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Scientific and Technical Aerospace Reports Volume 39 April 6, 2001

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<strong>2001</strong>0021985 National Inst. of Health, Working Group on Antiretroviral Therapy <strong>and</strong> Medical Management of HIV-Infected<br />

Children, Bethesda, MD USA<br />

Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection<br />

Jan. 07, 2000; 62p; In English<br />

Report No.(s): PB<strong>2001</strong>-102308; No Copyright; Avail: CASI; A01, Microfiche; A04, Hardcopy<br />

Although the pathogenesis of human immunodeficiency virus (HIV) infection <strong>and</strong> the general virologic <strong>and</strong> immunologic<br />

principles underlying the use of antiretroviral therapy are similar for all HIV-infected persons, there are unique considerations<br />

needed for HIV-infected infants, children, <strong>and</strong> adolescents, including a) acquisition of infection through perinatal exposure for<br />

many infected children; b) in utero exposure to zidovudine (ZVD) <strong>and</strong> other antiretroviral medications in many perinatally<br />

infected children; c) differences in diagnostic evaluation in perinatal infection; d) differences in immunologic markers (e.g., CD4<br />

T-lymphocyte count) in young children; e) changes in pharmacokinetic parameters with age caused by the the continuing development<br />

<strong>and</strong> maturation of organ systems involved in drug metabolism <strong>and</strong> clearance; f) differences in the clinical <strong>and</strong> virologic manifestations<br />

of perinatal HIV infection secondary to the occurrence of primary infection in growing, immunologically immature<br />

persons; <strong>and</strong> g) special considerations associated with adherence to treatment for children <strong>and</strong> adolescents.<br />

NTIS<br />

Drugs; Human Immunodeficiency Virus; Viral Diseases<br />

<strong>2001</strong>0021986 Public Health Service, Rockville, MD USA<br />

Public Health Service Task Force Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-1-Infected Women<br />

for Maternal Health <strong>and</strong> Interventions to Reduce Perinatal HIV-1 Transmission in the USA<br />

Nov. 03, 2000; 49p; In English<br />

Report No.(s): PB<strong>2001</strong>-102309; No Copyright; Avail: CASI; A01, Microfiche; A03, Hardcopy<br />

These recommendations update the February 25, 2000 guidelines developed by the Public Health Service for the use of zidovudine<br />

(ZDV) to reduce the risk for perinatal human immunodeficiency virus type 1 (HIV-1) transmission. This report provides<br />

health-care providers with information for discussion with HIV-1 infected pregnant women to enable such women to make an<br />

informed decision regarding the use of antiretroviral drugs during pregnancy <strong>and</strong> use of elective cesarean delivery to reduce perinatal<br />

HIV-1 transmission. Various circumstances that commonly occur in clinical practice are presented as scenarios <strong>and</strong> the factors<br />

influencing treatment considerations are highlighted in this report. It is recognized that strategies to prevent perinatal transmission<br />

<strong>and</strong> concepts related to management of HIV disease in pregnant women are rapidly evolving. The Perinatal HIV Guidelines Working<br />

Group will review new data on an ongoing basis <strong>and</strong> provide regular updates to the guidelines.<br />

NTIS<br />

Human Immunodeficiency Virus; Viral Diseases; Pregnancy; Birth; Fetuses; Risk<br />

<strong>2001</strong>0022254 National Opinion Research Center, Chicago, IL USA<br />

Substance Use <strong>and</strong> Mental Health Characteristics by Employment Status<br />

Townsend, Tara N., National Opinion Research Center, USA; Lane, Julie D., National Opinion Research Center, USA; Dewa,<br />

Carolyn S., National Opinion Research Center, USA; Brittingham, Angela M., National Opinion Research Center, USA; Pergamit,<br />

Michael, National Opinion Research Center, USA; Jun. 1999; 86p; In English<br />

Contract(s)/Grant(s): 283-95-0002<br />

Report No.(s): PB<strong>2001</strong>-102342; No Copyright; Avail: CASI; A01, Microfiche; A05, Hardcopy<br />

This report uses data from the combined 1994-96 National Household Survey on Drug Abuse (NHSDA) to examine the prevalence<br />

of alcohol <strong>and</strong> illicit drug use/dependence <strong>and</strong> other mental health concerns among the working-age United States population.<br />

The presented data are derived from 38,501 NHSDA respondents, age 18-64, representing over 157 million people. Nearly<br />

three-quarters of this population (74%), representing approximately 117 million people, had either full-time or part-time employment.<br />

The remainder were either unemployed (5% or about 8.1 million people) or not in the labor force (i.e, full-time homemakers,<br />

non-working students, retired, or disabled; 21% or about 32.5 million people). In addition to a detailed comparison of the demographic,<br />

economic, substance use <strong>and</strong> mental health characteristics of the working-age population by employment status, this<br />

report also provides an examination of the prevalence of substance use/dependence <strong>and</strong> other mental health concerns of individuals<br />

who received public assistance or welfare, specifically Aid to Families with Dependent Children (AFDC).<br />

NTIS<br />

Alcohols; Drugs; Mental Health; Surveys; Employment<br />

2<strong>39</strong>

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