a comprehensive guide to nutrition, diet and food for health professionals, health visitors, nurses and others who need to advise people about diet." HIV positive individuals need to constantly watch their diet in order to help the immune system as much as possible. Many of the newer medications contradict what a normal person should eat, resulting in some misunderstandings. As an example, some of the new drugs require a high fat diet for the drug to be properly absorbed into the body. How, then do you balance that need and the need to keep your cholesterol down? These are interesting problems facing the dieticians today. This book tries to give the reader an understanding of the main concepts of nutrition, stressing that the totality of the diet, the range of foods eaten and the amounts of each, is what is important. The book, also, provides individuals a way to interpret dietary needs around their own situation.

The first part of the book covers physiological nutrition with chapters on: "Nutrition, diet and health," "Digestion, absorption and metabolism," "Carbohydrates," "Proteins," "Fats," "Vitamins," "Mineral elements," and "Dietary energy." The second part looks at dietary planning with chapters on: "A healthy diet," "Pregnancy and lactation," "Feeding children," "Diet in adult life," "The elderly," "Ethnic groups," "Vegetarianism," "Low-income groups," "Diabetes mellitus," "Diet and nutrition in hospital," and "Adverse reactions to foods." The final part covers the composition, labelling, storage, and choices of foods plus meals and recipes. This is an excellent book that would be useful for the professional as well as the layperson. Anyone who finds it necessary to follow an extreme diet should do so under the care of a physician. This book will help to interpret what that physician may have to say to you. A highly recommended book for all libraries.

708. Color Atlas of AIDS, 2nd edition edited by Alvin E. Friedman-Kien, Clay J. Cockerell. 1996. W.B. Saunders, The Curtis Center, 625 Walnut St., Philadelphia, PA 19106-9884. 228p., color illus., bibliog., index. ISBN 0-7216-4949-1. $55.00. (Descriptors: Atlases, Skin Manifestations) (Contributors: Aby Buchbinder, Clay J. Cockerell, Robert Colebunders, Charles Farthing, Dorothy Nahm Friedberg, Alvin E. Friedman-Kien, Deborah Greenspan, John S. Greenspan, Yao-Qi Huang, Elly T. Katabira, Kenneth H. Mayer, Ross E. McKinney, Jr., Steven M. Opal, Neil S. Prose)

The first edition of this book was published in 1989. This second edition "is designed to serve as a convenient visual aid and reference for health care providers, including physicians, nurses, physician assistants, medical students, and paramedical personnel." The color, clinical photographs are of the highest quality showing the many mucocutaneous manifestations of the various HIV-related diseases. There is a great amount of new information since the first edition. New to this edition are chapters on the ophthalmologic, oral, and pediatric aspects of diseases associated with HIV infection and AIDS and a separate chapter of AIDS in Africa. The 8 chapters cover: "AIDS--A Historical Overview," "Opportunistic Infections in Patients with HIV Infection," "Clinical Manifestations and Histopathologic Features of Classic, Endemic African, and Epidemic AIDS-Associated Kaposi's Sarcoma," "Cutaneous Manifestations of HIV Infection," "Oral Manifestations of HIV Infection," "Mucocutaneous Manifestations of Pediatric HIV Infection," "Ocular Complications of HIV Infection," and "HIV Infection in Africa."

For each manifestation a definition is given followed with epidemiology, pathogenesis, clinical manifestations, histopathology, laboratory findings, differential diagnosis, diagnosis, and treatment. The text is very clinical and complete with unbelievable clinical photographs that will make even the well-seasoned health care worker cringe. A highly recommended book for all medical libraries and for those health care workers who treat HIV positive individuals on a regular basis.

709. AIDS: Etiology, Diagnosis, Treatment and Prevention, edited by Vincent T. DeVita, Jr., Samuel Hellman, Steven A. Rosenberg, James Durran, Max Essex, Anthony S. Fauci. 1997. Lippincott-Raven, 227 E Washington Square, Philadelphia, PA 19106-3780. 746p., illus., bibliog., index. ISBN 0-397-51538-3. $89.00. (Descriptors: Etiology, Diagnosis, Treatment, Prevention) (86 contributors)

The first edition of this well-known text was published in 1985. It has now become one of the most respected texts dealing with AIDS that is available. The 86 nationally recognized authorities have compiled a text that is comprehensive and extremely well-organized. In 1985 there were only about 7,000 confirmed cases of AIDS in the U.S. Little was known about the etiology, diagnosis and treatment, let alone much about prevention. The goal of the book "is to present existing knowledge concerning the understanding of the pathogenesis of the disease and current methods for the management of patients who contract AIDS." In all areas of the book an attempt has been made to identify areas of current progress and opportunities for future progress. The disease is continuing to evolve, but at the same time there are newer drugs for treatment, and a much better understanding of just what may be causing the disease.

There are 8 sections, each with several chapters: "Etiology and Pathogenesis," "Epidemiology," "Diagnosis of HIV Infection," "Clinical Manifestations," "Treatment of HIV Infection," "Psychosocial Aspects," "Prevention and Public Health," and "HIV Infection and the Health Care Worker." Of particular interest is the information contained in the epidemiology section that discusses the global distribution of the HIV virus. The treatment section covers the first protease inhibitors with the indication that there will be more soon---and there are. The publishers have inserted a 3 page insert with new developments on antiretroviral therapy. This is a highly technical book that is extremely well documented with extensive bibliographies. It is a model text and highly recommended for all medical students as well as physicians who need accurate information at their desk. Every medical library should have this edition.

[ AIDS BOOK REVIEW JOURNAL | UIC University Library ]

Last updated: 07/17/97
URL: http://www.uic.edu/depts/lib/aidsbkrv/