Publications by authors named "Neelima Navuluri"

Article Synopsis
  • Health systems are increasingly focusing on screening for health-related social needs, but the impact of social resources on recovery from illnesses like COVID-19 is still not fully understood.
  • A study was conducted through interviews with 24 participants, including patients and caregivers, to explore how social determinants of health (SDOH) influenced COVID-19 recovery.
  • Three main themes emerged: innovative social resource mobilization helped recovery, while disruptions in social support networks and mistrust in institutions posed challenges.
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  • Data on chronic hypoxemia risk factors in low- and middle-income countries are limited; this study aimed to identify such factors among hospitalized adults in Kenya.
  • The study involved a case-control design with 108 patients having chronic hypoxemia and 240 non-hypoxemic control patients, revealing significant associations with older age, female sex, tobacco use, and prior tuberculosis.
  • The results suggest a strong link between past tuberculosis and chronic lung disease in Kenya, emphasizing the need for further research on this issue.
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Background: Racial disparities in lung cancer screening (LCS) are well established. Black Veterans are among those at the highest risk for developing lung cancer but are less likely to complete LCS. We sought to identify barriers and facilitators to LCS uptake among Black Veterans.

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Article Synopsis
  • - Tuberculosis (TB) is a major global health issue, especially for people living with HIV, who face high rates of TB-related illness and death, and survivors may experience post-TB lung disease.
  • - The TB Sentinel Research Network (TB-SRN) is set to conduct a study involving 2600 individuals aged 15 and older, both with and without HIV, to evaluate TB treatment outcomes across 16 sites in 11 countries, collecting extensive health-related data over 12 months.
  • - The study has received ethical approval, ensuring participant safety and informed consent procedures, and aims to share its findings with national TB programs to shape future TB policies and practices globally.
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Article Synopsis
  • The study aimed to assess the burden of hypoxaemia among hospitalized adults in Kenya, focusing on its prevalence and chronic forms in low-to-middle income settings.
  • Conducted at a national referral hospital from September 2019 to April 2022, the research involved adults admitted to general medicine wards, with nearly a quarter of admitted patients found to be hypoxaemic upon arrival.
  • Results indicated that 23.8% of the 4,104 screened patients were hypoxaemic at admission, with a mortality rate of 31.0% among those with unresolved hypoxaemia, and a chronic hypoxaemia prevalence of 2.1% in the total population, highlighting significant patient outcomes related to oxygen access and treatment
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Determine the prevalence of airway disease (e.g., asthma, airflow obstruction, and eosinophilic airway inflammation) in Kenya, as well as related correlates of airway disease and health-related quality of life.

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  • Racial disparities in lung cancer screening (LCS) exist within the Veterans Affairs health care system, despite reduced barriers; a study at the Durham Veterans Affairs Health Care System aimed to investigate this issue in North Carolina.
  • The study included veterans referred for LCS from 2013 to 2021, specifically looking at those who identified as White or Black and met eligibility criteria, excluding those who died early or screened before referral.
  • Results showed that only 37.1% of veterans completed LCS, with significant disparities: Black veterans had a lower completion rate (30.5%) compared to White veterans (41.3%), and lower odds of completing screening even after accounting for demographic and socioeconomic factors.
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This ethnographic study introduces the term "distressed work" to describe the emergence of chronic frictions between moral imperatives for health care workers to keep working and the dramatic increase in distress during the Covid-19 pandemic. Interviews and observant participation conducted in a hospital intensive care unit during the Covid-19 pandemic reveal how health care workers connected job duties with extraordinary emotional, physical, and moral burdens. We explore tensions between perceived obligations of health care professionals and the structural contexts of work.

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Lung cancer screening (LCS) decreases lung cancer related mortality among high-risk people who smoke cigarettes and has been endorsed by the US Preventive Services Task Force (USPSTF) since 2013. However, adoption of LCS has been limited, and disparities in LCS among racially and ethnically minoritized groups have become apparent. While recommendations to improve disparities in LCS have been made, there is a lack of information on how these recommendations have been implemented and their relative effectiveness in improving screening disparities.

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Unlabelled: We assessed the effect of implementing a protocol-directed strategy to determine when patients can be liberated from venovenous extracorporeal membrane oxygenation on extracorporeal membrane oxygenation duration, time to initiation of first sweep-off trial, duration of mechanical ventilation, ICU length of stay, hospital length of stay, and survival to hospital discharge.

Design: Single-center retrospective before and after study.

Setting: The medical ICU at an academic medical center.

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Background: Respiratory diseases are the leading cause of death and disability worldwide. Oxygen is an essential medicine used to treat hypoxemia from respiratory diseases. However, the availability and utilization of oxygen delivery systems for adults in sub-Saharan Africa is not well-described.

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Massive hemoptysis represents a life-threatening disorder that has numerous different causes. The development of recombinant factor concentrates has allowed for novel treatments in this emergency setting. This report describes a patient with chronic thromboembolic pulmonary hypertension who underwent pulmonary thromboendarterectomy.

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This study qualitatively examines contrasting parental decision-making styles about family food choices and physical activities as well as willingness to change behaviors among Mexican-American and Mexican immigrant mothers and fathers of school-aged children. Twelve sex-specific focus groups were held in English or Spanish in 2012. Qualitative analysis informed by grounded theory examined parenting styles (ie, authoritative, authoritarian, or permissive), barriers to healthy lifestyle, and parents' stage of change about healthy lifestyles.

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A descriptive correlation study was conducted in Hobbs, New Mexico, USA, to find the relationship between backpack use and back and neck pain among adolescent boys and girls. A higher percentage of girls than boys rated their pain as being moderate to extremely strong. The correlation between pain and backpack weight per body mass index among girls was positive and significant, but negative and non-significant among boys.

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