- Cervical Cancer and HPV Research
- Global Cancer Incidence and Screening
- Genital Health and Disease
- Hepatitis B Virus Studies
- BRCA gene mutations in cancer
- HIV/AIDS Research and Interventions
- Reproductive tract infections research
- Ectopic Pregnancy Diagnosis and Management
- Preterm Birth and Chorioamnionitis
- Ovarian cancer diagnosis and treatment
- Endometrial and Cervical Cancer Treatments
- Pregnancy-related medical research
- Colorectal Cancer Screening and Detection
- Viral-associated cancers and disorders
- Male Breast Health Studies
- Appendicitis Diagnosis and Management
- Clinical practice guidelines implementation
- Cleft Lip and Palate Research
- Maternal and Perinatal Health Interventions
- COVID-19 and healthcare impacts
- Minimally Invasive Surgical Techniques
- Adolescent Sexual and Reproductive Health
- Sarcoma Diagnosis and Treatment
- Colorectal and Anal Carcinomas
- Global Health and Surgery
Institute of Social and Preventive Medicine
2018-2024
University of Bern
2018-2024
Centre International de Recherche sur le Cancer
2020-2023
Swiss Tropical and Public Health Institute
2022
Royal Australian and New Zealand College of Obstetricians and Gynaecologists
2022
Women's Hospital
2022
University Hospital of Bern
2017-2018
Chittaranjan National Cancer Institute
2018
Christchurch Hospital
2015-2017
The coronavirus-induced pandemic has put great pressure on health systems worldwide. Nonemergency services, such as cancer screening, have been scaled down or withheld a result of travel restrictions and resources being redirected to manage the pandemic. present article discusses challenges screening implementation in environment, suggesting ways optimize services for breast, cervical, colorectal screening.
We compared invasive cervical cancer (ICC) incidence rates in Europe, South Africa, Latin and North America among women living with HIV who initiated antiretroviral therapy (ART) between 1996 2014. analyzed cohort data from the International Epidemiology Databases to Evaluate AIDS (IeDEA) Collaboration of Observational Epidemiological Research Europe (COHERE) EuroCoord. used flexible parametric survival models determine regional ICC risk factors for incident ICC. included 64,231 45...
The cancer burden in India is escalating, with rural regions facing the greatest challenges access to early detection and treatment. Community Health Workers (CHWs), such as Accredited Social Activists (ASHAs), Village Nurses (VHNs), Auxiliary Nurse Midwives (ANMs), play a critical role bridging these healthcare gaps. This study explores barriers contributions of CHWs while facilitating subsequent care selected areas India. qualitative part Access Cancer Care (ACCI) implementation research...
Globally, cervical cancer is the fourth leading cause of cancer-related death among women. Poor uptake screening services contributes to high mortality. We aimed examine frequency, predictors results, and patterns sensitisation strategies by age group in a large, programmatic cohort.We did cohort study including 11 government health facilities Lusaka, Zambia, which we reviewed routine data collected through Cervical Cancer Prevention Program Zambia (CCPPZ). Participants who underwent one...
Countries with high HIV prevalence, predominantly in sub-Sahahran Africa, have the highest cervical cancer rates globally. care cascades successfully facilitated scale-up of antiretroviral therapy. A cascade approach could similarly succeed to screening, supporting WHO’s goal eliminate cancer. We defined a Cervical Cancer Screening Cascade for women living (WLHIV), evaluating continuum screening integrated into an clinic Zimbabwe. included WLHIV aged ≥18 years enrolled at Newlands Clinic...
Background: The Zika virus (ZIKV) caused a large outbreak in the Americas leading to declaration of Public Health Emergency International Concern February 2016. A causal relation between infection and adverse congenital outcomes such as microcephaly was declared by World Organization (WHO) informed systematic review structured according framework ten dimensions causality, based on work Bradford Hill. Subsequently, evidence has continued accumulate, which we incorporate regular updates...
To eliminate cervical cancer (CC), access to and quality of prevention care services must be monitored, particularly for women living with HIV (WLHIV). We assessed implementation practices in clinics across sub-Saharan Africa (SSA) identify gaps the cascade used aggregated patient data populate cascades WLHIV attending clinics.
This cross-sectional pilot study evaluates diagnostic accuracy of live colposcopy versus static image Swede-score evaluation for detecting significant precancerous cervical lesions greater than, or equal to grade 2 severity (CIN2+). VIA HrHPV positive women were examined using a mobile colposcope, in rural clinic Kolkata, India. Live assessments made independently. All by gynecologists, junior expert. Static assessors blinded scoring, patient information and final histopathology result....
This study aimed to provide evidence improve cervical screening for women living with HIV (WLHIV). We assessed the accuracy of tests that can be used in low-resource settings and give results at same visit. conducted a paired, prospective among consecutive eligible WLHIV, aged 18-65 years, receiving cancer one hospital Lusaka, Zambia. The histopathological reference standard was multiple biopsies taken two time points. target condition intraepithelial neoplasia grade 2 above (CIN2+). index...
•First case of NACT in cervical embryonal RMS•Second occurring pregnancy•Histological review outlining diagnostic difficulties.