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Close Home Journals Back The Lancet The Lancet Child & Adolescent Health The Lancet Diabetes & Endocrinology The Lancet Digital Health The Lancet Gastroenterology & Hepatology The Lancet Global Health The Lancet Haematology The Lancet Healthy Longevity The Lancet HIV The Lancet Infectious Diseases The Lancet Microbe The Lancet Neurology The Lancet Oncology The Lancet Planetary Health The Lancet Psychiatry The Lancet Public Health The Lancet Regional Health – Europe The Lancet Regional Health – Western Pacific The Lancet Respiratory Medicine The Lancet Rheumatology EBioMedicine EClinicalMedicine Clinical Back The Lancet Clinic Series Commissions Picture Quiz Global Health Back Hub Series Commissions Global Burden of Diseases The Lancet Regional Health Back Global Initiative The Lancet Regional Health – Europe The Lancet Regional Health – Western Pacific Information Back About Authors Readers Publishing Excellence Advertisers Press Careers Conferences Diversity and inclusion Back Advancing racial equality Advancing women in science, medicine and global health Gender equity and diversity pledge Submit a Paper Back The Lancet The Lancet Child & Adolescent Health The Lancet Diabetes & Endocrinology The Lancet Digital Health The Lancet Gastroenterology & Hepatology The Lancet Global Health The Lancet Haematology The Lancet Healthy Longevity The Lancet HIV The Lancet Infectious Diseases The Lancet Microbe The Lancet Neurology The Lancet Oncology The Lancet Planetary Health The Lancet Psychiatry The Lancet Public Health The Lancet Regional Health – Europe The Lancet Regional Health – Western Pacific The Lancet Respiratory Medicine The Lancet Rheumatology EBioMedicine EClinicalMedicine Preprints with The Lancet COVID-19 Resource Centre Go search All Content Article Title, Abstract, Keywords Authors Article Title Abstract Advanced Search Log in Register Log in Subscribe Claim Stroke: systems of care and rehabilitation IPA Congress 2019: register with The Lancet Conference Content Centre for access to Editors’ Choice articles to coincide with the 29th International Pediatric Association Congress Progress in adolescent health and wellbeing: tracking 12 headline indicators for 195 countries and territories, 1990–2016 Growth trajectories of breastfed HIV-exposed uninfected and HIV-unexposed children under conditions of universal maternal antiretroviral therapy Improving lives by accelerating progress towards the UN Sustainable Development Goals for adolescents living with HIV 5. Urgent mental health issues in adolescents Journals View articles of the highest standard and extending to all aspects of human health Specialties View collections of articles, reviews, seminars and comments from across our journals Clinic View selected content around 136 diseases according to clinical practice needs Global Health View selected content to advance health in all regions of the world Latest news and comment A spotlight on public policy and health Sign up to receive the latest commentary, analysis, and insights from global experts, brought together by our North American Editors. DOI: https://doi.org/10.1016/ The Lancet VoiceComment Challenges in creating herd immunity to SARS-CoV-2 infection by mass vaccination Anderson et al. DOI: https://doi.org/10.1016/S0140-6736(20)32318-7 The Lancet Correspondence Limitations of using mobile phone data to model COVID-19 transmission in the USA Badr et al. DOI: https://doi.org/10.1016/S1473-3099(20)30861-6 The Lancet Infectious Diseases Spotlight Sepsis: the importance of an accurate final diagnosis Tidswell et al. DOI: https://doi.org/10.1016/S2213-2600(20)30520-8 The Lancet Respiratory Medicine View more Latest research Intravenous alteplase for stroke with unknown time of onset guided by advanced imaging: systematic review and meta-analysis of individual patient data Thomalla et al. DOI: https://doi.org/10.1016/S0140-6736(20)32163-2 The Lancet Personalised versus standard dosimetry approach of selective internal radiation therapy in patients with locally advanced hepatocellular carcinoma (DOSISPHERE-01): a randomised, multicentre, open-label phase 2 trial Garin et al. DOI: https://doi.org/10.1016/S2468-1253(20)30290-9 The Lancet Gastroenterology & Hepatology Community-based HIV testing services in an urban setting in western Kenya: a programme implementation study Truong et al. DOI: https://doi.org/10.1016/S2352-3018(20)30253-8 The Lancet HIV Temporal trends of early mortality and its risk factors in HIV-infected adults initiating antiretroviral therapy in Uganda Ssempijja et al. DOI: https://doi.org/10.1016/j.eclinm.2020.100600 EClinicalMedicine Open Access View more Series and commissions Kong Ding Chek, Getty Images Stroke: systems of care and rehabilitation The Lancet Published: October 29, 2020 Stroke, the third leading cause of death and disability, requires timely delivery of best-practice care to improve patient outcomes. In high-income countries, major developments have streamlined systems of care and improved the speed of recognition, response, triage, and delivery of acute treatments. In low-income and middle-income countries, despite disparities in wealth, education, baseline health indicators, and funding of health-care expenditures, stroke services can be improved with a few adaptations and infrastructural remodelling. This three-part series discusses various aspects of stroke care, challenges, and opportunities for improvement of systems of care and highlights approaches for rapid uptake of evidence-based practice for rehabilitation. Finally, a call to action urges educators and the stroke rehabilitation clinical, research, and not-for-profit communities to work together for greater effect and to accelerate progress. GODONG/BSIP/SCIENCE PHOTO LIBRARY Malaria in early life The Lancet Child & Adolescent Health Published: October 13, 2020 Malaria infections are harmful to both the pregnant mother and the developing fetus. Malaria is associated with a 3–4 times increased risk of miscarriage and a substantially increased risk of stillbirth, and it disproportionately affects children younger than 5 years. Falciparum malaria is responsible for more than 200 000 child deaths per year in Africa and vivax malaria causes excess mortality in children in Asia and Oceania. In a duet of papers, we review the deleterious effects of malaria in pregnancy on the developing fetus (paper 1) and the current strategies for prevention and treatment of malaria in children (paper 2). Showing 1-2 of 296Previous | NextShaniah Barry/EveryLife Foundation Delivering transformative action in paediatric pain The Lancet Child & Adolescent Health Published: October 14, 2020 Every infant, child, and adolescent will experience pain at times throughout their life. Paediatric pain ranges from acute to chronic, and includes procedural, disease-related, breakthrough, and other types of pain. Despite its ubiquity, pain is often silenced and appropriate relief too infrequently given. Undertreated, unrecognised, or poorly managed pain in young people can have long-lasting negative consequences in later life, including continued chronic pain, disability, and distress. It is time for change. This Lancet Child & Adolescent Health Commission presents four transformative goals—to make pain matter, understood, visible, and better. It sets out priorities for clinicians, researchers, funders, and policy makers, and calls for cross-sector collaboration to deliver the action needed to improve the lives of children and adolescents with pain. Tommy Trenchard/Sightsavers/Panos The Lancet NCDI Poverty Commission: bridging a gap in universal health coverage for the poorest billion The Lancet Published: September 14, 2020 Leading global health and development institutions continue to view non-communicable diseases (NCDs) predominantly through the lens of epidemiological transitions, wherein NCDs are...

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