Biostatistics research could improve resource use in AIDS treatment in poor nations

New statistical tools can help decide how to allocate resources to the patients who need them the most

AMHERST, Mass. – One of the major problems that has slowed progress toward universal access to life-saving antiretroviral therapy (ART) to treat AIDS in developing nations has been limited availability of laboratories and trained medical staff to conduct blood tests of immune system CD-4 T-cell levels that indicate when to start ART. Read More

Serology and cytokine profiles in patients infected with the newly discovered Bundibugyo ebolavirus.

Serology and cytokine profiles in patients infected with the newly discovered Bundibugyo ebolavirus.

Virology. 2012 Feb 20;423(2):119-24

Authors: Gupta M, MacNeil A, Reed ZD, Rollin PE, Spiropoulou CF

Abstract

A new species of Ebolavirus, Bundibugyo ebolavirus, was discovered in an outbreak in western Uganda in November 2007. To study the correlation between fatal infection and immune response in Bundibugyo ebolavirus infection, viral antigen, antibodies, and 17 soluble factors important for innate immunity were examined in 44 patient samples. Read More

References

  • Gupta M, MacNeil A, Reed ZD, Rollin PE, Spiropoulou CF. Serology and cytokine profiles in patients infected with the newly discovered Bundibugyo ebolavirus. Virology. 2012 Feb 20;423(2):119-24. PMID: 22197674.

Improving access to health care for malaria in Africa: a review of literature on what attracts patients

Background:
Increasing access to health care services is considered central to improving the health of populations. Existing reviews to understand factors affecting access to health care have focused on attributes of patients and their communities that act as ‘barriers’ to access, such as education level, financial and cultural factors. This review addresses the need to learn about provider characteristics that encourage patients to attend their health services. Read More

Adherence to a six-dose regimen of artemether-lumefantrine among uncomplicated Plasmodium falciparum patients in the Tigray Region, Ethiopia

Background:
In 2004, Ethiopia switched its first-line treatment of uncomplicated Plasmodium falciparum malaria from sulphadoxine-pyrimethamine to a fixed artemisinin-based combination therapy (ACT), artemether-lumefantrine (AL). Patient adherence to AL regimen is a major determining factor to achieve the desired therapeutic outcome. The aim of this study was to measure patient adherence levels to the six-dose AL regimen for the treatment of uncomplicated P. falciparum malaria and to identify its determinant factors in rural areas of the Tigray region, Ethiopia Read More

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Immunology and Immunopathogenesis of Malaria (Current Topics in Microbiology and Immunology)
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Response to traditional disease-modifying anti-rheumatic drugs in indigent South Africans with early rheumatoid arthritis.

Response to traditional disease-modifying anti-rheumatic drugs in indigent South Africans with early rheumatoid arthritis.

Clin Rheumatol. 2011 Dec 2;

Authors: Hodkinson B, Musenge E, Ally M, Meyer PW, Anderson R, Tikly M

Abstract

The clinical response to traditional disease-modifying anti-rheumatic drugs (DMARDs) in indigent South Africans with early rheumatoid arthritis was investigated. A cohort of patients with early (≤2 years) RA who were DMARD-naïve at inception were prospectively assessed for response to DMARDs using the Simplified Disease Activity Index (SDAI) over a 12-month period. Read More

References

  • Hodkinson B, Musenge E, Ally M, Meyer PW, Anderson R, Tikly M. Response to traditional disease-modifying anti-rheumatic drugs in indigent South Africans with early rheumatoid arthritis. Clin Rheumatol. 2011 Dec 2. PMID: 22134750.

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Universal Definition of Loss to Follow-Up in HIV Treatment Programs: A Statistical Analysis of 111 Facilities in Africa, Asia, and Latin America

by Benjamin H. Chi, Constantin T. Yiannoutsos, Andrew O. Westfall, Jamie E. Newman, Jialun Zhou, Carina Cesar, Martin W. G. Brinkhof, Albert Mwango, Eric Balestre, Gabriela Carriquiry, Thira Sirisanthana, Henri Mukumbi, Jeffrey N. Martin, Anna Grimsrud, Melanie Bacon, Rodolphe Thiebaut, on behalf of the International Epidemiologic Databases to Evaluate AIDS Collaboration

Background

Although patient attrition is recognized as a threat to the long-term success of antiretroviral therapy programs worldwide, there is no universal definition for classifying patients as lost to follow-up (LTFU). We analyzed data from health facilities across Africa, Asia, and Latin America to empirically determine a standard LTFU definition. Read More

"If the patients decide not to tell what can we do?" – TB/HIV counsellors’ dilemma on partner notification for HIV

Background:
There is a global consensus towards universal access to human immunodeficiency virus (HIV) services consequent to the increasing availability of antiretroviral therapy. However, to benefit from these services, knowledge of one’s HIV status is critical. Partner notification for HIV is an important component of HIV counselling because it is an effective strategy to prevent secondary transmission, and promote early diagnosis and prompt treatment of HIV patients’ sexual partners. Read More

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Trends in the clinical characteristics of HIV-infected patients initiating antiretroviral therapy in Kenya, Uganda and Tanzania between 2002 and 2009

Background:
East Africa has experienced a rapid expansion in access to antiretroviral therapy (ART) for HIV-infected patients. Regionally representative socio-demographic, laboratory and clinical characteristics of patients accessing ART over time and across sites have not been well described. Read More

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Background:
Delays in the initiation of antiretroviral therapy (ART) in patients with HIV-associated tuberculosis (TB) are associated with increased mortality risk. We examined the timing of ART among patients receiving care provided by non-integrated TB and ART services in Cape Town, South Africa. Read More

Prospective study on severe malaria among in-patients at Bombo regional hospital, Tanga, north-eastern Tanzania

Background:
In Tanzania, malaria is the major cause of morbidity and mortality, accounting for about 30% of all hospital admissions and around 15% of all hospital deaths. Severe anaemia and cerebral malaria are the two main causes of death due to malaria in Tanga, Tanzania.
Methods:
This was a prospective observational hospital-based study conducted from October 2004 to September 2005. Consent was sought from study participants or guardians in the wards. Finger prick blood was collected from each individual for thick and thin smears, blood sugar levels and haemoglobin estimations by Haemocue machine after admission. Read More

Impact of Lipodystrophy on the Prevalence and Components of Metabolic Syndrome in HIV-infected patients

Background:
In HIV-infected patients, combination antiretroviral therapy (cART) is associated with clinical lipodystrophy (CL) and metabolic abnormalities (MA). This study aimed to evaluate the prevalence of the metabolic syndrome (MS) and its components, and to determine whether patients with or without CL had a different prevalence of MA. Read More

Adherence to prescribed artemisinin-based combination therapy in Garissa and Bunyala districts, Kenya

Background:
Following the development of resistance to anti-malarial mono-therapies, malaria endemic countries in Africa now use artemisinin-based combination therapy (ACT) as recommended first-line treatment for uncomplicated malaria. Read More

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