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During 2007–2019, the percentage of HIV Outpatient Study participants reporting anal or vaginal condomless sex in the past 6 months ranged from a low of 17% among heterosexual males to 59% for men who have sex with men (MSM). MSM reported having had condomless sex more frequently than heterosexual males and females and were the only group in which an increase in condomless sex was observed during the study period (from 39 to 59%). Although persons with undetectable HIV viral load have effectively no risk of transmitting HIV sexually (U = U), there is still the potential risk of transmission or acquisition of other sexually transmitted infections (STIs) when engaging in condomless sex. Continuing education about risks of HIV and STI transmission as well as ongoing screening for and treatment of STIs, retention in HIV treatment, and support for sexual health are critical components of care for people living with HIV. [ABSTRACT FROM AUTHOR]

A study of grades for all kindergarten children in a rural midwestern town near an American Indian reservation examined the variables of gender, class time, parent involvement, ethnicity, socioeconomic status, and family style. Cultural differences possibly led to higher grades for Caucasian children in two of the six grade categories. (JHZ)

Infant/toddler programs present a challenge to their administrators. The challenge can be successfully met by creative, imaginative, and committed administrators, who ensure the survival of their programs by meeting criteria common to most infant/toddler programs. Seven important criteria or characteristics of successful programs which have been developed are discussed here: positive interpersonal relationships; a sound philosophical base; clear delineation of policies and procedures; good staff selection, planning, and development; feedback to parents; a strong support base; and appropriate fiscal management. [ABSTRACT FROM PUBLISHER]