Department / Division:
Medicine / Infectious Diseases

Address:
DUMC 3152
Durham, NC 27710

Appointment Telephone:
919-668-7630

Fax Telephone:
919-479-2948

• MD, Duke University School of Medicine, 1990

• Internal Medicine, Duke University Medical Center, 1990-1993
• Infectious Diseases, University of Virginia Medical Center, 1993-1996

• MPH, University of North Carolina at Chapel Hill, 1989

Clinical Interests:
HIV/AIDS, infectious diarrhea, international health

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:
Ramadhani HO, Thielman NM, Landman KZ, Ndosi EM, Gao F, Kirchherr JL, Shah R, Shao HJ, Morpeth SC, McNeill JD, Shao JF, Bartlett JA, Crump JA. Predictors of incomplete adherence, virologic failure, and antiviral drug resistance among HIV-infected adults receiving antiretroviral therapy in Tanzania. Clin Infect Dis. 2007 Dec 1;45(11):1492-8. (2007) Abstract

Person AK, Ramadhani HO, Thielman NM. Antiretroviral treatment strategies in resource-limited settings. Curr HIV/AIDS Rep. 2007 May;4(2):73-9. (2007) Abstract

Mugavero MJ, Pence BW, Whetten K, Leserman J, Swartz M, Stangl D, Thielman NM. Predictors of AIDS-related morbidity and mortality in a southern U.S. Cohort. AIDS Patient Care STDS. 2007 Sep;21(9):681-90. (2007) Abstract

Mugavero MJ, Pence BW, Whetten K, Leserman J, Swartz M, Stangl D, Thielman NM. Childhood abuse and initial presentation for HIV care: An opportunity for early intervention. AIDS Care. 2007 Oct;19(9):1083-7. (2007) Abstract

Morpeth SC, Crump JA, Shao HJ, Ramadhani HO, Kisenge PR, Moylan CA, Naggie S, Caram LB, Landman KZ, Sam NE, Itemba DK, Shao JF, Bartlett JA, Thielman NM. Predicting CD4 lymphocyte count <200 cells/mm(3) in an HIV type 1-infected African population. AIDS Res Hum Retroviruses. 2007 Oct;23(10):1230-6. (2007) Abstract

Leserman J, Pence BW, Whetten K, Mugavero MJ, Thielman NM, Swartz MS, Stangl D. Relation of lifetime trauma and depressive symptoms to mortality in HIV. Am J Psychiatry. 2007 Nov;164(11):1707-13. (2007) Abstract

Landman KZ, Thielman NM, Mgonja A, Shao HJ, Itemba DK, Ndosi EM, Tribble AC, Shao JF, Bartlett JA, Crump JA. Antiretroviral treatment literacy among HIV voluntary counseling and testing clients in Moshi, Tanzania, 2003 to 2005.  J Int Assoc Physicians AIDS Care. 2007 Mar;6(1):24-6. (2007) Abstract

Thielman NM, Chu HY, Ostermann J, Itemba DK, Mgonja A, Mtweve S, Bartlett JA, Shao JF, Crump JA. Cost-effectiveness of free HIV voluntary counseling and testing through a community-based AIDS service organization in Northern Tanzania. Am J Public Health. 2006 Jan;96(1):114-9. (2006) Abstract

Morpeth SC, Thielman NM. Diarrhea in patients with AIDS. Curr Treat Options Gastroenterol. 2006 Feb;9(1):23-37. (2006) Abstract

Whetten K, Reif SS, Napravnik S, Swartz MS, Thielman NM, Eron JJ Jr, Lowe K, Soto T. Substance abuse and symptoms of mental illness among HIV-positive persons in the Southeast. South Med J. 2005 Jan;98(1):9-14. (2005) Abstract

Leserman J, Whetten K, Lowe K, Stangl D, Swartz MS, Thielman NM. How trauma, recent stressful events, and PTSD affect functional health status and health utilization in HIV-infected patients in the south. Psychosom Med. 2005 May-Jun;67(3):500-7. (2005) Abstract

Chu HY, Crump JA, Ostermann J, Oenga RB, Itemba DK, Mgonja A, Mtweve S, Bartlett JA, Shao JF, Thielman NM. Sociodemographic and clinical characteristics of clients presenting for HIV voluntary counselling and testing in Moshi, Tanzania. Int J STD AIDS. 2005 Oct;16(10):691-6. (2005) Abstract

Cheng AC, McDonald JR, Thielman NM. Infectious diarrhea in developed and developing countries. J Clin Gastroenterol. 2005 Oct;39(9):757-73. (2005) Abstract

Thielman NM, Guerrant RL. Clinical practice. Acute infectious diarrhea. N Engl J Med. 2004 Jan 1;350(1):38-47. (2004) Abstract

Ole-Nguyaine S, Crump JA, Kibiki GS, Kiang K, Taylor J, Schimana W, Bartlett JA, Shao JF, Hamilton JD, Thielman NM. HIV-associated morbidity, mortality and diagnostic testing opportunities among inpatients at a referral hospital in northern Tanzania. Ann Trop Med Parasitol. 2004 Mar;98(2):171-9. (2004) Abstract

Guerrant, R.L.,Van Gilder, T., Steiner, T.S., Thielman, N.M., Slutsker, L., Tauxe, R.V., Hennessy, T., Griffin, P.M., Dupont, H., Sack, R.B., Tarr, P., Neill, M., Nachamkin, I.,Reller, L.B., Osterholm, M.T., Bennish, M.L., and Pickering, L.K. Practice Guidelines for the Management of Infectious Diseases. Clinical Infectious Diseases, 32:331-50, 2001 (2001)

Thielman, N.M., Fang, G.D., Marcinkiewicz, M., Sarosiek, J., and Guerrant, R.L. Role of platelet activating factor in Chinese hamster ovary cell responses to cholera toxin. Journal of Clinical Investigation, 99:1999-2004, 1997 (1997)

Miller, W.C., Thielman, N.M., Swai, N., Cegielski, J.P., Shao, J.,Ting,D., Mlalasi, J., Manyenga, D., Lallinger, G.J. Delayed type hypersensitivity testing in Tanzanian adults with HIV infection and/or tuberculosis. Journal of Acquired Immune Deficiency Syndrome and Human Retrovirology. 12(3):303-8,1996 (1996)

Miller, W.C., Thielman, N.M., Swai, N., Shao, J., Cegielski, J.P., Manyenga, D., Mlalasi, J., Lallinger, G.J. Diagnosis and screening of HIV/AIDS using clinical criteria in Tanzanian adults. Journal of Acquired Immune Deficiency Syndrome and Human Retrovirology. 9:408-414,1995 (1995)

Fonteles, M.C., Fang, G.D., Thielman, N.M., Yotseff, P.S., Guerrant, R.L. Role of platelet activating factor in the inflammatory and secretory effects of Clostridium difficile toxin A. Journal of Lipid Mediators and Cell Signaling 11:133-143, 1995 (1995)