Growing up: Perspectives of children, families and service providers regarding the needs of older children with perinatally-acquired HIV

AIDS Care ◽  
2006 ◽  
Vol 18 (8) ◽  
pp. 1050-1053 ◽  
Author(s):  
S. J. Fielden ◽  
L. Sheckter ◽  
G. E. Chapman ◽  
A. Alimenti ◽  
J. C. Forbes ◽  
...  
2020 ◽  
pp. 1-7
Author(s):  
I. Mallik ◽  
T. Pasvol ◽  
G. Frize ◽  
S. Ayres ◽  
A. Barrera ◽  
...  

Abstract Background Increasing numbers of children with perinatally acquired HIV (PaHIV) are transitioning into adult care. People living with behaviourally acquired HIV are known to be at more risk of psychosis than uninfected peers. Young adults living with PaHIV face numerous risk factors; biological: lifelong exposure to a neurotrophic virus, antiretroviral medication and immune dysfunction during brain development, and environmental; social deprivation, ethnicity-related discrimination, and migration-related issues. To date, there is little published data on the prevalence of psychotic illness in young people growing up with PaHIV. Methods We conducted a retrospective case note review of all individuals with PaHIV aged over 18 years registered for follow up at a dedicated clinic in the UK (n = 184). Results In total, 12/184 (6.5%), median age 23 years (interquartile range 21–26), had experienced at least one psychotic episode. The presentation and course of the psychotic episodes experienced by our cohort varied from short-lived symptoms to long term illness and nine (75%) appear to have developed a severe and enduring mental illness requiring long term care. Conclusion The prevalence of psychosis in our cohort was clearly above the lifetime prevalence of psychosis in UK individuals aged 16–34 years, which has been reported to be 0.5–1.0%. This highlights the importance of clinical vigilance regarding the mental health of young people growing up with PaHIV and the need to integrate direct access to mental health services within the HIV centres providing medical care.


2002 ◽  
Vol 6 (1) ◽  
Author(s):  
K. A. Fenton ◽  
C McGarrigle

The Centers for Disease Control (CDC) in the United States has published a report containing revised guidelines for HIV counselling, testing, and referral (CTR), and revised recommendations for HIV screening of pregnant women (1). The CTR guidelines replace the existing 1994 guidelines (2) and contain recommendations for policy-makers and service providers of HIV CTR. The revised recommendations for HIV screening for pregnant women replace the 1995 guidelines (3). The revision was prompted by recent advances in both HIV CTR and HIV treatment and prevention and clinical advances in preventing perinatally acquired HIV.


Author(s):  
Melanie A Ferris

Obesity is a growing issue for all children. Many experts say that preventing obesity is largely a matter of eating the right foods and getting enough physical activity. This advice doesn’t recognize the fact that First Nations, Inuit, and Métis children face unique barriers to growing up healthy and strong simply because of their identity. This paper discusses how the social determinants of health impact the ability of Aboriginal children to grow up free of obesity. The paper highlights results from a community-based research project conducted amongst Aboriginal parents and service providers in Ontario who wish to prevent obesity amongst their own young children and clients. Research was carried out over two years to help develop a “toolkit” and training program to help service provides increase efforts to prevent obesity amongst First Nations, Inuit, and Métis children from the ages of 2 to 6 in Ontario.


2019 ◽  
Vol 69 (4) ◽  
pp. 580-587 ◽  
Author(s):  
Louis-Marie Yindom ◽  
Victoria Simms ◽  
Edith D Majonga ◽  
Grace McHugh ◽  
Ethel Dauya ◽  
...  

AbstractBackgroundOlder children and adolescents with perinatally acquired human immunodeficiency virus (PHIV) infection in Africa experience multiple comorbidities that are not typical of HIV-associated opportunistic infections, including growth impairment and chronic lung disease. We examined associations between plasma cytomegalovirus (CMV) DNA and lung function and growth.MethodsPlasma CMV DNA loads were measured children aged 6–16 years with PHIV (n = 402) and HIV-uninfected controls (n = 224). The HIV-infected children were either newly diagnosed or known HIV infected and stable on antiretroviral therapy (ART) for >6 months. CMV DNA loads were measured using quantitative polymerase chain reaction. CMV DNAemia was modeled as a time-varying outcome using longitudinal mixed-effects logistic regression.ResultsAt enrollment, CMV DNAemia ≥1000 copies/mL (defined as “clinically significant”) was detected in 5.8% of uninfected children, 14.7% of HIV-infected participants stable on ART, and 22.6% of HIV-infected ART-naive children (χ2 = 23.8, P < .001). The prevalence of CMV DNAemia ≥1000 copies/mL was associated with CD4 counts <350 cells/µL. Among HIV-infected ART-naive children, the presence of CMV DNAemia of ≥1000 copies/mL was independently associated with reduced lung function (adjusted odds ratio [aOR] = 3.23; 95% confidence interval [CI], 1.23–8.46; P = .017). Among ART-treated children, stunting was associated with CMV DNAemia of ≥1000 copies/mL (aOR = 2.79; 95% CI, 0.97–8.02; P = .057).ConclusionsClinically significant levels of CMV DNAemia were common in older children with PHIV, even those on ART, suggesting a role for inadequately controlled CMV infection in the pathogenesis of PHIV comorbidities in Africa.


2013 ◽  
Vol 427-429 ◽  
pp. 2254-2258
Author(s):  
Ying Xiao ◽  
Gang Hong Zhang ◽  
Han Zhang ◽  
Wan Lin Gao ◽  
Xuan Luo ◽  
...  

Information resource break (especially information technology) the bottlenecks of the understanding demand for farmers. Experiential understanding of the content is the starting point for farmers receiving. Low cost experiential information service platform is using network path and terminal users to support multiple types of information resources for different farmers. Through enhance the effects of scientific and technological information services, and to break the limit farmers to master the key technology bottlenecks in information and knowledge, Thus to achieve the purposes of the farmers scientific production and modern life. As the development of the Internet, Instant Messaging will perform a wider use and is growing up day after day .Especially instant messaging system about enterprise has become a hot spot at home and abroad. Along with the development of the Internet, the use of instant messaging is becoming more and more widely, and the service providers also provide more and more rich communication service functions. This paper researches on the various kinds of Instant Messaging System, analyzes the functionality of Instant Messaging System, and proposes system architecture.


2021 ◽  
pp. 0192513X2110223
Author(s):  
Michelle L. Estes ◽  
Zachary T. Carlisle ◽  
Rachel M. Schmitz

Socialization surrounding gender and sexuality is prominent within the familial context. Gender and sexuality are frequently linked with the assumption that gender-expansive behavior leads to nonheterosexuality. Research has largely focused on parental perspectives, leaving queer youth experiences largely invisible. Utilizing semistructured interviews with 10 queer young adults, this project contributes to the existing discussions regarding gender and sexuality socialization while growing up. First, participants described parents’ seemingly natural ability to correctly categorize youth’s sexual orientation, which is often linked to gender nonconforming behavior. Participants reinforced essentialized ideas of gender and sexuality through their discussion of engagement in expansive gender behavior. Furthermore, women discussed more freedom to engage in diverse gender behavior, while being expected to conform to traditional gender roles. Through elevating youth’s viewpoints on gender and sexuality family dynamics, these findings can assist service providers and parents in supporting queer youth across their gender and sexual development.


Author(s):  
M. Dzyubyns’ka

The article investigates the dynamics of the inner health look of children with epilepsy. Having learnt its structure, availability of value-motivational, cognitive, emotional and behavioral components has determined. Characteristics of the components of the inner health look of the children with epilepsy have been pointed out and described. And also there have been combined subjective evaluation of health condition at different stages of children’s age with the epilepsy problem. There have been defined that while growing up they feel the increased differentiation ideas about health, feel the responsibility, independence and reliability on their own experience when they choose the way of treating their health. The older children are, the more obedient they are to the doctor’s advice, but the more seldom they are eager to do the preventing treatment prescribed by them. A disbelieve in traditional treating the epilepsy encourage to look for alternative help. The examined children of a primary school age show insufficient differentiation ideas about meaning of health. In this period a family unit has got an essential impact on forming understanding and attitude to their health among the children with epilepsy. The juveniles consider health to be the most precious thing that, on their view, is dependent on the man’s welfare. They are developing a willing to realize themselves by the wish to freedom and health. In the period of early youth the children with epilepsy start clear imaging the reasons and signs of deteriorating health. The examined children of the oldest age group combine keeping health not only with their own deeds but with such notions as «faith» and «hope». Based on the analyzing the received results the recommendations have been provided about optimizing a psychological help to the families bringing up the children with epilepsy.


2019 ◽  
Author(s):  
Alejandrina Cristia ◽  
Marvin Lavechin ◽  
Camila Scaff ◽  
Melanie Soderstrom ◽  
Caroline F Rowland ◽  
...  

In the previous decade, dozens of studies involving thousands of children across several research disciplines have made use of a combined daylong audio-recorder and automated algorithmic analysis called the LENA^®^ system, which aims to assess children's language environment. While the system's prevalence in the language acquisition domain is steadily growing, there are only scattered validation efforts, on only some of its key characteristics. Here, we assess the LENA^®^ system's accuracy across all of its key measures: speaker classification, Child Vocalization Counts (CVC), Conversational Turn Counts (CTC), and Adult Word Counts (AWC). Our assessment is based on manual annotation of clips that have been randomly or periodically sampled out of daylong recordings, collected from (a) populations similar to the system's original training data (North American English-learning children aged 3-36 months), (b) children learning another dialect of English (UK), and (c) slightly older children growing up in a different linguistic and socio-cultural setting (Tsimane' learners in rural Bolivia). We find reasonably high accuracy in some measures (AWC, CVC), with more problematic levels of performance in others (CTC, precision of male adults and other children). Statistical analyses do not support the view that performance is worse for children who are dissimilar from the LENA^®^ original training set. Whether LENA^®^ results are accurate enough for a given research, educational, or clinical application depends largely on the specifics at hand. We therefore conclude with a set of recommendations to help researchers make this determination for their goals.


2020 ◽  
Author(s):  
Alejandrina Cristia ◽  
Marvin Lavechin ◽  
Camila Scaff ◽  
Melanie Soderstrom ◽  
Caroline F Rowland ◽  
...  

In the previous decade, dozens of studies involving thousands of children across several research disciplines have made use of a combined daylong audio-recorder and automated algorithmic analysis called the LENA^®^ system, which aims to assess children's language environment. While the system's prevalence in the language acquisition domain is steadily growing, there are only scattered validation efforts, on only some of its key characteristics. Here, we assess the LENA^®^ system's accuracy across all of its key measures: speaker classification, Child Vocalization Counts (CVC), Conversational Turn Counts (CTC), and Adult Word Counts (AWC). Our assessment is based on manual annotation of clips that have been randomly or periodically sampled out of daylong recordings, collected from (a) populations similar to the system's original training data (North American English-learning children aged 3-36 months), (b) children learning another dialect of English (UK), and (c) slightly older children growing up in a different linguistic and socio-cultural setting (Tsimane' learners in rural Bolivia). We find reasonably high accuracy in some measures (AWC, CVC), with more problematic levels of performance in others (CTC, precision of male adults and other children). Statistical analyses do not support the view that performance is worse for children who are dissimilar from the LENA^®^ original training set. Whether LENA^®^ results are accurate enough for a given research, educational, or clinical application depends largely on the specifics at hand. We therefore conclude with a set of recommendations to help researchers make this determination for their goals.


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