- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Clostridium difficile and Clostridium perfringens research
- Antimicrobial Resistance in Staphylococcus
- COVID-19 epidemiological studies
- Adolescent Sexual and Reproductive Health
- Influenza Virus Research Studies
- Infection Control in Healthcare
- Antibiotic Use and Resistance
- Viral Infections and Outbreaks Research
- HIV Research and Treatment
- Nosocomial Infections in ICU
- Microscopic Colitis
- Respiratory viral infections research
- Global Maternal and Child Health
- Urinary Tract Infections Management
- Healthcare cost, quality, practices
- SARS-CoV-2 and COVID-19 Research
- Bacterial Identification and Susceptibility Testing
- Meta-analysis and systematic reviews
- Innovations in Medical Education
- Viral gastroenteritis research and epidemiology
- Emergency and Acute Care Studies
- Erythropoietin and Anemia Treatment
- Antibiotic Resistance in Bacteria
University of Maryland, Baltimore
2017-2025
National University of Misiones
2023
Universidad del Rosario
2022
Institute of Cardiology
2022
University of Maryland, College Park
2021
Museum of Heilongjiang Province
2021
University of Michigan
2014-2018
Engineering Associates (United States)
2017-2018
Hospital Quirónsalud Barcelona
2018
Michigan United
2017
Multidrug-resistant (MDR)
Abstract Introduction Current healthcare systems fail to provide adequate HIV services men. In Zambia, 25% of adult men living with were unaware their status in 2018, and 12% those who statu not receiving antiretroviral therapy (ART) due pervasive barriers testing (HTS) linkage ART. To identify key priority populations link them care treatment, we implemented the Community Impact Reach Key Underserved Individuals for Treatment Support (CIRKUITS) project. We present HTS ART results from first...
Influenza is a significant problem within hospitals, leading to extended hospital stays, excess morbidity and mortality, economic loss. Prevention control strategies are generally "bundled"; therefore, the individual effects of particular value combined cannot be determined directly, making it difficult discern optimal strategy. To quantify joint effectiveness several known influenza infection measures used in general we simulated transmission at hypothetical Ann Arbor, Michigan, during...
The World Health Organization recommended enhanced adherence counselling (EAC) sessions among people with HIV on ART persistent viremia (viral load > 1000 copies/ml). There have been variations the impact of EAC viral suppression (VLS) and it is unclear whether completing three as by country's treatment guidelines superior to those who had less than sessions. We summarized pooled estimates linkage, completion rate, VLS compared in Africa. Through systematic review, PubMed, Embase, Cochrane...
Background Human papillomavirus (HPV)-associated cancers are a global concern, particularly for sexual minority men (SMM). Understanding awareness and the determinants of these beliefs is crucial developing educational programs to reduce HPV-associated cancers. This study explored about HPV’s carcinogenicity among SMM living with without HIV in Nigeria. Methods Participants were recruited through secure social media platforms Abuja, REDCap surveys captured demographics, practices...
Objective To estimate the incidence of influenza-virus-associated severe pneumonia among Salvadorian children aged < 5 years.Methods Data on years admitted with to a sentinel hospital in western region were collected weekly.Nasal and oropharyngeal swab specimens from convenience sample case patients for respiratory virus testing.A health-care utilization survey was conducted catchment area determine proportion residents who sought care at hospital.The all estimated surveillance census data,...
The observed epidemiology of SARS-CoV-2 in sub-Saharan Africa has varied greatly from that Europe and the United States, with much lower reported incidence. Population-based studies are needed to estimate true cumulative incidence inform public health interventions. This study estimated seroprevalence four selected states Nigeria October 2020. We implemented a two-stage cluster sample household survey Nigerian (Enugu, Gombe, Lagos, Nasarawa) age-stratified prevalence antibodies. All...
Abstract Introduction Zambia has made tremendous progress towards HIV epidemic control; however, gaps remain among key populations (KPs), such as female sex workers (FSWs), men who have with (MSM), people inject drugs (PWID) and in prisons enclosed settings due to cultural, social legal barriers. The University of Maryland, Baltimore Community Epidemic Control for Key Populations (Z‐CHECK) project aimed improve case‐finding, linkage treatment adherence at the community level KPs Zambia. We...
Abstract Background In view of ongoing pandemic threats such as the recent human cases novel avian influenza A(H7N9) in China, it is important that all countries continue their preparedness efforts. Since 2006, Central American have received donor funding and technical assistance from U.S. Centers for Disease Control Prevention (CDC) to build improve capacity surveillance preparedness. Our objective was measure changes this region, explore factors associated with these changes, using...
Background Little is known about the effect of meteorological conditions and geographical location on bacterial colonization rates particularly antibiotic-resistant Gram-positive bacteria. We aimed to evaluate season, factors, geographic methicillin-resistant Staphylococcus aureus (MRSA) vancomycin-resistant enterococci (VRE) colonization. Methods The prospective cohort included all adults admitted 20 geographically-dispersed ICUs across US from September 1, 2011 October 4, 2012. Nasal...
Abstract Introduction Transgender and gender‐diverse communities in Zambia are highly vulnerable experience healthcare differently than cisgender persons. The University of Maryland, Baltimore (UMB) supports projects to improve HIV case‐finding, linkage antiretroviral treatment (ART) for Zambia's transgender community. We describe programme strategies outcomes prevention, testing ART among communities. Methods UMB utilizes a differentiated service delivery model whereby community health...
Adolescent girls and young women accounted for 25% of all new HIV infections despite representing only 10% the population in Sub Saharan Africa. PEPFAR has launched Determined, Resilient, Empowered, AIDS-free, Mentored, Safe (DREAMS) initiative, a comprehensive prevention program including PrEP services. Among adolescent women, adherence is currently sub-optimal. Tailored strategies to improve access use delivery are urgently needed maximise its potential. Recommended interventions include...
Purpose To study the results of horizontal rectus recession for treatment Duane syndrome. Methods This was a retrospective 17 patients with syndrome who underwent strabismus surgery between 2000 and 2008 medial esotropic deviation or lateral exotropic deviation. The amount varied individually angle abnormal head posture. Head turn graded as mild, moderate, severe. Botulinum toxin injected in specific cases. An less than 10 PD 5° after were considered good results. Results Treatment...
The objectives of the study were to estimate risk transmission antibiotic-resistant Gram-negative bacteria (RGNB) gowns and gloves (G&G) worn by health care workers (HCWs) when providing nursing home residents identify types resident characteristics associated with transmission. A multicenter, prospective observational was conducted HCWs from Veterans Affairs (VA) homes. Perianal swabs detect RGNB collected residents. wore G&G during usual activities, swabbed at end interaction in a...
<h3>Importance</h3> An important step in designing, executing, and evaluating cluster-randomized trials (CRTs) is understanding the correlation thus nonindependence that exists among individuals a cluster. In hospital epidemiology, there shortage of CRTs have published their intraclass coefficient or variation (CV), making prospective sample size calculations difficult for investigators. <h3>Objectives</h3> To estimate number hospitals needed to power parallel interventions reduce health...
Abstract Data needed to guide influenza vaccine policies are lacking in tropical countries. We multiplied the number of severe acute respiratory infections by proportion testing positive for influenza. There were ≈6,699 hospitalizations and 803 deaths Costa Rica during 2009–2012, supporting continuation a national program.