A5091516297- Hemoglobinopathies and Related Disorders
- Iron Metabolism and Disorders
- Prenatal Screening and Diagnostics
- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Migration, Health and Trauma
- Child Nutrition and Water Access
- Blood Pressure and Hypertension Studies
- Pharmacological Effects and Toxicity Studies
- Emergency and Acute Care Studies
- Blood donation and transfusion practices
- Ethics in Clinical Research
- Nursing Roles and Practices
- Palliative Care and End-of-Life Issues
- Myeloproliferative Neoplasms: Diagnosis and Treatment
- Religion, Society, and Development
- Health Systems, Economic Evaluations, Quality of Life
- Interprofessional Education and Collaboration
- Food Security and Health in Diverse Populations
- Racial and Ethnic Identity Research
- Global Maternal and Child Health
- Interpreting and Communication in Healthcare
- Blood groups and transfusion
- Traumatic Brain Injury and Neurovascular Disturbances
- Bone and Joint Diseases
Duke Institute for Health Innovation
2023-2024
Duke University
2020-2024
University of Nigeria
2023
Xavier University
2018
University of Cincinnati
2018
The coronavirus disease 2019 mortality rate among Black adults in the U.S. is double that of other racial and ethnic groups. current pandemic re-illuminating health inequities are pervasive our society reflected system. This creative controversy describes critical conversations needed within nursing to acknowledge contribution structural racism equity. We recommend implementing competency into education prioritizing research policies focused on equity community-based interventions.
Objective Despite research, national legislation, and clinical guidelines supporting transitional care, there is minimal benefit from existing care interventions for racial/ethnic minorities with traumatic brain injury (TBI) discharged home acute hospital care. Existing TBI are not tailored to address the needs/preferences of patients various minority groups. The purpose this study was describe use personalization tailor a intervention groups.Design Following preliminary manual development,...
Abstract Background Vaso‐occlusive crises (VOCs) cause debilitating pain and are a common of emergency department (ED) visits, for people with sickle cell disease (SCD). Strategies achieving optimal control vary widely despite evidence‐based guidelines. We tested existing guidelines hypothesized that patient‐specific protocol (PSP) written by their SCD provider may be more effective than weight‐based (WB) dosing parenteral opiate medication, in relieving pain. Methods This study was...
Objective The purpose of this study is to examine the efficacy BETTER ( B rain Injury, E ducation, T raining, and herapy nhance R ecovery) vs. usual transitional care management among diverse adults with traumatic brain injury (TBI) discharged home from acute hospital families. Methods This will be a single-site, two-arm, randomized controlled trial (N = 436 people, 218 patient/family dyads, 109 dyads per arm) BETTER, culturally- linguistically-tailored, patient- family-centered, TBI...
Sickle cell disease (SCD) is a chronic genetic that causes life-threatening complications and requires robust comprehensive management. Developing SCD programs in sub-Saharan African countries knowledge of the cultural factors affecting health-seeking behavior. We utilized an ethnographic approach frameworks Dutta Habermas to explore influencing management rural Sierra Leone. A purposive sample 27 individuals with their family professional caregivers were observed interviewed from March 2019...
Summary Individuals with sickle cell disease (SCD) have historically been considered underweight. Despite increasing body mass index (BMI) in the general population, prevalence of overweight and obese status remains unclear adult SCD population. Our primary aim was to determine identify associations between BMI, demographic, clinical characteristics. We conducted an analysis abstracted electronic health record data patient‐reported outcomes from Sickle Cell Disease Implementation Consortium...
Abstract Background Pregnancy presents a critical period for any maternal and child health intervention that may impact the of newborn. With low antenatal care attendance by pregnant women in facilities Nigeria, community-based programs could enable increased reach education about sickle cell disease (SCD) newborn screening (NBS) among women. This pilot study aimed to assess effect on knowledge SCD NBS using Healthy Beginning Initiative, framework. Methods A pre-post design was used evaluate...
Abstract Presentation Date: 6/8/2024 Start Time: 6:00 PM Background Sickle cell disease (SCD) is a major contributor to childhood morbidity and mortality in African countries like Sierra Leone (SL). Limited early diagnosis programs, the limited number of physicians with expertise hematology, combined dearth extant strategies combat SCD have led paucity care for children affected by SL, problem further compounded lack public understanding SCD, which perpetuates social stigma myths about...
Background Sickle cell disease (SCD) is a complex chronic blood disorder characterized by severe complications ideally managed both hematologists and primary care providers (PCP’s). PCP’s report knowledge gaps discomfort with SCD management. Our team developed decision support tool for management (SCD Toolbox) based on the National Heart, Lung, Blood Institute’s guidelines. We surveyed PCPs in North Carolina (NC) prior to formal dissemination determine current co-management practices, assess...
ABSTRACT Background: The widespread use of telehealth and regulatory changes that enhanced nurse practitioner (NP) practice authority because the SARS-CoV-2 pandemic offers an opportunity to assess postpandemic NP satisfaction with care delivery perceptions its feasibility compared in-person visits. Purpose: Outpatient chronic preference were among NPs who provide adults through and/or visits examined demographic clinical characteristics associated overall by type. Methodology: Data...
Purpose: Although nearly 80% of all sickle cell disease (SCD) births occur in sub-Saharan Africa (SSA) and 90% children diagnosed with SCD will die from the condition, efforts to improve health outcomes this context have been riddled implementation limitations. Aside geo-political economic challenges that historically currently undermine capacity deliver healthcare particularly Sierra Leone, poor understanding cultural has also implicated. To increase knowledge elements which could...
Purpose: Over 200 000 babies are born with sickle cell disease (SCD) annually in sub-Saharan Africa. In many African nations, however, 50% to 90% of children SCD will not survive until their fifth birthday and die due susceptibility malaria, sepsis, anemia, infection without being diagnosed SCD. The incidence trait newborns Sierra Leone is unknown. Early diagnosis treatment can greatly improve patient outcomes. purpose this study was assess the feasibility a Nurse Champion point care testing...
Purpose: Sickle cell disease (SCD) is a major contributor to child morbidity and mortality. In Sub-Saharan Africa (SSA) approximately 90% of the children born annually with SCD will die before their fifth birthday, often undiagnosed. The absence early diagnosis through laboratory-based newborn screening (NBS) programs barrier implementation timely preventive measures in SSA. Emergent, novel, inexpensive, point-of-care tests (POCTs) validated analytic characteristics field-tested performance...
Purpose: In sub-Saharan Africa, universal sickle cell disease-newborn screening (SCD-NBS) programs are nonexistent due to high costs associated with conventional laboratory technologies, competing for national healthcare priorities, and budgetary constraints. However, the recent emergence of lateral-flow immunoassay microtechnology point-of-care tests (POCT) such SickleSCAN™ HemoTypeSC™ present exciting opportunities change status quo potentially revolutionize children as best practice early...