2024
Racial and Ethnic Discrimination and Medical Students’ Identity Formation
Venkataraman S, Nguyen M, Chaudhry S, Desai M, Hajduk A, Mason H, Webber A, Boatright D. Racial and Ethnic Discrimination and Medical Students’ Identity Formation. JAMA Network Open 2024, 7: e2439727. PMID: 39412803, PMCID: PMC11581615, DOI: 10.1001/jamanetworkopen.2024.39727.Peer-Reviewed Original ResearchConceptsBlack studentsWhite studentsCross-sectional studyMedical schoolsProfessional developmentMedical studentsMedical educationStudent identity formationHolistic student developmentIdentity formationUS medical studentsProfessional identity formationEthnic discriminationEthnic groupsRetrospective cross-sectional studyStudent developmentInclusive environmentMain OutcomesStudentsSchoolDeidentified dataRisk differenceLikert scaleEducationCombat discriminationLeveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration
Wang K, Hendrickson Z, Miller M, Abel E, Skanderson M, Erdos J, Womack J, Brandt C, Desai M, Han L. Leveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration. Medical Care 2024, 62: 458-463. PMID: 38848139, DOI: 10.1097/mlr.0000000000002017.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationElectronic health recordsResidential addressesHealth recordsHealth AdministrationLeveraging electronic health recordsInfluence health care utilizationVeterans Health Administration dataAssociations of sociodemographicsHealth care utilizationHealth care systemPatient's residential addressCross-sectional analysisGeneralized logistic regressionCare utilizationHealth systemResidential mobilitySubstance use disordersCare systemPatient's residenceLogistic regressionVeteransMultinomial outcomesHealthOdds
2023
Assessing changes in adolescent girls’ and young women’s sexual and reproductive health service utilisation following a COVID-19 lockdown in eSwatini
Brault M, Linnander E, Ginindza T, Mabuza K, Christie S, Canavan M, Jones A, Desai M. Assessing changes in adolescent girls’ and young women’s sexual and reproductive health service utilisation following a COVID-19 lockdown in eSwatini. Global Health Action 2023, 16: 2243760. PMID: 37565704, PMCID: PMC10424588, DOI: 10.1080/16549716.2023.2243760.Peer-Reviewed Original ResearchConceptsElectronic health record systemsYoung womenHealth service utilisationAdolescent girlsReproductive health service utilisationInterrupted time series analysisService utilisationHealth record systemsUtilisation dataMonthly visitsReproductive healthVisit trendsCOVID-19 lockdown periodRecord systemTwo-year periodCOVID-19 lockdownWomenSaharan AfricaSignificant changesCOVID-19 periodLockdown periodManzini regionGirlsEswatiniAGYW
2021
Strengthening the Mentorship and Leadership Capacity of HIV/AIDS and Tuberculosis Researchers in South Africa.
Desai MM, Göç N, Chirwa T, Manderson L, Charalambous S, Curry LA, Linnander E. Strengthening the Mentorship and Leadership Capacity of HIV/AIDS and Tuberculosis Researchers in South Africa. American Journal Of Tropical Medicine And Hygiene 2021, 105: 1317-1325. PMID: 34398822, PMCID: PMC8592193, DOI: 10.4269/ajtmh.21-0072.Peer-Reviewed Original ResearchAssociation Between Sexual Orientation, Mistreatment, and Burnout Among US Medical Students
Samuels EA, Boatright DH, Wong AH, Cramer LD, Desai MM, Solotke MT, Latimore D, Gross CP. Association Between Sexual Orientation, Mistreatment, and Burnout Among US Medical Students. JAMA Network Open 2021, 4: e2036136. PMID: 33528552, PMCID: PMC7856540, DOI: 10.1001/jamanetworkopen.2020.36136.Peer-Reviewed Original ResearchConceptsOdds of burnoutAAMC Graduation QuestionnaireMedical studentsSexual orientationAssociated with increased odds of burnoutGraduation QuestionnaireMedical schoolsPoor quality careHeterosexual studentsProbability of burnoutFear of discriminationUS allopathic medical schoolsAssociated with increased oddsExperiences of mistreatmentUS medical studentsAllopathic medical schoolsCross-sectional studyMedical student burnoutLogistic regression modelsSexual minority groupsQuality careOldenburg Burnout Inventory for Medical StudentsLGB sexual orientationTrainee burnoutMain Outcomes
2020
Assessment of the Prevalence of Medical Student Mistreatment by Sex, Race/Ethnicity, and Sexual Orientation
Hill KA, Samuels EA, Gross CP, Desai MM, Zelin N, Latimore D, Huot SJ, Cramer LD, Wong AH, Boatright D. Assessment of the Prevalence of Medical Student Mistreatment by Sex, Race/Ethnicity, and Sexual Orientation. JAMA Internal Medicine 2020, 180: 653-665. PMID: 32091540, PMCID: PMC7042809, DOI: 10.1001/jamainternmed.2020.0030.Peer-Reviewed Original ResearchConceptsAllopathic US medical schoolsMedical student mistreatmentUS medical schoolsLGB studentsUnderrepresented minoritiesMedical schoolsStudent mistreatmentMultiracial studentsStudent sexWhite studentsMedical studentsFemale studentsMale studentsHeterosexual studentsAmerican Medical Colleges Graduation QuestionnaireSexual orientationCohort study analyzed dataUS medical studentsEpisodes of mistreatmentGraduating US medical studentsGraduation QuestionnaireStudent surveysStudy analyzed dataMedical educationStudents
2019
Eligibility for Local Therapies in Adolescents and Adults with Cutaneous Leishmaniasis from Southwestern Colombia: A Cross-Sectional Study.
Uribe-Restrepo AF, Prieto MD, Cossio A, Desai M, Castro M. Eligibility for Local Therapies in Adolescents and Adults with Cutaneous Leishmaniasis from Southwestern Colombia: A Cross-Sectional Study. American Journal Of Tropical Medicine And Hygiene 2019, 100: 306-310. PMID: 30628567, PMCID: PMC6367628, DOI: 10.4269/ajtmh.18-0643.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAntimonyAntiprotozoal AgentsChildColombiaCross-Sectional StudiesCryotherapyFemaleHumansHyperthermia, InducedLeishmania braziliensisLeishmania guyanensisLeishmaniasis, CutaneousMaleMiddle AgedParomomycinPentamidinePractice Guidelines as TopicSeverity of Illness IndexConceptsLocal therapyPan American Health OrganizationCutaneous leishmaniasisWorld Health OrganizationIndividualized risk-benefit assessmentCases of CLHealth OrganizationProportion of patientsLarge referral centerRisk-benefit assessmentDifferent treatment guidelinesMaximum lesion sizeReferral centerTreatment guidelinesSystemic drugsWHO criteriaCL patientsSectional studyLeishmania VianniaHigh burdenSevere casesLower riskLesion sizePatientsMild presentation
2018
Retention in HIV care during the 3 years following release from incarceration: A cohort study
Loeliger KB, Meyer JP, Desai MM, Ciarleglio MM, Gallagher C, Altice FL. Retention in HIV care during the 3 years following release from incarceration: A cohort study. PLOS Medicine 2018, 15: e1002667. PMID: 30300351, PMCID: PMC6177126, DOI: 10.1371/journal.pmed.1002667.Peer-Reviewed Original ResearchConceptsViral suppressionInjection drug useHIV careCohort studyTreatment outcomesDrug useNational HIV prevention strategyMultivariable logistic regression modelCase management visitsProportion of followRetrospective cohort studyEarly linkageHIV prevention strategiesLongitudinal treatment outcomesHealth insuranceBetter treatment outcomesSubstance use disordersCase management servicesLogistic regression modelsAntiretroviral therapyCohort participantsManagement visitsCriminal justice populationsLarge cohortPsychiatric disordersPrisoner health status at three rural Haitian prisons
LaMonaca K, Desai M, May JP, Lyon E, Altice FL. Prisoner health status at three rural Haitian prisons. International Journal Of Prison Health 2018, 14: 197-209. PMID: 30274560, DOI: 10.1108/ijph-02-2017-0010.Peer-Reviewed Original ResearchConceptsBody mass indexHealth statusPhysical functionSociodemographic characteristicsSelf-reported physical functionBetter overall health statusHigher body mass indexPrisoners' health statusOverall health statusCross-sectional studyPhysical health statusMental health statusPoor health outcomesSelf-rated healthLength of detentionAdequate medical careMass indexFood insecurityHealth outcomesAdequate nutritionMedical carePrisoner healthRegional prisonsLow-income countriesMental healthAll-cause mortality among people with HIV released from an integrated system of jails and prisons in Connecticut, USA, 2007–14: a retrospective observational cohort study
Loeliger KB, Altice FL, Ciarleglio MM, Rich KM, Chandra DK, Gallagher C, Desai MM, Meyer JP. All-cause mortality among people with HIV released from an integrated system of jails and prisons in Connecticut, USA, 2007–14: a retrospective observational cohort study. The Lancet HIV 2018, 5: e617-e628. PMID: 30197101, PMCID: PMC6279524, DOI: 10.1016/s2352-3018(18)30175-9.Peer-Reviewed Original ResearchConceptsIndex releaseCause mortalityMortality rateRetrospective observational cohort studyCox proportional hazards modelLow CD4 countObservational cohort studyHIV surveillance dataCrude mortality rateGeneral US populationProportional hazards modelStandardised mortality ratiosSubstance use disordersSystems of careHIV/AIDSSurvival of peopleVirological failureAntiretroviral therapyCD4 countMedical comorbiditiesCohort studyRetrospective cohortMedian ageLiver diseaseViral load
2017
Exploring knowledge and attitudes toward non-communicable diseases among village health teams in Eastern Uganda: a cross-sectional study
Ojo TT, Hawley NL, Desai MM, Akiteng AR, Guwatudde D, Schwartz JI. Exploring knowledge and attitudes toward non-communicable diseases among village health teams in Eastern Uganda: a cross-sectional study. BMC Public Health 2017, 17: 947. PMID: 29233114, PMCID: PMC5727968, DOI: 10.1186/s12889-017-4954-8.Peer-Reviewed Original ResearchConceptsVillage health teamsNon-communicable diseasesNCD preventionVHT membersHealth teamsMaternal-child healthMedical personnelCross-sectional studyResource-limited settingsEastern UgandaNCD servicesHealth workersReferral toolMajor barrierInfectious diseasesMayuge districtHealth issuesDiseaseThematic qualitative analysisPotential rolePreventionRole expansionCommunity awarenessFocus group discussionsEssential personnelClinical and parasitological factors in parasite persistence after treatment and clinical cure of cutaneous leishmaniasis
Martínez-Valencia AJ, Daza-Rivera CF, Rosales-Chilama M, Cossio A, Rincón E, Desai MM, Saravia NG, Gómez MA. Clinical and parasitological factors in parasite persistence after treatment and clinical cure of cutaneous leishmaniasis. PLOS Neglected Tropical Diseases 2017, 11: e0005713. PMID: 28704369, PMCID: PMC5526576, DOI: 10.1371/journal.pntd.0005713.Peer-Reviewed Original ResearchConceptsCutaneous leishmaniasisParasite persistencePercent of patientsInitiation of treatmentEnd of treatmentViability of LeishmaniaDisease reactivationTonsillar mucosaClinical cureClinical resolutionTreatment initiationProtective immunityMeglumine antimoniatePersistent infectionMucosal tissuesPrevious episodesTherapeutic cureParasitological factorsProtective factorsPatientsParasitological parametersTreatmentLeishmaniasisWeeksHigher proportion
2016
Household Food Insecurity and Sleep Patterns Among Mexican Adults: Results from ENSANUT-2012
Jordan ML, Perez-Escamilla R, Desai MM, Shamah-Levy T. Household Food Insecurity and Sleep Patterns Among Mexican Adults: Results from ENSANUT-2012. Journal Of Immigrant And Minority Health 2016, 18: 1093-1103. PMID: 26163336, DOI: 10.1007/s10903-015-0246-5.Peer-Reviewed Original ResearchConceptsPoor sleep qualityHousehold food insecuritySleep durationSleep qualityMexican adultsSevere household food insecuritySelf-reported sleep durationCaribbean Food Security ScaleInadequate sleep durationFood insecurityFood secure householdsPotential confoundersIndependent associationFood Security ScaleSleep patternsBinomial logistic regressionLevels of severitySignificant associationLogistic regressionAdverse effectsVulnerable populationsAdultsAssociationDurationRepresentative surveyFactors associated with interest in receiving prison-based methadone maintenance therapy in Malaysia
Mukherjee TI, Wickersham JA, Desai MM, Pillai V, Kamarulzaman A, Altice FL. Factors associated with interest in receiving prison-based methadone maintenance therapy in Malaysia. Drug And Alcohol Dependence 2016, 164: 120-127. PMID: 27207155, PMCID: PMC5592792, DOI: 10.1016/j.drugalcdep.2016.04.037.Peer-Reviewed Original ResearchConceptsMethadone maintenance therapyMaintenance therapyOpioid dependenceDaily heroin useOpioid use disorderLogistic regression analysisMMT initiationDrug use consequencesIndependent correlatesModifiable factorsHIV preventionHeroin useUse disordersParticipant characteristicsMental healthConvenience sampleHIVRegression analysisTherapyStructured questionnaireIncarcerated menMale prisonersUse consequencesLarge proportionPrison populationA longitudinal study of health professional students’ attitudes towards interprofessional education at an American university
Wong RL, Fahs DB, Talwalkar JS, Colson ER, Desai MM, Kayingo G, Balanda M, Luczak AG, Rosenthal MS. A longitudinal study of health professional students’ attitudes towards interprofessional education at an American university. Journal Of Interprofessional Care 2016, 30: 191-200. PMID: 27026189, DOI: 10.3109/13561820.2015.1121215.Peer-Reviewed Original ResearchConceptsHealth professional studentsInterprofessional educationProfessional studentsPositive attitudesStudent characteristicsExtracurricular activitiesInterdisciplinary Education Perception ScalePhysician associate studentsService-learning modelsInterprofessional Learning ScaleThird yearPrevious healthcare experiencesLearning ScaleExtracurricular experiencesAssociate studentsNursing studentsStudentsAmerican UniversityPerception ScaleCohort of USSchoolsEducationAttitudesExperienceSuch activities
2015
The Value of Continuous ST-Segment Monitoring in the Emergency Department
Bovino LR, Funk M, Pelter MM, Desai MM, Jefferson V, Andrews LK, Forte K. The Value of Continuous ST-Segment Monitoring in the Emergency Department. Advanced Emergency Nursing Journal 2015, 37: 290-300. PMID: 26509726, PMCID: PMC4644066, DOI: 10.1097/tme.0000000000000080.Peer-Reviewed Original ResearchConceptsContinuous ST-segment monitoringAcute coronary syndromeST-segment monitoringEmergency departmentAdverse eventsDiagnostic accuracyRisk-stratified analysisLikelihood ratioSingle emergency departmentHigh-risk participantsCoronary syndromeElectrocardiographic monitoringMedian timeTroponin (HEART) scoreMyocardial ischemiaRisk factorsHigh riskDiagnostic benefitIschemiaIntervention phaseDiagnosisBedside monitorsInfarctionPatientsSymptomsObesity not associated with severity among hospitalized adults with seasonal influenza virus infection
Braun ES, Crawford FW, Desai MM, Meek J, Kirley PD, Miller L, Anderson EJ, Oni O, Ryan P, Lynfield R, Bargsten M, Bennett NM, Lung KL, Thomas A, Mermel E, Lindegren ML, Schaffner W, Price A, Chaves SS. Obesity not associated with severity among hospitalized adults with seasonal influenza virus infection. Infection 2015, 43: 569-575. PMID: 26148927, DOI: 10.1007/s15010-015-0802-x.Peer-Reviewed Original ResearchConceptsSeasonal influenza virus infectionMultivariate logistic regression modelSeasonal influenza severityLaboratory-confirmed influenzaRisk of pneumoniaInfluenza virus infectionLogistic regression modelsHospitalized adultsICU admissionObese patientsSevere obesityInfluenza severityArtificial ventilationVirus infectionWeight categoriesObesityPneumoniaSeverityRegression modelsAdultsUnderweightPatientsAdmissionInfectionInfluenza
2014
Hospital variation in risk-standardized hospital admission rates from US EDs among adults
Capp R, Ross JS, Fox JP, Wang Y, Desai MM, Venkatesh AK, Krumholz HM. Hospital variation in risk-standardized hospital admission rates from US EDs among adults. The American Journal Of Emergency Medicine 2014, 32: 837-843. PMID: 24881514, DOI: 10.1016/j.ajem.2014.03.033.Peer-Reviewed Original ResearchConceptsHospital admission ratesEmergency departmentAdmission ratesClinical characteristicsED visitsHospital factorsClinical factorsAdult ED visitsUS emergency departmentsHospital teaching statusCross-sectional analysisPatient characteristicsHospital admissionHospital variationPatientsTeaching statusHospitalED dataVisitsRepresentative sampleAdultsRural locationsAdmissionFactorsNational variationsUsual Source of Care and Outcomes Following Acute Myocardial Infarction
Spatz ES, Sheth SD, Gosch KL, Desai MM, Spertus JA, Krumholz HM, Ross JS. Usual Source of Care and Outcomes Following Acute Myocardial Infarction. Journal Of General Internal Medicine 2014, 29: 862-869. PMID: 24553957, PMCID: PMC4026492, DOI: 10.1007/s11606-014-2794-0.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionUsual sourceMyocardial infarctionMortality rateBaseline risk factorsAcute clinical eventsMain outcome measuresAMI severityAMI patientsMultivariable analysisKey ResultsAmongClinical eventsSocio-demographic characteristicsRisk factorsOutcome measuresReadmissionHigh mortalityPatientsMortalityCareMonthsInfarctionAdultsOutcomesAssociation
2013
Characteristics of Medicaid enrollees with frequent ED use
Capp R, Rosenthal MS, Desai MM, Kelley L, Borgstrom C, Cobbs-Lomax DL, Simonette P, Spatz ES. Characteristics of Medicaid enrollees with frequent ED use. The American Journal Of Emergency Medicine 2013, 31: 1333-1337. PMID: 23850143, DOI: 10.1016/j.ajem.2013.05.050.Peer-Reviewed Original ResearchConceptsFrequent ED usersFrequent ED useED usersMedicaid enrolleesED visitsED useFrequent emergency department visitsCommon ED diagnosesEmergency department visitsChronic medical conditionsPrimary care providersAlcohol-related disordersAbdominal painClinical characteristicsDepartment visitsCommon diagnosisSingle centerRetrospective studyPrimary careInsurance typeED diagnosisMedical conditionsCare providersAlcohol abusePatients