Publications by authors named "Kim Marsh"

Article Synopsis
  • Many resource-limited countries are enhancing health services and health-information systems (HISs) to improve health outcomes, particularly through the HIV Cascade framework, which connects treatment and prevention services across various diseases.
  • The implementation of national health identifiers (NHIDs) is crucial for creating longitudinal health records, streamlining the tracking of health service use, costs, and impact; these identifiers should ideally be assigned at birth and linked to vital registration.
  • A WHO/UNAIDS workshop in 2016 aimed to provide guidance on establishing NHIDs, highlighting that successful implementation requires not only the right technology but also strong political commitment and collaboration among stakeholders to protect personal health information.
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Congenital central hypoventilation syndrome (CCHS), which occurs in less than 1 in every 50,000 infants and children, is a rare syndrome first noted in literature by Mellins in 1970. Congenital central hypoventilation syndrome is a condition in which the patient loses the drive to breathe during deep sleep and can mimic many diseases. Until recently, CCHS has largely been a diagnosis of exclusion; fortunately, there is now a genetic test available to confirm the diagnosis.

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Translation is a regulated process and is pivotal to proper cell growth and homeostasis. All retroviruses rely on the host translational machinery for viral protein synthesis and thus may be susceptible to its perturbation in response to stress, co-infection, and/or cell cycle arrest. HIV-1 infection arrests the cell cycle in the G2/M phase, potentially disrupting the regulation of host cell translation.

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HIV-1 structural proteins are translated from incompletely spliced 9 kb and 4 kb mRNAs, which are transported to the cytoplasm by Crm1. It has been assumed that once in the cytoplasm, translation of incompletely spliced HIV-1 mRNAs occurs in the same manner as host mRNAs. Previous analyses have demonstrated that Sam68 and a mutant thereof, Sam68DeltaC, have dramatic effects on HIV gene expression, strongly enhancing and inhibiting viral structural protein synthesis, respectively.

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Expression of the integrated HIV-1 provirus is achieved by overcoming multiple barriers to the processing, transport and utilization of the viral RNA. Some of the strategies involve viral encoded proteins (i.e.

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Objective: To develop and evaluate a non-name-based HIV reporting system.

Methods: A population-based study of the accuracy of a set of non-name codes and a prospective study of a laboratory-initiated HIV surveillance system conducted at a county hospital (site 1) and a health maintenance organization (site 2). Participants were persons reported with AIDS in San Francisco and patients with a positive test result for HIV antibody, p24 antigen, viral load, or a CD4 count at the study sites.

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