A5032429315- Emergency and Acute Care Studies
- HIV/AIDS Research and Interventions
- Global Health and Surgery
- HIV, Drug Use, Sexual Risk
- Global Health Workforce Issues
- Trauma and Emergency Care Studies
- Adolescent Sexual and Reproductive Health
- Disaster Response and Management
- Poxvirus research and outbreaks
- Innovations in Medical Education
- Global Maternal and Child Health
- Bacillus and Francisella bacterial research
- Sepsis Diagnosis and Treatment
- Ultrasound in Clinical Applications
- Viral Infections and Outbreaks Research
- COVID-19 and Mental Health
- Migration, Health and Trauma
- Herpesvirus Infections and Treatments
- HIV/AIDS Impact and Responses
- Respiratory Support and Mechanisms
- SARS-CoV-2 and COVID-19 Research
- Diversity and Career in Medicine
- Healthcare Policy and Management
- Global Healthcare and Medical Tourism
- Tuberculosis Research and Epidemiology
Johns Hopkins Medicine
2016-2025
Johns Hopkins University
2016-2025
Impact
2024
United States Agency for International Development
2024
Public Health Institute
2021-2022
Star Technology and Research (United States)
2021
Center for Global Health
2019-2020
Johns Hopkins Hospital
2016-2018
University of Baltimore
2018
University of California, Irvine
2016-2017
Abstract Objectives While the prevalence of burnout in practicing emergency physicians has been studied, little is known and risk factors medicine ( EM ) residents. The aim this study was to assess among residents individual‐level associated with burnout. Methods Eight residency programs were surveyed using Maslach Burnout Inventory MBI ). Demographic data on job satisfaction tolerance uncertainty clinical decision‐making collected validated instruments. Results Of 289 eligible residents,...
An electronic dashboard for oxygen monitoring and stockout prevention was implemented during the COVID-19 pandemic in 2022 by Jhpiego through United States Agency International Development Reaching Impact, Saturation, Epidemic Control program Government of Lesotho across 12 hospitals Lesotho. Nurses documented patient blood levels, usage, facility-level stocks on a daily checklist, which populated that estimated demand usage visualized impending stockouts. During 359 facility days evaluated,...
Azathioprine intolerance is a common clinical problem, requiring drug withdrawal in up to 30% of patients. The successful use mercaptopurine described, but data support this strategy are needed.To assess the tolerability inflammatory bowel disease patients previously intolerant azathioprine, and identify predictive factors.Sixty-one azathioprine-intolerant (31 males, median age at diagnosis 32 years, 31 with Crohn's disease, 30 ulcerative colitis) who had been treated were identified....
INTRODUCTION Neither dramatic footage nor horrifying statistics from the most recent Ebola virus (EBOV) outbreak come close to reflecting true impact of EBOV disease (EVD) on affected countries, communities, patients, health-care workers, or their friends and families.[12] With focus squarely containing dealing with immensity task at hand, many fail notice associated emotional psychological toll.[34] Posttraumatic stress disorder (PTSD) is defined by Diagnostic Statistical Manual Mental...
Background South Africa has the largest HIV epidemic in world, with 19% of global number people living HIV, 15% new infections and 11% AIDS-related deaths. Even though testing is mandated all hospital-based facilities (SA), it rarely implemented Emergency Department (ED). The ED provides episodic care to large volumes undifferentiated who present unplanned injury or illness. Thus, may provide an opportunity capture patients undiagnosed infection missed by clinic-based screening programs....
Mentoring is beneficial to mentors, mentees, and their institutions, especially in low- middle-income countries (LMICs), that are faced with complex disease burdens, skills shortages, resource constraints. global health research can be enhanced by defining key competencies, enable the skill set required for effective mentoring, determine training needs local facilitate institutional capacity building support mentors. The latter includes advocating resources, development of mentoring...
The chief complaint is a patient's self-reported primary reason for presenting medical care. clinical utility and analytical importance of recording complaints have been widely accepted in highly developed emergency care systems, but this practice far from universal global care, especially limited-resource areas. It precisely these settings, however, that the use may particular benefit. Chief be used to quantify, analyze, plan provide valuable information on acute needs where there are...
Global health trainees rely on immersive experiences to apply their classroom knowledge in real-world settings. However, during the COVID-19 pandemic travel has come a halt and short-term are no longer available current form. As with didactic material, global programs have an opportunity innovate delivery of applied learning, providing robust, mentored that promote acquisition core competencies. We provide series practical solutions for remote learning including case-based pathfinder...
Abstract Background During the 2022 mpox outbreak most patients were managed as outpatients, but some required hospitalization. Uncontrolled human immunodeficiency virus (HIV) has been identified a risk factor for severe mpox. Methods Patients with diagnosed or treated within Johns Hopkins Health System between 1 June and 15 December included. The primary outcome of interest was Demographic features, comorbid conditions, treatment, clinical outcomes determined. Results A total 353 tested...
The brain is targeted by human immunodeficiency virus type 1 (HIV-1) during the course of untreated infection, leading to cognitive impairment, neurological damage and HIV encephalitis (HIVE). To study early dynamics entry into brain, we examined a unique autopsy series samples obtained from 15 individuals who died in presymptomatic stages infection non-HIV causes. was detected quantified limiting dilution PCR genetically characterized V3 region env. Limiting shown be essential for correct...
The Eastern Cape province of South Africa has one the highest burdens HIV in world. Emergency Departments (EDs) can serve as optimal clinical sites for identification new infections and entry into care. We sought to determine current burden disease among ED patients Cape. conducted a prospective cross-sectional observational study EDs three Hospitals from June 2017 July 2018. All adult, non-critical presenting were systematically approached offered Point-Of-Care (POC) test accordance with...
Effective identification and prognostication of severe COVID-19 patients presenting to healthcare facilities are essential reducing morbidity mortality. Low- middle-income country (LMIC) often suffer from restrictions in availability human resources, laboratory testing, medications, imaging during routine functioning, such shortages may worsen times surge. providers will need contextually appropriate tools identify triage potential patients. We report on a series LMIC-appropriate...
Abstract We present a case of mpox recurrence in transgender woman with AIDS. Her recurrent lesions required several courses antiviral therapy over 5-month period and her monkeypox viral genome was subsequently noted to have tecovirimat resistance mutations. Interestingly, she developed robust orthopoxvirus-specific T-cell response.
With over 150 million annual visits, U.S. emergency departments (EDs) serve as critical health care safety nets, delivering urgent and emergent across all ages conditions. Beyond clinical care, EDs offer valuable opportunities for conducting research focused on addressing acute issues relevant to the population. In spite of this, past decade less than 2% trials have been conducted in ED.1 The fast-paced nature 24/7 shift work creates a perception that ED setting may be too pressured...
Abstract Background Emergency departments (EDs) are directly impacted by seasonal surges in rates of respiratory viral infection and transmission with increased ED visits for flu-like symptoms. It remains unclear as to why patients assigned lower acuity (level 3,4 5) based on standardized triage scoring systems opt seek care within the emergency department lieu alternative healthcare venues We conducted an exploratory quality improvement study develop further understanding patient-related...