The proposed recommendation for extensive screening for group-B streptococci (GBS) during pregnancy published in the Federal Registe? and advocated by the American Academy of Pediatrics will have an impact on health-care economics to varying extents in at least 2 areas. Implementation of the pending mandate for universal screening will 1) require direct funding to expand the current proactive p...

Objectives: In September 2002 University of Social Welfare & Rehabilitation Sciences established a pilot universal newborn hearing screening program in two crowded maternity hospital in Tehran. Our objective was to assess the feasibility of implementing universal newborn hearing screening in IRAN. Methods: Between September 2002 and March 2004 a total of 7718 newborns were screened for heari...

In order to enhance cost-benefit value of the gestational diabetes mellitus screening (GDM) concept universal i.e., all pregnant women for diabetes, has mostly been abandoned in favor selective screening. Selective implies that only with risk factors are being screened GDM. However, some recent studies have shown application approach, GDM may not receive proper and timely diagnosis. This review...

OBJECTIVES To compare the efficacy of two screenings methods for gestational diabetes mellitus, namely the universal screening using 50g Glucose Challenge Test to that of selective screening based on risk factors. METHODOLOGY A cross-sectional study involving 366 women between 24 weeks to 28 weeks gestation who attended a community health clinic for their antenatal care between January to May...

AIMS To compare, using a decision model, performance, treatment pathways and effects of different newborn screening strategies for developmental hip dysplasia with no screening. METHODS Detection rate, radiological absence of subluxation at skeletal maturity and avascular necrosis of the femoral head, as favourable and unfavourable treatment outcomes respectively, were compared for the follow...

The aim of this study was to evaluate whether universal (all neonates) or selective (neonates belonging to the risk groups) ultrasound screening of the hips should be recommended at birth. We carried out a prospective, randomised trial between 1988 and 1992, including all newborn infants at our hospital. A total of 15 529 infants was randomised to either clinical screening and ultrasound examin...

BACKGROUND Chlamydia trachomatis infections can lead to serious and costly sequelae. Because chlamydia is most often asymptomatic, many infected youth do not seek testing. Entry to a detention system provides an opportunity to screen and treat many at-risk youth. GOAL The goal of this study was to determine the cost-effectiveness of screening male youth for chlamydia on entry to detention. ST...