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chronic lung disease and hiv infection are risk factors for recurrent tuberculosis in a low-incidence setting.programmatic data from the united states on tuberculosis (tb) recurrence are limited.201121682963
tennessee hiv/aids people of color project.the 25th anniversary of the acquired immunodeficiency syndrome (aids) in the united states occurred in 2006. despite advances in detection, treatment, and care, aids, along with human immunodeficiency virus (hiv), and other sexually transmitted diseases (stds) remain formidable opponents. tremendous strides have been made in educating the public about associated risk factors and effective prevention methods. however, this has occurred less in communities of color. the paper describes collaborati ...201020693743
power lifting: people meeting the population challenge.whereas population pressures are usually associated with developing countries, developed countries like the us also suffer from population-associated problems. for example, in some us cities the infant mortality rate is worse than in the developing world. us policy-makers have found it useful to apply some of the programs used successfully in the developing world to problems at home. efforts to increase the availability of health care services and education have led to the creation of the hea ...199412318954
adoption of protective behaviors among persons with recent hiv infection and diagnosis--alabama, new jersey, and tennessee, 1997-1998.a comprehensive human immunodeficiency virus (hiv) prevention strategy includes knowledge of hiv status, counseling to reduce high-risk behavior, and referral for appropriate care (1). after diagnosis, a substantial percentage of hiv-infected persons reduce their high-risk sexual behaviors (2-4). this report presents data characterizing the sexual practices of persons with newly diagnosed hiv infection who have evidence of recently acquired infection. characterizing these persons may assist in t ...200010882290
demographic changes in tuberculosis: high risk groups.we conducted a statistical analysis of all verifiable tuberculosis (tb) cases in tennessee from 1990 through 1996 to determine the demographic changes in tb. we studied variables, including age, sex, race, site of the disease, and possible impact of known risk factors such as human immunodeficiency virus (hiv) infection, homelessness, foreign birth, and residency in extended care facility. the percentage increase in all such categories, except in the nursing home population, had a statistically ...199910094267
effect of hiv reporting by name on use of hiv testing in publicly funded counseling and testing programs.policies requiring confidential reporting by name to state health departments of persons infected with the human immunodeficiency virus (hiv) have potential to cause some of them to avoid hiv testing.19989801002
ten-year summary of human immunodeficiency virus serology in west tennessee.since the isolation of human immunodeficiency virus (hiv), numerous laboratory tests have been developed to confirm the immunologic response to the virus. in 1991, the state of tennessee mandated that clinical laboratories performing western blot analyses for hiv report all new cases of confirmed hiv infection. this report is a summary of hiv confirmed cases evaluated by this facility from 1985 until july 1, 1995. during each year, the laboratory screens approximately 20,000 persons for hiv and ...19968838056
nurses' body fluid exposure reporting, hiv testing, and hepatitis b vaccination rates: before and after implementing universal precautions regulations.the purpose of this study was to investigate whether mandatory universal precautions changed nurses' body fluid exposure and reporting rates, hepatitis b vaccination rates, and human immunodeficiency virus (hiv) testing rates. random cross-sectional surveys of nurses in tennessee were conducted in 1991 and 1993 (n = 145 in 1991; n = 143 in 1993). the questionnaire in both surveys included frequency of body fluid exposures and reporting in the past year, and whether or not the respondent had rece ...19968788379
hiv infection/aids: a clinician's perspective.hiv infection and aids presents complex issues for all mankind. with every day that passes, 5000 more people worldwide become infected with the virus. young people and adults alike need frank and clear information regarding how to protect themselves and others. even though the vast majority of hiv infections are spread through sexual intercourse it is the health care provider and, in particular, the dental professional who is impacted by efforts to prevent the transmission of hiv. it is the obli ...19938152235
appearance of drug-resistant tuberculosis in rural tennessee.drug-resistant tuberculosis (drtb) is a growing national health concern in both urban populations and rural areas and is exacerbated by the growing epidemic of human immunodeficiency virus (hiv) infection. between 1989 and 1992, 7 cases of drtb (5 with multidrug-resistance) were diagnosed in an eight-county region of east tennessee. during 1990 and 1991 alone, 5 of 100 patients with tuberculosis had drug-resistant strains (5%). all 7 patients with drtb had 100% resistance to isoniazid; 5 also ha ...19957817229
urbs in rure: human immunodeficiency virus infection in rural tennessee.although the aids commentaries published over the past 18 months have focused on clinical questions relevant to all practicing infectious diseases physicians, they have emphasized clinical information gathered from the large epicenters of the epidemic. we need to remember that clinicians dealing with hiv-infected patients outside metropolitan areas may face problems that are unique. for example, fighting the stigma of aids in a low-prevalence population may be as important an issue as treating p ...19892584752
a surgeon with aids. lack of evidence of transmission to patients.in january 1989 [corrected], the media reported the identity of a surgeon who was recently diagnosed with the acquired immunodeficiency syndrome (aids). concern about surgeon-to-patient transmission of human immunodeficiency virus (hiv) persisted despite reassurances from health authorities. therefore, hiv antibody testing was offered to the surgeon's patients. we identified 2160 patients operated on since 1982; none had been reported to tennessee's aids registry. a total of 264 had already died ...19902366279
physician breach of patient confidentiality among individuals with human immunodeficiency virus (hiv) infection: patterns of decision.to determine whether the sex, race, or sexual preference of a patient infected with immunodeficiency virus (hiv) influences a physician's decision to breach patient confidentiality, tennessee primary care physicians were mailed a questionnaire containing a case study in which an hiv-infected patient presented a risk to a third party. eight different descriptions of the sex, race, and sexual preference of the hypothetical patient were distributed randomly among the physicians, one description to ...19902356907
universal precautions compliance and exposure frequency to patient body fluids in nurses employed by urban and rural health care agencies.previous studies have suggested that health care workers may differ with respect to universal precautions knowledge, compliance, practice setting barriers, or exposure to patient body fluids in rural and urban areas. the purpose of this study was to determine whether or not there are rural/urban differences in the degree of precaution taken by health care workers to prevent the spread of blood borne pathogens, specifically human immunodeficiency virus (hiv) and hepatitis b virus (hbv). a random ...199510151307
uninfected nurse wins claim based on emotional distress.a tennessee supreme court ruled that a nurse who accidentally stuck herself with a patient's needle is entitled to worker's compensation because the incident left her so emotionally distressed that she is no longer able to work. nurse marcia stout, employed in the critical-care unit of johnson city medical center hospital, accidentally pricked herself with the needle of an hiv-positive patient. repeated hiv-antibody tests have shown that she has not contracted the virus. stout was diagnosed with ...199511362950
mini epidemic of isoniazide resistant tb in rural tn: a need for supervised preventive therapy.with the resurgence of tuberculosis (tb) in the late 1980s, multi-drug-resistant tb (mdr-tb) also became a serious challenge to the tb control programs across the united states (us). while the incidence of tb resumed a downward trend in the mid 1900s, drug-resistant tb continues to be a national and international problem. we reviewed the public health data of drug-resistant tb cases (1996-2002) in greene county, tn, with a detailed analysis of their contact investigation. our study included demo ...200919691201
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