Publications by authors named "F Lutwama"

Risk stratification and molecular targeting have been key to increasing cure rates for pediatric cancers in high-income countries. In contrast, precise diagnosis in low-resource settings is hindered by insufficient pathology infrastructure. The Global HOPE program aims to improve outcomes for pediatric cancer in Sub-Saharan Africa (SSA) by building local clinical care and diagnostic capacity.

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Background: A significant overlap exists in the burden of Alcohol Use Disorders (AUDs) and the HIV epidemic in Sub-Saharan Africa. Over 60% of HIV infections occur in women, mostly through the cervical mucosa. Absorption and systemic circulation of alcohol induces global physiological and immune effects, including at the genital mucosa.

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Despite improvement in the prognosis of HIV/AIDS (human immunodeficiency virus/acquired immune deficiency syndrome) patients on antiretroviral therapy (ART), cryptococcal meningitis (CM) still causes 10-15% mortality among HIV-infected patients. The immunological impact of ART on the CD4 and CD8 T cell repertoire during cryptococcal co-infection is unclear. We determined longitudinal phenotypic changes in T cell subsets among patients with CM after they initiated ART.

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Article Synopsis
  • The study investigates why the inner foreskin is more susceptible to HIV infection, focusing on the types of immune cells and cytokines present.
  • Researchers analyzed foreskin tissue from 42 HIV-uninfected Ugandan men during circumcision, comparing CD4 T cell characteristics and cytokine levels between the inner and outer foreskin.
  • Results showed that although outer foreskin cells had a higher rate of HIV entry, the inner foreskin contained more immune cells and inflammatory cytokines, suggesting it is a more favorable site for HIV acquisition.
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Uganda is among the most HIV/AIDS-afflicted countries, and many HIV-infected persons live in remote areas with poor access to health care. The success of HIV care programs relies in part on patient monitoring using CD4 T cell counts. We conducted an evaluation of the point-of-care PIMA test using BD FACSCount as a gold standard.

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