Practice change needed for the identification of pediatric hypertension in marginalized populations: an example from South Africa (Publications)
showed the highest agreement both among international standards (92.5% with American guidelines) and with the study reference (72.5%). While the global and the American references presented higher systolic
Predicting complicated appendicitis based on clinical findings: the role of Alvarado and appendicitis inflammatory response scores (Publications)
inflammation. The complicated appendicitis cohort had a mean Alvarado score of 7.03 and a mean AIR of 5.21. This compared to a mean Alvarado of 6.53 and a mean AIR of 4.07 for the uncomplicated appendicitis [...] The highest Alvarado score with a sensitivity of > 90% to detect complicated appendicitis was > == 5 (sensitivity = 95%, specificity 8.99%). The highest AIR score with a sensitivity of > 90% to detect
Ultrasonographic findings in patients with abdominal symptoms or trauma presenting to an emergency room in rural Tanzania (Publications)
females (54.2%) and abdominal free fluid in 368 (32.6%) patients; no abnormality was found in 150 (13.5%) patients. A tumour in the abdomen or pelvis was found in 183 (16.2%) patients, an intrauterine pregnancy [...] received an eFAST, and 53 (18.7%) had positive findings. A total of 27 (9.4%) trauma patients and 51 (4.5%) non-trauma patients were sent directly to the operating theatre. CONCLUSION: In this study, ultrasound
Vaccine hesitancy and HPV vaccine uptake among male and female youth in Switzerland: a cross-sectional study (Publications)
vaccination records and to measure the prevalence of VH using the Youth Attitudes about Vaccines scale (YAV-5), a modified version of the Parent Attitudes about Childhood Vaccinations survey instrument. SETTING [...] ts received > /=1 dose of HPV vaccine. 81 (31%) female and 92 (22%) male participants were VH (YAV-5-Score > 50). The odds for being unvaccinated were higher for VH women than non-VH women, adjusted OR=4
Doxycycline responding illnesses in returning travellers with undifferentiated non-malaria fever: a European multicenter prospective cohort study (Publications)
travellers with undifferentiated NMF. RESULTS: Among 347 travellers with undifferentiated NMF, 106 (30.5%) were finally diagnosed with DRI. Only 57 (53.8%) of the 106 DRI infections were diagnosed by the standard [...] Rickettsia spp., 16 (15.1%) C. burnetii; 15 (14.2%) Bartonella spp.; 13 (12.3%) Leptospira spp.; and 10 (9.5%) A. phagocytophilum. The only predictive factor associated with DRI was presenting an eschar (aOR 39
Lifelong exposure to air pollution and greenness in relation to asthma, rhinitis and lung function in adulthood (Publications)
Individual mean annual residential exposures to nitrogen dioxide (NO2), particulate matter (PM10 and PM2.5), black carbon (BC), ozone (O3) and greenness (normalized difference vegetation index (NDVI)) were averaged [...] rhinitis, adulthood exposures seemed to be most important. Childhood and adolescence exposures to PM2.5 and O3 were associated with lower lung function, in particular FEV1 (range ORs 2.65 to 4.21). No as
Bayesian geostatistical modelling of high-resolution <em>NO</em>2 exposure in Europe combining data from monitors, satellites and chemical transport... (Publications)
to near ground NO2 concentration proxies using simulations from the 3-D global CTM (GEOS-Chem) at 0.5 degrees x 0.625 degrees spatial resolution and surface-to-column NO2 ratios. Simulations from the Ensemble [...] in 2016, 16.17 (95% C.I. 6.34-29.96) million people in Europe, representing 2.97% (95% C.I. 1.16% - 5.50%) of the total population, were exposed to levels above the EU directive and WHO air quality guidelines
Vector composition, abundance, biting patterns and malaria transmission intensity in Madang, Papua New Guinea: assessment after 7 years of an... (Publications)
values ranging from 0.03 to 0.5 infective Anopheles bites per person-night. Most (54.1-75.1%) of the Anopheles bites occurred outdoors, with a substantial proportion (25.5-50.8%) occurring before 22:00
Cervical cancer screening cascade for women living with HIV: a cohort study from Zimbabwe (Publications)
85.4% (95% CI 83.5–87.1) at two years. Among the 396 WLHIV who received screen-positive tests in the study, the cumulative incidence of treatment after a positive screening test was 79.5% (95% CI 75.1–83
Breast cancer in women by HIV status: a report from the South African National Cancer Registry (Publications)
ics. RESULTS: From 2004-2014, 40 520 BC cases were diagnosed in women aged ≥15 years. Of these, 73.5% had unknown HIV status, 18.7% were HIV negative, and 7.7% were HIV positive. The median age at BC diagnosis [...] (odds ratio [OR] 1.38, 95% confidence interval [CI] 1.10-1.71), Black versus non-Black (OR 6.41, 95% CI 5.68-7.23), diagnosed with cancer in rural versus urban areas (OR 1.59, 95% CI 1.40-1.82) and diagnosed