No abstract

This study evaluated the efficacy of an HIV intervention among female sex workers (FSWs) randomized to an intervention or wait-list control. FSWs (N = 120) completed baseline, 3- and 6-month assessments. A health educator implemented 2-hour intervention emphasized gender-empowerment, self-efficacy to persuade clients to use condoms, condom application skills, and eroticizing safer sex. Over the 6-month follow-up, FSWs in the intervention reported more consistent condom use with clients (P = .004) and were more likely to apply condoms on clients (P = .0001). Intervention effects were observed for other psychosocial mediators of safer sex. Brief, gender and culturally congruent interventions can enhance HIV-preventive behaviors among FSWs.

No abstract

A delayed hemolytic transfusion reaction, appearing seven days after transfusions, characterized by jaundice, hemolysis and hemoglobinuria accompanied by the appearance of multiple antibodies in the patient's serum (anti‐hr″ (c) anti‐rh″ (E) and anti‐Jkb) is explained as an anamnestic phenomenon. The original sensitizing antigens and those which precipitated the recall mechanism may be traced to her 20‐year‐old son and to the single‐unit transfusion which she received five years previous to the last admission, and to the transfusions given with the operation from which she recovered. The important fact is that these latent antibodies failed to be detected by standard crossmatching tests (saline, high protein and Coombs) and by a pool of cells containing most of the antigens. The triple enzyme method was the only test which detected the anti‐rh″ (E) antibody. The direct Coombs test became positive at the height of the reaction and persisted for 48 hours. Blood tests after 31/2 and 41/2 months revealed that both the anti‐Jkb and anti‐rh″ (E) antibodies had vanished and only anti‐hr‘ (c) of low titer was still present.