David H. Spach

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Bartonella quintana has episodically emerged as a cause of infection among distinct and diverse populations during the 20th century. The organism was first identified as an important human pathogen during World War I when it caused epidemics of louse-borne trench fever that affected an estimated 1 million troops in Europe (1, 2). Trench fever was(More)
Background.  To increase human immunodeficiency virus (HIV) care capacity in our region, we designed a distance mentorship and consultation program based on the Project ECHO (Extension for Community Healthcare Outcomes) model, which uses real-time interactive video to regularly connect community providers with a multidisciplinary team of academic(More)
BACKGROUND Western accredited medical universities can offer graduate-level academic courses to health care workers (HCWs) in resource-limited settings through the Internet. It is not known whether HCWs are interested in these online courses, whether they can perform as well as matriculated students, or whether such courses are educationally or practically(More)
Of the 1.1 million Americans infected with HIV/AIDS, 1 This guide presents a various studies estimate that anywhere from 25-35 percent are rationale for why Ryan coinfected with hepatitis C virus (HCV), or nearly 300,000 persons. 2 HIV/AIDS clinics funded by the Ryan White White clinics should play a HIV/AIDS Program see a significant number of coinfected(More)
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