Parents living with HIV in a high-income country: do patients need specific support?

The number of HIV-infected persons with children and caregiving duties is likely to increase. From this statement, the present study was designed to establish how HIV infected caregivers organise their parenting routines and to determine their support needs. A further aim was to ascertain caregivers' perception of conspicuous behaviours displayed by their children. Finally, it sought to determine the extent to which the caregivers' assessment of their parenting activity is influenced by the required support and their children's perceived conspicuous behaviours. The study design was observational and cross-sectional. Sampling was based on the 7 HIV Outpatient Clinics associated with the national population-based Swiss HIV Cohort Study. It focused on persons living with HIV who are responsible for raising children below the age of 18. A total of 520 caregivers were approached and 261 participated. An anonymous, standardised, self-administered questionnaire was used for data collection. The data were analysed using descriptive statistical procedures and backward elimination multiple regression analysis. The 261 respondents cared for 406 children and adolescents under 18 years of age; the median age was 10 years. The caregivers' material resources were low. 70% had a net family income in a range below the median of Swiss net family income and 30% were dependent on welfare assistance. 73% were undergoing treatment with 86% reporting no physical impairments. The proportion of single caregivers was 34%. 92% of the children were living with their HIV infected caregivers. 80% of the children attended an institution such as a school or kindergarten during the day. 89% of the caregivers had access to social networks providing support. Nevertheless, caregivers required additional support in performing their parenting duties and indicated a need for assistance on the material level, in connection with legal problems and with participation in the labour market. 46% of the caregivers had observed one or more conspicuous behaviours displayed by their children, which indicates a challenging situation. However, most of these caregivers assessed their parenting activity very favourably. Backward elimination multiple regression analysis indicated that a smaller number of support needs, younger age of the eldest child and fewer physical impairments on the part of the caregiver enhance the caregivers' assessment of their parenting activity. Physicians should speak to caregivers living with HIV about their parenting responsibilities and provide the necessary scope for this subject in their consultation sessions. Physicians are in a position to draw their patients' attention to the services available to them.

Report on a special investigation of the State Public Defender’s Office for the period July 1, 2009 through August 31, 2013

Report on a special investigation of the State Public Defender’s Office for the period July 1, 2009 through August 31, 2013

Crisis Kit for Teacher and Administrators, January 17, 2012

Whether it’s tornadoes, flooding, winter storms or an act of terrorism, emergencies can occur quickly and without warning. Although we cannot prevent emergencies, we can prepare for them. Teachers and administrators need to take special care as they are responsible for the students in their care. Putting together and having on hand a crisis kit can be invaluable in times of emergency.

Report on a special investigation of the Mahaska County Soil and Water Conservation District for the period March 24, 2006 through August 31, 2013

Report on a special investigation of the Mahaska County Soil and Water Conservation District for the period March 24, 2006 through August 31, 2013

Insecticidal, repellent, antimicrobial activity and phytotoxicity of essential oils: With special reference to limonene and its suitability for control of insect pests : Review

Selostus: Monoterpeenit kasvinsuojelussa: erityisesti limoneenin vaikutus eri eliöryhmiin

Report on a special investigation of the Monona County Auditor’s Office for the period January 1, 2011 through December 31, 2013

Report on a special investigation of the Monona County Auditor’s Office for the period January 1, 2011 through December 31, 2013

Special investigation of the City of West Liberty for the period July 1, 2010 through January 31, 2014

Special investigation of the City of West Liberty for the period July 1, 2010 through January 31, 2014

Special investigation of the Iowa County Treasurer’s Office for the period January 1, 2005 through June 30, 2011

Special investigation of the Iowa County Treasurer’s Office for the period January 1, 2005 through June 30, 2011

Special investigation of the Sac County Treasurer’s Office Motor Vehicle Department for the period January 1, 2010 through February 27, 2014

Special investigation of the Sac County Treasurer’s Office Motor Vehicle Department for the period January 1, 2010 through February 27, 2014

What's so special about conversion disorder? A problem and a proposal for diagnostic classification.

Conversion disorder presents a problem for the revisions of DSM-IV and ICD-10, for reasons that are informative about the difficulties of psychiatric classification more generally. Giving up criteria based on psychological aetiology may be a painful sacrifice but it is still the right thing to do.

Need Answers, October 2014

Contact list for Iowa Department of Transportation

Interhospital aeromedical transfers: need for a specific training

Introduction: The interhospital aeromedical transfers concern mainly unstable patients presenting with multiple organ failure and among whom the intensity, as well as the difficulty of care are often underestimated. Material and method: Retrospective analysis of 2094 interhospital transfers made by the Rega helicopter of Lausanne between 2003 and 2008, with description of the pathologies, the demographic characteristics, as well as the medical and technical difficulties. Results: Male patient are overrepresented (65 vs 35%), their age being 40-80 years old. On the other hand, we note an important number (10%) of patients less than 10 years. The average time of flight is 13 minutes, with a high rate of night transfers (34%). In 73% of the cases, the transfers concern medical, especially cardiovascular and neurological situations. Trauma and surgical situations account for less than 20%. The transferred patients often require mechanical ventilation (27%), as well as invasive measure of blood pressure (11%), particularly in cases of neurological, pulmonary or cardiac diseases. In 6% of the cases, we note a haemodynamic instability, requiring the use of catecholamines. In 1% a cardiopulmonary resuscitation was initiated during the flight. The overall mortality at 48 hours is about 5%. Conclusions: In spite of relatively brief flights, the complexity and the variety of the pathologies require a specific training for the medical teams involved in the transfers, concerning the aspects of resuscitation, mechanical ventilation, and the knowledge of advanced life support in paediatrics, traumatology and cardiopulmonary intensive care.

La traducción del manga al español: Cuestiones lingüísticas, metodológicas y técnicas.

El trabajo trata la traducción del manga al castellano (cuestiones lingüísticas, metodológicas y técnicas): las características principales del japonés, el proceso de traducción, los métodos y las opciones de adaptación empleados por las editoriales españolas, y la compatibilidad de escritura en equipos españoles. Finalmente, incluye un ejemplo real de traducción.

Report on a special investigation of the Martensdale-St. Marys Community School District for the period July 1, 2009 through April 30, 2014

Report on a special investigation of the Martensdale-St. Marys Community School District for the period July 1, 2009 through April 30, 2014

Report on a special investigation of the Mid-Prairie Community School District for the period July 1, 2012 through June 30, 2014

Report on a special investigation of the Mid-Prairie Community School District for the period July 1, 2012 through June 30, 2014