A5103129254- Intimate Partner and Family Violence
- Child Abuse and Trauma
- Adolescent Sexual and Reproductive Health
- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Migration, Health and Trauma
- HIV/AIDS Research and Interventions
- Reproductive tract infections research
- Homelessness and Social Issues
- Sex work and related issues
- Poverty, Education, and Child Welfare
- Childhood Cancer Survivors' Quality of Life
- HIV Research and Treatment
- Economic and Financial Impacts of Cancer
- Grief, Bereavement, and Mental Health
- Herpesvirus Infections and Treatments
- Neutropenia and Cancer Infections
- Microfinance and Financial Inclusion
- Management of metastatic bone disease
- Child Welfare and Adoption
- Glioma Diagnosis and Treatment
- Patient Dignity and Privacy
- Public Health Policies and Education
- Patient-Provider Communication in Healthcare
- Global Maternal and Child Health
Johns Hopkins Medicine
2025
Johns Hopkins University
2012-2025
London School of Hygiene & Tropical Medicine
2015-2024
University College London
1971-2022
Makerere University
2022
Faculty of Public Health
2021
Sidney Kimmel Comprehensive Cancer Center
2013-2020
University of London
2008-2018
Johns Hopkins Hospital
2015-2017
Cardinal Health (Switzerland)
2016
Infection with herpes simplex virus type 2 (HSV-2) is associated an increased risk of acquiring infection the human immunodeficiency (HIV). This study tested hypothesis that HSV-2 suppressive therapy reduces HIV acquisition.
We report on outcomes after 7 years of a community-based antiretroviral therapy (ART) programme in Khayelitsha, South Africa, with death registry linkages to correct for mortality under-ascertainment.This is an observational cohort study.Since inception, patient-level clinical data have been prospectively captured on-site into electronic patient information system. Patients available civil identification numbers who were lost follow-up matched the national ascertain their vital status....
Violence against children from school staff is widespread in various settings, but few interventions address this. We tested whether the Good School Toolkit-a complex behavioural intervention designed by Ugandan not-for-profit organisation Raising Voices-could reduce physical violence to primary children.We randomly selected 42 schools (clusters) 151 Luwero District, Uganda, with more than 40 5 students and no existing governance interventions. All agreed be enrolled. 5, 6, 7 (approximate...
Journal Article Growth of Candida albicans in Saliva: Stimulation by Glucose Associated with Antibiotics, Corticosteroids, and Diabetes Mellitus Get access Lawrence Knight, Knight From the Department Clinical Haematology, University College Hospital Medical School, London, England Search for other works this author on: Oxford Academic PubMed Google Scholar John Fletcher The Infectious Diseases, Volume 123, Issue 4, April 1971, Pages 371–377, https://doi.org/10.1093/infdis/123.4.371...
<h3>Objective</h3> The epidemiology of violence against children is likely to differ substantially by sex and age the victim perpetrator. Thus far, investment in effective prevention strategies has been hindered lack clarity burden childhood across these dimensions. We produced first age-specific sex-specific prevalence estimates perpetrator type for physical, sexual emotional globally. <h3>Design</h3> used random effects meta-regression estimate prevalence. Estimates were adjusted relevant...
Introduction Lesotho has the third highest HIV prevalence in world (an adult of 23.2%). Despite a lack resources for health, country implemented state‐of‐the‐art antiretroviral treatment guidelines, including early initiation (<350 cells/mm 3 ), tenofovir first line, and nurse‐initiated managed care, therapy (ART), at primary health care level. Programme approach We describe two‐year outcomes decentralized HIV/AIDS programme run by Doctors Without Borders/ Médecins Sans Frontières ,...
Objectives Existing evidence, mainly from high-income countries, shows children who witness intimate partner violence (IPV) at home are more likely to experience other forms of violence, but very little evidence is available lower income countries. In this paper we aim explore whether Ugandan IPV also maltreatment, factors associated with witnessing and experiencing any increased risk comes parents, or others outside the home. Design A representative cross-sectional survey primary schools....
Objective To explore patterns of physical, emotional and sexual violence against Ugandan children. Design Latent class multinomial logistic regression analysis cross-sectional data. Setting Luwero District, Uganda. Participants In all, 3706 primary 5, 6 7 students attending 42 schools. Main outcome measure violence, we used the International Society for Prevention Child Abuse Neglect Screening Tool—Child Institutional. We Strengths Difficulties Questionnaire to assess mental health...
Background: Hospice brings substantial clinical benefits to dying patients and families but is underutilized by of hematologic malignancies (HM); nationwide, only 2% HM use hospice. There are 70,000 deaths among U.S. with yearly. Objective: We measured the length stay (LOS) in hospice HMs at a large academic cancer center. Design: This was single center retrospective review adult (≥18 years) lymphoma, leukemia, myelodysplastic syndrome, aplastic anemia, multiple myeloma referred for...
The coronavirus disease 2019 (COVID-19) pandemic has affected children's risk of violence in their homes, communities and online, compromised the ability child protection systems to promptly detect respond cases violence.However, need strengthen prevention response services received insufficient attention national global mitigation strategies.In this paper, we summarize growing body evidence on links between against children.Drawing World Health Organization's INSPIRE framework end children,...
Resilience, commonly understood as the ability to maintain adaptive functioning in face of adversity, has emerged a salient entry point field positive youth development. This study makes unique contribution by exploring dimensions resilience among adolescents Uganda, examining associations between violence from different perpetrators and resilience, testing whether sex moderates these relationships. Analyses are based on data 3706 primary school students. Exploratory factor analysis (EFA)...
Violence against children by peers is a global public health problem. We aimed to assess factors associated with peer violence victimization among primary school in Uganda. conducted multilevel multivariable logistic regression analyses of cross-sectional data from 3706 students 42 Ugandan schools. Among students, 29% and 34% had ever experienced physical emotional perpetrated their peers, respectively. Factors strongly both were similar overlapping, included exposure interparental violence,...
To describe the prevalence of recent physical, sexual, and emotional violence against children 0 - 19 years age in Latin America Caribbean (LAC) by age, sex, perpetrator.
Given the mixed evidence on whether women's economic and social empowerment is beneficial or not for reducing intimate partner violence (IPV), we explored relationship between IPV risk. We analyzed data from baseline interviews with married women (n = 415) Intervention Microfinance Gender Equity (IMAGE) longitudinal study in rural South Africa. IMAGE combines a poverty-focused microfinance program gender-training curriculum. fitted logistic regression models to explore associations...
Objectives: To determine prevalence of and risk factors for herpes simplex virus type 2 (HSV-2) HIV among women being screened a randomized, controlled trial HSV suppressive therapy in northwestern Tanzania. Methods: Two thousand seven hundred nineteen female facility workers aged 16 to 35 were interviewed underwent serological testing HSV-2. Factors associated with HSV-2 24 examined using logistic regression estimate odds ratios (OR) 95% confidence intervals (CI). Results: seroprevalence...
We aimed to investigate whether the Good School Toolkit reduced emotional violence, severe physical sexual violence and injuries from school staff students, as well emotional, between peers, in Ugandan primary schools. performed a two-arm cluster randomised controlled trial with parallel assignment. Forty-two schools one district were allocated intervention (n = 21) or wait-list control arms 2012. did cross-sectional baseline endline surveys 2012 2014, was implemented for 18 months surveys....
Intimate partner violence against women (IPV) and children (VAC) are both global epidemics with long-term health consequences. The vast majority of research to date focuses on either IPV or VAC, however the intersections between these types a growing area attention. A significant need exists for empirical overlap especially in contexts particularly high rates violence.This exploratory study includes secondary analysis data from cluster randomized controlled trial Ugandan schools. Using...
Background: Phase 1 clinical trials remain vital for oncology care. Patients on these require supportive care quality-of-life (QOL) concerns. Objective: To test a Palliative Care Intervention (PCI) patients with solid tumors enrolled in I therapeutic priori hypothesis that psychological distress, QOL, satisfaction, symptoms, and resource utilization would be improved the PCI group. Design: This unblinded randomized trial compared usual accrued to Clinical Trials. Subjects (n = 479) were...
Underreporting of childhood sexual abuse is a major barrier to obtaining reliable prevalence estimates. We tested the sensitivity and specificity face-to-face-interview (FTFI) method by comparing number disclosures forced sex against more confidential mode data collection, sealed-envelope (SEM). also report on characteristics individuals associated with non-disclosure in FTFIs.Secondary analysis from cross-sectional survey conducted 2014, n = 3843 children attending primary school Luwero...
Violence against children is a serious violation of children's rights with significant impacts on current and future health well-being. The Good School Toolkit (GST) designed to prevent violence in primary schools through changing schools' operational cultures. Conducted the Luwero District Uganda between 2012 2014, findings from previous research indicate that reduced odds past week physical school staff (OR = 0.40, 95%CI 0.26–0.64, p < 0.001), corresponding 42% reduction risk violence....
Abstract Background Many studies have documented an association between violence victimisation and poor mental health. However, few use longitudinal data from low- middle-income countries with attention to how associations differ by experiencing specific types of or alongside different contexts peer family support. In this study, we quantify the experiences in early adolescence depression suicide attempts late explore whether is modified connectedness. Methods Data came Contexts Violence...
The benefits of hospice for patients with end-stage disease are well established. Although use is increasing, a growing number enrolled ≤ 7 days, marker poor quality care and patient family dissatisfaction. In this study, we examined variations in referrals among individuals groups physicians to assess potential source suboptimal use.