Molecular mechanisms of interaction of mucosal pathogens with human mucosal surfaces.
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Biomedical subjects
Publications and source records attributed to E N Robinson.
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A 27-year-old man presented with a history of acquired immunodeficiency syndrome and the new onset of weakness and numbness of the lower extremities. During the course of a prolonged and extensive evaluation fraught with iatrogenic complications, it was discovered that his complaints were fabricated and his history of having acquired immunodeficiency syndrome was factitious.
In the health care setting, knowledge of communicable diseases is critical in the prevention of transmission. Communicable diseases transmitted by the respiratory route pose several difficult problems for control. One such disease, frequently overlooked in adults, because it is considered a childhood disease, is varicella zoster (chickenpox). Recognition of the disease and knowledge about its epidemiology, control, treatment, and follow-up care are necessary for the health care provider to prevent the spread of disease.
The risk of acquiring human immunodeficiency virus (HIV) infection from a health care worker is 2,000 times less than that of dying from a car accident. It is 700 times less probable than perishing from being struck by lightning or suffering a fatal fall. Despite the rarity of this occurrence, reduction of the risk of health-care-worker-to-patient HIV transmission in the workplace has been the focus of congressional, federal, state, and local agencies. If all HIV transmission from health care workers to patients were prevented using current guidelines and legislation, the epidemic of AIDS would be reduced by 0.0006%. Current efforts to prevent HIV transmission from health care workers to patients are the result of incomplete risk analysis and management. In a society of limiting resources and of cherished freedoms, sanctions imposed on health care workers to prevent HIV transmission to patients may benefit no one.
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