october 14, 2016 2:00-4:00 pm - university of colorado denver · october 14, 2016 – 2:00-4:00 pm...
TRANSCRIPT
October 14, 2016 – 2:00-4:00 pm
Hensel Phelps Auditorium East, Research 1 North Building, 12800 East 19th Avenue; Aurora, CO 80045
2:05 pm – Ninos Sanos Nutrition and Development - Guatemala Steve Berman, MD, FAAP, Director, Center for Global Health and Professor of Epidemiology both in the Colorado School of Public Health and Professor of Pediatrics in the School of Medicine, University of Colorado Anschutz Medical Campus
2:15 pm – Breastfeeding Study - Nepal Jennifer Bellows, MD, MPH, Emergency Medicine Staff Physician, Denver Health Medical Center and Assistant Professor in Emergency Medicine and Director, Fellowship in Global Emergency Medicine both at the School of Medicine, University of Colorado Anschutz Medical Campus
2:25 pm – Vaccines for Low Income Countries – Guatemala Edwin Asturias, MD, Director of Latin American Projects, Center for Global Health and Associate Professor of Epidemiology both at the Colorado School of Public Health; Associate Professor of Pediatric Infectious Disease and Co-Director of the Pediatric Resident Global Health Track both in the School of Medicine, University of Colorado Anschutz Medical Campus
2:35 pm – Control of neglected tropical diseases in Asia; and evaluating the health impacts of climate – Thailand and China – foreign travel optional Elizabeth Carlton, PhD, MPH, Assistant Professor of Environmental and Occupational Health, Colorado School of Public Health at the University of Colorado Anschutz Medical Campus
2:45 pm – Infant Warmer Study - Rwanda Leana May, DO, MPH, Instructor of Pediatrics, Associate Director of Global Health Track and Co-Director of Resident Pediatric Global Health Track all in the School of Medicine at the University of Colorado Anschutz Medical Campus and Adjunct Faculty at Boston Children's Hospital
2:55 pm - Replication of the Nurse-Family Partnership Internationally – foreign travel not required David Olds, PhD, Professor of Pediatrics, Nursing and Public Health and Director of the Prevention Research Center for Family and Child Health both at the School of Medicine, University of Colorado Anschutz Medical Campus and Affiliated with Children’s Hospital Colorado
3:05 pm – Multiple Projects – foreign travel optional Eric Simoes, MB, BS, DCH, MD, Professor of Pediatric Infectious Disease, School of Medicine and Professor of Epidemiology at the Colorado School of Public Health both at the University of Colorado Anschutz Medical Campus
3:15 pm – Global Livingston Institute - East Africa Will Tesconi, Programming Coordinator, Global Livingston Institute
3:25 pm – International Asthma Services - India Phuong Dinh, MBA Health Administration, Health Information Technology Management Track Candidate, Business School, University of Colorado Denver
Additional Opportunities See handout with slides for more info about these projects
International field experience in occupational and environmental health – Guatemala (left)Lyndsay Krisher, MPH, Professional Research Assistant, Center for Health, Work and Environment, Colorado School of Public Health (right) Jaime Butler-Dawson, PhD, MPH, Research Associate, Center for Health, Work and Environment, Colorado School of Public Health
Childrens’ Nutrition Program – Haiti Blair Gifford, PhD, Professor of International Health Management in the Business School and the Colorado School of Public Health
HIV Implementation and Research – Kenya Lisa L Abuogi, MD, MSc, Assistant Professor of Pediatrics at the University of Colorado School of Medicine
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Project Overview
Mentor: Steve Berman, MD, FAAP
• Guatemala Center for Global Health
• Foundation for Integrated Health for Guatemala
More Details
• Funding
– AgroAmerica, CHCO, CGH
• Duration
– Ongoing
• Any language requirement
– Spanish if going to Guatemala
• Foreign travel is required?
– No
Aims & Objectives• Nutrition
– Monitor the impact of the nutrition program
• Anthropomorphic data
• Anemia
• Program process measures for participation
• Quality assessment
• Child Development
– Monitor the ASQs
• Program process measures for participation
• Quality assessment
Methods
• Focus on training/education or research?
– Monitoring and evaluation
– Literature reviews
Anything Additional
• Opportunity to become involved in November
• Commitment
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Nepal Project
Mentors: Jennifer Bellows, MD MPH; Geoffroy Fauchet MD MPH
• Recruiting 3 students (MS1s/PA1s)
• 8 weeks during June – August 2017• Clinical Shadowing: 3-4 weeks
• Public Health Project: 3-4 weeks
• Dhulikhel Hospital
• Opportunities to return 4th year
• Funding• Rotary Club, Robinson Durst, FundraisingFunding
• No language requirement
Nepal Project
Aims & Objectives
• Strengthen our collaboration between the Dhulikhel Hospital and CUSOM
• Experience healthcare delivery in an academic center in rural Nepal
• Develop hands-on skills on how to conduct public health field research internationally
• Learn the intricacies of the Nepali culture, a prominent refugee population in Colorado
• Exclusive Breastfeeding Research
• Aim: Reduce stunting, malnutrition, and infant mortality by increasing rates of EBF
• Longitudinal project started in 2014
• IRB/IRC approved
• Buy-in from the community
• New public health school support
Research
Anything Additional
• Rotations offered• IM, EM, OBGYN, Peds, GenSurg, ortho
• Application process – preference to GHT• Essay, resume, brief interview
• Upcoming info session with current/past team• Week of October 17th, exact date TBD
• Questions• [email protected]
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Project Overview
• Dan Olson (Peds Infectious Diseases)
• Molly Lamb (Epidemiologist)
• Kathy Colborne (Biostatistician)
• Anne-Marie Rick (Fellow in GH, Pediatrician)
• Baylor College of Medicine
Epidemiology and Evaluation of Outcomes in children with arbovirus infectionMentor: Edwin Asturias, MD
Study Setting: Trifinio Region of SW Guatemala
Quetzaltenango
Retalhuleu
San Marcos
• Rapid methods to estimate the burden of infection and disease due to Dengue, Zika, Norovirus
• Parental acceptability of future arbovirus and norovirus vaccines
• Evaluation of neurologic and neurodevelopmental outcomes of Zika infection in children
• Group B streptococcus infections in pregnant women
What are we doing?
Aims & Objectives Areas for Students
• Practicum and capstone projects
– Data analysis on acute febrile illnesses and AGE in children
– Vaccine acceptability data base
• Branched projects from main grants
– Vaccine hesitancy and timeliness in a rural are of Guatemala
– Seroepidemiology for vaccine preventable diseases (hepatitis A, dengue, measles, etc.)
– New diagnostic methods for tropical diseases
Whom may apply
• Project with no specific funding for students, but depending on the project some lodging fees could be covered if overseas
• Q1 of 2017 to Q4 of 2018
• Spanish preferable, but if interested in data only English is fine
• Foreign travel not required
Our site
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Schistosomiasis in China
Mentor: Beth Carlton, PhD, MPH
Project 1: Understanding the reemergence and persistence of schistosomiasis in China
Collaborators: Sichuan Center for Disease Control and Prevention, Chengdu, China
Carlton Lab
Schistosomiasis in China
Potential student projects
• Diagnostics for S. japonicum
• Assessment of compliance with anti-helmenthic treatment
• Analysis of epidemiological data
Foreign travel possible: yes
Foreign travel required: no
Funding: NIH funded through Summer 2017 with possible extension
Language requirement: Mandarin a plus but not required
Carlton Lab
Liver Flukes in Thailand
Project 2: Transmission pathways of Opisthorchis vivierrini
Collaborators: Khon Kaen University, Thailand
Carlton Lab
Liver Flukes in Thailand
Potential student projects
• Diagnostics for O. viverrini
• Analysis of epidemiological data and manuscript preparation
Language requirement: Thai a plus but not required
Foreign travel possible: yes
Foreign travel required: no
Funding: NIH funded through January 2017
Carlton Lab
Climate Change and Health
Project 3: Impacts of climate change on health
Collaborators: Various
Potential student projects
• Literature review
• Analysis of epidemiological data and manuscript preparation
• Curriculum development
Foreign travel possible: no
Language requirements: none
Carlton Lab
Tips for a successful project
• Start early, especially if you want to go abroad
• Be realistic about expectations
• Communicate with your mentor
• Prepare. Prepare. Prepare. And then be prepared to troubleshoot when things don’t go as planned.
• Your work paves the way for future students
Carlton Lab
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For more information
Email me: , [email protected]
Visit our website:
http://www.ucdenver.edu/academics/colleges/PublicHealth/resourcesfor/Faculty/carlton/Pages/default.aspx
Carlton Lab
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Project Overview
Mentor: Leana May, DO, MPH
• Low Cost Non-Electric Infant Warming Blanket
• Collaborators:
More Details
• This is a 2 phase project being carried out in 2 Partners in Health supported district hospitals & health centers
• Funding:
– Harvard Medical School Rosenfeld Fund
– Pending Save the Children Grant for Rwandan national scale
• Berkeley Engineering Grad Students working on a business plan for LIC manufacturing for international scale
Aims & Objectives
• Phase 2 Aims: – To assess the safety, efficacy, usability and functionality of
the infant warmer in rural health centers during post-partum care, resuscitation/stabilization and on transport using the same methods as Phase 1 (in district hospitals).
– To assess the perceived usability, functionality, and acceptability of the infant warmer as an addition to KMC in the health center setting from the perspectives of caregivers and health care providers
• National Scale of Warmer:
– Expansion to all 42 district hospitals
Methods
• Clinical based project:
– Quantitative & qualitative components to Phase 2
– Logistical planning for national scale up
– Statistics: local PIH Rwandan staff with HSPH mentorship
– Will not lead to a 1st
author publication
Additional Info
• The overall goal of the project:
– Data to support safety and functionality at a national level for global scale up
– Secure low cost production in a in a low resource setting
• To be successful:
– High sensitivity to cultural cues
– Adaptable
– Self motivated
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Project OverviewMentor: David Olds, PhD
• Replication of the Nurse-Family Partnership (NFP) in International Contexts
– Prenatal and early childhood home visiting by nurses for disadvantaged mothers and children
– 3 goals: improve outcomes of pregnancy, child health and development, and maternal life-course
– Tested in 3 RCT’s in US and 2 in other countries
– Careful adaptation and evaluation in other settings
• Collaborators:
– Debbie Sheehan, Ann Rowe, David Olds
More Details
• Funding: contracts with other governments
– Netherlands, England, Scotland, Norway, Bulgaria, Australia, (aboriginal families), American Indian Tribes, Alaskan Native Communities
• Duration: since 2006 - ongoing
• Any language requirement: English
• Foreign travel is not required in short-term
Aims & Objectives
• Replication follows 5 stages:
– Evaluation of local capacity and commitment
– Translation and adaptation
– Formative evaluation
– RCT (if population is sufficiently large)
– Broader replication if evaluation supports it
Methods
• Focus on adaptation of model and education of nurses
• Program highly structured but needs to be adapted to each family
• Integration into local health and human services
• Support of evaluation (formative, RCT)
Anything Additional
• Worked only in high-income countries to date
• Evaluation of data with American Indian and Alaskan Native families – culture, context, parity
• Considering invitation to go to Liberia
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Project Overview
Mentor: Eric Simoes, MB, BS, DCH, MD
• Collaborators
– Philippines: Vickee Tallo; RITM Manila, Bohol Island
– India: Ashish Satav, MAHAN trust Melghat,
– India: V Balaji, CMC Hospital, Vellore
More Details
• Funding: Bill and Melinda Gates foundation [all three projects]
• Duration: Till 2018/2019
• Any language requirement: None
• Foreign travel is required?: It’s not required, but, projects can be done in country. Some data can be analyzed in Denver, from previous studies.
Aims & Objectives
• BOHOL: Follow-up of children in the pneumococcal vaccine trial, 10 to 12 years later for cognitive development.
• MELGHAT: Mortality from RSV and other respiratory infections in a rural area
• CMC Vellore: antimicrobial resistance, group B streptococcal infection, pregnancy outcomes
Methods
• Focus on training/education or research?
• The focus of all of the projects will be on research.
• They can Independent projects or tagged on to existing projects, but I prefer individual projects with joint mentorship in country and with my team here in Denver.
• There can also be database related projects on existing data from Bohol or India
Anything Additional
• BOHOL: An island in the south the Philippines, wonderful working area
• MELGHAT: in a Tiger reserve, very rural with a high mortality. Projects involve children and adults as well as pregnant mothers.
• CMC Vellore: In the south of India, very qualified investigators in microbiology, epidemiology, pediatrics and obstetrics and gynecology. Multiple opportunities to work on independent projects.
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Project Overview
Mentor: Jamie Van Leeuwen, PhD, MA, MPH
Presented by: Will Tesconi
• Protocol #:16-1407
• Project Title: Malaria Prevention through Electric Diffusers in Rural Uganda– Our primary aim during this study is to lower the incidence of malaria by 50% in 8 villages
located in southern Uganda over a 6 month period through the use of novel Portable Electric Diffusers.
• Collaborators– We will be actively working with several village leaders within the local
area of Habuhinga.
– Dr. Giovanni Cucchiaro, Anesthesiologist, Co-Investigator
More Details
• Funding– Applied for NIH F31 Grant, review pending.
– Currently searching for Malaria-specific grants.
• Duration– 1 year, comprised of two separate 6-month phases
• Any language requirement– None
• Foreign travel is required?– Travel to Uganda from 6/25/2017-12/31/2017*
* Pending COMIRB Approval of Study Timeline
Aims & Objectives
• Specific Aim 1. Lower the incidence of malaria by 50% in 8 villages located in southern Uganda over a 6 month period.
• Specific Aim 2. Evaluate the level of independent self-support for malaria prevention by measuring the level of compliance with the appropriate utilization of the Vape Portable Set.
• Specific Aim 3. Integrate community-development based model of foreign aid in the curriculum of students at the
University of Colorado Denver School of Public Affairs.
Methods• Focus on Research
– Enroll 80 families• Monitor the 80 families throughout
the 6 month period
– Record rates of Malaria Incidence• Record rates of compliance
– Replace batteries and refill chemicals in vaporizer when needed.
Anything Additional
• Persuasion– The greatest challenge in this study is convincing rural Ugandans that
Malaria is a public health threat.
– Malaria is seen as a disease that is common and non-life threatening, similarly to how most Americans view the common cold.
– Malaria is a significant threat to Ugandans, and was responsible for 27% of all deaths in Uganda in 2015.
38. Wetaya, R. (2016). Malaria Leading Cause of Death in Uganda. <http://www.newvision.co.ug/new_vision/news/1423973/malaria-leading-cause-death-uganda>
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Project OverviewMentor: PK Vedanthan, MD
Presented by: Phuong Dinh, MBAc
INTERNATIONAL ASTHMA SERVICES (IAS)• IAS is planning to conduct Asthma –Allergy awareness camps in Rural and
Urban locations in India, Myanmar.
• About 100 patients will be interviewed by the research team
• Collected data will be analyzed by team in Colorado
• Presentation of the paper needs to be made in Summer of 2017 and hopefully efforts will be made for eventual publication
More Details
Funding: Partially provided by IAS
• Duration: 2 months
• Any language requirement: English. Interpreters will be provided if on site.
• Foreign travel: Not mandatory. Would be ideal if accomplished
Aims & Objectives
1. To study the differences in the prevalence, clinical patterns, skin test data, treatment received between Urban and Rural patients.
2. To study the environmental factors involved (animal exposure, environmental tobacco smoke, biomass fuel use, family size, dietary habits) between the 2 groups.
3. To record the comorbid conditions.
Methods
Research - Analyze and
interpret results
Patient Education
Patient Training
Clinical focus:Allergy, Asthma,
Related Immunology
Collaboration with:Local medical students and other
health professionals
Anything Additional
• Clinically oriented study in a developing country.
• Experience might potentially influence the student’s further exploration into global work
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Guatemala
International field experience in occupational and environmental health
Mentor: Lee Newman, MD, MA
Project Overview• The Center for Health, Work and Environment (CHWE) and the Center for Global
Health (CGH) at the ColoradoSPH have begun a collaborative project to address Total Worker Health® (TWH) in cooperation with Pantaleon, a sugarcane agro-business based in Guatemala. TWH is a systematic approach to promoting good health and wellbeing of workers as well as preventing workplace injuries and illnesses.
• We are working with Pantaleon to evaluate their existing worker health and safety programs, using those findings to inform research and new interventions during this year’s sugarcane harvest season (November – May). Of top concern is the unexplained epidemic of chronic kidney disease (CKDu) that is occurring throughout Central America among sugarcane workers.
• CKDu is frequently a life threatening condition in this part of the world where a high proportion of the population live in poverty, and where access to expensive treatment services such as dialysis and kidney transplants are extremely limited. Therefore we aim to expand the knowledge base of this issue, understand the risk factors, and ultimately to find feasible solutions that will prevent the future development of this deadly disease and connect affected employees to medical care.
Aims & Objectives
• Overall Objective: Investigate specific behaviors and exposures related to sugarcane work and their association with non-communicable diseases, specifically CKDu among sugarcane workers in Guatemala.
• Aim 1: Prospectively assess kidney function in field and factory sugarcane workers at the start and end of the sugarcane harvest and evaluate occupational and non-occupational risk factors of declining kidney function.
• Aim 2: Assess changes in biomarkers of kidney function across the work shift and their possible relationships with dehydration and heat stress among sugarcane workers.
• Aim 3: Measure biomarkers of exposure and environmental water samples for nephrotoxic heavy metals and agrochemicals.
MethodsWhat: Practicum opportunity for students to assist with the research
– Role to support local research staff with health & environmental data and sample collection in the field
When: Data/sample collection will be conducted in Guatemala during 2-week time periods (exact dates TBD):
– End of March/early April (1-2 students)
– Early May (1-2 students)
• MPH students: Potential to extend the practicum experience to a Capstone project using data collected, with mentorship from CHWE research staff
More Details
• Funding: Student is responsible for travel costs (flight) and lodging in Guatemala city. Food and lodging at the field site will be provided.
• Duration: 2 weeks on site + training and prep before departure
• Strong Spanish language skills preferred
Contact Lyndsay Krisher at CHWE for more information
303-724-7847
Contact
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Project Overview
Mentor: Blair Gifford, PhD
• Collaborators – Childrens’ Nutrition Program (Chattanooga, TN). Based in Leogane, Haiti (about 25 miles from the capital, Port au Prince). Faculty collaborators include: Dr. Gretchen Berggren (CU Ctr for Global Health, retired SPH faculty, Harvard U) and Dr. Blair Gifford (UC Denver Business School and the CU Ctr for Global Health)
More Details
• Funding – Self funded. A student would have to find a funding source
• Duration – a week or two to a month or two.
• Any language requirement – it would help to speak French. Creole would be great. I get around the country pretty well just knowing english
• Foreign travel is required? Haiti (through Florida). Costs are relatively small for air travel
Aims & Objectives
• Childrens Nutrition Program has been working in Leogane, Haiti since the early ’90s. It is connected to SPH/Medical faculty at Harvard, plus Gretchen Berggren and Blair Gifford at CU. Currently, a 3rd year CU medical student is analyzing the effectiveness of interventions (nutrition) in the villages about Leogane. CNP has base line data from a complete survey of all households in the area. Their data is excellent for a researcher, and analysis results are very publishable.
Methods
• Focus on training/education or research?
• The focus is currently on research of CNP, but education/training could be done through CNP’s various community programs, too. These include: Mother/child health, water/sanitation/hygiene, malnourishment, basic health, social finance/empowerment.
Anything Additional
• CNP rents a house in Leogane and it is likely that they could accommodate a CU student who is doing research or training for them.
10/13/2016
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HIV Implementation and Research in Kenya
Dr. Lisa AbuogiAssistant Professor
Department of [email protected]
Project Overview
• Family AIDS Care and Education Services is a CDC-funded project that supports implementation of HIV prevention, care and treatment services in Kisumu County, Kenya
• Collaborators
– UCSF, Kenya Medical Research Institute, Ministry of Health, CDC
Project Overview
• MOTIVATE Study- Mother and Infant Visit Adherence and Treatment Engagement Study
• Cluster randomized trial comparing community mentor mothers versus text messaging to optimize adherence and retention of HIV positive pregnant women on HAART
• Collaborators
– Kenya Medical Research Institute, University of Alabama, Ministry of Health, NIH
More Details
• Funding
– FACES: CDC
– MOTIVATE Study: NIH
• Duration
– FACES: through September 2021
– MOTIVATE Study: through April 2019
• Any language requirement
– No, unless project requires it (e.g. interviews)
• Foreign travel is required?
– Usually minimum of 6 weeks in-country
– Data analysis may be possible without travel (very limited
opportunities)
Methods
• Focus on training/education or research?
– FACES focuses on:
• implementation of HIV services
• Training and capacity building of Kenyan staff
• Program evaluation
– MOTIVATE study is a rigorous research project
• Cluster randomized factorial design of 20 communities
Anything Additional
• Not for the faint of heart…
– Requires minimum 6 month commitment
– Must be flexible, enthusiastic, and culturally competent
• www.faces-kenya.org/step