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  1. Article ; Online: Comparison of presentations to the emergency department during the COVID-19 pandemic (COPED-C).

    Kociejowski, A / Hobart, C / Jina, R / Aberman, I / Backhurst, E / Beaumont, A / Crompton, J / Sneep, R / Cantle, F / Dodhia, H

    Journal of public health (Oxford, England)

    2021  Volume 43, Issue 4, Page(s) 731–738

    Abstract: Background: Concerns have been raised that patients requiring emergency care may not have accessed healthcare services during coronavirus disease 2019 (COVID-19) lockdown.: Methods: This case control study aimed to understand changes in ... ...

    Abstract Background: Concerns have been raised that patients requiring emergency care may not have accessed healthcare services during coronavirus disease 2019 (COVID-19) lockdown.
    Methods: This case control study aimed to understand changes in characteristics and diagnosis of patients attending a large UK Emergency Department (ED) during the first wave of the COVID-19 pandemic (March-May 2020) compared with equivalent weeks in 2019.
    Results: We found a 50.7% drop in first attendances to the ED in 2020. Likelihood of attendance and admission decreased for paediatric patients and increased for patients ≥ 46 years, and for men. Likelihood of admission increased for all Black ethnic groups and for patients from the most deprived index of multiple deprivation quintiles. This shift to an older, male, more deprived patient population with greater representation of ethnic minority groups was amplified in the 'Infections' diagnostic category.
    Conclusions: COVID-19 has dramatically impacted ED usage. Our analysis contributes to local resource planning and understanding of changes in healthcare-seeking behaviour during the pandemic. Future research to identify positive behaviour changes could help sustain a reduction in non-urgent visits in the longer term.
    MeSH term(s) COVID-19 ; Case-Control Studies ; Child ; Communicable Disease Control ; Emergency Service, Hospital ; Ethnic and Racial Minorities ; Ethnicity ; Humans ; Male ; Minority Groups ; Pandemics ; Retrospective Studies ; SARS-CoV-2
    Language English
    Publishing date 2021-03-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2142082-8
    ISSN 1741-3850 ; 1741-3842
    ISSN (online) 1741-3850
    ISSN 1741-3842
    DOI 10.1093/pubmed/fdab059
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Sexual violence against women: a challenge.

    Dias, T / Kociejowski, A / Rathnayake, S / Kumarasiri, S / Abeykoon, S / Padeniya, T

    The Ceylon medical journal

    2014  Volume 59, Issue 3, Page(s) 107–108

    MeSH term(s) Adolescent ; Adult ; Female ; Humans ; Retrospective Studies ; Risk Factors ; Sex Offenses/ethnology ; Sex Offenses/statistics & numerical data ; Sri Lanka/epidemiology ; Violence/ethnology ; Violence/statistics & numerical data
    Language English
    Publishing date 2014-09
    Publishing country Sri Lanka
    Document type Letter
    ZDB-ID 419365-9
    ISSN 0009-0875
    ISSN 0009-0875
    DOI 10.4038/cmj.v59i3.7482
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Free treatment, rapid malaria diagnostic tests and malaria village workers can hasten progress toward achieving the malaria related millennium development goals: the Médecins Sans Frontières experience from Chad, Sierra-Leone and Mali.

    Tayler-Smith, Katie / Kociejowski, Alice / de Lamotte, Nadine / Gerard, Seco / Ponsar, Frederique / Philips, Mit / Zachariah, Rony

    Journal of public health in Africa

    2011  Volume 2, Issue 1, Page(s) e12

    Abstract: Halving the burden of malaria by 2015 and ensuring that 80% of people with malaria receive treatment is among the health related targets of the Millennium Development Goals (MDGs). Despite political momentum toward achieving this target, progress is slow ...

    Abstract Halving the burden of malaria by 2015 and ensuring that 80% of people with malaria receive treatment is among the health related targets of the Millennium Development Goals (MDGs). Despite political momentum toward achieving this target, progress is slow and many with malaria (particularly in poor and rural communities in Africa) are still without access to effective treatment. Finding ways to improve access to anti-malarial treatment in Africa is essential to achieve the malaria related and other MDG targets. During its work in Chad, Sierra Leone and Mali in the period 2004 to 2008, Médecins Sans Frontières showed that it was possible to significantly improve access to effective malaria treatment through: i) the removal of health centre level user fees for essential healthcare for vulnerable population groups, ii) the introduction of free community based treatment for children using malaria village workers to diagnose and treat simple malaria in communities where geographical and financial barriers limited access to effective malaria care, iii) the improved diagnosis and treatment of malaria using rapid diagnosis tests and artemisinin based combination therapy, at both health facilities and in the community. This paper describes and discusses these strategies and their related impact.
    Language English
    Publishing date 2011-02-11
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2574977-8
    ISSN 2038-9930 ; 2038-9922
    ISSN (online) 2038-9930
    ISSN 2038-9922
    DOI 10.4081/jphia.2011.e12
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Effectiveness and safety of liposomal amphotericin B for visceral leishmaniasis under routine program conditions in Bihar, India.

    Sinha, Prabhat K / Roddy, Paul / Palma, Pedro Pablo / Kociejowski, Alice / Lima, María Angeles / Rabi Das, Vidya Nand / Gupta, Jitendra / Kumar, Nawin / Mitra, Gaurab / Saint-Sauveur, Jean-François / Seena, Siju / Balasegaram, Manica / Parreño, Fernando / Pandey, Krishna

    The American journal of tropical medicine and hygiene

    2010  Volume 83, Issue 2, Page(s) 357–364

    Abstract: We evaluated, through the prospective monitoring of 251 patients at Sadar Hospital in Bihar, India, the effectiveness and safety of 20 mg/kg body weight of liposomal amphotericin B for the treatment of visceral leishmaniasis. The treatment success rates ... ...

    Abstract We evaluated, through the prospective monitoring of 251 patients at Sadar Hospital in Bihar, India, the effectiveness and safety of 20 mg/kg body weight of liposomal amphotericin B for the treatment of visceral leishmaniasis. The treatment success rates for the intention-to-treat, per protocol, and intention-to-treat worse-case scenario analyses were 98.8%, 99.6%, and 81.3%, respectively. Nearly one-half of patients experienced mild adverse events, but only 1% developed serious but non-life-threatening lips swelling. The lost to follow-up rate was 17.5%. Our findings indicate that the 20 mg/kg body weight treatment dosage is effective and safe under routine program conditions. Given that the exorbitant cost of liposomal amphotericin B is a barrier to its widespread use, we recommend further study to monitor and evaluate a lowered dosage and a shorter treatment course.
    MeSH term(s) Adolescent ; Adult ; Amphotericin B/administration & dosage ; Amphotericin B/adverse effects ; Amphotericin B/therapeutic use ; Antiprotozoal Agents/administration & dosage ; Antiprotozoal Agents/adverse effects ; Antiprotozoal Agents/therapeutic use ; Child ; Child, Preschool ; Cohort Studies ; Female ; Humans ; India ; Leishmaniasis, Visceral/drug therapy ; Liposomes ; Male ; Middle Aged ; Young Adult
    Chemical Substances Antiprotozoal Agents ; Liposomes ; liposomal amphotericin B ; Amphotericin B (7XU7A7DROE)
    Language English
    Publishing date 2010-08-03
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2942-7
    ISSN 1476-1645 ; 0002-9637
    ISSN (online) 1476-1645
    ISSN 0002-9637
    DOI 10.4269/ajtmh.2010.10-0156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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