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Perinatal hiv

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https://www.readbyqxmd.com/read/29776314/depression-in-perinatally-hiv-infected-pregnant-women-compared-to-non-perinatally-hiv-infected-and-hiv-uninfected-pregnant-women
#1
Ruth C Angrand, Rhoda Sperling, Kinga Roccobono, Lauren M Osborne, Jennifer Jao
"Depression (as noted in chart by a physician)" was compared between HIV infected pregnant women and controls. Perinatally HIV-infected (PHIV), non-perinatally HIV-infected (NPHIV), and HIV-uninfected (HIV-U) pregnant women were all compared using a logistic regression model. Overall, HIV-infected women had higher rates of depression than HIV-U, with PHIV women demonstrating a clinically and statistically significant increased risk compared to HIV-U women [adjusted OR: 15.9, 95% CI = 1.8-143.8]...
May 18, 2018: AIDS Care
https://www.readbyqxmd.com/read/29770056/hiv-in-canada-surveillance-report-2016
#2
A C Bourgeois, M Edmunds, A Awan, L Jonah, O Varsaneux, W Siu
Background: Human immunodeficiency virus (HIV) continues to be a global public health concern, with 2.1 million people newly infected in 2015. Although many high-income countries have noted decreasing rates of HIV, between 2013 and 2015 Canada's rates had stabilized at 5.8 per 100,000 population. Objective: To provide a descriptive overview of reported cases of HIV in Canada up until 2016 by geographic location, sex, age group, exposure category and race/ethnicity, with a focus on the most recent data...
December 7, 2017: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29768662/immersion-in-water-during-labour-and-birth
#3
REVIEW
Elizabeth R Cluett, Ethel Burns, Anna Cuthbert
BACKGROUND: Water immersion during labour and birth is increasingly popular and is becoming widely accepted across many countries, and particularly in midwifery-led care settings. However, there are concerns around neonatal water inhalation, increased requirement for admission to neonatal intensive care unit (NICU), maternal and/or neonatal infection, and obstetric anal sphincter injuries (OASIS). This is an update of a review last published in 2011. OBJECTIVES: To assess the effects of water immersion during labour and/or birth (first, second and third stage of labour) on women and their infants...
May 16, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29762690/intestinal-integrity-biomarkers-in-early-antiretroviral-treated-perinatally-hiv-1-infected-infants
#4
Wei Li A Koay, Jane C Lindsey, Priyanka Uprety, Mutsa Bwakura-Dangarembizi, Adriana Weinberg, Myron J Levin, Deborah Persaud
Biomarkers of intestinal integrity (intestinal fatty acid binding protein (iFABP) and zonulin), were compared in early antiretroviral-treated, HIV-1-infected (HIV+; n=56) African infants and HIV-exposed but uninfected (HEU; n=53) controls. Despite heightened inflammation and immune activation in HIV+ infants, iFABP and zonulin levels at three months of age were not different from those in HEU infants, and largely not correlated with inflammatory and immune activation biomarkers. However, zonulin levels increased, and became significantly higher in HIV+ compared to HEU infants by five months of age despite ART-suppression...
May 12, 2018: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/29759976/missed-opportunities-for-prevention-of-vertical-hiv-transmission-in-canada-1997-2016-a-surveillance-study
#5
Ari Bitnun, Terry Lee, Jason Brophy, Lindy M Samson, Fatima Kakkar, Wendy Vaudry, Ben Tan, Deborah M Money, Joel Singer, Laura J Sauvé, Ariane Alimenti
BACKGROUND: Vertical HIV transmission has declined in Canada, but missed opportunities for prevention continue to occur. We sought to determine the adequacy, and changes over time in adequacy, of uptake of maternal and neonatal antiretroviral therapy for the prevention of vertical HIV transmission, and to determine the vertical transmission rate over time and according to adequacy of antenatal antiretroviral therapy during the combination antiretroviral therapy era in Canada. METHODS: The Canadian Perinatal HIV Surveillance Program collects data annually through retrospective chart review concerning HIV-infected women and their infants...
May 10, 2018: CMAJ Open
https://www.readbyqxmd.com/read/29756549/family-functioning-in-adolescents-with-perinatal-hiv-infection
#6
Orawan Louthrenoo, Linda Aurpibul, Peninnah Oberdorfer, Virat Sirisanthana
This study aimed to assess family functioning in adolescents with perinatal HIV infection receiving antiretroviral therapy compared with healthy controls. Correlations between self-reported and caregiver-reported family functions were also evaluated. A sample of 195 participants including 65 perinatally HIV-infected adolescents and 130 healthy controls were enrolled. The total family functioning score in HIV-infected adolescents was significantly lower than that in healthy controls by self-report (105.86 vs 115...
January 2018: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/29752621/correlates-of-suicidal-ideation-during-pregnancy-and-postpartum-among-women-living-with-hiv-in-rural-south-africa
#7
Violeta J Rodriguez, Lissa N Mandell, Suat Babayigit, Rhea R Manohar, Stephen M Weiss, Deborah L Jones
In developing countries, up to 20% of maternal deaths during pregnancy are due to suicide, and being HIV-infected confers additional risk. This manuscript sought to identify perinatal correlates of suicidal ideation among women living with HIV (WLHIV) in rural South Africa. Pregnant WLHIV (N = 681) were recruited and re-assessed at 12-months postpartum. Mean age was 28.3 (SD = 5.7) years and 68% were below the poverty line. Prenatal suicidal ideation was 39%; suicidal ideation continued for 7% at 12 months, 13% experienced incident suicidal ideation, and for 19% suicidal ideation had stopped postnatally...
May 11, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29746298/perinatally-acquired-hiv-infection-accelerates-epigenetic-aging-in-south-african-adolescents
#8
Steve Horvath, Nicole Phillips, Sarah J Heany, Michael S Kobor, David Ts Lin, Landon Myer, Heather J Zar, Dan J Stein, Andrew J Levine, Jacqueline Hoare
OBJECTIVE: Recent studies demonstrate that infection with the Human Immunodeficiency Virus-1 (HIV) is associated with accelerated aging effects in adults according to a highly accurate epigenetic biomarker of aging known as epigenetic clock. However, it not yet known whether epigenetic age acceleration occurs as early as adolescence in perinatally HIV-infected (PHIV+) youth. DESIGN: Observational study of PHIV and HIV-uninfected adolescents enrolled in the Cape Town Adolescent Antiretroviral Cohort (CTAAC) Study...
May 8, 2018: AIDS
https://www.readbyqxmd.com/read/29742647/is-there-a-higher-risk-of-mother-to-child-transmission-of-hiv-among-pregnant-women-with-perinatal-hiv-infection
#9
Christopher J Goodenough, Kunjal Patel, Russell B Van Dyke
Cases of mother-to-child-transmission (MTCT) in the PHACS SMARTT study were identified from 2007-2015. Among 2123 births, 9 infants were HIV-infected, giving a MTCT rate of 0.5% (95% CI: 0.3-1.0%). PHIV mothers had a higher MTCT rate (1.1%, 95% CI: 0.3-4.3) than mothers without PHIV (0.4%, 95% CI: 0.2-1.0%), associated with a greater likelihood of detectable viral load at delivery.
May 4, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29737186/asymptomatic-hiv-vertical-transmitted-adolescents-brain-functional-changes-based-on-resting-state-functional-mri
#10
Panying Wang, Jielan Li, Xiangyu Wang, Guang-Yao Wu, Deepa Thapa
OBJECTIVE: Perinatal HIV-infected (PHIV+) adolescents survive longer with the use of readily found combination antiretroviral therapy(cART), however, they still have the risk of developing cognitive deficits. The paper aims to explore the brain functional changes in asymptomatic PHIV+ adolescents with cART based on the resting-state functional MRI (rs-fMRI). MATERIALS AND METHODS: rs-fMRI was performed on 20 PHIV+ adolescents and 28 PHIV- controls to evaluate the regional homogeneity (ReHo) in different brain regions by calculating the Kendall harmonious coefficient(KCC)...
May 8, 2018: AIDS Research and Human Retroviruses
https://www.readbyqxmd.com/read/29722482/five-year-neurodevelopment-outcomes-of-perinatally-hiv-infected-children-on-early-limited-or-deferred-continuous-antiretroviral-therapy
#11
Barbara Laughton, Morna Cornell, Martin Kidd, Priscilla Estelle Springer, Els Françoise Marie-Thérèse Dobbels, Anita Janse Van Rensburg, Kennedy Otwombe, Abdel Babiker, Diana M Gibb, Avy Violari, Mariana Kruger, Mark Fredric Cotton
INTRODUCTION: Early antiretroviral therapy (ART) has improved neurodevelopmental outcomes of HIV-infected (HIV-positive) children; however, little is known about the longer term outcomes in infants commencing early ART or whether temporary ART interruption might have long-term consequences. In the children with HIV early antiretroviral treatment (CHER) trial, HIV-infected infants ≤12 weeks of age with CD4 ≥25% were randomized to deferred ART (ART-Def); immediate time-limited ART for 40 weeks (ART-40W) or 96 weeks (ART-96W)...
May 2018: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29720077/australian-paediatric-surveillance-unit-annual-report-2016
#12
Marie Deverell, Amy Phu, Yvonne Zurynski, Elizabeth Elliott
This report summarises the cases reported to the Australian Paediatric Surveillance Unit (APSU) of rare infectious diseases or rare complications of more common infectious diseases in children. During the calendar year 2016, there were approximately 1500 paediatricians reporting to the APSU and the monthly report card return rate was 90%. APSU continued to provide unique national data on the perinatal exposure to HIV, congenital rubella, congenital cytomegalovirus, neonatal and infant herpes simplex virus, and congenital and neonatal varicella...
September 1, 2017: Communicable Diseases Intelligence Quarterly Report
https://www.readbyqxmd.com/read/29686368/a-broader-look-at-adolescents-with-perinatal-hiv
#13
Patricia M Flynn
No abstract text is available yet for this article.
April 2018: Nature
https://www.readbyqxmd.com/read/29681168/hiv-associated-cognitive-disorders-in-perinatally-infected-children-and-adolescents-a-novel-composite-cognitive-domains-score
#14
Nicole J Phillips, Jacqueline Hoare, Dan J Stein, Landon Myer, Heather J Zar, Kevin G F Thomas
Accurate assessment of HIV-associated cognitive disorders in perinatally infected children and adolescents is challenging. Assessments of general intellectual functioning, or global cognition, may not provide information regarding domain-specific strengths and weaknesses, and may therefore fail to detect, impaired trajectories of development within particular cognitive domains. We compare the efficacy of global cognitive scores to that of composite cognitive domain scores in detecting cognitive disorders in a sample of perinatally HIV-infected children, and a demographically matched HIV negative control group, drawn from the Cape Town Adolescent Antiretroviral Cohort (CTAAC) study...
April 22, 2018: AIDS Care
https://www.readbyqxmd.com/read/29676341/the-prevalence-and-risk-factors-for-trichomonas-vaginalis-infection-amongst-human-immunodeficiency-virus-infected-pregnant-women-attending-the-antenatal-clinics-of-a-university-teaching-hospital-in-lagos-south-western-nigeria
#15
Olaolopin Ijasan, Kehinde Sharafadeen Okunade, Ayodeji Ayotunde Oluwole
Background: Trichomonas vaginalis infection is the most prevalent non-viral sexually transmitted infection worldwide. Interactions between this infection and human immunodeficiency virus (HIV) may cause adverse pregnancy outcomes such as preterm labour, premature rupture of membranes, chorioamnionitis, low birth weight and post-abortal sepsis. Aims: This study was aimed to determine the prevalence and risk factors of T. vaginalis infection amongst HIV-positive pregnant women attending antenatal care at the Lagos University Teaching Hospital (LUTH), Lagos, Nigeria...
January 2018: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29663621/neurodevelopmental-outcomes-of-young-children-born-to-hiv-positive-mothers-in-rural-yunnan-china
#16
Jie Wu, Jing Li, Yan Li, Kek Khee Loo, Haixia Yang, Qiong Wang, Rufei Duan, Xia Xiao, Xiaoxiao Song, Siwei Yang, Lin Sun
BACKGROUND: Children born to HIV-infected mothers are at risk for neurodevelopmental delay. Little is known about neurodevelopmental outcomes of infants and toddlers who were born to HIV-positive mothers but were not themselves infected by HIV, especially in poor rural areas. This study was conducted to compare developmental outcomes between young children who were HIV-exposed but uninfected (HEU) and their HIV-unexposed and uninfected (HUU) peers in rural Yunnan, China. METHODS: A total of 250 HEU children aged 6-36 months and 250 HUU children matched on age, gender and residency were recruited from rural Yunnan, China...
April 16, 2018: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/29656181/elevated-systemic-microbial-translocation-in-pregnant-hiv-infected-women-compared-to-hiv-uninfected-women-and-its-inverse-correlations-with-plasma-progesterone-levels
#17
Zejun Zhou, Anna Maya Powell, Vishwanathan Ramakrishnan, Allison Eckard, Carol Wagner, Wei Jiang
In HIV infection, increased adverse perinatal outcomes reported among HIV-associated pregnancies are not fully understood. Currently, microbial product translocation (MT) from a permeable mucosa is demonstrated as a driver of inflammation, and may contribute to preterm delivery in HIV. Here, our results showed that plasma LPS levels (a representative marker of MT) were increased in HIV-infected women in the first and second trimester. Progesterone levels were significantly decreased in HIV-infected subjects in the first trimester and second trimester...
April 10, 2018: Journal of Reproductive Immunology
https://www.readbyqxmd.com/read/29643152/refugee-maternal-and-perinatal-health-in-ontario-canada-a-retrospective-population-based-study
#18
Susitha Wanigaratne, Yogendra Shakya, Anita J Gagnon, Donald C Cole, Meb Rashid, Jennifer Blake, Parisa Dastoori, Rahim Moineddin, Joel G Ray, Marcelo L Urquia
OBJECTIVES: Immigrants are thought to be healthier than their native-born counterparts, but less is known about the health of refugees or forced migrants. Previous studies often equate refugee status with immigration status or country of birth (COB) and none have compared refugee to non-refugee immigrants from the same COB. Herein, we examined whether: (1) a refugee mother experiences greater odds of adverse maternal and perinatal health outcomes compared with a similar non-refugee mother from the same COB and (2) refugee and non-refugee immigrants differ from Canadian-born mothers for maternal and perinatal outcomes...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29629663/the-effect-of-combination-antiretroviral-therapy-use-among-hiv-positive-children-on-the-hazard-of-aids-using-calendar-year-as-an-instrumental-variable
#19
Andrew Anglemyer, Amy Sturt, Yvonne Maldonado
BACKGROUND: Instrumental variable (IV) analyses are a common causal inference technique used in the absence of randomized data. Combination antiretroviral therapy (cART) was first introduced in 1996 and calendar periods have been used as a proxy for cART use. However, cART use misclassification can bias IV analyses. OBJECTIVE: We aim to highlight the differences in effects of antiretroviral therapy on clinical outcomes between applications of traditional and adapted IV analysis techniques...
April 9, 2018: Current HIV Research
https://www.readbyqxmd.com/read/29629654/reproductive-decision-making-among-postpartum-hiv-infected-women-in-rural-south-africa
#20
Deborah L Jones, Violeta J Rodriguez, Suat Babayigit, Antonio Chahine, Stephen M Weiss, Karl Peltzer
Despite pregnancy spacing recommendations to optimize health outcomes among mothers and neonates, unplanned pregnancy in sub-Saharan Africa is common among women living with human immunodeficiency virus (HIV) (WLHIV). This study examined factors associated with reproductive decision-making among WLHIV to inform pregnancy-planning interventions. WLHIV in rural South Africa (n = 165) were assessed at 12 months postpartum. The relative importance of factors associated with reproductive decision-making was estimated...
January 1, 2018: International Journal of STD & AIDS
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