A5060509330- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Global Health Care Issues
- Tuberculosis Research and Epidemiology
- Global Public Health Policies and Epidemiology
- Pneumonia and Respiratory Infections
- Global Health and Surgery
- Pneumocystis jirovecii pneumonia detection and treatment
- Global Health Workforce Issues
- Public Health Policies and Education
- Primary Care and Health Outcomes
- Child Nutrition and Water Access
- HIV/AIDS Impact and Responses
- Healthcare Policy and Management
- Antibiotic Resistance in Bacteria
- Antibiotic Use and Resistance
- Data-Driven Disease Surveillance
- Mycobacterium research and diagnosis
- Health and Conflict Studies
- Machine Learning in Healthcare
- Public Health and Social Inequalities
- Child and Adolescent Health
- Zoonotic diseases and public health
- COVID-19 epidemiological studies
- Diabetes, Cardiovascular Risks, and Lipoproteins
Columbia University Irving Medical Center
2017-2024
Columbia University
1997-2022
United States Agency for International Development
2011-2018
Rockefeller Foundation
1999-2015
Banque Nationale de Gènes
2015
Washington Center
2013
World Health Organization - Pakistan
2004-2006
World Health Organization
1998-2005
Harvard University
2001
Massachusetts General Hospital
2001
In the past decade incidence of tuberculosis has increased nationwide and more than doubled in New York City, where there have been recent nosocomial outbreaks multidrug-resistant tuberculosis.
Drug-resistant tuberculosis threatens efforts to control the disease. This report describes prevalence of resistance four first-line drugs in 35 countries participating World Health Organization–International Union against Tuberculosis and Lung Disease Global Project on Anti-Tuberculosis Drug Resistance Surveillance between 1994 1997.
Expanded viral discovery can improve mitigation
tion coverage), what is covered (health-care benefits) and how much of the cost (financial protection), all which may expand over time. 4ddressing these three dimensions UHC [5][6][7] within boundaries fiscal space 8 challenging for countries.It requires continuing political commitment leadership to distribute available resources, especially human resources health (HRH), 9 in an efficient, equitable sustainable manner match population needs.Overcoming inequitable distribution services...
Poor adherence to antituberculosis treatment is the most important obstacle tuberculosis control.To identify and analyze predictors consequences of nonadherence treatment.Retrospective study a citywide cohort 184 patients with in New York City, newly diagnosed by culture April 1991-before strengthening its control program-and followed up through 1994. Follow-up information was collected City registry. Nonadherence defined as default for at least 2 months.Eighty-eight (48%) were nonadherent....
<h3>Objective.</h3> —To analyze the factors associated with survival in patients pulmonary and extrapulmonary tuberculosis New York City. <h3>Design.</h3> —Observational study of a citywide cohort cases. <h3>Setting.</h3> —New City, April 1991, before strengthening its control program. <h3>Patients.</h3> —All 229 newly diagnosed cases documented by culture 1991. Most (74%) were male, median age was 37 years (range, 1-89 years). In all, 89% belonged to minority groups. Human immunodeficiency...
This research studied the relative contribution of diabetes mellitus to increased prevalence tuberculosis in Hispanics.A case-control study was conducted involving all 5290 discharges from civilian hospitals California during 1991 who had a diagnosis tuberculosis, and 37,366 control subjects primary discharge deep venous thrombosis, pulmonary embolism, or acute appendicitis. Risk estimated as odds ratio (OR) across race/ethnicity, with adjustment for other factors.Diabetes found be an...
The NEJM Image Challenge app brings a popular online feature to the smartphone.Optimized for viewing on iPhone and iPod Touch, lets you test your diagnostic skills anytime, anywhere.The randomly selects from 300 challenging clinical photos published in NEJM, with new image added each week.View an image, choose answer, get immediate feedback, see how others answered.The is available at iTunes App Store.
Between 1990 and 2010, maternal mortality decreased globally by nearly 50%, from 543 000 deaths per year to 287 000,1WHOUNICEFUNFPAthe World BankTrends in 2010. Health Organization, Geneva2012Google Scholar with the greatest reductions second half of this period. A major catalyst for progress was target set Millennium Development Goal 5: reduction ratio 75% between 2015. Later, a on reproductive health added, which has undoubtedly contributed accelerated progress. In tandem, countries...
Prerandomization run-in periods are being used to select or exclude patients in an increasing number of clinical trials, but the implications for interpreting results trials and applying these practice have not been systematically examined. We analyzed illustrative examples reports which were noncompliant subjects, placebo responders, subjects who could tolerate did respond active drug. The Physicians' Health Study exemplifies use a prerandomization period nonadherent, while recent tacrine...
We discuss the "know-do gap," present a definition of knowledge translation, and its relative importance in bridging know-do gap. Some underlying causes gap are listed, along with ongoing efforts to address them. Knowledge translation is considered cross-cutting, nonlinear process that involves not only recent research findings but also created from dynamic interaction people who come together solve public health problems, learn, ultimately drive productive change. mention some activities...
Use of e-health, or electronic information technologies, has spread to cities and remote villages worldwide. Countries such as Rwanda are activating nationwide e-health networks. The Rockefeller Foundation's month-long 2008 conference Making the eHealth Connection: Global Partners, Local Solutions accelerated this process. Conference participants proposed global partnerships, health technology solutions based on local needs, cross-border interoperability, leveraging current open-source...
Objectives. The resurgence of tuberculosis (TB) in New York City has been attributed to AIDS and immigration; however, the role poverty epidemic is unclear. We assessed relation between neighborhood TB at height longitudinally from 1984 through 1992. Methods. Census block groups were used as proxies for neighborhoods. For each neighborhood, we calculated incidence 1992 with data Bureaus Tuberculosis Control Surveillance obtained rates census. Results. 1992, 3343 cases mapped 5482...