Tuberculosis in HIV infected patients Essay Example | Topics and Well Written Essays - 1000 words

Tuberculosis in HIV infected patients - Essay Example This paper shall discuss tuberculosis among HIV patients, including its management, and expected patient outcomes. Discussion According to the US Centers for Disease Control and Prevention, TB is the leading cause of death among HIV patients with almost one in four deaths attributed to tuberculosis. Statistics also indicate that about 20% of patients with TB and HIV have died in 2007; and individuals with HIV and TB account for 32% of patients having died during TB treatment (CDC). These figures indicate the impact of the TB on the HIV patient, how it exacerbates the patient’s condition and even places him at a significant and mortal risk. There are significant challenges which health professionals face with the treatment of TB among HIV patients. It is also important to note that multi-drug resistant tuberculosis (MDR-TB) can manifest among HIV patients. This is unfortunate because these patients would often manifest resistance to two of the best anti-TB drugs – isonia zid and rifampicin (CDC). This type of TB is very difficult to treat and is sometimes a death sentence for HIV patients. Experts suggest that in order to control the occurrence of MDR-TB, the treatment has to be improved not just in the US, but all over the world. The most effective treatment for TB is still the DOTS treatment or the directly-observed therapy; and in order to improve the treatment of MDR-TB, the application of the DOTS must be expanded (CDC). The treatment of TB among HIV patients is more or less similar to the treatment of adult TB patients without HIV. However, managing this disease among HIV patients is complicated; moreover, these patients must also seek care from health professionals with expertise in managing HIV patients with TB (CDC). Since HIV patients are usually already taking in numerous medications, it is important for health experts to note which drugs would have negative interactions with each other, so as not to further exacerbate the patient’ s condition. These experts are also focusing their health programs towards preventing the spread of this disease among the non-HIV population, and more particularly among the HIV population (CDC). Various methods for the management of TB among HIV patients have been suggested. In a paper by Madhi, et.al., (p. 21) the authors sought to evaluate the use of isoniazid prophylaxis against TB among HIV infected children and uninfected children exposed to HIV during the their prenatal period. The authors considered about 540 HIV infected and 804 uninfected infants, assigning them to the isoniazid or the placebo group for 96 weeks. The respondents were assessed on tuberculosis disease, death among HIV-infected children and latent TB infection (Madhi, et.al., p. 21). The study established that the use of primary isoniazid prophylaxis among HIV-infected children and uninfected children did not improve their TB-disease free survival. In effect, even with the application of antiretroviral thera py, TB among HIV infected children remained high (Madhi, et.al., p. 21). There is a need to review the available treatment methods for these children, in order to establish appropriate preventative measures on the occurrence of TB. Martinson’s paper below provides an alternative to the isoniazid treatment. Martinson (p. 11) sought to evaluate the use of three new regimens for latent TB which may be more effective than the standard isoniazid treatment. The authors assigned respondents with HIV and TB and who were not

Analyze and interpret the events surrounding the overthrow of foreign Essay - 1

Analyze and interpret the events surrounding the overthrow of foreign governments by the United States. Why did the United States depose these foreign governments and what were the long term consequences - Essay Example extend the range of the Navy and Air Force, Kinzer shows how corporate interests, particularly related to the sugar industry, worked together with both the Presidential administration and military forces to establish a new government in Hawaii, protect it militarily through the deployment of Marine forces, and then to give it official recognition over the indigenous Hawaiian government led by the Queen, essentially enacting â€Å"regime change†. (Kinzer, 2006) Kinzer suggests that minority corporate interests related to the sugar industry drove the policy, but that this also was part of the broader goals of the imperial era where many industrialized nations sought to extend their influence globally through a combination of trade, military occupation, colonization, and natural resource exploitation. Another critical aspect Kinzer identifies is what can be called the â€Å"land grab† where corporate interests such as those related to the sugar plantations acquired vast tr acts of land from indigenous peoples using dishonest means cloaked in legality. The next main example Kinzer gives is the manufacturing of consent for war in the style of â€Å"yellow journalism† is Cuba, as related to the sinking of the Lusitania. Kinzer suggest that again sugar interests were a driving force, but behind the sugar trade the more sinister aspects of late 19th Century capitalism that were represented elsewhere in America. This is the era of the great Robber Barons, Carnegie, Morgan, Frick, Rockefeller, and the founders of modern finance and industrialization in America. Kinzer focuses more on the wider imperial forces that drive this era, such as the Spanish-American war, Cuba, the Philippines, and early intervention in the â€Å"Banana Republics† all as examples of the imperial drive that were driven by the urge to dominate other nations and indigenous groups through trade, land grabs, and natural resource exploitation. Kinzer shows how the aspects of the trade can shift from profit