Preventing HIV Transmission


Book Description

This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.




Marijuana As Medicine?


Book Description

Some people suffer from chronic, debilitating disorders for which no conventional treatment brings relief. Can marijuana ease their symptoms? Would it be breaking the law to turn to marijuana as a medication? There are few sources of objective, scientifically sound advice for people in this situation. Most books about marijuana and medicine attempt to promote the views of advocates or opponents. To fill the gap between these extremes, authors Alison Mack and Janet Joy have extracted critical findings from a recent Institute of Medicine study on this important issue, interpreting them for a general audience. Marijuana As Medicine? provides patientsâ€"as well as the people who care for themâ€"with a foundation for making decisions about their own health care. This empowering volume examines several key points, including: Whether marijuana can relieve a variety of symptoms, including pain, muscle spasticity, nausea, and appetite loss. The dangers of smoking marijuana, as well as the effects of its active chemical components on the immune system and on psychological health. The potential use of marijuana-based medications on symptoms of AIDS, cancer, multiple sclerosis, and several other specific disorders, in comparison with existing treatments. Marijuana As Medicine? introduces readers to the active compounds in marijuana. These include the principal ingredient in Marinol, a legal medication. The authors also discuss the prospects for developing other drugs derived from marijuana's active ingredients. In addition to providing an up-to-date review of the science behind the medical marijuana debate, Mack and Joy also answer common questions about the legal status of marijuana, explaining the conflict between state and federal law regarding its medical use. Intended primarily as an aid to patients and caregivers, this book objectively presents critical information so that it can be used to make responsible health care decisions. Marijuana As Medicine? will also be a valuable resource for policymakers, health care providers, patient counselors, medical faculty and studentsâ€"in short, anyone who wants to learn more about this important issue.




AIDS, Sexual Behavior, and Intravenous Drug Use


Book Description

The AIDS virus is spread by human behaviors enacted in a variety of social situations. In order to prevent further infection, we need to know more about these behaviors. This volume explores what is known about the number of people infected, risk-associated behaviors, facilitation of behavioral change, and barriers to more effective prevention efforts.




Facing Addiction in America


Book Description

All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.




Handbook on Risk of AIDS


Book Description

Intravenous drug users account for nearly one-third of the current AIDS cases in the United States--second only to gay males--and are responsible for 72 percent of female and 59 percent of pediatric cases of AIDS. Thus the National Institute of Drug Abuse launched a major effort in 1987 to locate hidden users and to see how they function and to evaluate strategies and community-based programs in 50 cities and 60 nearby communities around the country in order to lower risks to IV users and to reduce the dangers that they pose to others in the population. Brown and Beschner present the very latest findings and come to well-tested conclusions about how to change behaviors positively. This handbook is written for use in college, university, and professional libraries and for students, teachers, policymakers, and practitioners in public health service and in public policy at all governmental levels to study carefully. Brown and Beschner open with an introduction showing how injection drug users and their sexual partners are at risk for aids. Part I describes the spread of AIDS in the United States and Puerto Rico. Part II depicts patterns of injection drug and crack use and their effect on sex partners. Part III deals with gender issues. Part IV goes into demographic and background factors. Part V discusses key issues in the use of drug abuse treatment. Part VI analyzes outreach and behavior change strategies. And Part VI looks into how risk can be reduced as a result of outreach and specific intervention strategies. The final chapter comes to some conclusions about the effectiveness of various interventions by the National AIDS Demonstration Research Project. Background readings also add to the importance of this major reference.




Handbook of the Medical Consequences of Alcohol and Drug Abuse


Book Description

The essential newly-expanded reference that needs to be on the desk of every health care professional who encounters substance abusers. Handbook of the Medical Consequences of Alcohol and Drug Abuse, Second Edition is the newly-updated classic reference text that provides even more detailed and expanded information on the pharmacological, toxicological, and neuropsychological consequences of alcohol and drug abuse. Eight new chapters of crucial information have been added. Written by leading experts in the fields of medical physiology, psychopharmacology, and neuropsychology, this valuable resource provides the detailed alcohol and drug information health professionals in all fields need to know. Handbook of the Medical Consequences of Alcohol and Drug Abuse, Second Edition greatly expands on the expert information provided in the first edition. This text provides reviews of the cardiovascular, neurological, pulmonary, gastrointestinal, psychological, and hepatic effects of commonly abused drugs. The book also provides in-depth explanations of the mechanisms by which these psychoactive drugs exert their biobehavioral effects as well as current thinking about—and definitions of—abuse, dependence, and alcohol/drug use. The Handbook of the Medical Consequences of Alcohol and Drug Abuse, Second Edition includes vital information on: alcohol, including definitions of alcohol use, abuse, and dependence the relationship between alcohol and accidental injuries, alcohol’s effect on skeletal and major organ systems, and its effect on risk factors for certain cancers effects of alcohol and other drugs on neuropsychological function the effects of alcohol on neuron signaling, neurotransmitter function, and alcoholic brain damage and cognitive dysfunction fetal alcohol effects chronic effects of marijuana use on psychological and physical health, including a fair and balanced discussion of the medical marijuana issue the consequences of opiate abuse and methadone pharmacotherapy, including a comparison of the effects of methadone and heroin on organ systems cocaine’s history, the various forms of the drug, and the adverse effects of cocaine on cardiovascular, neurologic, and pulmonary systems the medical consequences of inhalants ranging from benzene to xylene the prenatal effects of nicotine, cocaine, marijuana, and opiates terminology that appears in the current literature on alcohol New topics in the Handbook of the Medical Consequences of Alcohol and Drug Abuse, Second Edition include chapters discussing: chemical dependency in psychiatric patients medical consequences of steroids OTC medications hallucinogens health effects of tobacco, nicotine, and exposure to tobacco smoke interactions of alcohol with other drugs and other medications periodontal effects of alcohol and drug abuse in the oral cavity imaging studies of structural brain changes The Handbook of the Medical Consequences of Alcohol and Drug Abuse, Second Edition is an invaluable resource for physicians, scientists, nurses, psychologists, and alcohol and drug counselors.




The Psychiatry of AIDS


Book Description

HIV/AIDS has become a psychiatric epidemic. The disease causes or exacerbates such psychiatric disorders as depression, dementia, schizophrenia, and bipolar disease. At the same time, the presence of a psychiatric disorder can lead to increased risk for HIV infection and worsen the prognosis of patients once they are infected. Dr. Glenn J. Treisman, who has been described as the "father of AIDS psychiatry," describes the relationship between psychiatric disorders and HIV/AIDS and demonstrates the ways in which effective recognition and treatment of mental disorders can increase a patient's ability to obtain better treatment, improve compliance with medical regimens, and reduce incidents of high-risk behavior. The book provides HIV/AIDS professionals with overviews of psychiatric disorders, including mood and personality disorders, mental retardation, substance abuse and addiction, and sexual disorders and dysfunction. It also provides mental health professionals with essential information on how to care for patients with HIV and those at risk for the infection. The book discusses psychopharmacology, psychotherapy and counseling, as well as adherence and compliance issues, and the relationship between psychiatric disorders and other STDs. Containing the most up-to-date information on diagnosis, prognosis, and treatment, this book draws on the authors' unrivaled experience and uses case studies to show HIV/AIDS professionals how psychiatric interventions benefit the patient, the medical team, and society as a whole. The cases are rich and engaging, and convey to the reader the intense disorder that can affect the lives of patients.




The Impact of Global Drug Policy on Women


Book Description

The ebook edition of this title is Open Access and freely available to read online. Examining the impact of drug criminalisation on a previously overlooked demographic, this book argues that women are disproportionately affected by a flawed policy approach.




Psychiatric Aspects of HIV/AIDS


Book Description

This comprehensive text focuses on psychiatric issues associated with HIV/AIDS and provides clinicians with a basic understanding of epidemiology, virology, transmission, and medical treatments inclusive of occupational exposures. Psychosocial, spiritual, and sociocultural aspects of HIV/AIDS are covered, describing implications of HIV/AIDS across minority groups. The treatment section allows clinicians to organize an effective psychiatric treatment plan for all mental disorders associated with HIV/AIDS. Issues of adherence, prevention, and public well-being are emphasized throughout. The management of medical problems such as delirium, dementia, and pain management in special HIV/AIDS patients with co-morbid substance abuse as well as end of life care is also included.