scholarly journals Аnalysis of the epidemiological situation and perinatal HIV infection in the Vologda region

2020 ◽  
Vol 12 (3) ◽  
pp. 69-76
Author(s):  
A. V. Kazachek ◽  
T. N. Melnikova ◽  
A. V. Samarina ◽  
V. V. Rassokhin

Purpose. To analyze the epidemiological situation and perinatal HIV infection in the Vologda region.Materials and methods. The article provides a retrospective and prospective analysis of data obtained from the forms of state statistical observation and accounting forms of medical documentation, using the Chi-square calculator, Fisher criterion, risk ratio to assess the effectiveness of measures to prevent perinatal HIV transmission in the Vologda region.The results of the study showed that the detection of HIV infection during pregnancy in the Vologda region tends to increase. At the same time, there are still problems such as adherence to dispensary monitoring and treatment in women who have drug dependence, which requires further improvement of the legal framework and clear implementation of approved algorithms by medical professionals.


2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Bassam H. Rimawi ◽  
Lisa Haddad ◽  
Martina L. Badell ◽  
Rana Chakraborty

All HIV-infected women contemplating pregnancy should initiate combination antiretroviral therapy (cART), with a goal to achieve a maternal serum HIV RNA viral load beneath the laboratory level of detection prior to conceiving, as well as throughout their pregnancy. Successfully identifying HIV infection during pregnancy through screening tests is essential in order to preventin uteroand intrapartum transmission of HIV. Perinatal HIV transmission can be less than 1% when effective cART, associated with virologic suppression of HIV, is given during the ante-, intra-, and postpartum periods. Perinatal HIV guidelines, developed by organizations such as the World Health Organization, American College of Obstetricians and Gynecologists, and the US Department of Health and Human Services, are constantly evolving, and hence the aim of our review is to provide a useful concise review for medical providers caring for HIV-infected pregnant women, summarizing the latest and current recommendations in the United States.



2018 ◽  
Vol 133 (6) ◽  
pp. 637-643 ◽  
Author(s):  
Steven R. Nesheim ◽  
Lauren F. FitzHarris ◽  
Margaret A. Lampe ◽  
Kristen Mahle Gray

Objectives: The annual number of women with HIV infection who delivered infants in the United States was estimated to be 8700 in 2006. An accurate, current estimate is important for guiding perinatal HIV prevention efforts. Our objective was to analyze whether the 2006 estimate was consistent with the number of infants with HIV infection observed in the United States and with other data on perinatal HIV transmission. Methods: We compared the number of infants born with HIV in 2015 (n = 53) with data on interventions to prevent perinatal HIV transmission (eg, maternal HIV diagnosis before and during pregnancy and prenatal antiretroviral use). We also estimated the annual number of deliveries to women living with HIV by using the number of women of childbearing age living with HIV during 2008-2014 and the estimated birth rate among these women. Finally, we determined any changes in the annual number of infants born to women with HIV from 2007-2015, among 19 states that reported these data. Results: The low number of infants born in the United States with HIV infection and the uptake of interventions to prevent perinatal HIV transmission were not consistent with the 2006 estimate (n = 8700), even with the best uptake of interventions to prevent perinatal HIV transmission. Given the birth rate among women with HIV (estimated at 7%) and the number of women aged 13-44 living with HIV during 2008-2014 (n = 111 273 in 2008, n = 96 363 in 2014), no more than about 5000 women with HIV would be giving birth. Among states consistently reporting the annual number of births to women with HIV, the number declined about 14% from 2008 to 2014. Conclusion: The current annual number of women with HIV infection delivering infants in the United States is about 5000, which is substantially lower than the 2006 estimate. More accurate estimates would require comprehensive reporting of perinatal HIV exposure.



2017 ◽  
Vol 8 (4) ◽  
pp. 19-25
Author(s):  
Elena B. Vasilieva ◽  
Marina E. Lozovskaya ◽  
Ludmila V. Klochkova ◽  
Iulia A. Yarovaya ◽  
Olga M. Noskova

The problem of combination of tuberculosis (TB) and HIV remains relevant. Majority of HIV patients are young adults, 90% of which are women of childbearing age, thereby increasing the perinatal HIV transmission rate. In 2014 in Saint Petersburg, >5,000 children with perinatal contact HIV were reported and >300 children were confirmed with HIV infection. We present a comparative analysis of the case histories of 20 children with TB-HIV and 30 with tuberculosis without HIV infection. The analysis identified several cases of delayed diagnosis. In >50% of the cases, the diagnosis of HIV infection was confirmed after 1 year. Four children with HIV infection were diagnosed at school age and connected to suspected cases of tuberculosis. The clinical detection of TB occurs more commonly in children with HIV infection than in those without HIV infection (25% and 5%, respectively). In both groups, tuberculosis of the intrathoracic lymph nodes was predominantly observed; however, generalized forms of TB were also diagnosed in the group with co-infection (25% of the cases). HIV patients often have decreased body mass, low-grade fever, lymphadenopathy, and anemia. Hepatosplenomegaly was equally observed in both groups. More than one third (35%) of patients with co-infection had negative sensitivity to tuberculin, and Diaskintest was positive in 50% of the cases. The prevalence and severity of TB in children with HIV infection correlates with the severity of immunosuppression.



PEDIATRICS ◽  
1994 ◽  
Vol 94 (2) ◽  
pp. 275-276
Author(s):  
Joseph Church

Subgroups of HIV-infected women based upon maternal immunologic and placental characteristics had a risk of perinatal HIV transmission that varied from 7% to 71%. The impact of different risk factors for perinatal HIV vary over the course of maternal HIV infection.



2017 ◽  
Vol 12 (1) ◽  
pp. 13
Author(s):  
Ratih Indraswari

ABSTRAKWHO memperkirakan bahwa setiap harinya terdapat 1.600 anak-anak yang terinfeksi HIV, atau sekitar 600.000 infeksi HIV baru tiap tahun di seluruh dunia. Penularan melalui perinatal adalah cara penularan yang paling umum terjadi pada anak-anak. Lebih dari 90% kasus AIDS pada anak ditularkan melalui ibunya yang terinfeksi HIV. Sedangkan tes HIV sebagai satu-satunya cara menegakkan diagnosis infeksi HIV belum banyak diketahui ibu-ibu hamil. Sumber informasi mengenai hal ini pun masih sulit ditemui. Pemakaian media audiovisual terbukti sangat efektif dalam menyampaikan pesan. Selain paparan yang luas karena dapat ditayangkan melalui TV, film sebagai media audiovisual juga dinilai lebih menarik.Tujuan penelitian ini adalah untuk mengembangkan media promosi kesehatan berupa film untuk menyadarkan ibu hamil mengenai pentingnya tes HIV. Penelitian ini mencakup tahapan analisis kebutuhan media informasi dan pengembangan media. Pada tahap analisis kebutuhan media menggunakan metode review literatur (2 penelitian, 2 buku ilmiah, 3 jurnal ilmiah) dan hasil pretest diperoleh dari wawancara perseorangan. Sasaran adalah ibu-ibu hamil yang merupakan ibu rumah tangga beresiko tinggi tertular HIV, tinggal di daerah rural, berpendidikan 9-12 tahun, dan tingkat sosial ekonomi menengah. Film yang diproduksi berjudul “Status” bercerita mengenai seorang suami yang gigih mencari tempat tes HIV untuk istrinya yang sedang hamil. Sebelumnya, rancangan skrip film telah dilakukan ujicoba dan perbaikan sesuai dengan hasil pretest yang didiskusikan dengan para ahli. Film dapat ditayangkan di RS, Puskesmas, Posyandu dan saat melakukan penyuluhan.Kata Kunci : Media, Film, Tes HIV, Ibu HamilDeveloping Movie For Pregnant Women To Aware With Hiv Test; The World Health Organization estimates that, every day, about 1600 children is infected with HIV, or there are about 600,000 new infections annually in children throughout the world. Perinatal HIV transmission is the most common route of HIV infection in children. It is now the source of more than 90% of all AIDS cases in children. HIV test, as the only way for make sure the diagnosis, is less known by pregnant women. Information sources are also difficult to get. Using audiovisual in sending message is effective. It’s huge in reaching people and very interesting as well.This research was aimed to develop movie for pregnant women to aware with HIV test. Literature review (2 researches, 2 scientific books, 3 journal) method was used to analyze information media need. Pretest was conducted by personal interview. The population of this research was pregnant women with high HIV infection risk who are housewives, lived in rural area, 9-12 study years, and middle socio economic level. The movie titled “Status” which is story a husband who not to yield in finding HIV testing place for his pregnant wife. Before, script was pretested, discussed and revised for betterment product. Film can be played in hospital, health center, and HIV socialization as well.Keywords : Media, movie, HIV test, Pregnant Women.



2020 ◽  
Vol 6 (1) ◽  
pp. 5-11
Author(s):  
Bala Augustine Nalah ◽  
Azlinda Azman ◽  
Paramjit Singh Jamir Singh

Harmful cultural practices have psychosocial implications on stigmatization and vulnerability to HIV infection among HIV positive living in North Central Nigeria. To understand this, we conducted qualitative interviews with purposively selected 20 diagnosed HIV positive to explore how culture influences stigmatization and HIV transmission. Data was collected using audio-recorder, transcribed, and analyzed through thematic analysis using ATLAS.ti8 software to code and analyze interview transcripts. The coded data were presented using thematic network analysis to visualize the theme, sub-themes, and quotations in a model. The findings reveal that lack of education was a significant determinant for the continual practice of harmful cultural rites, thereby increasing the risk of HIV infection and stigmatization. Hence, six cultural facilitators have been identified to include female genital mutilation, lack of education, tribal marks and scarification, postpartum sexual abstinence during breastfeeding, sexual intercourse during menstruation, and gender inequality, polygamy, and inheritance law. We conclude that educational teachings and advocacy campaigns be organized in rural schools and public places on the implications of harmful cultural practice to health and psychological well-being. We recommend that the social workers and behavioral scientists should collaborate with other agencies to employ a behavioral-based intervention in eliminating cultural practices and HIV stigma.



NeuroImage ◽  
2021 ◽  
pp. 118101
Author(s):  
Noëlle van Biljon ◽  
Frances Robertson ◽  
Martha Holmes ◽  
Mark F Cotton ◽  
Barbara Laughton ◽  
...  


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