Publications - United States

Enhanced immigration enforcement in the USA and the transnational continuity of HIV care for Latin American immigrants in deportation proceedings

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2018-07-08

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Lancet HIV

Lancet HIV Opinion: Maintaining uninterrupted continuity of care among immigrants held in detention or deported to their home countries is challenging. In this Viewpoint, we identify periods of particular vulnerability for immigrants during deportation proceedings, from initial detention to deposition in their country of origin.

Developing an assessment framework for essential internal medicine subspecialty topics

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2018-06-15

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Journal of Graduate Medical Education

Our assessment framework revealed knowledge and practice gaps in tuberculosis diagnosis among internal medicine residents.

Advancing patient-centered care in tuberculosis management: A mixed-methods appraisal of Video Directly Observed Therapy

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2018-04-26

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Open Forum Infectious Diseases

OFID : Video DOT is an acceptable option for measurement of TB treatment adherence & may allow more treatment doses to be observed

¡Vive!: Designing an intervention to improve timely HIV diagnosis among Latino immigrant men

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2018-01-23

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Progress in Community Health Partnerships

Background: Latinos, particularly immigrant men, are more likely to present late to care for human immunodeficiency virus (HIV) infection. Objectives: This manuscript describes the development of ¡Sólo Se Vive Una Vez! (¡Vive!) (You Only Live Once), a multilevel (individual and community)...

What will it take to reduce HIV incidence in the United States: A mathematical modeling analysis

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2018-01-06

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Open Forum Infectious Diseases

Modeling and simulations suggest that cutting HIV incidence in half by 2025 will require 95% of people living with HIV to be engaged in care.

The use of clinical decision support in reducing diagnosis of and treatment of asymptomatic bacteriuria

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2017-12-06

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Journal of Hospital Medicine

Clinical decision support embedded within the electronic health record is a potential antibiotic stewardship strategy for hospitalized patients.

Challenges in the evaluation of interventions to improve engagement along the HIV care continuum in the United States: a systematic review

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2017-07-17

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AIDS and Behavior

Dr. Maunank Shah & colleagues review interventions to keep HIV patients linked to care.

The impact of preexposure prophylaxis among men who have sex with men: An individual-based model

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2017-06-01

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Journal of Acquired Immune Deficiency Syndromes

Objectives Preexposure prophylaxis (PrEP) is recommended for preventing HIV infection among individuals at high risk, including men who have sex with men (MSM). Although its individual-level efficacy is proven, questions remain regarding population-level impact of PrEP implementation. Design We...

Prevalence of HIV testing provision at community organizations serving young people in a mid-Atlantic city, 2013-2014

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2017-03-31

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Public Health Reports

Objectives: Little is known about the prevalence of human immunodeficiency virus (HIV) testing at community organizations or the organizational characteristics associated with testing. The objective of this study was to describe (1) the prevalence of HIV testing at community organizations serving...

Patients fifty years and older attending two sexually transmitted disease clinics in Baltimore, Maryland

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2017-03-15

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International Journal of STD & AIDS

Abstract : Many individuals remain sexually active into their eighth decade. Surveillance data suggest that rates of sexually transmitted infections in older patients are increasing. We compared demographics, risk behaviors, and predictors of acute infections in patients 50 years and older versus...

Chilling effect? Post-election health care use by undocumented and mixed-status families

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2017-03-08

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New England Journal of Medicine

Perspective article from Dr. Kathleen Page in the New England Journal of Medicine

Vitamin A and D deficiencies associated with incident tuberculosis in HIV-infected patients initiating antiretroviral therapy in multinational case-cohort study

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2017-02-06

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Journal of Acquired Immune Deficiency Syndromes

Introduction: Numerous micronutrients have immunomodulatory roles that may influence risk of tuberculosis (TB), but the association between baseline micronutrient deficiencies and incident TB after antiretroviral (ART) initiation in HIV-infected individuals is not well characterized. Methods: We...

¡Sólo se vive una vez! (you only live once): a pilot evaluation of individually tailored video modules aiming to increase HIV testing among foreign-born Latino men

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2017-02-01

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Journal of Acquired Immune Deficiency Syndromes

BACKGROUND: Although Latinos living in the United States are disproportionately affected by HIV, the development, implementation, and evaluation of HIV prevention, testing, and linkage to care interventions lag behind efforts occurring in other communities. To address sociocultural barriers to...

The socioecology of sexual and reproductive health care use among young urban minority males

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2017-01-05

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Journal of Adolescent Health

Purpose: To explore perceptions of facilitators/barriers to sexual and reproductive health (SRH) care use among an urban sample of African-American and Hispanic young men aged 15-24 years, including sexual minorities. Methods: Focus groups were conducted between April 2013 and May 2014 in one mid-...

Primary care providers knowledge, attitude and practices related to hepatitis C screening and treatment in the oral direct acting antiviral agents era

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2016-10-28

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Journal of Community Medicine and Health Education

Background: There are over 3 million Americans infected with hepatitis C virus (HCV). Despite recent advances in HCV treatment, a major barrier to care remains a limited number of treaters. HCV therapy provision by primary care providers (PCPs) could expand access by increasing the pool of HCV...

Sex-related differences in inflammatory and immune activation markers before and after combined antiretroviral therapy initiation

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2016-10-01

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Journal of Acquired Immune Deficiency Syndromes

Background: Women progress to death at the same rate as men despite lower plasma HIV RNA (viral load). We investigated sex-specific differences in immune activation and inflammation as a potential explanation. Methods: Inflammatory and immune activation markers [interferon γ, tumor necrosis factor...

HIV-related stigma among Spanish speaking Latinos in an emerging immigrant receiving city

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2016-09-27

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Journal of Immigrant and Minority Health

HIV-related stigma has been associated with a reluctance to test for HIV among Latinos . This study assessed community HIV-related stigma within an emerging Latino immigrant receiving city . We conducted a brief survey among a convenience sample of 312 Spanish - speaking Latinos in Baltimore,...

Continued importance of sexually transmitted disease clinics in the era of the Affordable Care Act

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2016-09-15

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American Journal of Preventive Medicine

Introduction: Following the 2014 expansions of Medicaid and private health insurance through the Affordable Care Act, municipal sexually transmitted disease (STD) clinics-which have historically served predominantly uninsured patients-have been threatened with budget cuts nationwide. This study was...

Lateral flow urine lipoarabinomannan assay for detecting active tuberculosis in HIV-positive adults

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2016-08-16

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Cochrane Database of Systematic Reviews

Background: Rapid detection of tuberculosis (TB) among people living with human immunodeficiency virus (HIV) is a global health priority. HIV-associated TB may have different clinical presentations and is challenging to diagnose. Conventional sputum tests have reduced sensitivity in HIV-positive...

Editorial Commentary: Recruiting the next generation of infectious diseases physicians: how do we reignite the passion?

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2016-07-15

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Clinical Infectious Diseases

Introduction: Infectious diseases (ID) is the most exciting medical subspecialty. We may be biased, but we are not wrong. It is disheartening that applications to ID fellowships continue to decrease; in 2016, 61% of fellowship programs did not fill through the National Resident Matching Program, up...

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