Rural HIV/AIDS in Southeast Ohio :: Case Management

Rural HIV/AIDS in Southeast Ohio History Of all the known cases of HIV / AIDS in the United States "†¦5.5 percent were reported from nonmetropolitan statistical areas (non-MSAs). The Office of Management and Budget defines a metropolitan statistical area (MSA) as a county or group of counties that includes a city of 50,000 residents or an urbanized area with at least 50,000. Nonmetropolitan counties are all remaining counties (Gwinn & Wortley, 1996). "†¦6 percent of the female AIDS cases reported to the Center for Disease Control (CDC) during 1994 were residing in non-MSAs at the time of AIDS diagnosis (CDC, 1996). This is the case in Southeast Ohio where the nearest metropolitan area is Columbus an hour and a half away from Athens. Rural HIV/AIDS patients tend to be diagnosed in later stages of the disease because their physicians do not consider them to be at risk for HIV (Calonge, Petersen, Miller, & Marshall, 1993; Miller, et al., 1995). Many of the clients that apply for services at the Athens AIDS Task Force do so only after a referral from a medical professional after they have been hospitalized with a serious illness. Most already have Center for Disease Control (CDC) diagnosis for AIDS (T-Cell count below 200, normal count is 800 – 1500). Even as the spread of AIDS into small towns escalates, HIV-infected patients who live outside urban areas continue to confront significant obstacles to effective care. Nearly all doctors who specialize in the treatment of HIV are located in cities. Quality of life for HIV-infected rural residents is potentially worse, often for reasons that involve a lack of person-to-person contact both at the medical level and at the personal support level. Researchers have noted that rural HIV/AIDS patients often travel two or more hours to obtain medical care because they lack confidence in their local physicians, are unable to find a local physician who will see them, and are concerned about confidentiality. (Mainous & Matheny, 1996; Rounds, 1988; Rumley, et al., 1991). This is certainly the case in Rural Ohio, many clients travel to Columbus, Akron, Pittsburgh, Pennsylvania and Parkersburg, West Virginia for medical treatment. Many fear that they will run into acquaintances or relatives if they should visit physicians closer to home. People living in rural areas are still generally afraid of casual contact with anyone with the AIDS virus. We also see less intervention and prevention efforts directed toward rural areas, in part because they tend to be more conservative and not as open to sexuality education and safer sex education.

Invisible Man Essay

Portrayal of Women In Invisible Man women were primarily given the role of prostitutes, caregivers and sex objects that presented them as inferior to men. The author fails to reflect on the struggles of women in the novel but encourages reflecting on the struggles of black males. In Invisible Man, written by Ralph Ellison, women are intensely stereotyped by the author and could also be characterized as â€Å"invisible† based on the author’s description of the main character and his experiences in the novel. White women in the novel were something that invisible man thought to be forbidden; they could be characterized as the forbidden fruit.Invisible man saw a blonde white woman at the Battle Royal who was beautiful in his eyes. Unfortunately, he could stare at her all he wanted but couldn’t touch the white woman. At the end of the novel he decides to use Sybil for his own greed, later he feels guilty and calls what he did a sin. It seems that in the novel white w omen are presented with higher regard than black women. During incidences in the novel white women were usually there to help invisible man with his journey to figure out who he is. They are given roles that are basically more important than the black women in the novel; but this is not always true.In the novel he was saved by a white girl during his eviction speech, a white women seduced him when she lied about having problems with the Brotherhood and a white woman saved him when he was made to sing for the white people. Women characters are given minor roles compared to invisible man and lead him on his journey in the novel. Sybil was the women that invisible man decided to use for his own intentions. Sybil showed to have stereotypical opinions about black men and invisible man understood what type of women she was.Invisible man decided that she was perfect to take advantage of because she was lonely when the Brotherhood took a lot of time. Sybil is a very weak woman and needs cer tain attentions in order for her to be completely satisfied. Invisible man strived to improve himself in the novel, which Sybil failed to do. He seeks out and â€Å"chooses to use Sybil precisely because she is â€Å"lonely,† â€Å"misunderstood,† â€Å"neglected,† and â€Å"wistful† (Sylvander 78). Invisible man manipulates this woman and takes advantage of her. In this sense Sybil is stereotyped as a weak woman who doesn’t improve herself.There was also another women whose husband was a member of the Brotherhood; even though she didn’t believe in the Brotherhood. She was interested in satisfying her emotional needs and tricked invisible man in coming over by saying she had questions over the Brotherhood. Invisible man portrays white women in the novel as beautiful and sensual; black women fail to have these characterizations. Black women in the novel such as Mary are limited to being caretakers and serving without the beauty that he chara cterizes the white women with. Invisible man presents the way black women were viewed in society compared to white women at the time.The women who lived with Trueblood, Kate and Matty Lou, lived a harsh life and experienced no happiness. Trueblood impregnated his own daughter, which shows how horrible women were treated in this novel. Trueblood tries to explain what he had done and how he tried to move without moving; a mere excuse for his actions. Mary played a significant role in the novel because she was the main character who helped invisible man find his identity. Unfortunately, in order to truly find himself the narrator had to leave Mary. Mary immediately came to his rescue after he was released from the hospital.She was a mother figure in invisible man’s eyes who agreed to nurture him until he could support himself. This is proof that women in the novel were given minor roles . Invisible man uses Mary until he leaves her for the Brotherhood. But it was Mary’s l ectures of leadership and helping the society that drove invisible man to the Brotherhood. Mary was â€Å"something out of my past which kept me from whirling off into some unknown which I dared not to face† (Stanford 29). The women in this novel basically helped the speaker find himself in society. The black and white women in the novel gave to the speaker and helped him throughout the novel.They are not unimportant in the novel but do not play any major roles as human beings. The narrator’s opinion regarding women always focuses on their physical appearances, which supports how he thinks they are no more than how they look or make him feel. The women never make their own decisions and only act out to help the narrator in his actions. Ellison’s invisible man does minimize the female experience by not having a main female character. There is an absence of female perspective in all decisions made about invisible man. Invisible man silences the voice of women and stereotypes them in the novel.

The Use Of Animals And Animal Consumption - 1691 Words

The use of live animals is believed to have begun during ancient times, mostly in order to fulfill the curiosity of the human body. It has been within the last century and a half that more advancements have been made in medical research than in any prior era. Diseases such as polio, tuberculosis, malaria, and smallpox can now be either prevented or treated due to pharmaceutical research that involved the use of animals. The use of animals in scientific research is important because the use of animals has allowed there to be many advancements in the medical field, such as discovering vaccines for deadly diseases, and has allowed for the regulation of chemicals that may be harmful for human and animal consumption. Carl Cohen, a professor†¦show more content†¦It took years before the polio vaccine was deemed safe and reliable. By the late 1950’s, the vaccination of children against polio was routine and by the end of the 1950’s, the number of polio cases that wer e reported in the United States had gone to just twelve. Cohen reports that animal tissue was vital in finding a vaccine for polio. Extreme caution was necessary for the new vaccine. There had already been several vaccines tried to treat the disease, but they had all failed. Some children actually became ill with polio after they were given the vaccine and that was something that needed to be prevented with the new vaccine. Animal subjects were required for the testing of the new vaccine before it was given to humans. Albert Sabin, one of the researchers, stated that, â€Å"‘there could have been no oral polio vaccine without the use of innumerable animals, a very large number of animals’.† In Oslo, Norway, at the University of Christiana, scientist Axel Holst was studying a disease known as scurvy. Holst chose guinea pigs in order to study the disease because they are one of the only species, other than humans, who are unable to produce their own Vitamin C, w hich means that guinea pigs are capable of having scurvy. Before guinea pigs, Holst had used fowl in order to study scurvy and he found that their diet had an influence on rather or not they developed scurvy. His study with guinea pigs only reinforced this