Publications by authors named "K A Clouse"

Data to Care (D2C) strategies - using routine data to facilitate identification and linkage back to care of people living with HIV who are not in care - have shown promise in high-income settings but received little attention in lower resourced or vertical HIV transmission prevention (VTP) contexts. In this proof-of-concept study, we monitored existing linked electronic medical records in near real-time to identify key gaps in postpartum VTP steps among 336 mothers living with HIV and their infants in Cape Town, South Africa (recruited March 2021 - April 2022). We attempted to confirm observed gaps through source data systems and telephonic tracing, and facilitated re-engagement in care where needed.

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Background: Substantial gains have been made in South Africa in the prevention of vertical transmission of HIV over the past decade.

Objectives: to determine whether engagement in antenatal and HIV care among pregnant Women Living with HIV (WLWH) differed after Option B+ implementation.

Methods: We analysed cohort data from a pregnancy and birth defects surveillance system in KwaZulu-Natal (KZN).

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Article Synopsis
  • Heterosis, or hybrid vigor, refers to the enhanced characteristics of hybrid plants compared to their parent lines, with recent research highlighting the impact of soil microbes on this phenomenon in maize.
  • The study explored how different soil microbial communities, sourced from active maize farms versus prairies, influenced heterosis expression and found that variations were specific to the local microbial environment.
  • While a nutrient amendment boosted heterosis in agricultural soil conditions, the overall results indicated that while microorganisms do affect heterosis, non-living environmental factors play a more significant role in driving these effects.
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Article Synopsis
  • The use of big data and large language models in healthcare can enhance patient treatment, but maintaining patient confidentiality is a key challenge.
  • A study linked South African administrative health data with laboratory datasets using specimen barcodes, achieving a high success rate of 95% in data matching without using demographic information.
  • The results suggest that specimen barcodes are effective in securely linking health data, providing a way to create large datasets while protecting patient privacy.
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Background: The introduction of COVID-19 vaccines exposed volatility and hesitancy around vaccines. Some health care models, including ICU recovery clinics (ICU-RCs), are structured to provide vaccine counseling. However, information regarding provider and patient vaccine conversations is limited in this postacute setting.

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