Affiliation: DGHI Faculty

Nathan M Thielman
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School of Medicine


Infectious Diseases
Topical Interests:

Research Interests:

My research focuses on a range of clinical and social issues that affect persons living with or at risk for HIV infection in resource-poor regions in the rural southeastern U.S. and in sub-Saharan Africa. Internationally, I am working with colleagues in the Division of Infectious Diseases and the Duke Global Health Institute to understand the acceptability and impact of HIV voluntary counseling and testing services in rural parts of the Kilimanjaro Region of Tanzania and how psychosocial, demographic, and economic characteristics affect the health outcomes of those found to be HIV-infected. Domestically, I am the Clinical Site Leader for Duke’s Adult AIDS Clinical Trials Unit, and non-clinical trials research focuses on health disparities in HIV care in the rural southeastern U.S.

Representative Publications   (More Publications)

  1. M Prabhu, B McHome, J Ostermann, D Itemba, B Njau, N Thielman, KIWAKKUKI-Duke VCT Study Group, Prevalence and correlates of intimate partner violence among women attending HIV voluntary counseling and testing in northern Tanzania, 2005-2008., International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, vol. 113 no. 1 (April, 2011), pp. 63-7, ISSN 1879-3479 [doi]  [abs]
  2. J Ostermann, EA Reddy, MM Shorter, C Muiruri, A Mtalo, DK Itemba, B Njau, JA Bartlett, JA Crump, NM Thielman, Who tests, who doesn't, and why? Uptake of mobile HIV counseling and testing in the Kilimanjaro Region of Tanzania., PloS one, vol. 6 no. 1 (2011), pp. e16488, ISSN 1932-6203 [doi]  [abs]
  3. HJ Shao, JA Crump, HO Ramadhani, LO Uiso, S Ole-Nguyaine, AM Moon, RA Kiwera, CW Woods, JF Shao, JA Bartlett, NM Thielman, Early versus delayed fixed dose combination abacavir/lamivudine/zidovudine in patients with HIV and tuberculosis in Tanzania., AIDS research and human retroviruses, vol. 25 no. 12 (December, 2009), pp. 1277-85, ISSN 1931-8405 [doi]  [abs]
  4. MJ Mugavero, JL Raper, S Reif, K Whetten, J Leserman, NM Thielman, BW Pence, Overload: impact of incident stressful events on antiretroviral medication adherence and virologic failure in a longitudinal, multisite human immunodeficiency virus cohort study., Psychosomatic medicine, vol. 71 no. 9 (November, 2009), pp. 920-6, ISSN 1534-7796 [doi]  [abs]
  5. AC Tribble, CD Hamilton, JA Crump, A Mgonja, A Mtalo, E Ndanu, DK Itemba, KZ Landman, M Shorter, EM Ndosi, JF Shao, JA Bartlett, NM Thielman, Missed opportunities for diagnosis of tuberculosis and human immunodeficiency virus co-infection in Moshi, Tanzania., The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, vol. 13 no. 10 (October, 2009), pp. 1260-6, ISSN 1815-7920  [abs]
  6. MM Shorter, J Ostermann, JA Crump, AC Tribble, DK Itemba, A Mgonja, A Mtalo, JA Bartlett, JF Shao, W Schimana, NM Thielman, Characteristics of HIV Voluntary Counseling and Testing Clients Before and During Care and Treatment Scale-Up in Moshi, Tanzania., Journal of acquired immune deficiency syndromes (1999) (August, 2009) [doi]  [abs]
  7. LG Tillekeratne, NM Thielman, RA Kiwera, HY Chu, L Kaale, SC Morpeth, J Ostermann, SP Mtweve, JF Shao, JA Bartlett, JA Crump, Morbidity and mortality among a cohort of HIV-infected adults in a programme for community home-based care, in the Kilimanjaro Region of Tanzania (2003-2005)., Annals of tropical medicine and parasitology, vol. 103 no. 3 (April, 2009), pp. 263-73, ISSN 0003-4983 [doi]  [abs]
  8. JA Crump, J van Ingen, AB Morrissey, MJ Boeree, DR Mavura, B Swai, NM Thielman, JA Bartlett, H Grossman, VP Maro, D van Soolingen, Invasive disease caused by nontuberculous mycobacteria, Tanzania., Emerging infectious diseases, vol. 15 no. 1 (January, 2009), pp. 53-5, ISSN 1080-6059  [abs]
  9. K Whetten, J Ostermann, RA Whetten, BW Pence, K O'Donnell, LC Messer, NM Thielman, Positive Outcomes for Orphans (POFO) Research Team, A comparison of the wellbeing of orphans and abandoned children ages 6-12 in institutional and community-based care settings in 5 less wealthy nations., PloS one, vol. 4 no. 12 (2009), pp. e8169, ISSN 1932-6203 [doi]  [abs]
  10. MK Mayhood, IA Afwamba, CO Odhiambo, E Ndanu, NM Thielman, AB Morrissey, JF Shao, B Wells Pence, JA Crump, Validation, performance under field conditions, and cost-effectiveness of Capillus HIV-1/HIV-2 and determine HIV-1/2 rapid human immunodeficiency virus antibody assays using sequential and parallel testing algorithms in Tanzania., Journal of clinical microbiology, vol. 46 no. 12 (December, 2008), pp. 3946-51, ISSN 1098-660X [doi]  [abs]
  11. BW Pence, NM Thielman, K Whetten, J Ostermann, V Kumar, MJ Mugavero, Coping strategies and patterns of alcohol and drug use among HIV-infected patients in the United States Southeast., AIDS patient care and STDs, vol. 22 no. 11 (November, 2008), pp. 869-77, ISSN 1557-7449 [doi]  [abs]
  12. C Seshadri, LO Uiso, J Ostermann, H Diefenthal, HJ Shao, HY Chu, DM Asmuth, NM Thielman, JA Bartlett, JA Crump, Low sensitivity of T-cell based detection of tuberculosis among HIV co-infected Tanzanian in-patients., East African medical journal, vol. 85 no. 9 (September, 2008), pp. 442-9, ISSN 0012-835X  [abs]
  13. KZ Landman, J Ostermann, JA Crump, A Mgonja, MK Mayhood, DK Itemba, AC Tribble, EM Ndosi, HY Chu, JF Shao, JA Bartlett, NM Thielman, Gender differences in the risk of HIV infection among persons reporting abstinence, monogamy, and multiple sexual partners in northern Tanzania., PloS one, vol. 3 no. 8 (2008), pp. e3075, ISSN 1932-6203 [doi]  [abs]
  14. HO Ramadhani, NM Thielman, KZ Landman, EM Ndosi, F Gao, JL Kirchherr, R Shah, HJ Shao, SC Morpeth, JD McNeill, JF Shao, JA Bartlett, JA Crump, Predictors of incomplete adherence, virologic failure, and antiviral drug resistance among HIV-infected adults receiving antiretroviral therapy in Tanzania., Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, United States, vol. 45 no. 11 (December, 2007), pp. 1492-8, ISSN 1537-6591  [abs]
  15. J Leserman, BW Pence, K Whetten, MJ Mugavero, NM Thielman, MS Swartz, D Stangl, Relation of lifetime trauma and depressive symptoms to mortality in HIV., The American journal of psychiatry, United States, vol. 164 no. 11 (November, 2007), pp. 1707-13, ISSN 0002-953X  [abs]
  16. MJ Mugavero, BW Pence, K Whetten, J Leserman, M Swartz, D Stangl, NM Thielman, Childhood abuse and initial presentation for HIV care: An opportunity for early intervention., AIDS care, England, vol. 19 no. 9 (October, 2007), pp. 1083-7, ISSN 0954-0121  [abs]
  17. SC Morpeth, JA Crump, HJ Shao, HO Ramadhani, PR Kisenge, CA Moylan, S Naggie, LB Caram, KZ Landman, NE Sam, DK Itemba, JF Shao, JA Bartlett, NM Thielman, Predicting CD4 lymphocyte count <200 cells/mm(3) in an HIV type 1-infected African population., AIDS research and human retroviruses, United States, vol. 23 no. 10 (October, 2007), pp. 1230-6, ISSN 0889-2229  [abs]
  18. MJ Mugavero, BW Pence, K Whetten, J Leserman, M Swartz, D Stangl, NM Thielman, Predictors of AIDS-related morbidity and mortality in a southern U.S. Cohort., AIDS patient care and STDs, United States, vol. 21 no. 9 (September, 2007), pp. 681-90, ISSN 1087-2914  [abs]
  19. AK Person, HO Ramadhani, NM Thielman, Antiretroviral treatment strategies in resource-limited settings., Current HIV/AIDS reports, United States, vol. 4 no. 2 (May, 2007), pp. 73-9, ISSN 1548-3568  [abs]
  20. KZ Landman, NM Thielman, A Mgonja, HJ Shao, DK Itemba, EM Ndosi, AC Tribble, JF Shao, JA Bartlett, JA Crump, Antiretroviral treatment literacy among HIV voluntary counseling and testing clients in Moshi, Tanzania, 2003 to 2005., Journal of the International Association of Physicians in AIDS Care (Chicago, Ill. : 2002), United States, vol. 6 no. 1 (March, 2007), pp. 24-6, ISSN 1545-1097  [abs]
  21. SC Morpeth, NM Thielman, Diarrhea in patients with AIDS., Current treatment options in gastroenterology, United States, vol. 9 no. 1 (February, 2006), pp. 23-37, ISSN 1092-8472  [abs]
  22. NM Thielman, HY Chu, J Ostermann, DK Itemba, A Mgonja, S Mtweve, JA Bartlett, JF Shao, JA Crump, Cost-effectiveness of free HIV voluntary counseling and testing through a community-based AIDS service organization in Northern Tanzania., American journal of public health, vol. 96 no. 1 (January, 2006), pp. 114-9, ISSN 0090-0036 [doi]  [abs]
  23. AC Cheng, JR McDonald, NM Thielman, Infectious diarrhea in developed and developing countries., Journal of clinical gastroenterology, United States, vol. 39 no. 9 (October, 2005), pp. 757-73, ISSN 0192-0790  [abs]
  24. HY Chu, JA Crump, J Ostermann, RB Oenga, DK Itemba, A Mgonja, S Mtweve, JA Bartlett, JF Shao, NM Thielman, Sociodemographic and clinical characteristics of clients presenting for HIV voluntary counselling and testing in Moshi, Tanzania., International journal of STD & AIDS, England, vol. 16 no. 10 (October, 2005), pp. 691-6, ISSN 0956-4624  [abs]
  25. K Whetten, SS Reif, S Napravnik, MS Swartz, NM Thielman, JJ Eron, K Lowe, T Soto, Substance abuse and symptoms of mental illness among HIV-positive persons in the Southeast., Southern medical journal, United States, vol. 98 no. 1 (January, 2005), pp. 9-14, ISSN 0038-4348  [abs]
  26. S Ole-Nguyaine, JA Crump, GS Kibiki, K Kiang, J Taylor, W Schimana, JA Bartlett, JF Shao, JD Hamilton, NM Thielman, HIV-associated morbidity, mortality and diagnostic testing opportunities among inpatients at a referral hospital in northern Tanzania., Annals of tropical medicine and parasitology, England, vol. 98 no. 2 (March, 2004), pp. 171-9, ISSN 0003-4983  [abs]
  27. NM Thielman, RL Guerrant, Clinical practice. Acute infectious diarrhea., The New England journal of medicine, vol. 350 no. 1 (January, 2004), pp. 38-47, ISSN 1533-4406 [doi]
  28. J Leserman, K Whetten, K Lowe, D Stangl, MS Swartz, NM Thielman, How trauma, recent stressful events, and PTSD affect functional health status and health utilization in HIV-infected patients in the south., Psychosomatic medicine, United States, vol. 67 no. 3 , pp. 500-7, ISSN 1534-7796  [abs]

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