A5035944504- Emergency and Acute Care Studies
- Global Maternal and Child Health
- Disaster Response and Management
- Occupational and environmental lung diseases
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Tuberculosis Research and Epidemiology
- Trauma and Emergency Care Studies
- COVID-19 epidemiological studies
- Intensive Care Unit Cognitive Disorders
- Climate Change and Health Impacts
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- COVID-19 and Mental Health
- HIV/AIDS drug development and treatment
- Pneumonia and Respiratory Infections
- Clinical practice guidelines implementation
- HIV-related health complications and treatments
- Ethics in Clinical Research
- Social Media in Health Education
- Hospital Admissions and Outcomes
- Occupational exposure and asthma
- School Health and Nursing Education
- Infant Development and Preterm Care
- Neonatal Respiratory Health Research
- Sepsis Diagnosis and Treatment
- COVID-19 Clinical Research Studies
Harvard University
2020-2025
Partners In Health
2020-2025
Brigham and Women's Hospital
2020-2025
Lemuel Shattuck Hospital
2022-2023
University of Pennsylvania
2014
University of Botswana
2014
Hospital of the University of Pennsylvania
2014
Background: Silicosis is one of the most common forms pneumoconiosis worldwide. In Rwanda - there paucity data on silicosis burden and occupational risk among underground miners. Methods: We conducted a cross-sectional study all miners from 8 cassiterite (tin ore) mining sites in Kayonza district, Eastern Rwanda. Questionnaire chest radiography were collected at Rwinkwavu District Hospital. Two radiologists reviewed using ILO criteria, with third radiologist reviewing films rating...
Background Despite its essential and life-saving role in the treatment of many medical conditions, access to oxygen remains limited countries. In 2021, Partners Health established an distribution network Lesotho increase access. Methods We conducted observational study reporting on design, implementation, outcomes a national from November 2022 through January 2024. Oxygen delivery data were abstracted tracking logs analysed Stata. Continuous ordinal variables summarised by medians ranges....
Treating critical illness in resource-limited settings during disease outbreaks is feasible and can save lives. Lack of trained healthcare workers a major barrier to COVID-19 response. There an urgent need train manage COVID-19. The World Health Organization International Committee the Red Cross's Basic Emergency Care course could provide framework cross-train personnel for care while strengthening essential health services.We conducted prospective cohort study evaluating from emergency...
The global burden of critical illness falls disproportionately outside high-income countries. Despite younger patient populations with similar or lower disease severity, outcomes are poor A lack data limits attempts to understand and address the drivers care countries.We aim characterize organization, available resources, service capacity public sector units in Malawi identify barriers improving care.We conducted a secondary analysis Emergency Critical Care Survey, cross-sectional study...
Data on emergency and critical care (ECC) capacity in low-income countries (LICs) are needed to improve outcomes make progress towards realizing the goal of Universal Health Coverage.We developed a novel research instrument assess public sector ECC service readiness LICs. From January 20th February 18th, 2020 we administered at all four central hospitals simple random sample nine 24 district Malawi, landlocked predominantly rural LIC 19·1 million people Southern Africa. The contained...
Little is known about the burden of silicosis in Africa, despite extensive mining and construction operations region putting numerous people at risk. The implementation experience costs case-finding for occupational lung disease resource-limited settings are also currently unknown. We describe first-ever project rural Rwanda using chest X-ray, symptom questionnaires, spirometry. This was coupled with routine noncommunicable diabetes hypertension. performed an ingredient-based analysis all...
ABSTRACT Purpose We aimed to identify modifiable, routinely available patient characteristics associated with adverse experiences potentially attributable efavirenz‐based regimens in patients Botswana. Methods HIV‐infected treatment naïve individuals starting a standard antiretroviral regimen including two nucleoside analog reverse transcriptase inhibitors and efavirenz Botswana were enrolled prospective cohort. Adverse measured at 1 6 months using the checklist, 35‐item instrument developed...
Introduction In Liberia, emergency care is still in its early development. 2019, two and triage education sessions were done at J. Dossen Hospital Southeastern Liberia. The observational study objectives evaluated key process outcomes before after the educational interventions. Methods Emergency department paper records from 1 February 2019 to 31 December retrospectively reviewed. Simple descriptive statistics used describe patient demographics χ 2 analyses test for significance. ORs...
The speed and scale of new information during the COVID-19 pandemic required a approach toward developing best practices evidence-based clinical guidance. To address this need, we produced COVIDProtocols.org, collaborative, evidence-based, digital platform for development dissemination guidelines that has been used by over 500,000 people from 196 countries. We use Collaborative Writing Application (CWA) to facilitate an expedited expert review process web deploys content directly CWA...
The burden of long-term functional impairment following curative treatment for tuberculosis (TB) constitutes a significant global health problem. By some estimates, chronic respiratory impairment, or post-tuberculosis lung disease (PTLD), is present in just over half all patients who have completed TB therapy. Despite this high prevalence and substantial associated morbidity, discussion PTLD essentially absent from international national policies guidelines. Clear ambitious clinical...
ABSTRACT Background Despite its essential and life-saving role in the treatment of many medical conditions, access to oxygen remains limited countries. In 2021, Partners Health established an distribution network Lesotho increase access. Methods We conducted a longitudinal analysis implementation from November 2022 January 2024. Oxygen delivery data were abstracted tracking logs analysed Stata. Continuous ordinal variables summarized by medians ranges. Categorical described using frequencies...
As low-income countries (LICs) shoulder a disproportionate share of the world's burden critical illnesses, they must continue to build care capacity outside conventional intensive units (ICUs) address mortality and morbidity, including on general medical wards. A lack data ability treat illness, especially in non-ICU settings LICs, hinders efforts improve outcomes.This was secondary analysis cross-sectional Malawi Emergency Critical Care (MECC) survey, administered from January February...