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Rachael Burke

@rachaelburke

Assist. Prof @lshtm.bsky.social and NHS infection doc (SpR). I work on TB and HIV epidemiology and aim to make the world a bit more equitable. Useless before coffee time. She/her.

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Latest posts by Rachael Burke @rachaelburke

This looks really cool…. Any of my LBGTQ+ / stats nerds Venn diagram intersect crew fancy helping to organise a rainbowR conference?!

07.07.2025 20:34 πŸ‘ 5 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Don’t forget about β€œirrelevant positives”!

17.06.2025 21:31 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Aargh… this is, like, the most obvious thing to me. And un-evidenced based screening (or screening with proven aggregate harm still being offered) drives me up the wall!

I guess I should remember β€œscreening can be bad” is apparently not intuitive.

17.06.2025 21:30 πŸ‘ 4 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

What is common knowledge in your field, but shocks outsiders?

It's all just linear models. Statistics is, like, three linear algebra operations in a probability-shaped trenchcoat.

17.06.2025 03:20 πŸ‘ 406 πŸ” 35 πŸ’¬ 19 πŸ“Œ 20

I’m not convinced they are unimportant positives either…. U just thing we have absolutely no idea either way! And that seems a bit rash for TB peeps (not you particularly… but the general vibes) to be pushing ACF until we know. There will be individual harms too.

03.06.2025 10:54 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Yea, agree with all that. But I remain very irritated with all the β€œexcitement” about community based screening DESPITE the fact that there is poor evidence on the individual level benefits and harms of detecting asymp. TB.

28.05.2025 09:21 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

But what about β€œunimportant positives”? I mean, once you have a positive test you are obviously going to treat. But what would have happened to those people who never encountered screening for their (β€œtrue”) asymptomatic TB? How many would have reverted anyway and had no harm from their TB?

27.05.2025 14:58 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

How did you not know that?! It’s a core ID fact!

21.05.2025 22:33 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Given discussions at I had at #ESCMIDGlobal, it might be useful for new researchers to know how a journal editor screens submissions (obviously this is my approach and so it might differ for others).

15.04.2025 13:24 πŸ‘ 45 πŸ” 24 πŸ’¬ 6 πŸ“Œ 5

I feel seen… and I don’t like it… 🀣

08.04.2025 15:44 πŸ‘ 8 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Its right there in the title.

Gelman, Andrew, and Hal Stern. "The difference between β€œsignificant” and β€œnot significant” is not itself statistically significant." The American Statistician 60, no. 4 (2006): 328-331.

sites.stat.columbia.edu/gelman/resea...

07.04.2025 18:16 πŸ‘ 3 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0
Preview
Trump tariffs: How island of penguins and seals ended up on list - BBC News The remote Heard and McDonald Islands haven't been visited by humans in almost a decade.

One plus side of *gestures* *this* is that I have now learnt about the existence of the Heard islands. They seem extremely cool… thousands of penguins, flowing lava, ecosystem with external inputs. It’s extremely cool! 🐧 🏝️ πŸŒ‹ www.bbc.co.uk/news/article...

07.04.2025 09:52 πŸ‘ 4 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Well, any group can have individual douche bags in it. I feel like overall the Quakers are extremely awesome (doi: not a Quaker, but family are).

29.03.2025 09:56 πŸ‘ 5 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

My parents are Quakers I think this is reprehensible from the Met police. To make a pre-decided plan to have a force of 20 police (some with tasers) barge into a place of worship is dreadful behaviour and not something we should tolerate in our society.

28.03.2025 20:19 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I’d quite like to know when to start ART in serum CrAg pos / CSF CrAg negative, relatively asymptomatic people though?

20.03.2025 22:32 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Yea, I think it depends what setting you are in and what you are trying to achieve? Biological betterness? Or less cost to people / easier to implement protocols? If you’ve got individualised care, different patients/scenarios are different. For one-size-fits-most policy I’m not sure it’s priority.

20.03.2025 22:30 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

There is also a JIAS systematic review of SaPIT and all the other eight trials of earlier vs later TB kicking around (you may recognise some authors 🀣)…. The trials are a bit of a mixed bag.

20.03.2025 22:16 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I mean… Malawi have been starting ART and TB treatment on the same day (as diagnosis, and each other, without steroids) for a few years now. Seems to be fine for most people.

20.03.2025 22:14 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

We’ve just finished a trial of same day vs deferred ART (β€œART first” vs β€œTB results first”) in people with TB symptoms. Results in to IAS! But there was v little IRIS seen.

20.03.2025 22:12 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

πŸ† The Stephen Lawn Prize acknowledges young researchers conducting promising work focused on reducing the burden of TB and HIV/AIDS in Africa.

The Union is proud to present the award at our World Conference on Lung Health.

πŸ“– Be sure to read @rachaelburke.bsky.social and Aliasgar's profiles.

19.03.2025 12:12 πŸ‘ 2 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0

I love this! And so many GREAT people, looking at the names.

18.03.2025 22:54 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

@theunion-tblh.bsky.social
@joylawn.bsky.social
@tb-lshtm.bsky.social
@thelancet.bsky.social

18.03.2025 21:14 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Aww, thank you!! And thank you for your FANTASTIC Stephen Lawn Lecture 2023 on the "know-do" gap. It was brilliant.

18.03.2025 21:12 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Come along everyone to what looks like an amazing TB event on Thursday at 5:30pm at LSHTM.

The Stephen Lawn Memorial Lecture 2025.

Open to all!

18.03.2025 21:11 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

This is me! Eeek!

18.03.2025 21:10 πŸ‘ 7 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

I feel slightly uncomfortable blowing my own trumpet (and pasting such a zoomed in photo on bluesky). But the LSHTM crew said I should try to get the word out about the lecture! @lshtm.bsky.social @petermacp.bsky.social

18.03.2025 21:09 πŸ‘ 6 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
Preview
Rachael Burke: integrating equitable HIV and TB research and care β€œI think what I've really wanted to do since I was a teenager was work on HIV and TB, and conditions that affected people who were disproportionately poor and vulnerable. And research was a nice way i...

A few months ago, I was honoured to receive the Stephen Lawn prize (with Ali Esmail). The Lancet wrote a profile of me, published today! www.thelancet.com/journals/lan.... I'm v looking forward to being at the Steve Lawn lecture on Thursday, by Dr Tereza Kasaeva. www.lshtm.ac.uk/newsevents/e...

18.03.2025 21:07 πŸ‘ 28 πŸ” 7 πŸ’¬ 4 πŸ“Œ 3

Person: "I know 3 stats things: Anova, regression and t test."

Narrator: he only knew 1 stats thing.

03.03.2025 18:44 πŸ‘ 11 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Goodness me you have a lot of grants and projects!!

04.03.2025 08:52 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Um… is, your literal wife getting on a plane from Malawi not a good enough method for you?

03.03.2025 06:44 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0