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  1. Article ; Online: Lessons from Sweden: where can older adults shelter from COVID-19?

    Roxby, Alison C / Gure, Tanya R

    The lancet. Healthy longevity

    2020  Volume 1, Issue 2, Page(s) e53–e54

    MeSH term(s) Aged ; Aged, 80 and over ; COVID-19/epidemiology ; Humans ; SARS-CoV-2 ; Sweden/epidemiology
    Language English
    Publishing date 2020-10-28
    Publishing country England
    Document type Journal Article ; Comment
    ISSN 2666-7568
    ISSN (online) 2666-7568
    DOI 10.1016/S2666-7568(20)30035-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Antibodies from chlamydia-infected individuals facilitate phagocytosis via Fc receptors.

    Hybiske, Kevin / Paktinat, Shahrokh / Newman, Katherine / Patton, Dorothy / Khosropour, Christine / Roxby, Alison C / Mugo, Nelly R / Oluoch, Lynda / Ngure, Kenneth / Suchland, Robert / Hladik, Florian / Vojtech, Lucia

    Infection and immunity

    2024  Volume 92, Issue 4, Page(s) e0050323

    Abstract: Non-neutralizing functions of antibodies, including phagocytosis, may play a role ... ...

    Abstract Non-neutralizing functions of antibodies, including phagocytosis, may play a role in
    MeSH term(s) Humans ; Receptors, Fc ; Phagocytosis ; Neutrophils ; Antibodies, Bacterial ; Chlamydia Infections ; Chlamydia trachomatis
    Chemical Substances Receptors, Fc ; Antibodies, Bacterial
    Language English
    Publishing date 2024-03-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 218698-6
    ISSN 1098-5522 ; 0019-9567
    ISSN (online) 1098-5522
    ISSN 0019-9567
    DOI 10.1128/iai.00503-23
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Lessons from Sweden

    Roxby, Alison C / Gure, Tanya R

    The Lancet Healthy Longevity

    where can older adults shelter from COVID-19?

    2020  Volume 1, Issue 2, Page(s) e53–e54

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ISSN 2666-7568
    DOI 10.1016/s2666-7568(20)30035-0
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Assessing safety in hormonal male contraception: a critical appraisal of adverse events reported in a male contraceptive trial.

    Abbe, Carmen / Roxby, Alison C

    BMJ sexual & reproductive health

    2019  Volume 46, Issue 2, Page(s) 139–146

    Abstract: Introduction: There is unmet need for male contraceptive options, but a recent injectable combination male contraceptive trial was terminated early due to adverse events (AEs).: Methods: We examined the frequency of reported AEs by male research ... ...

    Abstract Introduction: There is unmet need for male contraceptive options, but a recent injectable combination male contraceptive trial was terminated early due to adverse events (AEs).
    Methods: We examined the frequency of reported AEs by male research participants compared with AEs reported in prescribing information of approved female hormonal contraceptive methods. Published data from trials of the top five most-used female hormonal contraceptives, supplemented by contemporary contraceptive research, were compared with the frequency of AEs reported in a male injectable hormonal contraceptive trial.
    Results: We observed similar frequencies of AEs reported by users of male contraceptives compared with those reported by female users. Among quantitatively comparable AEs, compared with men, women reported experiencing higher frequencies of headaches, pelvic pain, and weight gain and similar frequencies of decreased libido. Compared with women, men reported experiencing higher frequencies of acne and mood changes. Men discontinued participation due to AEs at a lower frequency than women.
    Conclusions: Female hormonal methods generally have similar frequencies of AEs to those reported in a recent male hormonal contraceptive trial, and male users had lower rates of discontinuation due to AEs. There were fewer serious AEs of the male contraceptive than reported in contemporary female trials which resulted in FDA licensure. This suggests there may be implicit bias in the scientific community regarding the level of acceptable risk for users of male contraceptive methods.
    MeSH term(s) Acne Vulgaris/epidemiology ; Acne Vulgaris/etiology ; Adult ; Contraceptive Agents, Male/standards ; Contraceptive Agents, Male/therapeutic use ; Drug-Related Side Effects and Adverse Reactions/epidemiology ; Drug-Related Side Effects and Adverse Reactions/etiology ; Headache/epidemiology ; Headache/etiology ; Hormonal Contraception/methods ; Hormonal Contraception/standards ; Humans ; Levonorgestrel/adverse effects ; Levonorgestrel/therapeutic use ; Libido/drug effects ; Male ; Mood Disorders/epidemiology ; Mood Disorders/etiology ; Patient Safety/standards ; Patient Safety/statistics & numerical data ; Pelvic Pain/epidemiology ; Pelvic Pain/etiology ; Progestins/adverse effects ; Progestins/therapeutic use ; Weight Gain/drug effects
    Chemical Substances Contraceptive Agents, Male ; Progestins ; Levonorgestrel (5W7SIA7YZW)
    Language English
    Publishing date 2019-11-21
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2515-2009
    ISSN (online) 2515-2009
    DOI 10.1136/bmjsrh-2018-200206
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Antiretroviral Regimen and Pregnancy Outcomes of Women Living with HIV in a US Cohort.

    Kopp, Charles M / Sobhani, Nasim C / Baker, Barbara / Tapia, Kenneth / Jain, Rupali / Hitti, Jane / Roxby, Alison C

    Infectious diseases in clinical practice (Baltimore, Md.)

    2023  Volume 31, Issue 6

    Abstract: Women who are pregnant and living with HIV have traditionally been excluded from clinical trials regarding new pharmacotherapy. Immediate initiation of antiretroviral therapy (ART) is recommended for women who are pregnant and living with HIV. Integrase ... ...

    Abstract Women who are pregnant and living with HIV have traditionally been excluded from clinical trials regarding new pharmacotherapy. Immediate initiation of antiretroviral therapy (ART) is recommended for women who are pregnant and living with HIV. Integrase inhibitors (INSTIs) are first-line recommended agents as they lead to more rapid HIV viral load reduction. We conducted a retrospective study of women who are pregnant and living with HIV who received prenatal care at the University of Washington. Mothers were categorized by ART class: INSTI, protease inhibitors (PI), and non-nucleoside reverse transcriptase inhibitors (NNRTI). Chi-square and t-tests were used for the analysis of baseline characteristics, and generalized estimating equations were used to adjust for HIV viral suppression between groups. There were a total of 234 mother-infant pairs whose pregnancies progressed beyond 20 weeks. The study demonstrated that women on INSTI regimens were more likely to have a shorter time to viral load suppression than women on NNRTI regimens. Additionally, seven congenital anomalies were identified in this cohort, none of which were neural tube defects. There was no perinatal transmission of HIV to any of the infants. This small cohort of women provides high-quality data regarding the safety and efficacy of INSTI use for both mothers and infants in resource-rich settings.
    Language English
    Publishing date 2023-09-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1162378-0
    ISSN 1056-9103
    ISSN 1056-9103
    DOI 10.1097/IPC.0000000000001308
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Lessons from Sweden

    Alison C Roxby / Tanya R Gure

    The Lancet. Healthy Longevity, Vol 1, Iss 2, Pp e53-e

    where can older adults shelter from COVID-19?

    2020  Volume 54

    Keywords Geriatrics ; RC952-954.6 ; Medicine ; R
    Language English
    Publishing date 2020-11-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: "I was just concerned about getting pregnant": Attitudes toward pregnancy and contraceptive use among adolescent girls and young women in Thika, Kenya.

    Daniel, Afkera Kesete / Casmir, Edinah / Oluoch, Lynda / Micheni, Murugi / Kiptinness, Catherine / Wald, Anna / Mugo, Nelly Rwamba / Roxby, Alison C / Ngure, Kenneth

    BMC pregnancy and childbirth

    2023  Volume 23, Issue 1, Page(s) 493

    Abstract: Background: Adolescent girls and young women (AGYW) have a high incidence of unplanned pregnancies, especially in low-resource settings. AGYW assess the overlapping risks of pregnancy, contraception, and STIs as they navigate relationships. Few studies ... ...

    Abstract Background: Adolescent girls and young women (AGYW) have a high incidence of unplanned pregnancies, especially in low-resource settings. AGYW assess the overlapping risks of pregnancy, contraception, and STIs as they navigate relationships. Few studies have examined how AGYW consider the comparative risks of their decisions around sexual and reproductive health in this context or how risk perception influences contraceptive use.
    Methods: Twenty in-depth interviews (IDIs) and 5 focus group discussions (FGDs) were conducted with a subset of sexually active AGYW enrolled in the Girls Health Study (GHS), a longitudinal cohort study in Thika, Kenya, assessing HSV-2 incidence in a cohort of AGYW aged 16-20. Interview questions were focused on perspectives and decision-making around sexual and reproductive health. Interviews were conducted in both English and Kiswahili, transcribed, and coded using inductive and deductive approaches to identify emerging themes.
    Results: Misconceptions about long-acting reversible contraceptives (LARCs), injectables, and daily oral contraceptive pills strongly disincentivized their use among AGYW. Participants described pregnancy as undesirable, and AGYW reported prioritizing contraceptive methods that were effective and reliable in pregnancy prevention, even if not effective in preventing STI/HIV infection. Participants reported that AGYW relied heavily on emergency contraceptive (EC) pills for pregnancy prevention.
    Conclusions: Though the goal of avoiding unintended pregnancy was common, this did not suffice to motivate the uptake of long-term contraceptives among AGYWs. Given the convenience, cost-effectiveness, and lower perceived risk of side effects, EC pills were more likely to be accepted as a form of contraception. Understanding the reasons for AGYW's acceptance of certain contraceptive methods over others can help future interventions better target communication and counseling about contraception and influence key drivers of AGYW behavior and decision-making around sexual and reproductive health.
    MeSH term(s) Pregnancy ; Humans ; Female ; Adolescent ; Contraceptive Agents ; HIV Infections/epidemiology ; Kenya ; Longitudinal Studies ; Sexually Transmitted Diseases/prevention & control ; Attitude
    Chemical Substances Contraceptive Agents
    Language English
    Publishing date 2023-07-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 2059869-5
    ISSN 1471-2393 ; 1471-2393
    ISSN (online) 1471-2393
    ISSN 1471-2393
    DOI 10.1186/s12884-023-05802-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Navigating antiretroviral adherence in boarding secondary schools in Nairobi, Kenya: A qualitative study of adolescents living with HIV, their caregivers and school nurses.

    Kipkurui, Nicholas / Owidi, Emmah / Ayieko, James / Owuor, Gerald / Mugenya, Irene / Agot, Kawango / Roxby, Alison C

    PLOS global public health

    2023  Volume 3, Issue 9, Page(s) e0002418

    Abstract: In Kenya, adolescents spend much of their formative years in boarding secondary schools, which presents a challenging environment for antiretroviral (ART) adherence support among adolescents living with HIV (ALHIV). We examined the experiences of ALHIV, ... ...

    Abstract In Kenya, adolescents spend much of their formative years in boarding secondary schools, which presents a challenging environment for antiretroviral (ART) adherence support among adolescents living with HIV (ALHIV). We examined the experiences of ALHIV, caregivers of adolescents, and school nurses regarding navigating ART adherence in boarding secondary schools. Between July and November 2022, we conducted focus group discussions (FGDs) among ALHIV attending boarding schools in Nairobi, Kenya, and caregivers of ALHIV, and in-depth interviews (IDIs) with school nurses. Clinic records were used to identify ALHIV and caregivers, who were invited to participate based on their availability. We categorized boarding schools into national, county, and sub-county levels and selected two schools from each category. We obtained permission from head teachers and invited school nurses to take part in virtual IDIs. The interviews were audio-recorded, transcribed verbatim, and analyzed thematically. We conducted two FGDs with 11 caregivers, two FGDs with 18 adolescents, and 7 IDIs with school nurses. Most of the ALHIV reported having disclosed their HIV status to a school nurse or teacher during admission. School nurse friendliness, being understanding, fair, and confidential were qualities associated with ALHIV willingness to confide in them. Strategies ALHIV used to adhere to medication included: waiting until students were engaged in other activities, waking up early, stepping away from others, and stating their drugs were for different ailments. Caregivers were nervous about school-based adherence counseling, fearing it could lead to inadvertent disclosure of adolescents' HIV status and stigmatization by fellow students. All school nurses reported lacking appropriate training in HIV adherence counseling for adolescents. ALHIV have devised innovative strategies to navigate pill-taking and enlist quiet support while operating in stigmatized school environments. Establishment of a strong school nurse-adolescent rapport and building nurses' skills are key to improving school-based support for ALHIV.
    Language English
    Publishing date 2023-09-25
    Publishing country United States
    Document type Journal Article
    ISSN 2767-3375
    ISSN (online) 2767-3375
    DOI 10.1371/journal.pgph.0002418
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Navigating antiretroviral adherence in boarding secondary schools in Nairobi, Kenya

    Nicholas Kipkurui / Emmah Owidi / James Ayieko / Gerald Owuor / Irene Mugenya / Kawango Agot / Alison C. Roxby

    PLOS Global Public Health, Vol 3, Iss

    A qualitative study of adolescents living with HIV, their caregivers and school nurses

    2023  Volume 9

    Keywords Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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