- Adolescent Sexual and Reproductive Health
- Global Health Workforce Issues
- HIV/AIDS Impact and Responses
- HIV/AIDS Research and Interventions
- Primary Care and Health Outcomes
- Reproductive tract infections research
- Syphilis Diagnosis and Treatment
- Tuberculosis Research and Epidemiology
- Health disparities and outcomes
- Healthcare Policy and Management
- Dental Education, Practice, Research
- Vaccine Coverage and Hesitancy
- Child and Adolescent Health
- Global Health and Surgery
- COVID-19 and Mental Health
- Global Maternal and Child Health
- Adolescent and Pediatric Healthcare
- Global Health Care Issues
- Health Sciences Research and Education
- Innovations in Medical Education
- Health, psychology, and well-being
- Global Public Health Policies and Epidemiology
- International Development and Aid
- Environmental law and policy
- Retinal and Optic Conditions
St James's University Hospital
2024
University of Leeds
2003-2024
Economic Policy Institute
2020-2022
Yale University
2021-2022
University of Kent
2021-2022
Child Development Center
2021
Barrett Technology (United States)
2011
The University of Queensland
2004-2006
University of South Australia
1999-2004
Carnegie Mellon University
2004
We have built an anatomically correct testbed (ACT) hand with the purpose of understanding intrinsic biomechanical and control features in human hands that are critical for achieving robust, versatile, dexterous movements, as well rich object world exploration. By mimicking underlying mechanics controls a hardware platform, our goal is to achieve previously unmatched grasping manipulation skills. In this paper, novel constituting mechanisms, unique muscle joint relationships, movement...
Central to the debate over school and child care reopening is whether children are efficient coronavirus disease 2019 (COVID-19) transmitters likely increase community spread when programs reopen. We compared COVID-19 outcomes in providers who continued provide direct in-person during first 3 months of US pandemic with those did not.Data were obtained from (N = 57 335) reporting they had ever tested positive or been hospitalized for (n 427 cases) along their degree exposure care. Background...
The human finger possesses a structure called the extensor mechanism, web-like collection of tendinuous material that lies on dorsal side each and connects controlling muscles to bones finger. In past robotic hand designs, mechanisms have generally not been employed due in part their complexity lack understanding utility. This paper presents our first design analysis effort an artificial mechanism. goal is provide mechanism's functionality so we can extract crucial features need be mimicked...
The relative contribution of reactivated and recently acquired tuberculosis to the disease burden in developing countries is unknown, as are settings within which most transmission occurs. In an attempt answer these questions, we combined molecular techniques (restriction fragment length polymorphism analysis) conventional epidemiology (risk factor analysis contact tracing) study 246 consecutive cases smear‐positive rural South Africa. We estimate that 29–43% were acquired, they clustered....
The unequal and inequitable distribution of the medical workforce between rural urban parts Australia has been well documented. Commonwealth state governments have introduced several significant initiatives in an attempt to address this imbalance, including recruitment many overseas trained doctors. One longer-term initiative is funding university departments health clinical schools schools.To determine impact division School Medicine at University Queensland (UQ), Australia, on intern...
Given their central role in supporting children's development, childcare professionals' overall physical and mental health is important. We evaluated the prevalence of chronic diseases, depression, stress levels during COVID-19 pandemic among US professionals.Data were obtained from professionals (N = 81,682) through an online survey May 22, 2020, June 8, 2020. used multivariable logistic linear regression models to assess association sociodemographic characteristics with 4 conditions...
<h3>Importance</h3> It is not known how effective child masking in childcare settings preventing the transmission of SARS-CoV-2. This question critical to inform health policy and safe practices. <h3>Objective</h3> To assess association between children 2 years older subsequent closure because COVID-19. <h3>Design, Setting, Participants</h3> A prospective, 1-year, longitudinal electronic survey study 6654 professionals at home- center-based programs all 50 states was conducted baseline (May...
This study was undertaken to determine the prevalence of sexually transmitted diseases (STDs) in pregnant women rural South Africa and value using abnormal urogenital symptoms identify infected women.This a cross-sectional 327 patients attending prenatal clinics.Of 271 with complete data, 141 (52%) had at least 1 STD 49 (18%) more than 1. Abnormal were common (n = 225; 83%), but associations weak, positive predictive different for infection ranged from 2% 54%.Most STDs African remain...
Background Sexually transmitted diseases (STD) are important co-factors in HIV transmission. We studied the impact of health worker training and STD syndrome packets (containing recommended drugs, condoms, partner notification cards information leaflets) on quality case management primary care clinics rural South Africa. Methods A randomized controlled trial five matched pairs compared intervention with routine syndromic management. Outcomes were measured by simulated patients using...
The perinatal mortality rate (PNMR) is a key health status indicator. It multifactorial in aetiology and significantly influenced by the quality of care. While there an ethical imperative to act improve care when deficiencies are apparent, lack controls--when interventions applied entire service--makes it difficult infer causal relationship between intervention any subsequent change PNMR. However, specifically measuring avoidable deaths (those due error or omission on part service), this...
Objective: To measure quality of sexually transmitted disease (STD) syndromic case management and aspects health-seeking behaviour at baseline in an intervention trial. Setting: Ten rural primary care clinics, Hlabisa district, South Africa. Design: Simulated patients (fieldworkers trained to present with STD syndromes) made a total 44 clinic visits; 49 were interviewed when exiting clinics; facilities assessed for availability necessary equipment drugs; 10 focus group discussions held...
In Brief Background Reports on the effect of HIV-1 infection healing rates ulcers are conflicting. Goal The goal was to determine etiology and response treatment genital ulcer disease (GUD) in relation infection. Study Design This a cohort study patients with GUD treated local syndromic management protocols. Results Among 587 recruited, prevalences infections due HSV, Treponema pallidum, Chlamydia trachomatis (lymphogranuloma venereum [LGV]), Haemophilus ducreyi, Calymmatobacterium...
Background and Objective: Surveillance for sexually transmitted diseases (STD) is important priority setting, service development, evaluating interventions. Goal: To conduct health facility-based surveillance STDs to inform design of a control program provide baseline measures evaluation Study Design: system patients with STD syndromes in public private sector facilities Hlabisa, South Africa. Results: Over 5-month period, 4,781 an were reported, 3,126 (65%) by clinics 1,655 (35%) general...