Nathan Maclyn Thielman, MD

Professor of Medicine
Research Professor of Global Health
Professor of Pathology
Campus mail 310 Trent Drive, Room 201, Trent Hall, Durham, NC 27710
Phone (919) 668-7174

Broadly, 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 settings. In Tanzania, our group is applying novel methods to optimize HIV testing uptake among high-risk groups. We recently demonstrated that the Discrete Choice Experiment (DCE), a form of stated preference survey research, is a robust tool for identifying (a) which characteristics of HIV testing options are most preferred by different populations and (b) which tradeoffs individuals make in evaluating testing options. Building on more than a decade of productive HIV testing research in the Kilimanjaro Region, the next phase of our NIMH funded project will test the hypothesis that DCE-derived HIV testing options significantly increases rates of testing among groups at high risk for HIV infection. This work holds promise not only for optimizing HIV testing uptake in the Kilimanjaro Region, but also for applying novel tools in the service of translational epidemiology and implementation research.

Education and Training

  • Fellow in Infectious Diseases, Medicine, University of Virginia, 1993 - 1996
  • Medical Resident, Medicine, Duke University, 1990 - 1993
  • M.D., Duke University, 1990
  • M.P.H., University of North Carolina - Chapel Hill, 1989

Publications

Manavalan, Preeti, Deng B. Madut, Julian T. Hertz, Nathan M. Thielman, Nwora Lance Okeke, Blandina T. Mmbaga, and Melissa H. Watt. “Hypertension burden and challenges across the hypertension treatment cascade among adults enrolled in HIV care in northern Tanzania.” J Clin Hypertens (Greenwich), July 11, 2020. https://doi.org/10.1111/jch.13929.

PMID
32652868
Full Text

Ostermann, Jan, Axel Mühlbacher, Derek S. Brown, Dean A. Regier, Amy Hobbie, Andrew Weinhold, Noor Alshareef, Caroline Derrick, and Nathan M. Thielman. “Heterogeneous Patient Preferences for Modern Antiretroviral Therapy: Results of a Discrete Choice Experiment.” Value Health 23, no. 7 (July 2020): 851–61. https://doi.org/10.1016/j.jval.2020.03.007.

PMID
32762986
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Hertz, Julian T., Francis M. Sakita, Godfrey L. Kweka, Alexander T. Limkakeng, Sophie W. Galson, Jinny J. Ye, Tumsifu G. Tarimo, et al. “Acute myocardial infarction under-diagnosis and mortality in a Tanzanian emergency department: A prospective observational study.” Am Heart J 226 (June 5, 2020): 214–21. https://doi.org/10.1016/j.ahj.2020.05.017.

PMID
32619815
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McCrary, Andrew W., Winstone M. Nyandiko, Alicia M. Ellis, Hrishikesh Chakraborty, Michael J. Muehlbauer, Myra M. Koech, Ibrahim Daud, et al. “Early cardiac dysfunction in children and young adults with perinatally acquired HIV.” Aids 34, no. 4 (March 15, 2020): 539–48. https://doi.org/10.1097/QAD.0000000000002445.

PMID
31794518
Full Text

Hertz, Julian T., Francis M. Sakita, Godfrey L. Kweka, Zak Loring, Nathan M. Thielman, Gloria Temu, and John A. Bartlett. “Healthcare-seeking behaviour, barriers to care and predictors of symptom improvement among patients with cardiovascular disease in northern Tanzania.” Int Health, December 15, 2019. https://doi.org/10.1093/inthealth/ihz095.

PMID
31840178
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Hertz, J. T., F. M. Sakita, P. Manavalan, B. T. Mmbaga, N. M. Thielman, and C. A. Staton. “Knowledge, attitudes, and preventative practices regarding ischemic heart disease among emergency department patients in northern Tanzania.” Public Health 175 (October 2019): 60–67. https://doi.org/10.1016/j.puhe.2019.06.017.

PMID
31401252
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Goodman, David M., Pendo Mlay, Nathan Thielman, Maria J. Small, and John W. Schmitt. “Using fetal scalp stimulation with Doppler ultrasonography to enhance intermittent auscultation in low-resource settings: a diagnostic trial from Tanzania.” Bmc Pregnancy Childbirth 19, no. 1 (February 13, 2019): 71. https://doi.org/10.1186/s12884-019-2212-z.

PMID
30760224
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Galson, Sophie W., John W. Stanifer, Julian T. Hertz, Gloria Temu, Nathan Thielman, Temitope Gafaar, and Catherine A. Staton. “The burden of hypertension in the emergency department and linkage to care: A prospective cohort study in Tanzania.” Plos One 14, no. 1 (2019): e0211287. https://doi.org/10.1371/journal.pone.0211287.

PMID
30682173
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Hertz, Julian T., Francis M. Sakita, Preeti Manavalan, Deng B. Madut, Nathan M. Thielman, Blandina T. Mmbaga, Catherine A. Staton, and Sophie W. Galson. “The Burden of Hypertension and Diabetes in an Emergency Department in Northern Tanzania.” Ethn Dis 29, no. 4 (2019): 559–66. https://doi.org/10.18865/ed.29.4.559.

PMID
31641323
Full Text

Xu, Julia Z., Wilaslak Tanongsaksakul, Thidarat Suksangpleng, Supachai Ekwattanakit, Suchada Riolueang, Bonnie N. Kaiser, Nathan M. Thielman, Marilyn J. Telen, and Vip Viprakasit. “Knowledge, Cultural, and Structural Barriers to Thalassemia Screening in Migrant Populations in Thailand.” In Blood, 132:2228–2228. American Society of Hematology, 2018. https://doi.org/10.1182/blood-2018-99-114117.

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