These findings indicate a wide acceptance of HIV counseling and testing and document a higher HIV seroprevalence among pregnant women delivering at Tijuana General Hospital than current established estimates in Mexico.
Researchers investigated the amount and types of dental morbidity that Texas public school nurses observed in an average school week. Two thousand nurses were randomly selected and surveyed by mail with 54% responding. Respondents reported 3.5% of the student population sought the nurses' services for a dental problem. Twelve school nurses reported that, of all health problems they observed, more than 50% were dental-related. Approximately 48% indicated oral health screenings occurred at least once every other year. Data suggest children are suffering dental problems that could possibly be detected and treated by oral health screenings, thus preventing more serious morbidity. As part of the Texas public school admissions protocol, like required immunizations, children suffering dental problems could be referred for preadmission oral examinations to identify early any dental problems, and thus improving the children's oral health and preventing school absenteeism.
This study evaluated an obstetrical program using rapid HIV testing for the prevention of mother-to-child HIV transmission (MTCT) in Baja California, Mexico. Between 2003 and 2005, 45 women in labor and 17 prenatal care women were HIV infected. Among labor patients, 14 (31%) delivered by cesarean section compared with 17 (100%) prenatal care patients (P < .001). Intravenous maternal zidovudine (ZDV) and infant oral ZDV were more frequently administered in prenatal care compared to labor patients: 94% versus 33% (P < .001) and 100% versus 79% (P < .001), respectively. All prenatal care women received combination therapy. All 10 HIV-infected infants were in the labor group, resulting in a MTCT rate of 23% (95% confidence interval [CI] 9.5-34.8) compared to 0% (95% CI 0-1.8; P < .001) among the prenatal care group. Five (50%) of the HIV-infected infants had an AIDS diagnosis and 2 (20%) died within 18 months of birth. Women diagnosed during labor had a high HIV MTCT and poor postnatal outcome.
A moderate correlation exists between TST and QTF-GIT among HIV-infected and uninfected children with preserved immune function in an area of moderate tuberculosis endemicity.
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