Internationally Adopted Children and Cytomegalovirus

PEDIATRICS ◽  
1989 ◽  
Vol 84 (5) ◽  
pp. 937-937
Author(s):  
LESLIE L. BARTON ◽  
ALLAN D. FRIEDMAN
Keyword(s):  
Primary Infection ◽  
Laboratory Tests ◽  
Adopted Children ◽  
Test Results ◽  
History Taking ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Income Groups ◽  
Internationally Adopted Children ◽  
Careful History

We read with interest the article by Hostetter et al in Pediatrics and the companion article in American Journal of Diseases of Children. Although we agree with the need for careful history taking, physical examination, and selected screening laboratory tests for these (and all) children, we cannot agree with the recommendation for routine urine cultures for cytomegalovirus. More than one half of women of childbearing age in upper income groups have seronegative test results and, thus, are at risk for primary infection with cytomegalovirus.

In Reply: Internationally Adopted Children and Cytomegalovirus

PEDIATRICS ◽  
1989 ◽  
Vol 84 (5) ◽  
pp. 937-938
Author(s):  
MARGARET K. HOSTETFER
Keyword(s):  
Prospective Study ◽  
North American ◽  
Prospective Analysis ◽  
Adopted Children ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Income Groups ◽  
International Adoptees ◽  
Internationally Adopted Children ◽  
Internationally Adopted

The prevalence of cytomegalovirus excretion in internationally adopted children was unknown before our prospective study, in which 23% of international adoptees were found to be actively shedding cytomegalovirus at the time of examination. This figure has remained constant in our subsequent prospective analysis of an additional 100 internationally adopted children. Drs Barton and Friedman are correct in that approximately 45% of North American women of childbearing age in middle and upper income groups are not immune to cytomegalovirus.

scholarly journals Tingkat Pengetahuan Ibu Hamil tentang HIV/AIDS dengan Perilaku Pemeriksaan Test PITC (Provider Initiated Test and Counselling) di Puskesmas Sleman Yogyakarta

2016 ◽  
Vol 3 (1) ◽  
pp. 48
Author(s):  
Annisaa’ Nurmasari ◽  
Fatimah Fatimah ◽  
Febrina Suci Hati
Keyword(s):  
Pregnant Women ◽  
Sampling Technique ◽  
P Value ◽  
Knowledge Level ◽  
Test Results ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
Hiv Aids

<p>HIV infection in pregnant women can threaten the life of the mother and the mother can transmit the virus to their babies. Sleman PHC registered 2 people including one pregnant woman and one women of childbearing age in the year of 2014. Incidence of pregnant women suffering from HIV-AIDS in 2014 is 1 patients and detected from PITC test results for 7 weeks in a row is 1 patient. And in January year of 2015 found 1 patient with 3 times test and the results was positive. The purpose of this study was to determine relationship between Knowledge Level of Pregnant women about HIV/AIDS and Behaviour of PITC (Provider Initiated Test and Counselling) test. This study was a quantitative analysis of correlation with cross-sectional design. The population of this study were all pregnant women checkups at the health center in Yogyakarta Sleman. The sampling technique was used accidental sampling study which consisted of 72 respondents. The analysis used univariate and bivariate. The results showed that most respondents aged 20-35 (72.2%), senior high school education (47.2%) and work as a housewife (IRT) (38.9%). Most respondents have good knowledge about HIV/AIDS were 50 respondents (69.4%). Most respondents perform checks PITC were 71 respondents (98.6%). There was no relationship between knowledge level of pregnant women about HIV/AIDS and Behaviour of PITC (p-value=0.243&gt;0.005). In Conclusion, There was no relationship between knowledge level of pregnant women about HIV/AIDS and Behaviour of PITC in Sleman, Yogyakarta.</p>

scholarly journals Recent trends in seroprevalence of rubella in Korean women of childbearing age: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e030873 ◽  
Author(s):  
Rihwa Choi ◽  
Yejin Oh ◽  
Youngju Oh ◽  
Sung Ho Kim ◽  
Sang Gon Lee ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Korean Women ◽  
Test Results ◽  
Women Of Childbearing Age ◽  
Sectional Study ◽  
Childbearing Age ◽  
Igg Antibody ◽  
Cross Sectional ◽  
Specific Igg ◽  
Catch Up

ObjectivesThe aim of this study was to investigate the immunity against rubella using the serological status of rubella-specific IgG antibodies (antirubella IgG) in Korean women of childbearing age (15–49 years).DesignRetrospective cross-sectional study.SettingPopulation-based cross-sectional study in South Korea.ParticipantsBetween January 2010 and December 2017, test results from Korean women aged 15–49 years who had visited an obstetric private clinic (nationwide institutions) and had requested rubella-specific IgG antibody tests from Green Cross Laboratories were obtained from the laboratory information system.ResultsBetween 2010 and 2017, antirubella IgG test results from 328 426 Korean women aged 15–49 years who had visited private obstetric clinics (1438 institutions nationwide) were retrospectively analysed by tested year, age, cohort and geographic regions. Over the 8-year study period, the rate of unimmunised women ranged from 7.8% to 9.7%. Multivariable-adjusted logistic regression models showed that the odds of being immune to rubella (positive and equivocal results of antirubella IgG test) were lower in 2017 compared with 2010, in women in their 40s, in a pre-catch-up cohort and in women living in Incheon, Busan, South Gyeongsang, North and South Jeolla and Jeju provinces (p<0.0001).ConclusionsIn consideration of the factors associated with prevalence of women unimmunised to rubella, future public health efforts should be focused on catch-up activities. The results of this study could be used to strengthen disease control and prevent rubella, including a nationwide immunisation programme.

scholarly journals Thrombophilia Screening: Universal, Selected, or Neither?

2017 ◽  
Vol 23 (8) ◽  
pp. 893-899 ◽  
Author(s):  
Giuseppe Colucci ◽  
Dimitrios A. Tsakiris
Keyword(s):  
Cumulative Risk ◽  
Young Patients ◽  
Modifiable Risk Factors ◽  
Test Results ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Familial History ◽  
Laboratory Test Results ◽  
Recurrent Venous Thromboembolism ◽  
Thrombophilia Screening

The utility of thrombophilia testing in clinical practice is still a matter of debate because studies have not shown a benefit in the reduction of recurrent venous thromboembolism (VTE) risk in patients with thrombosis, despite the clearly higher VTE risk for first thrombosis. Screening for thrombophilia is indicated in selected patients. Particularly in selected young patients, especially women of childbearing age, the knowledge of the genetic thrombophilic defect may help in specific situations to decrease the risk of VTE events. Avoidance of modifiable risk factors and/or prophylactic thromboembolic procedures may be evaluated in selected patients. A comprehensive workup including personal and familial history, clinical examination, and laboratory test results including hereditary thrombophilia remains helpful in assessing the cumulative risk and the management of this group of selected patients.

scholarly journals Acute Appendicitis: An Extracolonic Manifestation of Clostridium difficile Colitis

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Ali Ridha ◽  
Shoaib M. Safiullah ◽  
Sarah Al-Abayechi ◽  
Amin Ur Rehman Nadeem
Keyword(s):  
Clostridium Difficile ◽  
Acute Appendicitis ◽  
Laboratory Tests ◽  
Surgical Intervention ◽  
Causative Factor ◽  
History Taking ◽  
Nonsurgical Management ◽  
Clostridium Difficile Colitis ◽  
Current Report ◽  
Careful History

The current report is the case of a 30-year-old male patient who presented with symptomatology suggestive of appendicitis. However, careful history-taking and laboratory tests led to the diagnosis of Clostridium difficile colitis, resulting in successful nonsurgical management of this patient. Although both appendicitis and C. difficile colitis are common conditions, they are rarely diagnosed concurrently. This is reflected by paucity of literature describing this manifestation. Given this current presentation, the authors contend that the manifestation of extracolonic colitis within the appendix is possibly underdiagnosed or misdiagnosed as an acute appendicitis and thus potentially results in unnecessary surgical intervention. This report reminds physicians to consider the medical approach to managing acute appendicitis given the possibility of underlying C. difficile colitis as the causative factor.

scholarly journals Evaluation of Toxoplasma, Rubella, and Cytomegalovirus serological results in women of childbearing age

2020 ◽  
Vol 66 (6) ◽  
pp. 789-793
Author(s):  
Fatma Avcioglu ◽  
Mustafa Behcet ◽  
Muhammet Guzel Kurtoglu
Keyword(s):  
Toxoplasma Gondii ◽  
Primary Infection ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Igg Antibody ◽  
Congenital Infections ◽  
Igm Antibodies ◽  
Igg Avidity ◽  
Antibody Levels ◽  
University Training

SUMMARY OBJECTIVE This study aimed to determine the rates of IgG and IgM antibodies against cytomegalovirus, rubella, and Toxoplasma gondii (all of which may cause congenital infections) in women of childbearing age who were admitted to Bolu Abant İzzet Baysal University Training and Research Hospital. METHODS Between January 2015 and December 2017, Toxoplasma gondii, rubella, and cytomegalovirus IgM and IgG antibody levels were studied using the ELISA method (Architect i2000SR, Abbott, Germany) in patients aged 15 to 45 who attended the obstetrics and gynecology outpatient clinics. Toxoplasma gondii and cytomegalovirus IgG avidity levels were analyzed retrospectively. RESULTS A total of 13.470 tests were conducted in the laboratory. Seropositivity percentages of IgM antibodies were found to be 1.3%, 0.5%, and 1.6% for Toxoplasma (n = 3607), rubella (n = 3931), and cytomegalovirus (n = 3795), respectively. The seropositivity percentages of IgG antibodies were 22%, 94.2%, and 98.2% for Toxoplasma (n = 702), rubella (n = 693), and cytomegalovirus (n = 679), respectively. Primary infection (acute, recently acquired) was found in 7 (35%) patients with low Toxoplasma IgG avidity. One (3%) patient with low cytomegalovirus IgG avidity had a primary infection. CONCLUSION Toxoplasma gondii seronegativity was found to be high in the region. Therefore, screening women of childbearing age may be important for the prevention of congenital infections caused by Toxoplasma gondii.

Children's Nonword Repetition Tasks and English Language Learners

2010 ◽  
Vol 11 (3) ◽  
pp. 73-79
Author(s):  
Sara C. Steele ◽  
Deborah A. Hwa-Froelich
Keyword(s):  
English Language Learners ◽  
Language Learners ◽  
Language Impairment ◽  
English Language ◽  
Nonword Repetition ◽  
Adopted Children ◽  
Typically Developing ◽  
Bilingual Speakers ◽  
Internationally Adopted Children ◽  
English Speaking

Nonword repetition performance has been shown to differentiate monolingual English-speaking children with language impairment (LI) from typically developing children. These tasks have been administered to monolingual speakers of different languages and to simultaneous and sequential bilingual English Language Learners (ELLs) with mixed results. This article includes a review of the nonword repetition performance of monolingual and bilingual speakers and of internationally adopted children. Clinical implications for administration and interpretation of nonword repetition task outcomes are included.

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