A5058527934- Hepatitis C virus research
- HIV, Drug Use, Sexual Risk
- COVID-19 Clinical Research Studies
- HIV/AIDS Research and Interventions
- SARS-CoV-2 and COVID-19 Research
- Long-Term Effects of COVID-19
- Hepatitis B Virus Studies
- Liver Disease Diagnosis and Treatment
- Sex work and related issues
- Health Literacy and Information Accessibility
- Pneumocystis jirovecii pneumonia detection and treatment
- Mobile Health and mHealth Applications
- Reproductive tract infections research
- COVID-19 Impact on Reproduction
- Homelessness and Social Issues
- Herpesvirus Infections and Treatments
- Virology and Viral Diseases
- Diabetes Management and Education
- COVID-19 and healthcare impacts
- COVID-19 epidemiological studies
- Blood groups and transfusion
- Technology Use by Older Adults
- Telemedicine and Telehealth Implementation
- Bacillus and Francisella bacterial research
- SARS-CoV-2 detection and testing
University of Colorado Denver
2019-2025
Denver Health Medical Center
2019-2025
Health and Hospital Corporation
2021-2025
Public Health Institute
2021-2025
Denver Public Health
2018-2025
Hospital Authority
2022
University of Michigan
2014-2015
As of March 31, 2023, more than 30,000 monkeypox (mpox) cases had been reported in the United States an outbreak that has disproportionately affected gay, bisexual, and other men who have sex with (MSM) transgender persons (1). JYNNEOS vaccine (Modified Vaccinia Ankara vaccine, Bavarian Nordic) was approved by Food Drug Administration (FDA) 2019 for prevention smallpox mpox via subcutaneous injection as a 2-dose series (0.5 mL per dose, administered 4 weeks apart) (2). To expand access,...
Understanding the relationship between HIV and SARS-CoV-2 has important public health implications.
Strategies to increase pre-exposure prophylaxis (PrEP) uptake are needed. We hypothesized that same-day PrEP initiation in a sexually transmitted diseases (STD) clinic would be acceptable, feasible, and safe, individuals engage ongoing care.Individuals aged ≥ 18 years were evaluated for PrEP. Exclusion criteria HIV, history of renal dysfunction or chronic hepatitis B infection, pregnancy, indications HIV post-exposure prophylaxis, positive screen acute symptoms. One hundred received free...
Mycoplasma genitalium (MG) is on the CDC Watch List of Antimicrobial Resistance Threats, yet there no systematic surveillance to monitor change.We initiated in sexual health clinics 6 cities, selecting a quota sample urogenital specimens tested for gonorrhea and/or chlamydia. We abstracted patient data from medical records and detected MG macrolide-resistance mutations (MRMs) by nucleic acid amplification testing. used Poisson regression estimate adjusted prevalence ratios (aPRs) 95% CIs,...
Mobile health (m-health) work in low- and middle-income countries (LMICs) mainly consists of small pilot programs with an unclear path to scaling dissemination. We describe the deployment testing m-health platform for non-communicable disease (NCD) self-management support Bolivia.Three hundred sixty-four primary care patients La Paz diabetes or hypertension completed surveys about their use mobile phones, access care. One sixty-five those then participated a 12-week demonstration automated...
While global momentum supporting mobile health (mHealth) research and development is increasing, it imperative to assess the potential fit of mHealth programs in local settings. We describe penetration technologies among Bolivian patients with noncommunicable diseases (NCDs) inform on interventions for Andean region as well low- middle-income countries more generally.Five-hundred fifty-nine NCD were identified from outpatient clinics affiliated four hospitals cities La Paz El Alto....
Abstract Background Hepatitis C (HCV) incidence has been increasing steadily over the past decade despite growing availability of well-tolerated, highly effective treatment. Additionally, many individuals who have living with HCV for decades remain untreated. Emergency departments (EDs) serve large numbers patients at risk commonly do not access to other forms care. To address these gaps, innovative approaches identification and linkage care are needed. The goal this study was assess number...
Sharing equipment for injection drug use is the most common mode of hepatitis C virus (HCV) transmission in United States, yet people who inject drugs (PWID) historically have low rates HCV treatment. New strategies are needed to expand access treatment among PWID. Co-locating at syringe programs (SAPs) reduces barriers treatment, and telemedicine-based could further.
Centers for Disease Control and Prevention recommends test-of-cure (TOC) persons with pharyngeal gonorrhea (GC) 7-14 days after treatment. We investigated the yield feasibility of routine GC TOC to detect treatment failures. During May 2021-July 2022, four U.S. STD clinics implemented TOC. Sites collected demographic, clinical, behavioral data on all treated positive cases. Cases were dispositioned suspected reason To assess perceived feasibility, sites participated in qualitative...
Our objective was to estimate the prevalence of pre-exposure prophylaxis (PrEP) eligibility, characterize self-perceived and quantified human immunodeficiency virus (HIV) risk, assess PrEP knowledge receptiveness initiating among emergency department (ED) patients. We performed an IRB-approved cross-sectional study from two urban EDs. Patients were eligible if ≥18 years age not known have HIV. Research staff obtained verbal consent used a structured 29-item instrument HIV eligibility based...
Abstract Background A better understanding of the risk for coronavirus disease 2019 (COVID-19) that people experiencing homelessness (PEH) face in congregate shelters versus unsheltered encampments is critical an effective pandemic response. Methods We analyzed factors associated with current and past severe acute respiratory syndrome 2 (SARS-CoV-2) infection among PEH day overnight Denver, Colorado, during June 2–July 28, 2020, constructed multivariable logistic regression models to examine...
Kamis, Kevin F. MPH; Barbera, Lauren MD(c); Abdo, Mona PhD(c); Rowan, Sarah E. MD; Hussain, Cory Gardner, Edward M. Johnson, Steven C. MaWhinney, Samantha ScD; Davis, Amelia J. Carlson, Jesse MPH(c); Kozacka, Katie A. Erlandson, Kristine MD, MS Author Information
Abstract Background In the United States, many opioid treatment programs (OTPs) do not offer viral hepatitis (VH) or human immunodeficiency virus (HIV) testing despite high prevalence among OTP clients. We initiated an opt-out VH and HIV linkage-to-care program within our OTP. Methods All intakes are screened for evaluated rescreening annually. A patient navigator reviews laboratory results provides counseling in clinic. The medical record is queried to identify individuals with previously...
Abstract Background Despite constituting the largest segment of correctional population, individuals on court-ordered probation remain largely unstudied with respect to hepatitis C virus (HCV) testing and linkage-to-care. We conducted a retrospective, descriptive analysis estimate prevalence diagnosed HCV subsequent care cascade among cohort enrolled in an adult program over 25-month period Denver, Colorado. Methods utilized probabilistic matching first last name, sex, birthdate identify...
Despite constituting the largest segment of correctional population, individuals on probation remain largely unstudied with respect to hepatitis C virus (HCV) testing and linkage care. We implemented an HCV patient navigation program at adult department.Adults were tested a local department rapid point-of-care antibody (Ab) assay followed by laboratory-based ribonucleic acid (RNA) if anti-HCV positive. All received counseling rooted in harm reduction principles. Individuals positive for Ab...
Abstract Background Early identification of HCV is a critical health priority, especially now that treatment options are available to limit further transmission and provide cure before long-term sequelae develop. Emergency departments (EDs) important clinical settings for screening given EDs serve many at-risk patients who do not access other forms healthcare. In this article, we describe the rationale design The Determining Effective Testing in Departments Care Coordination on Treatment...
Abstract Background Hepatitis C (HCV) poses a major public health problem in the USA. While early identification is critical priority, subsequent linkage to treatment specialist crucial step that bridges diagnosed patients treatment, cure, and prevention of ongoing transmission. Emergency departments (EDs) serve as an important clinical setting for HCV screening, although optimal methods linkage-to-care HCV-diagnosed individuals remain unknown. In this article, we describe rationale design...
Abstract Background Patients at risk for HIV generally do not have immediate access to PrEP. We hypothesized that by offering free, 30-day PrEP starter packs and navigation support during drop-in STD clinic appointments, individuals would be likely initiate continue Methods Individuals aged ≥18 years presenting appointments in the Metro Denver Clinic indicated were eligible study. Exclusion criteria history of renal dysfunction, chronic hepatitis B (HBV), HIV, pregnancy, indications...
Uptake of PrEP remains suboptimal, especially in the Southern United States. Same-day or “Rapid Initiatives” (RPIs) sexual health centers (SHCs) could facilitate access and overcome barriers to PrEP. We studied adaptation an RPI from Denver, Colorado SHC New Orleans, Louisiana. Through focus group discussions (FGDs) with local staff providers, we developed a preliminary model. In 5 FGDs clients referred for taking PrEP, gathered recommendations feedback on model acceptability, feasibility,...
Abstract Background Hepatitis C virus (HCV) continues to cause significant morbidity and mortality within the US, disproportionately impacts those involved with criminal justice system. Despite this, knowledge attitudes regarding HCV treatment among adults on probation have not been well studied. We conducted a cross-sectional survey of accessing on-site testing linkage services at adult department in Denver, Colorado. The assessed general treatment, as surrounding that might reflect medical...
Abstract Background : Early identification of hepatitis C is a critical health priority, especially now that treatment options are available to limit further transmission and provide cure before long-term sequelae develop. Emergency departments (EDs) important clinical settings for screening, given EDs serve many at-risk patients who do not access other forms healthcare. In this article, we describe the rationale design The D etermining E ffective T esting in mergency Departments...