Article
Environmental Studies
Lars Hedegaard Williams, Philipp Schulz
Summary: This paper introduces the framework of the 'marketplace of post-conflict assistance' to better understand holistic dynamics in humanitarian and post-conflict contexts. It emphasizes the relationships between service providers and beneficiaries, as well as the agency individuals exercise in managing issues related to armed conflict.
Article
Development Studies
Annet Adong, Lukas Kornher, Oliver Kiptoo Kirui, Joachim von Braun
Summary: The study found a significant decrease in food consumption expenditure in the years following the cessation of hostilities in Northern Uganda, with households relying more on market purchases and transfers. The reduction in food consumption expenditure was still evident six years later, with households continuing to rely on external sources for sustenance. Efforts to improve agricultural production and provide social safety nets are recommended for assisting household recovery post-conflict.
Article
Environmental Studies
Joseph D. Malual, Robert E. Mazur
Summary: The study in post-conflict Lira District, northern Uganda found a strong positive association between social capital and household food security. Additionally, significant associations were also found between food security and variables such as sex, education of household head, amount of cultivated land, and farm and home possessions.
Article
Medicine, General & Internal
Amos Deogratius Mwaka, Fiona M. Walter, Suzanne Scott, Jane Harries, Henry Wabinga, Jennifer Moodley
Summary: The study found that Ugandan women with potential symptoms of breast and cervical cancer undergo complex processes in terms of symptom interpretation and help-seeking behavior, including perceiving abnormal bodily sensations, consulting with others and attributing illnesses, as well as facing various barriers when seeking help.
Article
Environmental Studies
Marjoke Oosterom, Victoria Flavia Namuggala, Carolina Szyp
Summary: This study uses qualitative field research to analyze the influence of family dynamics on the educational and livelihood trajectories of rural young people, and finds that their opportunities during and after the war are affected by insecurity and disruption of family life, leading to ongoing struggles.
Article
Psychology, Social
Benjamin Alipanga, Ibrahim Luberenga
Summary: This study aims to increase the current understanding of reconciliation and reconciliation programs by examining the views of formerly abducted children, their relatives, and key informants in the context of post-conflict northern Uganda through in-depth case study.
JOURNAL OF LOSS & TRAUMA
(2023)
Article
Public, Environmental & Occupational Health
Simple Ouma, Nazarius Mbona Tumwesigye, Catherine Abbo, Rawlance Ndejjo
Summary: The study identified factors influencing the uptake of LARC among female sex workers in post-conflict Northern Uganda, including duration of sex work, parity, unintended pregnancies during sex work, and place of sex work. Interventions to improve LARC uptake should focus on newly recruited sex workers with low parity and those who work outside of brothels or lodges.
REPRODUCTIVE HEALTH
(2022)
Article
Multidisciplinary Sciences
Amos Deogratius Mwaka, Jennifer Achan, Christopher Garimoi Orach
Summary: In this study, the researchers interviewed 22 traditional health practitioners to understand how they gain healing power, the perceived causes of illnesses, and how they diagnose illnesses. The majority of THPs acquire healing power through inheritance, transfer from senior healers, instructions during visions and dreams, and spirits possessions. Perceived causes of illnesses include fate and natural causes, spirits attacks, curses by elders, witchcraft, contagion and infections, poor hygiene, heredity, and malevolent actions. THPs diagnose illnesses through consultations with spirits, observing patterns, evaluating symptoms, using bones and objects, performing rituals, and using biomedical laboratory testing.
Article
Social Issues
Anicent Nyangoma, F. Ebila, J. Omona
Summary: This paper explores gendered triggers of Child Neglect and interventions through interviews with 35 parents in post-conflict northern Uganda. Factors such as spousal separation, polygamy, disorientation of cultural and social norms, and single parenting were found to be triggers for neglect. The paper advocates for integrating gender into family and child protection strategies to enhance child safety.
JOURNAL OF GENDER STUDIES
(2021)
Article
Multidisciplinary Sciences
Racheal Nalunkuma, Jonathan Nkalubo, Derrick Bary Abila
Summary: This study assessed the knowledge of health professional students at Makerere University College of Health Sciences on Infection Prevention and Control (IPC). The results showed good overall IPC knowledge among the students, but highlighted the need for more emphasis on areas like hand hygiene. Different student year levels were found to have varying levels of knowledge on IPC, suggesting that IPC courses should be taught to students from their first year of university education.
Article
Environmental Studies
Allen Kiconco, Martin Nthakomwa
Summary: One of the three durable solutions to mass displacement is the return of survivors to their home communities. However, these 'places of hope and comfort' can become a potentially hostile environment in which stigma thrives, hindering meaningful reintegration. Women in northern Uganda who were abducted by the Lord's Resistance Army find it difficult to reintegrate despite their shared home culture, as they are stigmatized by community members who have never experienced abduction, making them feel like outsiders.
Article
Criminology & Penology
Helen P. M. Natukunda, Paul Mubiri, Lucie D. Cluver, Ismael Ddumba-Nyanzi, Badru Bukenya, Edward J. Walakira
Summary: Research on familial violence against adolescents in post-conflict settings in northern Uganda is limited. This study found high rates of physical, emotional, and sexual abuse among adolescents, with polyvictimization being prevalent as well. Adolescent-reported abuse is associated with caregiver's harsh disciplinary practices, beliefs supporting aggression, and lower levels of well-being and life satisfaction among adolescents. Intervention programs to prevent child abuse could potentially improve the interaction between adolescents and caregivers in this setting.
JOURNAL OF INTERPERSONAL VIOLENCE
(2021)
Article
Oncology
Dorah Mrema, James Samwel Ngocho, Alex Mremi, Maryam Amour, Rogathe Machange, Benjamin C. Shayo, Julius P. Alloyce, Evaline Ndosi, Beatus T. Shirima, Device Fande, Rahma Shehoza, Emmanuel Balandya, Bruno Sunguya, Stephen E. Mshana, Alfred K. Mteta, Eligius Lyamuya, John Bartlett, Blandina T. Mmbaga
Summary: This study aimed to determine the knowledge, awareness, and beliefs on cervical cancer (CC) screening among women living with HIV in Northern Tanzania. The majority of participants had positive beliefs on CC but limited understanding of it. Targeted awareness and education campaigns are necessary to improve CC screening knowledge.
FRONTIERS IN ONCOLOGY
(2023)
Article
Political Science
David A. Dow
Summary: This study examines how governments in post-conflict settings provide policing within their countries. Using Uganda as a case study, the research finds that leaders consider both electoral concerns and security threats when determining the geographic distribution of policing infrastructure. The study reveals that counties with lower electoral support for the incumbent regime experience increased construction of police infrastructure, particularly in areas where violence is prevalent. Furthermore, the study shows that proximity to police infrastructure leads to negative perceptions of the police, and increased construction of police infrastructure significantly reduces voter turnout while increasing the vote share for the incumbent president.
COMPARATIVE POLITICAL STUDIES
(2022)
Article
Multidisciplinary Sciences
Alone Isabirye
Summary: This study investigated the intimate-partner correlates of cervical cancer screening among married women in Central Uganda. The findings suggest that women's education and partner's emotional support are significantly associated with cervical cancer screening.
Article
Primary Health Care
Ben M. Cranfield, Minjoung Monica Koo, Gary A. Abel, Ruth Swann, Sean McPhail, Greg P. Rubin, Georgios Lyratzopoulos
Summary: This study explored the use of common blood tests before cancer diagnosis in primary care and found that approximately 41% of patients subsequently diagnosed with cancer had at least one common blood test. There were variations in test usage among different patient groups and symptom presentations, highlighting the need for further research.
BRITISH JOURNAL OF GENERAL PRACTICE
(2022)
Article
Primary Health Care
Becky White, Cristina Renzi, Matthew Barclay, Georgios Lyratzopoulos
Summary: This study aimed to quantify the cancer risk in patients with fatigue who present with other 'vague' symptoms in the absence of 'alarm' symptoms for cancer. It was found that fatigue combined with specific vague presenting symptoms, alongside patient age and sex, can guide clinical decisions about referral for suspected cancer.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Oncology
Charlotte Summerfield, Lesley Smith, Oliver Todd, Cristina Renzi, Georgios Lyratzopoulos, Richard D. Neal, Daniel Jones
Summary: Over 60% of cancer diagnoses in the UK are in patients aged 65 and over. Cancer diagnosis and treatment in older adults is complicated by the presence of frailty, and delays in diagnosis and treatment can lead to poorer patient outcomes.
Review
Primary Health Care
Emma Whitfield, Becky White, Spiros Denaxas, Georgios Lyratzopoulos
Summary: This study aims to extract evidence on the presence and length of diagnostic windows for non-neoplastic conditions by investigating changes in prediagnostic healthcare utilization. Results suggest that there is evidence of changing healthcare use before diagnosis for many non-neoplastic conditions, indicating the possibility of early diagnosis. However, further research is needed to accurately estimate diagnostic windows and determine how much earlier diagnosis may be possible.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Primary Health Care
Ruth Swann, Sean McPhail, Gary A. Abel, Jana Witt, Lorna Wills, Sara Hiom, Georgios Lyratzopoulos, Greg Rubin
Summary: The publication of the National Institute for Health and Care Excellence's guidance in 2015 may have led to changes in the diagnostic process and timeliness for cancer patients in primary care. Comparing audit findings from 2018 and 2014, there were improvements in same-day referral rates and median diagnostic intervals in 2018. Additionally, there were reductions in the number of pre-referral consultations and an increase in the use of primary care investigations.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Oncology
Sarah Underwood, Georgios Lyratzopoulos, Catherine L. Saunders
Summary: This analysis examines the incidence of breast, lung, colorectal, and prostate cancer among women who have sex with women and men who have sex with men using UK Biobank data. The results show no differences in the number of new cases for breast, prostate, and colorectal cancer, but sexual minority adults have a higher risk for lung cancer due to greater exposure to smoking.
Article
Oncology
Lauren Smith, Christian Von Wagner, Aradhna Kaushal, Meena Rafiq, Georgios Lyratzopoulos, Cristina Renzi
Summary: Diabetic individuals have lower cancer awareness and are more likely to attribute red-flag cancer symptoms to medications. This study suggests the need for targeted awareness campaigns to improve cancer symptom recognition among diabetic patients.
Article
Oncology
Tanimola Martins, Obioha C. Ukoumunne, Georgios Lyratzopoulos, Willie Hamilton, Gary Abel
Summary: This UK population-based study aimed to investigate whether there are ethnic differences in the presenting features of cancer recorded in primary care before diagnosis. The study found that Asian and Black patients were more likely to have 'less concerning' features recorded before diagnosis compared to White patients, while no ethnic group was more likely to have alarm features recorded. Further research is needed to determine the underlying factors behind these ethnic differences, whether it is related to disease biology, patient, or healthcare factors.
Article
Oncology
Emma Whitfield, Becky White, Spiros Denaxas, Matthew E. Barclay, Cristina Renzi, Georgios Lyratzopoulos
Summary: Researchers and funders of research are focused on improving early diagnosis by investigating diagnostic processes and identifying patterns that suggest earlier diagnosis may be possible. This classification framework addresses key questions and evaluates the contributions and limitations of different research designs, aiming to guide future research design and funding prioritization.
BRITISH JOURNAL OF CANCER
(2023)
Article
Primary Health Care
Garth Funston, Marie Moullet, Luke Mounce, Georgios Lyratzopoulos, Fiona M. Walter, Yin Zhou
Summary: This study examines prescription patterns for common urological clinical features prior to the diagnosis of bladder and renal cancer. The findings indicate that prescription rates for urinary tract infections (UTIs) increased 9 months before diagnosis, suggesting the potential to expedite the diagnosis of these cancers in patients presenting with UTI symptoms.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Oncology
Bethany Wickramasinghe, Cristina Renzi, Matthew Barclay, Matthew E. J. Callister, Meena Rafiq, Georgios Lyratzopoulos
Summary: Patients with undiagnosed lung cancer often present with non-specific symptoms, such as dyspnoea, in primary care. Prescription patterns of relevant medications for dyspnoea management were examined in patients subsequently diagnosed with lung cancer. Results showed that there is a diagnostic window for potential earlier lung cancer diagnosis, and misattribution of symptoms to COPD or other benign conditions may delay diagnosis.
CANCER EPIDEMIOLOGY
(2023)
Article
Respiratory System
Minjoung Monica Koo, Luke T. A. Mounce, Meena Rafiq, Matthew E. J. Callister, Hardeep Singh, Gary A. Abel, Georgios Lyratzopoulos
Summary: Despite being eligible, a large proportion of patients presenting with dyspnoea and haemoptysis do not receive prompt chest imaging, indicating opportunities for earlier lung cancer diagnosis.
Article
Oncology
Ben M. Cranfield, Gary A. Abel, Ruth Swann, Sarah F. Moore, Sean McPhail, Greg P. Rubin, Georgios Lyratzopoulos
Summary: Blood tests play an important role in supporting decisions by GPs in referring patients with possible cancer symptoms for specialist assessment. This study analyzed data on the use of blood tests in primary care for patients subsequently diagnosed with cancer, finding that the use of different blood tests varied widely depending on the presenting symptoms. The findings highlight opportunities for greater use of blood tests in patients with low positive predictive value for cancer and benchmark current practices.
Article
Primary Health Care
Ruth Swann, Sean McPhail, Gary A. Abel, Jana Witt, Lorna Wills, Sara Hiom, Georgios Lyratzopoulos, Greg Rubin
Summary: This study examines the changes in the diagnostic process and its timeliness before and after the publication of the National Institute for Health and Care Excellence's guidance on suspected cancer referral in primary care. The results show that there have been substantial improvements in the diagnostic process of cancer patients presenting in general practice in England, including higher same-day referral rates and shorter diagnostic intervals. There have also been changes in the number of pre-referral consultations, use of primary care investigations, and the type of referrals made.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Primary Health Care
Minjoung M. Koo, Ruth Swann, Sean McPhail, Gary A. Abel, Cristina Renzi, Greg P. Rubin, Georgios Lyratzopoulos
Summary: This study examines the influence of pre-existing conditions (morbidities) on the diagnostic process of cancer in primary care. It finds that patients with more severe morbidities are less likely to undergo primary care-led investigation before cancer diagnosis and experience longer diagnostic intervals. However, there is limited variation in the primary care-based diagnostic processes across different morbidity groups.
Article
Health Care Sciences & Services
Louise Annemoon Jonker, Madelon T. Heijltjes, Judith A. C. Rietjens, Agnes van der Heide, Geeske Hendriksen, Johannes J. M. van Delden, Ghislaine J. M. W. van Thiel
Summary: This study explores the perceptions and experiences of patients and relatives regarding Continuous Deep Sedation (CDS). The findings suggest that patients and relatives consider CDS as a regular palliative care option and prioritize avoiding suffering at the end of life. They also claim a substantial say in the decision-making process.
HEALTH EXPECTATIONS
(2024)
