The Experts below are selected from a list of 327 Experts worldwide ranked by ideXlab platform

A J Winter - One of the best experts on this subject based on the ideXlab platform.

M W Adler - One of the best experts on this subject based on the ideXlab platform.

  • The national strategy for sexual health and HIV: implications for Genitourinary Medicine
    Sexually transmitted infections, 2002
    Co-Authors: M W Adler, P French, A Mcnab, C Smith, S Wellsteed
    Abstract:

    The first ever national strategy for sexual health and HIV in England was published in July 2001 and proposes a comprehensive and holistic model for dealing with an increasing public health problem. The strategy covers the issues of prevention, service provision, commissioning of services, and the necessary requirements to support change. This paper concentrates on service issues and developments in relation to Genitourinary Medicine/HIV services, and outlines a model for providing these which attempts to do so around patients' needs, delivered through comprehensive and interlinked local networks of services.

  • an evaluation of partner notification for hiv infection in Genitourinary Medicine clinics in england
    AIDS, 1998
    Co-Authors: Kevin A. Fenton, Anne M Johnson, Rebecca S French, Johan Giesecke, Sue Trotter, A Petruckevitch, Andrew Copas, John Howson, R Keenlyside, M W Adler
    Abstract:

    Objective: To evaluate the feasibility and effectiveness of a standardized HIV partner notification programme within Genitourinary Medicine clinics in England. Design: A prospective survey of HIV partner notification activity over a 12-month period. Setting: Nineteen Genitourinary Medicine clinics in England. Patients and participants: A total of 501 eligible HIV-positive patients (either newly diagnosed or with whom partner notification had not been undertaken previously) seen during the study period. Main outcome measures: The numbers of partners named by patients, and the number of contacts notified, counselled and HIV-tested. Results: Information on overall partner notification activity was obtained by reviewing available medical records of 471 patients; 353 (75%) had discussed partner notification with a health-care worker during the study period and 197 (42%) had undertaken partner notification. Detailed information on outcomes was obtained for only 70 patients who named 158 contacts as being at risk of acquiring HIV. Although 71 (45%) contacts were eventually notified, only 28 were subsequently seen in participating clinics. Almost all contacts (n = 27) requested HIV counselling and testing, and five were diagnosed HIV-positive. Patient referral was the most popular notification method chosen. Conclusions: This study illustrates some of the practical difficulties that limit HIV partner notification within Genitourinary Medicine clinics. These include health-care workers' misgivings about undertaking partner notification, insufficient locating information to identify contacts, and migration of newly diagnosed patients, which prevents continuity and completion of notification. Nevertheless, HIV partner notification uncovered previously undiagnosed HIV infections. Further work needs to be undertaken in staff training and policy implementation if higher rates of partner notification and outcome measurements are to be achieved.

  • An evaluation of partner notification for HIV infection in Genitourinary Medicine clinics in England
    AIDS (London England), 1998
    Co-Authors: Kevin A. Fenton, Anne M Johnson, Rebecca S French, Johan Giesecke, Sue Trotter, A Petruckevitch, Andrew Copas, Keenlyside R, John Howson, M W Adler
    Abstract:

    To evaluate the feasibility and effectiveness of a standardized HIV partner notification programme within Genitourinary Medicine clinics in England. A prospective survey of HIV partner notification activity over a 12-month period. Nineteen Genitourinary Medicine clinics in England. A total of 501 eligible HIV-positive patients (either newly diagnosed or with whom partner notification had not been undertaken previously) seen during the study period. The numbers of partners named by patients, and the number of contacts notified, counselled and HIV-tested. Information on overall partner notification activity was obtained by reviewing available medical records of 471 patients; 353 (75%) had discussed partner notification with a health-care worker during the study period and 197 (42%) had undertaken partner notification. Detailed information on outcomes was obtained for only 70 patients who named 158 contacts as being at risk of acquiring HIV. Although 71 (45%) contacts were eventually notified, only 28 were subsequently seen in participating clinics. Almost all contacts (n = 27) requested HIV counselling and testing, and five were diagnosed HIV-positive. Patient referral was the most popular notification method chosen. This study illustrates some of the practical difficulties that limit HIV partner notification within Genitourinary Medicine clinics. These include health-care workers' misgivings about undertaking partner notification, insufficient locating information to identify contacts, and migration of newly diagnosed patients, which prevents continuity and completion of notification. Nevertheless, HIV partner notification uncovered previously undiagnosed HIV infections. Further work needs to be undertaken in staff training and policy implementation if higher rates of partner notification and outcome measurements are to be achieved.

  • Survey of undergraduate teaching in Genitourinary Medicine in Britain.
    Genitourinary medicine, 1994
    Co-Authors: Frances M. Cowan, M W Adler
    Abstract:

    OBJECTIVE--To determine whether the time allocated for undergraduate teaching of Genitourinary Medicine has changed since 1984 and to determine the impact of HIV/AIDS on the teaching of the specialty. METHODS--A self completion questionnaire was sent to the consultant in charge of each department of Genitourinary Medicine attached to a UK medical school. RESULTS--Replies were received from all twenty seven medical schools. Most schools (24/27) offer a course of lectures accompanied by clinical teaching; however, one medical school does not include teaching of Genitourinary Medicine in the undergraduate curriculum at all and two others are unable to offer all students clinical tuition. The mean time devoted to lectures is 6.7 hours (range 0-15 hours) made up of 4.8 hours of Genitourinary Medicine lectures and 1.9 hours of lectures on HIV/AIDS. The mean time allocated for clinic-based teaching of each student is 9.2 hours (range 0-27 hours). On average the time allocated for lecturing and clinical teaching of the speciality has decreased since 1984 although there is considerable variation between schools (time for clinical teaching and lecturing combined ranges from 0-41.0 hours). CONCLUSIONS--The findings of this survey suggest there is considerable variation in both the quantity and quality of undergraduate teaching of Genitourinary Medicine provided throughout the UK.

Nicola Low - One of the best experts on this subject based on the ideXlab platform.

  • variation in partner notification outcomes for chlamydia in uk Genitourinary Medicine clinics multilevel study
    Sexually Transmitted Infections, 2011
    Co-Authors: Sereina A Herzog, Chris Carne, Hugo Mcclean, Nicola Low
    Abstract:

    Objectives To compare different ways of measuring partner notification (PN) outcomes with published audit standards, examine variability between clinics and examine factors contributing to variation in PN outcomes in Genitourinary Medicine (GUM) clinics in the UK. Methods Reanalysis of the 2007 BASHH national chlamydia audit. The primary outcome was the number of partners per index case tested for chlamydia, as verified by a healthcare worker or, if missing, reported by the patient. Control charts were used to examine variation between clinics considering missing values as zero or excluding missing values. Hierarchical logistic regression was used to investigate factors contributing to variation in outcomes. Results Data from 4616 individuals in 169 Genitourinary Medicine clinics were analysed. There was no information about the primary outcome in 41% of records. The mean number of partners tested for chlamydia ranged from 0 to 1.5 per index case per clinic. The median across all clinics was 0.47 when missing values were assumed to be zero and 0.92 per index case when missing values were excluded. Men who have sex with men were less likely than heterosexual men and patients with symptoms (4-week look-back period) were less likely than asymptomatic patients (6-month look-back) to report having one or more partners tested for chlamydia. There was no association between the primary outcome and the type of the health professional giving the PN advice. Conclusions The completeness of PN outcomes recorded in clinical notes needs to improve. Further research is needed to identify auditable measures that are associated with successful PN that prevents repeated chlamydia in index cases.

C British - One of the best experts on this subject based on the ideXlab platform.

  • screening for hiv infection in Genitourinary Medicine clinics a lost opportunity
    Sexually Transmitted Infections, 2000
    Co-Authors: C British
    Abstract:

    * Members listed at end of paper Objectives:To examine the policy and practice of HIV testing in Genitourinary Medicine clinics in the United Kingdom. Design: All 176 consultants in charge of Genitourinary Medicine clinics in the United Kingdom were sent a policy and practice questionnaire. A self selected group of 53 clinics conducted a retrospective case note survey of the first 100 patients seen in each clinic in 1998. Setting: Genitourinary Medicine clinics in the United Kingdom. Subjects: Consultants in charge of, and case notes of patients attending, Genitourinary Medicine clinics. Interventions: None Main outcome measures: Number of patients tested for HIV. Results: Consultants' assessments of their rate of HIV testing often exceeded the actual rates of testing in the clinic as a whole. The majority of patients deemed to be at high risk requested an HIV test. The exception were heterosexuals who had lived in sub-Saharan Africa. Among attenders at high risk of HIV who did not request a test, 57/196 (29%) were not offered one by clinic staff. Two fifths (51/130) of consultants felt the proportion of patients tested in their clinic was too low. The commonest reason given for this was a lack of time, especially that of health advisers. Conclusions: A substantial minority of people with HIV infection attending Genitourinary Medicine clinics fail to have their infection diagnosed. Two major reasons were identified. Firstly, a test was not always offered to those at high risk of HIV. Secondly, a lack of resources, mainly staff, which prevents some clinics from increasing their level of testing. Key Words: screening; HIV; Genitourinary Medicine clinics

  • Screening for HIV infection in Genitourinary Medicine clinics: a lost opportunity?
    Sexually transmitted infections, 2000
    Co-Authors: C British
    Abstract:

    To examine the policy and practice of HIV testing in Genitourinary Medicine clinics in the United Kingdom. All 176 consultants in charge of Genitourinary Medicine clinics in the United Kingdom were sent a policy and practice questionnaire. A self selected group of 53 clinics conducted a retrospective case note survey of the first 100 patients seen in each clinic in 1998. Genitourinary Medicine clinics in the United Kingdom. Consultants in charge of, and case notes of patients attending, Genitourinary Medicine clinics. None. Number of patients tested for HIV. Consultants' assessments of their rate of HIV testing often exceeded the actual rates of testing in the clinic as a whole. The majority of patients deemed to be at high risk requested an HIV test. The exception were heterosexuals who had lived in sub-Saharan Africa. Among attenders at high risk of HIV who did not request a test, 57/196 (29%) were not offered one by clinic staff. Two fifths (51/130) of consultants felt the proportion of patients tested in their clinic was too low. The commonest reason given for this was a lack of time, especially that of health advisers. A substantial minority of people with HIV infection attending Genitourinary Medicine clinics fail to have their infection diagnosed. Two major reasons were identified. Firstly, a test was not always offered to those at high risk of HIV. Secondly, a lack of resources, mainly staff, which prevents some clinics from increasing their level of testing.

Chris Carne - One of the best experts on this subject based on the ideXlab platform.

  • variation in partner notification outcomes for chlamydia in uk Genitourinary Medicine clinics multilevel study
    Sexually Transmitted Infections, 2011
    Co-Authors: Sereina A Herzog, Chris Carne, Hugo Mcclean, Nicola Low
    Abstract:

    Objectives To compare different ways of measuring partner notification (PN) outcomes with published audit standards, examine variability between clinics and examine factors contributing to variation in PN outcomes in Genitourinary Medicine (GUM) clinics in the UK. Methods Reanalysis of the 2007 BASHH national chlamydia audit. The primary outcome was the number of partners per index case tested for chlamydia, as verified by a healthcare worker or, if missing, reported by the patient. Control charts were used to examine variation between clinics considering missing values as zero or excluding missing values. Hierarchical logistic regression was used to investigate factors contributing to variation in outcomes. Results Data from 4616 individuals in 169 Genitourinary Medicine clinics were analysed. There was no information about the primary outcome in 41% of records. The mean number of partners tested for chlamydia ranged from 0 to 1.5 per index case per clinic. The median across all clinics was 0.47 when missing values were assumed to be zero and 0.92 per index case when missing values were excluded. Men who have sex with men were less likely than heterosexual men and patients with symptoms (4-week look-back period) were less likely than asymptomatic patients (6-month look-back) to report having one or more partners tested for chlamydia. There was no association between the primary outcome and the type of the health professional giving the PN advice. Conclusions The completeness of PN outcomes recorded in clinical notes needs to improve. Further research is needed to identify auditable measures that are associated with successful PN that prevents repeated chlamydia in index cases.

  • Handbook of Genitourinary Medicine
    Sexually Transmitted Infections, 2000
    Co-Authors: Chris Carne
    Abstract:

    This book is a terrific read and should be read cover to cover by all practising Genitourinary Medicine physicians and trainees. Generally the quality of the writing is excellent. Genitourinary Medicine is a rapidly advancing field so read the …