Nathan Maclyn Thielman

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Richard L. Guerrant, Thomas Van Gilder, Ted S. Steiner, Nathan M. Thielman, Laurence Slutsker, Robert V. Tauxe, Thomas Hennessy, Patricia M. Griffin, Herbert DuPont, R. Bradley Sack, Phillip Tarr, Marguerite Neill, Irving Nachamkin, L. Barth Reller, Michael T. Osterholm, Michael L. Bennish, and Larry K. Pickering University of Virginia, Charlottesville;(More)
BACKGROUND Access to antiretroviral therapy is rapidly expanding in sub-Saharan Africa. Identifying the predictors of incomplete adherence, virologic failure, and antiviral drug resistance is essential to achieving long-term success. METHODS A total of 150 subjects who had received antiretroviral therapy for at least 6 months completed a structured(More)
OBJECTIVE In addition to biological markers of human immunodeficiency virus (HIV) disease progression, physical functioning, and utilization of health care may also be important indicators of health status in HIV-infected patients. There is insufficient understanding of the psychosocial predictors of health-related physical functioning and use of health(More)
Data on nontuberculous mycobacterial (NTM) disease in sub-Saharan Africa are limited. During 2006-2008, we identified 3 HIV-infected patients in northern Tanzania who had invasive NTM; 2 were infected with "Mycobacterium sherrisii" and 1 with M. avium complex sequevar MAC-D. Invasive NTM disease is present in HIV-infected patients in sub-Saharan Africa.
OBJECTIVE To examine the influence of incident stressful experiences on antiretroviral medication adherence and treatment outcomes. Past trauma history predicts poorer medication adherence and health outcomes. Human immunodeficiency virus (HIV)-infected individuals experience frequently traumatic and stressful events, such as sexual and physical assault,(More)
OBJECTIVES We examined associations between trust of health care providers and the government and health service use and outcomes. METHODS Interviews with a sample of 611 HIV-positive individuals included an attitudinal assessment measuring beliefs concerning the creation of AIDS, information being withheld about the disease, and trust of care providers.(More)
BACKGROUND Optimally, expanded HIV testing programs should reduce barriers to testing while attracting new and high-risk testers. We assessed barriers to testing and HIV risk among clients participating in mobile voluntary counseling and testing (MVCT) campaigns in four rural villages in the Kilimanjaro Region of Tanzania. METHODS Between December 2007(More)
BACKGROUND Injuries represent a significant and growing public health concern in the developing world, yet their impact on patients and the emergency health-care system in the countries of East Africa has received limited attention. This study evaluates the magnitude and scope of injury related disorders in the population presenting to a referral hospital(More)
OBJECTIVE To investigate the prevalence and correlates of intimate partner violence (IPV) among women at an HIV voluntary counseling and testing (VCT) center in northern Tanzania. METHODS In a cross-sectional study, the lifetime history of IPV experienced by women attending an HIV VCT center in Moshi, Tanzania, from June 2005 to January 2008 was assessed.(More)