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  1. Article ; Online: Examining Type 1 Diabetes Mathematical Models Using Experimental Data.

    Al Ali, Hannah / Daneshkhah, Alireza / Boutayeb, Abdesslam / Mukandavire, Zindoga

    International journal of environmental research and public health

    2022  Volume 19, Issue 2

    Abstract: Type 1 diabetes requires treatment with insulin injections and monitoring glucose levels in affected individuals. We explored the utility of two mathematical models in predicting glucose concentration levels in type 1 diabetic mice and determined disease ...

    Abstract Type 1 diabetes requires treatment with insulin injections and monitoring glucose levels in affected individuals. We explored the utility of two mathematical models in predicting glucose concentration levels in type 1 diabetic mice and determined disease pathways. We adapted two mathematical models, one with β-cells and the other with no β-cell component to determine their capability in predicting glucose concentration and determine type 1 diabetes pathways using published glucose concentration data for four groups of experimental mice. The groups of mice were numbered Mice Group 1-4, depending on the diabetes severity of each group, with severity increasing from group 1-4. A Markov Chain Monte Carlo method based on a Bayesian framework was used to fit the model to determine the best model structure. Akaike information criteria (AIC) and Bayesian information criteria (BIC) approaches were used to assess the best model structure for type 1 diabetes. In fitting the model with no β-cells to glucose level data, we varied insulin absorption rate and insulin clearance rate. However, the model with β-cells required more parameters to match the data and we fitted the β-cell glucose tolerance factor, whole body insulin clearance rate, glucose production rate, and glucose clearance rate. Fitting the models to the blood glucose concentration level gave the least difference in AIC of 1.2, and a difference in BIC of 0.12 for Mice Group 4. The estimated AIC and BIC values were highest for Mice Group 1 than all other mice groups. The models gave substantial differences in AIC and BIC values for Mice Groups 1-3 ranging from 2.10 to 4.05. Our results suggest that the model without β-cells provides a more suitable structure for modelling type 1 diabetes and predicting blood glucose concentration for hypoglycaemic episodes.
    MeSH term(s) Animals ; Bayes Theorem ; Blood Glucose/metabolism ; Diabetes Mellitus, Experimental ; Diabetes Mellitus, Type 1 ; Insulin ; Mice ; Models, Theoretical
    Chemical Substances Blood Glucose ; Insulin
    Language English
    Publishing date 2022-01-10
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19020737
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Examining Type 1 Diabetes Mathematical Models Using Experimental Data

    Hannah Al Ali / Alireza Daneshkhah / Abdesslam Boutayeb / Zindoga Mukandavire

    International Journal of Environmental Research and Public Health, Vol 19, Iss 737, p

    2022  Volume 737

    Abstract: Type 1 diabetes requires treatment with insulin injections and monitoring glucose levels in affected individuals. We explored the utility of two mathematical models in predicting glucose concentration levels in type 1 diabetic mice and determined disease ...

    Abstract Type 1 diabetes requires treatment with insulin injections and monitoring glucose levels in affected individuals. We explored the utility of two mathematical models in predicting glucose concentration levels in type 1 diabetic mice and determined disease pathways. We adapted two mathematical models, one with <math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi>β</mi></semantics></math> -cells and the other with no <math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi>β</mi></semantics></math> -cell component to determine their capability in predicting glucose concentration and determine type 1 diabetes pathways using published glucose concentration data for four groups of experimental mice. The groups of mice were numbered Mice Group 1–4, depending on the diabetes severity of each group, with severity increasing from group 1–4. A Markov Chain Monte Carlo method based on a Bayesian framework was used to fit the model to determine the best model structure. Akaike information criteria (AIC) and Bayesian information criteria (BIC) approaches were used to assess the best model structure for type 1 diabetes. In fitting the model with no <math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi>β</mi></semantics></math> -cells to glucose level data, we varied insulin absorption rate and insulin clearance rate. However, the model with <math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi>β</mi></semantics></math> -cells required more parameters to match the data and we fitted the <math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi>β</mi></semantics></math> -cell glucose tolerance factor, whole body insulin clearance rate, glucose production rate, and glucose clearance rate. Fitting the models to the blood ...
    Keywords diabetes ; thresholds ; model selection ; model calibration ; Medicine ; R
    Subject code 511
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Insights from Zimbabwe's SARS-CoV-2 genomic surveillance.

    Dzinamarira, Tafadzwa / Mukwenha, Solomon / Mukandavire, Zindoga / Cuadros, Diego F / Murewanhema, Grant / Madziva, Roda / Musuka, Godfrey

    The Lancet. Global health

    2021  Volume 9, Issue 12, Page(s) e1624–e1625

    MeSH term(s) COVID-19 ; Genomics ; Humans ; SARS-CoV-2 ; Zimbabwe/epidemiology
    Language English
    Publishing date 2021-10-22
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2723488-5
    ISSN 2214-109X ; 2214-109X
    ISSN (online) 2214-109X
    ISSN 2214-109X
    DOI 10.1016/S2214-109X(21)00451-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Safeguarding gains in the sexual and reproductive health and AIDS response amidst COVID-19: The role of African civil society.

    Eghtessadi, Rouzeh / Mukandavire, Zindoga / Mutenherwa, Farirai / Cuadros, Diego / Musuka, Godfrey

    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

    2020  Volume 100, Page(s) 286–291

    Abstract: This article outlines the role of African civil society in safeguarding gains registered to date in sexual and reproductive health and the response to HIV. The case is made for why civil society organizations (CSOs) must be engaged vigilantly in the ... ...

    Abstract This article outlines the role of African civil society in safeguarding gains registered to date in sexual and reproductive health and the response to HIV. The case is made for why civil society organizations (CSOs) must be engaged vigilantly in the COVID-19 response in Africa. Lockdown disruptions and the rerouting of health funds to the pandemic have impeded access to essential sexual and reproductive health (SRH) and social protection services. Compounded by pre-existing inequalities faced by vulnerable populations, the poor SRH outcomes amid COVID-19 call for CSOs to intensify demand for the accountability of governments. CSOs should also continue to persevere in their aim to rapidly close community-health facility gaps and provide safety nets to mitigate the gendered impact of COVID-19.
    MeSH term(s) Acquired Immunodeficiency Syndrome/epidemiology ; Acquired Immunodeficiency Syndrome/prevention & control ; Africa ; COVID-19/prevention & control ; COVID-19/therapy ; Humans ; Organizations ; Pandemics/prevention & control ; Public Health ; Reproductive Health ; SARS-CoV-2 ; Sociological Factors
    Keywords covid19
    Language English
    Publishing date 2020-09-11
    Publishing country Canada
    Document type Journal Article ; Review
    ZDB-ID 1331197-9
    ISSN 1878-3511 ; 1201-9712
    ISSN (online) 1878-3511
    ISSN 1201-9712
    DOI 10.1016/j.ijid.2020.08.086
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Modelling the effect of market forces on the impact of introducing human immunodeficiency virus pre-exposure prophylaxis among female sex workers.

    Quaife, Matthew / Terris-Prestholt, Fern / Mukandavire, Zindoga / Vickerman, Peter

    Health economics

    2020  Volume 30, Issue 3, Page(s) 659–679

    Abstract: Pre-exposure prophylaxis (PrEP) to prevent human immunodeficiency virus (HIV) enables female sex workers (FSWs) to protect themselves from HIV without relying on clients using condoms. Yet, because PrEP reduces HIV risk, financial incentives to not use ... ...

    Abstract Pre-exposure prophylaxis (PrEP) to prevent human immunodeficiency virus (HIV) enables female sex workers (FSWs) to protect themselves from HIV without relying on clients using condoms. Yet, because PrEP reduces HIV risk, financial incentives to not use condoms may lead to risk compensation: reductions in condom use and/or increases in commercial sex, and may reduce the price of unprotected sex. In this analysis, we integrate market forces into a dynamic HIV transmission model to assess how risk compensation could change the impact of PrEP among FSWs and clients. We parameterise how sexual behavior may change with PrEP use among FSWs using stated preference data combined with economic theory. Our projections suggest the impact of PrEP is sensitive to risk compensatory behaviors driven by changes in the economics of sex work. Condom substitution could reduce the impact of PrEP on HIV incidence by 55%, while increases in the frequency of commercial sex to counter decreases in the price charged for unprotected sex among PrEP users could entirely mitigate the impact of PrEP. Accounting for competition between PrEP users and nonusers exacerbates this further. Alternative scenarios where increases in unprotected sex among PrEP users are balanced by decreases in non-PrEP users have the opposite effect, resulting in PrEP having much greater impact. Intervention studies need to determine how HIV prevention products may change the economics of sex work and provision of unprotected sex to enable a better understanding of their impact.
    MeSH term(s) Female ; HIV ; HIV Infections/prevention & control ; Humans ; Pre-Exposure Prophylaxis ; Sex Work ; Sex Workers
    Language English
    Publishing date 2020-12-29
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1135838-5
    ISSN 1099-1050 ; 1057-9230
    ISSN (online) 1099-1050
    ISSN 1057-9230
    DOI 10.1002/hec.4211
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Safeguarding gains in the sexual and reproductive health and AIDS response amidst COVID-19

    Rouzeh Eghtessadi / Zindoga Mukandavire / Farirai Mutenherwa / Diego Cuadros / Godfrey Musuka

    International Journal of Infectious Diseases, Vol 100, Iss , Pp 286-

    The role of African civil society

    2020  Volume 291

    Abstract: This article outlines the role of African civil society in safeguarding gains registered to date in sexual and reproductive health and the response to HIV. The case is made for why civil society organizations (CSOs) must be engaged vigilantly in the ... ...

    Abstract This article outlines the role of African civil society in safeguarding gains registered to date in sexual and reproductive health and the response to HIV. The case is made for why civil society organizations (CSOs) must be engaged vigilantly in the COVID-19 response in Africa. Lockdown disruptions and the rerouting of health funds to the pandemic have impeded access to essential sexual and reproductive health (SRH) and social protection services. Compounded by pre-existing inequalities faced by vulnerable populations, the poor SRH outcomes amid COVID-19 call for CSOs to intensify demand for the accountability of governments. CSOs should also continue to persevere in their aim to rapidly close community-health facility gaps and provide safety nets to mitigate the gendered impact of COVID-19.
    Keywords Africa ; COVID-19 ; Civil society ; CSOs ; Gender ; Sexual and reproductive health ; Infectious and parasitic diseases ; RC109-216 ; covid19
    Subject code 360
    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: When distance matters: Mapping HIV health care underserved communities in sub-Saharan Africa.

    Kim, Hana / Musuka, Godfrey N / Mukandavire, Zindoga / Branscum, Adam / Cuadros, Diego F

    PLOS global public health

    2021  Volume 1, Issue 11, Page(s) e0000013

    Abstract: Despite efforts to increase the proportion of individuals diagnosed with HIV who receive anti-retroviral therapy, 28% of people living with HIV (PLHIV) aged 15 years and older in eastern and southern Africa and 42% in western and central Africa were not ... ...

    Abstract Despite efforts to increase the proportion of individuals diagnosed with HIV who receive anti-retroviral therapy, 28% of people living with HIV (PLHIV) aged 15 years and older in eastern and southern Africa and 42% in western and central Africa were not receiving anti-retroviral therapy in 2019. Therefore, improving access to health care services is key to reduce HIV incidence and prevalence. The main aim of this study was to generate high-resolution maps of underserved areas where people cannot access the closest health care facilities within appropriate travel time in sub-Saharan Africa (SSA). Main sources of data for this study were the estimated number of PLHIV for adults aged 15-49 years in 47 countries in SSA and the global map of travel time to the nearest health care facility by motorized and non-motorized transportation. These data were used to estimate and map the number of PLHIV in underserved areas at a travel distance of 10, 30, and 60 minutes from the nearest healthcare facility. We identified and mapped more than 7 million PLHIV in the areas with a lack of access to health care within 10-minute travel time and 1.5 million PLHIV in the areas with a lack of access to health care within 60-minute travel time. The identified locations of underserved areas are an indicator of the challenge faced by PLHIV in accessing health services in SSA, a situation that is likely worsened by the COVID-19 pandemic. These findings can contribute to developing cost-effective geospatial policies for interventions aimed at underserved areas at a finer resolution for communities that have usually been identified in aggregated spatial areas. Further development and implementation of tailored intervention and treatment programs, especially in areas identified as underserved for PLHIV, should be explored. Geospatial analyses could complement the decision-making process with stakeholders to enhance healthcare access for PLHIV in SSA.
    Language English
    Publishing date 2021-11-24
    Publishing country United States
    Document type Journal Article
    ISSN 2767-3375
    ISSN (online) 2767-3375
    DOI 10.1371/journal.pgph.0000013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Dynamics of the COVID-19 epidemic in urban and rural areas in the United States.

    Cuadros, Diego F / Branscum, Adam J / Mukandavire, Zindoga / Miller, F DeWolfe / MacKinnon, Neil

    Annals of epidemiology

    2021  Volume 59, Page(s) 16–20

    Abstract: Purpose: There is a growing concern about the COVID-19 epidemic intensifying in rural areas in the United States (U.S.). In this study, we described the dynamics of COVID-19 cases and deaths in rural and urban counties in the U.S.: Methods: Using ... ...

    Abstract Purpose: There is a growing concern about the COVID-19 epidemic intensifying in rural areas in the United States (U.S.). In this study, we described the dynamics of COVID-19 cases and deaths in rural and urban counties in the U.S.
    Methods: Using data from April 1 to November 12, 2020, from Johns Hopkins University, we estimated COVID-19 incidence and mortality rates and conducted comparisons between urban and rural areas in three time periods at the national level, and in states with higher and lower COVID-19 incidence rates.
    Results: Results at the national level showed greater COVID-19 incidence rates in urban compared to rural counties in the Northeast and Mid-Atlantic regions of the U.S. at the beginning of the epidemic. However, the intensity of the epidemic has shifted to a rapid surge in rural areas. In particular, high incidence states located in the Mid-west of the country had more than 3,400 COVID-19 cases per 100,000 people compared to 1,284 cases per 100,000 people in urban counties nationwide during the third period (August 30 to November 12).
    Conclusions: Overall, the current epicenter of the epidemic is located in states with higher infection rates and mortality in rural areas. Infection prevention and control efforts including healthcare capacity should be scaled up in these vulnerable rural areas.
    MeSH term(s) COVID-19 ; Epidemics ; Humans ; Rural Population ; SARS-CoV-2 ; United States/epidemiology ; Urban Population
    Language English
    Publishing date 2021-04-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1074355-8
    ISSN 1873-2585 ; 1047-2797
    ISSN (online) 1873-2585
    ISSN 1047-2797
    DOI 10.1016/j.annepidem.2021.04.007
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  9. Article ; Online: Temporal stability of HIV prevalence in high-burden areas regardless of declines in national HIV prevalence in Malawi and Zimbabwe.

    Cuadros, Diego F / Branscum, Adam J / Mukandavire, Zindoga

    AIDS (London, England)

    2018  Volume 32, Issue 10, Page(s) 1381–1383

    Abstract: The current study aims to assess the subnational temporal trends in HIV prevalence in Malawi and Zimbabwe. Using data from three Demographic and Health Surveys (DHS) conducted in Malawi and Zimbabwe, we found that national HIV prevalence in both ... ...

    Abstract : The current study aims to assess the subnational temporal trends in HIV prevalence in Malawi and Zimbabwe. Using data from three Demographic and Health Surveys (DHS) conducted in Malawi and Zimbabwe, we found that national HIV prevalence in both countries substantially declined, large declines occurred in areas where HIV prevalence was already low, and HIV prevalence in high-burden areas remained stable over time. Well designed HIV prevention programmes targeting hotspots are required for effective HIV control in countries with declining HIV prevalence.
    MeSH term(s) Adult ; Female ; HIV Infections/epidemiology ; Humans ; Malawi/epidemiology ; Male ; Prevalence ; Surveys and Questionnaires ; Topography, Medical ; Young Adult ; Zimbabwe/epidemiology
    Language English
    Publishing date 2018-05-29
    Publishing country England
    Document type Letter
    ZDB-ID 639076-6
    ISSN 1473-5571 ; 0269-9370 ; 1350-2840
    ISSN (online) 1473-5571
    ISSN 0269-9370 ; 1350-2840
    DOI 10.1097/QAD.0000000000001820
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Understanding HIV and associated risk factors among religious groups in Zimbabwe.

    Mapingure, Munyaradzi / Mukandavire, Zindoga / Chingombe, Innocent / Cuadros, Diego / Mutenherwa, Farirai / Mugurungi, Owen / Musuka, Godfrey

    BMC public health

    2021  Volume 21, Issue 1, Page(s) 375

    Abstract: Background: The influence of religion and belief systems is widely recognized as an important factor in understanding of health risk perception and myths in the general fight against the HIV pandemic. This study compares the understanding of HIV risk ... ...

    Abstract Background: The influence of religion and belief systems is widely recognized as an important factor in understanding of health risk perception and myths in the general fight against the HIV pandemic. This study compares the understanding of HIV risk factors and utilization of some HIV services among religious groups in Zimbabwe.
    Methods: We conducted secondary data statistical analysis to investigate the understanding of HIV and associated risk factors among religious groups in Zimbabwe using 2015-2016 Zimbabwe Demographic and Health Survey (ZDHS) data. We began by investigating associations between understanding of HIV and associated risk factors among religious groups. A multivariate stepwise backward elimination method was carried out to explore factors determining understanding of HIV risk after controlling for confounding factors using the most recent ZDHS data (2015-2016).
    Results: The results from the three surveys showed that, in general apostolic sector had low understanding of HIV and associated risk factors compared to other religious groups. Analysis of the 2015-2016 ZDHS data showed that women belonging to the apostolic sector were less likely to know where to get an HIV test odds ratio (OR) and 95% confidence interval, 0.665 (0.503-0.880) and to know that male circumcision reduces HIV transmission OR 0.863 (0.781-0.955). Women from this group had no knowledge that circumcised men can be infected if they do not use condoms OR 0.633 (0.579-0.693), nor that it is possible for a healthy-looking person to have HIV, OR 0.814 (0.719-0.921). They would not buy vegetables from a vendor with HIV OR 0.817 (0.729-0.915) and were less likely to support that HIV positive children should be allowed to attend school with HIV negative children OR 0.804 (0.680-0.950). Similar results were obtained for men in the apostolic sector. These men also did not agree that women were justified to use condoms if the husband has an Sexually Transmitted Infection (STI) OR 0.851 (0.748-0.967).
    Conclusions: Our results suggest that apostolic sector lack adequate knowledge of HIV and associated risk factors than other religious groups. Targeting HIV prevention programmes by religious groups could be an efficient approach for controlling HIV in Zimbabwe.
    MeSH term(s) Child ; Condoms ; Female ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; Humans ; Male ; Religion ; Risk Factors ; Zimbabwe/epidemiology
    Language English
    Publishing date 2021-02-17
    Publishing country England
    Document type Journal Article
    ISSN 1471-2458
    ISSN (online) 1471-2458
    DOI 10.1186/s12889-021-10405-8
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