London School of Hygiene & Tropical Medicine

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    4622 research outputs found

    Extended files for "The Missing Billion: Using participatory approaches to improve access to healthcare for disabled people in Uganda"

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    Extended files for the formative research conducted under the Missing Billion project in Uganda, which focused on designing and testing community-based, participatory approaches to make healthcare more inclusive and accessible. This formative work contributed evidence to inform the design, content, and implementation of disability-inclusive health interventions, including the structure and function of Participatory Disability Action Groups

    Data for "Life course malaria exposure and SARS-CoV-2 Sero-epidemiology in Ugandan adolescents: a longitudinal study nested in a birth cohort"

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    This data was collected from a longitudinal study nested within the Entebbe Mother and Baby Study birth cohort in Uganda. Adolescents were enrolled and followed up 6 and 12 months later. Blood samples were collected at each visit for SARS-CoV-2 serology. Malaria exposure was defined using prospectively collected data on clinical malaria (from birth to 10 years), asymptomatic parasitaemia at annual visits, and antibody responses to Plasmodium falciparum merozoite surface protein 2 (PfMSP-2) and apical membrane antigen 1 (PfAMA-1). The primary outcome was SARS-CoV-2 seropositivity, based on spike and nucleocapsid IgG responses, with seropositivity cut-offs derived from pre-pandemic samples. Secondary outcomes, including antibody concentrations and symptomatic PCR-confirmed disease, were explored

    Global Dengue Observatory

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    The Global Dengue Observatory draws together the latest data from 88 countries around the world to estimate the current number of dengue cases each month at a national and continental level

    Maximum likelihood estimation of phylogenetic branch lengths for a star-like phylogeny

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    R code to calculate maximum likelihood branch lengths for a star-like tree with a gamma rate distribution

    Clinical codelists: Frailty progression following severe infections in adults ≥65 years in US and England: two matched cohort studies

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    A set of clinical codelist used to define infection (exposure), frailty (outcome), and other covariates in a cohort study on frailty progression following severe infections in adults aged over 65 years in US and England

    Data file for the presented analysis in "Acceptability of COVID-19 self-testing among social and clinical vulnerable populations using a decentralized testing model in Abuja, Nigeria; A mixed methods analysis of an implementation study"

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    Diagnostic testing is critical during infectious disease outbreaks, enabling timely patient management and isolation to reduce transmission and mortality. During the COVID-19 outbreak in Nigeria, testing rates remained low due to limited access to centralized RT-PCR sites. To expand access, the National COVID-19 Testing Strategy (January 2021) introduced decentralized self-testing models targeting vulnerable populations. This study assessed the uptake of decentralized COVID-19 testing and the acceptability of self-testing among socially and clinically vulnerable populations in Abuja, Nigeria. A mixed-methods study was conducted across four primary health centres (PHC), four community pharmacies (CP), and four patent medicine stores (PMS) between October 2022 and May 2023. Symptomatic individuals received provider-delivered testing at PHC or provider-delivered/self-testing at CP and PMS using antigen rapid diagnostic tests (Ag-RDT). Social vulnerability was defined by low education, illiteracy, or low wealth; clinical vulnerability by age ≥ 50, unvaccinated status, or comorbidities. Testing uptake and acceptability were analyzed using logistic regression, while in-depth interviews (IDI) explored preferences for testing sites and methods. Of 1,586 individuals screened, 1,368 were eligible and 1,322 (96.6%) accepted testing. Most tests occurred at PHC (53.5%), followed by PMS (25.9%) and CP (20.7%). Social vulnerability was higher among PMS users than PHC users (OR = 1.37; 95% CI 1.05–1.77), while clinical vulnerability was lower at CP (OR = 0.24; 95% CI 0.16–0.35) and PMS (OR = 0.28; 95% CI 0.19–0.39) compared to PHC. Self-testing acceptability was high (93.4% at CP; 92.1% at PMS). Outcome of IDI highlighted trust in CP/PMS providers, proximity, convenience, and affordability as key drivers of testing uptake, with self-testing widely preferred across vulnerability groups. Decentralized testing through CP and PMS reached more socially vulnerable individuals and demonstrated high self-testing acceptability. Leveraging these outlets in outbreak responses could enhance equitable access to diagnostic testing in future pandemics

    Codelists for: "Infections and risk of mental health conditions: a series of population-based matched cohort studies using linked electronic health records"

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    A set of 91 codelists associated with three studies: (1) Infections and risk of common mental health disorders: a population-based matched cohort study using linked electronic health records; (2) Infections and risk of severe mental illness: a population-based matched cohort study, and (3) Infections and suicide and self-harm: a population-based matched cohort study

    Clinical codelist - Abdominal mass

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    Clinical codelist for GOLD and Aurum medcodes

    Clinical codelist - Hypertension

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    Clinical codelist for GOLD and Aurum medcodes on Hypertension

    Rapid Assessment of Avoidable Blindness Report: Vietnam, Phu Tho (2007)

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    A report including output of standardised analysis of vision and eye health survey data including tables of vision impairment prevalence and service coverage estimates

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