- Energy and Environment Impacts
- Opioid Use Disorder Treatment
- Poisoning and overdose treatments
- Central Venous Catheters and Hemodialysis
- Sepsis Diagnosis and Treatment
- COVID-19 impact on air quality
- Air Quality and Health Impacts
- Impact of Light on Environment and Health
- HIV-related health complications and treatments
- Lung Cancer Research Studies
- Mental Health Treatment and Access
- vaccines and immunoinformatics approaches
- Primary Care and Health Outcomes
- Infant Development and Preterm Care
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Antibiotic Use and Resistance
- Machine Learning in Healthcare
- Global Maternal and Child Health
- Racial and Ethnic Identity Research
- HIV/AIDS Research and Interventions
- Health Policy Implementation Science
- Viral-associated cancers and disorders
- Asthma and respiratory diseases
- Energy, Environment, and Transportation Policies
- Emergency and Acute Care Studies
Georgetown University Medical Center
2025
Georgetown University
2024-2025
Beth Israel Deaconess Medical Center
2016-2025
Massachusetts General Hospital
2016-2024
MedStar Georgetown University Hospital
2024
Harvard University
2015-2019
Lemuel Shattuck Hospital
2019
Boston Children's Hospital
2017
<title>Abstract</title> <bold>Objective:</bold> Health inequities may be driven by demographics such as sex, language proficiency, and race-ethnicity. These disparities manifest through likelihood of testing, which in turn can bias artificial intelligence models. The goal this study is to evaluate variation serum lactate measurements the Intensive Care Unit (ICU). <bold>Methods:</bold> Utilizing MIMIC-IV (2008-2019), we identified adults fulfilling sepsis-3 criteria. Exclusion criteria were...
Opioid use disorder poses a significant public health risk. Persons who inject drugs (PWID) suffer from high mortality and morbidity secondary to serious infectious diseases, often requiring prolonged courses of outpatient parenteral antibiotics. The goal this study was determine the outcomes PWID discharged home or skilled nursing rehabilitation facility (SNF/rehab) with antibiotic treatment under an antimicrobial therapy (OPAT) program.This is retrospective observational study. population...
In low-income settings, community health workers (CHWs) are frequently the first point of contact for newborns. Mobile technology may aid in classifying illness and providing referral management guidance newborn care. This study evaluates potential mobile to improve diagnosis case newborns Bangladesh. A application based on Bangladesh's Comprehensive Newborn Care Package national guidelines (mCNCP) was developed CHWs identifying managing small sick infants. After a 2-day training, assessed...
Innovative approaches within primary care are needed to reduce fragmented care, increase continuity of and improve asthma outcomes in children with asthma. Our objective was assess the impact coordinated team-based on unplanned asthma-related health utilization. A multidisciplinary team developed provide high-risk patients. Patients received an in-depth diagnostic family needs assessment, education, referral social community services. Over a 2-year period, 141 patients were followed. At both...
Energy poverty is prevalent in resource-limited settings, leading households to use inefficient fuels and appliances that contribute household air pollution. Randomized controlled trials of energy interventions low middle income countries have largely focused on cooking services. Less known about the adoption impact clean lighting interventions. We conducted an explanatory sequential mixed methods study as part a randomized trial home solar systems rural Uganda order identify contextual...
Introduction With declining HIV-related mortality, over 20% of people with HIV (PWH) in South Africa are now age 50 years, and tobacco-related non-communicable disease burden is increasing. We quantified the impact smoking cessation on lung cancer stroke incidence among PWH Africa. Methods Using a microsimulation model, we simulated 18 cohorts initially virologically suppressed their lifetime, categorised by sex, initial (35 years/45 years/55 years) status (current/former/never). Smoking...
ABSTRACT Background Variability in the provision of intensive care unit (ICU)-interventions may lead to disparities between socially defined racial-ethnic groups. Research Question We used causal inference examine use invasive mechanical ventilation (IMV), renal replacement therapy (RRT), and vasopressor agents (VP) identify outcomes across race-ethnicity patients with sepsis. Study Design Methods Single-center, academic referral hospital Boston, Massachusetts, USA. Retrospective analysis...
Background: Clinical trials to reduce household air pollution have largely focused on cookstoves and been in part limited by suboptimal adoption of cleaner cooking technologies. Less is known about the perceptions clean lighting interventions.Methods: As a randomized controlled trial indoor solar systems (ClinicalTrials.gov NCT03351504), we conducted mixed methods study identify contextual factors determining uptake perception intervention. Sensors were incorporated into intervention system...