Privacy Worry May Keep HIV2¹ Patients from Therapy

    Patients infected with HIV are often concerned about² the confidentiality of their HIV-positive status. In fact, some patients are so worried that they will actually give up treatment to prevent the release of this information, according to a report published in the August issue of AIDS Care.

    Dr. Kathryn Whetten-Goldstein and colleagues from DukeUniversity,Durham, North Carolina³, studied the confidentiality issues of 15 HIV-infected patients from ruralNorth Carolinalocations. They were divided into groups designed to explore their attitudes toward, and experiences with, breaches in confidentiality.

    “The fear of a breach in confidentiality is definitely affecting the care that HIV-infected patients receive,”  Whetten-Goldstein said. “Most studied patients had experienced or knew someone who had experienced a breach in confidentiality.”

    “Two types of breaches occurred, ”Whetten-Goldstein noted. “The first was a more obvious type of breach. One example was a nurse who told her child that her patient was HIV-positive out of concern that her child would play with the patient’s child.⁴”

     “The other type of breach was more subtle, one that providers might not consider breaches, ⁵” Whetten-Goldstein explained. “This type of breach involves providers talking about a patient’s HIV status without the patient’s knowledge of the interaction.”

    “The law allows the sharing of information between providers within the same institution, but patient’s consent must be obtained before providers at different institutions can share information,” she pointed out.

    “Patients in the study wanted providers to tell them when they are going to share information with other providers and why it is being done,” Whetten-Goldstein said. “They also felt that providers should be punished when a breach occurs.”

    “However, because patients are often reluctant to seek legal action which may further expose their status, they felt that the system should regulate itself,” she added.

词汇：

privacy /ˈpraɪvəsi,ˈprɪvəsi/ n.隐私,秘密
breach /bri:tʃ/n.破坏,违反
therapy /"θerəpɪ/ n.疗法,治疗
consent /kən"sent/ n.答应,允许
confidentiality /ˌkɒnfɪˌdenʃiˈæləti/ n.保密性
regulate /"reɡjʊleɪt/ vt.调整

注释：

1.HIV (human immunodeficiency virus):人类免疫缺陷病毒
2.be concerned about:为……而担心（忧虑、烦恼）
3. North Carolina：(美国）北卡罗来纳州
4.One example was... with the patient’s child.例子之一就是某个护士由于担心自己的孩子会与病人的孩子一起玩,所以就告诉自己的孩子,这个病人是HIV阳性的病人。本句中who 至the patient’s child 是nurse 的定语从句,其中that her patient was HIV-positive又是told的宾语从句；out of concern (出于担心）是介词短语,作told的状语；而that her child would play with the patient’s child 则是concern的同位语从句。
5.one that providers might not consider breaches：即医生可能不认为是泄露个人机密的一类。one是代词,代替type,作the other type的同位语，that至breaches是one的定语从句，that在定语从句中作consider的宾语，breaches是宾语补足语。而provider则是指美国经保险公司认可为投保人看病的医生。

Quite a few patients will firmly defend their own right if such a breach occurs

A:Right B:Wrong C:Not mentioned

执行（）命令操作，元器件按底端对齐。

A:Align Right B:Align Top C:Align Left D:Align Bottom

执行（）命令操作，元器件按顶端对齐。

A:Align Right B:Align Top C:Align Left D:Align Bottom

执行（）命令操作，元器件按左端对齐。

A:Align Right B:Align Top C:Align Left D:Align Bottom

Anterior to the root of the right lung are （）.

A:right phrenic n. B:superior vena cava C:ascending aortic a. D:right vagus n. E:right pericardiacophrenic vessels

Anterior to the root of the right lung are （）.

A:right phrenic n. B:superior vena cava C:ascending aortic a. D:right vagus n. E:right pericardiacophrenic vessels

Anterior to the root of the right lung are （）.

A:right phrenic n. B:superior vena cava C:ascending aortic a. D:right vagus n. E:right pericardiacophrenic vessels