Publications by authors named "J M Hertz"
Background: The Multicomponent Intervention to Improve Acute Myocardial Infarction Care (MIMIC) was developed to increase uptake of evidence-based care for acute myocardial infarction in Tanzania. MIMIC consists of five components: triage cards, pocket cards, an online training module, patient educational pamphlets, and clinical champions. Our aim was to determine the acceptability and feasibility of this intervention among emergency department (ED) providers in Tanzania.
View Article and Find Full Text PDFBackground: Preliminary data suggests that the burden of acute coronary syndrome (ACS) is high in Tanzania. After efforts to improve ACS care, we sought to describe ACS diagnosis rates, care processes, and outcomes in a Tanzanian Emergency Department (ED).
Methods: Adults presenting to a northern Tanzanian ED with acute chest pain or shortness of breath were enrolled from November 2020 to January 2023.
Background: In Tanzania, acute myocardial infarction (AMI) is under-diagnosed, and uptake of evidence-based care is sub-optimal. Using an implementation science approach, an intervention was developed to address local barriers to care: the Multicomponent Intervention for Improving Myocardial Infarction Care in Tanzania (MIMIC).
Methods: This single-arm pre-post trial was conducted in a northern Tanzanian emergency department (ED).
Article Synopsis
- The study evaluates the COACH intervention, which aims to integrate hypertension management into existing HIV care for people living with HIV (PLWH) in Tanzania.
- The intervention involves community health workers providing hypertension education, monitoring blood pressure, coordinating care, and offering subsidized medications over a six-month period for 100 participants.
- The significance of the study lies in its potential to enhance hypertension management within HIV services, offering valuable insights for broader implementation in resource-limited settings.
Background: Nonspecific electrocardiogram (ECG) findings are associated with increased morbidity and mortality in high-income settings. ECGs are increasingly available in emergency departments (EDs) in low- and middle-income countries (LMICs), however the prognostic value of nonspecific ECG findings in resource-limited settings, particularly in sub-Saharan Africa, remains unclear.
Objective: To assess the association between nonspecific ECG findings and 30-day mortality among patients presenting with chest pain and shortness of breath to a Tanzanian ED.