A5087624705- Global Health and Surgery
- Global Health Workforce Issues
- Global Maternal and Child Health
- Food Security and Health in Diverse Populations
- HIV/AIDS Research and Interventions
- Tuberculosis Research and Epidemiology
- Cultural Competency in Health Care
- Delphi Technique in Research
- Primary Care and Health Outcomes
- Child Nutrition and Water Access
- Social Media in Health Education
- Pneumocystis jirovecii pneumonia detection and treatment
- Migration, Health and Trauma
- Child and Adolescent Health
- Hemoglobinopathies and Related Disorders
- Ethics in Clinical Research
- Innovations in Medical Education
- HIV-related health complications and treatments
- Child Nutrition and Feeding Issues
- HIV/AIDS Impact and Responses
- HIV/AIDS drug development and treatment
- Travel-related health issues
- Health Literacy and Information Accessibility
- Emergency and Acute Care Studies
- Pneumonia and Respiratory Infections
Baylor College of Medicine
2016-2025
Texas Children's Hospital
2020-2025
University of Wisconsin–Madison
2010-2019
The traditional model of promotion and tenure in the health professions relies heavily on formal scholarship through teaching, research, service. Institutions consider how much weight to give activities each these areas determine a threshold for advancement. With emergence social media, scholars can engage wider audiences creative ways have broader impact. Conventional metrics like h-index do not account media Social engagement is poorly represented most curricula vitae (CV) therefore...
There is a growing interest to address pervasive racist and colonialist practices in global health (GH). However, there paucity of information on anti-racist anti-colonial (ARAC) education for GH trainees. This study aimed identify curricular strengths gaps ARAC content pediatric, family medicine emergency trainees participating GH. We conducted cross-sectional survey programs’ from May 2021 January 2022. The was distributed 148 program educational leaders via email. Descriptive statistics...
Background Global health (GH) interest is rising among graduate medical education (GME) trainees, yet GH engagement marred by the impact of colonization or racism, and there remains a lack training to confront these challenges. Objective To develop modular, open-access curriculum that provides in decolonization for GME evaluate its feasibility on learners' critical reflection decolonization. Methods From 2019 2022, 40 educators, including international indigenous scholars from diverse...
Background: Despite encouraging results from clinical trials and in high-income countries, large-scale data on the effectiveness safety of dolutegravir (DTG) children adolescents living with HIV (CALHIV) are lacking low- middle-income countries (LMICs). Methods: Retrospective analysis was performed among CALHIV 0–19 years old weighing greater than or equal to 20 kg who received DTG 2017 2020 at sites Botswana, Eswatini, Lesotho, Malawi, Tanzania Uganda determine effectiveness, predictors...
Childhood tuberculosis (TB) diagnoses often lack microbiologic confirmation and require empiric treatment. Barriers to treatment include concern for poor outcomes adverse effects. We thus determined the of TB from a retrospective cohort children at national referral hospital in Kampala, Uganda 2010 2015.Children were diagnosed clinically followed through Demographics, clinical data, outcome any events extracted patient charts. A favorable was defined as child completing with improvement....
Abstract Background Virtual global health partnership initiatives (VGHPIs) evolved rapidly during the COVID-19 pandemic to ensure continuity. However current landscape for VGHPI use and preference is unknown. This study aimed increase understanding of GH partners’ perspectives on VGHPIs. Methods From 15 October 30 November 2020, An online, international survey was conducted using snowball sampling document pandemic-related changes in activities, preferences VGHPIs, perceived acceptability...
To understand the importance of authorship and position, gauge perceptions inappropriate assignment, among authors publishing paediatric research conducted in low- middle-income countries (LMICs).We a cross-sectional, mixed-methods study using an online survey both corresponding randomly selected, non-corresponding who published LMICs from 2006 to 2015 top four journals by Eigenfactor score. We used chi-square tests compare responses living high-income (HICs). analysed qualitative thematic...
<section class="abstract"> Academic global health collaborations have the potential to improve joint understanding of issues in low- and middle-income countries (LMICs). Our objective was elucidate perceptions benefits challenges academic as well areas for improving collaborative research conducted LMICs. This cross-sectional, mixed-methods study surveyed investigators’ pediatric collaborations. Authors articles from four journals reporting LMICs published between 2006 2015 were surveyed....
The WHO recommends that children and adolescents living with HIV (CALHIV) complete TB symptom screening at every clinical encounter but evidence supporting this recommendation is limited. We evaluated the performance of recommended in six high-burden TB/HIV countries.Retrospective longitudinal cohort.We extracted data from electronic medical records CALHIV receiving care clinics Botswana, Eswatini, Lesotho, Malawi, Tanzania, Uganda January 2014 to June 2017. defined incident cases as those...
Studies supporta recent decline in public benefit enrollment among immigrant families. We aimed to describe health and resource use, barriers immigration-related fear families with undocumented parents compared without parents. also assess associations discontinuation of benefits deportation.We assessed immigration concerns Medicaid, Supplemental Nutrition Assistance Program (SNAP), Special for Women, Infants, Children (WIC) an 89-item anonymous, cross-sectional survey English-...
Global health (GH) offerings by pediatric residency programs have increased significantly, with 1 in 4 indicating they offer a GH track. Despite growth of these programs, there is currently no widely accepted definition for what comprises track residency.A panel 12 education experts was assembled to use the Delphi method work toward consensus and determine essential educational offerings, institutional supports, outcomes evaluate. The panelists completed 3 rounds iterative surveys that were...
Background Seasonality in tuberculosis (TB) has been described, especially children. However, few studies have assessed seasonality of TB the equatorial region, and none Objectives To assess for childhood cases Kampala, Uganda, determine role temperature, rainfall patterns, influenza on diagnoses. Methods We retrospectively analyzed demographic clinical data children (under 15 years) diagnosed with at a pediatric clinic Uganda from 2010 to 2015. performed decomposition analysis monthly case...
* Abbreviations: AAP — : American Academy of Pediatrics ABP Board APPD Association Pediatric Program Directors ETC Education and Training Committee GH global health GHLC Global Health Learning Community GHTF Task Force LMIC low- middle-income country SOICH Section on International Child Health Pediatric trainees are increasingly seeking health (GH) educational opportunities, with ∼1 in 4 participating a elective during residency.1,2 programs have responded to this demand: surveys...
Global health partnerships (GHPs) have encountered many challenges during the coronavirus disease 2019 (COVID-19) pandemic. New perspectives and insights are needed to guide GHPs when navigating current future collaborations. This study aimed understand of international partners regarding how COVID-19 pandemic impacted their with institutions in United States. We performed a cross-sectional qualitative conducted through virtual semi-structured interviews between June 12, 2020 July 22, 2020....
There is a disproportionate burden of pediatric disease in low- and middle-income countries (LMICs); however, the proportion relation published articles to childhood LMICs have not been assessed previously. This study aimed determine whether topics from research conducted most widely cited journals reflected global disease. We reviewed all 2006 2015 3 with highest Eigenfactor scores identify studies World Bank-designated LMICs. abstracted topic, design, purpose, country, funding sources....
High-income nations have established that early diagnosis and preventive treatment reduces deaths in sickle cell disease (SCD). However, low-/middle-income countries where SCD is common, attrition from clinical care common. Reasons for poor retention are multi-factorial poorly understood. The objective of this study was to identify factors influence caregiver decision-making around chronic health needs a child with SCD. We conducted an exploratory sequential mixed methods caregivers children...
Short-term global health electives (STGHEs) have become increasingly common, with evidence showing educational and clinical benefits for short-term learners (STLs). Despite increased recognition that STGHEs should be mutually beneficial host sites STLs, demonstrating the impact on international preceptors is lacking.To understand preceptors' perceptions regarding burdens of hosting STLs.Focus group discussions a convenience sample 10 18 eligible were conducted at pediatric STGHE in Malawi...
Approximately 91% of the world’s children living with HIV (CLWH) are in sub-Saharan Africa (SSA). Living confers a risk developing HIV-associated cancers. To determine incidence and factors for cancer among CLWH, we conducted nested case-control study 0–18 years from 2004–2014 at five centers four SSA countries. Incident cases were frequency-matched to controls no cancer. We calculated density by type, logistic regression, relative evaluate The adjusted all cancers, Kaposi sarcoma, lymphoma...