INDEX

Note: Just as this book is continually evolving, so is this Index. It’s future development depends on you, and we welcome your input.

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A     A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Abacavir: 95, 100, 242

Abdominal pain, pelvic: 173, 358 

differential diagnosis and management: 174, 358, 359 
dysmenorrhea: 176 
endometriosis: 176 
evaluation: 174 
gastrointestinal pathology: 177 
medication-related: 177 
mittelschmerz: 177 
ovarian torsion: 176
pelvic inflammatory disease (PID): 174

indications for hospitalization in patients with PID: 176
PID in the HIV-positive woman: 175

ruptured/hemorrhagic ovarian cyst: 176 
urinary tract pathology: 177 
uterine leiomyomas (fibroids): 176 

Abnormal Pap smear: 153 

AGCUS (atypical glandular cells of undetermined significance): 157 
ASCUS (atypical squamous cells of undetermined significance): 156 
cervical dysplasia: 154 

HIV and cervical dysplasia: 154 

high-grade squamous intraepithelial lesion: 158
in management of abnormal Pap smear: 158
invasive carcinoma: 158 
invasive cervical cancer in HIV disease: 154 
low-grade squamous intraepithelial lesion: 158 
management of cervical lesions: 158 
recommendations for pap smear screening and colposcopy: 156 
recommended management: 158 

Abnormal uterine bleeding: 149 

Abstinence: 41, 72, 340, 341, 342 

Access to care: 39 

Acute diarrhea: 126

Acute HIV infection, treatment of: 105 

Acute infection, primary or: 13 

Addiction severity index (ASI): 320 

Adherence: 34, 35 

and viral load: 140 
children and adolescents: 143
improving: 144 
in special populations: 142 
incarcerated patients: 142 
interventions, 145, 145 
measuring: 143 
nurse-based intervention to improve adherence: 146 
patient factors associated with nonadherence: 141 
predictors of: 140 
reasons patients cite for missing medication: 142 
to HIV therapies: 139

Adolescents: 335 

abstinence and risk reduction: 340, 341, 342 
adherence: using your EARS: 345 
adolescent AIDS program, Montefiore Medical Center: 342 
Adolescent Medicine HIV/AIDS Research Network (AMHARN): 343, 344 
alcohol: 337 
behavioral/biological risk: 337 
clinical and psychosocial care: 343 
condom use, factors associated with: 341, 342 
confidentiality and legal issues: 338 
counseling and testing,: 339 

"one-shot" approach to counseling: 339 

epidemiology: 335 
heightened vulnerability for infection: 337 
HIV care for adolescents: 338 
HIV treatment: 344 
Tanner staging: 344 
treatment adherence: 344 
HIV. Live with it. Get Tested: 342 
homeless or runaway: 337 
in foster care: 337 
incarcerated: 337 
injection drug users: 337 
lesbian, transgender, and bisexual youth: 337 
linking youth to care: 342 
marijuana: 337 
mental illness: 337, 346 
physical exam, laboratory tests and immunizations: 343 
physically abused: 337 
prevention: 340 
Project TREAT (treatment regimens enhancing adherence in teens): 344 
safer sex: 342 
sexual risk: 336 
sexually abused: 337 
socioeconomic risk: 338 
substance use: 346 
teen AIDER interview for HIV counseling, testing, and risk reduction: 340 

 

Adult victimization: 296 

 

Advanced HIV infection plus altered status: 132 

 

Aegis: 473 

 

African American culture: 282 

case study: 284 

 

Agenerase: 96 AIDS 

 

Alliance for Children, Youth & Families: 474 

 

AIDS Clinical Trials and Women: 476 

 

AIDS Clinical Trials Group: 476 

 

AIDS Clinical Trials Information Service (ACTIS): 476 

 

AIDS dementia complex (ADC): 82, 119 

 

AIDS Education and Training Centers Warmline: 472 

 

AIDS risk reduction model, the: 48 

 

AIDS Treatment Information Service (ATIS): 471 

 

Alcohol: 140, 319, 330, 337 

alcohol addiction: 325 

alcohol use estimates by age, gender, and ethnicity in the U.S.: 315

 

Algorithms for diagnosis and management of symptoms: 124 

 

Allergic/irritative reaction: 184 

 

Alternative HIV tests: 84 

 

Alternative or complementary therapy: 107 

 

Alternatives to HRT: 188 

 

Amenorrhea: 149 

 

American College of Obstetricians and Gynecologists (ACOG): 483 

 

American Foundation for AIDS Research (AMFAR) Treatment Directory: 473 

 

American Psychological Association Office on AIDS: 480 

 

Americas: 22 

 

AMHARN: See Adolescent Medicine HIV/AIDS Research Network

 

Amniocentesis: 241 

 

Amprenavir: 96, 100, 246 

 

Anemia: 123, 367 

 

Anovulation: 151 

 

Antepartum: 236 

antepartum fetal surveillance/testing: 239 

 

Antibiotic prophylaxis: 259 

 

Antimicrobials 

commonly used antimicrobials for the treatment and prevention of
opportunistic infections in HIV-infected patients: 413 

Acyclovir (Zovirax®): 428 

Aerosolized pentamidine: 425 

Albendazole (Albenza®): 427 

Amphotericin B (Fungizone®): 419 

Atovaquone (Mepron®): 418 

Azithromycin (Zithromax®): 414 

Cidofovir (Vistide®): 430 

Clarithromycin (Biaxin®): 415 

Clotrimazole: 421 

Dapsone: 427

Ethambutol (Myambutol®): 418 

Famciclovir (Famvir®): 429 

Fluconazole (Diflucan®): 421 

Flucytosine (Ancobon®): 420 

Foscarnet (Foscavir®): 430 

Ganciclovir (Cytovene®): 429 

Hydroxyurea (Hydrea®, Droxia®): 419 

Interferon (Roferon®, Intron®): 431 

Intravenous pentamidine: 426 

Isoniazid (INH, Tubizid®, Nydrazid®): 416 

Itraconazole (Sporanox®): 422 

Nystatin: 420 Primaquine: 426 

Pyrazinamide: 416 

Pyrimethamine (Daraprim®): 423 

Ribavirin (Rebetrol®): 431 

Rifabutin (Mycobutin®): 417 

Rifampin (Rifadin): 417 

Sulfadiazine: 424 

Trimethoprim-sulfamethoxazole (Bactrim, Septra, Cotrim, Sulfatrim: 413 

Valacyclovir (Valtrex®): 428 

drug interactions of antimicrobials: 436 

nonnucleoside reverse transcriptase inhibitors (NNRTIs): 439 

Delavirdine (Rescriptor®) (DLV): 440 

Efavirenz (Sustiva®) (EFV): 443 

Nevirapine (Viramune®) (NVP): 439 

nucleoside reverse transcriptase inhibitors (NRTIs): 436 

3TC (lamivudine) (Epivir®): 438 

Abacavir (Ziagen®): 438 

AZT (zidovudine) (Retrovir®): 436 

d4T (stavudine) (Zerit®): 438 

ddC (zalcitabine) (Hivid®): 438

ddI didanosine) (Videx®): 436 

protease inhibitors (PIs): 445 

Amprenavir (Angenerase®) (APV): 459 

Indinavir (Crixivan®) (IDV): 445 

Lopinavir/ritonavir (LPV/r) (Kaletra®): 447 

Nelfinavir (Viracept®) (NFV): 457 

Ritonavir (Norvir®) (RTV): 452 

Saquinavir (Invirase®) (Fortovase®) (SQV): 450 

safety of commonly used antimicrobials: 432 

Aminoglycosides: 433 

Aztreonam: 434 

Cephalosporins: 432 

Chloramphenicol: 434 

Clindamycin: 432 

Erythromycin: 432 

Fluoroquinolones: 433 

Imipenem: 433 

Meropenem: 433 

Methenamine: 434 

Metronidazole: 432 

Nitrofurantoin: 434 

Penicillins: 432 

pregnancy risk factor: 435 

Tetracyclines: 433 

Vancomycin: 434 

 

Antiretroviral agents: 94 

hydroxyurea in combination with other antiretroviral drugs: 100 

recommended antiretroviral agents for initial treatment of established HIV infection: 100 

sites of action of antiretroviral agents: 94 

 

Antiretroviral resistance: 396 

 

Antiretroviral therapy: 93, 94 

alternative/complimentary therapies: 402 

benefits of antiretroviral drugs in pregnancy: 402 

general principles: 93

in pregnancy: 106 

recommendations for antiretroviral therapy in the treatment-experienced patient: 101 

risks and benefits of early initiation of antiretroviral therapy: 106 

St John’s wort: 402 

 

Antiretroviral therapy in substance abusers: 329 

 

Antiretroviral treatment: 241 

antiretroviral pregnancy registry: 253 

comparison of intrapartum/postpartum regimens 
  for HIV-Infected Women in Labor Who Have had 
  no prior antiretroviral therapy: 250 

maternal adverse effects: 247 

preclinical and cinical data relevant to use of antiretroviral drugs in pregnancy: 242 

 

Antiretrovirals: 404 

antiretroviral cocktail: 401 

antiretroviral pregnancy registry, the: 401 

nonnucleoside reverse transcriptase inhibitors (NNRTIs): 407 

Delavirdine (Rescriptor®): 409 

Efavirenz (Sustiva®): 407 

Nevirapine (Viramune): 408 

nucleoside reverse transcriptase inhibitors (NRTIs): 404 

Abacavir (Ziagen®): 404 

Didanosine (Videx, ddI): 405 

Lamivudine, (Epivir, 3TC): 406 

Stavudine (Zerit®, d4T): 405 

Zalcitabine, (Hivid®; Dideoxycytidine, ddC): 407 

Zidovudine (Retrovir®, AZT): 404 

pharmacokinetics of antiretroviral drugs: 403 

protease inhibitors (PIs): 409 

Amprenavir (Angenerase®): 412 

Indinavir (Crixivan®): 411 

Lopinavir/Ritonavir (LPV/r) (Kaletra®): 409 

Nelfinavir (Viracept®): 411 

Ritonavir (Norvir®): 410

Saquinavir (Invirase® Fortovase®): 410 

risks of antiretroviral drugs in pregnancy: 402 

 

Aphthous genital ulcerations: 165 

 

Aphthous ulcers: 82 

 

Approach to the patient: 33 

nonverbal communication: 34 

 

ASCUS (atypical squamous cells of undetermined significance): 156 

 

Asia: 22 

 

Association of Nurses in AIDS Care (ANAC): 483 

 

Aternative or complementary therapies: 36 

 

Atrophic vaginitis: 173 

 

Atypical glandular cells of undetermined significance: 158 

 

Azole resistance: 169 

 

AZT: See Retrovir, Zidovudine


B     A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Bacterial pneumonia: 79, 107

 

Bacterial vaginosis (BV): 6, 59, 60, 166, 226 

recommended management: 167 

 

Bad news, breaking: 367 

mnemonic for breaking bad news: 368 

 

Barrier contraceptives: 67 

 

Bartholin’s abscess: 182 

 

Baseline laboratory evaluation: 85, 91 

 

Behavioral Intervention: 49 

checklist for the behavioral intervention counseling session: 57 

 

Behavioral intervention models: 48 

 

Behavioral theories relevant to sexual risk reduction counseling: 48 

 

Behcet’s syndrome: 164 

 

Benefits of therapy: 98

 

Benign breast tumor: 186

Benign or malignant ovarian neoplasm: 178

 

Bereavement: 375 

 

Bethesda System, Pap smear report format for: 156 

 

Biologic and host-related factors affecting sexual transmission: 5 

 

Biopsy: 181 

 

Bisexual youth, lesbian, transgender, and: 337 

 

Body fluids and risk of exposure requiring postexposure prophylaxis: 384 

 

Branched DNA (bDNA): 84, 88 

 

Breast cancer: 186 

 

Breast lump: 185 

breast tumor: 186

breast cancer: 186 

fibrocystic change: 186 

 

Breast-feeding: 236 

 

BufferGel: 69 

 

Bulletin of Experimental Treatments for AIDS (BETA): 476

C     A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

C31G: 69 

 

Cancer: 151 

invasive cervical cancer in HIV disease: 154 

 

Candida albicans (C. albicans): 167, 169 

 

Candida vaginitis: 107 

 

Candidiasis: 114 

oral: 107 

vaginal: 107 

 

Caracas definition, HIV disease classification: 13 

 

Care provider issues: 308 

 

Case definition for AIDS among adults and adolescents: 9 

 

CD4 lymphocyte count: 85

 

CDC: See Centers for Disease Control and Prevention

 

Centers for Disease Control and Prevention (CDC): 8, 72, 83 

 

CDC guidelines: 71 

 

Centers for Disease Control National Prevention Information Network: 473 

 

Central Asia: 22 

 

Central nervous system (CNS): 82 

 

Central nervous system lymphoma: 121 

 

Cervical cancer in HIV disease, invasive: 154 

 

Cervical dysplasia: 154 

 

Cervical ectopy: 6 

 

Cervical lesions, management of: 158 

 

Cervical testing: 152 

 

Cervicitis: 82 

 

Cesarean delivery: 235 

 

Chancroid: 163 

 

Checklist for the behavioral intervention counseling session: 57 

 

Chemistry panels, hematology and: 89 

 

Chickenpox: 89 

 

Childhood sexual abuse: 296, 297 

 

Children and adolescents: 143 

 

Children of mothers at risk: 1 

 

Chlamydia: 172 

 

Chlamydia trachomatis: 69 

 

Chronic diarrhea: 127 

 

Chronic hepatitis B and C: 121 

 

Classification system, 1993, revised, for HIV infection: 9 

 

Clinical and psychosocial care, adolescents: 343 

 

Clinical programs, multiservice: 301 

 

CMV: See Cytomegalovirus CNS: See Central nervous system

 

Cocaine: 43, 140, 299, 314, 319, 320, 330 

cocaine addiction: 325

cocaine use in pregnancy: 329 

 

Coccidiomycosis: 253 

 

Colonoscopy/sigmoidoscopy: 189 

 

Colposcopy: 181 

indications for: 157 

 

Combivir: 95 

 

Communication: 33 

 

Community: 284 

 

Community AIDS Treatment Information Exchange (CATIE): 477 

 

Comorbidity related to substance abuse: 315 

 

Complications correlation of complications with CD4 cell counts: 108 

infectious: 108 

noninfectious: 108 

opportunistic diseases: 107 

 

Complimentary therapies: 34, 107 

 

Condoms: 217, 223, 233 

acceptability of: 64 

condom use: 61, 62 

condoms and prevention of HIV infection: 61 

factors associated with condom use and non-use: 66, 341 

female condoms: 61, 63, 64, 218 

insertion and positioning: 65 

male condoms: 62, 217 

postexposure prophylaxis (PEP): 69, 72 

 

Condyloma acuminata: 82 

 

Confidentiality: 35 

 

Confidentiality and legal issues: 338 

 

Congenital syphilis: 228 

toxoplasmosis: 229 

viral infection: 229 

 

Containing the epidemic: 23 

 

Contraception: 35, 214 

barrier contraceptives: 67 

contraception and prevention of HIV-1 infection: 68

contraception and prevention of infection are separate issues: 68 

contraceptive methods: 215 

cervical cap: 219 

nonparous: 219 

parous: 219 

condom use: 261 

depomedroxyprogestone acetate (DMPA): 216 

diaphragm: 220

female sterilization: 221 

hormonal methods: 214 

IUD: 221 

male sterilization: 222 

nonbarrier: 6 

Norplant: 216 

oral contraceptives: 214 

oral contraceptive pill: 215 

progestin-only pill: 217 

spermicides: 220, 223 

hormonal contraceptives: 67 

other forms of contraception and the risk of HIV infection: 67 

 

Coping with HIV: the experience of HIV-positive Women in the context of their relationships: 290 

 

Correctional systems: 142 

 

Cough: 129 

 

Counseling: 213 

checklist for the behavioral intervention counseling session: 57 

components of HIV pre- and posttest counseling: 45 

counseling and support: 257 

counseling the HCW: 394 

ethnic and gender considerations in risk reduction counseling: 57 

HIV and pregnancy counseling issues: 214 

HIV counseling and testing: 44 

impact of HIV counseling and testing on prevention: 47 

practical aspects of counseling patients about sexual risk reduction: 52 

pre- and posttest HIV counseling: 44

 

Counseling and education: 39

 

Counseling and testing, adolescents: 339 

teen AIDER interview for HIV counseling, testing, and risk reduction: 340 

 

Crack cocaine: 43, 299, 314, 319 

 

Criminal justice settings: 330 

 

Critical Path AIDS Project: 478 

 

Crixivan: 96 

 

Crohn’s disease: 164 

 

Cryptococcal meningitis: 109, 115 

 

Cryptococcus neoformans: 112 

 

Cryptosporidiosis and microsporidiosis: 118 

 

Crytococcosis:: 253 

 

Cultural background: 33, 36 

 

Cultural issues: 280 

African American culture: 282 

case study: 284 

the seven Rs (core African American values): 282 

African American women: 275, 278 

interventions: 283 

community: 284 

interventions: 285 

cultural considerations: 275 

 

Hispanic culture: 280 

case study: 281 

colectivismo: 280 

familismo: 280

interventions: 281 

personalismo: 280 

respeto: 280 

simpatía: 280 

 

Latina/Hispanic women: 275, 278 

minority women: 275 

spirituality: 283 

 

Cytomegalovirus (CMV): 82, 89, 112, 117, 163, 229, 253 

retinitis: 81


D    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Dame Cicely Saunders: 353

 

ddI: See Didanosine

 

Death: 373 

grief and bereavement: 375 

guidelines for after the death: 376 

multiple loss: 375 

 

Delavirdine: 95, 100, 243 

 

Demographic comparison of HIV-positive women and men: 295 

 

Department of Health and Human Services (DHHS): 97 

panel on clinical practices for treatment of HIV infection: 97 

 

Depomedroxyprogestone acetate (DMPA): 216 

 

Depression: 140, 297 

differential diagnosis of major depressive disorder: 304 

 

Detoxification: 325 

 

Developing AIDS, likelihood of: 87 

 

Developing countries: 10, 20 

 

Diaphragm: 220 

 

Diarrhea 

acute: 126 

chronic: 127 

 

Didanosine (ddI): 95, 242 

 

Disclosure 

to children: 37 

to sexual partners: 37 

 

Discrimination: 35 

 

Disseminated histoplasmosis: 109 

 

Disseminated Mycobacterium avium complex (MAC): 117, 253 

 

DNA PCR: 84 

 

Doctor-patient relationship: 141, 146 

 

Domestic violence: 44, 45, 58, 213, 277, 278, 296 

 

Douching: 60 

 

Drug abuse: See Substance abuse

 

Drug addiction, defined: 313

 

Drug holiday: 101 

 

Drug reaction: 165 

 

Drug users, injection: 300 

 

Drugs of special consideration in women: 463

Nonsteroidal antiinflammatory drugs (NSAIDs): 463 

Acetaminophen: 463 

Aspirin: 463 

Methergine: 463 

Narcotic analgesic: 463 

Ritodrine: 463 

Terbutaline: 463 

 

DSM-IV drug addiction criteria: 320 Dysmenorrhea: 176 Dyspnea: 129, 365

E     A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Early initiation of antiretroviral therapy in the asymptomatic patient, risks and benefits: 106 

 

Eastern Europe: 22 

 

Economic issues: 276 

interventions: 276 

poverty: 276, 277, 278, 285 

 

Ecstasy (MDMA): 314 

 

Ectopic pregnancy: 178 

 

Education and counseling: 39 

 

Education, patient: 144 

 

Efavirenz: 95, 100, 243, 246 

 

ELISA: See Enzyme-linked immunosorbent assay

 

Emotional milestones: the experience of the individual HIV-positive woman: 290; See also Psychological issues, psychosocial issues, cultural issues) providing HIV care at emotional milestones: 291 

 

Encephalopathy: 119 

 

End-of-life care: See Palliative care

 

End-of-life issues: 371 

advance care planning: 368, 370 

advance directive: 370 

care provider, care of the: 377 

clinical treatment: 372 

conversations for the end of life: 373 

do not resuscitate: 372 

goal setting: 368 

grief and bereavement: 375 

guidelines for after the death: 376 

making plans: 369 

multiple loss: 375 

personal goals: 370 

physical comfort: 371 

physician’s card: 372 

RPC (reassurance, presence, caring): 372 

time of death: 374 

 

Endometrial biopsy: 152 

 

Endometrioma: 178 

 

Endometriosis: 176 

 

End-stage organ failure: 367 

 

Enzyme-linked immunosorbent assay (ELISA): 46, 83, 84, 85 

 

Epidemiology of HIV/AIDS: 1 

 

Epivir: 95 

 

Erythropoietin in the anemic HIV patient, guidelines for the use of: 122 

 

Established infection: 14 

 

Estrogen and progestin preparations, commonly used: 188 

 

Ethnic and gender considerations in risk reduction counseling: 57 

 

Evaluation baseline laboratory evaluation: 85, 91 

initial: 78 

 

Evaluation of the HIV-infected woman: 35 

 

Examination: 81 

cytomegalovirus (CMV) retinitis: 81 

eyes: 81 

general: 81

hepatosplenomegaly: 82 

Kaposi’s sarcoma (KS): 81 

lungs: 81 

lymph nodes: 81 

neurologic: 82 

oropharynx: 81 

pelvic: 82 

skin: 82 

 

Exposure: See Occupational exposure

 

Eyes: 81


F    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Factors associated with condom use and non-use: 66

 

Factors facilitating transmission: 4 

 

Factors that influence rate of HIV disease progression: 18 

 

Family issues: 277 

Family-centered care: 38 

 

Fatigue: 354

treatable causes of fatigue: 355 

 

FDA Background on Protease Inhibitors: 473 

 

Female condoms: 61, 63, 64 

insertion and positioning: 65 

 

Female sterilization: 221 

 

Femidom, female condom: 64 

 

Fertility, HIV and: 224 

 

Fetal 

fetal/infant adverse effects: 245 

surveillance: 239 

 

Fetal alcohol syndrome: 329 

 

Fetal syphilis: 228 

 

Fetal/maternal monitoring: 258 

 

Fetal/neonatal factors: 235

 

Fever: 129 

 

Fever of unknown origin: 125 

 

Fibrocystic change: 186 

 

Fibroids: See Uterine leiomyomas

 

5-fluorouracil (5-FU): 158

 

Flow sheet, patient intake: 92 

 

Food-drug interactions: 463 

 

Fortovase: 96 

 

Frequency of visits: 257 

 

Fungal infection: 183

 

G     A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

 

Gastrointestinal masses: 178 

 

Gastrointestinal pathology: 177 

 

Gender 

Gender considerations in risk reduction counseling, ethnic and: 57 

Gender differences: 363 

Gender effects: 17 

Genetic mutability: 93 

 

Genital itching/irritation: 183 

allergic/irritative reaction: 184 

differential diagnosis and management: 183 

evaluation: 183 

fungal infection: 183 

history: 183 

pediculosis pubis: 185 

physical exam: 183 

scabies/lice: 184 

 

Genital masses/nodules: 182 

Bartholin’s abscess: 182 

evaluation: 182 

molluscum contagiosum: 182 

tumors, other masses: 183 

 

Genital tract infections: 59, 151 

 

Genital ulcers: 159 

aphthous genital ulcerations: 165 

Behçet’s syndrome: 164 

chancroid: 163 

Crohn’s disease: 164 

drug reaction: 165 

evaluation: 159 

granuloma inguinale: 164 

hidradenitis Suppurativa: 164

inflammatory conditions: 164 

lymphogranuloma venereum: 163 

neoplastic: 165 

syphilis: 161 

trauma: 165 

tuberculosis: 164 

 

Genital warts: 180 

biopsy: 181 

colposcopy: 181 

relation to HIV: 180 

 

Genitalia/perineum: 82 

 

Genotypic assays: 103 

comparison of genotypic and phenotypic assays: 105 

 

Global Impact: 21 

 

Glucose intolerance: 96 

 

Glucose-6-phosphate dehydrogenase (G6PD): 90 

 

Goals of HIV disease management: 80 

 

Gonorrhea: 43, 171 

 

Granuloma inguinale: 164 

 

Grief: 375 

facilitating the grieving process: 377 

 

Growth House Search Engine: 481 

 

Guidelines CDC guidelines: 71 

for care, HIV and reproduction: 236 

antepartum: 236 

antepartum fetal surveillance/testing: 239 

history/physical examination: 236 

laboratory evaluation in the HIV-infected pregnant woman: 237 

laboratory examination by trimester: 237 

for gynecologic referral: 190 

for interaction with all patients: 33 

for use of erythropoietin in the anemic HIV patient: 122 

treatment guidelines: 97 

USPHS/IDSA guidelines: 109

 

Gynecologic 

exams: 33 

history: 37 

 

Gynecologic evaluation: 189 

 

Gynecologic referral, guidelines for: 190


H    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


HAART: See Highly active antiretroviral therapy

 

Handbook for Palliative Care: 481 

 

Harm reduction: 322 

 

HCSUS: See HIV Cost and Services Utilization Study 

 

HCW: See Health Care Worker

 

Headache: 131 Health belief model: 48

 

Health Care Financing Administration (HCFA): 474 

 

Health care worker (HCW) 

counseling the HCW: 394 

HIV-seropositive HCW: 396 

occupational exposure: 383 

pregnant HCW: 396 

 

Health Initiatives for Youth (HIFY): 479 

 

Health maintenance issues: 189 

gynecologic evaluation: 189 

Pap smears: 189 

sigmoidoscopy/colonoscopy: 189 

STD screening: 189 

 

Health Resources and Services Administration (HRSA): 343, 344, 349 

 

Hematology and chemistry panels: 89 

 

Hepatitis: 89 

chronic hepatitis: 121 

hepatitis A: 89, 112 

hepatitis B: 89, 111 

hepatitis B virus (HBV): 230 

hepatitis C: 90 

hepatitis C virus (HCV): 231 

laboratory tests for: 90 

 

Hepatosplenomegaly: 82

 

Heroin: 140, 314, 319, 330 

 

Herpes simplex virus: 69

 

Herpes simplex virus (HSV): 82, 116, 159

genital herpes simplex: 226 

recommended management: 161 

 

Heterosexual contact: 2 

 

Hiccups: 365 

 

Hidradenitis suppurativa: 164 

 

High-grade squamous intraepithelial lesion: 158 

 

Highly active antiretroviral therapy (HAART): 1, 99, 139 

 

High-risk sexual activity: 38 

 

High-risk STDs: 43 

 

Hispanic culture: 280 

case study: 281 

Hispanic women: 35 

 

Histoplasma capsulatum: 112 

 

Histoplasmosis: 82, 253 

disseminated: 109 

History, patient: 78 

 

HIV 

and cervical dysplasia: 154 

behavioral risk, adolescent: 337

biological risk, adolescents: 337 

heightened vulnerability for infection (adolescents): 337 

HIV care for adolescents: 338 

HIV treatment, adolescents: 344 

invasive cervical cancer in HIV disease: 154 

prevention, adolescents: 340 

socioeconomic risk, adolescents: 338 

 

HIV cost and services utilization study: 39, 141 

 

HIV counseling and testing: 44 

 

HIV Dent: 475 

 

HIV disease progression

factors that influence rate of: 18 

natural history and: 7 

 

HIV encephalopathy: 82

 

HIV Medication Guide: 473 

 

HIV pathogenesis: 80 

 

HIV RNA level in tissues: 15 

 

HIV RNA present in blood: 14 

 

HIV therapies, adherence to: 139 

HIV transmission: 3 

biologic and host-related factors affecting sexual transmission: 5 

factors facilitating transmission: 4 

maternal/obstetric factors: 233 

modes of: 3 

parenteral transmission: 3 

perinatal transmission: 4, 231 

potential variables in transmission: 232 

sexual transmission: 3 

staging: See Highly active antiretroviral therapy (HAART) 

susceptibility of the recipient: 6 

transfusion-associated HIV transmission: 4 

transmission risk: 4 

 

HIV/AIDS: 1 

epidemiology of: 1 

 

HIV/AIDS Phone resources: 478 

 

HIV/AIDS Project Development and Evaluation Unit (HAPDEU): 479 

 

HIV-disease classifications 

Caracas definition: 13 

revised classification system for HIV infection, 1993: 9 

 

Hivid: 95 

 

Holiday, drug: 101 

 

Home testing: 84 

 

Homeless adolescents: 337 

 

Homeless patients: 143 

 

Hope: 369 

 

Hormonal contraceptives: 67 

 

Hormone replacement therapy (HRT): 187 

alternatives to HRT: 188 

 

Hospice: 349, 353 

 

Host, infectiousness of the: 4 

 

Host-related factors affecting sexual transmission, Biologic and: 5 

 

Houston, Centers for Disease Control: 51 

 

HPV: See Human papillomavirus 

 

HRSA: See Health Resources and Services Administration 

 

HRSA HIV/AIDS Bureau (HAB): 475 

 

HRSA/CDC National Clinicians’ Post-Exposure Prophylaxis Hotline (PEPline): 482 

 

HRT: See Hormone replacement therapy 

 

HSV: See Herpes simplex virus 

 

Human papillomavirus (HPV): 82, 227 

interrelationship of HIV and HPV and abnormal Pap smear: 153 

 

Human relationship issues: 276 

interventions: 278 

 

Hydrosalpinx/pyosalpinx and tuboovarian abscess: 178 

 

Hydroxyurea: 100, 246 

 

Hyperlipidemia: 96

 

Hypertriglyceridemia: 96


I    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Identifying support systems and disclosure: 37 

 

Illicit drug use: 299; See also Substance abuse injection drug users: 300 

illicit drug use estimates by age, gender, and ethnicity in the U.S.: 314 

 

Immune-based therapy: 107 

 

Immunizations: 256

 

Immunizations, adolescents: 343 

 

Immunosuppression, progressive: 93 

 

Impact of HIV counseling and testing on prevention: 47 

 

Improving adherence: 144 

 

Incarcerated patients: 142 

 

Indications for colposcopy: 157 

 

Indications for consideration of change in therapy: 102 

 

Indications for hospitalization in patients with PID: 176

 

Indications for Initiation of Antiretroviral Therapy in the Chronically HIV-Infected Patient: 97 

 

Indications for plasma HIV RNA testing: 88 

 

Indicators and predictors. laboratory: 15

 

Indicators of prognosis and/or stage of illness: 16

 

Indinavir: 96, 100, 242, 246

 

Industrialized countries: 20

 

Infant feeding: 260 

 

Infant, care of the HIV-exposed: 261 

ARV treatment: 261 

diagnosis of HIV: 261 

 

Infection established infection: 14 

primary or acute infection: 13 

 

Infections, genital: 159 

 

Infectiousness of the host: 4 

 

Inflammatory conditions: 164 

 

Influenza: 112

 

Initial evaluation: 78 

 

Injection drug abuse: 1, 2, 3, 300, 320 

 

Injection drug use: 1, 2, 3, 43, 300 

 

Insomnia: 363 

sleep problems (sample questionnaire for office use): 364

 

Integrated Regional Information Network: 483 

 

Interaction with patients: 33 

 

International Association of Physicians in AIDS Care (IAPAC): 482 

 

Interstitial cystitis: 179

 

Interval monitoring: 91 

 

Interventions  

African American cultural issues: 283 

economic issues: 276 

Hispanic cultural issues: 281 

human relationship issues: 278

intervention models, behavioral: 48, 145 

multifaceted: 144 

psychological issues: 279 

repetitive: 144 

 

Intrapartum: 258 

fetal/maternal monitoring: 258 

intrapartum ARV prophylaxis: 259 

universal precautions: 258

 

Invasive carcinoma: 158

 

Invasive cervical cancer in HIV disease: 154

 

Invirase: 96 IUD: 221


J    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Johns Hopkins University AIDS Service: 472 

 

Joint UN Programme on AIDS (UNAIDS): 483 

 

Journal of the American Medical Association: 475


K    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Kaiser Family Foundation (KFF): 475 

 

Kaletra: 96 

 

Kaposi’s sarcoma (KS): 81, 82, 107, 120 

mucocutaneous KS: 107 

 

KS: See Kaposi’s sarcoma


L     A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Laboratory indicators and predictors: 15 

 

Laboratory indicators of prognosis/stage of illness in HIV infection: 16, 17 

 

Laboratory testing: 83 

 

Laboratory tests: 152 

 

Laboratory tests for hepatitis viruses: 90 

 

Lack of therapeutic efficacy: 101 

 

Lamiduvine: 242 

 

Lamivudine


Lamivudine (3TC): 95 

 

Language: 57 

 

Latex male condoms: 62 

 

Legal issues, confidentiality and: 338 

 

Lesbian, transgender, and bisexual youth: 337 

 

Level of education: 33 

 

Life expectancy, factors associated with shortened: 367 

advance care planning: 368, 370 

advance directive: 370 

maintaining hope: 369 

making plans: 369 

personal goals: 370 

 

Likelihood of developing AIDS: 87 

 

Lipid profile: 90 

 

Lipodystrophy (fat redistribution syndromes): 96 

 

Long-term nonprogressors: 17 

 

Lopinavir: 96, 100, 243 

 

Lopinavir/ritonavir: 96, 100, 243 

 

Loss: 375 

 

Lower extremity symptoms: 133 

pain: 133 

pain and numbness: 134 

weakness and numbness: 133 

 

Low-grade squamous intraepithelial lesion: 158 

 

LSD: 314

 

Lungs: 81 

 

Lymph nodes: 81 

 

Lymphogranuloma venereum: 163 

 

Lymphoma central nervous system: 121 

systemic: 121


M     A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


MAC: See Mycobacterium avium complex 

 

maintaining hope: 369 

 

Major depressive disorder, diagnosis of: 304 

differential diagnosis of major depressive disorder: 304 

 

Male condoms: 62 

 

Male sterilization: 222 

 

Malignancy, unresponsive: 367 

 

Mammography: 189 

 

Marijuana: 299, 314, 337 

 

Measures to reduce STDs: 60 

 

Measuring adherence: 143 

 

Medical conditions: 151 

 

Medical evaluation: 37 

 

Medication toxicity: 101 

 

Medications: 152 

 

Men who have sex with men (MSM): 2 

 

Meningitis, cryptococcal: 109, 115 

 

Menopause: 187 

commonly used estrogen and progestin preparations: 188 

hormone replacement therapy (HRT): 187 

alternatives to HRT: 188 

 

Mental illness: 213, 277, 278, 346 

mental illness in HIV-positive adolescents: 346 

 

Microbicide products: 69, 72 

 

Microsporidiosis, cryptosporidiosis and: 118 

 

Minority women: 275 

 

Mitochondrial toxicity: 247 

 

Mittelschmerz: 177 

 

Molluscum contagiosum: 82, 182 

 

Monitoring the activity of HIV disease: 80 

 

Monogamy: 41 

 

Mucocutaneous KS: 107 

 

Multidisciplinary medical collaborations: 35 

 

Multiservice clinical programs: 301

common clinical issues for HIV-positive women: 301 

common clinical misperceptions regarding psychiatric issues: 303 

 

Mutability, genetic: 93 

 

Mutations associated with resistance to specific agents: 104 

 

Mycobacterium avium complex (MAC): 81, 111, 255 

disseminated: 117 

 

Mycobacterium tuberculosis: 110, 254


N    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


N-9: See Nonoxynol-9 

 

NASBA: See Nucleic acid sequence-based amplification 

 

National AIDS Clearinghouse: 481

 

National Clearinghouse for Alcohol and Drug Information (NCADI): 481 

 

National Clearinghouse on Child Abuse and Neglect Information: 480 

 

National directory of state and local hotlines: 480 

 

National Domestic Violence Hotline: 480 

 

National Household Survey on Drug Abuse (NHSDA): 313 

 

National Institute of Health (NIH): 343 

 

National Institutes of Mental Health (NIMH): 49, 50 

 

National Library of Medicine (NLM): 475 

 

National Maternal and Child Health Clearinghouse: 476 

 

National Pediatric & Family HIV Resource Center (NPHRC): 474 

 

Natural history and HIV disease progression: 7 

 

Natural history of HIV: 80, 86 

 

Natural lactobacilli: 69 

 

Neisseria gonorrhoeae: 171 

 

Nelfinavir: 96, 100, 243 

 

Neoplastic: 165 

 

Neuropathy, peripheral: 119 

 

Neurosyphilis: 82 

 

Nevirapine: 95, 100, 243, 250 

 

New Jersey Women and AIDS Network: 477 

 

New York Online Access to Health (NOAH): 474 

 

NIAID Database for Anti-HIV Compounds: 473

 

NIH: See National Institutes of Health 


NIMH (National Institutes of Mental Health): 49 

 

NNRTIs: See Nonnucleoside reverse transcriptase inhibitors


Nonadherence: 33, 37 

patient factors associated with nonadherence: 141 

reasons patients cte for missing medication: 142 

 

Nonbarrier contraceptive methods: 6 

 

Non-Hodgkin’s lymphoma: 107 

 

Nonnucleoside reverse transcriptase inhibitors (NNRTIs): 95, 139, 407, 439 

 

Nonoccupational HIV Exposure Guidelines: 481 

 

Nonoxynol-9 (N-9): 67, 69, 72 

 

Nonprogressors, long-term: 17 

 

Norplant: 216 

 

Norvir: 96 

 

NRTIs: See Nucleoside analogue reverse transcriptase inhibitors


Nucleic acid amplification: 84 

 

Nucleic acid sequence-based amplification (NASBA): 84, 88 

 

Nucleoside analogue reverse transcriptase inhibitors (NRTIs): 94, 95 

 

Nucleoside analogues: 94 

 

Nucleoside reverse transcriptase inhibitors (NRTIs): 404, 436


O    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Occupational exposure: 383; See also Postexposure prophylaxis 

antiretroviral resistance: 396 

baseline and follow-up testing: 393 

body fluids and risk of exposure requiring postexposure prophylaxis: 384 

characteristics of injuries sustained by case patients and controls: 390 

counseling the HCW: 394 

determining the need for HIV postexposure prophylaxis after an occupational exposure: 386 

exposure associated with transmission: 383 

exposure evaluation: 393 

exposure site management: 393 

HIV infection following occupational exposure: 392 

logistic-regression analysis of risk factors for HIV transmission
   after percutaneous exposure to HIV-infected blood: 389 

personal protective equipment: 391 

postexposure management: 393 

pregnant HCW: 396 

preventing occupational exposure: 391 

source patient evaluation: 393 

U.S. health care workers with documented and possible 
   occupationally acquired HIV infection and AIDS: 384 

 

Odynophagia: 135 

 

Open-ended questions: 43 

 

Opiate addiction: 324, 329 

 

Opioid analgesics: 360 

dose equivalents for opioid analgesics in opioid-naive adults and children: 362 

opioid analgesic side effects: 360 

opioid conversions: 361 

 

Opportunistic diseases: 107 

complications: 107 

prophylaxis to prevent opportunistic disease: 110 

 

Opportunistic infection prophylaxis: 109, 253 

 

Opportunistic infections (OIs): 107 

 

Opportunistic infections and primary prophylaxis in pregnant women: 254 

 

Oral candidiasis: 79, 81, 107, 108, 115 

 

Oral hairy leukoplakia: 107 

 

Organ failure, end-stage: 367 

 

Oropharynx: 81 

 

Orphans: 22 

 

Ovarian benign or malignant ovarian neoplasm: 178 

functional cyst: 178 

ruptured/hemorrhagic ovarian cyst: 176 

torsion: 176 

 

Ovarian functional cyst: 178 

 

Oxford Textbook of Palliative Medicine: 481


P    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Pain: 173, 356 

barriers to pain management: 357 

barriers to pain relief: 357 

mnemonic for assessment of pain: 359 

pain intensity scales: 354 

pain management with a history of substance abuse: 361 

pharmacologic approaches to pain Management: W.H.O. three-step ladder: 358 

principles of pain management: 358 

 

Palliative care 

advance care planning: 368, 370 

advance directive: 370 

care provider, care of the: 377 

common symptoms in HIV disease: 352 

goal setting: 368 

hospice: 349, 353 

in HIV disease: 350 

quality of life: 350 

W.H.O. definition: 349 

 

Pan American Health Organization (PAHO): 13 

Caracas definition, HIV disease classification: 13 

 

Panos Institute: 483 

 

Pap smear: 37, 91, 152, 153, 189 

abnormal Pap smear: 153 

ACGUS (atypical glandular cells of undetermined significance): 157 

ASCUS (atypical squamous cells of undetermined significance): 156

Pap smear report format for Bethesda System: 156 

recommendations for pap smear screening and colposcopy: 156 

single Pap smear: 155 

suggested frequency of Pap smears: 157 

 

Parenteral transmission: 3 

 

Partnership: 33 

 

Pathogenesis, HIV: 80 

 

Patient history: 78 

 

Patient intake flow sheet: 92 

 

Patient’s age: 33 

 

Patients 

children and adolescents: 33, 143 

education: 144 

homeless: 143 

incarcerated: 142 

 

PCP: See Pneumocystis carinii pneumonia


Pediatric AIDS Clinical Trials: 476 

 

Pediatric classification system: 262 

 

Pediculosis pubis: 185 

 

Pelvic examination: 37, 38, 82 

 

Pelvic inflammatory disease: 82

 

Pelvic inflammatory disease (PID): 174 

indications for hospitalization in patients with PID: 176 

PID in the HIV-positive woman: 175 

 

Pelvic mass: 177 

benign or malignant ovarian neoplasm: 178 

differential diagnosis: 178 

ectopic pregnancy: 178 

endometrioma: 178 

evaluation: 177 

gastrointestinal masses: 178 

history: 177 

hydrosalpinx/pyosalpinx and tuboovarian abscess: 178 

ovarian functional cyst: 178 

physical exam: 177 

retroperitoneal lymphadenopathy: 178 

uterine leiomyomas (fibroids): 178 

 

Pelvic ultrasound: 152 

 

Pelvic/abdominal pain: 173, 353, 359 

acute pain: 173 

chronic pain: 173 

cyclic pain: 173 

dysmenorrhea: 176 

endometriosis: 176 

evaluation: 174 

gastrointestinal pathology: 177 

history: 173 

medication-related: 177

mittelschmerz: 177 

ovarian torsion: 176 

pelvic inflammatory disease (PID): 174 

indications for hospitalization in patients with PID: 176 

PID in the HIV-positive woman: 175 

physical exam: 173 

pregnancy: 174 

ruptured/hemorrhagic ovarian cyst: 176 

urinary tract pathology: 177 

uterine leiomyomas (fibroids): 176 

 

PEP: See Postexposure prophylaxis Perimenopause: 151 

 

Perinatal HIV prevention: 482 

 

Perinatal transmission: 4 

 

Peripheral neuropathy: 82, 119 

 

Phenotypic assays: 103 

comparison of genotypic and phenotypic assays: 105 

 

PHS Guidelines for the Management of Health Care Worker Exposures to HIV and Recommendations for Post Exposure Prophylaxis: 482 

 

Physical examination: 81 

 

Plasma HIV RNA: 84 indications for plasma HIV RNA testing: 88 

 

Pneumocystis carinii pneumonia (PCP): 81, 107, 108, 110, 114, 146, 253, 254, 263 

 

Pneumonia bacterial pneumonia: 79, 107 

 

Pneumocystis carinii pneumonia (PCP): 81, 107, 108, 110, 114, 146, 253, 254, 263 

 

Polyurethane male condoms: 62 

 

Postexposure prophylaxis (PEP): 69, 71, 72, 106, 385 

basic and expanded postexposure prophylaxis regimens: 385 

determining the need for HIV postexposure prophylaxis after an occupational exposure: 386 

postexposure prophylaxis (PEP): 395 

 

Postpartum: 260 

 

Posttest HIV counseling, pre- and: 44 

components of HIV pre- and posttest counseling: 45 

 

Poverty: 58, 294; 

See also Economic issues socioeconomic risk: 338 

 

Power of attorney: 369 

 

Practical aspects of counseling patients about sexual risk reduction: 52 

 

Predictors of adherence: 140 

 

Predictors. laboratory indicators and: 15 

 

Pregnancy: 144, 151 

adverse pregnancy outcomes and relationship to HIV infection: 225 

alternative/complimentary medication to avoid in pregnancy: 464 

amniocentesis: 241 

antibiotic prophylaxis: 259 

antiretroviral pregnancy registry, the: 401 

antiretroviral therapy in pregnancy: 106 

antiretroviral treatment: 241 

antiretroviral pregnancy registry: 253 

comparison of intrapartum/postpartum regimens for  HIV-infected
   women in labor who have had no prior antiretroviral therapy: 250 

maternal adverse effects: 247

preclinical and cinical data relevant to use of antiretroviral drugs in pregnancy: 242 

bacterial vaginosis (BV): 226 

benefits of antiretroviral drugs in pregnancy: 402 

care of the HIV-exposed infant: 261 

ARV treatment: 261 

diagnosis of HIV: 261 

CD4 count and HIV RNA levels in: 224 

cesarean delivery: 235 

chorionic villus sampling: 241 

clinical course of HIV in: 225 

contraception/condom use: 261 

counseling and support: 257 

counseling issues: 214 

ectopic pregnancy: 178 

effect of HIV on pregnancy course and outcome: 225 

effects on HIV Infection: 224 

fetal surveillance: 239

frequency of visits: 257 

general principles for antiretroviral treatment in: 248 

general principles for antiretroviral treatment in pregnancy: 248 

genital herpes simplex: 226 

guidelines for care: 236 

antepartum: 236 

antepartum fetal surveillance/testing: 239 

history/physical examination: 236 

laboratory evaluation in the HIV-infected pregnant woman: 237 

laboratory examination by trimester: 237 

hepatitis A vaccine: 231 

hepatitis B virus (HBV): 230 

hepatitis C virus (HCV): 231 

human papillomavirus: 227 

interaction of drugs with pregnancy-related side effects/physiologic changes: 248 intrapartum: 258 

fetal/maternal monitoring: 258 

intrapartum ARV prophylaxis: 259 

universal precautions: 258 

vaginal cleansing: 260 

long-term follow-up of mother and infant: 261 

mitochondrial toxicity: 247 

mode of delivery: 258 

opportunistic infections and primary prophylaxis in pregnant women: 254 

percutaneous umbilical blood sampling: 241 

perinatal transmission: 231, 244 

breast-feeding: 236 

fetal/neonatal factors: 235 

maternal/obstetric factors: 233 

potential variables in transmission: 232 

postpartum: 260 

assess healing: 260 

care for mother and infant: 260 

infant feeding: 260 

pregnancy test: 152 

pregnancy testing: 223, 224 

preterm delivery: 246 

reduction of secondary risk factors: 257 

risks of antiretroviral drugs in pregnancy: 402 

substance abuse in pregnancy: 329 

syphilis: 228 

treatment in: 106 

ultrasound: 240 

vulvovaginal candidiasis: 226 

zidovudine perinatal transmission prophylaxis regimen: 248 

 

Pregnant HCW: 396 

 

Preventing spread of HIV: 80 

 

Prevention 

 

Prevention of HIV infection, condoms and: 61 

 

Primary or acute infection: 13 

 

Principles of HIV treatment: 80 

 

Progestin preparations, commonly used Estrogen and: 188 

 

Prognosis: 366 

 

Progressive immunosuppression: 93 

 

Progressive multifocal leukoencephalopathy: 82, 121 

 

Project Inform: 477 

 

Project RESPECT: 49, 50, 51, 54 

 

Project TREAT (treatment regimens enhancing adherence in teens): 344 

 

Prophylaxis to prevent opportunistic disease: 110 

 

Prophylaxis, postexposure: 106 

 

Protease inhibitors: 139 

 

Protease inhibitors (PIs): 96, 409, 445 

 

Pruritus: 364 

 

Psychiatric disorders: 302 

 

Psychiatric issues, common clinical misperceptions regarding: 303 

 

Psychiatric medications, common: 307 

 

Psychological issues: 278; See also Common clinical issues for HIV-positive women; Emotional milestones

interventions: 279 

 

Psychopharmacology for the HIV-positive woman: General Guidelines: 305 

 

Psychosocial issues: 275; See also Emotional milestones 

adolescents: 343, 345 

 

PWA Health Group: 478


Q    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Quality of life: 350 

 

Quantitating symptoms: 353 

 

Quantitative virology: 88

R     A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Rape: 297 

 

Rapid tests: 46, 47, 84 

 

Reasoned action, theory of: 48 

 

Reasons patients cite for missing medication: 142 

 

Recipient, susceptibility of the: 6 

 

Recipients of blood/blood products: 1 

 

Recommendations antiretroviral agents for initial treatment of established HIV infection: 100 

for antiretroviral therapy in the treatment-experienced patient: 101 

for initial treatment regimens: 99 

 

Recovering from the loss of a loved one to AIDS: 481 

 

Recurrent candidiasis: 170 

 

Reduction of secondary risk factors: 257 

 

Referral to other services: 45 

 

Regional HIV/AIDS statistics and features: 2 

 

Relationships, coping with HIV: the experience of HIV-positive women in the context of their: 290 

 

Renal/ureteral stones: 179 

 

Reproductive concerns: 35 

 

Rescriptor: 95 

 

Resistance mutations: 474 

 

Resistance testing: 103 

 

Resources: 471 

 

Respect: 34 

 

Retroperitoneal lymphadenopathy: 178 

 

Retrovir: See Zidovudine (ZDV) 

 

Revised classification system for HIV infection, 1993: 9 

 

Risk individual risk assessment: 42 

individualized discussion of risk and risk-reduction: 44, 45, 46, 56 

risk assessment for STD/HIV infections: 42 

risk factors for HIV infection: 43 

risk assessment for STD/HIV for women: 43 

risk reduction topics: 53 

risk-reduction plan: 45, 46, 56 

teen AIDER interview for HIV counseling, testing, and risk reduction: 340 

 

Risk factors for occupational HIV transmission: 388 

body fluids and risk of exposure requiring postexposure prophylaxis: 384

logistic-regression analysis of risk factors for HIV transmission
   after percutaneous exposure to HIV-infected blood: 389 

magnitude of risk: 388 

personal protective equipment: 391 

preventing occupational exposure: 391 

U.S. health care workers with documented and possible 
   occupationally acquired HIV infection and AIDS: 384 

 

Risk of progression to AIDS-defining illness: 98 

 

Risks and benefits of early initiation of antiretroviral therapy: 106 

 

Ritonavir: 96, 100, 243 

 

Rs, the seven (core African American values): 282 

reason: 282 

reciprocity: 282 

reconciliation: 282 

respect: 282 

responsibility: 282 

restraint: 282

reverence: 282 

 

RT-PCR (reverse transcriptase polymerase chain reaction): 84, 88 

 

Runaway adolescents: 337, 340 

 

Ruptured/hemorrhagic ovarian cyst: 176


S    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Safe sexual practices: 35, 277 

 

Saliva test: 85 

 

San Antonio, University of Texas: 51 

 

Saquinavir: 96, 100, 242 

 

Saunders, Dame Cicely: 353 

 

Scabies/lice: 184 

 

Screening strategies: 44 

 

Seattle Treatment Education Project (STEP): 478 

 

Seborrheic dermatitis: 82 

 

Self-efficacy: 141 

 

Self-esteem: 277, 278 

 

Sensitivity: 34 

 

Serology: 83, 89 

 

Sex: 42 

abstinence: 41, 72 

discussing sex: 42 

unprotected sex: 42 

 

Sexual abuse childhood sexual abuse: 296, 297, 336 

 

Sexual history: 43 

 

Sexual transmission: 3 

biologic and host-related factors affecting sexual transmission: 5 

 

Sexually transmitted diseases (STDs): 41, 158 

and pregnancy: 336 

behavioral risk, adolescent: 337 

biological risk, adolescents: 337 

concerns or symptoms of STDs: 45 

exposure to: 38 

gonorrhea: 43 

heightened vulnerability for infection (adolescents): 337 

high-risk STDs: 43

in adolescents: 337 

measures to reduce STDs: 60 

monogamy: See Enzyme-linked immunosorbent assay prevention: 340 

risk assessment for STD/HIV for women: 43 

risk assessment for STD/HIV infections: 42 

sexually transmitted diseases and the risk of HIV infection: 59 

screening: 38 

socioeconomic risk, adolescents: 338 

STD prevention: 69 

STD screening: 38, 91 

syndromic management of STDs: 59 

syphilis: 43, 228 

 

Shingles: 82, 89, 107 

 

Sigmoidoscopy/colonoscopy: 189 

 

Simian immunodecficiency virus: 70 

 

Single Pap smear: 155 

 

Sites of action of antiretroviral agents: 94 

 

Skin: 82  

 

Sleep disturbance: 363 

sleep problems (sample questionnaire for office use): 364 

 

Slim disease: See Wasting syndrome Social cognitive theory: 48 

 

Societal inequalities: 58 

 

Spermicides: 220, 223 

 

Spirituality: 36, 283, 374 

spiritual assessment: 374 

 

St John’s wort: 402 

 

Stage of change (SOC) behavioral theory: 48 

 

Stage of illness, indicators of prognosis: 16 

 

Stages of change theory: 48 

 

Staging of HIV: 8 

 

Stavudine: 100, 242 

 

Stavudine (d4T): 95 STDs: See sexually transmitted diseases   

 

Sterilization: 68 

 

Stigmatization: 35  

 

Streptococcus pneumoniae: 111 

 

Sub-Saharan Africa: 21, 22 

 

Substance abuse: 151, 277, 278, 313 

active: 140 

addiction severity index (ASI): 320 

alcohol: 140, 319, 330 

alcohol addiction: 325 

alcohol use estimates by age, gender, and ethnicity in the U.S.: 315 

antiretroviral therapy: 329 

CAGE survey: 318 

clues to substance use: 318 

cocaine: 43, 140, 314, 319, 320, 330

cocaine use in pregnancy: 329 

cocaine addiction: 325 

comorbidity related to substance abuse: 315 

crack cocaine: 314, 319 

crack cocaine use: 43 

detoxification: 325 

diagnosis: 318, 320  

drug addiction, defined: 313 

DSM-IV drug addiction criteria: 320 

duration of drug detection: 321 

ecstasy (MDMA): 314 

epidemiology: 314 

gamma-hydroxybutyrate: 314 

heroin: 140, 314, 319, 330 

identification: 318

illicit drug use estimates by age, gender, and ethnicity in the U.S.: 314 

impact of societal perceptions and beliefs: 317

in HIV-positive adolescents: 346 

in pregnancy: 329

in women: 317 

injection drug abuse: 43, 320 

ketamine: 314 

LSD: 314 

marijuana: 314 

medical conditions and sequelae associated with substance use: 315 

methamphetamine: 314 

opiate addiction: 324, 329 

pain management with a history of substance abuse: 361 

prevalence of drug use: 314 

rohypnol: 314

treatment of substance abuse: 322 

cognitive/behavioral interventions: 326 

components of drug use treatment: 323 

new pharmacologic approaches: 326 

nonpharmacologic drug addiction treatments: 327 

pharmacologic interventions: 323 

predictors of drug treatment retention and the durability

   of treatment gains: 327 

relapse: 328 

treatment programs: 322 

treatment readiness and harm reduction: 322 

12-step programs: 327 

urine testing: 321 

withdrawal: 319  

 

Suggested frequency of Pap smears: 157 

 

Suicide risk, evaluation of: 307 

risk factors and considerations in the evaluation of suicide risk: 308 

 

Surfactants: 69 

 

Surviving with HIV: contemporary HIV-positive women in their context of poverty, sexual abuse, and drugs: 294

 

Susceptibility of the recipient: 1, 6

 

Sustiva: 95 

 

Symptoms: 353 

common symptoms in HIV disease: 352 

management of individual symptoms: 354 

quantitating symptoms: 353 

 

Syndromic management of STDs: 59 

 

Syphilis: 43, 82, 89, 161, 228 

congenital syphilis: 228 

fetal syphilis: 228 

recommended management: 162 

 

System of care: 142, 146 

 

Systemic lymphoma: 121


T    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

 

Tanner staging: 344 

 

Team approach: 35 

 

Teen AIDER interview for HIV counseling, testing, and risk reduction: 340 

 

Terry Beirn Community Programs for Clinical Research on AIDS (CPCRA): 476 

 

Testing 

alternative tests: 84 

enzyme-linked immunosorbent assay (ELISA): 83 

HIV counseling and testing: 44 

home testing: 84 

impact of HIV counseling and testing on prevention: 47 

indications for plasma HIV RNA testing: 88 

laboratory: 83 

laboratory tests for hepatitis viruses: 90 

rapid tests: 46, 84 

resistance testing: 103 

saliva test: 85 

urine test: 85 

western blot: 83, 84, 85 

 

Testing, counseling and, adolescents: 339 

laboratory tests: 343 

teen AIDER interview for HIV counseling, testing, and risk reduction: 340 

 

Theory of reasoned action: 48 

 

Therapeutic efficacy, lack of: 101 

 

Therapy alternative or complementary therapy: 107 

antiretroviral: 93, 94 

general principles: 93 

benefits of: 98 

efficacy, lack of: 101 

immune-based therapy: 107 

indications for consideration of change in therapy: 102 

 

Thrush: See Oral candidiasis Time course: 15 

 

Toxicity medication: 101 

 

Toxoplasmic encephalitis: 253 

 

Toxoplasmosis: 89, 109, 116, 229, 253, 255 

congenital: 229

toxoplasma gondii: 89, 111, 255

 

Transfusion-associated HIV transmission: 4 

 

Transgender, lesbian, and bisexual youth: 337 

 

Transmission of HIV: See HIV Transmission  

 

Trauma: 165 

 

Treatment accute HIV infection, treatment of: 105  

adherence, 33 

adherence, adolescents: 344 

adherence: using your EARS: 345 

guidelines: 97 

pregnancy, treatment in: 106 

recommendations for initial treatment regimens: 99 

recommended antiretroviral agents for initial treatment of established HIV infection: 100 

TREAT (treatment regimens enhancing adherence in teens): 344 

 

Treatment adherence: 33 

 

Trichomoniasis: 170 

 

Trimethoprim-sulfamethoxazole (TMP-SMX): 114 

 

Truth, telling the: 367 

 

Tuberculosis (TB): 82, 90, 107, 118, 164 

 

Tumors: 179 

 

Tumors, other masses: 183 

 

12-step programs: 327


U    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


U.S. health care workers with documented and possible occupationally acquired HIV infection and AIDS: 384 

 

Ulcers 

aphthous: 82 

genital ulcers: 159 

 

Ultrasound: 240 

 

University of California: 50 

 

University of California at San Francisco: 472 

 

University of San Francisco HIVInSite Adherence Resources: 479 

 

University of Texas: 50 

 

Unprotected sex: 42 

 

Unresponsive malignancy: 367 

 

Urethral syndrome: 179  

 

Urinary 

urinary symptoms: 178 

differential diagnosis and management: 179

evaluation: 179

history: 178 

interstitial cystitis: 179 

physical exam: 178 

renal/ureteral stones: 179 

tumors: 179 

urethral syndrome: 179 

urinary incontinence: 180 

urinary retention: 180 

urinary tract infection (UTI): 179 

urinary tuberculosis: 179 

urinary tract pathology: 177 

 

Urine test: 85 

 

USPHS/IDSA guidelines: 109 

 

Uterine leiomyomas (fibroids): 151, 176, 178


V    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Vaccines: 69, 70, 72 

 

Vaginal cleansing: 260 

 

Vaginal discharge: 82, 107, 166 

bacterial vaginosis (BV): 166 

differential diagnosis and management: 166 

evaluation: 166 

history: 166 

physical exam: 166 

 

Vaginitis: 82 

atrophic vaginitis: 173 

azole resistance: 169  

C. albicans: 169 

candidiasis: 107, 167, 169, 226 

chlamydia: 172 

foreign body: 173 

gonorrhea: 171 

local irritants: 173 

pelvic/abdominal pain: 173 

recommended management: 168 

recurrent candidiasis: 170 

trichomoniasis: 170  

 

Varicella-zoster virus (VZV): 82, 89, 111 

 

Videx: 95, 242 

 

Viracept: 96 

 

Viral detection: 84 

isolation: 84 

properties: 7 

replication: 93 

set point: 14 

viral load assays: 88 

viral load, adherence and: 140 

 

Virammune: 95 

 

Visual materials: 57 

 

Vulvovaginal candidiasis: 107, 226 

 

Vulvovaginitis: See Vaginitis


W    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Wasting syndrome (slim disease): 119, 367 

 

Western blot: 45, 46, 83, 84, 85

 

Withdrawal: 319 

 

Women alive: 477 

 

Women Organized to Respond to Life-threatening Disease (WORLD): 477 

 

Women’s Experiences: An International Perspective: 483 

 

World Health Organization (W.H.O.): 10, 46 

clinical HIV staging system and proposed modifications, the: 11, 12 

three-step ladder: 360


X    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Xerostomia: 365


Y    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Yeast vaginitis: 60


Z    
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

 

Zalcitibine (ddC): 95, 242

 

ZDV: See Zidovudine

 

Zerit: 95 Ziagen: 95

 

Zidovudine (ZDV): 71, 95, 242

for postexposure prophylaxis: 385, 388 

safety of ZDV exposure: 245 

ZDV and nevirapine: 251 

ZDV carcinogenicity: 245 

ZDV/3TC: 250 

zidovudine perinatal transmission prophylaxis regimen: 248